NCLEX-RN Fundamentals practice questions

Question 1

The nurse is assessing pain in an 82-year-old patient with advanced dementia. Which assessment methods are most appropriate? (Select all that apply.)

Accepted Answer

Observing facial grimacing and body movements

Accepted Answer

Monitoring changes in vital signs

Accepted Answer

Asking family members about usual indicators of discomfort

Answer

Ask the patient to describe pain intensity numerically

Answer

Using a visual analog scale

Question 2

A hospitalized client has been prescribed captopril (ACE inhibitor). Which action, specific to this medication, would the nurse ensure that the client performs?

Accepted Answer

Moves from a sitting to a standing position slowly

Answer

Drinks plenty of water

Answer

Eats foods that are high in potassium

Answer

Consumes sufficient amounts of high-fiber foods

Question 3

Which change in the skin does the nurse recognize as an age-related change in an older person?

Accepted Answer

Thinner and more fragile skin

Answer

Chronic swelling with wounds

Answer

Decreased risk for pressure injuries

Answer

Loss of hair on the extremities

Question 4

Which intervention is most effective in reducing preload in a patient with heart failure (HF)?

Accepted Answer

Administering prescribed diuretics

Answer

Elevating the head of the bed

Answer

Administering oxygen at 2 L/min

Answer

Encouraging ambulation as tolerated

Question 5

The nurse teaches a group of older adults at an assisted-living facility about age-related physiological changes affecting safety. Which question would be most important for the nurse to ask this group?

Accepted Answer

Are you able to hear the emergency sirens in your area?

Answer

Are you able to read your favorite book?

Answer

Are you able to taste spices like before?

Answer

Are you able to open a jar of sauce?

Question 6

Which oxygen delivery device provides the most precise concentration of oxygen?

Accepted Answer

Venturi mask

Answer

Simple face mask

Answer

Non-rebreather mask

Answer

Nasal cannula

Question 7

At 0900 a client experiencing difficulty breathing and increased pulmonary congestion as a result of heart failure was prescribed furosemide 40 mg to be given intravenously. After an hour which assessment finding indicates that the therapy has been effective?

Accepted Answer

The lungs are now clear upon auscultation.

Answer

The potassium has decreased from 4.7 to 4.1 mmol/L.

Answer

The blood pressure has decreased from 118/64 to 106/62 mm Hg.

Answer

The urine output has increased by 400 mL.

Question 8

A nurse admits a patient to a geriatric unit. Which nursing action would the nurse perform to reduce the patient's risk for a fall?

Accepted Answer

Orient the patient to the room and environment upon admission

Answer

Provide the patient with a bedpan to reduce ambulating to the restroom

Answer

Do not administer pain medications to minimize any cognitive side effects

Answer

Place the patient in a shared room with a client who is stable and oriented

Question 9

A patient presents with serum sodium of 122 mmol/L and confusion. Which intervention is a priority?

Accepted Answer

Implement seizure precautions

Answer

Encourage oral free water intake

Answer

Restrict sodium in the diet

Answer

Administer hypertonic IV fluids

Question 10

A nurse is educating a home care patient on how to administer a topical medication. The patient is watching television while the nurse is talking. What might be the result of this interaction?

Accepted Answer

The message will be misunderstood.

Answer

The stimulus for communication is unclear.

Answer

The patient will accurately interpret the message.

Answer

The communication will be reciprocal.

NCLEX-RN Fundamentals practice questions

Question stream

Discussion

NCLEX-RN Fundamentals practice questions

Question stream

Discussion

Manage your cookie preferences

Loading subject practice

Loading Brainliest

NCLEX-RN Fundamentals practice questions

Question stream

Discussion

Loading subject practice

NCLEX-RN Fundamentals practice questions

Question stream

Discussion

Practice overview