Wednesday, August 8, 2012

NCLEX Exam Practice Question of the Week - 8/8/12

Elsevier NCLEX Exam Review

Question: Which of the following are characteristics of von Willebrand's disease? Select all that apply.


1.  Easy bruising occurs.
2.  Gum bleeding occurs.
3.  It is a hereditary bleeding disorder.
4.  It is characterized by extremely high creatinine levels.
5.  The disorder causes platelets to adhere to damaged endothelium.
6.  Treatment and care are similar to that for hemophilia.


Wednesday, August 1, 2012

NCLEX Exam Practice Question of the Week - 8/1/12

Elsevier NCLEX Exam Review

Question: A client is found to be comatose and hypoglycemic with a blood glucose level of 50 mg/dL. What nursing action is implemented first?

1. Infuse 1000 mL of D5W over a 12-hour period
2. Administer 50% glucose intravenously
3. Check the client's urine for the presence of sugar and acetone
4. Encourage the client to drink orange juice with added sugar.


Wednesday, July 25, 2012

NCLEX Exam Practice Question of the Week - 7/25/12

Elsevier NCLEX Exam Review

Question: Shortly after an amniotomy, the nurse determines that the fetal heart rate has decreased from 140 to 80 beats per minute. What is the priority nursing action?

1. Inspect the vagina
2. Administer oxygen
3. Notify the practitioner
4. Place in the knee-chest position


Wednesday, July 18, 2012

NCLEX Exam Practice Question of the Week - 7/18/12

Elsevier NCLEX Exam Review

Question: A nurse assesses a client admitted to the hospital with rib fractures so as to identify the risk for potential complications. The nurse notes that the client has a history of emphysema.
After the assessment, the nurse ensures that which of the following interventions is documented in the plan of care? Select all that apply.

1. Collect sputum specimens at the hour of sleep.
2. Maintain the client in a position of comfort.
3. Offer medication to suppress the cough as needed.
4. Administer small, frequent meals with plenty of fluids.
5. Have the client cough and breathe deeply 20 minutes after pain medication is given.
6. Administer 4 to 6 liters of oxygen when the client’s pulse oximetry drops below 90%.



Wednesday, July 11, 2012

NCLEX Exam Practice Question of the Week - 7/11/12

Elsevier NCLEX Exam Review

Question: A 32-year-old multigravida client who is at 40 weeks gestation is in early labor. The nurse assesses a fetal heart rate of 90 beats per minute for the last half of the previous three contractions. Which action should the nurse take?

1. Place her in the supine position and prepare an oxytocin infusion.
2. Place her on her left side and administer oxygen.
3. Place her in the knee-chest position and continue to monitor.
4. Place her in the lithotomy position and perform a vaginal examination.



Wednesday, July 4, 2012

NCLEX Exam Practice Question of the Week - 7/4/12

Elsevier NCLEX Exam Review

Question: A nurse performs an admission assessment on a client who visits a health care clinic for the first time. The client tells the nurse that propylthiouracil (PTU) is taken daily. The nurse continues to collect data from the client, suspecting that the client has a history of:

1.  Myxedema
2.  Graves' disease
3.  Addison's disease
4.  Cushing's syndrome



Wednesday, June 27, 2012

NCLEX Exam Practice Question of the Week - 6/27/12

Elsevier NCLEX Exam Review

Question: The nurse is assessing a client who had a fractured femur repaired with an external fixator device. Which assessment findings would cause the nurse concern regarding the development of compartmental syndrome? Select all that apply.

1. Decrease in pulse rate in affected leg
2. Paresthesia distel to area of injury
3. Toes on affected leg cool to touch and edematous
4. Complaints that pins are hurting
5. Complaints of leg pain unrelieved by analgesics or repositioning
6. Client angry and calling loudly to the nurse every 10 minutes



Wednesday, June 20, 2012

NCLEX Exam Practice Question of the Week - 6/20/12

Elsevier NCLEX Exam Review

Question: A client is admitted with 50% of the body surface area burned after an industrial explosion and fire. The client’s serum albumin is 1.5 g/dL, the hematocrit is 30%, the urine specific gravity is 1.025, and the serum globulin is 3 g/dL. When evaluating the client’s response to fluid replace¬ment, the nurse should prepare to administer a colloid when the:

1. Globulin is 3 g/dL
2. Albumin is below 2 g/dL
3. Hematocrit is below 32%
4. Urine specific gravity is 1.018




Wednesday, June 13, 2012

NCLEX Exam Practice Question of the Week - 6/13/12

Question:A client with heart failure was experiencing difficulty breathing and increased pulmonary congestion. The physician prescribed furosemide (Lasix) 40 mg to be given intravenously and it was given an hour ago by the nurse. Which indicates the therapy has been effective?

1. The lungs are now clear to auscultation
2. The urine output has increased by 400 mL
3. The serum potassium has decreased from 4.7 mEq to 4.1 mEq
4. The blood pressure has decreased from 118/64 mm Hg to 106/62 mm Hg

Wednesday, June 6, 2012

Exam Practice Question of the Week - 6/6/12

Elsevier NCLEX Exam Review

Question: Which of the following laboratory results on a newly admitted client should the nurse report to the physician immediately?

1. Potassium 4.1 mEq/L
2. Hemoglobin 12.2 g/dL
3. Platelet count 165,000 mm3
4. White blood cell count 17,200 mm3


Wednesday, May 30, 2012

NCLEX Exam Practice Question of the Week - 5/30/12

Elsevier NCLEX Exam Review

Question: A nurse is preparing for the admission of an infant with a diagnosis of bronchiolitis caused by respiratory syncytial virus (RSV). Which interventions would the nurse include in the plan of care? Select all that apply.


1.  Place the infant in a private room.
2.  Ensure that the infant's head is in a flexed position.
3.  Wear a mask at all times when in contact with the infant.
4.  Place the infant in a tent that delivers warm humidified air.
5.  Position the infant side-lying, with the head lower than the chest.
6.  Ensure that nurses caring for the infant with RSV do not care for other high-risk children.


Wednesday, May 23, 2012

NCLEX Exam Practice Question of the Week - 5/23/12

Elsevier NCLEX Exam Review

Question: The nurse practitioner orders half-strength enteral formula at a rate of 55 mL/hr. A can holds 250 mL. How many cans would the nurse need for the next 24 hours?




Answer: ________ cans




Wednesday, May 16, 2012

NCLEX Exam Practice Question of the Week - 5/16/12

Elsevier NCLEX Exam Review

Question: A client with end-stage renal disease is receiving continuous ambulatory peritoneal dialysis. The nurse is monitoring the client for signs of complications associated with peritoneal dialysis. Select all that apply.

1. Pruritus
2. Oliguria
3. Tachycardia
4. Cloudy outflow
5. Abdominal pain


Wednesday, May 9, 2012

NCLEX Exam Practice Question of the Week - 5/9/12

Elsevier NCLEX Exam Review

Question: The nurse provides discharge instructions for a client beginning oral hypoglycemic therapy. Which statements if made by the client indicate a need for further instructions? Select all that apply.

1. “If I am ill, I should skip my daily dose.”
2. “If I overeat, I will double my dosage of medication.”
3. “Oral agents are effective in managing Type 2 diabetes.”
4.  “If I become pregnant I will discontinue my medication.”
5. “Oral hypoglycemic medications will cause my urine to turn orange.”
6.  “My medications are used to manage my diabetes along with diet and exercise.”


Wednesday, May 2, 2012

NCLEX Exam Practice Question of the Week - 5/2/12

Elsevier NCLEX Exam Review

Question: A nurse notes that the physician has updated the orders for a client who had a stroke by changing the medication route from parenteral to oral. Before administering the oral medications, it would be most important for the nurse to assess which cranial nerves?

1. Facial and vagus
2. Trigeminal and vagus
3. Trigeminal and hypoglossal
4. Glossopharyngeal and vagus



Wednesday, April 25, 2012

NCLEX Exam Practice Question of the Week - 4/25/12

Elsevier NCLEX Exam Review

Question: The client sustains a contusion of the eyeball following a traumatic injury with a blunt object. Which intervention is initiated immediately?

