1.
PN Coordinated Care,NCLEX-PN
Which phase of the nursing process involves data collection and validation?
1 out of 100
2.
PN Coordinated Care,NCLEX-PN
A home health nurse visits a client with terminal cancer. The client asks the nurse to witness the advance directive. What is the nurse's BEST action?
2 out of 100
3.
PN Coordinated Care,NCLEX-PN
A client wearing expensive jewelry reports for same-day surgery. What should the nurse tell the client?
3 out of 100
4.
PN Coordinated Care,NCLEX-PN
If a patient asks to see her chart, what should the nurse do?
4 out of 100
5.
PN Coordinated Care,NCLEX-PN
After a client has had major surgery, the nurse provides information about the client's condition to a visitor whom the nurse believes to be a family member. Later, the nurse finds out that the visitor was not a relative. Which legal violation has occurred?
5 out of 100
6.
PN Coordinated Care,NCLEX-PN
While passing medications, a nurse overhears another LPN verbally abusing a patient. What should the nurse do?
6 out of 100
7.
PN Coordinated Care,NCLEX-PN
An experienced nurse is precepting a new graduate on the unit. As she teaches the new nurse to prioritize assignments, which task requires intervention by the experienced nurse?
7 out of 100
8.
PN Coordinated Care,NCLEX-PN
Nurses agree to be advocates for their clients. The practice of advocacy calls for the nurse to
8 out of 100
9.
PN Coordinated Care,NCLEX-PN
If a client cannot read or write, the nurse can read the consent form in front of two witnesses. What else should the nurse do?
9 out of 100
10.
PN Coordinated Care,NCLEX-PN
Which of the following situations is considered an assault?
10 out of 100
11.
PN Coordinated Care,NCLEX-PN
The following clients arrive for their appointments at the diabetic clinic. Whom should the nurse see first?
11 out of 100
12.
PN Coordinated Care,NCLEX-PN
If a nurse posts comments or anecdotes on social media that include identifying information about clients, what are the grounds for firing the nurse?
12 out of 100
13.
PN Coordinated Care,NCLEX-PN
A 23-year-old with terminal brain cancer tells you that she has an Advance Directive for her end-of-life care. You know this can mean any of the following EXCEPT
13 out of 100
14.
PN Safety and Infection Control,NCLEX-PN
The nurse demonstrates knowledge of transmission-based standards by doing which of the following?
14 out of 100
15.
PN Safety and Infection Control,NCLEX-PN
What is the FIRST thing that a nurse should do in a fire emergency?
15 out of 100
16.
PN Safety and Infection Control,NCLEX-PN
What is the meaning of this symbol?
16 out of 100
17.
PN Safety and Infection Control,NCLEX-PN
After receiving the report from the previous shift, which assigned client should the nurse prioritize?
17 out of 100
18.
PN Safety and Infection Control,NCLEX-PN
Following a stroke with left-sided weakness, a client is also diagnosed with hemianopia. Which intervention will be added to the client's care plan?
18 out of 100
19.
PN Safety and Infection Control,NCLEX-PN
A pediatrician's office notifies the hospital that a 7-year-old child will be admitted with a diagnosis of measles. Which precautions should the nurse prepare for?
19 out of 100
20.
PN Safety and Infection Control,NCLEX-PN
A male patient undergoing chemotherapy develops white lesions on his tongue and inner cheeks. The nurse knows the condition is likely
20 out of 100
21.
PN Safety and Infection Control,NCLEX-PN
A new resident at a long-term care facility has been diagnosed with herpes zoster. Which staff member should NOT be assigned to care for the resident?
21 out of 100
22.
PN Safety and Infection Control,NCLEX-PN
Which client has the highest risk of falling?
22 out of 100
23.
PN Safety and Infection Control,NCLEX-PN
The nurse administers a dose of vitamin B12 to the wrong patient. What is the appropriate action for this medication error?
23 out of 100
24.
PN Safety and Infection Control,NCLEX-PN
A nurse is invited to speak to a high school sophomore health class about transmitting infectious mononucleosis. Which of the following statements has the most accurate information for the class?
24 out of 100
25.
