75 Random NCLEX Practice Questions 100 75 Random NCLEX Style Practice Questions Questions Change Every Time 1 / 75 1. A pregnant client at 32 weeks’ gestation is admitted to the obstetrical unit for observation after a motor vehicle crash. When the client begins experiencing slight vaginal bleeding and mild cramps, which action should the nurse take to support the viability of the fetus? A. Insert an intravenous line and begin an infusion at 125 mL per hour. B. Administer oxygen to the woman via a face mask at 7 to 10 L per minute. C. Position and connect a spiral electrode to the fetal monitor for internal fetal monitoring. D. Position and connect the ultrasound transducer to the external fetal monitor. 2 / 75 2. A new mother was administered methylergonovine maleate intramuscularly after delivery. The nurse understands that this medication was administered for which action? A. Prevent postpartum hemorrhage. B. Decrease uterine contractions. C. Reduce the amount of lochia drainage. D. Maintain a normal blood pressure. 3 / 75 3. After undergoing a thyroidectomy, a client is monitored for signs of damage to the parathyroid glands postoperatively. The nurse would determine which finding suggests damage to the parathyroid glands? A. Tingling around the mouth B. Fever C. Neck pain D. Hoarseness 4 / 75 4. During the postoperative period, the client who underwent a pelvic exenteration reports pain in the calf area. What action should the nurse take? A. Lightly massage the calf area to relieve the pain. B. Ask the client to walk and observe the gait. C. Administer PRN morphine sulfate as prescribed for postoperative pain. D. Check the calf area for temperature, color, and size 5 / 75 5. Chemical cardioversion is prescribed for the client diagnosed with atrial fibrillation. The nurse who is assisting in preparing the client should expect that which medication specific for chemical cardioversion would be prescribed? A. Nifedipine B. Lidocaine C. Amiodarone D. Nitroglycerin 6 / 75 6. A 9-year-old child is hospitalized in traction for 2 months after a car accident. Which intervention should the nurse plan to use to best promote psychosocial development? A. Tutoring to keep the child up with schoolwork B. Providing a music player C. Placing computer games, a television, and videos at the bedside D. Providing a phone for calling family and friends 7 / 75 7. The nurse is teaching a client diagnosed with chronic obstructive pulmonary disease (COPD) how to do pursed-lip breathing. Evaluation of understanding is evident if the client performs which action? A. Breathes in and then holds the breath for 30 seconds B. Breathes so that expiration is two to three times as long as inspiration C. Inhales with puckered lips and exhales with the mouth open wide D. Loosens the abdominal muscles while breathing out 8 / 75 8. The nurse evaluates the arterial blood gas (ABG) results of a client who is receiving supplemental oxygen. Which Po2 finding would indicate that the oxygen level was adequate? A. 50 mm Hg B. 45 mm Hg C. 60 mm Hg D. 80 mm Hg 9 / 75 9. The nurse is assessing a client who is suspected of having a diagnosis of testicular cancer. Which data will be most helpful for determining the client’s risk for this type of cancer? A. Number of sexual partners B. Race C. Marital status D. Number of children 10 / 75 10. The nurse assessing the vital signs of a 3-year-old child hospitalized with a diagnosis of croup notes that the respiratory rate is 28 breaths per minute. Based on this finding, which nursing action is appropriate? A. Reassess the respiratory rate, rhythm, and depth in 15 minutes. B. Document the findings according to facility policies. C. Notify the child’s primary health care provider immediately. D. Begin administering supplemental oxygen. 11 / 75 11. The nurse is teaching a client how to mix regular and NPH insulins in the same syringe. Which action should the nurse instruct the client to take? A. Keep both bottles in the refrigerator at all times. B. Rotate the NPH insulin bottle in the hands before mixing. C. Draw up the NPH insulin into the syringe first. D. Take all of the air out of the insulin bottles before mixing. 