1.
RN Management of Care,NCLEX-RN
Nurses agree to be advocates for their patients. The practice of advocacy calls for the nurse to
1 out of 100
2.
RN Management of Care,NCLEX-RN
A health care provider (HCP) writes a prescription for a client with a new diagnosis of conjunctivitis: "Gatifloxacin solution 1 gtt OD q4H." The client shows the script to the nurse. What is the nurse's BEST action?
2 out of 100
3.
RN Management of Care,NCLEX-RN
If a nurse applies a restraint vest without the patient's permission or a physician's order, the nurse may be charged with
3 out of 100
4.
RN Management of Care,NCLEX-RN
A client wearing expensive jewelry reports for same-day surgery. What should the nurse tell the client?
4 out of 100
5.
RN Management of Care,NCLEX-RN
After completing the interviews for a staff nurse position in a busy medical unit, the nurse manager recognizes that the most qualified candidate has disclosed a need for accommodation related to a sensory impairment. What is the nurse manager's MOST appropriate action?
5 out of 100
6.
RN Management of Care,NCLEX-RN
When a nurse is assigning a task to an unlicensed assistive personnel (UAP), which is the most important factor in the nurse's decision?
6 out of 100
7.
RN Management of Care,NCLEX-RN
Which of the following pediatric clients is at the GREATEST risk to develop pediatric acute respiratory distress syndrome (PARDS)?
7 out of 100
8.
RN Management of Care,NCLEX-RN
The nurse is reviewing the health care provider's (HCP) admit orders for a client with a diagnosis of gastroesophageal reflux disease (GERD). The HCP has prescribed omeprazole daily, Maalox a.C., acid-reflux diet, and the bed to be maintained in Fowler's position. Which order should the nurse clarify with the HCP?
8 out of 100
9.
RN Management of Care,NCLEX-RN
While transcribing a physician's orders, the unit secretary asks the nurse to decipher an illegible medication order. What should the nurse do?
9 out of 100
10.
RN Management of Care,NCLEX-RN
Which of the following is NOT considered protected health information (PHI)?
10 out of 100
11.
RN Management of Care,NCLEX-RN
A female patient with a diagnosis of terminal cancer has a Do Not Resuscitate (DNR) order. She stops breathing. Her husband begs the nurse, "Save her!" What should the nurse do?
11 out of 100
12.
RN Management of Care,NCLEX-RN
After the hospital Quality Improvement Team discovers a sudden increase in IV site infiltrations in a surgical unit, they implement a Plan-Do-Study-Act (PDSA) initiative. Which step will come first?
12 out of 100
13.
RN Management of Care,NCLEX-RN
Many lawsuits involving a nursing professional happen when the nurse
13 out of 100
14.
RN Safety and Infection Control,NCLEX-RN
A pediatric nurse gets a call from the Emergency Department that a 2-year-old is being admitted with a diagnosis of febrile seizures. As the nurse prepares for his admission, which of the following is the most important nursing action?
14 out of 100
15.
RN Safety and Infection Control,NCLEX-RN
What is the proper way to dispose of a used needle and syringe?
15 out of 100
16.
RN Safety and Infection Control,NCLEX-RN
After a patient's primary care physician has made the rounds, the nurse notices that the physician wrote an order for a medication at triple the normal dose. What should the nurse do?
16 out of 100
17.
RN Safety and Infection Control,NCLEX-RN
After outpatient surgery, a client comes to the clinic for a follow-up appointment. The nurse documents the client's surgical incision as having red granulation tissue. This indicates that the wound is
17 out of 100
18.
RN Safety and Infection Control,NCLEX-RN
The nurse is educating a client who is to receive brachytherapy for a diagnosis of prostate cancer. Which of the following instructions should the nurse include?
18 out of 100
19.
RN Safety and Infection Control,NCLEX-RN
If a nurse is assigned to care for a patient with a Sengstaken-Blakemore tube, which item MUST be kept at the patient's bedside?
19 out of 100
20.
RN Safety and Infection Control,NCLEX-RN
What precautions are necessary when caring for a patient with hepatitis A?
20 out of 100
21.
RN Safety and Infection Control,NCLEX-RN
A 2-year-old girl is admitted for 24-hour observation after she fell from her crib onto her head. The pediatric nurse should call the provider to report which of the following?
21 out of 100
22.
RN Safety and Infection Control,NCLEX-RN
According to the CDC guidelines on hand hygiene, nurses who have direct contact with high-risk patients should not wear artificial nails, because the nails
22 out of 100
23.
