RN NCLEX Set 6 - Free Nurse Test Bank

Test your nursing RN knowledge here with this 10 question Free Nurse Test Bank. From Pediatrics to Medical Surgical, you will get random question to see how prepare you are for you next exam.

Question 1

A client who will be using a walker is receiving instructions for discharge from a nurse. Which of the client's remarks below best describes the need for the nurse to provide more instructions?

A. "I will tape electrical cords to the baseboards in each room."

B. "I will hire someone to trim the tree that overhangs the front porch stairs."

C. "I will remove the table from the hall."

D. "I will replace the old throw rug in the kitchen with a new one."

Question 2

A nurse is organizing instruction on insulin self-administration for a client who has been recently diagnosed with type 1 diabetes. Which of the following steps ought to be completed by the nurse first?

A. encourage the client to include a family member in the teaching

B. determine the clients learning style

C. provide written directions for the client to use

D. schedule a series of teaching sessions

Question 3

An NG tube was just implanted for a customer by a nurse. Which of the following conclusions suggests that the tube is positioned correctly?

A. The tube aspirate has a pH of 7

B. an x-ray shows the end of the tube above the pylorus

C. bowel sounds are present on auscultaion

D. the client reports relief of nausea

Question 4

A unit is care is being managed by a nurse manager. What action should the nurse manager take to ensure that HIPPA regulations are followed?

A. the assigned nurse reviews the medical chart with a nursing student

B. a nursing student discusses a clients status with the assigned nurse at the bedside

C. the assigned nurse returns to a call to a clients power of attorney to discuss the clients care

D. a nursing student consults a former classmate to assist with her documentation

Question 5

Surgery is planned for a client. After the patient receives anesthesia, the intra-operative nurse discovers a necklace on them. Which intervention out of the following ought to get started first?

A. leave the necklace on the client

B. give the necklace to a family member

C. place the necklace in the clients chart

D. notify security for the placement of the necklace

Question 6

A client is being instructed by a nurse on how to self-administer NPH insulin. Which of the client's acts below suggests that more instruction is necessary?

A. the client inserts the needle at a 30-degree angle

B. The client rolls the vial with both hands

C. the client hold the syringe in place for 5 seconds following injections

D. the client uses her anterior thigh as an injection site

Question 7

For an African American preschool-aged youngster who is in pain, a nurse is creating a plan of care. In order to determine the child's level of pain, the nurse should do which of the following?

A. ask the parents of the child to describe the pain

B. measure the childs vitals

C. show the child the Oucher pain scale

D. observe the childs facial expressions

Question 8

A client with terminal cancer is receiving care from a nurse. When the patient says which of the following, the nurse knows the patient is prepared to hear about palliative care?

A. " I am ready to learn about chemotherapy to help cure my cancer."

B. "I just want you to give me something to get this over with soon."

C. " I know that many people have recovered fully from cancer, and so wilI I."

D. "I want you to tell me about measures available to keep me comfortable."

Question 9

In order to explain a therapeutic process to a client who does not understand English, a nurse gets in touch with the facility translator. When collaborating with the interpreter, which of the following rules should the nurse adhere to?

A. Speak slowly to allow the interpreter to interpret each word

B. Explain the purpose of the communication to the interpreter

C. Address the interpreter when explaining the procedure information

D. Supplement words with gestures and nonverbal reinforcement

Question 10

To prevent food drop in a client who has decreased mobility, the nurse should

A. Place a pillow under the clients knees

B. Position a trochanter roll under the clients feet

C. Advise the client to wear rubber-soled slippers

D. Place the clients feet on a foot board perpendicular to the mattress

Answer Key

Question 1 Answer - D

Rationale: The use of throw rugs increases the clients risk for falls, as it creates a tripping and slipping hazard

Question 2 Answer - B

Rationale: using the nursing process, the first action the nurse should take

is to assess the clients learning style

Question 3 Answer - B

Rationale: an x-ray showing the end of the NG tube above the pylorus indicates gastic placement

Question 4 Answer - D

Rationale: only health care professionals directly caring for a client have access to medical information; therefore, this is a violation of HIPPA guidelines

Question 5 Answer - D

Rationale: security can provide a safe, documented place to store the

clients valuables

Question 6 Answer - A

Rationale: the client should administer the needle at a 45-90 degree angle

depending on the depth of the adipose tissue

Question 7 Answer - C

Rationale: The child's report is the best way to assess the childs pain; oucher scale is age-appropriate

Question 8 Answer - D

Rationale: The client has accepted the diagnosis is terminal and is focused

on palliative care, which are for comfort of symptom control

Question 9 Answer - B

Rationale: the nurse should have a brief meeting with the interpreter prior to approaching the client so that the nurse can clarify expectations of the sessions

Question 10 Answer - D

Rationale: The nurse should place a footboard perpendicular to the mattress and parrallel to and touching the soles of the clients feet. This will maintain the feet in dorsiflexion and prevent foot drop

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