Online Nursing Practice Test about Skin (Integumentary Disorder 26-30)
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26. When assessing a lesion diagnosed as malignant melanoma, the nurse most likely expects to note which of the following?
a) an irregularly shaped lesion
b) a small papule with a dry, rough scale
c) a firm, nodular lesion topped with crust
d) a pearly papule with a crater and a waxy border
27. The nurse prepares discharge instructions for a client following cryosurgery for the treatment of a malignant skin lesion. Which of the following should the nurse include in the instructions?
a) avoid showering for 7 to 10 days
b) apply ice to the site to prevent discomfort
c) apply alcohol-soaked dressings twice a day
d) clean the site with hydrogen peroxide to prevent infection
Online Nursing Practice Test about Skin (Integumentary Disorder 21-25)
21. The nurse is assessing for the presence of cyanosis in a dark-skinned client. The nurse understands that which body area would provide the best assessment?
a) lips
b) sacrum
c) earlobes
d) back of the hands
22. A male client calls the emergency room and tells the nurse that he had been cleaning a wooded area in the backyard and came directly into contact with poison ivy shrubs. The client tells the nurse that he cannot see anything on the skin and asks the nurse what to do. Which of the following is the appropriate nursing response?
a) come to the emergency room
b) apply calamine lotion immediately to the expected skin areas
c) take a shower immediately , lathering and rinsing several times
d) it is not necessary to do anything if you cannot see anything on your skin
a) lips
b) sacrum
c) earlobes
d) back of the hands
22. A male client calls the emergency room and tells the nurse that he had been cleaning a wooded area in the backyard and came directly into contact with poison ivy shrubs. The client tells the nurse that he cannot see anything on the skin and asks the nurse what to do. Which of the following is the appropriate nursing response?
a) come to the emergency room
b) apply calamine lotion immediately to the expected skin areas
c) take a shower immediately , lathering and rinsing several times
d) it is not necessary to do anything if you cannot see anything on your skin
Cancer NCLEX Questions 106-110
Cancer NCLEX Questions
106. A nurse is preparing a list of home care instructions regarding stoma and laryngectomy care to a client who had a laryngectomy. Select all instructions that would be included in the list
a) avoid swimming and use care when showering
b) keep the humidity in the home low
c) avoid exposure to people with infections
d) restrict fluid intake
e) obtain a Medic-Alert bracelet
f) prevent debris from entering the stoma
107. A client suspected of having an abdominal tumor is scheduled for a computed tomography (CT) scan with dye injection. The nurse tells the client that:
a) the test may be painful
b) the dye injected may cause a warm, flushing sensation
c) fluids will be restricted following the test
d) the test takes approximately 2 hours
106. A nurse is preparing a list of home care instructions regarding stoma and laryngectomy care to a client who had a laryngectomy. Select all instructions that would be included in the list
a) avoid swimming and use care when showering
b) keep the humidity in the home low
c) avoid exposure to people with infections
d) restrict fluid intake
e) obtain a Medic-Alert bracelet
f) prevent debris from entering the stoma
107. A client suspected of having an abdominal tumor is scheduled for a computed tomography (CT) scan with dye injection. The nurse tells the client that:
a) the test may be painful
b) the dye injected may cause a warm, flushing sensation
c) fluids will be restricted following the test
d) the test takes approximately 2 hours
Cancer NCLEX Questions 101-105
Cancer NCLEX Questions
101. The nurse is teaching the client who has had a laryngectomy for laryngeal cancer how to use an artificial larynx. The nurse tells the client to:
a) insert the device into the tracheostomy
b) hold the device alongside the neck
c) hold the device over the upper
102. A client is scheduled for a Papanicolaou (Pap) smear at the next scheduled clinic visit. The nurse provides instructions to the client regarding preparation for this test. The nurse tells the client that:
a) the test can be performed during menstruation
b) fluids are restricted on the day of the test
c) the test is painless
d) vaginal douching is required 2 hours before the test
101. The nurse is teaching the client who has had a laryngectomy for laryngeal cancer how to use an artificial larynx. The nurse tells the client to:
a) insert the device into the tracheostomy
b) hold the device alongside the neck
c) hold the device over the upper
102. A client is scheduled for a Papanicolaou (Pap) smear at the next scheduled clinic visit. The nurse provides instructions to the client regarding preparation for this test. The nurse tells the client that:
a) the test can be performed during menstruation
b) fluids are restricted on the day of the test
c) the test is painless
d) vaginal douching is required 2 hours before the test
NCLEX Questions Gastrointestinal 56-60
NCLEX Questions Gastrointestinal
56. A nurse is monitoring a postoperative client after abdominal surgery for signs of complications. The nurse assesses the client for the presence of Homan's sign and determines that his sign is positive if which of the following is noted?
