NCLEX Practice Set 1

A 58-year-old female is recovering from a colon resection. She has a BMI of 40 and type 2 diabetes. Her most recent labs indicate albumin level of 2.5 g/dL.

>With the client at risk for wound dehiscence, which of the following should not be included in the plan of care?

The physician orders heparin 7,500 units subcutaneously every 12 hours on a client for DVT prophylaxis. The heparin is sent from the pharmacy in a vial of 10,000 units/mL.

>How much will the nurse administer for one dose?

After being diagnosed with iron deficiency anemia, a client is taking oral iron and eating foods rich in iron.

>Which of the following foods may help increase the body’s absorption of iron when consumed at the same time as iron?

A client reports that her daughter died 7 months ago, soon after Christmas, and she sometimes still gets depressed. The nurse asks further questions to assess for dysfunctional grieving, and the client reports normal sleep and eating habits, and is clean and appropriately dressed in appearance. She is still attending church weekly. The client further states she is not looking forward to her daughter’s upcoming birthday as they always went on a trip together.

>Which of the following would be considered a therapeutic response by the nurse?

The nurse is teaching a community workshop about infant care. One of the mothers asks, “Can you tell us about safe sleep guidelines?”

>Which of the following is a correct response by the nurse?

The nurse is assigned to a client with a history of human immunodeficiency virus (HIV) who has been on antiretroviral therapy for years.

>Which of the following would the nurse expect to see if the client is following the treatment plan?

A nurse is caring for a client that had a bronchoscopy and has been cleared for discharge home.

>Which of the following should be included in discharge teaching about concerning signs to immediately report? Select all that apply.

The nursing student is observing a nurse change the dressing on a central venous catheter.

>Which of the following steps should the nurse take while performing the dressing change? Select all that apply.

The nurse is taking care of a client who used to work in construction. As a result, the client has significant hearing loss in both ears.

>Which of the following nursing interventions would be inappropriate to use with this client?

A postpartum nurse is making rounds on her clients. When she enters the room of her 17-year-old client, the client asks “Where is the other nurse with my baby? It’s been a while since she took the baby to the nursery to do labs.” The postpartum nurse is alarmed as the nursery is currently empty.

>Which of the following actions takes priority?