NCLEX RN TEST 1 WITH QUESTIONS AND VERIFIED
ANSWERS LATEST UPDATE FOR GUARANTEED
SUCCESS
A client with ascites is scheduled for a paracentesis. Which instruction should be given
to the client before the procedure?
a "You will need to lay flat during the procedure."
b. "You need to empty your bladder before the procedure."
c. "You will be asleep during the procedure."
d. "The doctor will inject a medication during the procedure."
b. "You need to empty your bladder before the procedure."
A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, K+ 1.9, uric acid 7.0, Na+ 136,
and platelets 178,000cu.mm. The nurse evaluates that the client is experiencing which
of the following?
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia
b Hypokalemia
The nurse is caring for the client who has been in a coma for two months. He has
signed a donor card, but the wife is opposed to the idea of organ donation. How should
the nurse handle the topic of organ donation with the wife?
,a Tell the wife that the hospital will honor her wishes regarding organ donation, but
contact the organ-retrieval staff.
b Tell her that because her husband signed a donor card, the hospital has the right to
take the organs upon the death of her husband.
c Explain that it is necessary for her to donate her husband's organs because he signed
the permit.
d Refrain from talking about the subject until after the death of her husband.
a Tell the wife that the hospital will honor her wishes regarding organ donation, but
contact the organ-retrieval staff.
Due to a high census, it has been necessary for a number of clients to be transferred to
other units within the hospital. Which client should be transferred to the postpartum
unit?
a A 66-year-old female with gastroenteritis
b A 40-year-old female with a hysterectomy
c A 27-year-old male with severe depression
d A 28-year-old male with ulcerative colitis
b A 40-year-old female with a hysterectomy
Before administering Theo-Dur (theophylline), the nurse should check the patient's:
a output
b Blood pressure
c Pulse
d Temperature
c Pulse
,Which information should be given to the patient undergoing radiation therapy for breast
cancer?
a Avoid exposing radiation areas to sunlight during treatment time and for a year after
completion of therapy
b Moisturize the radiation site with oil-based lotion to prevent blistering
c Use bath oil when tub bathing to prevent drying and peeling
d Report redness and soreness of the area to the physician
a Avoid exposing radiation areas to sunlight during treatment time and for a year after
completion of therapy
The charge nurse is making assignments for the day. After accepting the assignment to
care for a client with leukemia, the nurse tells the charge nurse that her child has
chickenpox. Which initial action should the charge nurse take?
a Change the nurse's assignment to another client.
b Explain to the nurse that there is no risk to the client.
c Ask the nurse if the chickenpox have crusted.
d Ask the nurse if she has ever had the chickenpox.
d Ask the nurse if she has ever had the chickenpox.
Which statement is true regarding therapy with Levemir (insulin detemir)?
a The onset is 1-2 hours.
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours.
d The duration is 24 hours.
, Which client should be assigned to the nursing assistant?
a The 18-year-old with a fracture to two cervical vertebrae
b The infant with meningitis with a temperature of 101°F
c The elderly client with a thyroidectomy four days ago
d The client with a thoracotomy two days ago
c The elderly client with a thyroidectomy four days ago
The physician has ordered the Schilling test for a patient with suspected pernicious
anemia. What other vitamin level is often assessed at the same time as the B12 level?
a Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine
a Folic acid
The client is admitted to the emergency room with shortness of breath, anxiety, and
tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130
beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine,
the nurse should monitor his ECG for:
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval
d Prolonged QT interval
Quinidine Can Cause Widened Q-T Intervals And Heart Block.
ANSWERS LATEST UPDATE FOR GUARANTEED
SUCCESS
A client with ascites is scheduled for a paracentesis. Which instruction should be given
to the client before the procedure?
a "You will need to lay flat during the procedure."
b. "You need to empty your bladder before the procedure."
c. "You will be asleep during the procedure."
d. "The doctor will inject a medication during the procedure."
b. "You need to empty your bladder before the procedure."
A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, K+ 1.9, uric acid 7.0, Na+ 136,
and platelets 178,000cu.mm. The nurse evaluates that the client is experiencing which
of the following?
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia
b Hypokalemia
The nurse is caring for the client who has been in a coma for two months. He has
signed a donor card, but the wife is opposed to the idea of organ donation. How should
the nurse handle the topic of organ donation with the wife?
,a Tell the wife that the hospital will honor her wishes regarding organ donation, but
contact the organ-retrieval staff.
b Tell her that because her husband signed a donor card, the hospital has the right to
take the organs upon the death of her husband.
c Explain that it is necessary for her to donate her husband's organs because he signed
the permit.
d Refrain from talking about the subject until after the death of her husband.
a Tell the wife that the hospital will honor her wishes regarding organ donation, but
contact the organ-retrieval staff.
Due to a high census, it has been necessary for a number of clients to be transferred to
other units within the hospital. Which client should be transferred to the postpartum
unit?
a A 66-year-old female with gastroenteritis
b A 40-year-old female with a hysterectomy
c A 27-year-old male with severe depression
d A 28-year-old male with ulcerative colitis
b A 40-year-old female with a hysterectomy
Before administering Theo-Dur (theophylline), the nurse should check the patient's:
a output
b Blood pressure
c Pulse
d Temperature
c Pulse
,Which information should be given to the patient undergoing radiation therapy for breast
cancer?
a Avoid exposing radiation areas to sunlight during treatment time and for a year after
completion of therapy
b Moisturize the radiation site with oil-based lotion to prevent blistering
c Use bath oil when tub bathing to prevent drying and peeling
d Report redness and soreness of the area to the physician
a Avoid exposing radiation areas to sunlight during treatment time and for a year after
completion of therapy
The charge nurse is making assignments for the day. After accepting the assignment to
care for a client with leukemia, the nurse tells the charge nurse that her child has
chickenpox. Which initial action should the charge nurse take?
a Change the nurse's assignment to another client.
b Explain to the nurse that there is no risk to the client.
c Ask the nurse if the chickenpox have crusted.
d Ask the nurse if she has ever had the chickenpox.
d Ask the nurse if she has ever had the chickenpox.
Which statement is true regarding therapy with Levemir (insulin detemir)?
a The onset is 1-2 hours.
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours.
d The duration is 24 hours.
, Which client should be assigned to the nursing assistant?
a The 18-year-old with a fracture to two cervical vertebrae
b The infant with meningitis with a temperature of 101°F
c The elderly client with a thyroidectomy four days ago
d The client with a thoracotomy two days ago
c The elderly client with a thyroidectomy four days ago
The physician has ordered the Schilling test for a patient with suspected pernicious
anemia. What other vitamin level is often assessed at the same time as the B12 level?
a Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine
a Folic acid
The client is admitted to the emergency room with shortness of breath, anxiety, and
tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130
beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine,
the nurse should monitor his ECG for:
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval
d Prolonged QT interval
Quinidine Can Cause Widened Q-T Intervals And Heart Block.
