NCLEX Practice Exam/Test - Level of Cognitive Ability (Analysis 1-5)

1. A nurse is preparing to care for a client with a potassium deficit. The nurse reviews the client's record and determines that the client was at risk for developing the potassium deficit because the client: a) has renal failure b) requires nasogastric suction c) has a history of Addison's disease d) is taking a potassium-sparing diuretic 2. A nurse reviews a client's electrolyte laboratory report and notes that the potassium level is 3.2 mEq/L. Which of the following would the nurse note on the electrocardiogram as a result of the laboratory...

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NCLEX Preparation Course - Critical Thinking Exercises VI (Answers 41-50)

Here are the Questions to NCLEX Preparation Course - Critical Thinking VI (41-50) -->  41) A- the nursing assistant is allowed to assist client out of bed using Hoyer lift. Catheterization, change of dressing should be done by the LPN/LVN. Providing psychosocial care is done by the RN. 42) A- suction should be applied only during withdrawal of the catheter, not during insertion. This is to prevent trauma to the mucous membrane of the airway. Therefore choice A requires intervention by the nurse. Whe nursing action is incorrect,...

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NCLEX Preparation Course - Critical Thinking Exercises VI (Questions 41-50)

NCLEX Preparation Course - Critical Thinking ANSWERS (41-50) --> 41. A nurse is planning the assignment for the day shift. The care team consists of an RN, an LPN/LVN, and a nursing assistant. Which of the following clients is most appropriate to assign to the nursing assistant? a) a 50-year old obese client who needs assistance out of bed with a Hoyer lift b) a 42-year old client who needs to be straight catheterized (in-and-out catheterization) c) a 45-year old woman admitted for mastectomy and who is upset and tearful d) a 62-year old client...

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Test Prep for Nursing Exam about Pediatric Nursing (51-55)

window.google_analytics_uacct = "UA-6075767-14"; CHEAP BUY ! ! !         NCLEX E-Book with FREE Saunders and KAPLAN ($4) 51. A nurse is assessing an 8-week old (2 mos.) infant. Which of the following behaviors will the nurse expect to observe first in the infant's development? a) holds head up when being pulled into a sitting position b) turns from side to back c) sits with minimal support d) discriminates between strangers and familiar figures 52. A nurse in the pediatric clinic is interviewing a mother...

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NCLEX Review on Delegation and Prioritization Questions (21-25)

NCLEX Review on Delegation and Prioritization Questions 21. A nurse delegates administration of an enema to a nursing assistant. The nurse should intervene if the nursing assistant: a) advances the catheter 4 inches into the anal canal b) hangs the enema bag 12 to 18 inches above the anus c) lubricates 4 to 5 inches of the catheter tip d) positions the client on the right side with head slightly elevated 22. A nurse is reviewing with a nursing assistant the care assignment for a client. Which of the following statements if made by the nurse...

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NCLEX Review about Cardiac Nursing (41-45)

NCLEX Review about Cardiac Nursing 41. The nurse is completing the admission assessment on the client with chest pain. Which of the following statements by the client indicates the priority modifiable risk factor for coronary artery disease? a) I have been told that I have a high cholesterol level b) my father died of a heart attack at age 48 c) I have been under a lot of stress at work lately d) I know I am overweight and have to do something about it 42. The client with chest pain was diagnosed with myocardial infarction and is now ready to...

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NCLEX Preparation Course - Critical Thinking Exercises VI (Answers 31-40)

Here are the Questions to NCLEX Preparation Course - Critical Thinking VI (31-40) --> 31) C- the RN performs nursing process, including assessment. Choices A and D are for the CNA; choice B is for the LVN 32) A- a client should not be grasped under the arm to pull him/her up in bed. This is to prevent injury in the axillary area and shoulder joints. Therefore, the situation needs intervention by the RN. 33) A- giving information to the physician is appropriate nursing action. The RN is responsible for the LVN's actions. 34)...

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NCLEX Preparation Course - Critical Thinking Exercises VI (Questions 31-40)

 Here are the Answers to NCLEX Preparation Course - Critical Thinking VI (31-40) --> 31. A nurse (RN) on a medical-surgical unit receives a new client admitted with abdominal pain. Which of the following activities should be performed by the RN rather than delegated to the LPN/LVN or nursing assistant? a) preparing the client's chart b) administering bedtime medications to the clients on the unit c) completing the admission assessment for the new client d) obtaining a clean-catch urine specimen from the client 32. A nurse is...

