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NCLEX RN Practice Questions and Answers – 04

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This Prometric Questionnaire for NCLEX practice questions from a wide range of nursing topics! Answer all the Questionnaires below to help you prepare and review for your NCLEX- RN Exam, Prometric, DHA, HAAD, Etc. Also in this guide is an overview of the NCLEX, understanding what it is and how it is administered is your first step on your way to becoming a registered nurse. Answer Key is given in last.
NCLEX RN Practice Questions and Answers – 04

30. A patient admitted with a cerebrovascular accident (CVA), is unable to chew or swallowed. The patient is a risk for aspiration. The nurse would anticipate receiving which of the following orders for this patient?

  1. Give no food by mouth and start intravenous hydration
  2. Start a pureed diet with thickened liquids
  3. Refer the patient to a psychiatrist for depression related to the CVA
  4. Refer the patient to physical therapy for muscle strengthening

 

31. A home health nurse has entered a home to complete an admission assessment on a patient who has a methicillin-resistant Staphylococcus aureus (MRSA) urinary tract infection. The patient will receive intravenous anti-infective via a peripherally inserted central catheter (PICC) for 3 weeks. Which of the following actions should the nurse take FIRST?

  1. Shake the patient’s hand
  2. Place the nursing supply bag on a clean, dry surface
  3. Obtain the patient’s written consent for home health care
  4. Perform hand hygiene per the agency protocol

 

32. A home health nurse is teaching a family member about the care of patient’s peripherally inserted central catheter (PICC). Which of the following statements would be appropriate for the nurse to make?

  1. Place the used intravenous tubing in a leak-proof container and then place this sealed the container inside a second leak proof container.”
  2. “You will need to put on a disposable face mask before you connect the intravenous tubing to the port of the PICC.”
  3. “The port of the PIC catheter will need to be cleansed with povidone-iodine (BETADINE) after the infusion is completed.”
  4. “The empty medication container can be placed in the same container as your Household refuses.

 

33. A patient had a craniotomy with resection of a nonmalignant neoplasm for the temporal lobe. The patient’s vital signs are within the baseline normal range. The nurse observes that the patient has developed bilateral periorbital edema. Which of the following actions would be appropriate for the nurse to take?

  1. Apply cold compresses to the patient’s eyes
  2. Apply warm compresses to the patient’s eyes
  3. Elevate the head of the patient’s bed to 60 degrees
  4. Elevate the head of the patient’s bed to 45 degrees

 

34. To decrease the incidence of aspiration of gastric contents in a child hospitalization with severe burns, the nurse should position the head:

  1. Flat except during meals
  2. Elevates 30-45 degrees during meals
  3. Elevated 15-30 degrees for12-hours after meals
  4. Elevated 45 degrees at all time

 

35. A home health nurse visits a patient with diabetes and primary open-angle glaucoma. The patient takes metformin (Glucophage) 500 mg once a day for diabetes and timolol ophthalmic solution twice a day in each eye for glaucoma. Which of the following evaluations indicates that the patient is noncompliant with glaucoma management?

  1. Patient has not been taking Glucophage
  2. Patient has tearing of the eye
  3. Patient has not refilled prescription for timolol in 3 months
  4. Patient has yellow discharge from the eye

 

36. A patient is having difficulty with cognitive abilities after a stroke. What part of the brain was MOST likely affected?

  1. Midbrain
  2. Cerebrum
  3. Medulla oblongata
  4. Cerebellum

 

37. A 16-years old patient present to the clinic requesting birth control. With the diagnosis of health-seeking behaviors, the BEST goals have the patient:

  1. Verbalizing understanding of safe sex practices and following safe sexual practices in all encounters
  2. Not engaging in sexual encounters until she is over18 years old and maintaining a healthy lifestyle
  3. Recognizing the sign of pregnancy and the symptoms of sexually transmitted diseases
  4. Understanding safe sexual practices and use a condom to prevent pregnancy and sexually transmitted diseases

 

38. A nurse plans to teach a group of 20 to 25-year-old women about oral contraceptives. The nurse should instruct that oral contraceptives may:

  1. Increase the risk of pelvic inflammatory disease
  2. Cause acne to worsen
  3. Decrease the risk of breast and cervical cancer
  4. Decrease the risk of endometriosis

 

39. Following lumbar surgery, a patient has a 4 millimeter (mm) surgical incision. The incision is clean and the edges are well appropriate. This type of tissue healing is classified as which of the following?

  1. Primary intention
  2. Secondary intention
  3. Tertiary intention
  4. Superficial epidermal

 

40. A shrinkage device is applied after surgery for amputation of the leg. The goal of the shrinkage, device is to from the residual limb into what shape

  1. Cone
  2. Oval
  3. Mushroom
  4. Cylinder with blunt end

NCLEX RN Practice Questions and Answers – 04 – Answer Key

 30. Answer: A

 31. Answer: D

32. Answer: A

33. Answer : D

34. Answer: B

35. Answer: C

36. Answer: B

37. Answer: D

38.  Answer: A

39. Answer: A

40. Answer: D

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