Comprehensive NCLEX-RN Challenge Test 4

A 70-year-old male who is recovering from a stroke exhibits signs of unilateral neglect. Which behavior is suggestive of unilateral neglect?

A client with acute leukemia develops a low white blood cell count. In addition to the institution of isolation, the nurse should:

A new nursing graduate indicates in charting entries that he is a licensed registered nurse, although he has not yet received the results of the licensing exam. The graduate’s action can result in a charge of:

The nurse is assigning staff for the day. Which client should be assigned to the nursing assistant?

During the change of shift, the oncoming nurse notes a discrepancy in the number of percocette listed and the number present in the narcotic drawer. The nurse’s first action should be to:

Due to a high census, it has been necessary for a number of clients to be transferred to other units within the hospital. Which client should be transferred to the postpartum unit?

A client with glomerulonephritis is placed on a low-sodium diet. Which of the following snacks is suitable for the client with sodium restriction?

A home health nurse is making preparations for morning visits. Which one of the following clients should the nurse visit first?

A client with cancer develops xerostomia. The nurse can help alleviate the discomfort the client is experiencing associated with xerostomia by:

The nurse is making assignments for the day. The staff consists of an RN, an LPN, and a nursing assistant. Which client could the nursing assistant care for?

The nurse is caring for a client with cerebral palsy. The nurse should provide frequent rest periods because:

The physician has ordered a culture for the client with suspected gonorrhea. The nurse should obtain a culture of:

Which of the following post-operative diets is most appropriate for the client who has had a hemorrhoidectomy?

The client delivered a 9-pound infant two days ago. An effective means of managing discomfort from an episiotomy is:

The nurse is assessing the client recently returned from surgery. The nurse is aware that the best way to assess pain is to:

The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal pH 7.36, CO2 45, O2 84, bicarb 28. The nurse would assess the client to be in:

The schizophrenic client has become disruptive and requires seclusion. Which staff member can institute seclusion?

The physician has ordered sodium warfarin for the client with thrombophlebitis. The order should be entered to administer the medication at

A 25-year-old male is brought to the emergency room with a piece of metal in his eye. The first action the nurse should take is:

To ensure safety while administering a nitroglycerine patch, the nurse should:

The client with Cirrhosis is scheduled for a pericentesis. Which instruction should be given to the client before the exam?

The client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication should be kept available during the test?

The first exercise that should be performed by the client who had a mastectomy 1 day earlier is:

Which woman is not a candidate for RhoGam?

Which laboratory test would be the least effective in making the diagnosis of a myocardial infarction?

The client with a myocardial infarction comes to the nurse’s station stating that he is ready to go home because there is nothing wrong with him. Which defense mechanism is the client using?

The client is receiving total parenteral nutrition (TPN). Which lab test should be evaluated while the client is receiving TPN?

The client with diabetes is preparing for discharge. During discharge teaching, the nurse assesses the client’s ability to care for himself. Which statement made by the client would indicate a need for follow-up after discharge?

The client with cirrhosis of the liver is receiving Lactulose. The nurse is aware that the rationale for the order for Lactulose is:

The client is receiving peritoneal dialysis. If the dialysate returns cloudy, the nurse should:

The nurse employed in the emergency room is responsible for triage of four clients injured in a motor vehicle accident. Which of the following clients should receive priority in care?

Which of the following roommates would be most suitable for the client with myasthenia gravis?

The nurse is observing a graduate nurse as she assesses the central venous pressure. Which observation would indicate that the graduate needs further teaching?

The nurse is working with another nurse and a patient care assistant. Which of the following clients should be assigned to the registered nurse?

Which of the following roommates would be best for the client newly admitted with gastric resection?

The nurse is preparing a client for mammography. To prepare the client for a mammogram, the nurse should tell the client:

Which action by the novice nurse indicates a need for further teaching?

The graduate nurse is assigned to care for the client on ventilator support, pending organ donation. Which goal should receive priority?

The nurse is assigned to care for an infant with physiologic jaundice. Which action by the nurse would facilitate elimination of the bilirubin?

A home health nurse is planning for her daily visits. Which client should the home health nurse visit first?