NCLEX-RN Exam Quiz 02

Question 1 of 10

1. Question

The nurse is caring for a patient with terminal cancer. which item of the following should the nurse consider when planning to control pain using opioids?

Not all pain is real or the illusion of pain
Around-the-clock dosing gives better pain relief than as-needed dosing
Opioid analgesics are highly addictive
Opioid analgesics can cause tachycardia for the patient

Question 2 of 10

2. Question

The nurse is teaching a patient in skeletal leg traction about measures and means to increase bed mobility. Which item of the following would be most helpful for this patient?

Television
Overhead trapeze
Fracture bedpan
Reading materials

Question 3 of 10

3. Question

The nurse is looking after a patient who just returned from the recovery room after undergoing abdominal surgery. The nurse should look for which early sign of hypovolemic shock?

Sleepiness
Increased depth of respiration
Increased pulse rate
Increased orientation to surroundings

Question 4 of 10

4. Question

The nurse provides medication instructions to a patient about digoxin. Which statement by the patient indicates an understanding of its side effects?

“Blurred vision is expected.”
"If my pulse rate drops below 60 beats per minute I should let my health care provider know.”
“If I am nauseated or vomiting, I should stay on liquids and take some liquid antacids.”
“This medication may cause headache and weakness but that is nothing to worry about.”

Question 5 of 10

5. Question

A patient with a diagnosis of cancer is receiving morphine sulfate for pain. The nurse should prioritize which action in the care of the patient?

Encourage the client to cough and deep breathe.
Encourage fluid intake.
Monitor urine output.
Monitor stools.

Question 6 of 10

6. Question

The nurse caring for a client experiencing dystocia determines that the priority is which action?

Monitoring for changes in the physical condition of the mother and fetus
Explanations to family members about what is happening to the client
Position changes and providing comfort measures
Reinforcement of breathing techniques learned in childbirth preparatory classes

Question 7 of 10

7. Question

A patient who had an application of a right arm cast complains of pain at the wrist when the arm is moved. What action should the nurse take first?

Document the findings
Check for paresthesias and paralysis of the right arm
Elevate the arm
Medicate with an additional dose of an opioid

Question 8 of 10

8. Question

The nurse reviews the arterial blood gas results of a patient and notices the following: pH 7.45, PCO2 30 mm Hg, and HCO3 22 mEq/ L (22 mmol/ L). The nurse analyzes these results as an indication of which condition?

Metabolic acidosis, compensated
Respiratory acidosis, uncompensated
Respiratory alkalosis, compensated
Metabolic alkalosis, uncompensated

Question 9 of 10

9. Question

The nurse developing a plan of care for a patient with a cataract condition understands that which problem is the priority?

Concern about the loss of eyesight
Difficulty moving around because of the need for glasses
Becoming lonely because of decreased community immersion
Altered vision due to opacity of the ocular lens

Question 10 of 10

10. Question

The nurse is caring for a hospitalized patient with angina pectoris who begins to feel and experience chest pain. The nurse administers a nitroglycerin tablet sublingually as prescribed, but the pain is still unrelieved. Which action should the nurse take next?

Administer another nitroglycerin tablet.
Call the client’s family.
Contact the health care provider.
Reposition the client.

NCLEX-RN Exam Quiz 02

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