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. The nurse is managing care for several clients in the outpatient clinic. Among the following clients who called, which one should the nurse prioritize in responding to first?

 A. A client with hepatitis A who states, “My arms and legs are itching.”

B. A client with a cast on the right leg who states, “I have a funny feeling in my right leg.”

C. A client with osteomyelitis of the spine who states, “I am so nauseous that I can’t eat.”

D. A client with rheumatoid arthritis who states, “I am having trouble sleeping.”

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2. A nurse on the surgical floor is prioritizing care for clients after receiving the report from the previous shift. Which of the following patients should the nurse assess first?

 A. A 35-year-old patient admitted three hours ago for a gunshot wound, with a 1.5 cm area of dark drainage noted on the dressing.

B. A 43-year-old patient who underwent a mastectomy two days ago, with 23 ml of serosanguinous fluid in the Jackson-Pratt drain.

C. A 59-year-old patient with a history of a collapsed lung from an accident, with no drainage noted in the chest tube in the past eight hours.

D. A 54-year-old patient with a total knee replacement two days ago, with moderate swelling at the surgical site.

E. A 47-year-old patient who had a laparoscopic cholecystectomy yesterday, complaining of mild pain at the incision site.

F. A 62-year-old patient who had an abdominal-perineal resection three days ago, now reporting chills.

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3. A nurse in a post-surgical unit is monitoring a 46-year-old patient who underwent a thyroidectomy 12 hours ago for the treatment of Grave’s disease. Which of the following observations should most concern the nurse?

A. Blood pressure 138/82 mmHg, respirations 16 per minute, oral temperature 37.2ºC or 99º F.

B. The patient carefully supports their head and neck when turning their head to the right.

C. The patient expresses difficulty in swallowing but can manage liquids.

D. The patient appears drowsy and complains of a sore throat.

E. The patient shows involuntary flexion of their wrist when blood pressure is measured.

F. The patient has a hoarse voice when speaking.

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4. A 38-year-old patient is admitted to the emergency department with severe pain in the lower right quadrant of the abdomen, nausea, and a low-grade fever, raising concerns about possible appendicitis. The nurse is considering pain relief strategies. Which of the following actions should the nurse prioritize?

A. Encourage the patient to change positions frequently in bed.

B. Administer Demerol 50 mg IM q 4 hours and PRN, as prescribed.

C. Apply warmth to the abdomen with a heating pad.

D. Use comfort measures and pillows to position the patient comfortably.

E. Administer an antiemetic as prescribed for nausea relief.

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5. A 56-year-old patient, recently diagnosed with end-stage renal disease, is preparing for their first peritoneal dialysis session in a clinic. The patient has a history of diabetes and hypertension, and has been experiencing increasing fatigue and fluid retention. Upon arrival, the nurse notes that the patient appears anxious about the procedure. The patient’s vital signs are stable, with a blood pressure of 150/90 mmHg, pulse 78 bpm, and respiratory rate 16 breaths per minute. The nurse reviews the physician’s orders, which indicate the type and volume of dialysate to be used. The peritoneal dialysis catheter had been placed a week earlier, and there’s no sign of infection at the site. The patient is settled in a comfortable position in the dialysis room, which is equipped with all necessary emergency equipment. Considering this scenario, which of the following actions should the nurse prioritize?

 A. Assess for a bruit and a thrill.

B. Warm the dialysate solution.

C. Position the client on the left side.

D. Insert a Foley catheter

E. Assess the patient’s understanding of the peritoneal dialysis procedure.

F. Address the patient’s anxiety and provide emotional support.

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