Practice Mode Assessment

NCLEX PN-Readiness Assessment Test-1

Guest

Total 100 Qs

Remaining 100

Time Left

1 :
A nurse is caring for a postoperative male client in the surgical unit. The following exhibits are available for review.

The male client is 56 years old and recently underwent a laparotomy for a bowel resection due to colon cancer. He has a history of hypertension and type 2 diabetes, well-managed with medication. The surgery was uneventful, and the client was transferred to the recovery unit in stable condition. No known allergies. His pain is being managed with morphine.

0900:

Client is alert and oriented to person, place, and time. The client reports incisional pain rated 9 on a scale of 0 to 10 and is grimacing. Morphine 10 mg subcutaneously administered as prescribed.

1000:

Client is difficult to arouse. The client’s face appears flushed, and his breathing is shallow. His eyes are closed, and he is not responding to verbal stimuli. Morphine administration was noted 60 minutes ago.

Pupils are 3 mm, equal, and reactive to light.

Skin is warm and dry with no signs of infection at the surgical site.

Abdomen is soft, with moderate tenderness over the surgical site.

The client is restless and grimacing, and his respirations are shallow and slow.

Temperature: 37.5°C (99.5°F)

Pulse: 61/min

Respiratory Rate: 10/min

Blood Pressure: 99/46 mm Hg

Pulse Oximetry: 88% on room air (normal range: 95%-100%)

None provided.

Continue with morphine as prescribed.

Monitor vital signs every 30 minutes for the next 2 hours.

Alert the primary healthcare provider if respiratory rate drops below 12/min or if oxygen saturation falls below 90%.

Morphine 10 mg subcutaneously every 3 hours as needed for pain.

The client received a dose of morphine at 0900.

Select the documentation in the client's medical record that requires further action by the nurse. Select all that apply

Answer Options

Respiratory rate 10/min

Pulse oximetry 88% on room air

Blood pressure 99/46 mm Hg

Morphine 10 mg administered subcutaneously

Hint : ⚠️Which findings suggest the medication caused suppressed breathing?

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

finally do the same for footer

1 : A nurse is caring for a postoperative male client in the surgical unit. The following exhibits are available for review.

Answer Options

2 : A nurse is assisting in the care of a client who has pneumonia in the medical unit.

Answer Options

3 : A 4-year-old child arrives at the ER with fever and difficulty walking, and the nurse notices bruises in the genital area; what is the nurse's immediate action?

4 : A client on hydrochlorothiazide requires more dietary potassium; which snack is most appropriate?

5 : What is the best immediate postoperative positioning for a client who just had thyroid removal?

6 : A client with chronic dyspepsia is diagnosed with gastric cancer; which dietary habit likely contributed?

7 : Reviewing a client’s chart with antisocial personality disorder, the nurse is likely to find:

8 : A licensed vocational nurse (LVN) may not assume primary care responsibility for which client?

9 : Before dressing a client with full-thickness burns in Sulfamylon, the nurse’s first priority is:

10 : Which behavior best demonstrates normal gross motor development in a toddler?

11 : What item should always accompany a client discharged with a fractured mandible?

12 : Before giving digoxin elixir to a 6-month-old, the nurse hears an apical pulse of 100 bpm. What is the correct action?

13 : A nurse explains the treatment for a 3-year-old with lead poisoning based on the understanding that the child will receive:

14 : A child scheduled for cleft palate surgery will most likely require which type of restraint postoperatively?

15 : A client with glaucoma is prescribed Timoptic (timolol); this medication should be used cautiously if there is a history of:

16 : To reduce nighttime confusion in an elderly client who wanders, the nurse’s best intervention is to:

17 : What is a commonly reported symptom in clients with end-stage renal failure?

18 : Which of the following medication orders requires clarification before administration?

19 : Angela has Meniere’s disease. Which of these foods is acceptable in her diet?

20 : Which of the following is a typical finding in right-sided heart failure?

21 : To obtain an accurate O₂ saturation on an 8-year-old with an upper respiratory infection, the nurse should:

22 : A mother is instructed on giving lanoxin elixir (0.5 mL) to her infant. The best administration method is:

23 : A client scheduled for electroconvulsive therapy expresses fear about what will happen during the treatment. What is the most therapeutic response by the nurse?

