Welcome to our NCLEX Daily Ten Practice! This practice is designed to help you solidify your knowledge, improve your skills, and prepare thoroughly for the NCLEX exam. With ten questions to tackle each day, you’ll have the opportunity to review a broad range of subjects covered in the NCLEX exam.

 

1. Which action(s) should you delegate to the experienced nursing assistant when caring for a patient with a thrombotic stroke with residual left-sided weakness? Select all that apply.

A. Assist the patient to reposition every 2 hours.

B. Reapply pneumatic compression boots.

C. Remind the patient to perform active ROM.

D. Check extremities for redness and edema.

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2. The patient who had a stroke needs to be fed. What instruction should you give to the nursing assistant who will feed the patient?

A. Position the patient sitting up in bed before you feed her.

B. Check the patient’s gag and swallowing reflexes.

C. Feed the patient quickly because there are three more waiting.

D. Suction the patient’s secretions between bites of food.

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3. You have just admitted a patient with bacterial meningitis to the medical-surgical unit. The patient complains of a severe headache with photophobia and has a temperature of 102.60 F orally. Which collaborative intervention must be accomplished first?

A. Administer codeine 15 mg orally for the patient’s headache.

B. Infuse ceftriaxone (Rocephin) 2000 mg IV to treat the infection.

C. Give acetaminophen (Tylenol) 650 mg orally to reduce the fever.

D. Give furosemide (Lasix) 40 mg IV to decrease intracranial pressure.

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4. You are mentoring a student nurse in the intensive care unit (ICU) while caring for a patient with meningococcal meningitis. Which action by the student requires that you intervene immediately?

A. The student enters the room without putting on a mask and gown.

B. The student instructs the family that visits are restricted to 10 minutes.

C. The student gives the patient a warm blanket when he says he feels cold.

D. The student checks the patient’s pupil response to light every 30 minutes.

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5. A 23-year-old patient with a recent history of encephalitis is admitted to the medical unit with new-onset generalized tonic-clonic seizures. Which nursing activities included in the patient’s care will be best to delegate to an LPN/LVN whom you are supervising? Select all that apply.

A. Document the onset time, nature of seizure activity, and postictal behaviors for all seizures.

B. Administer phenytoin (Dilantin) 200 mg PO daily.

C. Teach the patient about the need for good oral hygiene.

D. Develop a discharge plan, including physician visits and referral to the Epilepsy Foundation.

E. Gather information about the seizure activity

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