NCLEX-RN Practice Test 2021Click here to download 1200+ questions and answers1. The client with diabetes is preparing for discharge. During dis-charge teaching, the nurse assesses the client’s ability to care for himself. Which statement made by the client would indicate a need for follow-up after discharge? A. “I live by myself.” B. “I have trouble seeing.” C. “I have a cat in the house with me.” D. “I usually drive myself to the doctor.” 2. The physician has ordered the Schilling test for a patient with suspected pernicious anemia. What other vitamin level is often assessed at the same time as the B12 level? A. Folic acid B. Pyridoxine C. Ascorbic acid D. Thiamine 3. The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to: A. Notify the physician B. Increase the rate of IV fluid C. Reposition the client D. Readjust the monitor 4. The nurse is providing dietary instructions to the mother of a four-year-old diagnosed with celiac disease. Which food, if selected by the mother, would indicate her understanding of the dietary instructions? A. Wheat toast B. Spaghetti C. Oatmeal D. Rice 5. The home health nurse is planning for the day’s visits. Which client should be seen first? A. The client with renal insufficiency B. The client with Alzheimer’s disease C. The client with diabetes who has a decubitus ulcer D. The client with multiple sclerosis who is being treated with IV cortisone 6. Which information should be given to the patient undergoing radiation therapy for breast cancer? A. Avoid exposing radiation areas to sunlight during treatment time and for a year after completion of therapy B. Moisturize the radiation site with oil-based lotion to prevent blistering C. Use bath oil when tub bathing to prevent drying and peeling D. Report redness and soreness of the area to the physician 7. A client being treated with Coumadin (sodium warfarin) has an INR of 8.0. Which intervention is appropriate based on the INR level? A. Assessing for signs of bleeding B. Administering intranasal DDAVP C. Administering an injection of protamine sulfate D. Limiting the intake of foods rich in vitamin K 8. A client is scheduled for surgery in the morning. Which of the following is the primary preoperative responsibility of the nurse? A. Making sure the vital signs are recorded B. Obtaining a signed permit for surgery C. Explaining the surgical procedure D. Answering questions about the surgery 9. The nurse is performing discharge teaching on a client with diverticulitis who has been placed on a low-roughage diet. Which food would have to be eliminated from this client’s diet? A. Roasted chicken B. Noodles C. Cooked broccoli D. Custard 10. A 25-year-old client arrives in the emergency room with a possible fracture of the right femur. The nurse should anticipate an order for: A. Bryant’s traction B. Ice to the entire extremity C. Buck’s traction D. An abduction pillow 11. Which of the following would be most appropriate for the nurse to wear when providing direct care to a client with influenza? A. Mask B. Gown C. Gloves D. Goggles 12. The physician has ordered Coumadin (sodium warfarin) for a client with thrombophlebitis. The order should be entered to administer the medication at: A. 0900 B. 1200 C. 1700 D. 2100 13. A home health nurse is making preparations for morning visits. Which one of the following clients should the nurse visit first? A. A client with a stroke with tube feedings B. A client with a history of congestive heart failure complaining of nighttime dyspnea C. A client with a thoracotomy six months ago D. A client with Parkinson’s disease 14. The nurse has just received the change of shift report. Which client should the nurse assess first? A. A client two hours post-lobectomy with 150mL of chest drainage B. A client two days post-gastrectomy with scant drainage C. A client with pneumonia with an oral temperature of 102ºF D. A client with a fractured hip in Buck’s traction 15. The nurse is making assignments for the day. Which client should be assigned to the pregnant nurse? A. The client receiving linear accelerator radiation therapy for lung cancer B. The client with a radium implant for cervical cancer C. The client who has just been administered soluble brachytherapy for thyroid cancer D. The client who returned from placement of iridium seeds for prostate cancer Loading …Question 1 of 15 Restart Quiz Buy Now & Download
