Comprehensive NCLEX-RN Challenge Test 1

A client with a diagnosis of passive-aggressive personality disorder is seen at the local mental health clinic. A common characteristic of persons with passive-aggressive personality disorder is:

An important intervention in monitoring the dietary compliance of a client with bulimia is:

Assuming that all have achieved normal cognitive and emotional development, which of the following children is at greatest risk for accidental poisoning?

The client is admitted for evaluation of aggressive behavior and diagnosed with antisocial personality disorder. A key part of the care of such clients is:

Which of the following examples represents parallel play?

The nurse is ready to begin an exam on a 9-month-old infant. The child is sitting in his mother’s lap. Which should the nurse do first?

In terms of cognitive development, a 2-year-old would be expected to:

Which of the following best describes the language of a 24-month-old?

A client who has been receiving urokinase has a large bloody bowel movement. Which action would be best for the nurse to take immediately?

The client has a prescription for a calcium carbonate compound to neutralize stomach acid. The nurse should assess the client for

Heparin has been ordered for a client with pulmonary embolis. Which statement, if made by the graduate nurse, indicates a lack of understanding of the medication?

The nurse is caring for a client with peripheral vascular disease. To correctly assess the oxygen saturation level, the monitor may be placed on the:

While caring for a client with hypertension, the nurse notes the following vital signs: BP of 140/20, pulse 120, respirations 36, temperature 100.8°F. The nurse’s initial action should be to:

The nurse is preparing a client with an axillo-popliteal bypass graft for discharge. The client should be taught to avoid:

The doctor has ordered antithrombolic stockings to be applied to the legs of the client with peripheral vascular disease. The nurse knows antithrombolic stockings should be applied:

The nurse has just received the shift report and is preparing to make rounds. Which client should be seen first?

A client with a femoral popliteal bypass graft is assigned to a semiprivate room. The most suitable roommate for this client is the client with:

The nurse is teaching the client regarding use of sodium warfarin. Which statement made by the client would require further teaching?

The client returns to the recovery room following repair of an abdominal aneurysm. Which finding would require further investigation?

The nurse is doing bowel and bladder retraining for the client with paraplegia. Which of the following is not a factor for the nurse to consider?

A 20-year-old is admitted to the rehabilitation unit following a motorcycle accident. Which would be the appropriate method for measuring the client for crutches?

The nurse is caring for the client following a cerebral vascular accident. Which portion of the brain is responsible for taste, smell, and hearing?

The client is admitted to the unit after a motor vehicle accident with a temperature of 102°F rectally. The most likely explanations for the elevated temperature is that:

The client is admitted to the hospital in chronic renal failure. A diet low in protein is ordered. The rationale for a low-protein diet is:

The client who is admitted with thrombophlebitis has an order for heparin. The medication should be administered using a/an:

The nurse is taking the blood pressure of the obese client. If the blood pressure cuff is too small, the results will be:

A 4-year-old male is admitted to the unit with nephotic syndrome. He is extremely edematous. To decrease the discomfort associated with scrotal edema, the nurse should:

The client with an abdominal aortic aneurysm is admitted in preparation for surgery. Which of the following should be reported to the doctor?

If the nurse is unable to elicit the deep tendon reflexes of the patella, the nurse should ask the client to:

The physician has ordered atropine sulfate 0.4mg IM before surgery. The medication is supplied in 0.8mg per milliliter. The nurse should administer how many milliliters of the medication?

The nurse is evaluating the client’s pulmonary artery pressure. The nurse is aware that this test evaluates:

A client is being monitored using a central venous pressure monitor. If the pressure is 2cm of water, the nurse should:

The nurse identifies ventricular tachycardia on the heart monitor. The nurse should immediately:

The doctor is preparing to remove chest tubes from the client’s left chest. In preparation for the removal, the nurse should instruct the client to:

The doctor has ordered 80mg of furosemide (Lasix) two times per day. The nurse notes the patient’s potassium level to be 2.5meq/L. The nurse should:

Which of the following lab studies should be done periodically if the client is taking warfarin sodium (Coumadin)?

The client has an order for heparin to prevent post-surgical thrombi. Immediately following a heparin injection, the nurse should:

The client with AIDS tells the nurse that he has been using acupuncture to help with his pain. The nurse should question the client regarding this treatment because acupuncture uses:

The nurse is taking the vital signs of the client admitted with cancer of the pancreas. The nurse is aware that the fifth vital sign is:

The 84-year-old male has returned from the recovery room following a total hip repair. He complains of pain and is medicated with morphine sulfate and promethazine. Which medication should be kept available for the client being treated with opoid analgesics?