Class notes
Nurs 222 Active learning Nclex week 2 Practice questions
- Course
- MENTAL HEALTH NURS 222
- Institution
- West Coast University
This document contains NCLEX week 2 Practice questions and answers. * Essential!! * Precise!! *For you!!
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NCLEX Week 2 QuestionsDirections: Answer the question and give rationale as to why you choose your answer.
1. A nurse rates a clients bicep reflex as 2+. Which of the following characteristics should
the nurse document about the client’s reflexes?
A. Diminished
B. Average
C. Brisk
D. Hyperactive
Rationale:
2. A nurse is planning care for a hospitalized client who is immobile and in
a continuous mitten restraint. Which of the following interventions
should be included in the client’s care plan? (Select all that apply.)
A. Document restraint checks and client status every 2 hr.
B. Educate the client’s family about restraint use.
C. Obtain the provider’s prescription renewal every 72 hr.
D. Implement passive range-of-motion exercises.
Rationale:
3. A nurse is providing breast self-examination teaching to a client who is
menopausal. Which of the following statements should the nurse
identify as an indication that the teaching was effective? (Select all that
apply.)
A. "I don't have to lie down to check my breasts. I can stand in the shower."
B. "If I feel a firm ridge in the lower curve of my breasts I should report this
immediately."
C. "It is important to press firmly when feeling my breasts to detect changes."
D. "Since I no longer have periods, I can perform an examination at any time of the
month."
E. "I will make sure to feel for changes in my underarm area."
Rationale:
4. A nurse is assessing a client’s thyroid gland. Which of the following instructions should
the nurse give the client before inspecting and palpating this gland?
A. “Tilt your head slightly forward”
B. “Keep your head straight and look ahead of you.”
C. “Tilt you head back and swallow”
D. “Turn your head to the side and against my hand.”
Rationale:
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