a) incisional pain
b) absent bowel sounds
c) pain with dorsiflexion of the foot
d) crackles on auscultation of the lungs
57. A nurse is assessing for correct placement of a nasogastric tube. The nurse aspirates the stomach contents and checks the contents for pH. The nurse verifies correct tube placement if which pH value is noted?
a) 3.5
b) 7.0
c) 7.35
d) 7.5
56. A nurse is monitoring a postoperative client after abdominal surgery for signs of complications. The nurse assesses the client for the presence of Homan's sign and determines that his sign is positive if which of the following is noted?
a) incisional pain
b) absent bowel sounds
c) pain with dorsiflexion of the foot
d) crackles on auscultation of the lungs
57. A nurse is assessing for correct placement of a nasogastric tube. The nurse aspirates the stomach contents and checks the contents for pH. The nurse verifies correct tube placement if which pH value is noted?
a) 3.5
b) 7.0
c) 7.35
d) 7.5
NCLEX Review about Cardiac Nursing 56-60
NCLEX Review about Cardiac Nursing
56. A nurse is caring for an infant with congenital heart disease is monitoring the infant closely for signs of congestive heart failure (CHF). The nurse assesses the infant for which early sign of CHF?
a) cough
b) pallor
c) tachycardia
d) slow and shallow breathing
57. A physician has prescribed oxygen as needed for an infant with congestive heart failure (CHF). In which situation should the nurse administer the oxygen to the infant?
a) during sleep
b) when changing the infant's diapers
c) when the mother is holding the infant
d) when drawing blood for electrolyte testing
56. A nurse is caring for an infant with congenital heart disease is monitoring the infant closely for signs of congestive heart failure (CHF). The nurse assesses the infant for which early sign of CHF?
a) cough
b) pallor
c) tachycardia
d) slow and shallow breathing
57. A physician has prescribed oxygen as needed for an infant with congestive heart failure (CHF). In which situation should the nurse administer the oxygen to the infant?
a) during sleep
b) when changing the infant's diapers
c) when the mother is holding the infant
d) when drawing blood for electrolyte testing
NCLEX Review About The Aging Eye (21-25)
NCLEX Review About The Aging Eye
21. Shortly after a neonate is delivered, erythromycin is instilled into the neonate’s eyes. This drug is given to prevent:
a. Ophthalmia neonatorum
b. Retrolental fibroplasias
c. Corneal keratitis
d. Acute uveitis
22. An older female client confides to the visiting nurse that she is afraid she will fall while going to the bathroom at night. Which suggestion, if made by the nurse, indicates that the nurse understands the visual changes affecting the older client?
a) limit your fluid intake during the day
b) use a commode in your bedroom at night
c) keep a red light on the bathroom at night
d) us ea bell to call your daughter if you need to get up
21. Shortly after a neonate is delivered, erythromycin is instilled into the neonate’s eyes. This drug is given to prevent:
a. Ophthalmia neonatorum
b. Retrolental fibroplasias
c. Corneal keratitis
d. Acute uveitis
22. An older female client confides to the visiting nurse that she is afraid she will fall while going to the bathroom at night. Which suggestion, if made by the nurse, indicates that the nurse understands the visual changes affecting the older client?
