NCLEX QUESTIONS

1. An adolescent primigravida who is 10 weeks pregnant attends the antepartal clinic for a first check-up. To develop a teaching plan, the nurse should initially assess: ❍ A. The client’s knowledge of the signs of preterm labor ❍ B. The client’s feelings about the pregnancy ❍ C. Whether the client was using a method of birth control ❍ D. The client’s thought about future children 2. An obstetric client is admitted with dehydration. Which IV fluid would be most appropriate for the client? ❍ A. .45 normal saline ❍ B. Dextrose 1% in water ❍ C. Lactated Ringer’s ❍ D. Dextrose 5% in .45 normal saline 3. The physician has ordered a thyroid scan to confirm the diagnosis of a goiter. Before the procedure, the nurse should: ❍ A. Assess the client for allergies. ❍ B. Bolus the client with IV fluid. ❍ C. Tell the client he will be asleep. ❍ D. Insert a urinary catheter. 4. The physician has ordered an injection of RhoGam for a client with blood type A negat

1. The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority interven- tion for this client is: ❍ A. Measure the urinary output. ❍ B. Check the vital signs. ❍ C. Encourage increased fluid intake. ❍ D. Weigh the client. 2. A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding? ❍ A. Place the client in a sitting position. ❍ B. Administer acetaminophen (Tylenol). ❍ C. Pinch the soft lower part of the nose. ❍ D. Apply ice packs to the forehead. 3. A client has had a unilateral adrenalectomy to remove a tumor. The most important measurement in the immediate post-operative period for the nurse to take is: ❍ A. The blood pressure ❍ B. The temperature ❍ C. The urinary output ❍ D. The specific gravity of the urine 4. A client with Addison’s disease has been admitted with a history of nausea and vomiting for the past three days. The client

31. The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the: ❍ A. Feet ❍ B. Neck ❍ C. Hands ❍ D. Sacrum 32. The nurse is checking the client’s central venous pressure. The nurse should place the zero of the manometer at the: ❍ A. Phlebostatic axis ❍ B. PMI ❍ C. Erb’s point ❍ D. Tail of Spence 33. The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should: ❍ A. Question the order. ❍ B. Administer the medications. ❍ C. Administer separately. ❍ D. Contact the pharmacy. 34. The best method of evaluating the amount of peripheral edema is: ❍ A. Weighing the client daily ❍ B. Measuring the extremity ❍ C. Measuring the intake and output ❍ D. Checking for pitting 35. A client with vaginal cancer is being treated with a radioactive vaginal implant. The client’s husband asks the nurse if h