PN Safety and Infection Control,NCLEX-PN
During an initial assessment of a new female resident in a long-term care facility, the nurse observes old and recent bruises on the arms, back, and buttocks of the woman. She tells the nurse that her family members hit her. What is the nurse's best response?
25 out of 100
26.
PN Safety and Infection Control,NCLEX-PN
What is the single most effective action that a nurse can perform to avoid spreading an infection?
26 out of 100
27.
PN Basic Care and Comfort,NCLEX-PN
A client receiving chemotherapy is experiencing stomatitis. What should the nurse offer the client?
27 out of 100
28.
PN Basic Care and Comfort,NCLEX-PN
A client with Stage III lung cancer reports that he has nausea and loss of appetite caused by the chemotherapy. What should the nurse recommend to promote adequate nutrition?
28 out of 100
29.
PN Basic Care and Comfort,NCLEX-PN
A patient diagnosed with Crohn's disease has a new colostomy. When assessing the patient's stoma, which of these would alert the nurse that the stoma has retracted?
29 out of 100
30.
PN Basic Care and Comfort,NCLEX-PN
When providing postmortem care for a patient who will be an eye donor, which action is most appropriate?
30 out of 100
31.
PN Basic Care and Comfort,NCLEX-PN
The nurse is preparing a patient for a total colectomy and the placement of an ileostomy. The patient asks where the stoma will be located. The nurse identifies which of the following areas as the correct stoma site?
31 out of 100
32.
PN Basic Care and Comfort,NCLEX-PN
After their 12-year-old daughter is prescribed a brace for her scoliosis, the nurse provides instruction to the parents. Which statement by the mother indicates a need for more education?
32 out of 100
33.
PN Basic Care and Comfort,NCLEX-PN
A nurse is administering an enema solution to a client. The client tells the nurse that he feels pain and cramping in his abdomen. What is the nurse's BEST action?
33 out of 100
34.
PN Basic Care and Comfort,NCLEX-PN
For a client with a surgical wound, which of the following meals will best promote healing?
A. Spaghetti with marinara sauce, pudding, and a glass of wine
B. Roast chicken, broccoli, cantaloupe, and a glass of milk
C. Spinach salad, buttered roll, gelatin, and coffee with cream
D. Hamburger, french fries, apple pie, and a large soft drink
None
34 out of 100
35.
PN Basic Care and Comfort,NCLEX-PN
A client receiving chemotherapy has a poor appetite, so a liquid nutritional supplement is recommended. What is the BEST time for the client to drink the supplement?
35 out of 100
36.
PN Basic Care and Comfort,NCLEX-PN
During the admission process, a client tells the nurse that he is lacto-vegetarian. The nurse knows that this means he cannot eat
36 out of 100
37.
PN Basic Care and Comfort,NCLEX-PN
Following abdominal surgery, a client tells the nurse that he can't follow post-op instructions on coughing because of pain at the incision site. Which of the following is the BEST way to help reduce the client's discomfort?
37 out of 100
38.
PN Basic Care and Comfort,NCLEX-PN
A pediatric patient has been admitted to the unit with a diagnosis of right lower lobe (RLL) pneumonia. When auscultating the RLL, which sound should the nurse expect to hear?
38 out of 100
39.
PN Pharmacological and Parenteral Therapies,NCLEX-PN
If a diabetic patient receives NPH insulin at 6:00 a.m., how soon might the patient show any signs of hypoglycemia?
39 out of 100
40.
PN Pharmacological and Parenteral Therapies,NCLEX-PN
A neighbor complains to the nurse that her doctor refuses to prescribe an antibiotic to treat her head cold. How should the nurse respond?
40 out of 100
41.
PN Pharmacological and Parenteral Therapies,NCLEX-PN
A client with a diagnosis of Parkinson's disease is starting on levodopa (Dopar) medication. The nurse tells the client that they will start experiencing the anticipated results in
41 out of 100
42.
PN Pharmacological and Parenteral Therapies,NCLEX-PN
A post-op patient with a PRN order for pain medication asks for a dose. After the nurse gets the codeine pill from the medication system, the patient states he'll save it until later. What is the nurse's most appropriate action?
42 out of 100
43.
PN Pharmacological and Parenteral Therapies,NCLEX-PN
The doctor orders Zofran 8 mg PO t.i.d. The pharmacy sends a 100 ml bottle, labeled 4 mg/tsp. How many mL should be given for each dose?
43 out of 100
44.
PN Pharmacological and Parenteral Therapies,NCLEX-PN
An 18-year-old male receives a prescription for tetracycline to treat his acne. The nurse advises him to avoid
44 out of 100
45.
PN Pharmacological and Parenteral Therapies,NCLEX-PN
A home health nurse is teaching the spouse of a client to give the client digoxin tablets every day. The client should receive 0.25 mg PO qd. The medication bottle is labeled "Digoxin 0.125 mg Tablets." How many tablets should the client receive in each dose?
45 out of 100
46.
PN Pharmacological and Parenteral Therapies,NCLEX-PN
After an argument with her mother, an adolescent female takes an overdose of Tylenol (acetaminophen). The nurse knows to watch for complications in which organ?
46 out of 100
47.
PN Pharmacological and Parenteral Therapies,NCLEX-PN
After the nurse instructs a client diagnosed with Clostridium difficile-associated diarrhea (CDAD), which statement by the client indicates the need for further teaching?
47 out of 100
48.
PN Pharmacological and Parenteral Therapies,NCLEX-PN
A newly-diagnosed client with Type 1 diabetes (T1D) is learning to self-administer insulin. The client asks why it's important to rotate injection sites. The nurse explains the reason is to prevent
48 out of 100
49.
PN Pharmacological and Parenteral Therapies,NCLEX-PN
A type 2 diabetic is admitted into the medical-surgical unit with a diagnosis of pneumonia. The client's usual oral diabetes medication has been discontinued, and insulin SQ will be administered for glucose control. Why has this change been made?
49 out of 100
50.
PN Pharmacological and Parenteral Therapies,NCLEX-PN
When a client with a chronic condition requires increasing doses of medication for their pain control, what is the likely cause?
50 out of 100
51.
PN Pharmacological and Parenteral Therapies,NCLEX-PN
A patient's physician orders Amoxil 500 mg PO bid. The pharmacy sends 250 mg tablets. How many tablets should the nurse administer for a single dose?
51 out of 100
52.
PN Reduction of Risk Potential,NCLEX-PN
The nurse prepares a patient for insertion of a nasogastric (NG) tube by placing the patient in which position?
52 out of 100
53.
PN Reduction of Risk Potential,NCLEX-PN
A cast is applied to a client's broken leg. A few hours later, the client starts to complain of severe pain and a feeling of pressure. The nurse suspects the client is experiencing
53 out of 100
54.
PN Reduction of Risk Potential,NCLEX-PN
After a client starts on a new medication for his hypertension, he returns to the office for follow-up. When supine, his blood pressure is 112/70, with a heart rate of 80. When he sits up, the nurse checks his B/P and HR again. Which of the following would indicate he is experiencing orthostatic hypotension?
54 out of 100
55.
PN Reduction of Risk Potential,NCLEX-PN
A nurse is instructing a newly diagnosed client on diabetic foot care. Which statement by the client indicates that further education is needed?
55 out of 100
56.
PN Reduction of Risk Potential,NCLEX-PN
In a neurological assessment, what does "PERLA" stand for?
56 out of 100
57.
PN Reduction of Risk Potential,NCLEX-PN
A nurse is working in an outpatient radiology clinic. The nurse is instructing a cancer patient who is receiving external radiation treatments. Which statement by the patient indicates a need for further education?
57 out of 100
58.
PN Reduction of Risk Potential,NCLEX-PN
The nurse is reviewing the laboratory reports of a patient admitted to the medical unit for observation. Which of these assessment findings requires immediate intervention?
58 out of 100
59.
PN Reduction of Risk Potential,NCLEX-PN
A client with a diagnosis of heart failure takes furosemide (Lasix). Her blood work shows her potassium level is 3.1 mEq/L. Which question to the client will BEST help the nurse assess the client's symptoms?
59 out of 100
60.
PN Reduction of Risk Potential,NCLEX-PN
While making the initial rounds on her assigned patients, the nurse observes that one patient's peripheral intravenous (IV) site is pale, swollen, and cool to the touch. The infusion has stopped. The nurse reports these findings to the RN, suspecting that the cause is
60 out of 100
61.
