Anderson Review - NCLEX Test prep Specialists

SELECTED NCLEX-RN PRIORITY QUESTIONS FOR PARTICIPANTS IN THE ANDERSON NCLEX-RN REVIEW.

Select your answers then click "Check Test" at the bottom to see how you did.

1. Which of the following patients would the staff nurse see first?

A. A person with a fractured tibia in a cast who is complaining of foot pain.

B. A person 2 days post-op following a partial gastrectomy presenting with a fever of 99.9 F

C. A person presenting with a red IV site that is swollen and painful to the touch.

D. A person having rheumatoid arthritis, just started on prednisone, complaining of leg pain.

2. Which of the following patients would the surgical floor nurse see first?

A. A 52-year-old woman returning from the PACU after having a triple vessel bypass.

B. A person who has just experienced a dehiscence of a surgical abdominal wound.

C. A person who has been scoring between 5 and 8 on the CIWA scale evaluation for alcohol withdraw

D. A person with a permanent tracheostomy tube in place coughing up thin white secretions.

3. Which of the following patients would the nurse see first after getting report?

A. A postoperative patient with a nasogatric tube attached to low wall suction returning green drainage

B. An Alzheimer's patient experiencing agitation and hallucinations

C. A pneumonectomy patient who has been diagnosed with a pleural effusion

D. A patient with ulcerative colitis who is having loose bloody stools

4. Which of the following patients would the floor staff nurse see first after getting report?

A. A patient diagnosed with esophageal reflux complaining of epigastric pain.

B. A patient on antibiotics had developed loose foul-smelling diarrhea

C. A female patient hospitalized for gallstones experiencing nausea, vomiting, with a jaundiced appearance.

D. A patient with a central catheter complaining of sudden shortness of breath and anxiety

5. Which of the following patients would the nurse see first?

A. A patient with liver disease and encephalopathy who is now appearing confused and combative

B. An 86 year-old confused female who has an O2 saturation level of 92

C. A 78-year-old being treated for acute pyeloneprhitis experiencing a decrease in urine output

D. A coma patient experiencing dry skin, a flushed appearance, and kussmaul respirations

6. Which of the following patients would the ICU nurse see first?

A. A patient with a chest tube being treated for a pneumothorax has 15 ml of blood in the drainage

collection chamber over the past hour

B. The patient who has a morphine sulfate PCA device set at 1/6/10 complaining of increased pain

C. An epileptic patient experiencing status epilepticus seizures

D. A patient with a dull abdominal pain presenting with loose stools and blood

7. Which of the following patients would the triage nurse in the emergency department bring to a room first?

A. The client complaining of being jittery, complaining of a heat intolerance and muscle weakness

B. The cancer patient on chemotherapy experiencing nausea and vomiting.

C. A patient who has just discovered their PPD (Mantou) is red and raised.

D. The patient with Grave's disease, not being treated, appears with the complaint of a sore throat.

8. Which of the following patients would the nurse see first after getting report?

A. A patient on bedrest who has nausea, vomiting, and severe back pain

B. A 45 year old returning to floor after bronchoscopy with a respiratory rate of 24

C. A Crohn's disease patient on T.P.N. via a central catheter who has a blood sugar of 170 mg/dL

D. A patient with continuous N.G. tube feedings is found to have a residual of 120 mL

9. Which of the following patients would the charge nurse see first when making rounds?

A. The radioactive implant patient, being treated for cancer of prostate, now complaining of urinary retention.

B. A thyroidectomy patient experiencing new onset hoarseness.

C. The subtotal gastrectomy patient complaining of heart burn.

D. A 2-day post-op hip replacement patient complaining of pain in their operative area.

10. Which of the following patients would the surgical nurse see first after getting report?

A. A person with a heart murmur and bruit in their carotid arteries.

B. A 1-day postoperative nephrectomy patient experiencing hematuria

C. An abdominal surgery with Jackson-Pratt drain that is producing 15 to 20 ml of sanquineous fluid per shift.

D. A patient with a newly created ileostomy complaining of loose stools

11. Which of the following patients would the nurse see first?

A. A patient with intermittent claudication noted to have unequal calves.

B. A patient who has clearing of an acute confusional state.

C. The person with a spinal cord transection at the C-4 level who is complaining of headache and diaphoresis

D. A patient who calls the nursing station complaining of nervousness, tremors and insomnia

12. Which of the following patients would the nurse see first?

A. The patient who has had abdominal surgery and is now presenting with a reddened draining surgical site

B. A lupus patient with complaints of chest pain

C. A patient femoral fracture patient in traction with external fixation and pins complaining of coldness in their toes

D. A patient requesting pain medication for a severe headache

13. When making rounds during the oncoming shift, which of the following patients would the nurse see first?

A. The client on seizure precautions

B. A patient who has had a mandibular fracture repair with wiring

C. The total hip replacement who is complaining of leg pain

D. The chronic hypertension patient complaining of acute abdominal pain

14. Which of the following patients would the nurse see first in the emergency department?

A. A 75 year old female who fell on the curb complaining of back pain, tingling and numbness in their lower extremities

B. A rheumatoid arthritis patient presenting with red swollen joints and increased stiffness

C. A two-week post-operative total knee replacement patient complaining of pain when walking

D. A post- auto accident patient who has a purplish bruise on their abdomen

15. Which of the following patients would the nurse see first?

A. A 44 year old patient presenting with new onset cough

B. A 90 year old patient receiving a blood transfusion who has crackles in lung bases

C. A patient with a history of renal lithiasis complaining of severe lower back pain

D. A patient with a permanent tracheostomy who has a scant amount of blood-tinged sputum with suctioning

16. Which of the following patients would the nurse see first?

A. A one day post-op herniography patient who has no bowel sounds upon auscultation

B. A left lower lobectomy patient who is reported to have bubbling in their water seal chamber of their pleurevac suction system

C. A motor vehicle accident victim with Glasgow score changes from 7 to 11

D. A renal failure patient with a reported potassium level of 7.8

17. Which of the following patients would the nurse see first?

A. A patient with aplastic anemia and low platelet count receiving oxygen for shortness of breath.

B. A chemotherapy patient who is reporting a new cough

C. A postoperative craniotomy patient experiencing facial edema and ecchymosis

D. A multiple sclerosis patient complaining of diplopia, ptosis, and fatigue

18. Which of the following patients would the nurse see first?

A. The patient with a newly discovered positive acid fast bacillus sputum culture

B. A patient being treated with IV heparin for DVT

C. A Type 1 diabetic needing teaching about collecting blood for capillary blood sugars

D. A post-op patient with urine output of 100 ml in past 4 hours

19. Which of the following patients would the emergency department nurse see first?

A. A drug addicted patient presenting with confusion, agitation and blood pressure of 60/40 mmhg

B. A 6 year old with a sore throat, muscle weakness, and fever

C. A 55 year old person with a history of end stage renal disease with scant urine output for the last 3 days

D. A 16 year old girl presenting with continuing weight loss and confusion

20. Which of the following patients would the emergency department nurse see first?

A. A patient with a diagnosis of stable angina complaining of episodes of heavy chest pain each lasting

around 10 minutes in duration

B. A patient with severe venous stasis who is presenting with swelling and inflammation of both lower extremities

C. A patient with a casted tibial plateau fracture complaining of swelling of the knee and a cold foot

D. A radical prostatectomy patient who has noted a greenish color drainage in the JP drain they were discharged with