ADVANCED EXAMS FOR NCLEX PN TEST 1
1. The nurse is caring for a client following an appendectomy. The client reports nausea
and complains of surgical site pain at a 6 on a 0 to 10 scale. The client's employer is
present in the room and states he is paying for the insurance and wants to know what
pain medication has been prescribed by the physician. Which of the following is the
appropriate nurse response?
A. Answer any questions the employer may have as he pays for the insurance.
B. Tell the employer his question is inappropriate and that the information is none of his
business.
C. Explain to the employer that you cannot release private information and ask the
employer to step out while you conduct your assessment of the client.
D. Ask the employer to leave and wait until the client returns home to visit. - CORRECT
ANSWER-C. Explain to the employer that you cannot release private information and
ask the employer to step out while you conduct your assessment of the client.
2. The nurse is caring for a client with a history of advanced chronic obstructive
pulmonary disease (COPD). The client had conventional gallbladder surgery 2 days
previously. Which intervention has priority for preventing respiratory complications?
A. Incentive spirometry every 4 hours.
B. Coughing and deep breathing four times daily.
C. Getting the client out of bed 4 times daily as ordered by the physician.
D. Giving oxygen at 4 L/minute according to the physician's order. - CORRECT
ANSWER-C. Getting the client out of bed 4 times daily as ordered by the physician
3. A nurse is developing a care plan for a client with acute mania. Place the following
behaviors in the order in which they occur as the client develops acute mania. Use all of
the options.
A. Delusions of grandeur.
B. Relevant, calm speech patterns.