24 : Which type of skin lesion is most commonly seen in clients with Lyme disease?

25 : A child with gluten-induced enteropathy (celiac disease) can safely eat which of the following snacks?

26 : A client with schizophrenia is taking Thorazine (chlorpromazine) 400 mg twice daily. Which adverse effect should the nurse watch for?

27 : What should a nurse teach a client taking Dilantin (phenytoin)?

28 : A client on enoxaparin (Lovenox) for emboli prevention needs a medication to reverse its effects. Which drug should be administered?

29 : A care plan is being developed for a confused client with short attention span. Which activity would be most appropriate?

30 : A mother asks which over-the-counter drug can relieve her hemophilic child’s joint pain. What should the nurse recommend?.

31 : A client with varicella is itching severely. Which home remedy can be used to relieve the itching safely?

32 : A male newborn has hypospadias with chordee. How does this affect his urinary pattern?

33 : Jeremiah, a clinical instructor, is reviewing controlled substance schedules. Which of these is NOT classified as Schedule I?

34 : What distinguishes the chest pain of angina from that of myocardial infarction (MI)?

35 : A nurse is designing a bowel retraining plan for a multiple sclerosis client. Which of the following strategies is least beneficial?

36 : A client with Meniere’s disease asks about diet. Which comment shows correct understanding of dietary triggers?

37 : A nurse assesses a multigravida at 36 weeks gestation for preeclampsia signs. Which finding requires immediate attention?

38 : Which outcome would be both realistic and therapeutic for a hospitalized adolescent with borderline personality disorder and self-harming behavior?

39 : What should the nurse do before applying nitroglycerin ointment for a client with angina?.

40 : Which nurse statement best aids in reorienting an unconscious client after regaining consciousness?

41 : What is the expected behavior of a client after experiencing a generalized seizure?

42 : What food should a client with oxalate renal calculi avoid?

43 : What is a crucial teaching point for parents of a child with Legg-Calvé-Perthes disease?

44 : What is a likely finding in an infant with Hirschsprung’s disease?

45 : What should a prenatal client take with her iron supplement for best absorption?

46 : Which statement suggests a pregnant hypertensive client needs more teaching about her diet?

47 : What ability is most likely to decline in a disoriented elderly client with dementia?

48 : Where should the nurse place the ultrasound transducer when the fetus is in a left occipital posterior (LOP) position?

49 : Which medication is routinely given to reduce withdrawal symptoms during alcohol detoxification?

50 : When should breakfast be served after administering regular insulin subcutaneously?

51 : Which pain assessment tool is best for a 5-month-old infant who sustained injuries?

52 : Which antibiotic is not recommended for use in infants or young children?

53 : What major complication is commonly associated with systemic lupus erythematosus (SLE)?

54 : Which type of diet is linked to a greater risk of developing colorectal cancer?

55 : After cleft lip repair, which comforting method should the nurse avoid?

56 : How should the nurse respond to a prescription of amoxicillin capsules for a client with esophageal varices?

57 : Which food should be avoided in a client with hemochromatosis?

58 : How can a client with Parkinson’s disease prevent spinal curvature?

59 : What diet is best after recovering from pancreatitis?

60 : How can a client with hypothyroidism feel more comfortable when frequently cold?

61 : What is the most significant risk factor for laryngeal cancer?

62 : What symptom helps distinguish pernicious anemia from other types of anemia?

63 : A client’s medical record indicates schizophrenia with perseveration. How is this behavior likely to manifest?

64 : A helpful morning routine for alleviating rheumatoid arthritis symptoms involves what activity?

65 : A 6-month-old infant who weighed 7 pounds at birth is expected to weigh how much now?

66 : For a client with nontropical sprue, which food likely caused a flare-up of symptoms?

67 : Which observation would show that Digoxin (Lanoxin) is working effectively in a client with heart failure?

68 : What play activity best supports gross motor development in toddlers?

69 : When teaching about Basaljel (aluminum carbonate), which side effect should the client be made aware of?

70 : A client with suspected abdominal aortic aneurysm (AAA) is likely to report which symptom?

71 : During assessment of a client in acute adrenal crisis, what sign is most likely observed?

72 : Following TURP surgery, which finding should the nurse report immediately?

73 : A 9-year-old hospitalized with suspected rheumatic fever exhibits symptoms consistent with polymigratory arthritis. What symptom most supports this condition?

74 : A child with croup is placed in a cool, high-humidity tent. What is the primary reason for this intervention?

75 : An initial assessment of a client diagnosed with hypothyroidism would most likely reveal which symptoms?

76 : Robert, diagnosed with varicella, wants to know when the disease is contagious. Which statement best describes this period?

77 : A psychiatric client believes he is the Son of God and insists on seeing his followers. What best explains this delusion?

78 : After returning from an esophagoscopy, what is the nurse’s most important assessment before giving fluids?

1 :
A nurse is caring for a postoperative male client in the surgical unit. The following exhibits are available for review.

2 :
A nurse is assisting in the care of a client who has pneumonia in the medical unit.

3 :
A 4-year-old child arrives at the ER with fever and difficulty walking, and the nurse notices bruises in the genital area; what is the nurse's immediate action?

4 :
A client on hydrochlorothiazide requires more dietary potassium; which snack is most appropriate?

5 :
What is the best immediate postoperative positioning for a client who just had thyroid removal?

6 :
A client with chronic dyspepsia is diagnosed with gastric cancer; which dietary habit likely contributed?

7 :
Reviewing a client’s chart with antisocial personality disorder, the nurse is likely to find:

8 :
A licensed vocational nurse (LVN) may not assume primary care responsibility for which client?

9 :
Before dressing a client with full-thickness burns in Sulfamylon, the nurse’s first priority is:

10 :
Which behavior best demonstrates normal gross motor development in a toddler?

11 :
What item should always accompany a client discharged with a fractured mandible?

12 :
Before giving digoxin elixir to a 6-month-old, the nurse hears an apical pulse of 100 bpm. What is the correct action?

13 :
A nurse explains the treatment for a 3-year-old with lead poisoning based on the understanding that the child will receive:

14 :
A child scheduled for cleft palate surgery will most likely require which type of restraint postoperatively?

15 :
A client with glaucoma is prescribed Timoptic (timolol); this medication should be used cautiously if there is a history of:

16 :
To reduce nighttime confusion in an elderly client who wanders, the nurse’s best intervention is to:

17 :
What is a commonly reported symptom in clients with end-stage renal failure?

18 :
Which of the following medication orders requires clarification before administration?

19 :
Angela has Meniere’s disease. Which of these foods is acceptable in her diet?

20 :
Which of the following is a typical finding in right-sided heart failure?

21 :
To obtain an accurate O₂ saturation on an 8-year-old with an upper respiratory infection, the nurse should:

22 :
A mother is instructed on giving lanoxin elixir (0.5 mL) to her infant. The best administration method is:

23 :
A client scheduled for electroconvulsive therapy expresses fear about what will happen during the treatment. What is the most therapeutic response by the nurse?

24 :
Which type of skin lesion is most commonly seen in clients with Lyme disease?

25 :
A child with gluten-induced enteropathy (celiac disease) can safely eat which of the following snacks?

26 :
A client with schizophrenia is taking Thorazine (chlorpromazine) 400 mg twice daily. Which adverse effect should the nurse watch for?

27 :
What should a nurse teach a client taking Dilantin (phenytoin)?

28 :
A client on enoxaparin (Lovenox) for emboli prevention needs a medication to reverse its effects. Which drug should be administered?

29 :
A care plan is being developed for a confused client with short attention span. Which activity would be most appropriate?

30 :
A mother asks which over-the-counter drug can relieve her hemophilic child’s joint pain. What should the nurse recommend?.

31 :
A client with varicella is itching severely. Which home remedy can be used to relieve the itching safely?

32 :
A male newborn has hypospadias with chordee. How does this affect his urinary pattern?

33 :
Jeremiah, a clinical instructor, is reviewing controlled substance schedules. Which of these is NOT classified as Schedule I?

