Nursing (NR446) Readiness CJE Practice Test

These questions are part of the practice quiz. Start practicing

• During a panic attack on a psychiatric unit, which action is appropriate for the nurse?
• What is the first action after a needlestick injury?
• What does the PICO framework stand for?
• What is a typical tidal volume setting for volume-controlled mechanical ventilation in an adult?
• In a patient admitted to the psychiatric unit yesterday for severe panic attacks, the UAP reports the patient is curled up, trembling, and breathing rapidly. The nurse's initial action should be to
• Which statement is not appropriate in report and documentation?
• What is a key feature of diabetic ketoacidosis?
• What are the five steps of the nursing process, in order?
• In an older adult with confusion, hallucinations, and signs of dehydration, which management focus should the nurse anticipate to relieve the confusion and hallucinations?
• An infant seen with a fracture; what is the priority nursing intervention?
• To ensure safe administration when a patient requests pain relief, what is the correct preparatory step?
• Which statement best indicates dehydration when observed during health screening or clinical assessment?
• The nurse responds to a client's pain and will administer hydromorphone over how many minutes?
• An older adult client is distracted during discharge teaching and shows confusion. Which communication approach best improves understanding?
• Which statement best describes the purpose of the Disaster Plan in a hospital?
• Which five criteria are evaluated in the Apgar score?
• In planning a community presentation on bullying, which statement best reflects a contributing factor or consequence to include?
• In the ED, a patient who takes nitroglycerin for angina and recently took sildenafil develops dizziness and low blood pressure. What is the likely cause?
• In the pain assessment mnemonic PQRST, what does the letter T stand for?
• Which postoperative measure is used to protect the surgical site after cleft lip repair in an infant?
• In caring for a patient with limited English proficiency, which service is most appropriate to ensure understanding of care?
• Which of the following is a hallmark of upper GI bleeding?
• After trauma, tachycardia is noted. Which statement best explains the tachycardia in this patient?
• A patient who was in a motor vehicle crash is suspected of alcohol withdrawal. Which medication is typically given first?
• For infants under 2 years, which growth chart is typically used?
• A client's roommate calls for assistance at 0715. Which client cue is the nurse most likely to find?
• Which action demonstrates culturally sensitive dietary planning for a patient with religious dietary restrictions?
• A home health UAP is assisting a patient with Alzheimer's who is fatigued; what is the most appropriate action?
• Which symptom is most consistent with anemia in chemotherapy patients?
• Which of the following signs may accompany upper GI bleeding due to blood loss?
• A client is 5 hours postpartum and has completely saturated a perineal pad within 15 minutes. What is the priority nursing action?
• What does a DNR order signify?
• Which statement describes a feature not associated with conscious sedation?
• After naloxone administration for suspected opioid overdose, which monitoring is essential?
• Which description best matches chest pain associated with pericarditis?
• At approximately what age are MMR vaccines typically given?
• Which growth chart is commonly used for children older than 2 years to assess percentile?
• Which cue would suggest that a patient should not receive a blood transfusion and alternative treatments should be considered?
• A health care provider prescribes hydromorphone 1 mg IV every 3 hours for pain. The medication system lists hydromorphone 4 mg/mL. How many milliliters should the nurse administer for a 1 mg dose?
• What is the first step the nurse should take when a client is placed in wrist restraints to maintain safety?
• Which task requires a licensed nurse to perform that UAP cannot?
• To confirm a suspected breast malignancy after imaging suggests a lesion, which procedure is commonly used?
• Which statement accurately describes brachytherapy in breast cancer treatment?
• What is the recommended management for vesicant chemotherapy extravasation?
• A pediatric patient weighing 66 pounds requires naloxone 0.1 mg/kg. If naloxone stock is 400 micrograms per mL, how many milliliters should be administered? (Round to the nearest hundredth)
• A client admitted with emphysema is now ready for discharge. The client is dressed and sitting comfortably in a chair reading the newspaper while waiting for their ride. Which action should the nurse take?
• An older female client has height loss; which diagnostic test should be anticipated?
• An elective cholecystectomy is planned. Which sequence correctly shows the preoperative consent steps?
• A nurse monitors a client with sudden onset of acute abdominal pain and faint vaginal bleeding. Which additional assessment finding is most concerning to the nurse?
• A key safety step to prevent med errors at the bedside?
• What is informed consent in nursing research?
• Which three elements must be present for informed consent to be valid?
• Which step of the nursing process comes after Assessment?
