NSG Exam 3: NCLEX-RN Book Practice Questions

The nurse is preparing to give a full bed bath to a client. Which question is most important for the nurse to ask the client before beginning the bed bath? 1. "Do you have any allergies?" 2. " Will you be able to wash your own hair?" 3. "Are there any areas you want us to spend more time bathing?" 3. "Do you have any preferences regarding how we help you bathe?"

1. "Do you have any allergies?"

The nurse has given the client instructions about crutch safety. Which statements indicates that the client understands the instructions? SELECT ALL THAT APPLY 1. "I should not use someone else's crutches" 2. "I need to remove any scatter rugs at home" 3. "I can use crutch tips even when they are wet" 4. "I need to have spare crutches and tips available" 5. "When I'm using the crutches, my arms need to be completely straight"

1. "I should not use someone else's crutches" 2. "I need to remove any scatter rugs at home" 4. "I need to have spare crutches and tips available"

The nurse is teaching a client with right-sided-weakness related to a stroke about how to properly ambulate with a cane? Which client action would indicate a need for further teaching? 1. The client holds the cane on the right side of the body 2. The client moves the weaker leg towards the acne first 3. The client holds the cane 6 inches laterally from the foot 4. The client keeps two points of support on the floor at all times

1. The client holds the cane on the right side of the body

A client is being measured for crutches asks the nurse why the crutches cannot rest up underneath the arm fir extra support. The nurse responds, knowing which would most likely result from this improper crutch measurement? 1. A fall and further injury 2. Injury to the brachial plexus nerves 3. Skin breakdown in the area of the axilla 4. Impaired range of motion while the client ambulates

2. Injury to the brachial plexus nerves

The nurse is preparing to provide wound care to a client with a stage 1 PI. Which dressing would the nurse expect to be prescribed in the treatment of the wound? 1. Hydrogel 2. Transparent dressing 3. Antimicrobial dressing 4. Calcium alginate dressing

2. Transparent dressing

The nurse is reviewing dental care with a client who is edentulous and wears dentures. Which client statement indicates an understanding of proper dental care? 1. "Since I have no teeth, I do not need to brush my mouth" 2. "I need to use hot water when cleaning my dentures to kill bacteria" 3. "I will remove my dentures before bed and keep them in. my labeled denture cup covered with water" 4. "When I am not wearing my dentures during the day, I can keep them in the denture cup with no water, as they should only be in water at night"

3. "I will remove my dentures before bed and keep them in. my labeled denture cup covered with water"

The nurse is preparing a list of client care activities to be done during the shift. For which clients would the nurse instruct the assistive personnel (AP) to use an electric razor for shaving? SELECT ALL THAT APPLY 1. A client with leukocytosis 2. A client with thrombocytosis 3. A client with thrombocytopenia 4. A client reviving an anti platelet medication 5. A client receiving acetaminophen as needed for mild pain

3. A client with thrombocytopenia 4. A client reviving an anti platelet medication

The nurse is performing a skin assessment on a client and notes an area of full-thickness loss of skin on the sacrum. Adipose tissue and granulation tissue are present with no visible muscle, tendon, ligament, cartilage, or bone. How would the nurse classify this pressure injury? 1. Stage 1 PI 2. Stage 2 PI 3. Stage 3 PI 4. Stage 4 PI

3. Stage 3 PI

The staff nurse reviews the nursing documentation in a client's chart and notes that the would care nurse has documented that the client has a stage 2 pressure injury in the sacral area. Which finding would the nurse expect to note on assessment of the client's sacral area? 1. Intact skin 2. Full-thickness skin loss 3. Exposed bone, tendon, or muscle 4. Partial-thickness skin loss with exposed dermis

4. Partial-thickness skin loss with exposed dermis

The nurse in a long-term care facility is overseeing a nursing student provide foot care to a client with diabetes mellitus. Which action by the nursing student would indicate a need for further teaching? 1. The nursing student tells the client to avoid soaking the feet 2. The nursing student dries the feet thoroughly, including between the toes 3. The nursing student advises the client to consult the physician or a podiatrist regarding the nail trimming 4. The nursing student applies lotion to the dorsal and plantar surfaces of the feet and in between the toes

4. The nursing student applies lotion to the dorsal and plantar surfaces of the feet and in between the toes