a) limit your fluid intake during the day
b) use a commode in your bedroom at night
c) keep a red light on the bathroom at night
d) us ea bell to call your daughter if you need to get up
NCLEX Review Questions on Cancer 96 -100
NCLEX Review Questions on Cancer
96. The client is preparing for discharge from the hospital after radical vulvectomy. The nurse plans to teach this client that which of the following activities is acceptable after discharge because it will no precipitate complications?
a) sexual activity
b) walking
c) sitting for lengthy periods
d) driving a car
97. The nurse has admitted a client to the clinical nursing unit following a modified right radical mastectomy for the treatment of breast cancer. The nurse plans to place the right arm in which of the following positions?
a) elevated above shoulder level
b) elevated on a pillow
c) level with the right atrium
d) dependent to the right atrium
96. The client is preparing for discharge from the hospital after radical vulvectomy. The nurse plans to teach this client that which of the following activities is acceptable after discharge because it will no precipitate complications?
a) sexual activity
b) walking
c) sitting for lengthy periods
d) driving a car
97. The nurse has admitted a client to the clinical nursing unit following a modified right radical mastectomy for the treatment of breast cancer. The nurse plans to place the right arm in which of the following positions?
a) elevated above shoulder level
b) elevated on a pillow
c) level with the right atrium
d) dependent to the right atrium
NCLEX Review Questions on Cancer 91-95
NCLEX Review Questions on Cancer
91. A nurse is monitoring a client for signs and symptoms related to superior vena cava syndrome. Which of the following is an early sign of this oncological emergency?
a) cyanosis
b) arm edema
c) periorbital edema
d) mental status changes
92. A nurse manager is teaching the nursing staff about signs and symptoms related to hypercalcemia in a client with metastatic prostate cancer and tells the staff that which of the following is a serious late sign of this oncological emergency?
a) headache
b) dysphagia
c) constipation
d) electrocardiographic changes
91. A nurse is monitoring a client for signs and symptoms related to superior vena cava syndrome. Which of the following is an early sign of this oncological emergency?
a) cyanosis
b) arm edema
c) periorbital edema
d) mental status changes
92. A nurse manager is teaching the nursing staff about signs and symptoms related to hypercalcemia in a client with metastatic prostate cancer and tells the staff that which of the following is a serious late sign of this oncological emergency?
a) headache
b) dysphagia
c) constipation
d) electrocardiographic changes
Pediatric NCLEX Practice Questions 96-100
Pediatric NCLEX Practice Questions
96. When teaching the parents of an older infant with CF (cystic fibrosis) about the type of diet the child should consume, which of the following would be most appropriate?
a) low protein diet
b) high fat diet
c) low carbohydrate diet
d) high calorie diet
97. a school-age child with CF asks the nurse what sports she can be involved in as she becomes older. Which of the following activities would be most appropriate for the nurse to suggest?
a) swimming
b) track
c) baseball
d) javelin throwing
96. When teaching the parents of an older infant with CF (cystic fibrosis) about the type of diet the child should consume, which of the following would be most appropriate?
a) low protein diet
b) high fat diet
c) low carbohydrate diet
d) high calorie diet
97. a school-age child with CF asks the nurse what sports she can be involved in as she becomes older. Which of the following activities would be most appropriate for the nurse to suggest?
a) swimming
b) track
c) baseball
d) javelin throwing
NCLEX Review Questions on Cancer 86-90
NCLEX Review Questions on Cancer
86. The nurse is reviewing the history of a client with bladder cancer. The nurse expects to note documentation of which most common symptom of this type of cancer?
a) dysuria
b) hematuria
c) urgency on urination
d) frequency of urination
87. The nurse is caring for a client following intravesical instillation of an alkylating chemotherapeutic agent into the bladder for the treatment of bladder cancer. Following the instillation, the nurse should instruct the client to:
a) urinate immediately
b) maintain strict bed rest
c) change position every 15 minutes
d) retain the instillation fluid for 30 minutes
86. The nurse is reviewing the history of a client with bladder cancer. The nurse expects to note documentation of which most common symptom of this type of cancer?
