NCLEX Select All That Apply Practice Exam 4

Question 1

A nurse is providing a list of instructions to a client who is scheduled to have an electroencephalogram (EEG). Choose the instructions that the nurse places on the list. Select all that apply.

Accepted Answer

Tea and coffee are restricted on the day of the test.

Answer

Cola is acceptable to drink on the day of the test.

Answer

All medications need to be withheld on the day of the test.

Answer

A nothing-by-mouth (NPO) status is required on the day of the test.

Question 2

The nurse is providing discharge teaching to the client who was given a prescription for nifedipine (Adalat) for blood pressure management. Which instructions should the nurse include? Select all that apply.

Accepted Answer

"Take pulse rate each day."

Answer

"Increase calcium intake."

Question 3

A nurse is providing teaching regarding the prevention of Lyme disease to a group of teenagers going on a hike in a wooded area. Which of the following points should the nurse include in the session? Select all that apply.

Accepted Answer

Tuck pant legs into socks.

Answer

Remove attached ticks by grasping with thumb and forefinger.

Answer

Wear long sleeves and long pants in dark colors when in high-risk areas.

Question 4

A nurse is reinforcing instructions to a client following a total laryngectomy about caring for the stoma. Choose the instructions that the nurse provides to the client. Select all that apply.

Accepted Answer

Protect the stoma from water.

Answer

Use diluted alcohol on the stoma to clean it.

Answer

Use soft tissues to clean any secretions that accumulate around the stoma.

Question 5

A nurse is reviewing the health records of assigned clients. The nurse plans care knowing that which client is at risk for fluid volume deficit?

Accepted Answer

The client with a colostomy

Answer

The client with cirrhosis

Answer

The client with decreased kidney function

Answer

The client with congestive heart failure (CHF)

Question 6

A nurse is told in report that a client has a positive Chvostek's sign. What other data would the nurse expect to find on data collection? Select all that apply.

Accepted Answer

Tetany

Answer

Coma

Answer

Hypoactive bowel sounds

Question 7

A nurse lawyer provides an education session to the nursing staff regarding client rights. A nurse asks the lawyer to describe an example that may relate to invasion of client privacy. A nursing action that indicates a violation of this right is:

Accepted Answer

Taking photographs of the client without consent

Answer

Threatening to place a client in restraints

Answer

Performing a surgical procedure without consent

Answer

Telling the client that he or she cannot leave the hospital

Question 8

A nurse notes in the medical record that a client with Cushing's syndrome is experiencing fluid overload. Which interventions should be included in the plan of care? Select all that apply.

Accepted Answer

Monitoring daily weight

Answer

Maintaining a low-potassium diet

Question 9

A nurse notes in the medical record that a client with Cushing's syndrome is experiencing fluid overload. Which interventions should be included in the plan of care? Select all that apply.

Accepted Answer

Monitoring daily weight

Answer

Maintaining a low-potassium diet

Question 10

A client with human immunodeficiency syndrome has gastrointestinal symptoms, including diarrhea. The nurse should teach the client to avoid:

Accepted Answer

Raw fruits and vegetables

Answer

Calcium-rich foods

Answer

Canned or frozen vegetables

Answer

Processed meat