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NCLEX quiz: assessments

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Nursing assessments can be tricky when you’re a nursing student or a new nurse. Many things are important, but you have to decide which things are more important. Get in some practice time with this NCLEX quiz that’s all about nursing assessments.

The ICU nurse is assessing several clients assigned to his care. Which client should receive priority of care?





If the client becomes toxic to his digitalis, he will experience which of the following symptoms?





A 55-year-old female is admitted to the emergency room complaining of indigestion and back and shoulder pain. She tells the nurse that she has taken several antacids for the past two days without relief of her symptoms. Which action would be most appropriate at this time?





Which statement, if made by the client, would cause the nurse to suspect a sacular abdominal aortic aneurysm?





The client with head trauma is admitted following a motor vehicle accident. The nurse notes 5000 ml of dilute urinary output within three hours of admission. Which finding would support a diagnosis of diabetes insipidus?





The client returns to the unit following surgery for removal of a tumor of the parathyroid gland. Where should the nurse check for bleeding?





The client has been diagnosed with pheochromocytoma. Which finding supports a diagnosis of pheochromocytoma?





Which action should receive priority if the client is experiencing Addisonian crises?





The client is admitted with acromegaly. Which sign or symptom is associated with acromegaly?





The nurse is assessing the client in the first stage of labor. The fetal heart tones are checked using a fetoscope and found to be 105–115 per minute, the contractions by palpation are every three minutes and the client is complaining of extreme pain in the lower abdomen. Which action should the nurse take at this time?







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Marijke Durning

Marijke is a professional writer who began her working career as a registered nurse over 25 years ago. After working in clinical areas ranging from rehab to intensive care, as a floor nurse to a supervisor, she found she could combine her extensive health knowledge with her love of writing. Although she has been published in a wide variety of publications for professionals and the general public, her passion is writing for the every day person to promote health literacy.
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19 Responses to NCLEX quiz: assessments

  1. Patti R

    Good quiz! Recently completed LPN NCLEX and passed. Like to take these quizzes for practice. Got 7 out of 10.

  2. weng s.

    yes! i got 7 out of ten….not bad.

  3. T Rut

    I agree this is a good quiz. I recently finished my first semester, Nursing Fundamentals. I scored 5 out of 10. Not bad . . .

  4. E Smith

    Great quiz! Got a 9 out of 10, surprised myself, hope I do as well on the NCLEX!

  5. great assessment review

  6. tereSA

    for real? you check a bs of 430 something before an o2 sat of 82% ?????? how does that follow ABC????? most people with DM around here never run below 200 so 430 is almost the norm. I’d so get my person breathing first.

    • msnsandy RN

      An O2 Sat of 82% for a COPD patient is actually WNL for these patients. An O2 Sat in the 90%’s is very unlikely after a certain point in the disease process even with low level O2 administration. Trying to increase the O2 Sat with higher cencentrations of O2 can be detrimental to their health because the lungs just cannot handle that level anymore. Thus the 80 year old with the BG of 430 is in much more danger of an adverse event.
      I had a very tough time when I first worked with COPD accepting that they just weren’t going to have Sats in the 90%’s anymore, but they would be fine in the 80%’s.

    • annerrt

      think about your COPDers… 82 can be great for this pt…

    • annjul76 RN

      I debated between the two answers and went with the COPD patient too. I know that COPD patients normally have lower O2 sats but I usually see them in the high 80’s. I thought 82 was pushing it.

  7. Nikki

    7 out of 10.

  8. msbutterworth357

    9 out of 10. good quiz. @tereSA…the o2 saturation is an expected and even accepted value d/t the respiratory drive being compromised by the disease process.

  9. Dorothy Crawford

    I got 9 out of 10. I was surprised. Have been a nurse for 40 years but have not worked in the hospital for 19 years and I do not get to use a lot of this information often.

  10. Stacy

    I didn’t do to bad 6 out of 10. Just finished nursing 105

  11. AJ

    got 6/10..needs more reading..:)

  12. nancy fortune

    got 6/10 I m a cna work in critical care unit will start a nursing program soon not bad at all

    • msnsandy RN

      Way to go!! Keep up the good listening and observing!

  13. Kathleen LPN

    Thanks for the quiz…I work in long term care. Have been out of nursing school for 4 years. I guess I remembered some of what I studied. I like these quizzes.

  14. Abby Student

    I got a 5 out of 10. I’m just three weeks in to my nursing program

  15. Nurse Rene RN

    I have to agree on the COPD patient vs. the Hyperglycemic. Here in the Deep South the elderly diabetics usually DO run high and often do not even become symptomatic until 800-plus while the pulmonary med. docs want to be called ASAP for an O2 sat less than 85% (even in home care), especially in a 65 year old.

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