a) dysuria
b) hematuria
c) urgency on urination
d) frequency of urination
87. The nurse is caring for a client following intravesical instillation of an alkylating chemotherapeutic agent into the bladder for the treatment of bladder cancer. Following the instillation, the nurse should instruct the client to:
a) urinate immediately
b) maintain strict bed rest
c) change position every 15 minutes
d) retain the instillation fluid for 30 minutes
NCLEX Review Questions on Cancer 81-85
NCLEX Review Questions on Cancer
81. The nurse is caring for a client following a radical neck dissection and creation of a tracheostomy performed for laryngeal cancer and is providing discharge instructions to the client. Which statement by the client indicates a need for further instructions?
a) I will protect the stoma from water
b) I need to keep powders and sprays away from the stoma
c) I need to use an air conditioner to provide cool air to assist in breathing
d) I need to apply a thin layer of petrolatum to the skin around the stoma to prevent cracking
82. What is the purpose of cytoreductive ("debulking") surgery for ovarian cancer?
a) cancer control by reducing the size of the tumor
b) cancer prevention by removal of precancerous tissue
c) cancer cure by removing all gross and microscopic tumor cells
d) cancer rehabilitation by improving the appearance of a previously treated body part
81. The nurse is caring for a client following a radical neck dissection and creation of a tracheostomy performed for laryngeal cancer and is providing discharge instructions to the client. Which statement by the client indicates a need for further instructions?
a) I will protect the stoma from water
b) I need to keep powders and sprays away from the stoma
c) I need to use an air conditioner to provide cool air to assist in breathing
d) I need to apply a thin layer of petrolatum to the skin around the stoma to prevent cracking
82. What is the purpose of cytoreductive ("debulking") surgery for ovarian cancer?
a) cancer control by reducing the size of the tumor
b) cancer prevention by removal of precancerous tissue
c) cancer cure by removing all gross and microscopic tumor cells
d) cancer rehabilitation by improving the appearance of a previously treated body part
NCLEX Review Questions on Cancer (76-80)
NCLEX Review Questions on Cancer
76. The nurse is teaching a client about the risk factors associated with colorectal cancer. The nurse determines that further teaching related to colorectal cancer is necessary if the client identifies which of the following as an associated risk factor?
a) age younger than 50 years
b) history of colorectal polyps
c) family history of colorectal cancer
d) chronic inflammatory bowel disease
77. The nurse is performing an admission assessment on a client diagnosed with a right colon tumor. The nurse asks the client about which characteristic symptom of this type of tumor?
a) rectal bleeding
b) flat, ribbon-like stool
c) crampy, colicky abdominal pain
d) alternating constipation and diarrhea
76. The nurse is teaching a client about the risk factors associated with colorectal cancer. The nurse determines that further teaching related to colorectal cancer is necessary if the client identifies which of the following as an associated risk factor?
a) age younger than 50 years
b) history of colorectal polyps
c) family history of colorectal cancer
d) chronic inflammatory bowel disease
77. The nurse is performing an admission assessment on a client diagnosed with a right colon tumor. The nurse asks the client about which characteristic symptom of this type of tumor?
a) rectal bleeding
b) flat, ribbon-like stool
c) crampy, colicky abdominal pain
d) alternating constipation and diarrhea
Cancer NCLEX Questions (71-75)
Welcome to Cancer NCLEX Questions. Enjoy answering and I hope
that NCLEX Review and Secrets can somehow help you in your future
examination.
Good Luck.
71. The female client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing:
a) rupture of the bladder
b) the development of a vesicovaginal fistula
c) extreme stress caused by the diagnosis of cancer
d) altered personal sensation as the side effect of radiation therapy
72. The client with leukemia is receiving busulfan (Myleran) and allupurinol (Zyloprim) is prescribed for the client. The nurse tells the client that the purpose of the allupurinol is to prevent:
a) nausea
b) alopecia
c) vomiting
d) hyperuricemia
Good Luck.