• In a community teaching session, screenings indicate many individuals are at risk for heart disease. Which information should be included in the teaching?
• During a STAT portable chest X-ray, which response is appropriate when a significant other is in bed?
• Which action demonstrates correct sterile technique for IV insertion?
• Under which circumstance may confidentiality be breached without consent?
• Which dietary choice is NOT appropriate for a diabetic patient aiming to reduce HbA1c?
• Conscious sedation is described as which of the following?
• During postpartum hypotension after an epidural, which action is the most appropriate first?
• Monitoring a client's heart rhythm via central telemetry, which rhythm requires immediate nursing action?
• In addition to normal saline for hyponatremia and dehydration due to gastroenteritis, which diet should the nurse anticipate?
• Which statement about upper GI bleeding is true?
• Two days postoperative, which action by the LPN/LVN is within scope of practice?
• Which statement reflects effective teaching?
• Which insulin type has the fastest onset of action?
• Which statement about sentinel lymph node biopsy is accurate during breast cancer surgery?
• In monitoring a patient receiving total parenteral nutrition, which parameter is commonly checked?
• A patient reports ongoing sleep difficulties during an annual visit. Which measure is most appropriate for the nurse to suggest to improve the patient's sleep?
• During conscious sedation for a procedure, which monitoring focus is essential?
• Which statement describes brachytherapy in breast cancer treatment?
• What is the normal adult resting heart rate range?
• A patient on total parenteral nutrition requires monitoring. Which condition should be prioritized in surveillance?
• Which combination of symptoms is commonly associated with diabetic ketoacidosis and can affect self-care?
• A woman in labor has just received an epidural block. What is the most appropriate initial nursing action?
• For a patient with a newly applied cast, which action is not recommended?
• A pregnant patient at 29 weeks with preterm labor is being treated with tocolytics. Which nurse response is most accurate regarding discharge planning?
• Which step is correct when preparing to obtain a capillary blood sample for glucose testing?
• Which of the following is an example of a non-dihydropyridine calcium channel blocker?
• APGAR scoring is typically performed at what times after birth?
• Which of the following is a classic sign of digoxin toxicity?
• Timing in PQRST pertains to?
• Which action best supports safety and reduces confusion in an older adult with dehydration-related delirium-like symptoms?
• For a patient with a blood pressure of 168/90 mmHg and a radial pulse of 82 bpm, what is the pulse pressure?
• Which combination of measures is included in the infant's postoperative care after cleft lip repair?
• During a home health assessment for a patient with diabetes and a wound, which two findings should be prioritized?
• A client with post-traumatic stress disorder is admitted due to suicidal thoughts and reports nightmares of the traumatic event. When asked to describe the event, which situation is the client likely to describe?
• The nurse cares for an infant whose cleft lip was recently repaired. What are important aspects of this infant's postoperative care?
• What is a key nursing intervention for a neutropenic patient?
• Which practice promotes justice and reduces bias in handoff communications?
• What unit is used to express serum potassium levels?
• A client on a psychiatric unit with paranoid personality disorder refused to eat breakfast because they believe the day shift nurse is poisoning the food. After the treatment regimen is updated, which assessment finding indicates effectiveness?
• Which measurement is used to estimate GFR in adults?
• A 48-year-old client admitted with pneumonia has poor oral intake. Which assessment information should staff have identified as the reason for the poor intake?
• Which response is most therapeutic when a client who had a bilateral mastectomy expresses 'This is so unfair'?
• In discussions about organ donation with families from diverse cultures, which approach best respects their beliefs?
• The CKD-EPI equation is used to estimate which kidney function parameter?
• Which measurement estimates GFR in adults?
• Primary purpose of standard precautions?
• Which hematologic toxicity is commonly associated with high-dose chemotherapy?
• Which dietary choice is most appropriate for a client with diabetes and an HbA1c of 9.4%?
• Which statement best describes active listening in nursing?
• Which action best supports a caregiver experiencing extreme fatigue?
• A nurse cares for a postpartum patient 12 hours after birth. Which finding requires further assessment?
• A COPD patient is on the medical floor; which finding should prompt immediate evaluation?
• Which of the following is NOT one of the three elements required for valid informed consent?
• Which item should the nurse gather to complete the morning medication administration from the MAR?
• Discharge planning for a client with obsessive-compulsive disorder who is planning to go home tomorrow; which action is most appropriate?
• Which lab finding is consistent with diabetic ketoacidosis?
• Which statement best explains why hourly Glasgow Coma Scale documentation matters in traumatic brain injury care?