PN Reduction of Risk Potential,NCLEX-PN
Which of the following individuals is at the LOWEST risk of developing pneumonitis?
61 out of 100
62.
PN Reduction of Risk Potential,NCLEX-PN
The nurse is assessing a patient who is recovering from a recent stroke. Which of these problems is the FIRST priority?
62 out of 100
63.
PN Reduction of Risk Potential,NCLEX-PN
A patient is prescribed a new medication for the treatment of hypertension. While supine, the patient's blood pressure is 112/70 mmHg and the patient's heart rate is 80/min. The healthcare provider assesses the patient when the patient changes to a sitting position. Which of the following would indicate that the patient is experiencing orthostatic hypotension?
63 out of 100
64.
PN Reduction of Risk Potential,NCLEX-PN
The Emergency Department nurse is caring for an 88-year-old male transported from a nursing home. When lab results become available, which value should the nurse immediately report?
64 out of 100
65.
PN Physiological Adaptation,NCLEX-PN
During a discussion about hypertension, the nurse teaches a client and her spouse about the signs and symptoms of a stroke. Which of the following best describes what they should watch for?
65 out of 100
66.
PN Physiological Adaptation,NCLEX-PN
As soon as the morning shift starts, a CNA reports to the nurse that a resident with diabetes has a glucose level of 50. The nurse assesses the client and finds him confused, cold, and clammy. What is the FIRST thing the nurse should do?
66 out of 100
67.
PN Physiological Adaptation,NCLEX-PN
Which of the following is a consequence of immobility or extended bed rest?
67 out of 100
68.
PN Physiological Adaptation,NCLEX-PN
During an interview with a client diagnosed with Parkinson's disease (PD), which of the following speech patterns will the nurse anticipate?
68 out of 100
69.
PN Physiological Adaptation,NCLEX-PN
The nurse is educating a client who will be starting peritoneal dialysis. How much time does a complete exchange cycle of infusion, dwell, and drainage, typically require?
69 out of 100
70.
PN Physiological Adaptation,NCLEX-PN
When assessing a client with a 12-year history of emphysema, what change can the nurse expect to find?
70 out of 100
71.
PN Physiological Adaptation,NCLEX-PN
A client calls the clinic to report the presence of loose stools. Which question should the nurse ask FIRST?
71 out of 100
72.
PN Physiological Adaptation,NCLEX-PN
Which diagnosis is LEAST likely to carry a risk of third spacing?
72 out of 100
73.
PN Physiological Adaptation,NCLEX-PN
When teaching a 36-year-old male with a new diagnosis of hepatitis C, which statement by the client indicates he needs further instruction?
73 out of 100
74.
PN Physiological Adaptation,NCLEX-PN
As a nurse assesses a client with osteoarthritis (OA), what sign can the nurse expect to find?
74 out of 100
75.
PN Physiological Adaptation,NCLEX-PN
A client who recently quit smoking asks the nurse about the risks of developing lung cancer. Which of the following is the nurse's best response?
75 out of 100
76.
PN Physiological Adaptation,NCLEX-PN
Which group of symptoms BEST indicates that a patient is experiencing pulmonary edema?
76 out of 100
77.
PN Psychosocial Integrity,NCLEX-PN
While helping a new mother with breastfeeding, the nurse observes something unusual in the neonate. Then the nurse reviews the mother's history and notes "occasional use of alcohol" during pregnancy. Which observation would indicate that the alcohol use was more frequent?
77 out of 100
78.
PN Psychosocial Integrity,NCLEX-PN
Before touching a crying client to offer comfort, the nurse should consider
78 out of 100
79.
PN Psychosocial Integrity,NCLEX-PN
You are taking the history of a 14-year-old girl who has a body mass index (BMI) of 18. The girl reports inability to eat, induced vomiting, and severe constipation. Which of the following would you most likely suspect?
79 out of 100
80.
PN Psychosocial Integrity,NCLEX-PN
Two weeks after giving birth, a new mother calls the clinic and reports pronounced fatigue, sadness, and tearfulness. She states, "I feel so overwhelmed, I don't know what to do!" Which of the following questions is most appropriate for the nurse to ask?
