Exam (elaborations)
Exam (elaborations) Nclex exam reviews with choices
- Course
- Nclex
- Institution
- Stanford University
Nursing final exam sample test
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NCLEX RN PRACTICE QUESTIONS1. The elderly client is admitted to the emergency room. Which
symptom is the client with a fractured hip most likely to exhibit?
❍ A. Pain
❍ B. Disalignment
❍ C. Cool extremity
❍ D. Absence of pedal pulses
2. The nurse knows that a 60-year-old female client’s susceptibility to
osteoporosis is most likely related to:
❍ A. Lack of exercise
❍ B. Hormonal disturbances
❍ C. Lack of calcium
❍ D. Genetic predisposition
3. A two-year-old is admitted for repair of a fractured femur and is
placed in Bryant’s traction. Which finding by the nurse indicates
that the traction is working properly?
❍ A. The infant no longer complains of pain.
❍ B. The buttocks are 15° off the bed.
❍ C. The legs are suspended in the traction.
❍ D. The pins are secured within the pulley.
4. Which statement is true regarding balanced skeletal traction?
Balanced skeletal traction:
❍ A. Uses a Steinman pin
❍ B. Requires that both legs be secured
❍ C. Utilizes Kirschner wires
❍ D. Is used primarily to heal the fractured hips
5. The client is admitted for an open reduction internal fixation of a
fractured hip. Immediately following surgery, the nurse should
give priority to assessing the:
❍ A. Serum collection (Davol) drain
❍ B. Client’s pain
❍ C. Nutritional status
❍ D. Immobilizer
6. Which statement made by the family member caring for the client
with a percutaneous gastrostomy tube indicates understanding of
the nurse’s teaching?
❍ A. “I must flush the tube with water after feedings and
clamp the tube.”
❍ B. “I must check placement four times per day.”
❍ C. “I will report to the doctor any signs of indigestion.”
❍ D. “If my father is unable to swallow, I will discontinue
, the feeding and call the clinic.”
7. The nurse is assessing the client with a total knee replacement
two hours post-operative. Which information requires notification
of the doctor?
❍ A. Scant bleeding on the dressing
❍ B. Low-grade temperature
❍ C. Hemoglobin of 7gm
❍ D. The urinary output has been 120ml during the
last hour
8. The nurse is caring for the client with a five-year-old diagnosis of
plumbism. Which information in the health history is most likely
related to the development of plumbism?
❍ A. The client has traveled out of the country in the last
six months.
❍ B. The client’s parents are skilled stained-glass artists.
❍ C. The client lives in a house built in 1990.
❍ D. The client has several brothers and sisters.
9. A client with a total hip replacement requires special equipment.
Which equipment would assist the client with a total hip replace-
ment with activities of daily living?
❍ A. High-seat commode
❍ B. Recliner
❍ C. TENS unit
❍ D. Abduction pillow
10. An elderly client with an abdominal surgery is admitted to the unit
following surgery. In anticipation of complications of anesthesia
and narcotic administration, the nurse should:
❍ A. Administer oxygen via nasal cannula.
❍ B. Have narcan (naloxane) available.
❍ C. Prepare to administer blood products.
❍ D. Prepare to do cardioresuscitation.
11. Which roommate would be most suitable for the six-year-old male
with a fractured femur in Russell’s traction?
❍ A. 16-year-old female with scoliosis
❍ B. 12-year-old male with a fractured femur
❍ C. 10-year-old male with sarcoma
❍ D. 6-year-old male with osteomylitis
12. A client with osteoarthritis has a prescription for Celebrex (cele-
coxib). Which instruction should be included in the discharge
teaching?
❍ A. Take the medication with milk.
❍ B. Report chest pain.
❍ C. Remain upright after taking for 30 minutes.
❍ D. Allow six weeks for optimal effects.
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