06 May

NCLEX-RN Practice #1 Part-2

1) A nurse admits a client transferred from the emergency room. The client, diagnosed with a myocardial infarction, is complaining of substernal chest pain, diaphoresis and nausea. The FIRST action by the nurse should be

2) An 18 month-old child is on peritoneal dialysis in preparation for a renal transplant in the near future. When the nurse obtains the child's health history, the mother indicates that the child has not had the first measles, mumps, rubella (MMR) immunization. The PRIORITY nursing action is based on the understanding that

3) The nurse is assessing a comatose client receiving gastric tube feedings. Which of the following assessments requires an IMMEDIATE response from the nurse?

4) The nurse is instructing a client with moderate persistent asthma on the proper method for using MDI's (multi-dose inhalers). Which medication should be administered FIRST?

5) The nurse is administering an intravenous piggyback infusion of penicillin. Which of the following client statements would require the nurse's IMMEDIATE attention?

6) A new nurse manager is responsible for interviewing applicants for a staff nurse position. Which of the following interview strategies is the BEST?

7) The nurse is caring for a client who has altered cerebral tissue perfusion related to a subarachnoid hemorrhage. To reduce the risk of rebleeding, the nurse should plan to

8) A client is receiving dexamethasone (Decadron) therapy. The nurse plans to monitor the client's

9) Decentralized scheduling is used on a nursing unit. A CHIEF advantage of this management strategy is that it

10) The nurse is preparing to administer a tube feeding to a post-operative client. To accurately assess for a gastostomy tube placement, the PRIORITY is to

11) The nurse manager informs the nursing staff at morning report that the clinical nurse specialist will be conducting a research study on staff attitudes toward client care. All staff are invited to participate in the study if they wish. This affirms the ethical principle of

12) Which of the following BEST describes the goal of total quality management or continuous quality improvement in a health care setting?

13) As a part of a 9 pound newborn's assessment, the nurse performs a dextro-stick at one hour. The blood glucose level is 45 mg/dl. What FIRST action by the nurse is appropriate?

14) The nurse is planning care for an 8 year-old child. Which of the following should be included in the plan of care?

15) You are caring for a client with Parkinson's disease who has developed hallucinations. Which of the following medications that the client is receiving may have been a contributing factor?

16) A client with angina has been instructed about the use of sublingual nitroglycerin. Which of the following statements made to the nurse indicates a need for FURTHER teaching?

17) A five year-old has been rushed to the emergency room several hours after acetaminophen poisoning. Which of the following laboratory results should receive PRIORITY attention by the nurse?

18) When teaching a client about the use of sublingual nitroglycerin, the nurse should emphasize that the MOST common side effect is

19) While assessing the vital signs in children, the nurse should know that the apical heart rate is preferred until the radial pulse can be accurately assessed at about

20) The nurse is teaching parents of a 7 month-old about adding table foods. Which of the following is an APPROPRIATE finger food?