RN NCLEX study quiz

A school nurse is planning a session on the effects of cannabis use for a high school health class. Which information does the nurse need to include? - Cannabis ingestion can cause tachycardia - Inhaled cannabis produces a greater amount of tar than tobacco - Cannabis smoke contains more carcinogens than tobacco smoke - Cannabis ingestion reduces the risk for heart disease - Orthostatic hypotension can be caused by cannabis ingestion

- Cannabis ingestion can cause tachycardia - Inhaled cannabis produces a greater amount of tar than tobacco - Cannabis smoke contains more carcinogens than tobacco smoke - Orthostatic hypotension can be caused by cannabis ingestion

The nurse, caring for a client who has terminal cancer, finds that the client is extremely restless. In response to this data, what would be the appropriate nursing action? - Play soothing music - Use chamomile aromatherapy - Place soft restraints on arms - Dim room lights - Keep conversations quiet - Massage forehead

- Play soothing music - Use chamomile aromatherapy - Dim room lights - Keep conversations quiet - Massage forehead

What action should the nurse take after mistakenly administering the wrong medication? - notify the nursing supervisor - inform the PHCP - complete an incident (variance) report - document client assessment and response to medication - document medication error and incident (variance) report in nurse's notes

- notify the nursing supervisor - inform the PHCP - Complete an incident report - document client assessment and response to medication

The nurse is preparing to discharge four clients from the unit. Which client is most likely to warrant a referral to other agencies or community outreach programs? - 45 year old client who had nasal surgery - 50 year old client postop mastectomy - 72 year old client with diabetes and obesity - 80 year old client with a diagnosis of delirium caused by dehydration

72 year old client with diabetes and obesity

Pheochromocytoma

A rare, catecholamine-secreting tumor that may precipitate life-threatening hypertension. The tumor is malignant in 10% of cases but may be cured completely by surgical removal. S/S: high blood pressure, hyperglycemia, rapid or forceful heartbeat, profound sweating, severe headache, tremors, paleness in the face and shortness of breath

The nurse is teaching a community education course regarding complementary and/or alternative therapies. Which therapies would the nurse include in the course as complementary and/or alternative therapies? - Acupuncture - Yoga - Tai chi - Reiki - Zumba

Acupuncture Yoga Tai chi Reiki

The nursing supervisor of a long-term facility is planning to update emergency response plans for the large dementia unit. Staff has been asked to submit suggestions or concerns regarding current evacuation protocols which may need updated. The nursing supervisor is aware what exit procedure would be LEAST helpful during an emergency evacuation? - all clients should be assisted to a central staging area - ambulatory clients should be directed to nearest exit - Staff must visually check rooms to verify clients exited - Clients exiting upper floors must use stairs, not elevator

Ambulatory clients should be directed to nearest exit.

A charge nurse is caring for clients when a new admit arrives on the unit. What action by the charge nurse is most appropriate? - Instruct the unlicensed assistive personnel (UAP) to complete emptying the catheter bag, and assess the new admission - Send the UAP to take VS on the new admit and begin the history until she can get there - Assign a nurse on the floor to initiate the assessment process - Ask the unit secretary to make the client and family comfortable until she can complete her present task

Assign a nurse on the floor to initiate the assessment process

Which assessment finding identified in a client diagnosed with Guillain-Barre Syndrome would indicate that the nurse needs to notify the primary healthcare provider? - Vital lung capacity of 900 mL - Breathlessness while talking - Heart rate of 98 bpm - Respiratory rate of 24 breaths per minute

Breathlessness while talking

Following surgery, a client has an indwelling urinary catheter attached to a collection bag. The nurse empties the collection bag at 0900. At the change of shift at 1500, the collection bag contains 100 mL of urine. The system has no obstructions to urinary flow. What would be the nurse's most appropriate initial response? - Elevate the head of the client's bed - Start giving the client 8 ounces of oral fluid per hour - Check circulation and take the vital signs of the client - Continue monitoring, because this is an expected finding

Check circulation and take the vital signs of the client

When making assignments for an LPN on the Labor and Delivery unit, the charge nurse is aware the most appropriate clients should meet what criteria? - Clients requiring close monitoring - Post-vaginal delivery clients only - Clients with a predictable outcome - Non-routine clients in early labor

Clients with a predictable outcome

What assessment data would a nurse expect to find in a client diagnosed with a severe episode of acute inflammatory bowel disease? - Dark yellow urine - Fever - Frequent, hard stools - Lower abdominal cramping - Tachycardia

Dark yellow urine - fever - lower abdominal cramping - tachycardia

A 68 year old client with a history of angina presents to the emergency department reporting flu like symptoms progressively worsening of the past 24 hours. What action is most important for the nurse to initiate? Exhibit: Client's chief complaint: "I have the flu. I have been vomiting every couple of hours, running a fever and my chest hurts." Vital signs: Pulse: 132 bpm; Resp: 26; BP: 94/60; Temp: 101.3 F; capillary refill: 4 seconds PHCP prescriptions: Rapid influenza diagnostic test; normal saline 1 liter at 250 mL/hour, then NS at 100 mL/hour; chest x-ray; acetaminophen 500 mg po now - administer acetaminophen - initiate IV of NS at 250 mL/hour - Notify radiology and lab of diagnostic test prescriptions - discuss IV prescription with PHCP