12 / 75 12. The nurse teaches a preoperative client about the nasogastric (NG) tube that will be inserted in preparation for surgery. The nurse determines that the client understands when the tube will be removed during the postoperative period based on which statement by the client? A. When I can tolerate food without vomiting B. When my gastrointestinal (GI) system is healed. C. When my doctor says so.” D. When my bowels begin to function again and I begin to pass gas. 13 / 75 13. Which explanation by the nurse should best alleviate anxiety in a client with coronary artery disease about having a 12-lead electrocardiogram (ECG) diagnostic procedure? A. It’s a simple test but it’s important to lie still during the procedure.” B. “The ECG electrodes are painless and will record the electrical activity of your heart.” C. “It should only take about 20 minutes to complete the ECG tracing process.” D. “The ECG can give the primary health care provider information about the status of your heart.” 14 / 75 14. Which manifestations associated with thyroid storm indicate the need for immediate nursing intervention? A. Fever, tachycardia, and systolic hypertension B. Polyuria, nausea, and severe headaches C. Profuse diaphoresis, flushing, and constipation D. Polydipsia, translucent skin, and obesity 15 / 75 15. Which sign/symptom is an indication that the client experiencing postoperative blood loss is anemic? A. Fatigue B. Muscle cramps C. Dyspnea D. Bradycardia 16 / 75 16. A client is being discharged from the hospital after a bronchoscopy that was performed a day earlier. After the discharge teaching, the client makes the following statements to the nurse. Which statement should the nurse identify as indicating a need for further teaching? A. “I will stop smoking my cigarettes.” B. “I will use the throat lozenges as directed by my doctor until my sore throat goes away.” C. “I can expect to cough up bright red blood.” D. “I will get help immediately if I start having trouble breathing.” 17 / 75 17. The nurse assesses a client with hepatic encephalopathy for the presence of asterixis. What should the nurse do to appropriately test for asterixis? A. Ask the client to extend the wrist and the fingers. B. Check the stool for clay-colored pigmentation. C. Check the serum bilirubin and liver enzyme levels. D. Examine the client’s handwriting movements. 18 / 75 18. While in the hospital, a client was diagnosed with coronary artery disease (CAD). Which question by the nurse is likely to elicit the most useful response for determining the client’s degree of adjustment to the new diagnosis? A. “Is there anyone to help with housework and shopping?” B. “How do you feel about making changes to your lifestyle?” C. chedule for your new medications?” D. “Do you understand the s“Did you make a follow-up appointment with your provider?” 19 / 75 19. A client diagnosed with chronic respiratory failure is dyspneic. The client becomes anxious, which worsens the feelings of dyspnea. The nurse teaches the client which method to best interrupt the dyspnea–anxiety–dyspnea cycle? A. Biofeedback and coughing techniques B. Guided imagery and limiting fluids C. Relaxation and breathing techniques D. Distraction and increased dietary carbohydrates 20 / 75 20. A client who has a history of depression has been prescribed nadolol for the management of angina pectoris. Which consideration is most important when the nurse plans to counsel this client about the effects of this medication? A. High incidence of hypoglycemia B. Risk of tachycardia C. Probability of fatigue D. Possible exacerbation of depression 21 / 75 21. A client who underwent peripheral arterial bypass surgery 16 hours ago reports that there is increasing pain in the leg that worsens with movement and is accompanied by paresthesias. Based on these data, which action should the nurse take? A. Call the primary health care provider. B. Administer an opioid analgesic. C. Apply ice to minimize any developing swelling. D. Apply warm moist heat for comfort. 22 / 75 22. The nurse is providing home care dietary instructions to a client who has been hospitalized for pancreatitis. Which food should the nurse instruct the client to avoid to prevent recurrence? A. Bagels B. Lentil soup C. Watermelon D. Chili 23 / 75 23. A 17-year-old client is discharged to home with her newborn baby after the nurse provides information about home safety for children. Which statement by the client should alert the nurse that further teaching is required regarding home safety? A. “I can keep my aluminum pots and pans in my lower cabinets.” B. “I have a car seat that I will put in the front seat to keep my baby safe.” C. “I will not use the microwave oven to heat my baby’s formula.” D. “I have locks on all my cabinets that contain my cleaning supplies.” 