NURSING MISC NCLEX Module 8 Questions And Answers. Complete Solution.1. The nurse is preparing to administer digoxin, 0.125 mg orally, to a client
... [Show More] with
heart failure. Which vital sign is most important for the nurse to check before
administering the medication?
A. Heart Rate
B. Temperature
C. Respirations
D. Blood Pressure
2. The nurse is performing nasotracheal suctioning of a client. The nurse interprets
that the client is adequately tolerating the procedure if which observation is
made?
A. Skin color becomes cyanotic.
B. Secretions are becoming bloody.
C. Coughing occurs with suctioning.
D. Heart rate decreases from 78 beats/minute to 54 beats/minute.
3. The nursing student is asked to describe the correct steps for performing adult
cardiopulmonary resuscitation (CPR). Arrange the steps of adult CPR in the order
of priority. All options must be used.
A. Determine unconsciousness by shaking the client and asking “Are you ok?”
B. Perform chest compression
C. Open the client’s airway
D. Initiate breathing
4. The nurse monitors a postoperative client who had abdominal surgery for signs
of complications. Which signs/symptoms should the nurse determine to be
indicative of a potential complication? Select all that apply.
A. Increasing restlessness
B. A temperature of 98.9° F (37.7° C)
C. Unrelieved pain despite receiving analgesics
D. Faint bowel sounds heard in all four quadrants
E. A blood pressure of 114/66 mm Hg with a pulse of 96 beats per minute
5. The nurse provides medication instructions to an older hypertensive client who is
taking 20 mg of lisinopril orally daily. The nurse evaluates the need for further
teaching when the client makes which statement?
A. "I can skip a dose once a week."
B. "I need to change my position slowly."
C. "I take the pill after breakfast each day."
D. "If I get a bad headache, I should call my health care provider immediately."
6. The nurse is caring for an older client who is on bed rest. The nurse plans which
intervention to prevent respiratory complications?
A. Decreasing oral fluid intake
B. Monitoring the vital signs every shift
C. Changing the client's position every 2 hours
D. Instructing the client to bear down every hour and to hold his or her breath
7. The nurse assists with preparing a nursing care plan for a child who has Reye's
syndrome. Which is the priority nursing intervention?
A. Monitoring the output
B. Checking pupillary responses
C. Changing the body position every 2 hours
D. Providing a quiet atmosphere with dimmed lights
8. The nurse is initiating seizure precautions for a child being admitted to the
nursing unit. Which items are essential for the nurse to place at the bedside?
A. Oxygen and a tongue depressor
Module 8 NCLEX Questions
B. A suction apparatus and oxygen
C. An airway and a tracheotomy set
D. An emergency cart and an oxygen mask
9. The nurse is caring for a client after an autograft of a burn wound on the right
knee. Which position should the nurse anticipate being prescribed for the client?
A. Placing the affected leg flat
B. Elevating and immobilizing the affected leg
C. Immobilizing the client in a dependent position
D. Placing the affected leg in a dependent position
10.The nurse is caring for a client after a mastectomy. Which nursing interventions
should assist with preventing lymphedema of the affected arm? Select all that
apply.
A. Placing cool compresses on the affected arm
B. Elevating the affected arm on a pillow above heart level
C. Taking no blood pressure measurements in the affected arm
D. Avoiding arm exercises during the immediate postoperative period
E. Maintaining an intravenous (IV) insertion site below the antecubital area on
the affected side
11.A client with cancer is receiving chemotherapy and develops thrombocytopenia.
Which intervention is a priority in the nursing plan of care?
A. Monitor the client for bleeding.
B. Monitor the client's temperature.
C. Ambulate the client three times daily.
D. Monitor the client for pathological fractures.
12.Megestrol acetate, an antineoplastic medication, is prescribed for the client with
metastatic endometrial carcinoma. The nurse reviews the client's history and
contacts the registered nurse if which diagnosis is documented in the client's
history?
A. Gout
B. Asthma
C. Thrombophlebitis
D. Myocardial Infarction [Show Less]