Fundamentals of Nursing NCLEX Practice Quiz (600 Questions)

Once a nurse assesses a client’s condition and identifies appropriate nursing diagnoses, a:

Planning is a category of nursing behaviors in which:

Priorities are established to help the nurse anticipate and sequence nursing interventions when a client has multiple problems or alterations. Priorities are determined by the client’s:

A client-centered goal is a specific and measurable behavior or response that reflects a client’s:

For clients to participate in goal setting, they should be:

The nurse writes an expected outcome statement in measurable terms. An example is:

As goals, outcomes, and interventions are developed, the nurse must:

When establishing realistic goals, the nurse:

To initiate an intervention the nurse must be competent in three areas, which include:

Collaborative interventions are therapies that require:

Well formulated, client-centered goals should:

The following statement appears on the nursing care plan for an immunosuppressed client: The client will remain free from infection throughout hospitalization. This statement is an example of a (an):

The following statements appear on a nursing care plan for a client after a mastectomy: Incision site approximated; absence of drainage or prolonged erythema at the incision site; and the client remains afebrile. These statements are examples of:

The planning step of the nursing process includes which of the following activities?

The nursing care plan is:

After determining a nursing diagnosis of acute pain, the nurse develops the following appropriate client-centered goal:

When developing a nursing care plan for a client with a fractured right tibia, the nurse includes in the plan of care independent nursing interventions, including:

Which of the following nursing interventions are written correctly?

A client’s wound is not healing and appears to be worsening with the current treatment. The nurse first considers:

When calling the nurse consultant about a difficult client-centered problem, the primary nurse is sure to report the following:

The primary nurse asked a clinical nurse specialist (CNS) to consult on a difficult nursing problem. The primary nurse is obligated to:

After assessing the client, the nurse formulates the following diagnoses. Place them in order of priority, with the most important (classified as high) listed first.

The nurse is reviewing the critical paths of the clients on the nursing unit. In performing a variance analysis, which of the following would indicate the need for further action and analysis?

The RN has received her client assignment for the day shift. After making the initial rounds and assessing the clients, which client would the RN need to develop a care plan first?

Which of the following statements about the nursing process is most accurate?

What equipment would be necessary to complete an evaluation of cranial nerves 9 and 10 during a physical assessment?

Which technique would be best in caring for a client following receiving a diagnosis of a stage IV tumor in the brain?

An 8.5 lb, 6 oz infant is delivered to a diabetic mother. Which nursing intervention would be implemented when the neonate becomes jittery and lethargic?

What question would be most important to ask a male client who is in for a digital rectal examination?

The nurse assesses a prolonged late deceleration of the fetal heart rate while the client is receiving oxytocin (Pitocin) IV to stimulate labor. The priority nursing intervention would be to:

Which nursing approach would be most appropriate to use while administering an oral medication to a 4-month-old?

Which nursing intervention would be a priority during the care of a 2-month-old after surgery?

While performing a physical examination on a newborn, which assessment should be reported to the physician?

Which action by the mother of a preschooler would indicate a disturbed family interaction?

During the history, which information from a 21-year-old client would indicate a risk for development of testicular cancer?

While caring for a client, the nurse notes a pulsating mass in the client’s periumbilical area. Which of the following assessments is appropriate for the nurse to perform?

When observing 4-year-old children playing in the hospital playroom, what activity would the nurse expect to see the children participating in?

The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the main source of fluids for an infant until about 12 months of age?

While the nurse is administering medications to a client, the client states “I do not want to take that medicine today.” Which of the following responses by the nurse would be best?

The nurse is assessing a 4 month-old infant. Which motor skill would the nurse anticipate finding?

The nurse should recognize that all of the following physical changes of the head and face are associated with the aging client except:

All of the following characteristics would indicate to the nurse that an elder client might experience undesirable effects of medicines except:

When assessing a newborn whose mother consumed alcohol during the pregnancy, the nurse would assess for which of these clinical manifestations?

Which of these statements, when made by the nurse, is most effective when communicating with a 4-year-old?

A 64-year-old client scheduled for surgery with a general anesthetic refuses to remove a set of dentures prior to leaving the unit for the operating room. What would be the most appropriate intervention by the nurse?

The nurse is assessing a client who states her last menstrual period was March 17, and she has missed one period. She reports episodes of nausea and vomiting. Pregnancy is confirmed by a urine test. What will the nurse calculate as the estimated date of delivery (EDD)?

The family of a 6-year-old with a fractured femur asks the nurse if the child’s height will be affected by the injury. Which statement is true concerning long bone fractures in children?

A client is admitted to the hospital with a history of confusion. The client has difficulty remembering recent events and becomes disoriented when away from home. Which statement would provide the best reality orientation for this client?

When a client wishes to improve the appearance of their eyes by removing excess skin from the face and neck, the nurse should provide teaching regarding which of the following procedures?

A woman who is six months pregnant is seen in antepartal clinic. She states she is having trouble with constipation. To minimize this condition, the nurse should instruct her to

A client with chronic pain reports to you, the charge nurse, that the nurse has not been responding to requests for pain medication. What is your initial action?

Family members are encouraging your client to “tough it out” rather than run the risk of becoming addicted to narcotics. The client is stoically abiding by the family’s wishes. Priority nursing interventions for this client should target which dimension of pain?

A client with diabetic neuropathy reports a burning, electrical type in the lower extremities that is not responding to NSAIDs. You anticipate that the physician will order which adjuvant medication for this type of pain?

Which client is most likely to receive opioids for extended periods of time?

As the charge nurse, you are reviewing the charts of clients who were assigned to a newly graduated RN. The RN has correctly chartered the dose and time of medication, but there is no documentation regarding non-pharmaceutical measures. What action should you take first?

In caring for a young child with pain, which assessment tool is the most useful?

In applying the principles of pain treatment, what is the first consideration?

Which route of administration is preferred if immediate analgesia and rapid titration are necessary?

When titrating an analgesic to manage pain, what is the priority goal?

In educating clients about non-pharmaceutical alternatives, which topic could you delegate to an experienced LPN/LVN, who will function under your continued support and supervision?

Place the examples of drugs in the order of usage according to the World Health Organization (WHO) analgesic ladder.

Which client is at greater risk for respiratory depression while receiving opioids for analgesia?

A client appears upset and tearful, but denies pain and refuses pain medication, because “my sibling is a drug addict and has ruined our lives.” What is the priority intervention for this client?

A client is being tapered off opioids and the nurse is watchful for signs of withdrawal. What is one of the first signs of withdrawal?

In caring for clients with pain and discomfort, which task is most appropriate to delegate to the nursing assistant?

The physician has ordered a placebo for a chronic pain client. You are a newly hired nurse and you feel very uncomfortable administering the medication. What is the first action that you should take?

For a cognitively impaired client who cannot accurately report pain, what is the first action that you should take?

Which route of administration is preferable for administration of daily analgesics (if all body systems are functional)?

A first-day postoperative client on a PCA pump reports that the pain control is inadequate. What is the first action you should take?

Which non-pharmacological measure is particularly useful for a client with acute pancreatitis?

What is the best way to schedule medication for a client with constant pain?

Which client(s) are appropriate to assign to the LPN/LVN, who will function under the supervision of the RN or team leader? Select all that apply.

For a client who is taking aspirin, which laboratory value should be reported to the physician?

Which client would be appropriate to assign to a newly graduated RN, who has recently completed orientation?.

A family member asks you, “Why can’t you give more medicine? He is still having a lot of pain.” What is your best response?