RN Safety and Infection Control,NCLEX-RN
Shortly after the nurse enters a client's room, the client experiences a tonic-clonic seizure. What is the nurse's FIRST action?
23 out of 100
24.
RN Safety and Infection Control,NCLEX-RN
A 12-year-old child has a near-drowning experience with submersion for about 10 minutes. EMS resuscitates and transports the child to the hospital. The nurse knows that the organ most likely to sustain irreversible damage is the
24 out of 100
25.
RN Safety and Infection Control,NCLEX-RN
A nurse is instructing a newly diagnosed diabetic client and his wife about lispro (Humalog) insulin. The client is to receive 6 units by subcutaneous (SC) injection each morning at 7:30 a.m. At what time should the client and his wife be alert to a possible hypoglycemic reaction?
25 out of 100
26.
RN Safety and Infection Control,NCLEX-RN
While preparing a client for dialysis, the nurse should assess the client's arteriovenous (AV) fistula by
26 out of 100
27.
RN Basic Care and Comfort,NCLEX-RN
The nurse is educating the parents of a young child with a recent diagnosis of cystic fibrosis. The nurse tells the parents that the child will be at risk for which vitamin deficiencies?
27 out of 100
28.
RN Basic Care and Comfort,NCLEX-RN
When instructing a patient with Addison's disease about nutrition, the healthcare provider should NOT recommend which of the following dietary modifications?
28 out of 100
29.
RN Basic Care and Comfort,NCLEX-RN
Before administering a scheduled 300 ml enteral feeding bolus to a comatose adult client, the nurse aspirates 100 mL of gastric residual volume. Which nursing action is MOST appropriate?
29 out of 100
30.
RN Basic Care and Comfort,NCLEX-RN
Despite frequent turning and skin assessment, occasional urinary incontinence has caused a bedridden resident to develop a reddened and tender area on the coccyx. The resident weighs 192 pounds. Which pressure-relieving device should be used for the client?
30 out of 100
31.
RN Basic Care and Comfort,NCLEX-RN
During assessment, the home health nurse learns that the client has a fecal impaction. Before proceeding to manually remove the stool, what is the nurse's PRIORITY?
31 out of 100
32.
RN Basic Care and Comfort,NCLEX-RN
A father brings his 6-month-old son and 3year-old daughter for their routine check-ups. What is the nurse's best strategy?
32 out of 100
33.
RN Basic Care and Comfort,NCLEX-RN
While providing pre-operative education to a client, the nurse explains that the client will return from surgery with a sequential compression device (SCD). Which of the following statements by the nurse would be most correct?
33 out of 100
34.
RN Basic Care and Comfort,NCLEX-RN
A primigravida client comes to the prenatal clinic after missing three periods. After her pregnancy has been confirmed, the client tells the nurse that her last period started on June 10. Using Naegele's Rule, what is the client's estimated date of delivery (EDD)?
34 out of 100
35.
RN Basic Care and Comfort,NCLEX-RN
The nurse calculates the 1-minute Apgar score for a neonate with the following: 1. Respiratory effort: slow; 2. heart rate: 120 bpm; 3. muscle tone: some flexion of extremities; 4. reflex irritability: vigorous; 5. skin color: body pink, blue extremities. What score does the nurse assign?
35 out of 100
36.
RN Basic Care and Comfort,NCLEX-RN
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?
36 out of 100
37.
RN Basic Care and Comfort,NCLEX-RN
During a routine check-up, a client asks the nurse to suggest a breakfast that can help prevent constipation. Which of the following would be the best food choices?
37 out of 100
38.
RN Basic Care and Comfort,NCLEX-RN
A client in the Emergency Department is experiencing the "fight-or-flight" response, a sympathetic nervous system reaction. Which of the following will the nurse expect to observe?
38 out of 100
39.
RN Reduction of Risk Potential,NCLEX-RN
The earliest identifying sign for a developing pressure sore is a localized
39 out of 100
40.
RN Reduction of Risk Potential,NCLEX-RN
A patient with a fractured hip has been placed in Buck's traction. Which of the following statements about this treatment is true?
40 out of 100
41.
RN Reduction of Risk Potential,NCLEX-RN
Which of these would be most important to include in discharge teaching for a patient with a platelet count of 40,000/mcL (40 x 10^9/L)?
41 out of 100
42.
