NCLEX Practice Test Set 2 (50 Questions Answers) Free Quiz

The nurse is preparing to administer regular insulin 4 units to a client with type 1 diabetes mellitus. Which equipment does the nurse need to perform the injection? Select all that apply

A nurse is assigned to six clients, along with a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). One client is scheduled for surgery in 15 minutes, another is having pain, one is complaining of a sudden onset of itching after receiving a new medication, and another has family who wants to talk to the physician right away. Which action should the nurse take to best manage and delegate client care?

A client with heart failure is ordered 60 mg of furosemide (Lasix) P.O. daily. Because the client has difficulty swallowing, an oral solution is ordered. The solution dispensed from the pharmacy has a concentration of 40 mg/5 ml. How many milliliters should the nurse administer?

A client with an I.V. line in place complains of pain at the insertion site. Assessment of the site reveals a vein that is red, warm, and hard. Which actions should the nurse take? Select all that apply.

A nurse reports that a preoperative client has normal liver function. Which liver function laboratory values should the nurse note to be within the normal ranges? SELECT ALL THAT APPLY.

A nurse is teaching new parents about the best method of bathing their newborn. Prioritize the steps for the newborn’s bath in the order that the nurse should teach them to the parents.

A physician orders amoxicillin (Amoxil) 250 mg P.O. (by mouth) t.i.d. for a client. Amoxicillin 125 mg/tsp is available. How many tsp must the nurse administer?

A client on hemodialysis is prescribed cephalexin (Keflex) 500 mg P.O. (by mouth) every 6 hours for a group A beta-hemolytic streptococcal infection. The client states that he can’t swallow the large pills and requests a liquid dose. The suspension is available in 250 mg/5 ml. The nurse knows that which statements about this order are true? Select all that apply.

A nurse transcribes the following physician’s order onto the client’s medication record:

March 15, 2006 1630
Administer 10 gtt of timolol maleate (Timoptic)
ophthalmic solution AU daily.
John Bloom, MD

Which components of the medication order should the nurse question? Select all that apply.

A client is hospitalized with pneumonia for 2 days. After reading the documentation below, what’s the nurse’s assessment of the arterial blood gas results?

A client has an automatic blood pressure cuff and the same number is displayed for 11 hours of a 12-hour shift. A nurse documents the reading, thinking it is a new blood pressure measurement each hour. When the nurse working the next shift takes the client’s blood pressure, the client is hypotensive. The nurse manager speaks with the nurse about the event and concludes that the nurse failed to assess the client’s blood pressure (BP) for 11 hours of a 12-hour shift. Due to a similar event with a new nurse, the standards and protocols were reviewed with all nurses at a required department meeting the previous week. Which intervention by the nurse manager with the involved nurse is most
appropriate?

A nurse is collecting data on a client who has a rash on his chest and upper arms. Which questions should the nurse ask in order to obtain more information about the client’s rash? Select all that apply

 A nurse realizes that as a client experiences neurologic deterioration, symptoms of “disorientation” usually occur sequentially. Place the following symptoms in ascending chronological order. Use all the options.

An elderly client who is 54 and weighs 145 lb is admitted to the long-term care facility. The admitting nurse takes this report: The client sits for long periods in his wheelchair and has bowel and bladder incontinence. He is able to feed himself and has a fair appetite, eating best at breakfast and poorly thereafter. He doesn’t have family members living nearby and is often noted to be crying to sleep. He also frequently requires large doses of sedatives. Which factors place the client at risk for developing a pressure ulcer? Select all that apply

A client with a history of hypertension has just had a total hip replacement. The physician orders hydrochlorothiazide (Hydro-Chlor) 35 mg oral solution by mouth, once per day. The label on the solution reads hydrochlorothiazide 50 mg/5 ml. To administer the correct dose, how many ml should the nurse pour?

A client on telemetry reports that she’s having chest pain. The hospital unit has standing orders that allow a nurse to begin treating the client before notifying the physician. Place the following actions in proper ascending chronological order. Use all the options

 A nurse is checking a client who’s at risk for cardiac tamponade due to chest trauma sustained in a motorcycle accident. What’s the client’s pulse pressure if his blood pressure is 108/82 mm Hg?

A nurse is preparing to take the blood pressure of a client. Which actions are appropriate? Select all the apply.

A nurse is caring for a client who just underwent cardiac catheterization through a femoral access site. Which nursing interventions should the nurse expect in the care plan for the next 8 hours? Select all that apply

A hospitalized client diagnosed with end-stage cancer has suddenly decided to discontinue treatment. The client requests no additional treatment, such as antibiotics, tube feedings, and mechanical ventilation. When acting as the client’s advocate, which action should a nurse take?

. An experienced nurse is orienting a new nurse caring for multiple clients on an oncology nursing unit. The experienced nurse explains to the new nurse that to advocate for clients, a nurse must be able to identify ethical issues and communicate the clients’ wishes to others. Which primary role of the nurse advocate should the experienced nurse also explain to the new nurse?

A surgical client tells a nurse that he/she has been in significant pain since surgery earlier in the day. The nurse reviews the medication administration record (MAR) and notes that hydrocodone plus acetaminophen (Vicodin®) has been administered at the highest possible dose and at regular intervals since surgery. The nurse brings the client two Vicodin® tablets. The client states, “That isn’t what I had before. I only had one pink pill.” Which action should be taken by the nurse?

A nurse is told by a client of an advance health-care directive that was completed 8 years ago. The nurse looks in the medical record for the advance directive to review its content. Which content should the nurse expect the advance health-care directive to include? SELECT ALL THAT APPLY.