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NCLEX Review on Delegation and Prioritization Questions (16-20)

NCLEX Review on Delegation and Prioritization Questions 16. A nurse receives a 10-month old child with a fracture of the left femur on the pediatric unit. Which action is important for the nurse to take first? a) call for a social worker to meet with the family b) check the child's blood pressure, then pulse, respiration, and temperature c) administer pain medication d) speak with the parents about how the fracture occurred 17. A nurse on the cardiac unit is caring for four clients and is preparing to do initial rounds. Which client should...

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NCLEX Review About The Aging Eye (11-15)

NCLEX Review About The Aging Eye 11. Which of the following is an effective technique of communicating with a hearing impaired client? a) speak slowly in a low tone of voice b) speak slowly in a loud voice c) speak slowly and try to overemphasize words d) speak slowly and directly in front of the client 12. Which of the following client statements indicates the need to postpone cataract surgery in the morning? a) this seasonal allergy should no be a problem b) the medications instilled into my eyes make my vision blurred c) I feel nervous with...

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NCLEX Review on Delegation and Prioritization Questions (11-15)

NCLEX Review on Delegation and Prioritization Questions 11. A nurse in a long term facility is planning care for an elderly client with confusion. Which action should the nurse take first? a) sit the client in a geriatric chair with an activity b) apply a vest restraint when the client is in a chair c) apply bilateral wrist restraints when the client is in bed d) have a staff member sit with the client at all times 12. The nurse is providing care in the emergency department to the client with chest pain. Which action is most important...

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NCLEX Review about Digestive System Disorders 46-50

NCLEX Review about Digestive System Disorders 46. A client has Sengstaken-Blakemore tube. The nurse, during change-of-shift report should remind the next shift nurse to: a) keep scissors at bedside b) avoid instilling fluid into the aspiration port c) keep tracheostomy tray at bedside d) deflate the balloon for 15 to 30 minutes every 2 hours 47. The nurse is developing the plan of care for a client receiving continuous ambulatory peritoneal dialysis (CAPD). Which is the priority complication of CAPD to be addressed in the plan of care? a) bleeding b)...

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NCLEX Preparation Course - Critical Thinking Exercises VI (Answers 21-30)

Here are the Questions to NCLEX Preparation Course - Critical Thinking VI (21-30) --> 21) A- prothrombin time of 25 seconds is prolonged. Normal value is 11 to 16 seconds. Prolonged prothrombin time increases risk of bleeding during and after tonsillectomy. This should be reported to the physician. 22) D- absence of breath sounds on one side of the chest indicates atelectasis. A client with problem of airway or oxygenation should be given highest priority. ABC is a priority. 23) A- gingival hyperplasia indicates toxic reaction to...

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NCLEX Preparation Course - Critical Thinking Exercises VI (Questions 21-30)

 Here are the Answers to NCLEX Preparation Course - Critical Thinking VI (21-30) --> 21.Prior to tonsillectomy in a child, which of the following laboratory results should be reported to the physician immediately? a) prothrombin time of 25 seconds b) hemoglobin of 10 mg/Dl c) WBC 0f 15,000/cu. mm d) platelet count of 200,000/cu. mm 22. An emergency department has emergency drill. Which of the following should be given highest priority? a) a child with bloody face and with fixed, dilated pupils b) a patient with Glascow coma scale of...

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NCLEX Review on Delegation and Prioritization Questions (6-10)

NCLEX Review on Delegation and Prioritization Questions 6. A nurse is working in an emergency department and receives a client after a radiologic incident. Which task is a priority for the nurse to do first? a) decontaminate the client's clothing b) decontaminate an open wound on the client's thigh c) decontaminate the examination room the client is placed in d) save the client's vomitus for analysis by the radiation safety staff 7. The nurse plans care for a client in the post-anesthesia care unit. Which assessment should the nurse make first? a)...

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NCLEX Review Questions on Cancer (31-35)

NCLEX Review Questions on Cancer 31. Which of these findings in the breast of a patient who is suspected of having breast cancer would support the diagnosis? a) complaints of dull, achy, pain b) palpation of a mobile mass c) presence of an inverted nipple d) area of discoloration skin 32. A nurse is caring for a client with an internal radiation implant. Which of the following instructions is appropriate? a) allow the client to go to the bathroom b) avoid creams and lotions c) visitors are allowed to stay in the room d) the client should remain...

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