NCLEX practice questions
A client with a bleeding ulcer is vomiting bright red blood. The nurse should assess the client for which of the following indicators of early shock? a) Tachycardia. b) Dry, flushed skin. c) Increased urine output. d) Loss of consciousness.
a) Tachycardia.
After receiving report at the start of the evening shift, which of the following clients should the nurse attend to first? a. A 34-year-old man undergoing treatment for non-Hodgkin lymphoma with a potassium level of 7.5 mEq/L. b. A 21-year-old woman with sickle cell anemia with pain of 6 on a scale of 1-10. c. A 55-year-old woman with ovarian cancer waiting to be discharged. A 72-year-old man with chronic obstructive pulmonary disease (COPD) and a pulse oximetry of 92% on room air.
a. A 34-year-old man undergoing treatment for non-Hodgkin lymphoma with a potassium level of 7.5 mEq/L.
A nursing team consists of an RN, an LPN/ LVN, and a nursing assistant. The nurse should assign which of the following patients to the LPN/LVN? a. A 72-year-old patient with diabetes who requires a dressing change for a stasis ulcer. b. A 42-year-old patient with cancer of the bone complaining of pain. c. A 55-year-old patient with terminal cancer being transferred to hospice home care. d. A 23-year-old patient with a fracture of the right leg who asks to use the urinal.
a. A 72-year-old patient with diabetes who requires a dressing change for a stasis ulcer.
A patient asks a nurse, "My doctor recommended I increase my intake of folic acid. What type of foods contain folic acids?" a. Green vegetables and liver b. Yellow vegetables and red meat c. Carrots d. Milk
a. Green vegetables and liver
A 10-year-old with glomerulonephritis reports a headache and blurred vision. The nurse should immediately: a) Put the client to bed. b) Obtain the child's blood pressure. c) Notify the physician. d) Administer acetaminophen (Tylenol).
b) Obtain the child's blood pressure.
A nurse is instructing a client with bipolar disorder on proper use of lithium carbonate (Eskalith), the drug's adverse effects, and symptoms of lithium toxicity. Which client statement indicates that additional teaching is required? a. "I can still eat my favorite salty foods." b. "when my moods fluctuate, I'll increase my dose of lithium." c. "a good blood level of the drug means the drug concentration has stabilized." d. "drinking too much grapefruit juice will affect my lithium level."
b. "when my moods fluctuate, I'll increase my dose of lithium."
The nurse in the Emergency Department is caring for a client who has acute heart failure. The physician is writing orders for pharmacological management, including diuretics. Which laboratory value is most important for the nurse to check before administering medications to treat heart failure? a. Platelet count. b. Potassium. c. Calcium. d. White blood cell count.
b. Potassium
A client who has a history of Crohn's disease is admitted to the hospital with fever, diarrhea, cramping, abdominal pain, and weight loss. The nurse should monitor the client for: a) Hyperalbuminemia. b) Thrombocytopenia. c) Hypokalemia. d) Hypercalcemia.
c) Hypokalemia.
A 16-year-old primigravida at 36 weeks' gestation who has had no prenatal care experienced a seizure at work and is being transported to the hospital by ambulance. Which of the following should the nurse do upon the client's arrival? a) Position the client in a supine position. b) Auscultate breath sounds every 4 hours. c) Monitor the vital signs every 4 hours. d) Admit the client to a quiet, darkened room.
d) Admit the client to a quiet, darkened room.
A nurse is providing care for a pregnant client in her second trimester. Glucose tolerance test results show a blood glucose level of 160 mg/dl. The nurse should anticipate that the client will need to: a) start using insulin. b) start taking an oral antidiabetic drug. c) monitor her urine for glucose. d) be taught about diet.
d) be taught about diet.
