NCLEC RN EXAM Practice 2022 Q&A

NCLEC RN EXAM PREP 1. The nurse is caring for a client with Clostridium difficile colitis. Which of the following infection control measures by the nurse are appropriate? Select all that apply. a) Applies sterile gloves before performing client care b) Ensures surgical masks are worn by staff in the client's room c) Requests that the client be assigned to a single-client room d) Uses alcohol-based sanitizers for hand hygiene e) Wears a single-use, disposable gown during client care 2. The nurse is performing open endotracheal suctioning for a client with a tracheostomy tube. Which of the following actions by the nurse are appropriate? Select all that apply. a) Administers 100% oxygen prior to suctioning the client b) Applies suction while withdrawing the catheter from the airway c) Instills sterile normal saline into the tracheostomy prior to suctioning d) Limits suctioning to 20 seconds during each suction pass e) Uses sterile gloves and technique throughout the procedure The telemetry nurse is reviewing the cardiac monitors of 4 clients. Which cardiac rhythm is the priority for intervention by the nurse? 1. (1%) 2. (2%) 3. (71%) 4. 3. The nurse is preparing to administer medications to a client with an asthma exacerbation. Which prescription should the nurse confirm with the health care provider prior to administration? Click on the exhibit button for additional information. a) Albuterol 2.5 mg per nebulizer every 4 hours (2%) b) Enoxaparin 40 mg subcutaneously every 24 hours (70%) c) Methylprednisolone succinate 20 mg IV every 6 hours (13%) d) Potassium chloride 20 mEq IV every 24 hours (13%) 4. The nurse is caring for a client at 39 weeks gestation in active labor who is receiving an oxytocin infusion. The nurse notes persistent late decelerations on the fetal monitor. Which of the following actions should the nurse take? Select all that apply. a) Administer oxygen via a nonrebreather face mask b) Change maternal position to the left side c) Discontinue the oxytocin infusion d) Notify the health care provider e) Perform a nitrazine test 5. The nurse is caring for a client with Bell palsy. Which of the following assessment findings does the nurse expect? Select all that apply. a) Change in lacrimation on the affected side b) Electric shock–like pain in the lips and gums c) Flattening of the nasolabial fold d) Inability to smile symmetrically e) Severe pain along the cheekbone 6. The nurse is inspecting the legs of a client with a suspected lower-extremity deep venous thrombosis. Which of the following clinical manifestations should the nurse expect? Select all that apply. a) Blue, cyanotic toes b) Calf pain c) Dry, shiny, hairless skin d) Lower leg warmth and redness e) Unilateral leg edema 7. The nurse cares for a client with a pulmonary embolism. Which of the following clinical manifestations would the nurse anticipate? Select all that apply. a) Bradycardia b) Chest pain c) Dyspnea d) Hypoxemia e) Tachypnea f) Tracheal deviation 8. The registered nurse (RN) is discussing care of shared clients with the licensed practical nurse. Which of the following clients require intervention by the RN? Select all that apply. a) A client receiving a blood transfusion who reports severe anxiety and has blood pressure 90/60 mm Hg and pulse 110/min b) A client receiving oral metoprolol whose heart rate has decreased to 60/min after administration c) A client whose blood pressure decreased from 130/80 mm Hg to 110/70 mm Hg following administration of 1 mg hydromorphone IV d) A client whose blood pressure was 90/65 mm Hg before prescribed oral nifedipine was administered e) A client whose pulse increased from 70/min to 100/min after albuterol administration 9. The nurse receives new prescriptions for a client with right lower quadrant pain and suspected acute appendicitis. Which prescription should the nurse implement first? a) Administer 0.25 mg hydromorphone IV push for pain (25%) b) Draw blood for complete blood count and electrolyte levels (20%) c) Initiate IV access and infuse normal saline 100 mL/hr (50%) d) Obtain urine specimen for urinalysis (4%) 10. A health care provider prescribes cefuroxime 30 mg/kg/day PO divided in equal doses every 12 hours for a child with a urinary tract infection. The child weighs 34 lb. Based on the available concentration of cefuroxime, how many mL would the nurse administer per dose? Click the exhibit button for additional information. Record your answer using one decimal place. Correct answer 4.6 11. The nurse is delegating client care tasks to a licensed practical nurse (LPN) and unlicensed assistive personnel. Which of the following assignments are most appropriate to assign to the LPN? Select all that apply. a) Administer a client's daily dose of subcutaneous insulin glargine b) Administer a scheduled oral analgesic to a 2 days postoperative client c) Complete an admission nursing interview for a client admitted for elective hysterectomy d) Reinforce teaching on self-administration of insulin to a client with diabetes mellitus e) Tally the shift's intake and outputs for the entire unit 12. The nurse cares for a client with aortic stenosis who was admitted due to syncope on exertion and dyspnea. Identify the area where the nurse would best auscultate the client's heart murmur. Left-clicking the mouse will place an X to show the answer before submitting the question.