RN Reduction of Risk Potential,NCLEX-RN
A daughter takes her 85-year-old father to the clinic because he is confused and weak. She tells the nurse that his appetite is poor. The nurse also observes that his blood pressure is lower than normal. The provider orders blood work for the client. Which lab result should the nurse immediately report?
42 out of 100
43.
RN Reduction of Risk Potential,NCLEX-RN
On reviewing the culture results of a newly admitted patient, the nurse notes that the patient has methicillin-resistant Staphylococcus aureus (MRSA). Which transmission-based precautions should be instituted for this patient?
43 out of 100
44.
RN Reduction of Risk Potential,NCLEX-RN
The nurse is caring for a fresh postoperative cholecystectomy client with a T-tube in place. As the nurse records the output from the T-tube, what is the typical drainage for the first 24 hours?
44 out of 100
45.
RN Reduction of Risk Potential,NCLEX-RN
The nurse is preparing a client for a liver biopsy. Which instruction regarding the procedure is correct?
45 out of 100
46.
RN Reduction of Risk Potential,NCLEX-RN
In the proper sequence for removing personal protective equipment (PPE), which item is removed last?
46 out of 100
47.
RN Reduction of Risk Potential,NCLEX-RN
On Thursday, January 1, following a motor vehicle crash, EMS transports a male named Robert to the Emergency Department. The nurse asks the client to state his name, where he is, and the date. Robert answers, "Robert, hospital, December." What verbal response score on the Glasgow Coma Scale does the nurse assign?
47 out of 100
48.
RN Reduction of Risk Potential,NCLEX-RN
The nurse is performing an assessment of a client who had major abdominal surgery 5 days ago. The client reports feeling a "pop where my surgery was" when the client coughed. On inspection, the nurse notes that the wound edges have separated at the incision line. What should the nurse do FIRST?
48 out of 100
49.
RN Reduction of Risk Potential,NCLEX-RN
When a client is on warfarin therapy, which laboratory value should the nurse monitor?
49 out of 100
50.
RN Reduction of Risk Potential,NCLEX-RN
A client's arterial blood gas (ABG) values are pH 7.48, PO2 98 mmHg, PCO2 28 mmHg, HCO3 24 mEq/L. These results are consistent with which of the following clients' conditions?
50 out of 100
51.
RN Pharmacological and Parenteral Therapies,NCLEX-RN
The physician orders an IV theophylline drip at 40 mg/hr. The pharmacy sends a 250 ml bag of D5W mixed with 500 mg theophylline. What should the infusion rate on the pump be?
51 out of 100
52.
RN Pharmacological and Parenteral Therapies,NCLEX-RN
When a drug's effect is increased after a second drug is administered, this interaction is called
52 out of 100
53.
RN Pharmacological and Parenteral Therapies,NCLEX-RN
If a drug is 50% protein-bound, it means that
53 out of 100
54.
RN Pharmacological and Parenteral Therapies,NCLEX-RN
Celecoxib (Celebrex) can be prescribed for all of the following EXCEPT
54 out of 100
55.
RN Pharmacological and Parenteral Therapies,NCLEX-RN
IV lidocaine (Xylocaine) is contraindicated for which cardiac condition?
55 out of 100
56.
RN Pharmacological and Parenteral Therapies,NCLEX-RN
The health care provider (HCP) prescribes a beta blocker for a client with hypertension: "Atenolol 75 mg PO BID." The nurse notes that the medication comes as a scored 50 mg tablet. How many tablets will the nurse instruct the client to take each time?
56 out of 100
57.
RN Pharmacological and Parenteral Therapies,NCLEX-RN
The safe blood level range for lithium is
57 out of 100
58.
RN Pharmacological and Parenteral Therapies,NCLEX-RN
The provider orders furosemide (Lasix) oral solution 0.5 mL stat. The pharmacy sends a bottle marked 10 mg/mL. What dosage will the nurse administer?
58 out of 100
59.
RN Pharmacological and Parenteral Therapies,NCLEX-RN
A postoperative client has developed thrombophlebitis in a leg. The physician has ordered heparin sodium 7500 units SC q 12 hours. Which lab value should the nurse report to the physician before administering the heparin?
59 out of 100
60.
RN Pharmacological and Parenteral Therapies,NCLEX-RN
When a provider prescribes sodium polystyrene sulfonate (Kayexalate) for a client, the nurse can expect the client's subsequent lab values to show
60 out of 100
61.
