NCLEX Select All That Apply Practice Exam 11

Question 1

A client has a diagnosis of primary insomnia. Before assessing this client, the nurse recalls the numerous causes of this disorder. Select all that apply:

Accepted Answer

Chronic stress

Answer

Severe anxiety

Answer

Generalized pain

Answer

Chronic depression

Question 2

Select all that apply to the use of barbiturates in treating insomnia:

Accepted Answer

Barbiturates deprive people of REM sleep

Answer

Barbiturates deprive people of NREM sleep

Answer

When the barbiturates are discontinued, the NREM sleep increases

Question 3

Select all that apply that is appropriate when there is a benzodiazepine overdose:

Accepted Answer

Gastric lavage

Answer

Administration of syrup of ipecac

Answer

Hemodialysis

Question 4

A nurse has reinforced instructions to the client with hyperparathyroidism regarding home care measures related to exercise. Which statement by the client indicates a need for further instruction? Select all that apply.

Accepted Answer

"I need to limit playing football to only the weekends."

Answer

"I enjoy exercising but I need to be careful."

Answer

"I need to pace my activities throughout the day."

Answer

"I should gauge my activity level by my energy level."

Question 5

A nurse in a medical unit is caring for a client with heart failure. The client suddenly develops extreme dyspnea, tachycardia, and lung crackles, and the nurse suspects pulmonary edema. The nurse immediately notifies the registered nurse and expects which interventions to be prescribed? Select all that apply.

Accepted Answer

Administering oxygen

Answer

Transporting the client to the coronary care unit

Answer

Placing the client in a low Fowler's side-lying position

Question 6

The nurse is preparing a teaching plan for a client who is undergoing cataract extraction with intraocular implant. Which home care measures will the nurse include in the plan? Select all that apply.

Accepted Answer

To avoid activities that require bending over

Answer

To contact the surgeon if eye scratchiness occurs

Answer

That episodes of sudden severe pain in the eye is expected

Question 7

The nurse is preparing a teaching plan for a client who is undergoing cataract extraction with intraocular implant. Which home care measures will the nurse include in the plan? Select all that apply.

Accepted Answer

To avoid activities that require bending over

Answer

To contact the surgeon if eye scratchiness occurs

Answer

That episodes of sudden severe pain in the eye is expected

Question 8

When the nurse is collecting data from the older adult, which of the following findings would be considered normal physiological changes? Select all that apply.

Accepted Answer

Decline in visual acuity

Answer

Increased heart rate

Answer

Decreased respiratory rate

Answer

Decline in long-term memory

Question 9

Which data indicates to the nurse that a client may be experiencing ineffective coping?

Accepted Answer

Constantly neglects personal grooming

Answer

Visits her husband's grave once a month

Answer

Visits the senior citizens' center once a month

Answer

Frequently looks at snapshots of her husband and family

Question 10

The mother of a child with cystic fibrosis tells the nurse that her child makes “snoring” sounds when breathing. The nurse is aware that many children with cystic fibrosis have:

Accepted Answer

Nasal polyps

Answer

Choanal atresia

Answer

Septal deviations

Answer

Enlarged adenoids

A client has a diagnosis of primary insomnia.Before assessing this client, the nurse recalls the numerous causes of this disorder.Select all that apply:

A client has a diagnosis of primary insomnia.
Before assessing this client, the nurse recalls the numerous causes of this disorder.
Select all that apply: