NCLEX Chapter 1 Pain Practice Exercises

What is the primary focus of Chapter 1?

As a charge nurse, what is your initial action for a client with chronic pain whose medication requests have not been met?

Which question should you ask a client encouraged by family to 'tough out the pain'?

Which medication will you advocate for a client with diabetic neuropathy reporting burning pain?

Which client is most likely to receive opioids for extended periods of time?

What action should you take first when a newly graduated RN has correctly charted dose and time of medication but not nonpharmaceutical measures?

What is the primary focus of Chapter 2?

Which task could be delegated to a UAP for a patient with esophageal cancer?

What is the priority diagnosis for a patient with scant rectal bleeding and frequent bowel habit changes becoming angry?

Which patient is at greatest risk for pancreatic cancer?

Which actions are needed for patients placed on bleeding precautions?

Which patient would be most appropriately assigned to an LPN/LVN?

What is the primary focus of Chapter 3?

After administering an intradermal allergen injection, what is the first action if the patient feels anxious and dizzy?

Which nursing action will be delegated to health assistants for reducing HIV infection incidence?

Which student nursing action regarding an HIV-positive patient indicates the need for immediate intervention?

What information is most important to communicate to the physician after administering pentamidine to a patient?

What patient information about HAART therapy is most concerning?

What is the primary focus of Chapter 4?

Which action related to fluid management should be delegated to a UAP?

Which finding indicates that you need to contact the health care provider about a change in the drug therapy for a client taking enalapril (Vasotec)?

Which interventions will be important to include in the discharge plan for a client with cardiovascular risk factors? (Select all that apply)

Which value is most important to report to the physician before a patient undergoes knee arthroscopy?

Which action by a new RN administering packed red blood cells (PRBCs) requires immediate intervention?

Which action prescribed for a patient with sickle cell anemia in crisis will you implement first?

Which activity can you delegate to an experienced UAP for a patient with anemia caused by possible gastrointestinal bleeding?

Which patient is best assigned to a float nurse who has come from the postanesthesia care unit (PACU)?

What is the priority nursing diagnosis for a client experiencing a migraine headache?

Which key items should you include in the teaching plan for a client with newly-diagnosed migraine headaches? (Select all that apply)

Which action can you delegate to the UAP after a client has a seizure?

Which actions can you delegate to an LPN/LVN when admitting a client with a seizure disorder?

For which statement should you intervene when teaching a client and family about epilepsy?

What should you direct a caller reporting redness of the sclera, itching of the eyes, and increased lacrimation to do first?

What is the most important thing to stress when teaching about the prevention of accidental eye injuries?

Which clients should be assigned to the most experienced nurse in an ambulatory care center specializing in vision problems? (Select all that apply)

Have the client sit down and tilt his or her head slightly backward. _____, _____, _____, _____, _____, _____

Which tasks are appropriate to delegate to an LPN/LVN who is functioning under the supervision of an RN? (Select all that apply)

You are initiating a nursing care plan for a patient with osteoporosis. Which intervention should you delegate to the UAP?

Which teaching points will you be sure to include for a patient with osteoporosis to prevent falls? (Select all that apply)

Which finding should you notify the physician about first when admitting a patient with Paget disease?

Which action requires that the charge nurse intervene when an LPN/LVN is providing interventions for a patient with Paget disease?

You are making assignments for the day shift. Which patient would you assign to the nurse who was floated from the postanesthesia care unit (PACU) for the day?

Which task is most suitable to delegate to the UAP when preparing a client for a colonoscopy procedure?

You would be most concerned about an order for a total parenteral nutrition (TPN) fat emulsion for a client with which condition?

Which assessment finding is the most serious for a client with peptic ulcer disease?

Which finding should be called to the attention of the surgeon before proceeding with surgical treatment for obesity?

When preparing to review a teaching plan for a patient with type 2 diabetes mellitus, which value would you be sure to review?

Which task should you delegate to a UAP for a patient with newly-diagnosed type 2 diabetes?

Which key points should you include in the teaching plan for a patient with newly-diagnosed diabetes? (Select all that apply)

Which finding would you instruct the LPN/LVN to report immediately?

Which intervention should you delegate to a UAP for a diabetic patient?

Which assessment finding supports a diagnosis of Graves disease (hyperthyroidism)?

Which change in vital signs would you instruct the UAP to report immediately for a patient with hyperthyroidism?

For a patient with hyperthyroidism, which task will you delegate to an experienced UAP?

As the shift begins, you are assigned to care for the following patients. Which patient should you assess first?

