Fundamentals of Nursing NCLEX Practice Quiz (600 Questions)

Which of the following is not true regarding the types of a nasogastric tube?

A new RN nurse is about to insert a nasogastric tube into a client with Guillain-Barre Syndrome. To determine the accurate measurement of the length of the tube to be inserted, the nurse should:

A stroke client who was initially on NGT feeding was able to tolerate a soft diet so the physician ordered the removal of it. The nurse would instruct the client to do which of the following before he removes the tube?

The nurse is preparing to give bolus enteral feedings via a nasogastric tube to a comatose client. Which of the following actions is an inappropriate practice by the nurse?

A nurse is checking the nasogastric tube position of a client receiving a long-term therapy of Omeprazole (Prilosec) by aspirating the stomach contents to check for the PH level. The nurse proves the correct tube placement if the PH level is?

Before feeding a client via NGT, the nurse checks for residual and obtains a residual amount of 90ml. What is the appropriate action for the nurse to take?

Continuous type of feedings is administered over a __ hour period?

A client is subjected to undergo a chest x-ray to confirm the endotracheal tube placement. The tube should be how many centimeters above the carina?

After the client had tolerated the weaning process, the physician ordered the removal of the endotracheal tube and it will be shifted into a nasal cannula. Which of the following findings after the removal requires immediate intervention by the physician?

The nurse is assessing a client with an endotracheal tube and observes that the client can make verbal sounds. What is the most likely cause of this?

While changing the tapes on a tracheostomy tube, the client coughs, and the tube is dislodged. Which is the initial nursing action?

The nurse caring for a client with a pneumothorax and who has had a chest tube inserted notes continuous gentle bubbling in the suction control chamber. What action is most appropriate for the nurse?

The nurse is assessing the functioning of a chest tube drainage system in a client with hemothorax. Which of the following findings should prompt the nurse to notify the physician?

A nurse is supervising a student nurse who is performing tracheostomy care for a client. Which of the following actions by the student should the nurse intervene?

The nurse is handling a client with a chest tube. Suddenly, the chest drainage system is accidentally disconnected. What is the most appropriate action for the nurse to take?

A client with Congestive heart failure is about to take a dose of furosemide (Lasix). Which of the following potassium levels, if noted in the client’s record, should be reported before giving the due medication?

A client went to the emergency room with a sudden onset of high fever and diaphoresis. Serum sodium was one of the laboratory tests taken. Which of the following values would you expect to see?

A client is brought to the emergency department and states that he has accidentally been taking two times his prescribed dose of Warfarin (Coumadin). After observing that the client has no evidence of any obvious bleeding, the nurse should do which of the following?

A male client with atrial fibrillation who is receiving maintenance therapy of warfarin (Coumadin) has a prothrombin time of 37 seconds. Based on the result, the nurse will follow which of the following doctor’s orders?

A client is receiving a continuous intravenous infusion of heparin sodium to treat deep vein thrombosis. The client’s activated partial thromboplastin time is 77 seconds. Based on this result, the nurse anticipated which of the following prescriptions?

A nurse is handling a pregnant client who was prescribed to have an Alpha Fetoprotein level. The nurse should explain to the client that this blood test:

Which of the following laboratory results indicates hypoparathyroidism?

An adult male client has a hemoglobin count of 12.5 g/dL. Based on the result, the client is most likely having this due to which of the following notes in the client’s record?

A screen test for the detection of human immunodeficiency virus (HIV) reveals a positive ELISA exam. Which of the following tests will be used to confirm the diagnosis of HIV?

The client went to the emergency room with a sudden onset of chest pain and difficulty of breathing. Which of the following results is indicative that the client is experiencing a myocardial infarction?

A nurse is caring for a client with diarrhea and dehydration. The nurse determines that the client has received adequate fluid replacement if the blood urea nitrogen decreases to:

A client with liver cirrhosis has been advised to follow a high-protein diet. The nurse evaluates the effectiveness of the diet if the total protein level is which of the following values?

The nurse is handling a client with chronic pancreatitis. Upon reviewing the client’s record, which of the following serum amylase levels is to be expected?

A client with diabetes mellitus has a glycosylated hemoglobin A1c level of 10%. Based on the result, the nurse plans to teach the client about the importance of:

The nurse is reviewing the laboratory result of a client receiving digoxin (Lanoxin) and notes that the result is 2.5 ng/mL. The nurse plans to do which of the following?

The nurse caring for a client with a serum calcium of 6.8 mg/dL. What would the nurse expect the change on the electrocardiogram (ECG)?

When providing care for a female client with Addison disease, the nurse should be alert for which of the following laboratory values?

A client has been undergoing radiotherapy for the treatment of mandibular cancer. After a few sessions, the client is diagnosed with Tumor Lysis Syndrome (TLS). Which of the following findings correlates with TLS?

A female client went to the clinic with a creatinine clearance of 200 mL/min. Which of the following conditions of the client can cause the increased level of this test?

A nurse is reviewing the complete blood count (CBC) of a child who has been diagnosed with idiopathic thrombocytopenic purpura. Which of the following laboratory results should the nurse report immediately to the physician?

A patient receiving parenteral nutrition is administered via the following routes except:

A nurse is monitoring the status of a client’s fat emulsion (lipid) infusion and notes that the infusion is 2 hours delay. The nurse should do which of the following actions?

