NCLEX-RN Online Practice Questions and Answers
Provide the 1-minute Apgar score for an infant born with the following findings: Heart rate:
Above 100 Respiratory effort: Slow, irregular Muscle tone: Some flexion of extremities Reflex irritability: Vigorous cry Color: Body pink, blue extremities
A. 7
B. 10
C. 8
D. 9
The usual treatment for diabetes insipidus is with IM or SC injection of vasopressin tannate in oil. Nursing care related to the client receiving IM vasopressin tannate would include:
A. Weigh once a week and report to the physician any weight gain of10 lb.
B. Limit fluid intake to 500 mL/day.
C. Store the medication in a refrigerator and allow to stand at room temperature for 30 minutes prior to administration.
D. Hold the vial under warm water for 10?5 minutes and shake vigorously before drawing medication into the syringe.
Respiratory function is altered in a 16-year-old asthmatic. Which of the following is the cause of this alteration?
A. Altered surfactant production
B. Paradoxical movements of the chest wall
C. Increased airway resistance
D. Continuous changes in respiratory rate and depth
A pregnant client continues to visit the clinic regularly during her pregnancy. During one of her visits while lying supine on the examining table, she tells the RN that she is becoming light-headed. The RN notices that the client has pallor in her face and is perspiring profusely.
The first intervention the RN should initiate is to:
A. Place the examining table in the Trendelenburg position
B. Assess the client to see if she is having vaginal bleeding
C. Obtain the client's vital signs immediately
D. Help the client to a sitting position
A client suspects that she is pregnant. She reports two missed menstrual periods. The first day of her last menstrual period was August 3. Her estimated date of confinement would be:
A. November 7
B. November 10
C. May 7
D. May 10
One week ago, a 21-year-old client with a diagnosis of bipolar disorder was started on lithium 300 mg po qid. A lithium level is ordered. The client's level is 1.3 mEq/L. The nurse recognizes that this level is considered to be:
A. Within therapeutic range
B. Below therapeutic range
C. Above therapeutic range
D. At a level of toxic poisoning
A 10-year-old client with a pin in the right femur is immobilized in traction. He is exhibiting behavioral changes including restlessness, difficulty with problem solving, inability to concentrate on activities, and monotony. Which of the following nursing implementations would be most effective in helping him cope with immobility?
A. Providing him with books, challenging puzzles, and games as diversionary activities
B. Allowing him to do as much for himself as he is able, including learning to do pin-site care under supervision
C. Having a volunteer come in to sit with the client and to read him stories
D. Stimulating rest and relaxation by gentle rubbing with lotion and changing the client's position frequently
A female client has been diagnosed with chronic renal failure. She is a candidate for either peritoneal dialysis or hemodialysis and must make a choice between the two. Which information should the nurse give her to help her decide?
A. Hemodialysis involves less time to filter the blood; but the client must consider travel time, distance, and inconvenience.
B. Hemodialysis involves more time to filter the blood than does peritoneal dialysis.
C. Peritoneal dialysis has almost no complications and is less time consuming than hemodialysis. Therefore it is preferred.
D. Peritoneal dialysis requires that a home health nurse prepare and administer the treatments.
The nurse is admitting a client with folic acid deficiency anemia. Which of the following questions is most important for the nurse to ask the client?
A. "Do you take aspirin on a regular basis?"
B. "Do you drink alcohol on a regular basis?"
C. "Do you eat red meat?"
D. "Have your stools been normal?"
When preparing insulin for IV administration, the nurse identifies which kind of insulin to use?
A. NPH
B. Human or pork
C. Regular
D. Long acting
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