NAXLEX REVIEW NAXLEX PED MOST TESTED EXAM
QUESTIONS AND ANSWERS GRADED A+ ASSURED
SUCCESS
The mother of a child with cerebral palsy (CP) asks the nurse if her
child's impaired movements will worsen as the child grows. Which
response provides the best explanation? Correct Answers Brain damage
with CP is not progressive but does have a variable course!
The nurse is preparing a teaching plan for an older female client
diagnosed with osteoporosis. Which expected outcome has the highest
priority for this client? Correct Answers Names 3 home safety hazards
to be resolved immediately.
A client is recovering in the outpatient surgical unit after an endoscopic
carpal tunnel release. The nurse assesses, what should the nurse
implement? Correct Answers Check neurovascular status of the distal
digits.
An older client is admitted in respiratory distress secondary to heart
failure (HF), coronary artery disease which assessments should be
included in client's plan of care? (Select all that apply.) Correct Answers
Fluid volume excess.
Decreased cardiac output.
Altered peripheral tissue perfusion.
Fatigue.
,A client is admitted with a severe asthma attack. For the last 3 hours the
client has experienced an increasing short mmol/). Which intervention
should the nurse implement? Correct Answers Administer PRN dose of
albuterol.
A client with a history of dementia has become increasingly confused at
night and is picking at an abdominal longer occlusive, and the I.V.
insertion site is pink. Which intervention should the nurse implement?
Correct Answers Redress the abdominal incision
A client is experiencing withdrawal from the benzodiazepine alprazolam
is demonstrating severe agitation and tremors. What is the best initial
nursing action? Correct Answers Initiate seizure precautions.
The nurse is caring for a client with a history of neuropathy who reports
increasing numbness and tingling in the lower extremities. Which
problem should the nurse determine is the priority for promoting foot
care at this time? Correct Answers Risk for infection.
After initiating a blood pressure cuff and releasing the valve, the nurse
hears silence followed by a Korotkoff sound. What action should the
nurse take next? Correct Answers Continue with the blood pressure
assessment
Three hours after birth, a newborn becomes jittery and tachypneic. What
should the nurse do first? Correct Answers Obtain a capillary glucose
level
,The nurse is assigning care of a client with prostatitis to a practical
nurse (PN). What instruction should the nurse provide the PN regarding
care of this client? Correct Answers Avoid urinary catheterization.
A client exposed to tuberculosis is scheduled to begin prophylactic
treatment with isoniazid. Which information is most important for the
nurse to note before administering the initial dose? Correct Answers
Current diagnosis of hepatitis B.
A client has had several episodes of clear, watery diarrhea that started
yesterday. What action should the nurse implement? Correct Answers
Review the client's current list of medications.
The nurse requests a meal tray for a client who follows Mormon beliefs
and who is on a clear liquid diet following abdominal surgery. Which
menu items should the nurse request for this client? Correct Answers
Chicken broth.
Apple juice.
An older client arrives to the emergency department with reports of
severe nausea and vomiting large amounts of liquid brown emesis at
home. The client's vital signs are temperature of 95.4 degrees F, heart
rate 112 beats/minute, respiration 14 breaths/minute, and blood pressure
74/37mmhg. Which intervention is most important for the nurse to
implement? Correct Answers Keep the head of bed raised at 45 degrees.
An older resident of an extended care facility has recurrent urinary tract
infections. The nursing care plan includes the goal of "increase daily
, intake of fluids." What nursing intervention is most useful in assisting
the resident to meet this goal? Correct Answers Offer a glass of fluid
every hour while awake.
An unlicensed assistive personnel (UAP) leaves the unit without
notifying the staff. In what order should the unit manager implement
these interventions to address the UAP's behavior? Correct Answers
Note date and time of the behavior.
Discuss the issue privately with the UAP.
Plan for scheduled break times.
Evaluate the UAP for signs of improvement.
An adult client with severe depression was admitted to the psychiatric
unit yesterday evening. Although the client ran a marathon one year
ago, his spouse states that the client no longer runs, but sits and watches
television most of the day. Which intervention is most important for the
nurse to include in this client's plan of care for today? Correct Answers
assist client in identifying goals for the day.
While administering a continuous insulin infusion to a client with
diabetic ketoacidosis, it is essential for the nurse to monitor which
serum lab value? Correct Answers Potassium
A client with a history of upper respiratory symptoms is admitted with
chest tightness, a productive cough, and difficulty breathing. The client's
arterial blood gases (ABGs) indicate respiratory acidosis. An increase in
which laboratory test results supports this finding? Correct Answers
Pac02
QUESTIONS AND ANSWERS GRADED A+ ASSURED
SUCCESS
The mother of a child with cerebral palsy (CP) asks the nurse if her
child's impaired movements will worsen as the child grows. Which
response provides the best explanation? Correct Answers Brain damage
with CP is not progressive but does have a variable course!
