NCLEX Nursing MCQs

Situation: Agnes, a client with Leukemia is in the clinic for her routine check up. Q. The most appropriate diagnostic examination for Agnes is:

RBC Exam

WBC Count

Complete Blood Count

Bone Marrow Aspiration

Right Answer is: Bone Marrow Aspiration

Which activity is suitable for a client who suffered an uncomplicated myocardial infarction (MI) two days ago?

Sitting in the bedside chair for 15 minutes three times a day

Remaining on strict bed rest with bedside commode privileges

Ambulating in the room and hall as tolerated

Sitting on the bedside for five minutes three times a day with assistance

An appropriate activity for the client who has recently had an MI is sitting on the side of the bed for five minutes three times a day with assistance. Answers A and C are incorrect because they increase the workload on the heart too soon after the MI. Answer B is incorrect because it does not allow the client enough activity.

A tracheostomy cuff is to be deflated, which of the following nursing intervention should be implemented before starting the procedures?

Suction the trachea and mouth.

Have the obdurator available.

Encourage deep breathing and coughing.

Do a pulse oximetry reading.

Secretions may have pooled above the tracheostomy cuff. If these are not suctioned before deflation, the secretions may be aspirated.

The nurse is preparing to walk the postpartum client for the first time since delivery. Before walking the client the nurse should:

Give the client pain medication.

Assist the client in dangling her legs.

Have the client breathe deeply.

Provide the client additional fluids.

Before walking the client for the first time after delivery the nurse should ask the client to sit on the side of the bed and dangle her legs to prevent postural hypotension. Pain medication should not be given before walking making answer A incorrect. Answers C and D have no relationship to walking the client so they are incorrect.