RN Pharmacological and Parenteral Therapies,NCLEX-RN
A patient is receiving propranolol (Inderal) for a diagnosis of supraventricular tachycardia (SVT). When the nurse does an assessment, which finding would indicate an adverse reaction to the drug?
61 out of 100
62.
RN Pharmacological and Parenteral Therapies,NCLEX-RN
The health care provider (HCP). prescribes 1/2 strength tube-feeding formula for a client who is restarting enteral nutrition. A standard can of formula contains 240 mL. How much water should the nurse add to obtain 1/2 strength?
62 out of 100
63.
RN Pharmacological and Parenteral Therapies,NCLEX-RN
A client receiving hemodialysis therapy weighs 78 kg today. The nurse notes that the client's previous weight was 76 kg. What is the percent change? Round to two decimal places.
63 out of 100
64.
RN Physiological Adaptation,NCLEX-RN
Which characteristic of a breast lump is most likely to indicate the possibility of cancer?
64 out of 100
65.
RN Physiological Adaptation,NCLEX-RN
A nurse's neighbor tells the nurse that the neighbor's provider recommended that they take docusate sodium (Colace). Which of the following statements by the nurse is correct?
65 out of 100
66.
RN Physiological Adaptation,NCLEX-RN
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?
66 out of 100
67.
RN Physiological Adaptation,NCLEX-RN
Which of the following conditions most commonly causes acute glomerulonephritis?
67 out of 100
68.
RN Physiological Adaptation,NCLEX-RN
An electrocardiogram strip shows that the PR interval is 6 small boxes in length. The nurse knows this indicates
68 out of 100
69.
RN Physiological Adaptation,NCLEX-RN
A healthcare provider is teaching a group of students about the characteristics of type 1 diabetes mellitus. Which of the following is the underlying cause of this disease?
69 out of 100
70.
RN Physiological Adaptation,NCLEX-RN
A client is admitted to the unit with ascites secondary to a diagnosis of cirrhosis. The nurse knows that the cause of cirrhotic ascites is
70 out of 100
71.
RN Physiological Adaptation,NCLEX-RN
EMS transports a patient with a gunshot wound to the head. The patient is unresponsive and displaying decorticate posturing. Which area of the brain has been damaged?
71 out of 100
72.
RN Physiological Adaptation,NCLEX-RN
A previously healthy 60-year-old female is transported by EMS for a complaint of chest pain. EMS places her on an 02 cannula at 2 L/min. On arrival at the Emergency Department, which nursing action is MOST important to address?
72 out of 100
73.
RN Physiological Adaptation,NCLEX-RN
A client is admitted with a diagnosis of central diabetes insipidus, related to insufficient secretion of antidiuretic hormone (ADH). Which urine specific gravity result supports the diagnosis?
73 out of 100
74.
RN Physiological Adaptation,NCLEX-RN
A new client tells the nurse that her previous provider told her she has endometriosis, but the client doesn't understand what that means. How should the nurse explain it to the client?
74 out of 100
75.
RN Physiological Adaptation,NCLEX-RN
In order for the nurse to accurately assess the progress of a client in a weight-loss program, which is most effective?
75 out of 100
76.
RN Physiological Adaptation,NCLEX-RN
Knowing that a client undergoing head and neck radiation will likely develop stomatitis, which daily routine measure should the nurse include in client teaching?
76 out of 100
77.
RN Psychosocial Integrity,NCLEX-RN
The nurse in a mental health unit is caring for a 15-year-old who was admitted after a suicide attempt. Which of the following factors is MOST likely to contribute to an adolescent's risk of suicide?
77 out of 100
78.
RN Psychosocial Integrity,NCLEX-RN
When a 5-year-old child is hospitalized, the nurse encourages the parents to bring in some of the child's favorite toys. The purpose of this is to
78 out of 100
79.
RN Psychosocial Integrity,NCLEX-RN
A patient who overdosed on oxycodone is given naloxone. When assessing the patient, the healthcare provider should anticipate which of these clinical manifestations of opioid withdrawal?
79 out of 100
80.
RN Psychosocial Integrity,NCLEX-RN
A provider notifies the inpatient mental health unit that he is admitting a client with a diagnosis of severe anxiety disorder. The client arrives to the unit, crying hysterically. The most appropriate action for the nurse is to
80 out of 100
81.
RN Psychosocial Integrity,NCLEX-RN
While reviewing the medical record of a patient diagnosed with Alzheimer's disease (AD), the healthcare provider notes that the patient is aphasic. Which behavior supports this finding?
