NCLEX-RN MODEL QUESTION

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NCLEX-RN Knowledge Quiz

Thinking about taking NCLEX-RN? Try our free NCLEX-RN quick quiz – instant grade provided!

1) You are caring for a client with CHF and history of Afib who is ordered 0.5mg of Digoxin Daily. Client is complaining of nausea, headache, double vision. What should you do first:

a) Withhold the next dose of Digoxin and notify physician
b) Give half the dose of Digoxin and monitor cardiac rhythm
c) Discontinue any Potassium supplements and get a Potassium level
d) Give Digibind now

2) A client has undergone a cardiac catherization for unstable angina. What is the nursing priority in the immediate post-procedure period?

a) Check the cath site for infection
b) Check the client’s pulses proximal to the insertion site
c) Check the client’s pulses distally to the insertion site
d) Keep the client NPO.

3) Which of these medications should be given with caution to a client who is receiving a Zoloft as to prevent a deadly complication?

a) Lasix (furosemide)
b) Gentamyacin Sulfate (Gentamyacin)
c) Amniodarone (Cordorone)
d) Meperidine (Demerol)

4) You are caring for a Client who requires a NG (naso-gastric) tube insertion for starting tube feeds. What should the nurse do immediately post insertion of the tube?

a) Begin the tube feed slowly
b) Get a abdominal x-ray in the next 24 hours
c) Clamp the tube
d) Aspirate GI secretions with a syringe

5) You are teaching a client with chronic liver failure and Hepatitis C about nutrition. What should the client limit in his diet?

a) Red Meat and Chick Peas
b) Cakes and candy
c) Pasta and White bread
d) Green-leafy vegetables

6) When teaching a client who has had a Left-sided mastectomy and lymph-node dissection about avoiding lymphedema, You should tell her to:

a) Have the health-care team take BP and blood draws only on the left arm
b) Keep both arms in dependent positions while sleeping
c) Only use the right arm for weight-lifting and exercise
d) Wear sunscreen and long sleeves when doing outdoor activity and gloves when gardening

7) What vitamins or herbal supplements would be safe for a client who is on Coumadin (warfarin)?

a) Vitamin C
b) Vitamin E
c) St. John’s Wort
d) Green Tea Extract

8) When an oriented client is admitted to your unit, what is the admitting nurse’s responsibility regarding Advanced Directives?

a) To call the client a lawyer if they would like to complete an Advanced Directive
b) To ensure that the Client has been asked if they have an advanced directive and to document their response
c) To ensure that all Clients complete an advanced directive
d) To do nothing, advanced directives are not a nursing responsibility

9) A client who has had a liver transplant 3 months prior is admitted to your unit with signs of organ rejection. What room should they be placed in?

a) Semi-private: Other Client in room has cellulitis
b) Private and on contact precautions
c) Semi-private: Other Client has a fractured hip following a car accident
d) Semi-private: Other Client has pneumonia

10) You are caring for a Client in the Emergency Room who has come in by ambulance after a narcotic and tricyclic overdose at home about 1 hour ago. The Client has a GCS of 7 and is taking very shallow respirations. What would you expect the ABG to be?

a) pH 7.45 pO2 65 pCO2 36 HCO3 12
b) pH 7.23 pO2 45 pCO2 60 HCO3 30
c) PH7.18 pO2 80 pCO2 50 HCO3 22
d) pH7.50 pO2 50 PCO2 8 HCO3 25

11) You are admitting a Client who is blind for an elective surgery. What is your first priority?

a) Providing a safe and secure environment for the Client
b) Start teaching on deep breathing techniques for post-surgical period.
c) Get the Client a Braille book so he is comfortable
d) Call the physician to notify of Client’s arrival to the unit.

12) After a bronchoscopy, what should the nurse assess before the Client can begin oral intake?

a) Presence of pain on inspiration
b) Stable vital signs
c) Return of gag reflex
d) Clear breath sounds

13) You are the triage nurse in the Emergency Department. In which order would the following Clients need to be seen by the ED physician?
Client A: 32-year-old woman complaining of severe abdominal pain and vaginal bleeding. She says that she missed her period last week.
Client B: 54-year-old man with a 5 cm leg laceration which is bleeding.
Client C: 82-year-old man a productive cough and fever.
Client D: a 2-year-old child with a high fever and a rash.

a) Client C, Client D, Client A, Client B
b) Client A, Client D, Client B, Client C
c) Client A, Client C, Client D, Client B
d) Client D, Client A, Client B, Client C

14) What is the most therapeutic response to a client’s wife who feels guilty and asks the nurse what to do to help her husband who is admitted with major depression after a suicide attempt?

a) “Depression is a chronic disease. You will have to help him function in society for the rest of your life.”
b) “It’s not your fault. Your husband has a chemical imbalance.”
c) “You should take a new job which would allow you to be home as often as possible so you can keep a closer eye on your husband.”
d) “Many family members feel a sense of guilt and anger after a suicide attempt has occurred, but this was not your fault. You can get involved with our family support group to learn more about depression.”

15) A client is admitted with chest pain and shortness of breath. Which lab tests would you expect to be ordered first?

a) Electrolytes, Troponin, and CK-MB
b) CBC, Electrolytes, and TSH
c) Troponin, lipids, Hgb-AC1
d) K+, CK-MB, and urinalysis




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