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Would you pass the NCLEX? Part III

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Passing the NCLEX exam is one of the most important steps en route to becoming a nurse.

Use this quiz (third in the series) as a study guide to see how you would fare on the real test.

Here are first and second quizzes in this series.


1. Situation– Mr. Dizon, 84 years old, brought to the Emergency Room for complaint of hypertension, flushed face, severe headache, and nausea. You are doing the initial assessment of vital signs. You are to measure the client’s initial blood pressure reading by doing all of the following EXCEPT:





A pulse oximeter is attached to Mr. Dizon’s finger to:





In which type of shock does the patient experiences a mismatch of blood flow to the cells?





The preferred route of administration of medication in the most acute care situations is which of the following routes?





After a few hours in the Emergency Room, Mr. Dizon is admitted to the ward with an order of hourly monitoring of blood pressure. The nurse finds that the cuff is too narrow and this will cause the blood pressure reading to be:





Through the client’s health history, you gather that Mr. Dizon smokes and drinks coffee. When taking the blood pressure of a client who recently smoked or drank coffee, how long should the nurse wait before taking the client’s blood pressure for accurate reading?





While the client has pulse oximeter on his fingertip, you notice that the sunlight is shining on the area where the oximeter is. Your action will be to:





When taking blood pressure reading, the cuff should be:





To ensure client safety before starting blood transfusions the following are needed before the procedure can be done EXCEPT:





Mr. Bruno asks what the “normal” allowable salt intake is. Your best response to Mr. Bruno is:





Which of the following methods is the best method for determining nasogastric tube placement in the stomach?





Which of the following is the most important risk factor for development of Chronic Obstructive Pulmonary Disease?





When performing endotracheal suctioning, the nurse applies suctioning while withdrawing and gently rotating the catheter 360 degrees for which of the following time periods?





The nurse auscultates the apex beat at which of the following anatomical locations?





Which of the following terms describes the amount of blood ejected per heartbeat?





You are to apply a transdermal patch of nitoglycerin to your client. The following are important guidelines to observe EXCEPT:





The GAUGE size in ET tubes determines:





The nurse is correct in performing suctioning when she applies the suction intermittently during:





The purpose of the cuff in Tracheostomy tube is to:





Which priority nursing diagnosis is applicable for a patient with indwelling urinary catheter?





An incontinent elderly client frequently wets his bed and eventually develop redness and skin excoriation at the perianal area. The best nursing goal for this client is to:







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15 Responses to Would you pass the NCLEX? Part III

  1. melba genegaling valencia

    thanks for this kind of exam.you help me a lot.im trying to take again this coming july.nowadays i have no time to review but with this website i force myself to read and answers your questions.more power.and god bless us

  2. karl

    The question :

    Which priority nursing diagnosis is applicable for a patient with indwelling urinary catheter?

    It is taught in nursing school as well as by the NCSBN that “Risk for” Nursing DX are never priority.

    Otherwise, great quiz!

  3. laarni

    haha! naka 13 out of 21.. konti pa.. :)

  4. Kathie

    The quiz is a great resource. I do have one problem with it. We are not allowed to place indwelling catheter’s for “risk of infection”. We are allowed to place them only for an un-healing decubitis ulcer, or a urinary dx, such as spastic bladder.

    • cfranmo RN

      Kathie,

      I believe that the question is referring to the patient being at risk for infection when a foley catheter is in place.

      -C

  5. tina oliver

    Loved the guiz i will probably take it again and again if you have more would love them it keeps me up today and helps me in areas that i am not that good at.

  6. Wendy

    @karl, with the options given “at risk for infection” makes the most sense. @kathie, it asked for the patient with one. not asking if it was a reason to place. Still Im shocked at my 14 of 21 considering that I am not an RN and not even in an RN program, I am however an LPN and can’t wait to get back to school!

  7. Leslie

    karl, the ‘risk for infection’ is the best one of those four options, not to mention the fact that UTIs are one of the most common in-hospital infections, esp due to urinary catheter. i agree with wendy on the comment to kathie. good for you, wendy, even though you’re an LPN, it still matters–you have experience, and it is to your advantage!

  8. celiane

    thanks a lot. the questions usually are familiar.. this is very helpful to students for review..

  9. Vorgy

    wow I passed! tnx!

  10. sarah

    Hi! great quiz, except that I was taught that checking the ph level for tube placement is to be done before an x-ray based on recent evidence-based practice.

    • cfranmo RN

      Sarah,

      I believe you would check for gastric contents or gastric ph, however, the best way to confirm would be with x-ray. An example of this would be that when in the inpatient setting, tube feeds will not be started for a patient without a confirmatory x-ray.

      -C

  11. Krystal

    @sarah The test tries to trip you up. The question asked for the best not the first.

  12. Aaron

    The Risk for DX can be the highest priority. especially if it’s risk for infection/injury/safety.

  13. xoxo

    the “risk for infection ” cannot be a highest priority DX. the word “risk” means that there is a possibility to have an infection but it is not stated that there is an infection already. so it can’t be the highest priority DX for me. we have a different opinions regarding that. so i respect your answers everyone.. :)

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