Comprehensive NCLEX-RN Practice Exam #3

A patient with Parkinson’s disease has a nursing diagnosis of Impaired Physical Mobility related to neuromuscular impairment. You observe a nursing assistant performing all of these actions. For which action must you intervene?

The nurse is preparing to discharge a patient with chronic low back pain. Which statement by the patient indicates that additional teaching is necessary?

A patient with a spinal cord injury (SCI) complains about a severe throbbing headache that suddenly started a short time ago. Assessment of the patient reveals increased blood pressure (168/94) and decreased heart rate (48/minute), diaphoresis, and flushing of the face and neck. What action should you take first?

Which patient should you, as charge nurse, assign to a new graduate RN who is orienting to the neurologic unit?

A patient with a spinal cord injury at level C3-4 is being cared for in the ED. What is the priority assessment?

You are pulled from the ED to the neurologic floor. Which action should you delegate to the nursing assistant when providing nursing care for a patient with SCI?

You are helping the patient with an SCI to establish a bladder-retraining program. What strategies may stimulate the patient to void? Select all that apply.

The patient with a cervical SCI has been placed in fixed skeletal traction with a halo fixation device. When caring for this patient the nurse may delegate which action (s) to the LPN/LVN? Select all that apply.

You are preparing a nursing care plan for the patient with SCI including the nursing diagnosis Impaired Physical Mobility and Self-Care Deficit. The patient tells you, “I don’t know why we’re doing all this. My life’s over.” What additional nursing diagnosis takes priority based on this statement?

Which patient should be assigned to the traveling nurse, new to neurologic nursing care, who has been in the neurologic unit for 1 week?

The patient with multiple sclerosis tells the nursing assistant that after physical therapy she is too tired to take a bath. What is your priority nursing diagnosis at this time?

The LPN/LVN, under your supervision, is providing nursing care for a patient with GBS. What observation would you instruct the LPN/LVN to report immediately?

The nursing assistant reports to you, the RN, that the patient with myasthenia gravis (MG) has an elevated temperature (102.20 ºF or 39º C), heart rate of 120/minute, rise in blood pressure (158/94), and was incontinent of urine and stool. What is your best first action at this time?

You are providing care for a patient with an acute hemorrhage stroke. The patient’s husband has been reading a lot about strokes and asks why his wife did not receive alteplase. What is your best response?

You are supervising a senior nursing student who is caring for a patient with a right hemisphere stroke. Which action by the student nurse requires that you intervene?

Which of the following arteries primarily feeds the anterior wall of the heart?

When do coronary arteries primarily receive blood flow?

Which of the following illnesses is the leading cause of death in the US?

Which of the following conditions most commonly results in CAD?

Atherosclerosis impedes coronary blood flow by which of the following mechanisms?

Which of the following risk factors for coronary artery disease cannot be corrected?

Exceeding which of the following serum cholesterol levels significantly increases the risk of coronary artery disease?

Which of the following actions is the first priority care for a client exhibiting signs and symptoms of coronary artery disease?

Medical treatment of coronary artery disease includes which of the following procedures?

Prolonged occlusion of the right coronary artery produces an infarction in which of the following areas of the heart?

Which of the following is the most common symptom of myocardial infarction?

Which of the following landmarks is the correct one for obtaining an apical pulse?

Which of the following systems is the most likely origin of pain the client describes as knifelike chest pain that increases in intensity with inspiration?

A murmur is heard at the second left intercostal space along the left sternal border. Which valve area is this?

Which of the following blood tests is most indicative of cardiac damage?