NCLEX tutor questions week 1

If a client weighs 132 lb and has a caloric requirement of 28 calories per kg of body weight per day, what is the number of calories that the client needs each day to maintain body weight? Record your answer using a whole number.

1,680 cals/day

A 15 year old client was involved in an auto accident and requires emergency surgery to control bleeding, but both parents are out of town and unable to sign the consent form. Which of the following is the most appropriate actions? 1. The client signs the consent form 2. The parents give telephone consent with two witnesses listening 3. The parents give email consent 4. The physician operate without consent because of the emergency situation

2

A client has had a recent below-knee (BK) amputation of the right leg because of a traumatic injury. After removing the elastic wrap, which the client had applied, the nurse notes an unusual pattern of swelling. Which of the following is the most likely reason for this observation? 1. Wound infection 2. Impaired circulation to the stump 3. Incorrect wrap technique 4. Bleeding into the tissues

3

The nurse is administering an intermittent tube feeding to a client through a nasogastric tube. Which of the following positions is optimal for tube feedings? 1. Head of the bed is elevated to at least 45 degrees 2. The head of the bed is elevated to at least 90 degrees 3. The head of the bed is elevated to at least 30 degrees 4. The head of the bed is flat with the client supine

3

The parent of an 8-year old child tells the clinic nurse of a concern that the child seems to be more attentive to friends than anything else. Using Erikson's psychosocial development theory, the nurse would plan to make which response? 1. You need to be concerned". 2. "You need to monitor the child's behavior closely". 3. "At this age, children are developing their own personalities". 4. "You need to provide more praise to the child to stop this behavior."

3

The nurse is preparing to care for a dying client, and several family members are at the client's bedside. Which therapeutic techniques would the nurse use when communicating with the family? (Select all that apply) 1. Discourage reminiscing 2. Make the decisions for the family 3. Encourage expression of feelings, concerns, and fears 4. Explain everything that is happening to all family members 5. Touch and hold the client's or family member's hand if appropriate 6. Be honest and let the client and family know that they will not be abandoned by the nurse

3, 5, 6

A 16 year old client is admitted to the hospital for acute appendicitis, and an appendectomy is performed. Which nursing intervention is most appropriate to facilitate normal growth and development postoperatively? 1. Encourage the client to rest and read. 2. Encourage the parents to room in with the client. 3. Allow the family to bring in the client's favorite computer games. 4. Allow the client to interact with others in their same age group.

4

The nurse finds a client smoking marijuana in the hospital and tells her that no smoking or use of drugs is allowed in the facility. The client responds by shouting "What business is it of yours? Leave me alone!" Which of the following initial responses is the best for the nurse to use to defuse the situation? 1. "It's my business because I'm your nurse." 2. "If you don't put that out immediately, I will call security." 3. "You are violating the facility policies and the law!" 4. "I'm sorry, but I have to ask you again to put out your marijuana cigarette."

4

A 4-year old child diagnosed with leukemia is hospitalized for chemotherapy. The child is fearful of the hospitalization. Which nursing intervention would be implemented to alleviate the child's fears? 1. Encourage the child's parents to stay with the child. 2. Encourage play with other children of the same age. 3. Advise the family to visit only during the scheduled visiting hours. 4. Provide a private room, allowing the child to bring favorite toys from home.

1

A client is hospitalized in a long-term care facility because of Alzheimer's disease. The client is incontinent of urine and feces. The nurse has delegated incontinent care to unlicensed assistive personnel (UAP). How frequently should the nurse advise that the UAP check the client for dryness? 1. Every 2 hours 2. Every hour 3. When the client appears restless 4. Before meals and at bedtime

1

The parent of a 3-year old asks clinic nurse about appropriate and safe toys for the child. The nurse would tell the parent that the most appropriate toy for a 3 year old is which? 1. A wagon 2. A golf set 3. A jack set with marbles 4. A farm set with small animals

1

The nurse is preparing to provide instruction to new parents regarding the psychosocial development of the newborn infant. Using Erikson's psychosocial development theory, the nurse would instruct the parents to take which measure? 1. Allow the newborn infant to signal a need. 2. Anticipate all needs of the newborn infant. 3. Attend to the newborn infant immediately when crying. 4. Avoid the newborn infant during the first 10 minutes of crying.

1 all the other answer choices have "all", "immediately", and "avoid"

The physician has prescribed 10 mil of oral suspension twice daily for a child, but the mother is confused about the metric system and wants to know how many teaspoons of medication to give the child. How many teaspoons are equivalent to 10 mL of oral suspension?

2 tsp

A nurse must teach a client how to do wound care and dressing changes prior to discharge. Which of the following are barriers to learning? (Select all that apply) 1. The client is 55 years old 2. The client is fearful 3. The client is illiterate 4. The client is weak and frail 5. The client has many questions about the procedures 6. The client is hard of hearing

2, 3, 4, 6

Which of the following tasks are appropriate for the nurse to delegate to unlicensed assistive personnel? (Select all that apply) 1. Checking temperature and vital signs for a client acutely ill with sepsis 2. Checking routine temperature and vital signs for clients at the beginning of the shift 3. Emptying catheter bags and measuring the urinary output from Foley catheters 4. Monitoring the transfusion of red blood cells 5. Assisting an ambulatory client to walk to the bathroom

2, 3, 5