• Which statement best explains why antacids should be avoided during fluoroquinolone therapy?
• A non-pharmacologic method for postoperative pain relief includes which technique?
• Provocation/palliation in PQRST addresses?
• Which of the following is an immediate nursing focus when dehydration is suspected?
• Which nursing action is appropriate when a patient requests pain medication during shift change?
• Which assessment finding supports dehydration in an older adult?
• During discharge education, a patient was distracted by television. Which factor most likely affected understanding?
• Which action demonstrates maintaining confidentiality during handoff?
• Regarding bonding between a new mother and her infant, which statement is most accurate?
• Which statement by the ED nurse most clearly indicates bias against the client during handoff?
• A nurse assesses a client 12 hours post vaginal birth and finds a boggy uterus displaced above and to the right of the umbilicus. Which immediate nursing action is most appropriate?
• What is the purpose of performing sentinel lymph node biopsy during breast cancer surgery?
• Which statement about stroke risk information is most accurate based on the health screening data?
• Which patient scenario represents the lowest immediate priority for assessment?
• A bedbound client who is grumpy in the morning requires planning care. Which instruction should the nurse give the UAP for planning and communicating care?
• Which is part of restraint documentation after removal?
• During mobile HIV screening, a client with HIV states revengeful intent and has slept with several women. Which question is most important to ask?
• A transgender client assigned female at birth is undergoing breast reduction as part of gender-affirming care. Which statement best indicates understanding of the reason for this surgery?
• The Rule of Nines is used to estimate?
• Which environmental assessment indicates safe practice for a patient performing a ritual with candles?
• A client admitted five days ago with fatigue, confusion, nausea, and abdominal pain; long history of alcohol abuse; pancreatitis and liver failure. Lungs clear; liver palpable in LUQ. Since admission, the client has been NPO. The diet is to be advanced today. Which dietary choice is most appropriate?
• Which finding is expected in a patient with suspected pericarditis?
• Which adverse effect is commonly associated with verapamil, a non-dihydropyridine calcium channel blocker?
• Which statement demonstrates proper hand hygiene when caring for a patient?
• Which statement best describes the relationship between arterial pH and PaCO2 in respiratory alkalosis?
• A patient with paranoid personality disorder has had treatment adjusted. Which action is appropriate for the nurse in response to the provider’s change?
• A home health client has a glucose reading of 392 mg/dL during a visit. Which action should the nurse prioritizes today?
• A non-pharmacologic method to relieve postoperative pain?
• A school-age child with a traumatic brain injury is crying and restless; what is the most appropriate nursing action regarding analgesia?
• Which statement best describes an advantage of health care informatics?
• Which step should occur first when obtaining informed consent for elective surgery?
• In the ED after a motor vehicle crash, which patient should the nurse assist first?
• Postoperative positioning for an infant after cleft lip repair to protect the incision site?
• A nurse on the oncology unit who had been uninvolved in governance becomes energized after sharing a new evidence-based practice. What most likely contributed to this increased leadership stance?
• What does SOAP stand for?
• In caring for a traumatic brain injury patient in the ICU, what is the most critical nursing action?
• Which major complication of total parenteral nutrition requires monitoring?
• Which finding represents a potential complication requiring immediate action during chemotherapy administration?
• What is a common temporary contraindication to vaccination?
• A nurse administers 100 mL of IV fluids at 125 mL/hr. The infusion bag was hung at 0900. At what time will the infusion be completed, in military time without a colon?
• A patient with pneumonia does not improve after several days of antibiotic therapy. What is the most appropriate next step?
• A sprained ankle; after applying compression and splint, what is the next nursing intervention?
• Which description best represents a Stage 3 pressure injury?
• A client with a history of Guillain-Barré syndrome, pneumonia, and hypertension presents for vaccination. What assessment information was overlooked that should have prevented vaccination?
• What does LEP stand for in patient care contexts?
• Which symptom is commonly associated with upper GI bleeding?
• A postpartum client with a boggy uterus displaced above and to the right of the umbilicus is most likely caused by which condition?
• In an unfolding case of suspected breast malignancy, which diagnostic test is typically first to evaluate the concern?
• Which assessment tool is commonly used on admission to identify fall risk?
• A nurse manager calls an off-shift nurse to come in because all available staff are needed immediately. Which hospital plan is most likely the reason for the call?
• Stage 2 hypertension in adults is defined by?
• Which of the following is NOT one of the six rights of medication administration?