71. The female client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing:
a) rupture of the bladder
b) the development of a vesicovaginal fistula
c) extreme stress caused by the diagnosis of cancer
d) altered personal sensation as the side effect of radiation therapy
72. The client with leukemia is receiving busulfan (Myleran) and allupurinol (Zyloprim) is prescribed for the client. The nurse tells the client that the purpose of the allupurinol is to prevent:
a) nausea
b) alopecia
c) vomiting
d) hyperuricemia
Cancer NCLEX Questions (66-70)
Welcome to Cancer NCLEX Questions. Enjoy answering and I hope
that NCLEX Review and Secrets can somehow help you in your future
examination.
Good Luck.
66.When assessing the laboratory results of the client with bladder cancer and bone metastasis, the nurse notes a calcium level of 12 mg/dl. The nurse recognizes that this is consistent with which oncological emergency?
a) hyperkalemia
b) hypercalemia
c) spinal cord compression
d) superior vena cava syndrome
67. The client reports to the nurse that when performing testicular self-examination, he found a lump the size and shape of a pea. The appropriate response to the client is which of the following?
a) lumps like that are normal, don't worry
b) let me know if it gets bigger next month
c) that could be cancer. I'll ask the doctor to examine you
d) that's important to report even though it might not be serious
Good Luck.
66.When assessing the laboratory results of the client with bladder cancer and bone metastasis, the nurse notes a calcium level of 12 mg/dl. The nurse recognizes that this is consistent with which oncological emergency?
a) hyperkalemia
b) hypercalemia
c) spinal cord compression
d) superior vena cava syndrome
67. The client reports to the nurse that when performing testicular self-examination, he found a lump the size and shape of a pea. The appropriate response to the client is which of the following?
a) lumps like that are normal, don't worry
b) let me know if it gets bigger next month
c) that could be cancer. I'll ask the doctor to examine you
d) that's important to report even though it might not be serious
NCLEX Review Questions on Cancer (61-65)
NCLEX Review Questions on Cancer
61. The home health care nurse is caring for a client with cancer and the client is complaining of acute pain. The appropriate nursing assessment of the client's pain would include which of the following?
a) the client's pain rating
b) nonverbal cues from the client
c) the nurse's impression of the client's pain
d) pain relief after appropriate nursing intervention
62. The nurse is caring for a client who is a pelvic exenteration and the physician changes the client's diet from NPO status to clear liquids. The nurse makes which priority assessment before administering the diet?
a) bowel sounds
b) ability to ambulate
c) incision appearance
d) urine specific gravity
61. The home health care nurse is caring for a client with cancer and the client is complaining of acute pain. The appropriate nursing assessment of the client's pain would include which of the following?
a) the client's pain rating
b) nonverbal cues from the client
c) the nurse's impression of the client's pain
d) pain relief after appropriate nursing intervention
62. The nurse is caring for a client who is a pelvic exenteration and the physician changes the client's diet from NPO status to clear liquids. The nurse makes which priority assessment before administering the diet?
a) bowel sounds
b) ability to ambulate
c) incision appearance
d) urine specific gravity
NCLEX Review Questions on Cancer (56-60)
NCLEX Review Questions on Cancer
56. The nurse is caring for a client with an internal radiation implant. When caring for the client, the nurse should observe which of the following principles?
a) limit the time with the client to 1 hour per shift
b) do not allow pregnant women into the client's room
c) remove the dosimeter badge when entering the client's room
d) individuals younger than 16 years old may be allowed to go in the room as long as they are 6 feet away from the client
57. A cervical radiation implant is placed in the client for the treatment of cervical cancer. The nurse initiates what most appropriate activity order for this client?
a) bed rest
b) out of bed ad lib
c) out of bed in a chair only
d) ambulation to the bathroom only
56. The nurse is caring for a client with an internal radiation implant. When caring for the client, the nurse should observe which of the following principles?
a) limit the time with the client to 1 hour per shift
b) do not allow pregnant women into the client's room
c) remove the dosimeter badge when entering the client's room
d) individuals younger than 16 years old may be allowed to go in the room as long as they are 6 feet away from the client
57. A cervical radiation implant is placed in the client for the treatment of cervical cancer. The nurse initiates what most appropriate activity order for this client?
