NCSBN
NCLEX
QUESTIONS
A
LPN
complains
to
the
charge
nurse
that
an
unlicensed
assistive
person
(UAP)
consistently
leaves
the
work
area
untidy
and
does
not
restock
supplies.
What
is
the
best
initial
response
by
the
charge
nurse?
1Write
down
potential
solutions
to
the
problems
today
by
shift's
end
2Add
this
concern
to
the
agenda
of
the
next
unit
meeting
3Assure
the
staff
nurse
that
the
complaint
will
be
investigated
4Explore
for
further
identification
about
the
nature
of
the
problem
-
ANS
4
Explore
for
further
identification
about
the
nature
of
the
problem
The
nurse
assists
with
the
reinforcement
of
information
about
breast
self-examination
to
a
group
of
college
students.
A
female
student
asks
when
to
perform
the
monthly
exam.
The
appropriate
reply
by
the
nurse
should
include
which
statement?
1"Ovulation,
or
midcycle
is
the
best
time
to
detect
changes."
2"Do
the
exam
at
the
same
time
every
month."
3"Right
after
the
period,
when
your
breasts
are
less
tender."
4"The
first
of
every
month,
because
it
will
be
easiest
to
remember ."
-
ANS
3
The
nurse
is
caring
for
a
75
year-old
client
with
type
2
diabetes
mellitus.
The
client
should
be
instructed
to
contact
the
outpatient
clinic
immediately
if
which
findings
are
present?
1An
open
wound
on
the
heel
with
minimal
discomfort
2Occasional
hiccups
and
sneezing
3Sustained
insomnia
and
daytime
fatigue
4Persistent
dryness
and
itching
of
the
perineal
area
-
ANS
1An
open
wound
on
the
heel
with
minimal
discomfort-
A
pregnant
woman
has
been
advised
to
alter
her
diet
during
pregnancy
by
increasing
the
intake
of
protein
and
vitamin
C
to
meet
the
needs
of
the
growing
fetus.
Which
diet
choice
would
best
meet
the
woman's
needs?
1.
1
cup
of
macaroni,
three-fourths
cup
of
peas,
glass
whole
milk,
medium
pear
2.
Scrambled
egg,
hash
browned
potatoes,
one-half
glass
of
buttermilk,
large
nectarine
3.
3
oz.
chicken,
one-half
cup
of
corn,
lettuce
salad,
small
banana
4.
Beef,
one-half
cup
of
lima
beans,
glass
of
skim
milk,
three-fourths
cup
of
strawberries
-
ANS
4.
Beef,
one-half
cup
of
lima
beans,
glass
of
skim
milk,
three-fourths
cup
of
strawberries
- A
nurse
is
taking
a
health
history
from
parents
of
a
child
admitted
with
possible
Reye's
syndrome.
Which
recent
illness
should
the
nurse
recognize
as
being
associated
with
an
increased
the
risk
for
the
development
of
Reye's
syndrome?
1.
Varicella
2.
Meningitis
3.
Hepatitis
4.
Rubeola
-
ANS
1.
Varicella
-
A
Native
American
chief
visits
his
newborn
son
and
performs
a
traditional
ceremony
that
involves
feathers
and
chanting.
The
nurse
comments
to
a
colleague:
"I
wonder
if
he
has
any
idea
how
ridiculous
he
looks
-
he's
a
grown
man!"
The
nurse's
comment
is
an
example
of
what
type
of
attitude?
1.
Prejudice
2.
Ethnocentrism
3.
Discrimination
4.
Stereotyping
-
ANS
1.
Prejudice-
A
nursing
student
asks
the
licensed
practical
nurse
(LPN)
to
explain
the
forces
that
drive
health
care
reform.
When
responding
to
the
student's
question,
what
information
should
the
nurse
emphasize?
1.
Increased
competition
between
health
care
insurers
2.
Increase
in
health
care
spending
that's
growing
faster
than
the
economy
3.
Increase
in
the
population
who
have
health
insurance
4.
Increase
in
spending
for
end-of-life
treatment
-
ANS
2
A
child
is
admitted
to
the
unit
with
the
suspected
diagnosis
of
pertussis
(whooping
cough).
What
is
the
priority
nursing
intervention
for
this
child?
1.
Maintain
hydration
and
encourage
fluids
2.
Implement
droplet
precautions
3.
Monitor
respiratory
rate
and
oxygen
saturation
4.
Anti-
infective
therapy
-
ANS
2
A
client
has
an
indwelling
catheter
with
continuous
bladder
irrigation
after
undergoing
a
transurethral
resection
of
the
prostate
(TURP)
12
hours
ago.
Which
finding
at
this
time
should
be
reported
to
the
registered
nurse
(RN)
charge
nurse?
