Copy of Pre Test – Next Generation NCLEX® | Self-Assessment

The nurse manager reviews tasks delegated to unlicensed assistive personnel (UAP). Which of the following tasks requires follow-up by the nurse manager?

A client presented to the clinic stating that her home pregnancy test was positive. The nurse understands that this is a

The nurse has instructed a client who is being discharged with crutches about using stairs. Which statement by the client would indicate a correct understanding of the teaching?

The nurse is caring for a client with lung cancer who recently had a left lower lobe removal. Which postoperative intervention will be performed as a priority in the care of this client?

The nurse is caring for a client who has nephrogenic diabetes insipidus. Which of the following medications should the nurse expect to be prescribed for the client?

The nurse is caring for a client with bladder cancer who is being evaluated for metastasis. Which of the following locations is not a common site for metastasis?

A nasogastric tube has been inserted into a client with bowel obstruction for gastric decompression. The nurse should set the suction on which setting?

A nurse is reviewing prescriptions for assigned clients. Which prescriptions require follow-up with the primary healthcare provider? A client with Select all that apply.

A nurse in the psychiatric unit is administering fluoxetine together with tranylcypromine. Following the co-administration of these two medications, the nurse should monitor the client for which symptoms potentially signifying an adverse reaction from administering the combination of these two medications?

The nurse is caring for assigned clients. The nurse should initially follow-up on the client who

The nurse is caring for a client with a percutaneous endoscopic gastrostomy tube. Prior to administering the next tube feeding, the nurse aspirates 80 mL of gastric residual. The nurse should then

The nurse in the emergency department (ED) is caring for a client experiencing agitation, anxiety, and hypertension. On assessment, the client has mydriasis and diaphoresis. The nurse suspects that this client may be intoxicated with which substance?

For each client assessment finding below, select to specify if it is most consistent with a diagnosis of heat stroke or heat exhaustion.

First select to specify if it is most consistent with a diagnosis of heat exhaustion.

For each client assessment finding below, select to specify if it is most consistent with a diagnosis of heat stroke or heat exhaustion.

Select to specify if it is most consistent with a diagnosis of heat stroke

A client has just been diagnosed with a terminal illness. She decides to execute a living will in the unit and asks the nurse to be the witness of the will. What is the most appropriate response by the nurse?

A client experiencing an acute exacerbation of ulcerative colitis underwent diagnostic testing and was found to have elevated serum osmolality and urine specific gravity. Which of the following is related to these findings?

The nurse is planning care for an adolescent scheduled for spinal surgery and is expected to remain hospitalized for several days. To meet this client’s psychosocial needs, the nurse should

The nurse is teaching a client with hypercalcemia appropriate dietary measures. Which food selections by the client would require follow-up by the nurse? Select all that apply.

The nurse is providing the client with information regarding advanced directives. The nurse understands that giving this information supports the client’s

During a 12-hour shift on a medical-surgical unit, nurses are assigned a specific task applicable to all clients within the unit. On this shift, one nurse is assigned to perform wound care and dressing changes for those clients requiring these services, one nurse is assigned to dispense medications to all clients, and one nurse is assigned to monitor the vital signs and assist with all other nursing care. Which nursing delivery system does this example exemplify?

The nurse is assessing a client with peripheral arterial disease (PAD). Which of the following findings would the nurse expect to observe? Select all that apply.

The nurse reviews the assessment information and identifies which two (2) pieces of assessment data requires follow-up? 

The nurse understands which pathological process best explains the client’s findings?

The nurse has been made aware of the following client situations. The nurse should first follow up with the client

The nurse needs to obtain baseline _________________________

prior to administering atenolol because atenolol would be contraindicated if the client _________________________

The nurse understands that the prescribed fenofibrate is intended to _________________________

Prior to administering the prescribed pitavastatin, the nurse needs to obtain baseline _________________________

The nurse performs education regarding metabolic syndrome and reminds the client to return in six weeks for a follow-up appointment

The nurse is caring for a client with systolic heart failure. Which of the following heart sounds would the nurse expect to auscultate? Select all that apply.

The nurse is caring for a client with Human Immunodeficiency Virus ( HIV). Which of the following conditions, if present in the client, should make the nurse concerned about Acquired Immunodeficiency Syndrome ( AIDS)? Select all that apply.

Which of the following is the most accurate education for injury prevention in the home of elderly clients?

A client diagnosed with an anxiety disorder arrives at a busy local mental health clinic. Due to the significant number of individuals moving throughout the clinic, the client unexpectedly suffers an acute anxiety attack. Which nursing interventions would be the most appropriate for the clinic nurse to initiate initially?

Your client is receiving a non-steroidal anti-inflammatory drug (NSAID) in addition to a narcotic analgesic. The client wonders why an NSAID is necessary since the narcotic analgesic offers better pain relief. How would you respond to the client’s question?

The nurse is teaching a 57-year-old client about screening for colorectal cancer.  Which of the following information should the nurse include?

A hospitalized client tells the nurse that she has a living will prepared and that her lawyer will be bringing the will to the hospital today for witness signatures. The client asks the nurse to help her obtain a witness for the will. Which of the following is the most appropriate response?

The nurse is caring for a client who is six hours post-partum. The client informs the nurse that they have changed their peri-pad four times in the last six hours. The nurse should take which action?

The nurse supervising a graduate nurse completes an incident report regarding a client who fell. Which of the following actions by the graduate nurse requires follow-up?

The most effective way to evaluate your adult client’s response to non-pharmacological comfort interventions is to:

The nurse is assessing a client with hepatitis A. Which of the following would be an expected finding? Select all that apply.

The nurse is applying soft wrist restraints to a client who is violent towards the nursing staff. Which actions by the nurse are appropriate? Select all that apply.

A nurse is in charge of a client scheduled for a liver biopsy at 0800. In preparation for the procedure, the nurse should do which of the following?

The nurse is providing care to an 11-week pregnant client who is complaining about hemorrhoids. The nurse recognizes that hemorrhoids can occur due to pressure on the rectal veins from the growing fetus. Which of the following measures is not recommended for alleviating hemorrhoid pain in this client?

The nurse is caring for a newborn immediately after delivery. Which of the following actions would be appropriate?

The nurse is caring for the following assigned clients. The nurse should initially follow-up with the client who is

Upon assessment, the nurse noticed that the site of a client’s peripheral intravenous (IV) catheter was red, warm, painful, and slightly edematous near the insertion point of the IV catheter. After taking the appropriate steps to address the issue and provide care for the client, the nurse documents in the medical record that the client experienced which of the following?

The emergency department (ED) nurse triages a client with suspected bacterial meningitis. The nurse plans on assessing the client for Kernig’s sign. The nurse understands that this sign is positive when the client

The nurse plans a staff developmental conference on total parenteral nutrition (TPN). It would be appropriate for the nurse to identify which indications for using TPN?

The nurse is taking a sample of the fluid pulled from a nasogastric tube to ensure proper placement. The nurse will confirm appropriate placement of the NG tube if the stomach contents have a pH of:

While auscultating a client’s bowel sounds, the nurse notes a swooshing sound to the left of the umbilical area. What would be the nurse’s priority action?