a) bed rest
b) out of bed ad lib
c) out of bed in a chair only
d) ambulation to the bathroom only
NCLEX Review Questions on Cancer (51-55)
NCLEX Review Questions on Cancer
51. The client suspected of an ovarian tumor is scheduled for a pelvic ultrasound. The nurse provides which pre-procedure instruction to the client?
a) eat a light breakfast only
b) maintain an NPO before the procedure
c) wear comfortable clothing and shoes for the procedure
d) drink six to eight glasses of water without voiding before the test
52. A client is diagnosed with multiple myeloma and the client asks the nurse about the diagnosis. The nurse bases the response on which description of this disorder?
a) altered red blood cell production
b) altered production of lymph nodes
c) malignant exacerbation in the number of leukocytes
d) malignant proliferation of plasma cells within the bone
51. The client suspected of an ovarian tumor is scheduled for a pelvic ultrasound. The nurse provides which pre-procedure instruction to the client?
a) eat a light breakfast only
b) maintain an NPO before the procedure
c) wear comfortable clothing and shoes for the procedure
d) drink six to eight glasses of water without voiding before the test
52. A client is diagnosed with multiple myeloma and the client asks the nurse about the diagnosis. The nurse bases the response on which description of this disorder?
a) altered red blood cell production
b) altered production of lymph nodes
c) malignant exacerbation in the number of leukocytes
d) malignant proliferation of plasma cells within the bone
NCLEX Review Questions on Cancer (46-50)
NCLEX Review Questions on Cancer
46. The nurse is instructing the client to perform a testicular self-examination. The nurse tells the client:
a) to examine the testicles while lying down
that the best time for the examination is after a shower
c) to gently feel the testicles with one finger to feel for a growth
d) that testicular self-examinations should be done at least every 6 months
47. The client with cancer is receiving chemotherapy and develops thrombocytopenia. The nurse identifies which intervention as the highest priority in the nursing plan of care?
a) monitoring temperature
b) ambulation three times daily
c) monitoring the platelet count
d) monitoring for pathological fractures
46. The nurse is instructing the client to perform a testicular self-examination. The nurse tells the client:
a) to examine the testicles while lying down
that the best time for the examination is after a shower
c) to gently feel the testicles with one finger to feel for a growth
d) that testicular self-examinations should be done at least every 6 months
47. The client with cancer is receiving chemotherapy and develops thrombocytopenia. The nurse identifies which intervention as the highest priority in the nursing plan of care?
a) monitoring temperature
b) ambulation three times daily
c) monitoring the platelet count
d) monitoring for pathological fractures
NCLEX Review Questions on Cancer (41-45)
NCLEX Review Questions on Cancer
41. The health education nurse provides instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which statement by a client indicates a need for further instructions?
a) I will avoid sun exposure after 3 pm
b) I will use sunscreen when participating in outdoor activities
c) I will wear a hat, opaque clothing, and sunglasses when in the sun
d) I will examine my body monthly for any lesions that may be suspicious
42. The client is undergoing radiation therapy to treat lung cancer. Following treatment, the nurse notes erythema on the client's chest and neck, and the client is complaining of pain at the radiation site. The nurse interprets this assessment data a(n):
a) allergic reaction to the radiation
b) superficial injury to tissue from the radiation
c) cutaneous reaction to products formed by the lysis of the neoplastic cells
d) ischemic injury, much like pressure ulcer formation. caused by pressure from the linear accelerator
41. The health education nurse provides instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which statement by a client indicates a need for further instructions?
a) I will avoid sun exposure after 3 pm
b) I will use sunscreen when participating in outdoor activities
c) I will wear a hat, opaque clothing, and sunglasses when in the sun
d) I will examine my body monthly for any lesions that may be suspicious
42. The client is undergoing radiation therapy to treat lung cancer. Following treatment, the nurse notes erythema on the client's chest and neck, and the client is complaining of pain at the radiation site. The nurse interprets this assessment data a(n):
a) allergic reaction to the radiation
b) superficial injury to tissue from the radiation
c) cutaneous reaction to products formed by the lysis of the neoplastic cells
d) ischemic injury, much like pressure ulcer formation. caused by pressure from the linear accelerator