81 out of 100
82.
RN Psychosocial Integrity,NCLEX-RN
While the nurse is giving a client a bed bath, the client begins to cry. Which of the following nursing interventions is MOST appropriate?
82 out of 100
83.
RN Psychosocial Integrity,NCLEX-RN
A client with chronic migraine headaches tells the nurse that they are considering acupuncture therapy. The nurse responds, "Acupuncture is weird. No normal person would let someone poke needles into them like that." What behavior or belief is the nurse displaying?
83 out of 100
84.
RN Psychosocial Integrity,NCLEX-RN
A 17-year-old girl has been transported to the Emergency Department by EMS after she was in a motor vehicle accident. She starts to sob inconsolably, telling the nurse, "I just got my license, and I wrecked the car. My parents are going to kill me!" Which should be the nurse's first action?
84 out of 100
85.
RN Psychosocial Integrity,NCLEX-RN
When a new client is admitted to the mental health unit, who should provide the client's history?
85 out of 100
86.
RN Psychosocial Integrity,NCLEX-RN
A 4-year-old is admitted for a tonsillectomy and adenoidectomy. The pediatric nurse observes that the parents are reluctant to participate in their child's care. Which of the following might be a reason for their behavior?
86 out of 100
87.
RN Psychosocial Integrity,NCLEX-RN
A client who has experienced chronic neck and back pain is diagnosed with pain disorder and depression. During a clinic appointment, she tells the nurse, "Nothing anyone has done here has helped me." Which of the following statements by the client requires IMMEDIATE intervention?
87 out of 100
88.
RN Psychosocial Integrity,NCLEX-RN
Parents discover their 8-month-old infant in his crib, not breathing. EMS is called to resuscitate, but the baby is pronounced dead on arrival (DOA) at the hospital, with a tentative cause of sudden infant death syndrome (SIDS). What is the nurse's most appropriate action?
88 out of 100
89.
RN Health Promotion and Maintenance,NCLEX-RN
A new father tells the nurse that he wants to quit smoking to be healthy for his child. What should the nurse suggest as the first step for the client?
89 out of 100
90.
RN Health Promotion and Maintenance,NCLEX-RN
A home health nurse is visiting a new client with COPD, who has just been discharged from the hospital. What is the most important topic for the nurse to teach the client?
90 out of 100
91.
RN Health Promotion and Maintenance,NCLEX-RN
The nurse is caring for a 3-month-oldinfant with infectious gastroenteritis. The infant is lethargic, and the mucous membranes are dry. Which other finding would indicate moderate dehydration?
91 out of 100
92.
RN Health Promotion and Maintenance,NCLEX-RN
An 18-year-old male asks about using condoms to keep his girlfriend from becoming pregnant. What is the nurse's best response?
92 out of 100
93.
RN Health Promotion and Maintenance,NCLEX-RN
The school nurse has been invited to participate in a workshop for parents on childhood nutrition. The nurse knows that the PRIMARY nutritional disorder for school-aged children is
93 out of 100
94.
RN Health Promotion and Maintenance,NCLEX-RN
Which of the following are the most appropriate toys for a five-month-old infant?
94 out of 100
95.
RN Health Promotion and Maintenance,NCLEX-RN
A nurse is assessing a new client who is being evaluated for hepatitis C. Which question should the nurse ask?
95 out of 100
96.
RN Health Promotion and Maintenance,NCLEX-RN
The nurse reviews recent lab results with a new client. Which elevated test level is most important for the nurse to address to reduce the client's risk of coronary artery disease (CAD)?
96 out of 100
97.
RN Health Promotion and Maintenance,NCLEX-RN
A 17-year-old unmarried primigravida who is 9 weeks pregnant tells the nurse that her family doesn't have much money. Her dad just got laid off from his job. Which of the following actions would be most appropriate?
97 out of 100
98.
RN Health Promotion and Maintenance,NCLEX-RN
When reviewing the lab results of a neonate born 12 hours ago, which serum value should the nurse immediately report?
98 out of 100
99.
RN Health Promotion and Maintenance,NCLEX-RN
On the third postpartum day, the color of the lochia discharge is typically
99 out of 100
100.
RN Health Promotion and Maintenance,NCLEX-RN
A mother brings her 3-month-old infant to the pediatric clinic for a routine checkup. She tells the nurse that breastfeeding has gone well until the past week. She doesn't seem to be producing enough milk to satisfy the baby. What is the nurse's best response?
100 out of 100
