NCLEX Exam Practice Question of the Week 08/31

Elsevier NCLEX Exam Review

Question: A client with a diagnosis of acute coronary syndrome is on a cardiac monitor. The nurse interprets the monitor rhythm to be ventricular tachycardia at a rate of 160 beats/min. The client is awake and coherent, and oxygen is being administered at a rate of 6 L/min via a nasal cannula. What is the first nursing action?  



1. Immediately defibrillate                                                                       
2. Administer lidocaine IV push                                                               
3. Initiate transvenous pacing                                                                 
4. Administer adenosine IV push

NCLEX Exam Practice Question of the Week 08/24

Elsevier NCLEX Exam Review

Question: A nurse expects a child with a diagnosis of reactive attachment disorder to:                                                                             


1. Have been physically abused                                                          
2. Try to cling to the mother on separation                                           
3. Be able to develop just superficial relationships with others                                                                                                        
4. Have a more positive relationship with the father than with the mother

NCLEX Exam Practice Question of the Week - 08/17

Elsevier NCLEX Exam Review

Question: A nurse is caring for a client in labor.  The nurse determines that the client is beginning the second stage of labor when which of the following assessments is noted?
1. The contractions are regular.
2. The membranes have ruptured.
3. The cervix is dilated completely.
4. The client begins to expel clear vaginal fluid.

NCLEX Exam Practice Question of the Week - 08/10/11

Elsevier NCLEX Exam Review

 Question: After a grand mal seizure, what nursing action is the highest priority?

1. Loosen or remove constricting clothing and protect client from injuring himself or herself.
2. Maintain a patent airway by turning the client on his side and suctioning, if necessary.
3. Remain with the client and administer anticonvulsant medications as ordered by the physician.
4. Describe and record events before the onset of the seizure, during the seizure, and after the seizure.

NCLEX Exam Practice Question of the Week - 08/03/11

Elsevier NCLEX Exam Review

 Question: When a recently hospitalized client has a tentative diagnosis of opioid addiction, the nurse should assess the client for signs and symptoms related to opioid withdrawal. List them in the order that they will occur as the client progresses through withdrawal.

1. Runny nose
2. Muscle twitching
3. Return of appetite
4. Flulike syndromes