80 out of 100
81.
PN Psychosocial Integrity,NCLEX-PN
Which nursing action can help reduce a patient's postoperative pain and anxiety?
81 out of 100
82.
PN Psychosocial Integrity,NCLEX-PN
A 42-year-old male with AIDS is admitted to the unit with Pneumocystis carinii pneumonia (PCP), an opportunistic infection. The patient tells the nurse that he feels hopeless. What is the most therapeutic action?
82 out of 100
83.
PN Psychosocial Integrity,NCLEX-PN
As you prep a patient for spinal surgery, he says, "I'm worried that this operation will only make my back pain worse." What is the nurse's most appropriate response?
83 out of 100
84.
PN Psychosocial Integrity,NCLEX-PN
If a client is experiencing a panic attack, what mental health concept is most appropriate for the nurse to convey to the client?
84 out of 100
85.
PN Psychosocial Integrity,NCLEX-PN
When a healthcare provider is planning care for a patient diagnosed with Alzheimer's disease (AD), which of these interventions is most therapeutic?
85 out of 100
86.
PN Psychosocial Integrity,NCLEX-PN
When a 32-year-old mother is informed that she has Stage III breast cancer, what is likely to be her initial reaction?
86 out of 100
87.
PN Psychosocial Integrity,NCLEX-PN
Shortly after his 5-year-old daughter was hospitalized, a father tells the nurse he's concerned because his daughter has started to suck her thumb again. She had not sucked her thumb in over a year. What is the nurse's most appropriate response?
87 out of 100
88.
PN Psychosocial Integrity,NCLEX-PN
The health care team refers a client who has been a victim of domestic violence to a local support group for domestic abuse victims. What is the reason for this referral?
88 out of 100
89.
PN Health Promotion and Maintenance,NCLEX-PN
When a pregnant client complains of constipation, which intervention should the nurse offer?
89 out of 100
90.
PN Health Promotion and Maintenance,NCLEX-PN
Which is the embryonic stage of pregnancy?
90 out of 100
91.
PN Health Promotion and Maintenance,NCLEX-PN
When assessing gross motor skills, for which of the following infants should the nurse request a developmental referral?
91 out of 100
92.
PN Health Promotion and Maintenance,NCLEX-PN
From this client's medical history, which risk factor predisposes the client to developing varicose veins?
92 out of 100
93.
PN Health Promotion and Maintenance,NCLEX-PN
An eight-year-old girl has been diagnosed with leukemia. According to Erickson, what is the developmental task for this age?
93 out of 100
94.
PN Health Promotion and Maintenance,NCLEX-PN
A client with atrial fibrillation (Afib) is receiving instruction on using an electric razor for shaving. Which statement by the client shows the BEST understanding of the practice?
94 out of 100
95.
PN Health Promotion and Maintenance,NCLEX-PN
A neighbor brings her 10-year-old son to your house because he has a nosebleed. After you sit him down, what is the most appropriate way to care for him?
95 out of 100
96.
PN Health Promotion and Maintenance,NCLEX-PN
The nurse prepares to administer a pneumococcal vaccine to a 65-year-old client who has a diagnosis of chronic bronchitis. The client states, "I got that vaccine 5 years ago." What is the most appropriate response by the nurse?
96 out of 100
97.
PN Health Promotion and Maintenance,NCLEX-PN
After a 12-month-old receives her first measles-mumps-rubella (MMR) vaccination, the nurse gives the parents instructions on possible side effects of the injection. Which side effect is most important for the parents to report?
97 out of 100
98.
PN Health Promotion and Maintenance,NCLEX-PN
A nurse gives a presentation at the library about preventing skin cancer, followed by a group discussion. Which comment by an attendee indicates the need for more teaching?
98 out of 100
99.
PN Health Promotion and Maintenance,NCLEX-PN
The nurse is instructing a teenager with type 1 diabetes (T1D) on testing his blood glucose level. He is very active in school sports. Besides routine blood glucose checks, the nurse also recommends that he do a check
99 out of 100
100.
PN Health Promotion and Maintenance,NCLEX-PN
A client with type 1 diabetes comes to the clinic for a routine check-up. Which question should the nurse ask that addresses potential complications of diabetes?
100 out of 100