Which assessment finding supports the nursing diagnosis of Decreased Cardiac Output related to decreased plasma volume?

A patient is hospitalized with adrenocortical insufficiency. Which nursing activity should you delegate to a UAP?

Which interventions for oral health are within the scope of practice for an LPN/LVN being supervised by a nurse? (Select all that apply.)

You are caring for a client who has just had a squamous cell carcinoma removed from the face. Which activity can you delegate to an experienced LPN/LVN?

When planning care for a resident with a stage III sacral pressure ulcer, which nursing intervention is best to delegate to an LPN/LVN?

Which order takes priority for a client with a diagnosis of Excess Fluid Volume?

Which client should you assess first in the burn unit?

Which laboratory value should you check immediately for a client with prominent U waves?

Which action will you take first for a client suspected of having SARS?

List the steps of the care plan in the order in which each should be accomplished: Apply silver sulfadiazine (Silvadene) ointment, obtain specimens for aerobic and anaerobic wound cultures, administer morphine sulfate 10 mg IV, debride the wound of eschar using gauze sponges, cover the wound with a sterile gauze dressing.

In what order will you perform the following actions after oral suctioning on a client in contact and airborne precautions?

Which client is best to assign to an RN who has floated from the oncology unit?

You are providing nursing care for a 24-year-old female patient admitted to the unit with a diagnosis of cystitis. Which intervention should you delegate to the UAP?

Which personal protective equipment (PPE) will you need when preparing to assess a client diagnosed with disseminated herpes zoster? (Select all that apply.)

Which client requires the most rapid action to protect others in the ED from infection?

Which laboratory result is of most concern to you for an adult patient with cystitis?

As charge nurse, you would assign the nursing care of which patient to an LPN/LVN working under the supervision of an RN?

Which actions are appropriate for an experienced LPN/LVN providing care for a patient with a respiratory problem? (Select all that apply.)

Which finding concerns you immediately for a patient with chronic emphysema receiving oxygen at 5 L/min?

Which piece of the patient's medical history supports a diagnosis of urinary tract infection (UTI)?

What should your plan of care for a patient suspected of having interstitial cystitis include?

What intervention should you suggest for a patient reporting nasal passage discomfort while receiving oxygen at 6 L/min?

Which information will require the most immediate action for a client with a history of benign prostatic hyperplasia (BPH)?

Which action by a student performing tracheostomy care would cause you to intervene?

While performing a breast examination on a 22-year-old client, which finding is of most concern?

Which actions would you clearly provide to an RN supervising a patient admitted with anterior epistaxis? (Select all that apply.)

After undergoing a modified radical mastectomy, which nursing action is best to delegate to an experienced LPN/LVN?

Which laboratory test is most useful for a client reporting substernal and left arm discomfort related to acute coronary syndrome (ACS)?

Which client finding requires immediate action during a treadmill stress test?

Which actions can be delegated to an experienced LPN/LVN in the ED for a client with acute substernal chest pain? (Select all that apply.)

Nurse's role in pain management

Pain management conference

Social-cultural aspect of pain

Gabapentin for diabetic neuropathy

Opioids for chronic pain in diabetes

Delegation in cancer care

Addressing patient anxiety

Risk of cancer in family history

Risk factors for pancreatic cancer

Chemotherapy and platelet count

Mouthwash during chemotherapy

Epinephrine for anaphylaxis

Oxygen therapy during anaphylaxis

HIV prevention through sterile needles

Consequences of inconsistent HIV treatment

Fluid and electrolyte balance - nurse's role

Clear communication for fluid management

Mouthwash during dehydration

Healthcare assistant's role in dehydration

Safety measures during treatment

Monitoring vital signs during treatment

Treating lung fluid accumulation

Hypokalemia and EKG

Isolation for suspected SARS

Bird flu treatment

Removing PPE

PPE for herpes zoster

Isolation for chickenpox

Data accuracy in emergency care

Chest pain during stress test

Persistent cough as a side effect

Troponin for heart damage

White blood cell count and surgery

Management of anterior nosebleeds

Reducing cardiovascular risks

Smoking education for heart disease

Exercise and blood pressure management

IV priming for PRBCs

Timing of PRBC transfusion

IV catheter size for blood transfusion

Oxygen therapy during sickle cell crisis

Management of sickle cell crisis

Delegation of stool sample collection

Consent form for colonoscopy

Post-colonoscopy care

Managing severe migraine pain

Migraine triggers

Post-seizure care

Managing seizures

Eye irritation and contact lenses

Eye protection

Fall prevention education

Exercise for fall prevention

Paget's disease and skull base changes

Osteoporosis care plan