NURS 301: NCLEX EXAM Q & A
1. A nurse in the emergency department is caring for a client who has myasthenia gravis
and is in crisis. Which of the following factors should the nurse identify as a possible cause of
myasthenic crisis?
Developing a respiratory infection.
2. A nurse is assessing a client who has Parkinson’s disease. Which of the following
manifestations should the nurse expect?
Bradykinesia.
3. A nurse is providing teaching to the family of a client who has Parkinson’s disease.
Which of the following information should the nurse include in the teaching?
Provide client supervision.
4. A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which
of the following actions is the nurse’s priority?
Place the child in isolation.
5. A nurse is caring for a client who has dementia due to Alzheimer’s disease and was
admitted to a long- term care facility following the death of her partner of 40 years. The
, NURS 301: NCLEX EXAM Q & A
client states, “I want to go home; my husband is waiting for me to cook dinner.” Which of the
following responses by the nurse is appropriate?
“Tell me what you like to cook for dinner.”
6. A nurse is assessing a client who has rea score of 6 on the Glasgow Coma Scale. The nurse
should expect which of the following outcomes based on this score?
The client needs total nursing care.
7. A nurse caring for a client who has an infected wound removes a dressing saturated with
blood and purulent drainage. How should the nurse dispose of the dressing material?
Dispose of the dressing in a biohazardous waste container.
8. A nurse in a long-term care facility is caring for an older adult client who has dementia
and begins to have frequent episodes of urinary incontinence. After the provider determines
no medical cause for the client’s incontinence, which of the following interventions should the
nurse initiate to manage this behavior?
Take the client to the bathroom every 2 hr.
9. A nurse is completing discharge teaching to a client about nutrition therapy for wound
healing following major surgery. Which of the following vitamins that promote wound healing
should the nurse include in the teaching? (Select all that apply.)
, NURS 301: NCLEX EXAM Q & A
Vitamin A
Vitamin
B12
Vitamin C
Vitamin K
10. A nurse at a community health clinic is caring for a client who reports a headache and
stiff neck. Which of the following actions should the nurse take first?
Evaluate the client’s neurological status.
11. A nurse is in a client’s room when the client begins having a tonic-clonic seizure. Which
of the following actions should the nurse take first?
Turn the client’s head to the side.
1. A nurse in the emergency department is caring for a client who has myasthenia gravis
and is in crisis. Which of the following factors should the nurse identify as a possible cause of
myasthenic crisis?
Developing a respiratory infection.
2. A nurse is assessing a client who has Parkinson’s disease. Which of the following
manifestations should the nurse expect?
Bradykinesia.
3. A nurse is providing teaching to the family of a client who has Parkinson’s disease.
Which of the following information should the nurse include in the teaching?
Provide client supervision.
4. A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which
of the following actions is the nurse’s priority?
Place the child in isolation.
5. A nurse is caring for a client who has dementia due to Alzheimer’s disease and was
admitted to a long- term care facility following the death of her partner of 40 years. The
, NURS 301: NCLEX EXAM Q & A
client states, “I want to go home; my husband is waiting for me to cook dinner.” Which of the
following responses by the nurse is appropriate?
“Tell me what you like to cook for dinner.”
6. A nurse is assessing a client who has rea score of 6 on the Glasgow Coma Scale. The nurse
should expect which of the following outcomes based on this score?
The client needs total nursing care.
7. A nurse caring for a client who has an infected wound removes a dressing saturated with
blood and purulent drainage. How should the nurse dispose of the dressing material?
Dispose of the dressing in a biohazardous waste container.
8. A nurse in a long-term care facility is caring for an older adult client who has dementia
and begins to have frequent episodes of urinary incontinence. After the provider determines
no medical cause for the client’s incontinence, which of the following interventions should the
nurse initiate to manage this behavior?
Take the client to the bathroom every 2 hr.
9. A nurse is completing discharge teaching to a client about nutrition therapy for wound
healing following major surgery. Which of the following vitamins that promote wound healing
should the nurse include in the teaching? (Select all that apply.)
, NURS 301: NCLEX EXAM Q & A
Vitamin A
Vitamin
B12
Vitamin C
Vitamin K
10. A nurse at a community health clinic is caring for a client who reports a headache and
stiff neck. Which of the following actions should the nurse take first?
Evaluate the client’s neurological status.
11. A nurse is in a client’s room when the client begins having a tonic-clonic seizure. Which
of the following actions should the nurse take first?
Turn the client’s head to the side.