1.  Notify the physician.
2.  Apply ice to the affected eye.
3.  Irrigate the eye with cool water.
4.  Accompany the client to the emergency department.


Wednesday, April 18, 2012

NCLEX Exam Practice Question of the Week - 4/18/12

Elsevier NCLEX Exam Review

Question: The nurse is preparing to administer spironolactone (Aldactone) to a client. After assessing the client, what data indicate the need to withhold the medication?

1. Potassium level of 5.8 mEq/L
2. Apical pulse rate of 58 beats/min
3. BP of 130/90 mm Hg
4. Urine output of 30 mL/hr


Wednesday, April 11, 2012

NCLEX Exam Practice Question of the Week - 4/11/12

Elsevier NCLEX Exam Review

Question: An adolescent is hospitalized with multiple internal injuries after an automobile collision. The adolescent is being kept npo and is receiving an IV infusion at 125 mL/hr and an antibiotic reconstituted in 10 mL of normal saline every 6 hours (1 am, 4 pm, 1 pm, 4 am). What is the intake from 7 am to 3 pm?


1. 1000 mL
2. 1010 mL
3. 1020 mL
4. 1030 mL



Wednesday, April 4, 2012

NCLEX Exam Practice Question of the Week - 4/4/12

Elsevier NCLEX Exam Review

Question: A client was started on oral anticoagulant therapy while hospitalized. The client is now being discharged to home and is intermittently confused. The nurse determines that the client has the best support system for successful anticoagulant therapy monitoring if the client:

1.  Has a home health aide coming to the house for 9 weeks
2.  Was going to stay with a daughter in the daughter’s home indefinitely
3.  Was going to have blood work drawn in the home by a local laboratory
4.  Has a good friend living next door who would take the client to the doctor


Wednesday, March 28, 2012

NCLEX Exam Practice Question of the Week - 3/28/12

Elsevier NCLEX Exam Review

Question: Nursing management of the child with acute glomerulonephritis (AGN) would include which interventions? Select all that apply.


1. Strict bedrest in the acute phase
2. Monitor for acute hypertension
3. Protein and sodium restricted diet
4. Daily weights with strict intake and output
5. Closely monitor serum albumin
6. Administer diuretics as ordered



Wednesday, March 21, 2012

NCLEX Exam Practice Question of the Week - 3/21/12

Elsevier NCLEX Exam Review

Question: After a transurethral prostatectomy, a client returns to the postanesthesia care unit with a three-way indwelling catheter with continuous bladder irrigation. What nursing action is the priority?


1. Monitoring for signs of confusion
2. Observing the suprapubic dressing for drainage
3. Maintaining the client in the semi-Fowler position
4. Encouraging fluids by mouth as soon as the gag reflex returns



Wednesday, March 14, 2012

NCLEX Exam Practice Question of the Week - 3/14/12

Elsevier NCLEX Exam Review

Question: A nurse is reviewing the laboratory results for a client receiving tacrolimus (Prograf). Which laboratory result would indicate to the nurse that the client is experiencing an adverse effect of the medication?

1.  Blood glucose of 200 mg/dL
2.  Potassium level of 3.8 mEq/L
3.  Platelet count of 300,000 cells/mm3
4.  White blood cell count of 6000 cells/mm3



Wednesday, March 7, 2012

NCLEX Exam Practice Question of the Week - 3/7/12

Elsevier NCLEX Exam Review

Question: An older adult client has an open wound over the coccyx that extends through the dermis and subcutaneous tissue, exposing the deep fascia. The wound edges are distinct, and the wound bed is a pink-red color. There is no bruising or sloughing. What stage of pressure ulcer is this wound?

1 Stage I
2 Stage II
3 Stage III
4 Stage IV



Wednesday, February 29, 2012

NCLEX Exam Practice Question of the Week - 2/29/12

Elsevier NCLEX Exam Review

Question: The nurse is administering eardrops to a 2-year-old child. Which statement indicates the correct method was used?

