NCLEX-RN Exam Quiz 08

Question 1 of 10

1. Question

The nurse reports on a patient who went through a thyroidectomy 24 hours ago. The nurse understands that hypocalcemia is a risk for the patient. Which of the following findings from the evaluation indicate that the patient may be hypocalcemic? Choose all that apply.

Positive Trousseau’s sign
"Pins and needles" sensation at the feet of the patient
Positive Moro reflex test
Numbness around the mouth
Negative Chvostek’s sign

Question 2 of 10

2. Question

A patient newly diagnosed with initial-stage chronic glomerulonephritis is assessed by the nurse. Which of the following results should we expect the nurse to see? Select all that is applicable.

Hypotension
Azotemia
Proteinuria
Severe anemia
Hematuria

Question 3 of 10

3. Question

After a hip replacement, a 76-year old woman was admitted to a rehabilitation center. The patient was placed in a vest restriction during an episode of confusion in which she became a risk to herself. Does the nurse know which of the following types of restraints are also considered? Select all that is applicable.

Applying wrist cuffs and tying them to the bed.
Assigning a nurse’s aide to sit and observe the patient.
Raising 4 bed side rails.
Clipping a tray across the front of the patient’s wheelchair.
Administering a haloperidol (Haldol) injection.

Question 4 of 10

4. Question

A 75-year-old patient has an unsteady gait and requires ambulation assistance. The nurse decides that a gait belt should be used. When using a gait belt, does the nurse know she should do which of the following? Choose all that apply

Secure the gait belt loosely around the patient’s waist
Remove the gait belt after use.
Place the gait belt over the client’s clothes with the clip in the front.
Twist her upper body to position the patient.

Question 5 of 10

5. Question

The RN fee prepares assignments for a busy medical unit. There are several LPNs for this shift, several RNs, and one NAP. Which of the following allocations is suitable for the RN charge? Select all that is applicable.

The NAP is assigned to give morning baths.
AN LPN is assigned to insert a urinary catheter.
The patients with IV medications are divided among the RNs.
An LPN is assigned to clients who are prescribed oral medications and will do vital signs on those patients.
An LPN is assigned to perform an initial assessment on a newly admitted patient.

Question 6 of 10

6. Question

With the nurse, a first-time parent discusses developmental milestones. By the time the child is 1 year old, the nurse tells the patient that she can reasonably expect her child to achieve which of the following? Select all that is applicable.

Transferring toys from hand to hand
Rolling from tummy to side
Walking
Vocalizing sounds (coos)
Starting to selectively respond to words

Question 7 of 10

7. Question

The nurse is learning about the challenges of quitting smoking. Which of the following factors will be identified by the nurse as known challenges faced by patients when trying to quit smoking? Select all that is applicable.

Low level of income
Stress and depression
High level of education
Continued exposure to smoking-associated stimuli
Psychosocial problems

Question 8 of 10

8. Question

Which measures should be put in place by the nurse to avoid infection in an Immunocompromised patient who is hospitalized? Choose those that apply

For all invasive operations, use a strict aseptic technique.
In a semi-private room, place the patient with another patient who is Immunocompromised.
Keep fresh flowers and potted plants out of the patient’s room.
Keep commonly used equipment in the patient's room for use by the patient, such as a blood pressure cuff
Use good hand-washing technique before touching the patient.

Question 9 of 10

9. Question

The nurse is conducting an evaluation on a patient who has developed cirrhosis. Which of the following symptoms and signs should the nurse expect to see? Select all that is applicable.

Fruity breath
Dull abdominal ache
Cyanosis
Poor tissue turgor
Bruises

Question 10 of 10

10. Question

The nurse prepares to discharge a patient who, after a crisis of sickle-cell anemia, is stable. In order to prevent future crises, which of the following instructions should the nurse give to the patient? Select all that is applicable.

Avoid tight clothing.
Take pain medications as ordered.
Avoid strenuous exercise.
Apply cold compresses to painful areas.
Limit your fluid intake.

NCLEX-RN Exam Quiz 08

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