NCLEX-RN Practice Quiz Test Bank #9
(75 Questions)
NCLEXRN-09-001
Question Tag: room assignments
Question Category: Physiological Integrity, Basic Care and Comfort
Which roommate would be most suitable for the 6-year-old male with a fractured
femur in Russell’s traction?
A. 16-year-old female with scoliosis
B. 12-year-old male with a fractured femur
C. 10-year-old male with sarcoma
D. 6-year-old male with osteomyelitis
Correct Answer: B. 12-year-old male with a fractured femur
The 6-year-old should have a roommate as close to the same age as possible, so
the 12-year-old is the best match. A bed is available and the patient gets
assigned. There are certain constraints—sex, semi-private versus private, isolation
issues, acuity, telemetry and specialty needs. All need to be taken into account to
ensure that each patient goes to the right place and receives the proper care. But
good capacity management demands that bed assignment be carefully
considered and executed.
Option A: The client is too old and is female. Bed assignment simply
provides the proper location based on specific patient attributes like sex,
isolation, telemetry, acuity and specialty needs.
Option C: The 10-year-old with sarcoma has cancer and will be treated
with chemotherapy that makes him immune suppressed. Bed managers
aim at finding an assignment of patients to rooms that strikes a balance
between patients’ preferences and comfort on the one hand, and patients’
clinical conditions and the resulting required room facilities on the other.
, Option D: The 6-year-old with osteomyelitis is infectious. Rooms and beds
belong to the critical assets of just any hospital. They account for a
considerable part of a hospital’s infrastructure, and a large amount of
financial resources are invested in equipping them with medical apparatus
to facilitate patient care. Furthermore, they also represent the place where
most patients will spend a large part of their stay, as they recover from
surgery, wait for examinations to take place, etc.
NCLEXRN-09-002
Question Tag: celebrex (Celecoxib)
Question Category: Health Promotion and Maintenance
A client with osteoarthritis has a prescription for celebrex (Celecoxib). Which
instruction should be included in the discharge teaching?
A. Take the medication with milk.
B. Report chest pain.
C. Remain upright after taking for 30 minutes.
D. Allow 6 weeks for optimal effects.
Correct Answer: B. Report chest pain.
Cox II inhibitors have been associated with heart attacks and strokes. Any
changes in cardiac status or signs of a stroke should be reported immediately,
along with any changes in bowel or bladder habits because bleeding has been
linked to use of Cox II inhibitors. Like all NSAIDs, celecoxib carries an FDA boxed
warning for cardiovascular risk, including the increased risk of heart attacks and
strokes. As a selective COX-2 inhibitor, celecoxib also faces scrutiny for increased
cardiovascular risk, since another selective COX-2 inhibitor, rofecoxib, was
withdrawn from production in 2004 due to cardiovascular risk concerns.
Option A: The medication can be taken with water. Celecoxib is a
medication that is taken orally and comes in 50, 100, 200, and 400 mg
doses. In rare cases, celecoxib can also be added to customized
compounds for topical administration with or without the use of
, iontophoresis or other topical delivery mechanisms. It is not available via
any other route of administration.
Option C: The client may remain upright but not necessarily for 30
minutes. Symptoms of celecoxib overdose would likely be similar to
overdoses of other NSAIDs, which include lethargy, drowsiness, nausea,
vomiting, and epigastric pain. Activated charcoal may be administered for
overdose treatment at the discretion of emergency medical providers if the
patient presents within 4 hours of known or suspected ingestion of
significant amounts of celecoxib.
Option D: Allow 6 weeks for optimal effect. In the inpatient setting, as
mentioned above, celecoxib is increasingly being used as part of pre-
operative and post-operative multimodal pain management algorithms.
Research has shown in several small randomized trials that administering
celecoxib peri-operatively for elective procedures such as total hip
arthroplasties, total knee arthroplasties, and other procedures with some
success in reducing pain and improving functionality such as early
ambulation.