24 / 75 24. The nurse admits a client who is demonstrating right-sided weakness, aphasia, and urinary incontinence. The woman’s daughter states, “If this is a stroke, it’s the kiss of death.” What initial response should the nurse make? A. “You feel your mother is dying?” B. “A stroke is not the kiss of death.” C. “Why would you think like that?” D. “You feel your mother is dying?” 25 / 75 25. A client is prescribed lansoprazole for the chronic management of Zollinger-Ellison syndrome. The nurse determines that the client best understands this disorder and the medication regimen when the client reports taking which product for pain? A. Naprosyn B. Acetylsalicylic acid C. Ibuprofen D. Acetaminophen 26 / 75 26. The mother whose child is generally alert and participates well in classroom activities is concerned that the teacher now reported that the child has frequent periods during the day when he appears to be staring off into space. The nurse should suspect that the child has which problem? A. School phobia B. Attention-deficit/hyperactivity syndrome C. Absence seizures D. Behavioral problem 27 / 75 27. The nurse is assigned to care for a client experiencing hypertonic labor contractions. The nurse plans to conserve the client’s energy and promote rest by performing which intervention? A. Assisting the client with breathing and relaxation techniques B. Keeping the room brightly lit so the client can watch her monitor C. Keeping the TV or radio on to provide distraction D. Avoiding uncomfortable procedures such as intravenous infusions or epidural anesthesia 28 / 75 28. The nurse cared for a client who died a few minutes ago. Which event supports the nurse’s belief that the client died with dignity? A. The family thanks the nurse for facilitating such a peaceful death. B. The nurse kept the client’s last hours comfortable with increasing doses of pain medication C. The nurse states that it is difficult to give that kind of care to a dying client. D. The primary health care provider acknowledges that all of the prescriptions were carried out. 29 / 75 29. Allopurinol has been prescribed for a client to treat gouty arthritis. The nurse teaches the client to anticipate which prescription if an acute attack occurs? A. Stopping the allopurinol and taking a nonsteroidal anti-inflammatory drug B. Adding colchicine or a nonsteroidal anti-inflammatory drug to the treatment plan C. Doubling the dose of the allopurinol D. Stopping the allopurinol and taking acetylsalicylic acid (aspirin) 30 / 75 30. The nurse is caring for a client who is receiving tobramycin sulfate intravenously every 8 hours. Which result should indicate to the nurse that the client is experiencing an adverse effect of the medication? A. An erythrocyte sedimentation rate of 15 mm/hour B. A white blood cell count (WBC) of 6000 mm3(6 × 109/L) C. A blood urea nitrogen (BUN) of 30 mg/dL (10.8 mmol/L) D. A total bilirubin of 0.5 mg/dL (8.5 mcmol/L) 31 / 75 31. A client is scheduled to have a serum digoxin level obtained. The nurse determines that the blood sample should be drawn at which time in relationship to the administration of digoxin? A. One-half hour after a dose is given B. Just before a dose is given C. Just after a dose has been given D. One hour after a dose is given 32 / 75 32. A client diagnosed with acute respiratory distress syndrome has a prescription to be placed on a continuous positive airway pressure (CPAP) face mask. What intervention should the nurse implement for this procedure to be beneficial? A. Apply the mask to the face with a snug fit. B. Remove the mask for deep breathing exercises. C. Obtain baseline arterial blood gases. D. Obtain baseline pulse oximetry levels. 33 / 75 33. The nurse is instructing a pregnant client regarding measures to prevent a recurrent episode of preterm labor. Which statement by the client indicates the need for further teaching? A. “I will limit my fluid intake to three 8-ounce glasses of fluid per day.” B. “I will not engage in sexual intercourse at this time.” C. “I will adhere to the limitations in activity and stay off my feet.” D. “I will report any feeling of pelvic pressure.” 