1Complaints
for
the
feeling
of
pulling
on
the
urinary
catheter
2Light,
pink
to
clear
urine
3Occasional
suprapubic
cramping 4Minimal
drainage
into
the
urinary
collection
bag
-
ANS
4Minimal
drainage
into
the
urinary
collection
bag
A
nurse
is
caring
for
a
woman
two
hours
after
a
vaginal
delivery.
Documentation
indicates
that
the
membranes
ruptured
36
hours
prior
to
delivery.
Which
of
these
nursing
diagnoses
should
the
nurse
expect
the
charge
nurse
to
list
as
a
priority
at
this
time?
1Risk
for
fluid
volume
deficit
2Risk
for
excessive
bleeding
3Risk
for
infection
-
4Altered
tissue
perfusion
-
ANS
3
A
14
month-old
child
ingests
a
half
a
bottle
of
baby
aspirin
(81
mg)
tablets.
Which
finding
should
a
nurse
expect
to
see
in
the
child?
1Hypothermia
2Nausea
and
vomiting
3Hypoventilation
4Bradycardia
-
ANS
2
A
school
nurse
monitors
a
child
with
a
history
of
tonic-clonic
seizures.
The
school
nurse
should
inform
teachers
that
if
the
child
falls
to
the
floor
and
experiences
a
seizure
while
in
the
classroom,
which
of
the
following
would
be
the
most
important
action
to
take
during
the
seizure?
1Place
the
hands
or
a
folded
blanket
under
the
head
of
the
child
2Provide
privacy
as
much
as
possible
to
minimize
frightening
the
other
children
3Move
any
chairs
or
desks
at
least
three
feet
away
from
the
child
4Note
the
sequence
of
movements
with
the
time
lapse
of
the
event
-
ANS
1Place
the
hands
or
a
folded
blanket
under
the
head
of
the
child
-
A
client
is
admitted
with
diagnosis
of
a
right
upper
lobe
infiltrate
and
to
rule
out
active
tuberculosis
(TB).
Which
type
of
precautions
will
be
needed
for
this
client?
1Droplet
2Contact
3Standard
4Airborne
-
ANS
4
A
client
has
had
a
positive
reaction
to
purified
protein
derivative
(PPD).
Which
statement
made
by
the
client
suggests
the
client
understands
the
teaching
by
the
registered
nurse
(RN)?
1"I
have
active
tuberculosis." 2"I
have
been
exposed
to
mycobacterium
tuberculosis."
3"I
have
never
been
infected
with
mycobacterium
tuberculosis."
4"I
have
never
had
tuberculosis."
-
ANS
2
A
nurse
is
caring
for
a
client
with
pneumococcal
pneumonia.
Which
breath
sounds
would
the
nurse
expect
to
disappear
as
the
client
responds
to
the
antibiotic
treatment?
1Wheezes
2Friction
rubs
3Rhonchi
4Diminished
sounds
-
ANS
3
A
young
adult
seeks
treatment
in
an
outpatient
mental
health
center.
The
client
tells
a
nurse,
"I
am
a
government
official
and
spies
are
following
me."
Upon
further
questioning,
the
client
reveals
that
warnings
must
be
heeded
to
prevent
nuclear
war.
What
is
the
initial
therapeutic
approach
that
the
nurse
should
use?
1Listen
quietly
without
comment
2Ask
for
further
information
on
the
spies
3Confront
the
client
about
the
delusions
4Contact
security
for
potential
safety
concerns
-
ANS
1Listen
quietly
without
comment
-
Lactulose
has
been
prescribed
for
a
client
with
advanced
liver
disease.
Which
finding
should
the
nurse
use
to
evaluate
the
effectiveness
of
this
treatment?
1Less
jaundice
2Increased
appetite
3Decreased
lethargy
4Less
edema
-
ANS
3
The
LPN
is
unsure
about
an
assignment
by
the
charge
nurse
to
hang
an
intravenous
(IV)
infusion
that
contains
potassium.
What
resource
should
the
LPN
check
first
to
determine
if
LPNs
can
administer
IV
medications?
1Employer
policy
and
procedures
manuals
2Nursing
faculty
from
a
local
nursing
program
3The
nurse
practice
act
of
the
state
in
which
the
practice
takes
place
4American
Nurses
Association
(ANA)
professional
standards
-
ANS
3
The
nurse
is
assisting
with
the
delivery
of
a
newborn
infant.
What
is
the
priority
nursing
intervention
for
a
normal
newborn
immediately
after
delivery?
1Dry
off
infant
with
a
warm
blanket
or
towel
2Apply
identification
bracelets
3Assign
the
one-minute
APGAR
score
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller issanabiswa90. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.39. You're not tied to anything after your purchase.