Discuss IV prescription with PHCP - the client needs fluid because of dehydration, but also is an elderly client with a history of cardiac problems. Rapidly infusing NS could cause pulmonary edema

The nurse manager is presenting a seminar on HIPAA regulations to a group of newly hired graduates. When discussing the most common cause of violating client privacy, the nurse knows teaching was successful when the graduates select which situation? - Failure to cover client fully during a bad beth - Leaving chart open in full view when at the house - Discussing client with staff not providing direct care - Healthcare provider not pulling curtain to talk to a client

Discussing client with staff not providing direct care

Which signs/symptoms should the nurse monitor for in a client admitted with a diagnosis of pheochromocytoma? - Headache - Hypotension - Hyperglycemia - Bradycardia - Polycythemia - Leukopenia

Headache Hyperglycemia

Which statement by the nurse would be the correct response to a client who is postmenopausal with a uterus when the client asks about temporary hormonal therapy for hot flashes? - Hormonal therapy with a combination of low doses of estrogen and progestin may be prescribed - unopposed estrogen hormonal therapy would be most appropriate - Hormonal therapy is an outdated treatment and can no longer be prescribed so you should try an alternative such as ginseng - Hormonal therapy is not an option for women with a uterus so you may need to consider a hysterectomy

Hormonal therapy with a combination of low doses of estrogen and progestin may be prescribed.

Which statement by the client with children ages 5 months to 8 years old requires follow up by the clinic nurse? - I give all my children a spoonful of honey at night when they have a cough - I serve my 8 year old a glass of orange juice with breakfast before school - I have children use Lavender scented soap to wash their hands before they eat - I play music for my children when it is time for them to take a nap

I give all my children a spoonful of honey at night when they have a cough - giving honey to children younger than 1 year should be avoided because it is a reservoir of clostridium botulinum spores, which may cause botulism

A client who underwent a laparoscopic cholecystectomy is being discharged from an outpatient surgical center. Which statement by the client shows the nurse that discharge teaching has been effective? - I will need to eat a low fat diet since I no longer have a gallbladder - I can expect drainage from the incisions for a few days - I may have some mild pain from the procedure - I should plan to limit my activities and not return to work for several weeks.

I may have some mild pain from the procedure

Which statement by a client would indicate to the nurse that education about gastroesophageal reflux disease (GERD) has been successful? - It would be better for me to eat 3 small meals a day - I need to avoid eating foods high in purine - When going to sleep, I should lie on my side - My last daily meal should not be within 2 hours of bedtime

My last meal should not be within 2 hours of bedtime

A nurse is providing dietary instructions for a client diagnosed with liver disease. Which food should the nurse instruct the client to increase in their diet? - Pasta - Olive oil - Spinach - Cantaloupe

Pasta - carbohydrates should be the major source of calories in their diet to help reduce protein breakdown in the liver

The nurse has initiated instruction for an 11 year old child newly diagnosed with diabetes mellitus. The child indicates anxiety about the need for daily insulin injections. What nursing action would best address this issue? - Tell the child it only hurts for a moment - Have the parents administer the shots - Show the child how to give self injections - Provide toy syringe for the client to play with

Show the child how to give self injection

Who often performs the responsibilities of a case manager? - Physical therapist - Social worker - Dietitian nutritionist - Nurse - Unlicensed assistive personnel

Social worker Nurse

A primigravida client at 35 weeks gestation has been diagnosed with human papilloma virus (HPV). The nurse knows that the most important information to discuss with this client is what? - The infant will not be able to breast feed - The mother will need frequent follow up Pap smears - The fetus will need to be delivered by C-section - The mother must start metronidazole immediately

The mother will need frequent follow up Pap smears

The nurse is preparing to educate a client about human papillomavirus (HPV). What information should the nurse include? - There is no vaccine to prevent HPV - HPV is the cause of most ovarian cancers - The only way to prevent HPV is refraining from any genital contact with another - HPV is cured by removal of genital warts.

The only way to prevent HPV is refraining from any genital contact with another

A client with a history of intolerance to fatty foods is admitted to the hospital with a sudden onset of severe right upper quadrant pain radiating to the right shoulder. What should be included in the nurse's initial focused assessment of this client? - do yo have pain in the middle of your stomach that is relieved by vomiting - have you noticed any splotches on your skin? - please describe your bowel habits and stool - tell me how often you eat high fat meals

please describe your bowel habits and stool

An elderly homeless client is brought to the emergency room for evaluation following a fall. What assessment findings by the nurse should be reported immediately to the primary healthcare provider for further evaluation? - The client is unsteady when walking to the bathroom - The client cannot state day, date, or present location - The client refuses to remove either shoes or socks - The client has loss of sensation below the left knee

the client has loss of sensation below the left knee