Comprehensive NCLEX-RN Challenge Test 2

The doctor has ordered a patient-controlled analgesia (PCA) pump for the client with chronic pain. The client asks the nurse if he can become overdosed with pain medication using this machine. The nurse demonstrates understanding of the PCA if she states:

The doctor has ordered a Transcutaneous Electrical Nerve Stimulation (TENS) unit for the client with chronic back pain. The nurse teaching the client with a TENS unit should tell the client:

The nurse asked the client if he has an advance directive. The reason for asking the client this question is:

A client who has chosen to breastfeed tells the nurse that her nipples became very sore while she was breastfeeding her older child. Which measure will help her to avoid soreness of the nipples?

The nurse is performing an assessment of an elderly client with a total hip repair. Based on this assessment, the nurse decides to medicate the client with an analgesic. Which finding most likely prompted the nurse to decide to administer the analgesic?

An obstetrical client decides to have an epidural anesthetic to relieve pain during labor. Following administration of the anesthesia, the nurse should monitor the client for:

The nurse is assessing the client admitted for possible oral cancer. The nurse identifies which of the following to be a late-occurring symptom of oral cancer?

The nurse understands that the diagnosis of oral cancer is confirmed with

The nurse is caring for the patient following removal of a large posterior oral lesion. The priority nursing measure would be to:

The registered nurse is conducting an in-service for colleagues on the subject of peptic ulcers. The nurse would be correct in identifying which of the following as a causative factor?

The patient states, “My stomach hurts about 2 hours after I eat.” Based upon this information, the nurse suspects the patient likely has a:

The nurse is caring for a patient with suspected diverticulitis. The nurse would be most prudent in questioning which of the following diagnostic tests?

The nurse is planning care for the patient with celiac disease. In teaching about the diet, the nurse should instruct the patient to avoid which of the following for breakfast?

The nurse is teaching about irritable bowel syndrome (IBS). Which of the following would be most important?

In planning care for the patient with ulcerative colitis, the nurse identifies which nursing diagnosis as a priority?

The patient is prescribed metronidazole (Flagyl) for adjunct treatment for a duodenal ulcer. When teaching about this medication, the nurse would include:

The nurse is preparing to administer a feeding via a nasogastric tube. The nurse would perform which of the following before initiating the feeding?

Which is true regarding the administration of antacids?

The nurse is caring for a patient with a colostomy. The patient asks, “Will I ever be able to swim again?” The nurse’s best response would be:

The nurse is assisting in the care of a patient who is 2 days post-operative from a hemorroidectomy. The nurse would be correct in instructing the patient to:

The nurse is assisting in the care of a client with diverticulosis. Which of the following assessment findings must necessitate an immediate report to the doctor?

The client is newly diagnosed with juvenile onset diabetes. Which of the following nursing diagnoses is a priority?

The nurse is asked by the nurse aide, “Are peptic ulcers really caused by stress?” The nurse would be correct in replying with the following:

The nurse is assisting in the assessment of the patient admitted with “extreme abdominal pain.” The nurse asks the client about the medication that he has been taking because:

The nurse is assessing the abdomen. The nurse knows the best sequence to perform the assessment is:

The nurse is caring for the client who has been in a coma for 2 months. He has signed a donor card, but the wife is opposed to the idea of organ donation. How should the nurse handle the topic of organ donation with the wife?

The client with cancer refuses to care for herself. Which action by the nurse would be best?

The charge nurse is making assignments for the day. After accepting the assignment to a client with leukemia, the nurse tells the charge nurse that her child has chickenpox. Which initial action should the charge nurse take?

The nurse is caring for the client with a mastectomy. Which action would be contraindicated?

The client has an order for gentamycin to be administered. Which lab results should be reported to the doctor before beginning the medication?

Which of the following is the best indicator of the diagnosis of HIV?

The client presents to the emergency room with a “bull’s eye” rash. Which question would be most appropriate for the nurse to ask the client?

Which client should be assigned to the nursing assistant?

The client presents to the emergency room with a hyphema. Which action by the nurse would be best?

The client has an order for FeSo4 liquid. Which method of administration would be best?

The client with an ileostomy is being discharged. Which teaching should be included in the plan of care?

Vitamin K is administered to the newborn shortly after birth for which of the following reasons?

Before administering Methyltrexate orally to the client with cancer, the nurse should check the:

The nurse is teaching a group of new graduates about the safety needs of the client receiving chemotherapy. Before administering chemotherapy, the nurse should:

The client is admitted to the postpartum unit with an order to continue the infusion of Pitocin. The nurse is aware that Pitocin is working if the fundus is: