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. You are evaluating an HIV-positive patient who is receiving IV pentamidine (Pentam) as a treatment for Pneumocystis jiroveci (PCP) pneumonia. Which information is most important to communicate to the physician?   1.     The patient is reporting pain at the site of the infusion. 2.     The patient is not taking in an adequate amount of oral fluids. 3.     Blood pressure is 104/76 mm Hg after pentamidine administration. 4.     Blood glucose level is 55 mg/dL after medication administration. 2. Your patient with rheumatoid arthritis (RA) is taking prednisone (Deltasone) and naproxen (Aleve) to reduce inflammation and joint pain. Which symptom is most important to communicate to the health care provider?   1.     RA symptoms are worst in the morning 2.     Dry eyes 3.     Round and moveable nodules just under the skin 4.     Dark...

1. You are monitoring your patient who is at risk for spinal cord compression related to tumor growth. Which patient statement is most likely to suggest an early manifestation? 1.     "Last night my back really hurt, and I had trouble sleeping." 2.     "My leg has been giving out when I try to stand." 3.     "My bowels are just not moving like they usually do." 4.     "When I try to pass urine, I have difficulty starting the stream." 2. For a patient with osteogenic sarcoma, which laboratory value causes you the most concern? 1.     Sodium level of 135 mEq/L 2.     Calcium level of 13 mg/dL 3.     Potassium level of 4.9 mEq/L 4.     Hematocrit of 40% 3. An athletic young man was recently diagnosed with Ewing sarcoma. He has pain, low- grade fever, and anemia. The surgeon recommends amputation of the right lower leg for an operable ...

1. On the first day after surgery, a client receiving an analgesic via PCA pump reports that the pain control is inadequate. What is the first action you should take?  1.     Deliver the bolus dose per standing order.  2.     Contact the physician to increase the dose.  3.     Try nonpharmacologic comfort measures.  4.     Assess the pain for location, quality, and intensity. 2. What is the best way to schedule medication for a client with constant pain?  1.     PRN at the client's request  2.     Before painful procedures  3.     IV bolus after pain assessment  4.     Around the clock 3. A client's family member says to you, "He needs more pain medicine. He is still having a lot of pain." What is your best response? 1.     "The physician ordered the medicine to be giv...