A nurse is preparing to hang the initial bag of the parenteral nutrition (PN) solution via the central line of a malnourished client. The nurse ensures the availability of which medical equipment before hanging the solution?

A nurse is conducting a follow-up home visit to a client who has been discharged with parenteral nutrition(PN). Which of the following should the nurse most closely monitor in this kind of therapy?

A nurse is preparing to hang a fat emulsion (lipids) and observes some visible fat globules at the top of the solution. The nurse ensures to do which of the following actions?

A client is receiving nutrition via parenteral nutrition (PN). A nurse assesses the client for complications of the therapy and assesses the client for which of the following signs of hyperglycemia?

A nurse is caring for a client who disconnected the tubing of the parenteral nutrition from the central line catheter. A nurse suspects an occurrence of an air embolism. Which of the following is an appropriate position for the client in this kind of situation?

A client is being weaned off from parenteral nutrition (PN) and is given a go-signal to take a regular diet. The ongoing solution rate has been 120ml/hr. A nurse expects that which of the following prescriptions regarding the PN solution will accompany the diet order?

A client receiving parenteral nutrition (PN) in the home setting has a weight gain of 5 lb in 1 week. The nurse next assesses the client to identify the presence of which of the following?

A nurse is making initial rounds at the beginning of the shift and notices that the parenteral nutrition (PN) bag of an assigned client is empty. Which of the following solutions readily available on the nursing unit should the nurse hang until another PN solution is mixed and delivered to the nursing unit?

A nurse is caring for a group of clients in a medical-surgical nursing unit. The nurse recognizes that which of the following clients would be the least likely candidate for parenteral nutrition?

A client is receiving parenteral nutrition (PN) and is suddenly having a fever. A nurse notifies the physician and the physician initially prescribes that the solution and tubing be changed. The nurse should do which of the following with the discontinued materials?

A nurse is changing the central line dressing of a client receiving parenteral nutrition (PN) and notes that there is redness and drainage at the insertion site. The nurse next assesses which of the following?

A client receiving parenteral nutrition (PN) complains of a headache. A nurse notes that the client has a bounding pulse, jugular distension, and weight gain greater than desired. The nurse determines that the client is experiencing which complication of PN therapy?

A nurse is preparing to change the parenteral nutrition (PN) solution bag and tubing. The client’s central venous line is located in the right subclavian vein. The nurse asks the client to take which essential action during the tube change?

A nurse observes the client receiving fat emulsions is having hives. A nurse reviews the client’s history and notes which of the following may be caused by the complaint of the client?

A client receiving parenteral nutrition (PN) complains of shortness of breath and shoulder pain. A nurse notes that the client has an increased pulse rate. The nurse determines that the client is experiencing which complication of PN therapy?

A nurse is caring for a combative client who is ordered to have a nutritional therapy using parenteral nutrition (PN). The nurse should plan which of the following measures to prevent the client from injury?

Nurse Spencer is caring for an anorexic client who is having a total parenteral nutrition solution for the first time. Which of the following assessments requires the most immediate attention?

Nurse Russell is preparing to give total parenteral nutrition using a central line. Place the following steps for administration in the correct order?

Nurse Aaron is inserting a nasogastric tube to a stroke client. He understands that the best position for the insertion is?

Nurse Monica is handling a female client who had undergone a mastectomy. Which is the best position in which she should place the client?

A nurse is caring for a client with severe burns of the face and head. The nurse will place the client in which position?

Which of the following does not match with the appropriate position?

Nurse Ian is handling a client with gastroesophageal reflux disease. Which of the following positions will best help the client in this case?

A client with pleural effusion is scheduled to have a thoracentesis. The nurse on duty will assist the client to which position during the procedure?

Nurse Maria is administering a cleansing enema to a client with severe constipation. She will place the client in which position?

What type of client would benefit the most from an elevated head of the bed position?

Nurse Justin is taking care of a client with deep vein thrombosis. Which position should be provided to the client?

Nurse Sandra had just received a postoperative total hip replacement client from the recovery unit. Which is the best position in which she should place the client?

A client has just returned to a nursing unit after a cardiac catheterization performed using the femoral artery. The nurse places the client in which position?

A nurse is preparing to care for a client who had undergone an above-knee amputation of the right leg. The nurse plans to allow which position for the client in the first 24 hours?

A client is to be on bed rest for 24 hours and the affected extremity is to be kept straight during this time. Which of the following procedures would require a client to do the above?

Which is the best position for a client with autonomic dysreflexia?

A nurse is caring for a client who has returned to the recovery unit following a craniotomy. The nurse can safely place the client in which position?

A nurse is caring for a Native American client who experiences emotional distress due to a family problem. In anticipating pharmacological treatment for the client, the nurse understands that they would most likely:

A nurse is conducting an assessment of an American Indian woman who has come to the clinic complaining of a headache. The patient tells the nurse that the medicines prescribed by the tribal healer have done some good. What is the appropriate response of the nurse at this time?

A nurse is preparing a plan of care for a client who is a Jehovah’s Witness. The client has been told that surgery is necessary. The nurse considers the client’s religious preferences in developing the plan of care and documents that:

A Chinese-American client experiencing cough with clear white phlegm, which is believed to be a yin disorder, is likely to treat it with:

Which of the following food items would be appropriate for a Jewish client who follows a kosher diet?