NUR 2115 70 NCLEX Module Practice Questions with Answers Graded A+

1. 70 NCLEX Module Practice Questions with Answers 1.A primigravid client at 26 weeks’ gestation asks the nurse what causes heartburn during pregnancy. The nurse should explain to the client that heartburn during pregnancy is usually caused by which of the following? Backflow of Stomach Contents into the esophagus 2. A client at a follow-up appointment after having a miscarriage 2 weeks previously yells at the nurse, “How could God do this to me? I’ve never done anything wrong.” Which of the following responses by the nurse would be most appropriate at this time? God can handle your anger, it is okay 3. A client with cancer has been advised by the physician that he should have chemotherapy. The client is concerned about chemotherapy and wants to take herbal treatments instead. The nurse’s best response to the client is which of the following? Tell me about your concerns with chemotherapy 4. A 4-year-old child is admitted for a cardiac catheterization. Which of the following is most important to include as the nurse teaches this child about the cardiac catheterization? A plastic model of the heart 5. A client has a reddened area over a bony prominence. The nurse finds a nursing assistant massaging this area. The nurse should: Instruct the nursing assistant that the massage is contraindicated because it decreases blood flow to the area 6. A worried mother confides in the nurse that she wants to change physicians because her infant is not getting better. The best response by the nurse is which of the following? You always have an option, to change tell me about your concern 7. A mother who is breast-feeding and has known food sensitivities is asking the nurse what foods she should avoid in her diet. The nurse should advise her to avoid which foods? Select all that apply. Fish and peanuts 8. A widowed client who is receiving chemotherapy tells the nurse that he does not like to cook for himself. A community resource for this client is: Meals on wheels 9. The nurse assists the physician in inserting a temporary pacemaker into the client. After the procedure, the nurse should verify that which of the following has been documented? The client’s cardiovascular status 10. The nurse judges that the parent of a 9-month-old infant in a hip Spica cast understands how to feed the child when the parent states which of the following? I can borrow a special feeding table to use 11. The nurse is assessing home care needs for a group of clients. Which clients qualify for home care services? The client who? Select all that apply. BCD Wrong C and D Correct 12. The nurse is assessing a client who has had a myocardial infarction. The nurse notes the cardiac rhythm shown below (see figure). The nurse identifies this rhythm as: Atrial tachycardia 13. The nursing staff has finished restraining a client. In addition to determining whether anyone was injured, the staff is mandated to evaluate the incident to obtain which of the following ultimate outcomes? Coordinate documentation of the incident 14. The nurse is caring for a client who has experienced severe multiple trauma. The client’s arterial blood gases reveal low arterial oxygen levels that are not responsive to high concentrations of oxygen. The nurse is aware that this finding is a major indicator of the development of which of the following conditions? Acute respiratory distress syndrome 15. A client asks the nurse why he was asked to complete an advance directive when he entered the hospital. The nurse’s best response is which of the following? It is a legal requirement that you are given the opportunity to make an advanced directive 16. When witnessing an adult client’s signature on consent for a procedure, the nurse verifies that the consent was obtained in an appropriate manner. The nurse should verify which of the following? Select all that apply. A, B, C and D 17. A pregnant woman at 22 weeks’ gestation is diagnosed with gonorrhea. The physician orders doxycycline (Vibramycin). The nurse should first: Discuss with the physician the need to change the order 18. After a client undergoes a contraction stress test that is negative, which of the following should the nurse assess next? Evidence of ruptured membranes 19. An infant is at risk for an ileus after surgery to correct intussusception. Which observation should the nurse not include in an assessment for this complication? Assessment of bowel sounds- Wrong….. Measurement of urine specific gravity- Correct 20. A client with asthma asks the nurse if she should use her salmeterol (Serevent) inhaler when she exercises and experiences wheezing and shortness of breath. The nurse’s best response is which of the following? No this drug is a maintenance drug not a rescue drug 21. The nurse should assess the child with nephrotic syndrome for which of the following? Select all that apply. A, B and C- Wrong……. A, B and D- Correct 22. A client is receiving spironolactone (Aldactone) for treatment of bilateral lower extremity edema. The nurse should instruct the client to make which of the following nutritional modifications to prevent an electrolyte imbalance? Decrease foods high in potassium 23. A nurse is assessing a client who is receiving clozapine (Clozaril). The nurse reviews the chart below. What should the nurse do next? Withhold it and notify the physician 24. A nurse is assessing a client with a history of myocardial infarction who is in the surgical unit following a gastric resection. The client complains of chest pains. The nurse obtains the electrocardiogram (ECG) shown (see figure). What should the nurse do first? Call the rapid response team 25. The nurse is watching two siblings, ages 7 and 9 years, verbally arguing over a toy. The nurse has counseled the parent before about how to handle this situation. The nurse should judge that the teaching has been effective when the parent doe