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NCLEX PRACTICE EXAM 4 PRACTICE QUESTIONS AND ANSWERS (WITH EXPLANATIONS)

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NCLEX Practice Exam 4 Question 1 The primary reason for rapid continuous rewarming of the area affected by frostbite is to: Question 2 A client recently started on hemodialysis wants to know ho... w the dialysis will take the place of his kidneys. The nurse’s response is based on the knowledge that hemodialysis works by: Question 3 During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate? Question 4 A client hospitalized with MRSA (methicillin-resistant staph aureus) is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact? Question 5 A client who is admitted with an above-the-knee amputation tells the nurse that his foot hurts and itches. Which response by the nurse indicates understanding of phantom limb pain? . Question 6 A client with cancer of the pancreas has undergone a Whipple procedure. The nurse is aware that during the Whipple procedure, the doctor will remove the: Question 7 The physician has ordered a minimal-bacteria diet for a client with neutropenia. The client should be taught to avoid eating: Question 8 A client is discharged home with a prescription for Coumadin (sodium warfarin). The client should be instructed to: Question 9 The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to: . Question 10 A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for: . Question 11 The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid: Question 12 The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to: Question 13 The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to: Question 14 The infant is admitted to the unit with tetralogy of fallot. The nurse would anticipate an order for which medication? Question 15 The nurse is educating the lady’s club in self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram below, select where the Tail of Spence is. Question 16 The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will: Question 17 The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to: Question 18 The nurse is evaluating the client who was admitted 8 hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse? Question 19 The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as: Question 20 A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should: Question 21 The nurse has a preop order to administer Valium (diazepam) 10mg and Phenergan (promethazine) 25mg. The correct method of administering these medications is to: Question 22 A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to: Question 23 Which task should be assigned to the nursing assistant? Question 24 The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside? Question 25 The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by: Question 26 What’s the first intervention for a patient experiencing chest pain and an p02 of 89%? Question 27 Which of the following signs and symptoms usually signifies rapid expansion and impending rupture of an abdominal aortic aneurysm? Question 28 In which of the following types of cardiomyopathy does cardiac output remain normal? Question 29 Which of the following interventions should be your first priority when treating a patient experiencing chest pain while walking? Question 30 Which of the following positions would best aid breathing for a patient with acute pulmonary edema? Question 31 A pregnant woman arrives at the emergency department (ED) with abruptio placentae at 34 weeks’ gestation. She’s at risk for which of the following blood dyscrasias? Question 32 A 16-year-old patient involved in a motor vehicle accident arrives in the ED unconscious and severely hypotensive. He’s suspected to have several fractures of his pelvis and legs. Which of the following parenteral fluids is the best choice for his current condition? Question 33 Corticosteroids are potent suppressors of the body’s inflammatory response. Which of the following conditions or actions do they suppress? Question 34 A patient infected with human immunodeficiency virus (HIV) begins zidovudine therapy. Which of the following statements best describes this drug’s action? Question 35 A 20-year-old patient is being treated for pneumonia. He has a persistent cough and complains of severe pain on coughing. What could you tell him to help him reduce his discomfort? Question 36 A 19-year-old patient comes to the ED with acute asthma. His respiratory rate is 44 breaths/minute, and he appears to be in acute respiratory distress. Which of the following actions should you take first? Question 37 A firefighter who was involved in extinguishing a house fire is being treated for smoke inhalation. He develops severe hypoxia 48 hours after the incident, requiring intubation and mechanical ventilation. Which of the following conditions has he most likely developed? Question 38 Which of the following measures best determines that a patient who had a pneumothorax no longer needs a chest tube? Question 39 Which of the following nursing interventions should you use to prevent footdrop and contractures in a patient recovering from a subdural hematoma? Question 40 Which of the following signs of increased intracranial pressure (ICP) would appear first after head trauma? Question 41 When giving intravenous (I.V.) phenytoin, which of the following methods should you use? Question 42 After surgical repair of a hip, which of the following positions is best for the patient’s legs and hips? Question 43 Which of the following factors should be the primary focus of nursing management in a patient with acute pancreatitis? Question 44 After a liver biopsy, place the patient in which of the following positions? Question 45 Which of the following potentially serious complications could occur with therapy for hypothyroidism? Question 46 Adequate fluid replacement and vasopressin replacement are objectives of therapy for which of the following disease processes? Question 47 Patients with Type 1 diabetes mellitus may require which of the following changes to their daily routine during periods of infection? Question 48 On a follow-up visit after having a vaginal hysterectomy, a 32-year-old patient has a decreased hematocrit level. Which of the following complications does this suggest? Question 49 A patient has partial-thickness burns to both legs and portions of his trunk. Which of the following I.V. fluids is given first? . Question 50 Which of the following techniques is correct for obtaining a wound culture specimen from a surgical site? [Show More]

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