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

Chronic bronchitis is characterized by a persistent cough that produces sputum for at least three months in two consecutive years. Key signs include an early onset cough, often worse in the morning, and the production of purulent (pus-filled) mucus due to chronic inflammation and infection. Mild episodes of dyspnea (shortness of breath) are also common, especially with exertion, as the airways become narrowed and obstructed.

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

To help a client work through a crisis, the nurse must first understand the client's emotional response and how they are processing the traumatic event. Inquiring about their feelings allows the client to express grief, guilt, or other emotions, which is a crucial step in identifying coping mechanisms and facilitating emotional processing. This helps the nurse tailor interventions to support the client's psychological recovery.

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

Disconnecting the IV tubing from the catheter in the vein should be avoided as it breaks the sterile closed system, increasing the risk of infection and air embolism. It also disrupts the continuous infusion of medication or fluids. Instead, the nurse should use a hospital gown with snaps or carefully thread the IV bag and tubing through the sleeve to change the gown without disconnecting the line.

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

When prioritizing client care, the nurse should always assess clients with the most unstable or potentially life-threatening conditions first. A client on a ventilator requires continuous monitoring of respiratory status, ventilator settings, and potential complications, making them the highest priority due to the critical nature of their airway and breathing support.

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

In an ambulatory care unit for a scheduled hernia repair, the immediate priority during data collection is to assess physiological systems directly relevant to the surgery and anesthesia, such as respiratory, neurological, and cardiovascular status. While psychosocial data is important for holistic care, it is typically of least priority for immediate pre-operative assessment compared to vital physiological functions that could impact surgical safety or recovery.

NCLEX Practice Test

NCLEX Practice Test

NCLEX Select All That Apply Practice Exam 3