. After a car/pedestrian accident, a pedestrian client is brought to the emergency room. The client is alert and oriented but complains of dyspnea. Oxygen saturation (SpO₂) levels vary from 88% to 90%. Oxygen is applied at 2 liters per nasal cannula with no improvement in SpO₂. Oxygen per mask is initiated at 40% with little improvement. Radiograph films reveal no obvious injury or fractures. Suddenly the client loses consciousness, has a respiratory arrest, and subsequently dies. During the respiratory arrest resuscitation, it is determined that a nurse failed to open the valve to the oxygen tank and the client had not been receiving oxygen. What is the key ethical principle involved in this situation?

. In the Laotian culture, pain may be severe before relief is requested. Traditionally, the oldest male makes health care decisions and may answer questions for female clients. A nurse is caring for a female Laotian client who is in severe pain, rating an 8 on a scale of 0 to 10. Her spouse will not allow the nurse to give any analgesics. What is the nurse’s best course of action?

A nurse gives a medication without checking the medication administration record (MAR). When the nurse documents the medication given, the nurse notices that the medication was also given 15 minutes earlier by another nurse, resulting in the client receiving a double dose. The nurse notifies a supervisor and a physician of the event. Which action should the nurse who administered the second medication dose expect?

A client, admitted with abdominal pain, smokes cigarettes. The client is complaining about not being able to smoke in the hospital. A nurse would like to provide support and assist the client in managing a craving for cigarettes. Which actions should be taken by the nurse to educate the client about the effects of cigarette smoking? SELECT ALL THAT APPLY.

A nurse plans to access a client’s electronic health record for documentation of a medication. Which steps should be taken by the nurse to access a client’s electronic health record? Place each step in the correct sequence.

A nurse calls a physician regarding a change in a client’s condition. The physician gives orders over the telephone for arterial blood gases (ABGs) to be drawn stat. Which is the most important safety consideration when obtaining the order?

A client has an advance health care directive on file at a hospital that identifies a friend as the legal healthcare agent. A nurse is to obtain informed consent for the client to have an exploratory laparotomy. Because of sedation, the client is unable to sign the form or give verbal consent. Who should provide consent for this client?

A nurse is instructing a Somali client about a lung resection scheduled for tomorrow. The client does not speak English. What is the best method of instruction for this client?

A nurse took several courses in Spanish and studied in Central America for one semester. A supervisor asks the nurse to serve as an interpreter during orientation of a new Spanish-speaking nurse. Which information is most important for the nurse to know prior to agreeing to be an interpreter?

A nurse is caring for a client diagnosed with cystic fibrosis who is refusing to take a recommended nebulizer treatment. The client’s refusal of treatment is classified as which of the following?

A client is experiencing increased dyspnea and chest pain. A physician is notified and orders an electrocardiogram (ECG) to be done stat. The nurse has not done an ECG before and there is no ECG technician in the hospital at this time. Which steps should be taken by the nurse in performing an ECG? Place each answer option into the correct order.

A client is admitted to a surgical unit. The client has multiple rings, a watch, and $65 in cash. What is the safest action for a nurse to take regarding the valuables?

An adolescent client enters a clinic alone and discloses that he/she is human immunodeficiency virus (HIV) positive. The client has a productive cough and
low-grade fever. Which is the best action by the nurse?

A nurse is working in a busy emergency department with multiple admissions. Which clients would meet the requirement for mandatory reporting? SELECT ALL THAT APPLY.

A nurse assists a physician with the placement of a central venous catheter. The nurse notices the physician brush his sterile glove against the client’s bedspread. Which action by the nurse demonstrates professional conduct?

A nurse is assisting in admitting a client with substernal chest pain. Which diagnostic tests does the nurse anticipate the client will receive to confirm or
rule out a diagnosis of myocardial infarction (MI)? Select all that apply

Which signs and symptoms should the nurse expect to find in a client with angina? Select all that apply.

A nurse is preparing to administer medications to a client. Which two unique client identifiers must be checked prior to administration?

Which signs and symptoms should the nurse expect to find in a client with angina? Select all that apply

A client is diagnosed with myocardial infarction. Which data collected indicate that the client has developed left-sided heart failure? Select all that apply.

A nurse is caring for a client who has a sudden onset of symptoms including itchy eyes, runny nose, coughing, and shortness of breath. The client is now complaining of chest pain. The client has a history of several surgeries during childhood and spina bifida. The nurse suspects a latex allergy. Which order should the nurse carry out first?

A nurse is hanging an intravenous (IV) solution of D5NS with 20 mEq of KCL. The nurse notices the label from the pharmacy is correct as indicated; however, the solution is D5W. Which actions should be taken by the nurse to safely administer the IV infusion? SELECT ALL THAT APPLY.

A nurse is totaling the 8-hour shift intake and output for a client with an intravenous (IV) infusion on an IV pump. The IV is infusing at 125 mL/hr. The total IV intake is 900 mL. Based on this information, which conclusion should the nurse make?

A physician has ordered filgrastim (Neupogen) 5 mcg/kg subcutaneously for a postchemotherapy client. The client weighs 140 lb. Neupogen comes in a vial of 300 mcg/ml. How many milliliters of Neupogen will a nurse deliver to the client?

A client in the terminal stage of cancer is being transferred to hospice care. Which information should the nurse include in the teaching plan regarding hospice care? Select all that apply

A nurse is teaching a community program on breast self-examination. She tells the group the proper steps to take when palpating each breast. Place the following actions in proper ascending chronological order. Use all the options.

A client is agitated and restless. Physical restraints are applied. A decision is made to begin chemical restraints with intravenous (IV) sedatives. For which common side effect of chemical sedation/restraint should the client be monitored?