34 / 75 34. A client is diagnosed with thromboangiitis obliterans (Buerger ’s disease). The nurse places priority on teaching the client about modifications of which risk factor related to this disorder? A. Cigarette smoking B. Exposure to heat C. Diet low in vitamin C D. Excessive water intake 35 / 75 35. A primary health care provider is inserting a chest tube. Which materials should the nurse have available to be used as the first layer of the dressing at the chest tube insertion site? A. Gauze impregnated with povidone-iodine B. Sterile 4 × 4 gauze pad C. Petrolatum jelly gauze D. Absorbent gauze dressing 36 / 75 36. The nurse assesses a client after abdominal surgery who has a nasogastric (NG) tube in place that is connected to suction. Which observation by the nurse indicates most reliably that the tube is functioning properly? A. The client denies nausea and has 250 mL of fluid in the suction collection container. B. The suction gauge reads low intermittent suction. C. The distal end of the NG tube is pinned to the client’s gown. D. The client indicates that pain is a 3 on a scale of 1 to 10. 37 / 75 37. A registered nurse is a preceptor for a new nurse and is observing the new nurse organize the client assignments and prioritize daily tasks. The registered nurse should intervene if the new nurse implements which action? A. Gathers the supplies needed for a task B. Documents task completions at the end of the day C. Combines all tasks for clients in one list D. Provides times for staff meals 38 / 75 38. The nurse manager is observing the interaction between a new staff nurse and a client currently receiving hemodialysis. Which intervention should the nurse manager implement when the nurse and client are both drinking coffee and discussing the client’s feeling about the procedure? A. Getting a cup of coffee and join in on the conversation B. Complementing the staff nurse on the development of a good therapeutic relation C. Determining whether or not the client should be drinking coffee D. Asking the staff nurse to refrain from eating and drinking in the hemodialysis area 39 / 75 39. A client who sustained a thoracic cord injury a year ago returns to the clinic for a follow-up visit, and the nurse notes a small reddened area on the coccyx. The client is not aware of the reddened area. After counseling the client to relieve pressure on the area by adhering to a turning schedule, which action by the nurse is most appropriate? A. Scheduling the client to return to the clinic daily for a skin check B. Teaching the client to use a mirror for skin assessment C. Asking a family member to assess the skin daily D. Teaching the client to feel for reddened areas 40 / 75 40. A client with the diagnosis of leukemia is receiving chemotherapy. When the registered nurse (RN) notes that the white blood cell (WBC) count is 4000 mm3 (4 × 109/L), the new nurse caring for the client is informed about the results. Which intervention identified by the new nurse indicates a need for further teaching? A. Restricting visitors with colds or respiratory infections B. Padding the side rails and removing all hazardous and sharp objects from the room C. Placing the client on a low-bacteria diet that excludes raw foods and vegetables D. Removing all live plants, flowers, and stuffed animals in the client’s room 41 / 75 41. The nurse should give which medication instructions to the client prescribed quinapril hydrochloride? A. Rise slowly from a lying to a sitting position. B. Take the medication with food only. C. Expect a therapeutic effect immediately. D. Discontinue the medication if nausea occurs. 42 / 75 42. The nurse provides a class to new mothers on newborn care. When teaching cord care, the nurse should instruct mothers to take which action? A. All that is necessary is to wash the cord with antibacterial soap and allow it to air-dry once a day. B. If antibiotic ointment has been applied to the cord, it is not necessary to do anything else to it. C. Apply alcohol thoroughly to the cord, being careful not to move the cord because it will cause pain to the newborn infant. D. Apply the prescribed cleansing agent to the cord, ensuring that all areas around the cord are cleaned two to three times a day. 43 / 75 43. The nurse has completed tracheostomy care for a client whose tracheostomy tube has a nondisposable inner cannula. Which intervention will the nurse implement immediately before reinserting the inner cannula? A. Suctioning the client’s airway B. Rinsing it in sterile water C. Tapping it gently against a sterile basin D. Drying it with the provided pipe cleaners 44 / 75 44. When a client’s nasogastric (NG) tube stops draining, which intervention should the nurse implement to maintain client safety? A. Instill 10 to 20 mL of fluid to dislodge any clots. B. Retract the tube by 2 inches to be above and possible obstruction. C. Verify the tube placement according to agency procedure. D. Clamp the tube for 2 hours to allow the drainage to accumulate. 45 / 75 45. The nurse is developing a plan of care for an older client diagnosed with dementia. The nurse develops which realistic outcome for the client? A. The client will complete all activities of daily living independently within a 1- to 1½-hour time frame. B. The client will be admitted to a nursing home to have the needs of activities of daily living met. C. The client will function at the highest level of independence possible. D. The nursing staff will attend to all of the client’s activities of daily living needs during the hospital stay. 46 / 75 46. A client has a hip fracture repair with a prosthetic implant placed. On the day after the implant, the nurse finds the client surrounded by papers from his briefcase and planning a phone meeting. The nurse plans to discuss activities with the client and should base the discussion on which information? A. Setting limits on a client’s behavior is a mandated nursing role. B. Not keeping up with his job will increase the client’s stress level. C. Rest is an essential component of bone healing. D. Involvement in his job will keep the client from becoming bored. 47 / 75 47. A client diagnosed with chronic kidney disease (CKD) has been told that hemodialysis will be required. The client becomes angry and states, “I’ll never be the same now.” Based on this information, which should the nurse identify as the client’s primary concern? A. Altered body image because of the physical changes that may occur B. Inability to think clearly because of the treatments needed C. Anxiety about the hemodialysis D. Potential for noncompliance because of concerns about the disease 48 / 75 48. The nurse reviews the pattern of a nonstress test performed on a pregnant client and interprets the finding as which result? (Refer to figure.) A. Abnormal B. Non-reassuring C. Reactive D. Nonreactive 49 / 75 49. The nurse reviews the client’s most recent blood gas results that include a pH of 7.43, Pco2 of 31 mm Hg, and HCO3 of 21 mEq/L. Based on these results, the nurse determines that which acid-base imbalance is present? A. Compensated metabolic acidosis B. Compensated respiratory alkalosis C. Uncompensated metabolic alkalosis D. Uncompensated respiratory acidosis 50 / 75 50. The nurse assessing the apical heart rates of several different newborn infants notes that which heart rate is normal for this newborn population? A. 180 beats per minute B. 190 beats per minute C. 90 beats per minute D. 140 beats per minute 51 / 75 51. A client who is taking an antipsychotic medication is preparing for discharge. To facilitate health promotion for this client, what instruction should the nurse provide? A. Recognize the signs and symptoms of a relapse of depression. B. Adhere to a strict tyramine-restricted diet. C. Avoid prolonged exposure to the sun. D. Have therapeutic blood levels drawn because the medication has a narrow therapeutic range. 52 / 75 52. The nurse is assessing a 3-day-old preterm neonate with a diagnosis of respiratory distress syndrome (RDS). Which assessment finding indicates that the neonate’s respiratory condition is improving? A. Edema of the hands and feet B. Urine output of 3 mL/kg/hour C. Presence of a systolic murmur D. Respiratory rate between 60 and 70 breaths per minute 53 / 75 53. The nurse manager reviewing the purposes for applying restraints to a client determines that further education is necessary when a nursing staff member makes which statement supporting the use of a restraint? A. “It limits movement of a limb during a painful procedure.” B. “It is useful in preventing the client from pulling out intravenous lines.” C. “It prevents the violent client from injuring self and others.” D. “At night it keeps the client in bed instead of wandering about.” 54 / 75 54. The nurse determines that the client with atherosclerosis understands dietary modifications to lower the risk of heart disease if which food selection is made A. Broiled cheeseburger B. Fresh cantaloupe C. Mashed potato with gravy D. Roast beef 55 / 75 55. A client with a colostomy complains to the nurse of appliance odor. The nurse recommends that the client take in which deodorizing foods? A. Cucumbers B. Eggs C. Mushrooms D. Yogurt 56 / 75 56. Which prescribed procedure should the nurse withhold until a comatose client is properly intubated? A. Finger stick for blood glucose level B. Venipuncture for complete blood cell (CBC) count C. Urethral catheterization D. Gastric feeding 57 / 75 57. The nurse is obtaining a health history from an adolescent. Which statement by the adolescent indicates a need for follow-up assessment and intervention A. “I don’t eat any fatty foods, and I’ve already lost 8 pounds in 2 weeks.” B. “I can’t seem to wake up in the morning. I would sleep until noon if I could.” C. “I find myself very moody. I’m happy one minute and crying the next.” D. “When I get stressed out about school, I just like to be alone.” 58 / 75 58. A child is seen in the health care clinic, and testing for human immunodeficiency virus (HIV) is performed because of the child’s exposure to HIV infection. Which home care instruction should the nurse provide to the parents of the child? A. Wipe up any blood spills with a rag, and allow them to air-dry. B. Avoid all immunizations until the diagnosis is established. C. Avoid sharing toothbrushes. D. Wash your hands with half-strength bleach if they come in contact with the child’s blood. 59 / 75 59. The nurse is assisting a client diagnosed with hepatic encephalopathy to fill out the dietary menu. The nurse advises the client to avoid which entree item? A. Fresh fruit plate B. Tomato soup C. Vegetable lasagna D. Ground beef patty 60 / 75 60. A client diagnosed with myasthenia gravis is ready to return home. The client confides that she is concerned that her significant other will no longer find her physically attractive. Which client-focused action should the nurse encourage in the plan of care? A. Reach out for help to face this fear. B. Share her feelings with her partner. C. Cease dwelling on the negative. D. Attend a support group. 61 / 75 61. An adult client who has a severe neurocognitive impairment is scheduled for gallbladder surgery. With regard to the informed consent, which should the nurse implement first to facilitate the scheduled surgery? A. Arrange for the surgeon to provide informed consent. B. Check for the identity of the client’s legal guardian. C. Ensure that the legal guardian signed the informed consent. D. Inform the legal guardian about advance directives. 62 / 75 62. A client has received a dose of dimenhydrinate. The nurse determines that the medication is effective when the client obtains relief of which problem? A. Headache B. Nausea and vomiting C. Ringing in the ears D. Chills 63 / 75 63. A client experiencing a mild panic attack has the following arterial blood gas (ABG) results: pH 7.49, Pco2 31 mm Hg, Pao2 97 mm Hg, HCO3 22 mEq/L. The nurse reviews the results and determines that the client has which acid- base disturbance? A. Respiratory acidosis B. Metabolic alkalosis C. Metabolic acidosis D. Respiratory alkalosis 64 / 75 64. A client comes into the emergency department demonstrating manifestations indicative of a severe state of anxiety. What is the priority nursing intervention at this time? A. Encouraging the expression of feelings and concerns B. Placing the client in a quiet room C. Remaining with the client D. Teaching the client deep-breathing exercises 65 / 75 65. The nurse is caring for a client who is receiving tacrolimus daily. Which finding indicates to the nurse that the client is experiencing an adverse effect of the medication? A. Decrease in urine output B. Profuse sweating C. Photophobia D. Hypotension 66 / 75 66. The nurse is caring for a client who has been placed in skin traction. Which action by the nurse provides for