Fundamentals of Nursing NCLEX Practice Quiz (600 Questions)

The nurse is caring for an elderly woman who has had a fractured hip repaired. In the first few days following the surgical repair, which of the following nursing measures will best facilitate the resumption of activities for this client?

Which of the following is the most important nursing order in a client with major head trauma who is about to receive bolus enteral feeding?

The pathological process causing esophageal varices is/are:

Which of the following interventions will help lessen the effect of GERD (acid reflux)?

The main benefit of therapeutic massages is:

Which of the following foods should be avoided by clients who are prone to develop heartburn as a result of gastroesophageal reflux disease (GERD)?

Which of the following should be included in a plan of care for a client receiving total parenteral nutrition (TPN)?

Which of the following should be included in a plan of care for a client who is lactose intolerant?

Pain tolerance in an elderly patient with cancer would:

What is the main advantage of cutaneous stimulation in managing pain?

The nurse is instructing a 65-year-old female client diagnosed with osteoporosis. The most important instruction regarding exercise would be to

A client in a long-term care facility complains of pain. The nurse collects data about the client’s pain. The first step in pain assessment is for the nurse to

Which statement best describes the effects of immobility in children?

After a myocardial infarction, a client is placed on a sodium-restricted diet. When the nurse is teaching the client about the diet, which meal plan would be the most appropriate to suggest?

A nurse is assessing several clients in a long-term health care facility. Which client is at highest risk for the development of decubitus ulcers?

Mrs. Kennedy had a CVA (cerebrovascular accident) and has a severe right-sided weakness. She has been taught to walk with a cane. The nurse is evaluating her use of the cane prior to discharge. Which of the following reflects the correct use of the cane?

The nurse is instructing a woman on a low-fat, high-fiber diet. Which of the following food choices, if selected by the client, indicate an understanding of a low-fat, high-fiber diet?

An 85-year-old male patient has been bedridden for two weeks. Which of the following complaints by the patient indicates to the nurse that he is developing a complication of immobility?

An eleven-month-old infant is brought to the pediatric clinic. The nurse suspects that the child has iron-deficiency anemia. Because iron deficiency anemia is suspected, which of the following is the most important information to obtain from the infant’s parents?

A 46-year-old female with chronic constipation is assessed by the nurse for a bowel training regimen. Which factor indicates further information is needed by the nurse?

Mr. Teban is a 73-year old patient diagnosed with pneumonia. Which data would be of greatest concern to the nurse when completing the nursing assessment of the patient?

During the nursing assessment, which data represent information concerning health beliefs?

Nurse Patrick is acquiring information from a client in the emergency department. Which is an example of biographic information that may be obtained during a health history?

John Joseph was scheduled for a physical assessment. When percussing the client’s chest, the nurse would expect to find which assessment data as a normal sign over his lungs?

Matteo is diagnosed with dehydration and underwent a series of tests. Which laboratory result would warrant immediate intervention by the nurse?

During an otoscopic examination, which action should be avoided to prevent the client from discomfort and injury?

When assessing the lower extremities for arterial function, which intervention should the nurse perform?

Newly hired nurse Liza is excited to perform her very first physical assessment with a 19-year-old client. Which assessment examination requires Liza to wear gloves?

Nurse Renner is about to perform Romberg’s test on Pierro. To ensure the latter’s safety, which intervention should nurse Renner implement?

A physical assessment is being performed on patient Geoff by Nurse Tine. During the abdominal examination, Nurse Tine should perform the four physical examination techniques in which sequence?

Which assessment data should the nurse include when obtaining a review of body systems?

Tywin has come to the nursing clinic for a comprehensive health assessment. Which statement would be the best way to end the history interview?

For which time period would the nurse notify the health care provider that the client had no bowel sounds?

Evaluating the apical pulse is the most reliable noninvasive way to assess cardiac function. Which is the best area for auscultating the apical pulse?

Beginning in their 20s, women should be told about the benefits and limitations of breast self-exam (BSE). Which scientific rationale should the nurse remember when performing a breast examination on a female client?

Mr. Lim, who has chronic pain, loss of self-esteem, no job, and bodily disfigurement from severe burns over the trunk and arms, is admitted to a pain center. Which evaluation criteria would indicate the client’s successful rehabilitation?

Christine Ann is about to take her NCLEX examination next week and is currently reviewing the concept of pain. Which scientific rationale would indicate that she understands the topic?

Miggy, a 6-year-old boy, received a small paper cut on his finger, his mother let him wash it and apply a small amount of antibacterial ointment and bandage. Then she let him watch TV and eat an apple. This is an example of which type of pain intervention?

Which statement represents the best rationale for using noninvasive and non-pharmacologic pain-control measures in conjunction with other measures?

When evaluating a client’s adaptation to pain, which behavior indicates appropriate adaptation?

In planning pain reduction interventions, which pain theory provides information most useful to nurses?

Ryan underwent an open reduction and internal fixation of the left hip. One day after the operation, the client is complaining of pain. Which data would cause the nurse to refrain from administering the pain medication and to notify the health care provider instead?

Which term would the nurse use to document pain at one site that is perceived in another site?