1. The ear is pulled down and back.
2. The ear is pulled upward and back.
3. The ear is pulled upward and outward.
4. The ear is not displaced during instillation.



Wednesday, February 22, 2012

NCLEX Exam Practice Question of the Week - 2/22/12

Elsevier NCLEX Exam Review

Question: A new mother expresses concern to a nurse regarding sudden infant death syndrome (SIDS). She asks the nurse how to position her new infant for sleep. The nurse appropriately tells the mother that the infant should be placed on the:


1.  Side or prone
2.  Back or prone
3.  Stomach with the face turned
4.  Back rather than on the stomach



Wednesday, February 15, 2012

NCLEX Exam Practice Question of the Week - 2/15/12

Elsevier NCLEX Exam Review

Question: A client is confined to bed with a fracture of the left femur. He begins receiving subcutaneous heparin injections. What is the purpose of this medication?

1. To prevent thrombophlebitis and pulmonary emboli associated with immobility
2. To promote vascular perfusion by preventing formation of microemboli in the left leg
3. To prevent venous stasis, which promotes vascular complications associated with immobility
4. To decrease the incidence of fat emboli associated with long bone fractures




Wednesday, February 8, 2012

NCLEX Exam Practice Question of the Week - 2/8/12

Elsevier NCLEX Exam Review

Question: The nurse is assigned to a client who has had surgery. Nalbuphine (Nubain) is prescribed for pain. For which side effects/adverse reactions should the nurse assess this client after administering this medication? Select all that apply.


1. Oliguria
2. Dry mouth
3. Palpitations
4. Constipation
5. Urinary retention
6. Orthostatic hypotension



Wednesday, February 1, 2012

NCLEX Exam Practice Question of the Week - 2/1/12

Elsevier NCLEX Exam Review

Question:What is the primary concern of the nurse administering narcotics and sedatives to a client with cirrhosis?


1. The kidneys cannot excrete the drug.
2. The liver cannot metabolize drugs effectively.
3. Hepatic enzymes potentiate these drugs to high levels.
4. Narcotics and sedatives are contraindicated in clients with cirrhosis.



Wednesday, January 25, 2012

NCLEX Exam Practice Question of the Week - 1/25/12

Elsevier NCLEX Exam Review

Question: Tamoxifen (Nolvadex) is prescribed for the client with metastatic breast carcinoma. The nurse administering the medication understands that the primary action of this medication is to:

1.  Increase DNA and RNA synthesis.
2.  Promote the biosynthesis of nucleic acids.
3.  Increase estrogen concentration and estrogen response.
4.  Compete with estradiol for binding to estrogen in tissues containing high concentrations of receptors.




Wednesday, January 18, 2012

NCLEX Exam Practice Question of the Week - 1/18/12

Elsevier NCLEX Exam Review

Question: A client is experiencing a sickle cell crisis during labor and delivery. What is the best nursing action?

1 Maintain IV fluid infusion and assess adequacy of hydration.
2 Administer a high concentration of oxygen.
3 Insert a Foley catheter and monitor hourly urine output.
4 Provide continuous sedation for pain relief.



Wednesday, January 11, 2012

NCLEX Exam Practice Question of the Week - 1/11/12

Elsevier NCLEX Exam Review

Question: At a client’s first visit to the prenatal clinic, the nurse asks the client when she had her last menstrual period so the estimated date of birth (EDB) can be determined. The client responds, “January 21.” Using Nägele’s rule, what is the month and day of the client’s EDB?        


1. October 21
2. October 28
3. November 21
4. November 28



Wednesday, January 4, 2012

NCLEX Exam Practice Question of the Week - 1/4/12

Elsevier NCLEX Exam Review

Question: A male client with a fracture of the femur has his extremity in skeletal traction and is encouraged to use an overhead trapeze apparatus. What is the purpose of the overhead trapeze?


1. Assist with stump exercises
2. Enhance breathing and lung expansion
3. Promote circulation throughout the body
4. Facilitate independent movement while in bed