NCLEX Select All That Apply Practice Exam 8

Question 1

The clinic nurse is assisting to perform a focused data collection process on a client who is complaining of symptoms of a cold, a cough, and lung congestion. Which of the following would the nurse include for this type of data collection? Select all that apply.

Accepted Answer

Auscultating lung sounds

Answer

A focused data collection for cold symptoms, cough, and lung congestion primarily targets the respiratory system and general signs of infection. Auscultating lung sounds directly assesses for congestion or abnormal breath sounds, while obtaining the client's temperature checks for fever. Assessing respirations provides information on breathing effort and rate, all directly relevant to the client's presenting complaints.

Question 2

A community health nurse is conducting a teaching session about terrorism with members of the community and discussing information regarding anthrax. The nurse tells those attending that anthrax can be transmitted via which route(s)? Select all that apply.

Accepted Answer

Skin

Answer

Anthrax, caused by the bacterium Bacillus anthracis, can infect humans through several routes. Cutaneous anthrax occurs when spores enter through broken skin, inhalation anthrax results from breathing in spores, and gastrointestinal anthrax is contracted by consuming contaminated food or water. These are the primary and most common modes of transmission for human anthrax infections.

Question 3

The emergency room nurse is providing discharge teaching to the parents of a 2-year-old child who sustained burns from a hot cup of coffee that had been left on the kitchen counter. The nurse evaluates that the parents have correctly understood the teaching when they state which of the following?

Accepted Answer

"We will be sure to not leave hot liquids unattended."

Answer

The most effective way to prevent future burn injuries from hot liquids in a 2-year-old is to eliminate the source of the hazard. Leaving hot liquids unattended on counters makes them easily accessible to curious toddlers, increasing the risk of accidental spills and burns. This statement demonstrates the parents' understanding of proactive safety measures to prevent recurrence.

Question 4

A licensed practical nurse is attending an agency orientation meeting about the nursing model of practice implemented in the facility. The nurse is told that the nursing model is a team nursing approach. The nurse understands that which of the following is a characteristic of this type of nursing model of practice?

Accepted Answer

Nursing staff are led by a nurse when providing care to a group of clients.

Answer

Administering an additional dose of bumetanide, a potent diuretic, significantly increases the client's risk for hypotension and fluid volume deficit, which can lead to falls. The nurse's failure to adequately educate the client about these risks and the importance of calling for assistance, combined with a lack of immediate follow-up after administering the medication, constitutes a breach in the standard of care. These omissions directly contributed to the client's fall and injury, supporting a malpractice claim.

Question 5

A licensed practical nurse is planning the client assignments for the day. Which of the following is the most appropriate assignment for the nursing assistant?

Accepted Answer

A client who requires frequent ambulation

Answer

Following a lumbar puncture, key interventions focus on preventing complications. Maintaining a flat position helps reduce the risk of post-lumbar puncture headache by minimizing CSF leakage. Monitoring the client's ability to void and move extremities assesses for potential nerve damage or spinal cord compression, while inspecting the puncture site checks for infection or CSF leakage, ensuring early detection of adverse events.

NCLEX Practice Test

NCLEX Practice Test

NCLEX Select All That Apply Practice Exam 8