NCLEXRN-09-003
Question Tag: fracture, cast
Question Category: Safe and Effective Care Environment,, Safety and Infection
Control
A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the
fracture. Which action by the nurse indicates an understanding of a plaster-of-
Paris cast? The nurse:
A. Handles the cast with the fingertips
B. Petals the cast
C. Dries the cast with a hair dryer
D. Allows 24 hours before bearing weight
Correct Answer: D. Allows 24 hours before bearing weight
, A plaster-of-Paris cast takes 24 hours to dry, and the client should not bear
weight for 24 hours. After the process of applying the casting material is
completed, the material will start to dry in about 10 to 15 minutes. The
temperature of the skin might rise as the plaster is drying because of a chemical
reaction that occurs. When plaster is used, it can take from 1 to 2 days for the
cast to harden completely.
Option A: The cast should be handled with the palms, not the fingertips.
Use the palm of hand to apply, hold, or move cast and support on pillows
after application. Uneven plaster is irritating to the skin and may result in
abrasions.
Option B: Petaling a cast is covering the end of the cast with cast batting
or a sock, to prevent skin irritation and flaking of the skin under the cast.
Trim excess plaster from edges of the cast as soon as casting is completed;
prevents skin breakdown caused by prolonged moisture trapped under the
cast.
Option C: The client should be told not to dry the cast with a hair dryer
because this causes hot spots and could burn the client. This also causes
unequal drying. Promote cast drying by removing bed linen, exposing it to
circulating air; pressure can cause ulcerations, necrosis, or nerve palsies.
Pad (petal) the edges of the cast with waterproof tape; provides an
effective barrier to cast flaking and moisture. Helps prevent the breakdown
of cast material at the edges and reduce skin irritation and excoriation.
NCLEXRN-09-004
Question Tag: fiberglass cast
Question Category: Physiological Integrity, Basic Care and Comfort
The teenager with a fiberglass cast asks the nurse if it will be okay to allow his
friends to autograph his cast. Which response would be best?
A. “It will be alright for your friends to autograph the cast.”
B. “Because the cast is made of plaster, autographing can weaken the cast.”
C. “If they don’t use chalk to autograph, it is okay.”
(75 Questions)
NCLEXRN-09-001
Question Tag: room assignments
Question Category: Physiological Integrity, Basic Care and Comfort
Which roommate would be most suitable for the 6-year-old male with a fractured
femur in Russell’s traction?
A. 16-year-old female with scoliosis
B. 12-year-old male with a fractured femur
C. 10-year-old male with sarcoma
D. 6-year-old male with osteomyelitis
Correct Answer: B. 12-year-old male with a fractured femur
The 6-year-old should have a roommate as close to the same age as possible, so
the 12-year-old is the best match. A bed is available and the patient gets
assigned. There are certain constraints—sex, semi-private versus private, isolation
issues, acuity, telemetry and specialty needs. All need to be taken into account to
ensure that each patient goes to the right place and receives the proper care. But
good capacity management demands that bed assignment be carefully
considered and executed.
Option A: The client is too old and is female. Bed assignment simply
provides the proper location based on specific patient attributes like sex,
isolation, telemetry, acuity and specialty needs.
Option C: The 10-year-old with sarcoma has cancer and will be treated
with chemotherapy that makes him immune suppressed. Bed managers
aim at finding an assignment of patients to rooms that strikes a balance
between patients’ preferences and comfort on the one hand, and patients’
clinical conditions and the resulting required room facilities on the other.
, Option D: The 6-year-old with osteomyelitis is infectious. Rooms and beds
belong to the critical assets of just any hospital. They account for a
considerable part of a hospital’s infrastructure, and a large amount of
financial resources are invested in equipping them with medical apparatus
to facilitate patient care. Furthermore, they also represent the place where
most patients will spend a large part of their stay, as they recover from
surgery, wait for examinations to take place, etc.
NCLEXRN-09-002
Question Tag: celebrex (Celecoxib)
Question Category: Health Promotion and Maintenance
A client with osteoarthritis has a prescription for celebrex (Celecoxib). Which
instruction should be included in the discharge teaching?
