Lesson 39: NCLEX RN Practice Questions

1. A client is diagnosed with systemic lupus erythematous. Which of the following is a classic sign?

A.       Skin lesions on face

B.       Bronchospasms

C.       Blood clots

D.       Difficulty swallowing

     2.  A client who had a left above the knee amputation 1 day ago was transferred to the rehabilitation center. Upon admission the nurse notices the client’s compression bandage has slipped off, which action should the nurse take first?

A.       Place the client in the left side lying position

B.       Elevate the left leg on 1-2 pillows and write a note

C.       Notify the on call physician

D.       Replace the compression bandage

      3.  A nurse is caring for a client who is a recent amputee. She reads in his treatment orders that the client should be put in the prone position BID. The nurse understands that this action will do which of the following?

A.       To prevent flexion contractures of the hip

B.       To stretch the smooth muscles of the leg

C.       Prepare the leg to tolerate the prosthesis

D.       To prevent skin breakdown of the affected limb

     4.  A nurse is caring for a client who is a recent amputee. She understands which nursing intervention is best for prevention of external rotation of the affected limb?

A.       Putting a pillow under the leg while in the supine position

B.       Applying a sandbag to the knee of the affected

C.       Cover the skin breakdown with a prosthesis to keep infection away

D.       Dust the affected limb with talcum powder before applying prosthesis

       5. Which of the following activities should the nurse plan to teach the client to strengthen his hand muscles in preparation for using crutches?

A.       Eating her meals with a spoon

B.       Incorporating push-ups into the exercise routine

C.       Squeezing a soft ball

D.       Combing her hair independently

   6.   A nurse is caring for a client who may need a right leg amputation. To assess the client's dorsalis pedis pulse, the nurse should palpate the:

A.       Medial aspect of the dorsum of the foot

B.       Lateral surface of the ankle

C.       Ventral aspect of the top of the foot

D.       Medial surface of the ankle

    7.  A patient with a history of a 5-cm abdominal aortic aneurysm is admitted to the emergency department. When she is listening to the aneurysm she would expect to hear which of the following sounds?

A.       A few crackles

B.       Soft rales

C.       A blowing bruit

D.       Stridor

    8.  A 60 years old patient is admitted for a surgical repair of an abdominal aortic aneurysm. The history includes diabetes for 15 years, hyperlipidemia for 9 years, and smoking for 50 years. The patient asks the nurse what caused the aneurysm. The nurse's best response should be:

A.       Hypertension and smoking caused the aneurysm

B.       Plague which leads to atherosclerosis may lead to aneurysms

C.       Infections from diabetes can lead to aneurysms

D.       A congenital defect is most likely the cause of your aneurysm

   9.  Which statement by a patient who is being discharged 10 days after an abdominal aortic aneurysm repair needs follow-up teaching?

A.       I will tell my dentist about my surgery before I get my teeth cleaned again

B.       I will take my pain medications as needed to control my pain

C.       I will call my doctor if my temperature is higher than 102 F

D.       I will limit my time away from crowded places

 

10.  A nurse is caring for a patient who is taking clopidogrel (Plaxix).  The nurse is aware the desired effect of the drug is which of the following?

A.       To reduce the risk of a stroke from a blood clot

B.       To reduce the risk of inflammation

C.       To prevent a blood clot from becoming a emboli

D.       To reduce viscosity of blood and prevent cretinism

   11.  A nurse is caring for a patient who is taking clopidogrel (Plaxix).  The nurse should monitor the client for which of the following adverse sign?

A.       Intermittent nausea and vomiting

B.       Black tarry stool

C.       Papilledema

D.       Painful shins during ambulation

 

 

 

 

Answers Below:

1.       A

2.       D

3.       A

4.       B

5.       C

6.       A

7.       C

8.       B

9.       C Call doctor when temperature is above 100

10.    A This is the purpose of someone taking this medication

11.    A Look up papilledema if you didn’t know what it meant. Remember adverse means not expected so don’t pick black tarry stool