The nurse is preparing a teaching plan for an older female client
diagnosed with osteoporosis. Which expected outcome has the highest
priority for this client? Correct Answers Names 3 home safety hazards
to be resolved immediately.
A client is recovering in the outpatient surgical unit after an endoscopic
carpal tunnel release. The nurse assesses, what should the nurse
implement? Correct Answers Check neurovascular status of the distal
digits.
An older client is admitted in respiratory distress secondary to heart
failure (HF), coronary artery disease which assessments should be
included in client's plan of care? (Select all that apply.) Correct Answers
Fluid volume excess.
Decreased cardiac output.
Altered peripheral tissue perfusion.
Fatigue.
,A client is admitted with a severe asthma attack. For the last 3 hours the
client has experienced an increasing short mmol/). Which intervention
should the nurse implement? Correct Answers Administer PRN dose of
albuterol.
A client with a history of dementia has become increasingly confused at
night and is picking at an abdominal longer occlusive, and the I.V.
insertion site is pink. Which intervention should the nurse implement?
Correct Answers Redress the abdominal incision
A client is experiencing withdrawal from the benzodiazepine alprazolam
is demonstrating severe agitation and tremors. What is the best initial
nursing action? Correct Answers Initiate seizure precautions.
The nurse is caring for a client with a history of neuropathy who reports
increasing numbness and tingling in the lower extremities. Which
problem should the nurse determine is the priority for promoting foot
care at this time? Correct Answers Risk for infection.
After initiating a blood pressure cuff and releasing the valve, the nurse
hears silence followed by a Korotkoff sound. What action should the
nurse take next? Correct Answers Continue with the blood pressure
assessment
Three hours after birth, a newborn becomes jittery and tachypneic. What
should the nurse do first? Correct Answers Obtain a capillary glucose
level
,The nurse is assigning care of a client with prostatitis to a practical
nurse (PN). What instruction should the nurse provide the PN regarding
care of this client? Correct Answers Avoid urinary catheterization.
A client exposed to tuberculosis is scheduled to begin prophylactic
treatment with isoniazid. Which information is most important for the
nurse to note before administering the initial dose? Correct Answers
Current diagnosis of hepatitis B.
A client has had several episodes of clear, watery diarrhea that started
yesterday. What action should the nurse implement? Correct Answers
Review the client's current list of medications.
The nurse requests a meal tray for a client who follows Mormon beliefs
and who is on a clear liquid diet following abdominal surgery. Which
menu items should the nurse request for this client? Correct Answers
Chicken broth.
Apple juice.
An older client arrives to the emergency department with reports of
severe nausea and vomiting large amounts of liquid brown emesis at
home. The client's vital signs are temperature of 95.4 degrees F, heart
rate 112 beats/minute, respiration 14 breaths/minute, and blood pressure
74/37mmhg. Which intervention is most important for the nurse to
implement? Correct Answers Keep the head of bed raised at 45 degrees.
An older resident of an extended care facility has recurrent urinary tract
infections. The nursing care plan includes the goal of "increase daily
, intake of fluids." What nursing intervention is most useful in assisting
the resident to meet this goal? Correct Answers Offer a glass of fluid
every hour while awake.
An unlicensed assistive personnel (UAP) leaves the unit without
notifying the staff. In what order should the unit manager implement
these interventions to address the UAP's behavior? Correct Answers
Note date and time of the behavior.
Discuss the issue privately with the UAP.
Plan for scheduled break times.
Evaluate the UAP for signs of improvement.
An adult client with severe depression was admitted to the psychiatric
unit yesterday evening. Although the client ran a marathon one year
ago, his spouse states that the client no longer runs, but sits and watches
television most of the day. Which intervention is most important for the
nurse to include in this client's plan of care for today? Correct Answers
assist client in identifying goals for the day.
While administering a continuous insulin infusion to a client with
diabetic ketoacidosis, it is essential for the nurse to monitor which
serum lab value? Correct Answers Potassium
A client with a history of upper respiratory symptoms is admitted with
chest tightness, a productive cough, and difficulty breathing. The client's
arterial blood gases (ABGs) indicate respiratory acidosis. An increase in
which laboratory test results supports this finding? Correct Answers
Pac02
