NCLEX-RN Exam Practice Questions prepared by NCLEX Professionals [Q313-Q335]

QUESTION 313
A male client is admitted to the psychiatric unit after experiencing severe depression. He states that he intends to kill himself, but he asks the nurse not to repeat his intentions to
other staff members. Which response demonstrates understanding and appropriate action on the part of the nurse?

QUESTION 314
The nurse is developing a plan of care for a client with an electrolyte imbalance and identifies a nursing diagnosis of decreased physical mobility. Which alteration is most likely the etiology?

QUESTION 315
Plans for the care of a client with an ulcer caused by emotional problems need to take into
consideration that:

QUESTION 316
A female client is exhibiting signs of respiratory distress. Which of the following signs indicate a possible pneumothorax?

QUESTION 317
A client is admitted to the labor unit. On vaginal examination, the presenting part in a cephalic presentation was at station plus two. Station 12 means that the:

QUESTION 318
A client’s physician has prescribed theophylline (Theo- Dur) to help control the bronchospasm associated with the client’s COPD. Instructions that should be given to the client include:

QUESTION 319
A client is admitted to the psychiatric unit after lavage and stabilization in the emergency room for an overdose of antidepressants. This is her third attempt in 2 years. The highest priority intervention at this time is to:

QUESTION 320
A child sustains a supracondylar fracture of the femur. When assessing for vascular injury, the nurse should be alert for the signs of ischemia, which include:

QUESTION 321
In a client with chest trauma, the nurse needs to evaluate mediastinal position. This can best be done by:

QUESTION 322
A male client is admitted to the medical-surgical unit from the emergency room with a diagnosis of acute pancreatitis. The nurse performs the admission nursing assessment. He is NPO with IV fluids infusing at 100 mL/hour. He is experiencing excruciating abdominal pain. Based on an analysis of these data, which nursing diagnosis would receive the highest priority?

QUESTION 323
A 5-year-old has just had a tonsillectomy and adenoidectomy. Which of these nursing measures should be included in the postoperative care?

QUESTION 324
The nurse explains perineal hygiene self-care postpartum to the client. She should be instructed to:

QUESTION 325
A client who has been diagnosed with anorexia nervosa refuses to eat lunch. The most therapeutic response by the nurse to her refusal is:

QUESTION 326
The family member of a child scheduled for heart surgery states, “I just don’t understand this open-heart or closed-heart business. I’m so confused! Can you help me understand it?” The nurse explains that patent ductus arteriosus repair is:

QUESTION 327
A client decided early in her pregnancy to breast-feed her first baby. She gave birth to a normal, full-term girl and is now progressing toward the establishment of successful lactation. To remove the baby from her breast, she should be instructed to:

QUESTION 328
A client was prescribed a major tranquilizer 2 months ago. One month ago she was placed on benztropine (Cogentin). What would indicate that benztropine therapy is effective?

QUESTION 329
A 55-year-old client is admitted with a diagnosis of renal calculi. He presented with severe right flank pain, nausea, and vomiting. The most important nursing action for him at this time is:

QUESTION 330
The nurse observes that a client has difficulty chewing and swallowing her food. A nursing response designed to reduce this problem would include:

QUESTION 331
A male client has asthma and his physician has prescribed beclomethasone (Vanceril) 3 puffs tid in addition to his other medications. After taking his beclomethasone, the client should be instructed to:

QUESTION 332
A 67-year-old client will be undergoing a coronary arteriography in the morning. Client
teaching about postprocedure nursing care should include that:

QUESTION 333
A couple is experiencing difficulties conceiving a baby. The nurse explains basal body temperature (BBT) by instructing the female client to take her temperature:

QUESTION 334
A 2-year-old child is recovering from surgery. Considering growth and development according to Erikson, the nurse identifies which of the following play activities as most appropriate?

QUESTION 335
Prior to an amniocentesis, a fetal ultrasound is done in order to: