NCLEX Select All That Apply Practice Exam 7

Question 1

The nurse is evaluating the discharge teaching for a client who has an ileal conduit.
Which of the following statements indicates that the client has correctly understood the teaching? Select all that apply.

Accepted Answer

“I can usually keep my ostomy pouch on for 3 to 7 days before changing it.”

Answer

“If I limit my fluid intake I will not have to empty my ostomy pouch as often.”

Answer

“I can place an aspirin tablet in my pouch to decrease odor.”

Question 2

A nurse is assisting in performing an assessment on a client who suspects that she is pregnant and is checking the client for probable signs of pregnancy. Select all probable signs of pregnancy.

Accepted Answer

Uterine enlargement

Answer

Fetal heart rate detected by nonelectric device

Answer

Outline of the fetus via radiography or ultrasound

Question 3

A nurse is monitoring a pregnant client with pregnancy induced hypertension who is at risk for Preeclampsia. The nurse checks the client for which specific signs of Preeclampsia (select all that apply)?

Accepted Answer

Elevated blood pressure

Answer

Negative urinary protein

Answer

Increased respirations

Question 4

A nurse is caring for a pregnant client with severe preeclampsia who is receiving IV magnesium sulfate. Select all nursing interventions that apply in the care for the client.

Accepted Answer

Monitor renal function and cardiac function closely

Answer

Monitor maternal vital signs every 2 hours

Answer

Notify the physician if respirations are less than 18 per minute.

Question 5

When interpreting an ECG, the nurse would keep in mind which of the following about the P wave? Select all that apply.

Accepted Answer

Reflects electrical impulse beginning at the SA node

Answer

Indicated electrical impulse beginning at the AV node

Answer

Identifies ventricular muscle depolarization

Question 6

When caring for a client with a central venous line, which of the following nursing actions should be implemented in the plan of care for chemotherapy administration? Select all that apply.

Accepted Answer

Verify patency of the line by the presence of a blood return at regular intervals.

Answer

Administer a cytotoxic agent to keep the regimen on schedule even if blood return is not present.

Question 7

To assist an adult client to sleep better the nurse recommends which of the following? (Select all that apply.)

Accepted Answer

Consuming a small glass of warm milk at bedtime

Answer

Drinking a glass of wine just before retiring to bed

Answer

Eating a large meal 1 hour before bedtime

Answer

Performing mild exercises 30 minutes before going to bed

Question 8

The nurse recognizes that a client is experiencing insomnia when the client reports (select all that apply):

Accepted Answer

Extended time to fall asleep

Answer

Falling asleep at inappropriate times

Question 9

The nurse teaches the mother of a newborn that in order to prevent sudden infant death syndrome (SIDS) the best position to place the baby after nursing is (select all that apply):

Accepted Answer

Side-lying

Answer

Prone

Answer

Fowler’s

Question 10

A client develops tremors while withdrawing from alcohol. Which medication is routinely administered to lessen physiological effects of alcohol withdrawal?

Accepted Answer

Klonopin (clonazepam)

Answer

Dolophine (methadone)

Answer

Narcan (Naloxone)

Answer

Antabuse (disulfiram)

The nurse is evaluating the discharge teaching for a client who has an ileal conduit.Which of the following statements indicates that the client has correctly understood the teaching? Select all that apply.

The nurse is evaluating the discharge teaching for a client who has an ileal conduit.
Which of the following statements indicates that the client has correctly understood the teaching? Select all that apply.