A. Take the medication with milk.
B. Report chest pain.
C. Remain upright after taking for 30 minutes.
D. Allow 6 weeks for optimal effects.
Correct Answer: B. Report chest pain.
Cox II inhibitors have been associated with heart attacks and strokes. Any
changes in cardiac status or signs of a stroke should be reported immediately,
along with any changes in bowel or bladder habits because bleeding has been
linked to use of Cox II inhibitors. Like all NSAIDs, celecoxib carries an FDA boxed
warning for cardiovascular risk, including the increased risk of heart attacks and
strokes. As a selective COX-2 inhibitor, celecoxib also faces scrutiny for increased
cardiovascular risk, since another selective COX-2 inhibitor, rofecoxib, was
withdrawn from production in 2004 due to cardiovascular risk concerns.
Option A: The medication can be taken with water. Celecoxib is a
medication that is taken orally and comes in 50, 100, 200, and 400 mg
doses. In rare cases, celecoxib can also be added to customized
compounds for topical administration with or without the use of
, iontophoresis or other topical delivery mechanisms. It is not available via
any other route of administration.
Option C: The client may remain upright but not necessarily for 30
minutes. Symptoms of celecoxib overdose would likely be similar to
overdoses of other NSAIDs, which include lethargy, drowsiness, nausea,
vomiting, and epigastric pain. Activated charcoal may be administered for
overdose treatment at the discretion of emergency medical providers if the
patient presents within 4 hours of known or suspected ingestion of
significant amounts of celecoxib.
Option D: Allow 6 weeks for optimal effect. In the inpatient setting, as
mentioned above, celecoxib is increasingly being used as part of pre-
operative and post-operative multimodal pain management algorithms.
Research has shown in several small randomized trials that administering
celecoxib peri-operatively for elective procedures such as total hip
arthroplasties, total knee arthroplasties, and other procedures with some
success in reducing pain and improving functionality such as early
ambulation.
NCLEXRN-09-003
Question Tag: fracture, cast
Question Category: Safe and Effective Care Environment,, Safety and Infection
Control
A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the
fracture. Which action by the nurse indicates an understanding of a plaster-of-
Paris cast? The nurse:
A. Handles the cast with the fingertips
B. Petals the cast
C. Dries the cast with a hair dryer
D. Allows 24 hours before bearing weight
Correct Answer: D. Allows 24 hours before bearing weight
, A plaster-of-Paris cast takes 24 hours to dry, and the client should not bear
weight for 24 hours. After the process of applying the casting material is
completed, the material will start to dry in about 10 to 15 minutes. The
temperature of the skin might rise as the plaster is drying because of a chemical
reaction that occurs. When plaster is used, it can take from 1 to 2 days for the
cast to harden completely.
Option A: The cast should be handled with the palms, not the fingertips.
Use the palm of hand to apply, hold, or move cast and support on pillows
after application. Uneven plaster is irritating to the skin and may result in
abrasions.
Option B: Petaling a cast is covering the end of the cast with cast batting
or a sock, to prevent skin irritation and flaking of the skin under the cast.
Trim excess plaster from edges of the cast as soon as casting is completed;
prevents skin breakdown caused by prolonged moisture trapped under the
cast.
Option C: The client should be told not to dry the cast with a hair dryer
because this causes hot spots and could burn the client. This also causes
unequal drying. Promote cast drying by removing bed linen, exposing it to
circulating air; pressure can cause ulcerations, necrosis, or nerve palsies.
Pad (petal) the edges of the cast with waterproof tape; provides an
effective barrier to cast flaking and moisture. Helps prevent the breakdown
of cast material at the edges and reduce skin irritation and excoriation.
NCLEXRN-09-004
Question Tag: fiberglass cast
Question Category: Physiological Integrity, Basic Care and Comfort
The teenager with a fiberglass cast asks the nurse if it will be okay to allow his
friends to autograph his cast. Which response would be best?
A. “It will be alright for your friends to autograph the cast.”
B. “Because the cast is made of plaster, autographing can weaken the cast.”
C. “If they don’t use chalk to autograph, it is okay.”
