A nurse is planning an educational program for high school students about cigarette smoking. Which of the following potential consequences of smoking is most likely to discourage adolescents from using tobacco
RN NCLEX REVIEW QUESTIONS
A nurse is planning an educational program for high school students about cigarette smoking. Which of the following potential consequences of smoking is most likely to discourage adolescents from using tobacco?
use of tobacco decreases level of athletic ability
Smoking in adolescence increases the risk of lifelong addiction
smoking in adolescence increases the risk of developing lung cancer later in life
Use of tobacco might lead to alcohol and drug abuse
A newly licenced nurse is reviewing the role of a nurse in a disaster planning. Which of the following is an activity a nurse should engage in to assist in disaster preparedness?
make quarantine preparations for those exposed to anthrax
vaccinate susceptible children and adults against smallpox
c participate in community drills and mock events
d.Assess types, levels and scopes of disasters.
A nurse is obtaining a nutritional health history on a client who reports problems with constipation. Which of the following findings should the nurse identify as a cause of constipation?
intolerance to lactose
new precription for an iron supplement
following a high-fiber diet
currently taking probiotics
A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding?
frequent nosebleeds
upper extremity hypotension
increased intracranial pressure
weak femoral pulses
A nurse is interviewing the partner of a client who was admitted in the manic phase of bipolar disorder. The partner states “I dont know what to do. Everthing has been happening so quickly”. Which of the following response by the nurse is therapeutic?
“can you talk about what was happening with your partner at home?”
“why do you think your partner symptoms are progressing so quickly?”
“you should make sure your partner takes the prescribed medication.”
you did the right thing by bringing your partner in for treatment.”
A nurse enters a clients room and sees a small fire in the clients bathroom. Identify the sequence the nurse should take. Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.
Close all nearby windows and doors
transport the client to another area of the nursing unit
use the units fire extinguisher to attempt to put out the fire
Activate the facility fire alarm system
A nurse is caring for a client who is at 41 weeks of gestation and is receiving oxytocin for labor induction. The nurse notes early deceleration on the fetal heart rate monitor. Which of the following nursing actions should the nurse take?
perform a vaginal examination
intiate an amnionfusion
continue to monitor the fetal heart rate
stop the oxytocin infusion
A nurse is providing teaching to the parents of a newborn about newborn genetic screening, which of the following statements should the nurse include in the teaching?
“your baby will be given 2 ounces of water to drink prior to the test”
this test should be performed after your baby is 24 hours old”
a nurse will draw blood from your babys inner elbow”
this test will be repeated when your baby is 2 months old”
A charge nurse is teaching new staff members about factors that increse a clients risk to become violet. Which of the following risk factors should the nurse include as the best predictor of future violence?
previous violent behavior
a history of being in prison
experiencing delusions
male gender
A school nurse is teaching a parent about absence seizures. Which of the following information should the nurse include?
a.“this type of seizure can be mistaken for daydreaming”
the child usually has an aura prior to onset”
this type of seizure has a gradual onset.”
this type of seizure lasts 30 to 60 seconds.”
A nurse is receiving change of shift report for a group of clients. Which of the following clients should the nurse plan to assess first?
a client who has diabetes mellitus and hemoglobin A1c of 6.8%
a client who has sinus arrhythmia and is receiving cardiac monitoring
a client who has a hip fracture and a new onset of tachypnea
a client who has epidural analgesia and weakness in the lower extremities
A nurse in a prenatal clinic is teaching a client about nonpharmacological pain management during labor. Which of the following statements by the client indicates an understanding of the teaching?
a transcutaneous electrical nerve stimulator will help with pelvic pressure.”
I can use my ultrasound pictures as a focalpoint during contractions.”
the nurse will intiate acupuncture when I arrive at the unit”
my nurse can teach me biofeedback at the beginning of labor.”
A nurse has agreed to serve s an interpreter for an older client who is assigned to another nurse. Which of the following statements by the nurse indicates an understanding of this role?
