NCLEX Prep 2 nursing 2020-2021 questions

Document Content and Description Below

The nurse on a medical-surgical unit is caring for a client with an extensive wound infection. The physician has ordered contact precautions based on the wound culture results. The nurse recognize... s when caring for this client that she should wear disposable medical examination gloves a. upon entering the client’s room to provide care. b. when providing care within fve feet of the client. c. when anticipating a dressing change. d. when the potential of contamination from body fuids exists. 2. When administering magnesium to a preeclampsic pregnant woman, the nurse assesses for signs and symptoms of magnesium toxicity. These include all of the following EXCEpT a. absent refexes. b. fetal heart rate of 120. c. respirations < 12 per minute. d. urine output < 30cc/hour. 3. The nurse is caring for a client diagnosed with glaucoma. Which of the following medications, if prescribed for the client, should the nurse question? a. atropine sulfate (Isopto Atropine) b. betaxolol (Betoptic) c. pilocarpine (Ocusert pilo-20) d. pilocarpine hydrochloride (Isopto Carpine) 4. Upon examining the mouth and throat of a seven-year-old, the nurse observes the following: The mother asks the nurse if the child’s tonsils should be removed as they are so large. The nurse knows that the tonsils reach their maximum size between the ages of a. 4 and 6. b. 6 and 8. c. 8 and 10. d. 10 and 12. 5. The nurse is preparing to complete a neurological assessment on a client. The nurse is aware that which of the following are included when assessing a client using the Glasgow Coma Scale? Select all that apply. 1. eye opening 2. motor response 3. pupil reaction 4. verbal performance a. 1, 2, 3, 4 b. 1, 2, 4 c. 1, 4 d. 2, 3 25 NCLEX-RN_03_21-92.indd 26 11/30/12 9:26 AM –NCLEX -RN PRACTICE TEST 1 – 6. When the nurse is able to take the client’s perspective into consideration and communicate this understanding back to the client, the nurse is using a. assertiveness. b. empathy. c. sympathy. d. transference. 7. A nurse administers 12 U of regular insulin mixed with 34 U of NpH insulin to a diabetic client at 7:00 a.m. At 12 noon the client is off the unit at radiology when lunch trays arrive. Which of the following is the most appropriate action for the nurse to complete? a. Contact the radiology department and ask the RN to start an IV of 5% dextrose. b. Request that the client be returned to the unit to eat lunch if the testing is not complete. c. Save the lunch tray and have client eat when he or she returns to the unit. d. Take a glass of orange juice or milk to the radiology department for the client at 12 noon. 8. A woman in preterm labor is admitted to the hospital and given an intramuscular (IM) injection of betamethasone. The nurse explains to the client that betamethasone a. lowers maternal blood pressure. b. prevents fetal seizures. c. promotes fetal lung maturation. d. stops maternal contractions. 9. A nurse has asked an unlicensed nursing assistant to feed a client who is ordered a full liquid diet. The nurse will instruct the nursing assistant that which of the following items are permitted on this type of diet? Select all that apply. 1. ice cream 2. oatmeal 3. pudding 4. yogurt a. 1, 4 b. 2, 3 c. 1, 3, 4 d. 1, 2, 4 10. The nurse is teaching a class to new mothers about safe infant sleeping environments. The nurse teaches that which of the following increase the infant’s risk for sudden infant death syndrome (SIDS)? Select all that apply. 1. sleeping with a pacifer 2. low birth weight 3. maternal smoking during pregnancy 4. being placed on back for sleep a. 1, 2 b. 2, 3 c. 3, 4 d. 1, 4 [Show More]

Last updated: 2 years ago

Preview 1 out of 172 pages