NCLEX® Question for April 13
QUESTION
The nurse performs a health history assessment for a client in high
school. Which statement by the client prompts the nurse to intervene
due to safety concerns? (Select all that apply.)
ANSWER SELECTION
1. "It is really exciting that my best friend has a car and driver's license."
2. "Both my parents have evening jobs, so I frequently eat out for my dinner."
3. "I like to hang around with my friends on the weekend and play video games."
4. "There is a kid at school who constantly bullies me. I cannot stand it anymore."
5. "My parents seem to understand that I am older and need more
independence."
NCLEX® Question for April 12
QUESTION
A client is discharged home following treatment in an acute care facility
for emboli in the lower extremities. The client is directed about how to
take a prescribed anticoagulant. Which home management instructions
does the nurse include for this client? (Select all that apply.)
ANSWER SELECTION
1. Refrain from contact sports.
2. Do not sit with crossed legs.
3. Use a soft bristle toothbrush.
4. Avoid tight or restrictive clothing on legs.
5. Avoid contact with pets that bite or scratch.
6. Report swelling or pain in lower extremities.
NCLEX® Question for April 11
QUESTION
A local disaster results in multiple injuries that will require
hospitalization. The nurse manager at the only acute care facility in the
community will need to clear beds for the new admissions. Which
clients will the nurse manager decide to discharge? (Select all that
apply.)
ANSWER SELECTION
1. A client who delivered her third child vaginally 18 hours prior.
2. A middle-age client who had a hip replacement 24 hours prior.
3. An adult client diagnosed with pneumonia receiving IV antibiotics.
4. An older adult client diagnosed with a stroke due to a brain bleed.
5. A school-age client who was just admitted due to an asthma attack.
NCLEX® Question for April 10
QUESTION
The nurse manager in a pediatric clinic presents an in-service program
to staff members about parental consent requirements. After the
program, which clients will the nurse expect staff to recognize as
needing parental consent? (Select all that apply.)
ANSWER SELECTION
1. A minor in college who requires emergency surgery.
2. A minor who is married and the parent of a toddler child.
3. Minors who are determined to be emancipated by a court.
4. A school-age client who lives with a grandparent and requires an MRI.
5. An adolescent who seeks screening for a sexually transmitted infection.
NCLEX® Question for April 9
QUESTION
The nurse administrator for an acute care facility is aware the facility is
located in a community with a high population of lesbian, gay, bisexual,
and transgender (LGBT) clients. Which change within the facility does the
nurse sponsor to meet the medical needs of LGBT clients?
ANSWER SELECTION
Recruit LGBT nurses to provide care for LGBT clients.
Create an environment that welcomes and includes LGBT clients.
Educate staff members about the unique medical beliefs of LGBT clients.
Hold an open house at the facility and invite members of the LGBT
community.
NCLEX® Question for April 8
QUESTION
The nurse plans individualized care for a client diagnosed with morbid
obesity. The nurse performs both physical and psychosocial
assessments. Which client statement indicates to the nurse that the
client requires additional education and support for the psychosocial
aspects for weight loss?
ANSWER SELECTION
"I need to be able to work and make a living for my children and spouse."
"I know that I have to lose weight because now I have some health issues."
"I have been unable to lose weight before because I don't know what to do."
"I am divorced and I am looking forward to losing weight and going on dates."
NCLEX® Question for April 7
QUESTION
The nurse provides care for a number of clients in an acute care setting.
Which client issues will prompt the nurse to follow up with the client's
health care provider? (Select all that apply.)
ANSWER SELECTION
1. A client who is 6 hours postoperative with an oral temperature of 100.7°F
(38.2°C).
2. A client admitted from the ED following seizure activity, who is lethargic and
sleepy.
3. A client who has a moderate amount of creamy red drainage on a surgical
dressing.
4. A client with a cardiac disorder and a serum potassium level of 4.7 mEq/L (4.7
mmol/L).
5. A client with dehydration who has an hourly urinary output of 25 mL of dark
amber urine.
NCLEX® Question for April 6
QUESTION
Plan to complete care on each client in order according to the
level of acuity.
NCLEX® Question for April 5
The nurse
QUESTION
assigned to
four clients
The nurse provides care for four assigned clients. Using
receives the
knowledge of pathophysiology, which client will the nurse shift report
decide to assess first? and assumes
care. Which
ANSWER SELECTION nursing
action
The client admitted with a broken hip who is in traction and reports pain. reflects the
The client who is diagnosed with a stroke and needs to be fed breakfast. nurse's ability
Preventing the spread of illness by remaining away from
The client who is a quadriplegic and is due to be turned and repositioned. to manage
public
NCLEX ® places.
Question
The client admitted forwith
March 26
anaphylaxis who begins sudden forceful the assigned
coughing. client care
®
NCLEX
NCLEX
QUESTION Question
®
Question for for
April 3 4
April workload
effectively?
The nurse assesses vital signs for multiple clients. Which
QUESTION
assessment and client condition will cause the nurse ANSWER
QUESTION SELECTION
A unlicensed assistive personnel (UAP) in an extended
the most concern?
careThefacility
Assignnurse reports
routine careto
teaches the
toclientsnurse
a nursing on the condition
assistive
diagnosed personnel
with seasonalof an influenza
(NAP) and
older adult
LPN/LVN.
ANSWER
how client.
SELECTION The UAP states the client's
to manage the illness. Which is unnecessary for the respiratory
ratenurse
is 22
Ask theto breaths/minute
charge
includenurse and
to assign
in the the
teaching? oral temperature
additional personnel to isprovide client
The postoperative client medicated 3
care. (38.1°C). The client is also confused and
100.5°F hours prior for pain with a
blood
ANSWER pressure of 194/88 mm Hg.
SELECTION
disoriented.
Identify the The nurse
status
The older adult client recognizes
ofdiagnosed
each client andtheplanprobability
with bacterial pneumoniaofwith
care based onwhichneeds
a
and priority.
client condition?
temperature
Sneezingofor 100.8°F
coughing(38.2°C).
into the upper sleeve instead of the hands.
The adult client receiving patient controlled administration of
Returning
morphine
ANSWER
to work
who has
SELECTION
or schoolrate
a respiratory after
of 9five full days of antibiotic
breaths/minute.
therapy.
The adult client admitted through the ED following a car accident
withResting,
a pulse rate
Dehydration. increasing fluid intake, and using antihistamines for
of 92 beats/minute.
comfort.
Pneumonia.
NCLEX® Question for April 2
Infection.
Stroke.
QUESTION
The nurse assists a client who is in active labor. The client
states, "The baby is coming now!" The nurse determines that
a precipitous birth is imminent. Which action made by the
nurse is the leastimportant?
ANSWER SELECTION
Scrubbing hands with an antibacterial soap.
Placing gentle pressure on the head during
crowning.
