Past Nclex Questions 4
1. A client with sever acute respiratory syndrome privately informs a
nurse that he doesn’t want to be placed on a ventilator if his
condition worsens. The client’s wife and children have repeatedly
expressed their desire that every measure be taken for the client.
The most appropriate action by the nurse would be to:
A. Inform the family of the client’s wishes.
a. B. Assure the family that all possible measures will be
taken.
b. C. Support the client’s decision.
c. D. Assure the client that all possible measures will be
taken.
2. 82. A nurse is caring for a client who is scheduled for a
amniocentisis. What information about the procedure should the
nurse provide before the client signs the consent form?
A. Name of procedure, how it’s performed,
description of alternate methods available,
potential risk to mother and fetus, risks
associated if the procedure isn’t performed.
B. Name of procedure, risk to mother, name of
physician who will perform procedure
C. Name of procedure, risks to the fetus
D. Description of alternate methods available, duration
of the procedure, day and time the scheduled
procedure will be performed.
3. 83. A client, who is bound to a wheelchair, comes to the clinic
for follow-up evaluation of pressure ulcers on his buttocks. The
client reports that his family has been changing his hydrocolloid
, dressings every 3 to 5 days. During the past few weeks, he has
been spending less time in his wheelchair, and when he does use
the wheelchair he uses a cushion. During his appointment the nurse
notes that he isn’t using a cushion, and that the wound is covered
with a dry sterile dressing. How should the nurse approach the
client about his treatment regimen?
A. Do nothing because the client is able to make his
own care decisions.
B. Tell the client not to return to the clinic because he
isn’t following the treatment plan.
C. Explain pressure ulcer development in terms he
understands.
D. Provide a brief anatomy and physiology lesson on
how pressure ulcers develop.
4. 84. The nurse identifies which of the following clients as being at
HIGHEST risk for injury?
A. A 3-month-old child is in an infant seat that her
mother has placed on the coffee table.
B. A 2-year-old is playing alone in the living room.
C. A 2 1/2-year-old with a tracheostomy is eating
raisins.
D. A 10-year-old stays home alone for half an hour
after school.
5. 85. The nurse supervises an LPN/LVN provide care to a patient
with an infected abdominal wound. The nurse notes a Penrose
drain in place and the wound is draining copious amounts of
purulent drainage. The nurse determines care is appropriate if
which of the following is observed?
1. A client with sever acute respiratory syndrome privately informs a
nurse that he doesn’t want to be placed on a ventilator if his
condition worsens. The client’s wife and children have repeatedly
expressed their desire that every measure be taken for the client.
The most appropriate action by the nurse would be to:
A. Inform the family of the client’s wishes.
a. B. Assure the family that all possible measures will be
taken.
b. C. Support the client’s decision.
c. D. Assure the client that all possible measures will be
taken.
2. 82. A nurse is caring for a client who is scheduled for a
amniocentisis. What information about the procedure should the
nurse provide before the client signs the consent form?
A. Name of procedure, how it’s performed,
description of alternate methods available,
potential risk to mother and fetus, risks
associated if the procedure isn’t performed.
B. Name of procedure, risk to mother, name of
physician who will perform procedure
C. Name of procedure, risks to the fetus
D. Description of alternate methods available, duration
of the procedure, day and time the scheduled
procedure will be performed.
3. 83. A client, who is bound to a wheelchair, comes to the clinic
for follow-up evaluation of pressure ulcers on his buttocks. The
client reports that his family has been changing his hydrocolloid
, dressings every 3 to 5 days. During the past few weeks, he has
been spending less time in his wheelchair, and when he does use
the wheelchair he uses a cushion. During his appointment the nurse
notes that he isn’t using a cushion, and that the wound is covered
with a dry sterile dressing. How should the nurse approach the
client about his treatment regimen?
A. Do nothing because the client is able to make his
own care decisions.
B. Tell the client not to return to the clinic because he
isn’t following the treatment plan.
C. Explain pressure ulcer development in terms he
understands.
D. Provide a brief anatomy and physiology lesson on
how pressure ulcers develop.
4. 84. The nurse identifies which of the following clients as being at
HIGHEST risk for injury?
A. A 3-month-old child is in an infant seat that her
mother has placed on the coffee table.
B. A 2-year-old is playing alone in the living room.
C. A 2 1/2-year-old with a tracheostomy is eating
raisins.
D. A 10-year-old stays home alone for half an hour
after school.
5. 85. The nurse supervises an LPN/LVN provide care to a patient
with an infected abdominal wound. The nurse notes a Penrose
drain in place and the wound is draining copious amounts of
purulent drainage. The nurse determines care is appropriate if
which of the following is observed?