• Which dietary modification is most appropriate to promote growth in a toddler with cystic fibrosis who is small for age?
• Which vaccine is a live attenuated vaccine?
• Which patient should be seen first by the nurse?
• Which ethical principle supports a patient's right to refuse treatment?
• Which statement about non-therapeutic nurse responses to a recent cancer diagnosis would be classified as non-therapeutic?
• In fire safety, what does RACE stand for?
• A 61-year-old client self-monitors blood pressure and brings a log to a follow-up appointment. How should the nurse interpret the data regarding medication dosing?
• Which adverse effect is commonly associated with non-dihydropyridine calcium channel blockers?
• What is the antidote for acetaminophen overdose?
• In a child with severe dehydration and poor skin turgor, which action is the priority?
• Which component contains the patient's own words as reported by the clinician?
• What is the maximum Apgar score at 1 minute?
• Which vaccine is administered orally to a 4-month-old infant?
• Dumping syndrome commonly occurs after which surgery?
• A patient with hypotension and tachycardia after sildenafil and nitroglycerin interaction is evaluated in the ED. Which is the most likely cause?
• To initiate continuous enteral tube feedings, which position is most appropriate?
• What action should the UAP take upon suspecting an unethical relationship between a nurse and a patient?
• In an acutely deteriorating patient, what is the first priority?
• Which question best assesses prevention of oral candidiasis in a patient using an inhaled corticosteroid?
• For a patient at 29 weeks with tocolytic therapy, which statement best describes discharge planning?
• A Chinese client who is brain dead and a plan to donate organs is discussed with the family, but the nurse disagrees with the plan. What is the reason for the nurse’s disagreement?
• Normal adult serum potassium range?
• What does PDSA stand for in quality improvement?
• Which instruction by the nurse contributes to infant safety and security and should be included in education?
• Region/radiation in the PQRST pain assessment refers to?
• What is the correct practice when restraints are used on both limbs?
• What is the primary purpose of strict hand hygiene and protective isolation in neutropenic patients?
• What is the range of the Glasgow Coma Scale?
• In a mass casualty triage scenario, which patient should be addressed second?
• In crisis de-escalation, which approach helps reduce escalation?
• Based on the client’s statement about ending his life, which nursing action is the priority?
• A patient with Clostridioides difficile infection requires infection control. Which action is the most essential single step to prevent transmission?
• Which data point most directly identifies a modifiable stroke risk factor in this patient?
• Which statement best describes the ethical principle guiding organ donation discussions with families?
• After a motor vehicle accident, a patient with an open femur fracture and 1000 mL estimated blood loss is admitted. Which statement best describes the nurse's explanation of the heart rhythm?
• A nurse monitors infection control in a patient's room. Which action demonstrates appropriate infection control practice when entering the room?
• Which description best characterizes shared governance in nursing practice?
• In quality improvement, the "Plan" phase is best described as:
• Which symptom suggests dumping syndrome after gastric surgery?
• For the bedbound patient with morning-care resistance, which approach best supports planning and communication?
• A postoperative client with a distal tibia fracture is on day 1 after open reduction and internal fixation and cannot move toes; the toes are dusky and cool to the touch. What action should the nurse take first?
• Which question best demonstrates culturally sensitive care when discussing end-of-life options with a patient from a different cultural background?
• First-line treatment for anaphylaxis?
• Which medical conditions predispose a patient to chronic renal failure?
• Which is a common contraindication to certain live vaccines in adults?
• In caring for a client with a new breast cancer diagnosis, which nurse response is most therapeutic?
• Late decelerations on fetal monitoring are most associated with which condition?
• Two nurses report suspected narcotics diversion by the charge nurse. Which action best reflects ethical conduct?
• What is selection bias?
• Which dietary modification is most appropriate for a patient with pancreatitis and liver disease when advancing from NPO?
• Following a sprained ankle, which discharge instruction is essential?
• A client with pneumonia is treated with levofloxacin and uses daily antacids. After five days, the nurse asks to hold the antacid until the antibiotic is finished. What assessment finding prompted this decision?
• During a telephone triage, which response demonstrates appropriate scheduling of a home health visit?
• Which biomarker is most specific for myocardial infarction?
• Which action is not recommended for a patient with a newly applied cast?
• When a parent suspects acetaminophen overdose for a 3-year-old, which question best informs risk assessment?
• Which statement reflects an appropriate approach to pain assessment?
• A client with bipolar disorder on lithium has an assessment; which finding supports the provider's request for laboratory evaluation?