Practice quiz NCLEX RN part 1 for your nursing review. Subject include severe depression, chronic dyspepsia, arson, and Sulfamylon cream.
Results
#1. A patient admitted to the hospital with acute depression and suicidal ideas refuses to speak to the nurse. The nurse notices that the suicidal client is having trouble:
Suicidal clients have a hard time expressing their anger toward others. Answers b, B, and d are inaccurate since the depressed suicidal client frequently exhibits emotions of low self-worth, remorse and guilt, and a dependency on others.
#2. A client using hydrochlorothiazide is told to increase her potassium intake in her diet. The best snack for a client who needs more potassium is:
Because they contain less potassium, answers A, B, and C are incorrect. (Note that the banana has 450 mg of K , the orange has 235 mg of K , the pear has 208 mg of K , and the apple has 165 mg of K .)
#3. The nurse is attending to a client who has had his thyroid removed. The nurse should do the following right after the surgery:
To reduce swelling that would put pressure on the airway after a thyroidectomy, the client should be placed in a semi-position. Fowler’s Answers B, C, and D are incorrect since they increase the risk of bleeding, edema, and airway blockage after surgery.
#4. A client admitted to the hospital for chronic dyspepsia is diagnosed with gastric cancer. Which of the following is associated with an increased risk of gastric cancer?
Preservatives such as nitrates, which have been linked to gastric cancer, are found in luncheon meats. Answers A, B, and C have not been shown to increase the risk of gastric cancer and are thus incorrect.
#5. After being accused of arson, a client is admitted to the psychiatric unit for forensic evaluation. His prognosis is antisocial personality disorder. The nurse could expect to find the following information in the client's record:
A history of cruelty to people and animals, truancy, setting fires, and a lack of guilt or remorse are associated with a diagnosis of conduct disorder in children, which progresses to an adult diagnosis of antisocial personality disorder. Answer A is incorrect because the client with an antisocial personality disorder is not employed on a consistent basis. Answer B is incorrect because the average person’s IQ is higher than the national average. Because of a lack of guilt or remorse for wrongdoing, Answer D is incorrect.
#6. A licensed vocational nurse may not provide primary care to a client:
The licensed vocational nurse is not permitted to provide primary care to a client who has a central venous access device. Because the licensed vocational nurse can care for the client in labor, the client after surgery and the client with bipolar disorder, answers A, B, and D are incorrect.
#7. The doctor has prescribed Sulfamylon cream dressings for a client who has full-thickness burns on his hands and arms. Priority should be given by the nurse to the following items before changing dressings:
When sulfamoyl is applied to a burn wound, it causes a painful sensation; therefore, the client should be given pain medication before dressing changes. Answers B, C, and D are incorrect because they do not pertain to dressing changes for the client with burns.
#8. The nurse is teaching a group of parents about the toddler's gross motor development. Which of the following is an example of a toddler's normal gross motor skill?
The child can pull a toy behind her by the age of two, according to the Denver Developmental Screening Test. Answers B, C, and D are incorrect because they are not achieved until the age of 4–5 years.
#9. A client who was admitted to the hospital with a fractured mandible will be discharged. With a fractured mandible, which piece of equipment should be kept on the client?
The client with a fractured mandible should always keep a pair of wire cutters on hand in case of choking or aspiration. Answer B is incorrect because the wires would prevent an oral airway from being inserted. Answer C is incorrect because it is useless for releasing the wires. Answer D is incorrect because it would only be used as a last resort in the event of an obstruction of the airway.
#10. A 6-month-old boy with a congenital heart defect will be given digoxin elixir by the nurse. The nurse listens for an apical pulse rate. The nurse must:
The infant’s apical heart rate is within the acceptable range for medication administration. Answers A, C, and D are incorrect because the apical heart rate is appropriate for the administration of the medication.
