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. A 45-year-old male, working as a construction engineer, is brought to the emergency department after an accident where he fell from a 2-story building. Upon arrival, he is found to be unconscious with no external signs of injury except for minor abrasions. The patient’s medical history is significant for hypertension, controlled with medication. There is no information available about the circumstances of the fall or the exact nature of the impact. The nurse’s assessment focuses on identifying immediate life-threatening injuries, particularly those related to potential head trauma, spinal injury, or internal bleeding. Given this scenario, which of the following assessment findings should the nurse be most concerned about?
2. A 67-year-old male patient who recently had a permanent artificial pacemaker implanted is receiving education from the nurse about managing his health and lifestyle with the device. The patient enjoys an active lifestyle and is keen to understand what activities and precautions are necessary with his new pacemaker. He also uses various electrical appliances at home and is concerned about how they might affect his pacemaker. In this scenario, which piece of information provided by the nurse indicates a knowledge deficit regarding the management of a patient with an artificial cardiac pacemaker?
3. A 68-year-old male patient with a history of Chronic Obstructive Pulmonary Disease (COPD) is admitted to the hospital with exacerbation of his respiratory symptoms. He is experiencing shortness of breath and his blood oxygen levels are low. The nurse is planning the oxygen therapy for this patient, considering the specific needs of patients with COPD. Which statement reflects the most relevant knowledge about oxygen administration to a patient with COPD?
4.
A 58-year-old male patient has recently undergone a left thoracotomy and a partial pneumonectomy to treat lung cancer. Post-surgery, chest tubes are inserted, and one-bottle water-seal drainage is instituted. In the postanesthesia care unit, the nurse positions the client in Fowler’s position on his right side or on his back. The nurse understands that this positioning is critical for postoperative recovery.
Understanding the implications of postoperative positioning, the nurse is aware that placing the patient in Fowler’s position on either his right side or on his back primarily:
5. A 42-year-old female patient is scheduled for a bronchoscopy to investigate recent breathing difficulties and a persistent cough. Post-procedure care is crucial for her safety and recovery. The nurse is providing the patient with pre-procedure education, emphasizing the most important aspects of post-procedure care. In teaching the patient what to expect and how to care for herself after the bronchoscopy, what is the highest priority information the nurse should provide?