Chuck, who is in the hospital, complains of abdominal pain that ranks 9 on a scale of 1 (no pain) to 10 (worst pain). Which interventions should the nurse implement? Select all that apply.

Albert, who suffered severe burns 6 months ago, is expressing concern about the possible loss of job-performance abilities and physical disfigurement. Which intervention is the most appropriate for him?

Mrs. Bagapayo who had abdominal surgery 3 days earlier complains of sharp, throbbing abdominal pain that ranks 8 on a scale of 1 (no pain) to 10 (worst pain). Which intervention should the nurse implement first?

Which term refers to the pain that has a slower onset, is diffuse, radiates, and is marked by somatic pain from organs in any body activity?

A 50-year-old widower has arthritis and remains in bed too long because it hurts to get started. Which intervention should the nurse plan?

Which intervention should the nurse include as a nonpharmacologic pain-relief intervention for chronic pain?

A 12-year-old student falls off the stairs, grabs his wrist, and cries, “Oh, my wrist! Help! The pain is so sharp, I think I broke it.” Based on this data, the pain the student is experiencing is caused by impulses traveling from receptors to the spinal cord along which type of nerve fibers?

Which nursing intervention takes the highest priority when caring for a newly admitted client who’s receiving a blood transfusion?

Nurse Paulo has received a blood unit from the blood bank and has rechecked the blood bag properly with nurse Edward. Prior to the facilitation of the blood transfusion, nurse Paulo priority checks which of the following?

A client is brought to the emergency department having experienced blood loss due to a deep puncture wound. A 3 unit Fresh-frozen plasma (FFP) is ordered. The nurse determines that the reason behind this order is to:

Nurse Amanda is caring for a client with severe blood loss who is prescribed multiple transfusions of blood. Nurse Amanda obtains which most essential piece of equipment to prevent the risk of cardiac dysrhythmias?

A client is receiving a first-time blood transfusion of packed RBC. How long should the nurse stay and monitor the client to ensure a transfusion reaction will not happen?

Nurse Rick is administering 2 unit-packed RBCs on a client with low hemoglobin. The nurse will prepare which of the following in order to transfuse the blood?

To verify the age of blood cells in blood, the nurse will check which of the following?

A client has an order to receive one unit of packed RBCs. The nurse makes sure which of the following intravenous solutions to hang with the blood product at the client’s bedside?

Nurse Jay is caring for a client with an ongoing transfusion of packed RBCs when suddenly the client is having difficulty breathing, skin is flushed, and having chills. Which action should nurse Jay take first?

After terminating the transfusion during a reaction, which action should the nurse immediately be taken next?

A client is receiving a platelet transfusion. The nurse determines that the client is gaining from this therapy if the client exhibits which of the following?

Nurse Daniel is caring for a client receiving a transfusion of packed red blood cells (PRBCs). The client started to vomit and to be nauseous. Client’s blood pressure is 95/40 mm Hg from a baseline of 110/70 mm Hg. The client’s temperature is 100.5°F orally from a baseline of 99.5°F orally. The nurse understands that the client may be experiencing which of the following?

Packed red blood cells have been prescribed for a client with low hemoglobin and hematocrit levels. The nurse takes the client’s temperature before hanging the blood transfusion and records 100.8 °F. Which action should the nurse take?

A nurse is caring for a client requiring surgery and is ordered to have a standby blood secured if in case a blood transfusion is needed during or after the procedure. The nurse suggests to the client to do which of the following to lessen the risk of possible transfusion reaction?

A client is receiving a transfusion of one unit of cryoprecipitate. The nurse will review which of the following laboratory studies to assess the effectiveness of the therapy?

A nurse is teaching a client with pancreatitis about following a low-fat diet. The nurse develops a list of high-fat foods to avoid and includes which food on the item list?

The nurse is giving dietary instructions to a client who is on a vegan diet. The nurse provides dietary teaching focus on foods high in which vitamin that may be lacking in a vegan diet?

A nurse is caring for a client with Wernicke-Korsakoff syndrome. The physician asks the nurse to teach the client to consume thiamine-rich food. The nurse instructs the client to increase the intake of which food items?

A client who is recovering from surgery has been ordered a change from a clear liquid diet to a full liquid diet. The nurse would offer which full liquid item to the client?

A postoperative client has been placed on a clear liquid diet. The nurse provides the client with which items are allowed to be consumed on this diet?

The nurse is teaching a client who has iron-deficiency anemia about foods she should include in her diet. The nurse determines that the client understands the dietary instructions if she selects which of the following from her menu?

The nurse instructs a client with renal failure who is receiving hemodialysis about dietary modifications. The nurse determines that the client understands these dietary modifications if the client selects which items from the dietary menu?

A client with heart failure has been told to maintain a low sodium diet. A nurse who is teaching this client about foods that are allowed includes which food item in a list provided to the client?

The nurse is instructing a client with hyperkalemia on the importance of choosing foods low in potassium. The nurse should teach the client to limit which of the following foods?

A client is recovering from debridement of the right leg. A nurse encourages the client to eat which food item that is naturally high in vitamin C to promote wound healing?