NCLEX Select All That Apply Practice Exam 9

Question 1

A nurse is caring for a client with a nasogastric tube that is attached to low suction.
The nurse monitors the client closely for which acid-base disorder that is most likely to occur in this situation?

Accepted Answer

Metabolic alkalosis

Answer

Metabolic acidosis

Answer

Respiratory acidosis

Answer

Respiratory alkalosis

Question 2

A nurse is caring for a client with diabetic ketoacidosis and documents that the client is experiencing Kussmaul's respirations. Based on this documentation, which of the following did the nurse most likely observe?

Accepted Answer

Respirations that are abnormally deep, regular, and increased in rate

Answer

Respirations that cease for several seconds

Answer

Respirations that are regular but abnormally slow

Answer

Respirations that are labored and increased in depth and rate

Question 3

Which nursing interventions are appropriate for a client recovering from surgery for retinal detachment? Select all that apply.

Accepted Answer

Monitor for hemorrhage.

Answer

Assist with activities of daily living.

Answer

Encourage coughing and deep breathing.

Question 4

A nurse is caring for a client with leukemia and notes that the client has poor skin turgor and flat neck and hand veins. The nurse suspects hyponatremia. What additional signs would the nurse expect to note in this client if hyponatremia is present?

Accepted Answer

Postural blood pressure changes

Answer

Intense thirst

Answer

Slow bounding pulse

Answer

Dry mucous membranes

Question 5

A nurse is caring for a group of clients who are taking herbal medications at home. Which of the following clients should be instructed not to take herbal medications?

Accepted Answer

A 10-year-old female client with a urinary tract infection

Answer

A 60-year-old male client with rhinitis

Answer

A 24-year-old male client with a lower back injury

Answer

A 45-year-old female client with a history of migraine headaches

Question 6

A nurse is caring for an infant with a diagnosis of tetralogy of Fallot. The infant suddenly becomes cyanotic and the oxygen saturation reading drops to 60%. Choose the interventions that the nurse should perform. Select all that apply.

Accepted Answer

Notify the registered nurse.

Answer

Call a code blue.

Answer

Place the infant in a prone position.

Question 7

A nurse is collecting data on a client with severe preeclampsia. Choose the findings that would be noted in severe preeclampsia. Select all that apply.

Accepted Answer

Oliguria

Answer

Seizures

Answer

Contractions

Answer

Muscle cramps

Question 8

A nurse is monitoring a client with Graves' disease for signs of thyrotoxicosis (thyroid storm). Which of the following signs and symptoms, if noted in the client, will alert the nurse to the presence of this crisis? Select all that apply.

Accepted Answer

Fever

Answer

Bradycardia

Answer

Pallor

Question 9

A nurse is monitoring a group of clients for acid-base imbalances. Which clients are at highest risk for metabolic acidosis? Select all that apply.

Accepted Answer

Diabetic mellitus client

Answer

Severely anxious client

Answer

Pneumonia client

Answer

Asthma client

Question 10

The nurse should understand regulations of nursing practice as put forth by the Nurse Practice Act. Identify the statement which is incorrect.

Accepted Answer

The Nurse Practice Act is a series of statutes enacted by the federal government in order to regulate the practice of nursing.

Answer

The Nurse Practice Act defines the scope of nursing practice.

Answer

All nurses have the responsibility to know the provisions of the act for the state or province in which they work.

Answer

Some other issues covered by the Nurse Practice Act include: grounds for disciplinary action, licensure requirements, and the rights of the nurse licensee if a disciplinary action is taken.

A nurse is caring for a client with a nasogastric tube that is attached to low suction.The nurse monitors the client closely for which acid-base disorder that is most likely to occur in this situation?

A nurse is caring for a client with a nasogastric tube that is attached to low suction.
The nurse monitors the client closely for which acid-base disorder that is most likely to occur in this situation?