NCLEX Practice Questions
For a foreign-educated nurse, what are some documents that are needed to obtain licensure?
1. Proof of citizenship or lawful alien status 2. Work visa 3. VisaScreen certificate 4. Commission on Graduates of Foreign Nursing Schools (CGFNS) certificate 5. Criminal background check documents 6. Official transcripts of educational credentials sent directly to credentialing agency or board of nursing from home country school of nursing 7. Validation of a comparable nursing education as that provided in US nursing programs 8. Validation of safe professional nursing practice in home country 9. Copy of nursing license or diploma or both 10. Proof of proficiency in the English language 11. Photograph(s) 12. SSN 13. Application and fees
The ED nurse is caring for a child suspected of acute epiglottitis. Which interventions apply in the care of the child? Select all that apply. 1. Obtain a throat culture. 2. Auscultate lung sounds. 3. Prepare child for chest x-ray. 4. Maintain child in supine position. 5. Obtain pediatric-size tracheostomy tray. 6. Place child on an oxygen saturation monitor.
Answer: -auscultate lung sounds -prepare child for chest x-ray -obtain pediatric size tracheostomy tray -place child on O2 saturation monitor
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? 1. "Can you tell me what you understand about the procedure?" 2. "Your fears are a sign that you really should have this procedure." 3. "Those are very normal fears, but please be assured that everything will be okay." 4. "Try not to worry. This is a well-known and easy procedure for the cardiologist." *Integrated Processes*
Answer: "Can you tell me what you understand about the procedure?" This option utilizes a therapeutic communication technique that explores the client's feelings, determines the level of client understanding about the procedure, and displays caring.
What key points do the "Pathways to Success" emphasize to help ensure your success? Select all that apply. 1. A strong, positive attitude. 2. Believing in your ability to succeed. 3. Being proud and confident in your achievements. 4. Maintaining control of your mind, surrounding environment, and physical being.
Answer: all of them
What are the key factors in your final preparation? Select all that apply. 1. Remain focused on the study plan. 2. Visualize the "RN" after your name. 3. Avoid studying on the day before the exam and relax. 4. Know where the testing center is and how long it takes to get there.
Answer: all of them -Focus on your plan of study and success will follow -Enact positive reinforcement -Allow yourself a day of pampering before the test -Map out the testing center route
What are the factors needed to ensure a productive study environment? Select all that apply. 1. Secure a location that offers solitude. 2. Plan breaks during your study session. 3. Establish a realistic study schedule that includes your goals. 4. Continue with the study pattern that has worked best for you.
Answer: all of them -Solitude helps ensure concentration -Taking breaks help clear your mind and increases ability to concentrate and focus -Establish realistic study pattern to keep you in control -Don't vary with your study pattern
The nurse monitors a client receiving digoxin for which early manifestation of digoxin toxicity? 1. anorexia 2. facial pain 3. photophobia 4. yellow color perception *Pharmacological and Parenteral Therapies*
Answer: anorexia Strategic word= "early" Digoxin is a cardiac glycoside that is used to manage and treat heart failure to control ventricular rates in clients with atrial fibrillation. Most common early manifestations include GI disturbances (anorexia, nausea, vomiting)
A client with renal insufficiency has a magnesium level of 3.5 mEq/L (1.44 mmol/L). On the basis of this lab result, the nurse interprets which sign as significant? 1. hyperpnea 2. drowsiness 3. HTN 4. physical hyperactivity *Physiological Adaptation*
Answer: drowsiness Focus on the data in the question. Normal magnesium level is 1.8-2.6 mEq/L. So, a magnesium level of 3.5 mEq/L is very high and indicates hypermagnesemia. Neurological manifestations begin and include drowsiness, neurological and respiratory depression, sedation, etc.
An MRI study is prescribed for a client with a suspected brain tumor. The nurse should implement which action to prepare the client for this test? 1. shave groin for insertion of femoral catheter 2. remove all metal-containing objects from the client 3. keep client NPO for 6hrs prior to test 4. instruct client in inhalation techniques for administration of the radioisotope *Reduction of Risk Potential*
Answer: remove all metal-containing objects from client Focus on the subject, preparing client for an MRI. An MRI study contains a magnetic field, so removing all metal objects (jewelry, hair pins, watches) is necessary. History should also be taken to make sure there are no internal metal devices.