I will receive a small fee for interpreting for this client”
I will let the client know that I am available as the interpreter”
I am glad I am available today, but when I am not, you can use a family member”
I will let the client know that an interpreter is unavailable during the night shift”
A nurse is caring for a client who is 4 hr postpartum and reports that she cannot urinate. Which of the following interventions should the nurse implement?
insert an indwelling urinary catheter.
pour water from a squeeze bottle over the clients perinel area
performa fundal massage
apply cold therapy to the clients perineal area
A nurse is reviweing the laboratory findings of a client who is receiving IV infusion of insulin. The clients laboratory findings reveal a potassium level of 5.5,eq/l, a bun of 15mg/dl, and a creatinine of 1 mg/dl. Which of the following interventions is appropriate for the nurse to take?
intiate a 24 hr urine collection
administer oral potassium to the client
place a cardiac monitor on the client
stop the IV infusion of insulin
A nurse is caring for a client who has COPD and is 5kg (11lb) below her ideal weight. The client experiences shortness of breath when eating. Which of the following actions should the nurse take?
request non-gas forming foods from the dietary department
limit the clients food consumption between meals
arrange for a low protein diet
administer a bronchodialator following meals
A nurse is conducting a health promotion class about the use or oral contrceptives. Which of the following disorders is a contraindication for oral contraceptive use?
fibrocystc breast condition
asthma
fibromyaigia
hypertension
A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings should the nurse report to the provider?
3+ deep-tendon reflexes
protruding hemorrhoids
supine hypotension
urinay frequency
A nurse is caring for a client who is insulin dependent and is undergoing tests to determine if his blood glucose is being adequately controlled. The nurse should identify that which of the following laboratory values is the best indicator of adequate blood glucose control.?
fasting blood glucose 60 mg/dl
HbA1c 6.5%
Postprandial blood glucose 190 mg/dl
HCT 42%
A charge nurse is preparing to lead negotiations among nursing staff due to a conflict about overtime requirements. Which of the following strategies should the change nurse use to promote efffective negotiations?
identify solutions prior to negotiation.
focus on how the conflict occurred
attempt to understand both sides of the issue
personalize the conflict
A nurse is caring for a client who has histrionic personality disorder. Which of the following findings should the nurse expect?
repeated acts of unlawful behavior
suspicious demeanor
seductive behavior
lack of remorse
A nurse is caring for a client who is postpartum and reports difficulty voiding. Which of the following findings should indicate to the nurse that the clients ability to eliminate urine from the bladder is restored?
fundus firm and to the right of the abdominal midline
two voids of 150 ml each over the past 2hr
uterine atony
fundus 2 fingerbreadth above the umbilicus
A community health nurse is planning primary prevention activities to reduce the occurrence of abuse. Which of the following strategies should the nurse include in the plan?
instruct health care professionals to identify abusive situations
connect abuse survivors with legal counsel
teach parenting skills to families at risk for abuse
locate financial support to open a shelter for abuse survivors
A nurse is working with a client who has an anxiety disorder and is in the orientation phas of the therapeutic relationship. Which of the following statements should the nurse make during this phase?
“lets talk about how you can change your response to stress”
“we should establish our roles in the intial session”
“let me show you simple relaxation exercises to manage stress”
“we should discuss resources to implement in our daily life.”
A nurse is preparing to administer three medications to a client who is receiving continuous enteral feeding through an NG tube. Which of the following actions is appropriate for the nurse to take?
add medication directly to enteral feeding
dissolve the medications together
use a syringe to allow the medications to flow by gravity
flush the NG tube with 5ml water
A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include?
metallic taste in mouth
increased urinary frequency
excessive sweating
dry cough
A nurse in an emergency department is caring for a client who reports cocane use 1 hr ago. Which of the following findings should the nurse expect?
hypotension
memory loss
slurred speech
elevated temperature
A nurse is providing teaching to an adolescent who has peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching?
“ I will decrease my daily protein intake to 15 grams per day”
“I will use…
