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.

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

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%.

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.

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

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

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

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

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

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

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.”

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

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.

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

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

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

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

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

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

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.