31 October 2013

NCLEX sample Practice test Questions 3

NCLEX sample Practice test Questions 3
Q.1.A primiparous woman has recently delivered a term infant. Priority teaching for the patient includes information on:
a) Sudden infant death syndrome (SIDS)
b) Breastfeeding
c) Infant bathing
d) Infant sleep-wake cycles

Q.2.Twenty-four hours after a bone marrow aspiration, the nurse evaluates which of the following as an appropriate client outcome?

a) The client maintains bed rest.

B) There is redness and swelling at the aspiration site.
c) The client requests morphine sulfate for pain.
d) There is no bleeding at the aspiration site.

Q.3.When giving an I.M. injection, the nurse should insert the needle into the muscle at an angle of:

a) 15 degrees.
b) 30 degrees.
c) 45 degrees.
d) 90 degrees

Q4.A nurse is caring for a client diagnosed with ovarian cancer. Diagnostic testing reveals that the cancer has spread outside the pelvis. The client has previously undergone a right oophorectomy and received chemotherapy. The client now wants palliative care instead of aggressive therapy. The nurse determines that the care plan's priority nursing diagnosis should be:

a)Acute pain
b)Impaired home maintenance
d)Ineffective breast-feeding

Q5.A nurse is caring for a client who has a history of sleep apnea. The client understands the disease process when he says:

a)"I need to keep my inhaler at the bedside."
b)"I should eat a high-protein diet."
c)"I should become involved in a weight loss program."
d)"I should sleep on my side all night long."

Q6.Before cataract surgery, the nurse is to instill several types of eye drops. The surgeon writes orders for 5 gtts of antibiotic in OD, and 3 drops of topical steroid drops in OD. The nurse should:

a)Contact the surgeon to rewrite the order.
b)Administer the antibiotic in the left eye and the steroid in the right eye.
c)Administer both types of drops in the right eye.
d)Contact the pharmacist for clarification of the order.

Q7.A nurse is managing the care of a client with osteoarthritis. Appropriate treatment strategies for osteoarthritis include:

a)administration of opioids for pain control.
b)administration of nonsteroidal anti-inflammatory drugs (NSAIDs) and initiation of an exercise program.
c)administration of monthly intra-articular injections of corticosteroids.
d)vigorous physical therapy for the joints.

Q.8.A nurse is caring for a client with cholelithiasis. Which sign indicates obstructive jaundice?
a) Straw-colored urine
b) Reduced hematocrit
c) Clay-colored stools
d) Elevated urobilinogen in the urine

Q.9.The nurse is providing care for a client who has had a stroke. Since the onset of symptoms, she has been experiencing left-sided hemianopsia. Which of the following nursing interventions would be appropriate?Select all that apply.

a. Place the client’s belongings on the right side of the bed.
b. Approach the client from the left side.

c. Refuse to acknowledge the condition to promote the client’s independence.
d. Stand on the right side of the bed when providing care.
e. Provide the client with an eye patch for the right eye.
f. Dim the lights in the room to prevent eye strain

Q.10.During a prenatal visit, a physician decides to admit a client to the hospital. Based on the nurse’s admission note below, which complication of pregnancy would the physician suspect?

a. Iron-deficiency anemia
b. Placenta previa
c. Pregnancy-induced hypertension
d. Hyperemesis gravidarum

Answer and Rational 3