NCLEX Select All That Apply Practice Exam 3

Question 1

A nurse is admitting a client with a possible diagnosis of chronic bronchitis.
The nurse collects data from the client and notes that which of the following signs supports this diagnosis? Select all that apply.

Accepted Answer

Early onset cough

Answer

Scant mucus

Answer

Marked weight loss

Question 2

A nurse is assigned to care for a client admitted to the hospital after sustaining an injury from a house fire. The client attempted to save a neighbor involved in the fire but, in spite of the client's efforts, the neighbor died. Which action would the nurse take to enable the client to work through the meaning of the crisis?

Accepted Answer

Inquiring about the client's feelings that may affect coping

Answer

Identifying the client's ability to function

Answer

Identifying the client's potential for self-harm

Answer

Inquiring about the client's perception of the cause of the neighbor's death

Question 3

A nurse is assigned to care for a client with a peripheral IV infusion. The nurse is providing hygiene care to the client and would avoid which of the following while changing the client's hospital gown?

Accepted Answer

Disconnecting the IV tubing from the catheter in the vein

Answer

Using a hospital gown with snaps at the sleeves

Answer

Checking the IV flow rate immediately after changing the hospital gown

Answer

Putting the bag and tubing through the sleeve, followed by the client's arm

Question 4

A nurse is assigned to care for four clients. When planning client rounds, which client would the nurse check first?

Accepted Answer

A client on a ventilator

Answer

A client in skeletal traction

Answer

A postoperative client preparing for discharge

Answer

A client admitted on the previous shift who has a diagnosis of gastroenteritis

Question 5

A nurse is assisting with collecting data from an African-American client admitted to the ambulatory care unit who is scheduled for a hernia repair. Which of the following information about the client is of least priority during the data collection?

Accepted Answer

Psychosocial

Answer

Respiratory

Answer

Neurological

Answer

Cardiovascular

Question 6

A nurse is assisting with planning care for a client with an internal radiation implant. Which of the following should be included in the plan of care? Select all that apply.

Accepted Answer

Wearing gloves when emptying the client's bedpan

Answer

Placing the client in a semiprivate room at the end of the hallway

Question 7

The nurse is caring for a client after a supratentorial craniotomy in which a large tumor was removed from the left side. Choose the positions in which the nurse can safely place the client. Select all that apply.

Accepted Answer

In a semi-Fowler's position

Answer

On the left side

Answer

With the neck flexed

Answer

Supine on the left side

Answer

With extreme hip flexion

Question 8

A nurse is caring for a client after thyroidectomy and notes that calcium gluconate is prescribed for the client. The nurse determines that this medication has been prescribed to:

Accepted Answer

Treat hypocalcemic tetany.

Answer

Treat thyroid storm.

Answer

Prevent cardiac irritability.

Answer

Stimulate the release of parathyroid hormone.

Question 9

A nurse is caring for a client with a healthcare-associated infection caused by methicillin-resistant Staphylococcus aureus who is on contact precautions. The nurse prepares to provide colostomy care to the client. Which of the following protective items will be required to perform this procedure?

Accepted Answer

Gloves, a gown, and goggles

Answer

Gloves and a gown

Answer

Gloves and goggles

Answer

Gloves, a gown, and shoe protectors

Question 10

The nurse is caring for a client with a history of diverticulitis. The client complains of abdominal pain, fever, and diarrhea. Which food was responsible for the client’s symptoms?

Accepted Answer

Whole-grain cereal

Answer

Mashed potatoes

Answer

Steamed carrots

Answer

Baked fish