countertraction to reduce shear and friction? A. Slightly elevating the head of the bed B. Slightly elevating the foot of the bed C. Providing an overhead trapeze D. Using a footboard 67 / 75 67. The nurse is providing instructions to the parent of a child who had a myringotomy with insertion of tympanostomy tubes. Which instructions should the nurse provide the parent in case the tubes fall out? A. “It is important to replace them immediately so that the surgical opening does not close.” B. “Clean the tubes with half-strength hydrogen peroxide for 30 minutes and then replace them into the child’s ears.” C. “Bring the child to the emergency department immediately.” D. “It is not an emergency, but it is best to call the health care clinic.” 68 / 75 68. A client who underwent surgical repair of an abdominal aortic aneurysm is 1 day postoperative. The nurse performs an abdominal assessment and notes the absence of bowel sounds. What action should the nurse take? A. Document the finding and continue to assess for bowel sounds. B. Remove the nasogastric (NG) tube C. Start the client on sips of water. D. Call the primary health care provider immediately. 69 / 75 69. The nurse is preparing to suction an adult client with a tracheostomy who has copious amounts of secretions. Which action should the nurse take to accomplish this procedure safely and effectively? A. Hyperoxygenate the client after the procedure only. B. Set the wall suction pressure range between 80 and 120 mm Hg. C. Occlude the Y-port of the catheter while advancing it into the tracheostomy. D. Apply continuous suction in the airway for up to 20 seconds. 70 / 75 70. During a follow-up visit 2 weeks after pneumonectomy, the client reports numbness and tenderness at the surgical site. Which statement should the nurse make to accurately address the client’s concerns? A. “You are having a severe problem and will probably be rehospitalized” B. “This is probably caused by permanent nerve damage as a result of surgery.” C. “This is not likely to be permanent, but may last for some months.” D. “This is often the first sign of a wound infection; I will check your temperature.” 71 / 75 71. The nurse is assessing a 39-year-old Caucasian client with a blood pressure (BP) of 152/92 mm Hg at rest, a total cholesterol level of 180 mg/dL (4.5 mmol/L), and a fasting blood glucose level of 90 mg/dL (5.14 mmol/L). On which risk factor for coronary artery disease should the nurse place priority? A. Hypertension B. Hyperlipidemia C. Glucose intolerance D. Age 72 / 75 72. The nurse is preparing to ambulate a client with a diagnosis of Parkinson’s disease who has recently been prescribed levodopa. Which information is most important for the nurse to assess before ambulating the client? A. The client’s postural (orthostatic) vital signs B. Assistive devices used by the client C. The degree of intention tremors exhibited by the client D. The client’s history of falls 73 / 75 73. The nurse is planning to instruct a client with a diagnosis of chronic vertigo about safety measures to prevent exacerbation of symptoms or injury. Which instruction is most important for the nurse to incorporate in a teaching plan? A. Drive at times when the client does not feel dizzy. B. Turn the head slowly when spoken to. C. Walk to the bedroom and lie down when vertigo is experienced. D. Remove throw rugs and clutter in the home. 74 / 75 74. A client previously well controlled with glyburide has recently begun reporting fasting blood glucose to be 180 to 200 mg/dL (10.28 – 11.42 mmol/L). Which medication, noted in the client’s record, may be contributing to the elevated blood glucose level? A. Ciprofloxacin hydrochloride B. Cimetidine C. Prednisone D. Ranitidine 75 / 75 75. A 9-year-old child is newly diagnosed with type 1 diabetes mellitus. The nurse is planning for home care with the child and the family and determines that which is an age-appropriate activity for health maintenance? A. Making independent decisions with regard to sliding-scale coverage of insulin B. Administering insulin drawn up by an adult C. Self-administering insulin with adult supervision D. Having an adult assist in the self-administration of insulin and glucose monitoring Your score is The average score is 30% Restart quiz Home/Practice NCLEX Questions/75 Random Free NCLEX Questions