NCLEX-RN Practice Test 22

Question 1

Which information should be reported to the state Board of Nursing?

Accepted Answer

The narcotic count has been incorrect on the unit for the past 3 days.

Answer

The facility fails to provide literature in both Spanish and English.

Answer

The client fails to receive an itemized account of his bills and services received during his hospital stay.

Answer

The nursing assistant assigned to the client with hepatitis fails to feed the client and give the bath.

Question 2

Which assignment should not be performed by the licensed practical nurse?

Accepted Answer

Starting a blood transfusion

Answer

Inserting a Foley catheter

Answer

Discontinuing a nasogastric tube

Answer

Obtaining a sputum specimen

Question 3

The nurse is discussing meal planning with the mother of a 2-year-old toddler. Which of the following statements, if made by the mother, would require a need for further instruction?

Accepted Answer

“We are going on a camping trip this weekend, and I have bought hot dogs to grill for his lunch.”

Answer

“It is okay to give my child white grape juice for breakfast.”

Answer

“My child can have a grilled cheese sandwich for lunch.”

Answer

“For a snack, my child can have ice cream.”

Question 4

The nurse is providing dietary instructions to the mother of an 8-year-old child diagnosed with celiac disease. Which of the following foods, if selected by the mother, would indicate her understanding of the dietary instructions?

Accepted Answer

Cheese omelet

Answer

Ham sandwich on whole-wheat toast

Answer

Spaghetti and meatballs

Answer

Hamburger with ketchup

Question 5

Which instruction should be given to the client who is fitted for a behind-the-ear hearing aid?

Accepted Answer

Store the hearing aid in a warm place.

Answer

Clean the lint from the hearing aid with a toothpick.

Answer

Change the batteries weekly.

Question 6

The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primigravida as she completes the early phase of labor?

Accepted Answer

Potential fluid volume deficit related to decreased fluid intake

Answer

Impaired gas exchange related to hyperventilation

Answer

Alteration in placental perfusion related to maternal position

Answer

Impaired physical mobility related to fetal-monitoring equipment

Question 7

The nurse is caring for a 6-year-old client admitted with a diagnosis of conjunctivitis. Before administering eye drops, the nurse should recognize that it is essential to consider which of the following?

Accepted Answer

The eye should be cleansed with warm water, removing any exudate, before instilling the eyedrops.

Answer

The child should be allowed to instill his own eye drops.

Answer

The mother should be allowed to instill the eyedrops.

Answer

If the eye is clear from any redness or edema, the eyedrops should be held.

Question 8

A client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes?

Accepted Answer

Diaphragm

Answer

Intrauterine device

Answer

Oral contraceptives

Answer

Contraceptive sponge

Question 9

The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?

Accepted Answer

Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea

Answer

Hamburger pattie, green beans, French fries, and iced tea

Answer

Roast beef sandwich, potato chips, baked beans, and cola

Answer

Fish sandwich, gelatin with fruit, and coffee

Question 10

Which of the following statements refer to the vision of the hospital?

Accepted Answer

The Holy Spirit Medical Center is a trendsetter in tertiary health care in the United States in the next five years

Answer

The officers and staff of The Holy Spirit Medical Center believe in the unique nature of the human person

Answer

All the nurses shall undergo continuing competency training program.

Answer

The Holy Spirit Medical Center aims to provide a patient-centered care in a total healing environment.