NCLEX RN Practice

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Review

Practice

Exam

Question 1 of 5.

The nurse is caring for clients in outpatient surgery. The mother of a four-year-old asks the nurse how to prepare her daughter for eye surgery. Which of the following statements by the nurse is BEST?

A. Draw a picture of the eye to explain what will happen.

B. Tell your daughter that the procedure will take one hour.

C. Use dolls or puppets to explain how to get ready for surgery.

D. Read an age-appropriate illustrated book about eye surgery to your daughter.

Explanation: use puppet or doll to show where procedure is performed; explain procedure in simple terms and what the child will see, hear, taste, smell, and feel

Question 2 of 5.

The nurse is preparing to administer an injection of haloperidol decanoate (Haldol D). Which of the following actions by the nurse is MOST appropriate?

A. Massage the injection site.

B. Give deep IM in a large muscle mass.

C. Use a 2 inch 25 gauge needle.

D. Administer the medication in divided doses.

Explanation: medication is very irritating to subcutaneous tissue

Question 3 of 5.

The nurse knows which of the following would be MOST likely to help the family of an emotionally disturbed client manage behaviors at home after discharge from inpatient treatment?

A. Refer the family to Alliance for the Mentally Ill meetings for educational programs and support groups.

B. Provide the family with pamphlets that describe the desired action and side effects of medications the client is taking.

C. Tell the family that it is not their fault that the client behaves inappropriately.

D. Involve the family in the assessment of the client when s/he is first admitted to the hospital.

Explanation: this group provides ongoing support and educational information; people who attend have common needs and goals focused on managing the clientsâ€™ behavior at home

Question 4 of 5.

The nurse is assessing a client with suspected appendicitis. Which of the following findings would the nurse expect to observe?

A. Pain relieved by eating a small meal.

B. Rebound tenderness at McBurneyâ€™s point.

C. Pain radiating to the left shoulder.

D. Soft, non-tender abdomen.

Explanation: rebound tenderness at McBurneyâ€™s point is a classic sign of appendicitis

Question 5 of 5.

The nurse is caring for a client who is receiving chemotherapy for leukemia. The clientâ€™s latest laboratory results show a white blood cell count of 2,000/mmÂ³. Which of the following nursing actions is the HIGHEST priority?

A. Administer pain medication as needed.

B. Encourage fluid intake of 2 liters per day.

C. Initiate neutropenic precautions.

D. Monitor the clientâ€™s temperature every 4 hours.

Explanation: a white blood cell count of 2,000/mmÂ³ indicates neutropenia, and initiating neutropenic precautions is the priority to prevent infection

Question 1 of 5.

A. Draw a picture of the eye to explain what will happen.

B. Tell your daughter that the procedure will take one hour.

C. Use dolls or puppets to explain how to get ready for surgery.

D. Read an age-appropriate illustrated book about eye surgery to your daughter.

Question 2 of 5.

The nurse is preparing to administer an injection of haloperidol decanoate (Haldol D). Which of the following actions by the nurse is MOST appropriate?

A. Massage the injection site.

B. Give deep IM in a large muscle mass.

C. Use a 2 inch 25 gauge needle.

D. Administer the medication in divided doses.

Question 3 of 5.

The nurse knows which of the following would be MOST likely to help the family of an emotionally disturbed client manage behaviors at home after discharge from inpatient treatment?

A. Refer the family to Alliance for the Mentally Ill meetings for educational programs and support groups.

B. Provide the family with pamphlets that describe the desired action and side effects of medications the client is taking.

C. Tell the family that it is not their fault that the client behaves inappropriately.

D. Involve the family in the assessment of the client when s/he is first admitted to the hospital.

Question 4 of 5.

The nurse is assessing a client with suspected appendicitis. Which of the following findings would the nurse expect to observe?

A. Pain relieved by eating a small meal.

B. Rebound tenderness at McBurneyâ€™s point.

C. Pain radiating to the left shoulder.

D. Soft, non-tender abdomen.

Question 5 of 5.

A. Administer pain medication as needed.

B. Encourage fluid intake of 2 liters per day.

C. Initiate neutropenic precautions.

D. Monitor the clientâ€™s temperature every 4 hours.

Question 1 of 5.

A. Draw a picture of the eye to explain what will happen.

B. Tell your daughter that the procedure will take one hour.

C. Use dolls or puppets to explain how to get ready for surgery.

D. Read an age-appropriate illustrated book about eye surgery to your daughter.

Question 2 of 5.

The nurse is preparing to administer an injection of haloperidol decanoate (Haldol D). Which of the following actions by the nurse is MOST appropriate?

A. Massage the injection site.

B. Give deep IM in a large muscle mass.

C. Use a 2 inch 25 gauge needle.

D. Administer the medication in divided doses.

Question 3 of 5.

The nurse knows which of the following would be MOST likely to help the family of an emotionally disturbed client manage behaviors at home after discharge from inpatient treatment?

A. Refer the family to Alliance for the Mentally Ill meetings for educational programs and support groups.

B. Provide the family with pamphlets that describe the desired action and side effects of medications the client is taking.

C. Tell the family that it is not their fault that the client behaves inappropriately.

D. Involve the family in the assessment of the client when s/he is first admitted to the hospital.

Question 4 of 5.

The nurse is assessing a client with suspected appendicitis. Which of the following findings would the nurse expect to observe?

A. Pain relieved by eating a small meal.

B. Rebound tenderness at McBurneyâ€™s point.

C. Pain radiating to the left shoulder.

D. Soft, non-tender abdomen.

Question 5 of 5.

A. Administer pain medication as needed.

B. Encourage fluid intake of 2 liters per day.

C. Initiate neutropenic precautions.

D. Monitor the clientâ€™s temperature every 4 hours.

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