34 :
What distinguishes the chest pain of angina from that of myocardial infarction (MI)?

35 :
A nurse is designing a bowel retraining plan for a multiple sclerosis client. Which of the following strategies is least beneficial?

36 :
A client with Meniere’s disease asks about diet. Which comment shows correct understanding of dietary triggers?

37 :
A nurse assesses a multigravida at 36 weeks gestation for preeclampsia signs. Which finding requires immediate attention?

38 :
Which outcome would be both realistic and therapeutic for a hospitalized adolescent with borderline personality disorder and self-harming behavior?

39 :
What should the nurse do before applying nitroglycerin ointment for a client with angina?.

40 :
Which nurse statement best aids in reorienting an unconscious client after regaining consciousness?

41 :
What is the expected behavior of a client after experiencing a generalized seizure?

42 :
What food should a client with oxalate renal calculi avoid?

43 :
What is a crucial teaching point for parents of a child with Legg-Calvé-Perthes disease?

44 :
What is a likely finding in an infant with Hirschsprung’s disease?

45 :
What should a prenatal client take with her iron supplement for best absorption?

46 :
Which statement suggests a pregnant hypertensive client needs more teaching about her diet?

47 :
What ability is most likely to decline in a disoriented elderly client with dementia?

48 :
Where should the nurse place the ultrasound transducer when the fetus is in a left occipital posterior (LOP) position?

49 :
Which medication is routinely given to reduce withdrawal symptoms during alcohol detoxification?

50 :
When should breakfast be served after administering regular insulin subcutaneously?

51 :
Which pain assessment tool is best for a 5-month-old infant who sustained injuries?

52 :
Which antibiotic is not recommended for use in infants or young children?

53 :
What major complication is commonly associated with systemic lupus erythematosus (SLE)?

54 :
Which type of diet is linked to a greater risk of developing colorectal cancer?

55 :
After cleft lip repair, which comforting method should the nurse avoid?

56 :
How should the nurse respond to a prescription of amoxicillin capsules for a client with esophageal varices?

57 :
Which food should be avoided in a client with hemochromatosis?

58 :
How can a client with Parkinson’s disease prevent spinal curvature?

59 :
What diet is best after recovering from pancreatitis?

60 :
How can a client with hypothyroidism feel more comfortable when frequently cold?

61 :
What is the most significant risk factor for laryngeal cancer?

62 :
What symptom helps distinguish pernicious anemia from other types of anemia?

63 :
A client’s medical record indicates schizophrenia with perseveration. How is this behavior likely to manifest?

64 :
A helpful morning routine for alleviating rheumatoid arthritis symptoms involves what activity?

65 :
A 6-month-old infant who weighed 7 pounds at birth is expected to weigh how much now?

66 :
For a client with nontropical sprue, which food likely caused a flare-up of symptoms?

67 :
Which observation would show that Digoxin (Lanoxin) is working effectively in a client with heart failure?

68 :
What play activity best supports gross motor development in toddlers?

69 :
When teaching about Basaljel (aluminum carbonate), which side effect should the client be made aware of?

70 :
A client with suspected abdominal aortic aneurysm (AAA) is likely to report which symptom?

71 :
During assessment of a client in acute adrenal crisis, what sign is most likely observed?

72 :
Following TURP surgery, which finding should the nurse report immediately?

73 :
A 9-year-old hospitalized with suspected rheumatic fever exhibits symptoms consistent with polymigratory arthritis. What symptom most supports this condition?

74 :
A child with croup is placed in a cool, high-humidity tent. What is the primary reason for this intervention?

75 :
An initial assessment of a client diagnosed with hypothyroidism would most likely reveal which symptoms?

76 :
Robert, diagnosed with varicella, wants to know when the disease is contagious. Which statement best describes this period?

77 :
A psychiatric client believes he is the Son of God and insists on seeing his followers. What best explains this delusion?

78 :
After returning from an esophagoscopy, what is the nurse’s most important assessment before giving fluids?

79 :
What discharge teaching should be emphasized after cataract surgery?

80 :
An 8-year-old presents with drooling, sore throat, muffled voice, stridor, and fever. What is the most concerning possible diagnosis?