NCLEX practice questions

Patient teaching for a client who is taking lithium carbonate?

Take the lithium with a meal

A client is diagnosed with cancer and is told that surgery followed by chemo therapy will be necessary. The client states to the nurse, I have read a lot about complementary therapies. Do you think I should try any?. The nurse should respond by making which appropriate statement?

Tell me what you know about complementary therapies

Which identifies accurate nursing documentation notations?

The client slept through the night. Abdominal wound dressing is dry and intact without drainage. The clients left lower medial leg wound is 3 cm in length without redness, drainage, or edema

A clinic nurse instruct an adolescent with iron deficiency anemia about the administration of oral iron preparations. The nurse should tell the adolescent that it is best to take the iron with what?

Tomato juice because it is high in vitamin C

A Hispanic American mother brings her child to the clinic for an examination. which is most important when gathering data about the child?

Touching the child during the examination

An unconscious client, bleeding profusely, is brought to the emergency department after A Series accent. Surgery is required immediately to save the clients life. With regard to informed consent from the surgical procedure, which is the best action?

Transport the client to the operating department immediately without obtaining an informed consent

The client asked the nurse about various herbal therapies available for the treatment of insomnia. The nurse should encourage the client to discuss the use of which product with the primary healthcare provider?

Valerian root

The nurse is performing a tracheostomy care and changing the dressing on the tracheostomy site. The client coughs in the tubes dislodged what is the initial nursing action?

Ventilate the client using a manual resuscitation bag and facemask

The nurse is monitoring the leg pain of a client who has just undergone right femoral popliteal artery bypass grafting. Which question would be most useful in determining whether the client is experiencing graft occlusion?

"Can you compare this pain to the pain you felt before surgery?"

A client is scheduled for angioplasty. The client says to the nurse, "I'm so afraid that it will hurt and make me worse off than I am". Which response by the nurse is therapeutic?

"Can you tell me what you understand about the procedure?"

The nurse reinforces home care instructions to a client who is taking lithium carbonate. Which statement by the client indicates a need for further instructions?

"I need to decrease my salt and fluid intake while taking Lithium"

The nurse is reinforcing discharge instructions to a client with diabetes mellitus. The clients hemoglobin, glycosylated level is 10%. Based on this level, which statement should the nurse make to the client?

"Increase the amount of vegetables and water intake in your diet regimen."

A client with coronary artery disease has selected guided imaging to help cope with psychological stress. Which client statement indicates an understanding of the stress reduction measure?

"The best thing about this is that I can use it anywhere, anytime"

An antihypertensive medication has been prescribed for a client with hypertension. The client tells the nurse that she would like to take an herbal substance to help lower her blood pressure. Which statement by the nurse is most important to provide to the client?

"you will need to talk to your primary healthcare provider before using an herbal substance."

The nurse is caring for a group of clients who are taking herbal medications at home. Which client should be given instructions with regard to avoiding the use of herbal medications?

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

The nurse finds the client laying on the floor. The nurse calls a registered nurse, who checks the client and then calls the nursing supervisor and the primary healthcare provider to inform them of the occurrence. The nurse completes an incident report for which purpose?

A method of promoting quality care and risk management

A nurse is preparing to assist client of orthodox Jewish faith with eating lunch. A kosher meal is delivered to the client. Which nursing action is appropriate when assisting the client with the meal?

Allowing the client to unwrap the utensils and prepare his own meal for eating

The nurse monitors a client receiving digoxin for which early manifestation of digoxin toxicity?

Anorexia

A client is admitted to the emergency department with complaints of severe chest pain. The client is extremely restless, frightened, and dyspneic. Immediate admission prescriptions include oxygen by nasal cannula at 4 L per minute; troponin, creatine, and isoenzymes blood levels: a chest x-ray, and a 12 lead ECG. Which action should the nurse plan to take first?

Apply the oxygen to the client

The nurse is assisting to develop a diabetic teaching program. To meet the clients needs, the nurse should plan to take which action first?

Assess the clients functional abilities

A client is to undergo a gastroscopy and the nurse reinforces pre-procedure instructions. The nurse should instruct the client to take which action in the pre-procedural period?

Avoid eating or drinking after midnight before the test

The nurse arrives at work and is told to report to the pediatric unit for the day because the unit is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the pediatric unit. Which is the appropriate nursing action?

Report to the pediatric unit and identify tasks that can be safely performed

The nurse is preparing to administer atenolol to a client. The nurse should check which priority item before administering this medication?

Blood pressure

A client with Parkinson's disease develops akinesia while ambulating, increasing the risk for falls. Which suggestion should the nurse provide to the client to alleviate this problem?

Consciously think about walking over imaginary lines on the floor

The nurse enters her clients room and notes that the clients lawyer is present and that the client is preparing a living will. The LivingWell requires that the client signature we witnessed, and the client asked the nurse to witness the signature. Which is the appropriate nursing action?

Declined to sign the will. Many states prohibit any employee from being a witness, including the nurse in the facility to which the client is receiving care.

The license practical nurse enters a clients room and find the client laying on the bathroom floor. The LPN cause the registered nurse, who checks the client thoroughly and then assist the client back into bed. The LPN complaints an incident report, and the nurse supervisor and primary healthcare provider are notified of the incident. Which is the next nursing action regarding the incident?

Document a complete entry in the clients record concerning the incident

A client with renal insufficiency has a magnesium level of 3.5 mEq per liter. On the basis of this laboratory results, the nurse interpret which sign as significant?

Drowsiness

The nurse visit a client at home who has been discharged from the hospital after implementation of a permanent pacemaker. The nurse should check the clients home for presence of which priority item?

Electrical items were strong magnetic fields

A client arrives at the emergency department instead she has just been raped. I'm preparing a plan of care, which is the priority intervention?

Exploring safety concerns by obtaining permission to notify significant others who can provide shelter

The nurse is planning to reinforce nutrition instructions to an African-American client. When reviewing the plan, the nurse is aware that which food may be calm and dietary practice for clients with African-American heritage?

Fried foods

The nurse prepares to care for a client on contact precautions who has a hospital acquired infection caused by MRS a. The client has an abdominal wound that requires irrigation has a tracheostomy attached to a mechanical ventilator, which requires frequent suctioning. The nurse should assemble which necessary protective items before entering the clients room?

Gloves, mask, gown, and gloves.

The nurse is choosing age appropriate toys for a toddler. Which toy is best choice for this age?

Large stacking blocks

A nursing student is asked to identify the practices and beliefs of Amish society. Which should the student identify?

Many choose not to have health insurance. they believe that health is a gift from God. they use both traditional and alternative healthcare, such as healers, herbs, and massage. funerals are conducted in the home with out flower decorations or any other display. Caskets are plain and simple, without adornment

The client with active tuberculosis is to be admitted to a MedSurg unit. Which action should the nurse take when assisting in planning a bed assignment?

Place the client in a private, airborne infection isolation room.

The nurse is caring for a client who is taking digoxin and is monitoring routine laboratory values. Which laboratory value requires the need for follow up by the nurse?

Potassium level of 3.3 mEq per liter

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

Psychosocial

An MRI image study is prescribed for a client with a suspected brain tumor. The nurse should implement which action to prepare the client for this test?

Remove all metal containing objects from the client

The nurse notes blanching, coolness, and Edema at the peripheral intervenous site. On the basis of these findings, the nurse should implement which action?

Remove the IV

The nurse consult with a dietitian regarding the dietary preferences of an Asian American client. Which food should the nurse suggest to include in the diet plan?

Rice