Kaplan NCLEX Prep Test Questions and Answers

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Kaplan NCLEX Prep Test Questions and Answers Which of the following actions, if performed by the nurse would be considered negligence? a. The nurse obtains a Guthrie blood test on a 4 day old ... infant. b. The nurse massages lotion on the abdomen of a 3 year old diagnosed with Wilm's tumor. c. The nurse instructs a 5 year old asthmatic to blow on a pinwheel. d. The nurse plays kickball with a 10 year old with juvenile arthritis (JA). b. The nurse massages lotion on the abdomen of a 3 year old diagnosed with Wilm's tumor. Correct - manipulation of mass may cause dissemination of cancer cells The nurse in the same day surgery department cares for a 77 year old woman after a sigmoidoscopy. Which of the following symptoms, if exhibited by the woman an hour after the procedure, would most concern the nurse? a. The client complains of fullness and pressure in her abdomen b. The client complains of grogginess and thirst. c. The client complains of lightheadedness and dizziness d. The client complains of mild pain and cramping in her abdomen c. The client complains of lightheadedness and dizziness. Correct - could signify hypovolemic shock due to bowel perforation 00:0201:36 The nurse is discharging a pt from an inpt alcohol treatment unit. Which of the following statements, if made by the pt's wife indicates to the nurse that the family is coping adaptively? a. My husband will do well as long as I keep him engaged in activities that he likes. b. My focus is learning how to live my life. c. I am so glad that our problems are behind us. d. I'll make sure that the children don't give my husband any problems. b. My focus is learning how to live my life. Correct - wife is working to change codependent patterns. The nurse is caring for a pt with cervical cancer. The nurse notes that the radium implant has become dislodged. Which of the following actions should the nurse take first? a. Stay with the pt and contact radiology. b. Wrap the implant in a blanket and place it behind the lead shield. c. Pick up the implant with long handled forceps and place it in a lead container. d. Obtain a dosimeter reading on the pt and report it to the physician. c. Pick up the implant with long handled forceps and place it in a lead container. Correct - never touch implant with bare hand; forceps and container should be kept in pt's room. The nurse has reviewed the charts of four antepartal women. Which woman is at greater risk for having a child with a cleft lip and palate? a. a 22 yr old Oriental woman who is having a girl. b. a 25 yr old Native American female who is having a boy c. a 35 yr old African American woman who is having a boy d. a 40 yr old Caucasian who is having a girl. b. a 25 yr old Native American female who is having a boy. Correct - Native Americans have the highest incidence of cleft lip and palate; males are more likely than females to have both. A 22 yr old woman in her second trimester of pregnancy tells the clinic nurse that her child has been asking questions about sex. The client asks the nurse what she should tell her 5 year old son. Which of the following statements, if made by the nurse is best? a. buy a book about sex designed for young children and read it with your son. b. answer your son's questions in a matter of fact manner, in words that he will understand. c. tell your son that his subject is complicated, and you will discuss it with him as he gets older. d. Have your son touch your abdomen and tell him about your pregnancy. b. answer your son's questions in a matter of fact manner, in words that he will understand. Correct - helps child understand his concerns, allows for answering exact question that is being asked. The nurse is observing a LPN/LVN administer iron dextran IM. It is most important for the nurse to give which of the following instructions? a. massage the injection site for one minute after the injection of the medicine. b. tap out the air bubble prior to administering the medication. c. release the skin prior to withdrawing the needle. d. change the needle after drawing up the medication. d. change the needle after drawing up the medication. Correct - ensures that no solution remains on outside of needle. A nurse is caring for clients in the mental health clinic. A woman comes to the clinic complaining of insomnia and anorexia. The patient tearfully tells the nurse that she was laid off from a job that she had held for 15 years. Which of the following responses, if made by the nurse, is most appropriate? a. did your company give you a severance package? b. Focus on the fact that you have a healthy, happy family. c. Tell me what happened. d. Losing a job is common nowadays. c. Tell me what happened. Correct - explore situation. Allows patient to verbalize. The nurse is teaching a 45 yr old woman how to increase the K in her diet. The woman says she knows bananas are high in K, but she doesn't like their taste. What foods should the nurse recommend the client include in her diet? a. carrots, broccoli, yogurt b. rhubarb, tofu, celery c. potatoes, spinach, raisins d. onions, corn, oatmeal c. potatoes, spinach, raisins Correct - potatoes 610 mg, spinach 838mg, raisins 1089mg for a total of 2537mg. A 68 yr old woman diagnosed with thrombocytopenia due to acute lymphocytic leukemia is admitted to the hospital. The nurse should assign the pt to a: a. private room so she will not infect other patients and health care workers b. private room so she will not be infected by other pts and health care workers c. semiprivate room so she will have stimulation during her hospitalization d. semiprivate room so she will have the opportunity to express her feelings about her illness. b. private room so she will not be infected by other pts and health care workers Correct - protects patient from exogenous bacteria, risk for developing infection from others due to depressed WBC count, alters ability to fight infection. [Show More]

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