NCLEX Practice Exam 8

Question 1

The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?

Accepted Answer

The client with Cushing’s disease

Answer

The client with diabetes

Answer

The client with acromegaly

Answer

The client with myxedema

Question 2

A gravida 3 para 0 is admitted to the labor and delivery unit. The doctor performs an amniotomy. Which observation would the nurse be expected to make after the amniotomy?

Accepted Answer

A moderate amount of straw-colored fluid

Answer

Fetal heart tones 160bpm

Answer

A small amount of greenish fluid

Answer

A small segment of the umbilical cord

Question 3

The nurse is caring for an 80-year-old with chronic bronchitis. Upon the morning rounds, the nurse finds an O2 sat of 76%. Which of the following actions should the nurse take first?

Accepted Answer

Apply oxygen by mask

Answer

Notify the physician

Answer

Recheck the O2 saturation level in 15 minutes

Answer

Assess the child’s pulse

Question 4

The registered nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?

Accepted Answer

The client receiving linear accelerator radiation therapy for lung cancer

Answer

The client with a radium implant for cervical cancer

Answer

The client who has just been administered soluble brachytherapy for thyroid cancer

Answer

The client who returned from placement of iridium seeds for prostate cancer

Question 5

The 5-year-old is being tested for enterobiasis (pinworms). To collect a specimen for assessment of pinworms, the nurse should teach the mother to:

Accepted Answer

Examine the perianal area with a flashlight 2 or 3 hours after the child is asleep

Answer

Scrape the skin with a piece of cardboard and bring it to the clinic

Answer

Obtain a stool specimen in the afternoon

Answer

Bring a hair sample to the clinic for evaluation

Question 6

The client is having an arteriogram. During the procedure, the client tells the nurse, “I’m feeling really hot.” Which response would be best?

Accepted Answer

“That feeling of warmth is normal when the dye is injected.”

Answer

You are having an allergic reaction. I will get an order for Benadryl.”

Answer

That feeling of warmth indicates that the clots in the coronary vessels are dissolving.”

Answer

“I will tell your doctor and let him explain to you the reason for the hot feeling that you are experiencing.”

Question 7

A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?

Accepted Answer

Apply the fetal heart monitor

Answer

Anticipate the need for a Caesarean section

Answer

Place the client in Genupectoral position

Answer

Perform an ultrasound exam

Question 8

Which of the following instructions should be included in the nurse’s teaching regarding oral contraceptives?

Accepted Answer

An alternate method of birth control is needed when taking antibiotics.

Answer

Weight gain should be reported to the physician.

Answer

If the client misses one or more pills, two pills should be taken per day for 1 week.

Answer

Changes in the menstrual flow should be reported to the physician.

Question 9

The rationale for inserting a French catheter every hour for the client with epidural anesthesia is:

Accepted Answer

The sensation of the bladder filling is diminished or lost.

Answer

The bladder fills more rapidly because of the medication used for the epidural.

Answer

Her level of consciousness is such that she is in a trancelike state.

Answer

She is embarrassed to ask for the bedpan that frequently.

Question 10

What are scientific criteria appropriate for qualitative research? Select all that apply.

Accepted Answer

Auditability

Answer

Reliability

The nurse is planning room assignments for the day.Which client should be assigned to a private room if only one is available?

The nurse is planning room assignments for the day.
Which client should be assigned to a private room if only one is available?