50 NCLEX -style predictive questions. Timed and Random
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A 10-year-old boy is admitted to Neuro Intensive Care following a supratentorial craniotomy. What postoperative intervention should the nurse plan to implement?
A 12-month-old boy is admitted to the hospital with severe eczema. The mother informs the nurse that her son has numerous allergies, including milk. The nurse knows to offer the child which formula?
The nurse caring for a patient with a temporary transvenous pacemaker notes on the monitor a pacing spike (artifact) that is not followed by a QRS. Which action should the nurse take first?
The charge nurse has just received a report on the patients in the cardiac intervention recovery unit. Which patient should be seen first?
Which patients are candidates for fibrinolytic therapy? (Select all that apply.)
The nurse would include which intervention when planning care for the client who is taking hawthorn?
The nurse performs an assessment on a client with heart failure. Which finding(s) is(are) consistent with the diagnosis of left-sided heart failure? (Select all that apply.)
Which assessment is most important for the nurse to implement when seeing a client with multiple myeloma?
The client is prescribed a fentanyl patch for persistent severe pain. Which client behavior most urgently requires correction?
The nurse is teaching the parents of a 10-year-old child with rheumatoid arthritis measures to help reduce the pain associated with the disease. Which instruction should the nurse provide to these parents?
A client has been receiving levofloxacin, 500 mg IV piggyback q24h for 7 days. The UAP reports to the nurse that the client has had three loose foul-smelling stools this morning. Which intervention is most important for the nurse to implement?
The nurse has just administered a purified protein derivative (PPD) tuberculin skin test (Mantoux test) to a client who is at low risk for developing tuberculosis. The nurse determines that the test is positive if which occurs?
The nurse has a prescription to administer hydroxyzine in conjunction with an opioid analgesic for severe pain to a client by the intramuscular route. Before administering the medication, what information would the nurse share with the client?
A client with a diagnosis of diabetes mellitus has a blood glucose level of 644 mg/dL (35.8 mmol/L). The nurse interprets that this client is at risk of developing which type of acid-base imbalance?
What would the nurse consider when determining whether a client diagnosed with chronic obstructive pulmonary disease (COPD) could tolerate and benefit from active progressive relaxation? Select all that apply.
A client who has sustained a burn injury receives a prescription for a regular diet. Which is the best meal for the nurse to provide to the client to promote wound healing?
An adult client suspected of having developed encephalitis has undergone a lumbar puncture to obtain cerebrospinal fluid (CSF) for analysis. After reviewing the results of the analysis, the nurse recognizes that the CSF is suggestive of the infection when which element is noted?
The nurse caring for a client diagnosed with a stroke is planning care to maintain nutritional status. The nurse is concerned about the client’s swallowing ability. Which food item would the nurse eliminate from this client’s diet?
A client is resuming a diet after a Billroth II procedure performed because of gastric carcinoma tumor. To minimize complications associated with eating, which actions would the nurse teach the client? Select all that apply.
The nurse is ambulating a client for the first time after having abdominal surgery. What clinical manifestations would indicate to the nurse that the client may be experiencing orthostatic hypotension? Select all that apply.
The nurse, while caring for a hospitalized infant being monitored for hydrocephalus, notes that the anterior fontanel bulges when the infant cries. Based on this assessment finding, which conclusion would the nurse draw?
The nurse is performing an assessment on a female client who is suspected of having mittelschmerz. Which subjective finding supports the possibility of this condition?
A client is diagnosed with cholecystitis. The nurse reviews the client’s medical record, expecting to note documentation of which manifestations of this disorder? Select all that apply.
A client is experiencing pulmonary edema as an exacerbation of chronic left-sided heart failure. The nurse would assess the client for what manifestation?
A client begins to experience a tonic-clonic seizure. Which actions would the nurse take to assure client safety? Select all that apply.
The nurse is monitoring a client diagnosed with a ruptured appendix for signs of peritonitis. The nurse would assess for which manifestations of this complication? Select all that apply.
While preparing to administer an intravenous (IV) medication, the nurse notes that the medication is incompatible with the IV solution. Which intervention would the nurse take to assure the client’s safety?
A client is admitted to the cardiac intensive care unit after coronary artery bypass graft (CABG) surgery. The nurse notes that in the first hour after admission, the mediastinal chest tube drainage was 75 mL. During the second hour, the drainage has dropped to 5 mL. The nurse interprets this data and implements which intervention?
The nurse is assessing a client diagnosed with pleurisy 48 hours ago. When auscultating the chest the nurse is unable to detect the pleural friction rub, which was auscultated on admission. This change in the client’s condition confirms which event has occurred?
The nurse provides information to a client with a colostomy resulting from treatment for cancer. When discussing measures to help manage colostomy odors, the nurse will encourage the client to regularly consume which foods? Select all that apply.
When a client experiences frequent runs of ventricular tachycardia, the primary health care provider prescribes flecainide. Because of the effects of the medication, which nursing intervention is specific to this client’s safety?
The nurse provides information to a client diagnosed with gastroesophageal reflux disease (GERD). What information would the nurse include when discussing foods that contribute to decreased lower esophageal sphincter (LES) pressure and thus worsen the condition? Select all that apply.
The registered nurse (RN) planning the assignments for the day is leading a team composed of a licensed practical nurse (LPN) and an assistive personnel (AP). Based on licensure, which client is most appropriate to assign to the LPN?
In the middle of bathing a client, the unit secretary notifies the nurse that there is an emergency telephone call. Which action would the nurse implement to best assure client safety?
A client has received atropine sulfate preoperatively. The nurse monitors the client for which effect of the medication in the immediate postoperative period?
The nurse manager reviewing the purposes for applying restraints to a client determines that further education is necessary when a nursing staff member makes which statement supporting the use of a restraint?
The home health aide reports that a 70-year-old client is non-compliant in taking prescribed medications. What does the nurse do to solve this problem?
The nurse plans care for a client diagnosed with end-stage renal disease (ESRD). Which assessment findings does the nurse expect to note documented in the client’s medical record? Select all that apply.
The nurse is performing range-of-motion (ROM) exercises on a client when the client unexpectedly develops spastic muscle contractions. Which interventions would the nurse implement? Select all that apply.
A client has been admitted with a diagnosis of acute glomerulonephritis. During history taking, the nurse would ask the client about a recent history of which event?