NCLEX Select All That Apply Questions
NCLEX has increasing quantity of alternative format questions, but the one that is challenging for most candidates is the dreaded: “Select All That Apply” format of questions. The main frustration is that the test candidate does not get credit for the entire question if not all the possible right answers are selected, or adding an option that is not accurate. So here are some NCLEX Select All That Apply Questions for your practice.
NCLEX Select All That Apply Questions
Question 1 |
Absence of erythema in perianal skin and mucous membranes | |
Moist mucous membranes | |
Decrease in stool frequency and liquidity | |
Firm skin turgor | |
Urine output of at least 30 ml/hour | |
Formed stools at regular intervals |
Question 2 |
The hair should be washed the evening before the test. | |
Tea and coffee are restricted on the day of the test. | |
All medications need to be withheld on the day of the test. | |
The test will take between 45 minutes and 2 hours. |
Question 3 |
Cardiovascular | |
Neurological | |
Respiratory | |
Psychosocial |
Question 4 |
Using a hospital gown with snaps at the sleeves | |
Putting the bag and tubing through the sleeve, followed by the client’s arm | |
Checking the IV flow rate immediately after changing the hospital gown | |
Disconnecting the IV tubing from the catheter in the vein |
Question 5 |
Hypertension. | |
Weight loss. | |
Headaches | |
Increased clotting time. |
Question 6 |
ANA Code of Ethics for Nurses. | |
institutional review boards for the protection of human subjects engaged in research. | |
JCAHO. | |
federal nurse practice acts. |
Question 7 |
Suctioning the oropharynx and trachea | |
Applying a sterile dressing | |
Inserting a urinary catheter | |
Inserting an IV |
Question 8 |
"I will be sure that my child drinks at least three to four glasses of fluids every day." | |
"I will give acetaminophen (Tylenol) if my child develops a fever." | |
"During an attack, I will take my child to a cool location." | |
"I will give my child cough syrup if a cough develops." |
Question 9 |
Absence of protein | |
Absence of glucose | |
Specific gravity of 1.03 | |
Urine pH of 3.0 |
Question 10 |
The client with a colostomy | |
The client with decreased kidney function | |
The client with cirrhosis | |
The client with congestive heart failure (CHF) |
Question 11 |
Prone | |
Fowler’s | |
Supine | |
Side-lying |
Question 12 |
Ineffective tissue perfusion related to decreased peripheral blood flow secondary to decreased cardiac output. | |
Activity intolerance related to increased cardiac output. | |
Decreased cardiac output related to structural and functional changes. | |
Impaired gas exchange related to decreased sympathetic nervous system activity. |
Question 13 |
Reflects electrical impulse beginning at the SA node | |
Indicated electrical impulse beginning at the AV node | |
Has duration of normally 0.11 seconds or less | |
Reflects atrial muscle depolarization |
Question 14 |
A client in skeletal traction | |
A client admitted on the previous shift who has a diagnosis of gastroenteritis | |
A client on a ventilator | |
A postoperative client preparing for discharge |
Question 15 |
patient from third-party payers | |
patient’s medical and health information | |
patient’s right to refuse treatment | |
patient’s need to have liability insurance |
Question 16 |
Patient’s Bill of Rights and standards of care | |
Nurse Practice Act and licensure | |
living will and durable power of attorney | |
informed consent and confidentiality |
Question 17 |
Diabetic mellitus client | |
Renal failure client | |
Asthma client | |
Malnourished client |
Question 18 |
Check the level of the drainage bag | |
Reposition the client to his or her side. | |
Place the client in good body alignment | |
Check the peritoneal dialysis system for kinks |
Question 19 |
Gloves and goggles | |
Gloves and a gown | |
Gloves, a gown, and shoe protectors | |
Gloves, a gown, and goggles |
Question 20 |
With extreme hip flexion | |
Supine on the left side | |
With the head in a midline position | |
In a semi-Fowler's position |
Question 21 |
Low PCO2 | |
Acetone breath | |
Retinopathy | |
Elevated serum bicarbonate |
Question 22 |
Wearing a film (dosimeter) badge when in the client's room | |
Wearing a lead apron when providing direct care to the client | |
Wearing gloves when emptying the client's bedpan | |
Keeping all linens in the room until the implant is removed |
Question 23 |
To take acetaminophen (Tylenol) for minor eye discomfort | |
To place an eye shield on the surgical eye at bedtime | |
To contact the surgeon if eye scratchiness occurs | |
To avoid activities that require bending over | |
That episodes of sudden severe pain in the eye is expected | |
To contact the surgeon if a decrease in visual acuity occurs |
Question 24 |
Feeling tired after a night’s sleep | |
Difficulty staying asleep | |
Extended time to fall asleep | |
Falling asleep at inappropriate times |
Question 25 |
Postural blood pressure changes | |
Intense thirst | |
Dry mucous membranes | |
Slow bounding pulse |
Question 26 |
give one federal standard for living wills and durable powers of attorney. | |
encourage medical treatment decision making prior to need. | |
enhance personal control over legal care decisions. | |
emphasize patient education. |
Question 27 |
consent must be obtained from the next of kin, so the patient must wait for surgery. | |
you must wake the patient and obtain consent for surgery. | |
emergency surgery may be completed if deemed necessary by two attending physicians when a patient is unable to give consent and the next of kin cannot be reached. | |
his girlfriend can give consent when his parents cannot be reached. |
Question 28 |
Elevate the extremity on pillows for the first 24 to 48 hours after casting to prevent swelling. | |
Contact the health care provider if the child complains of numbness or tingling in the extremity. | |
Keep small toys and sharp objects away from the cast. | |
Place a heating pad on the lower end of the cast and over the fingers if the fingers feel cold. |
Question 29 |
Assess for bladder distention and bowel impaction | |
Elevate the HOB to 90 degrees | |
Use a fan to reduce diaphoresis | |
Loosen constrictive clothing |
Question 30 |
Using a hospital gown with snaps at the sleeves | |
Putting the bag and tubing through the sleeve, followed by the client's arm | |
Checking the IV flow rate immediately after changing the hospital gown | |
Disconnecting the IV tubing from the catheter in the vein |
Question 31 |
Maintain the eye patch or shield. | |
Assist with activities of daily living. | |
Administer eye medications. | |
Monitor for hemorrhage. |
Question 32 |
Diarrhea | |
Mechanical overventilation | |
COPD | |
Hyperventilation | |
Barbiturate or sedative overdose | |
Weakness of respiratory muscles | |
Guillain-Barre syndrome |
Question 33 |
Anticholinergics | |
Cardiac glycosides | |
Angiotensin-converting enzyme (ACE) inhibitors | |
Phosphodiesterase (PDE) inhibitors |
Question 34 |
Increased susceptibility to urinary tract infections | |
Decreased respiratory rate | |
Decline in visual acuity | |
Increased incidence of awakening after sleep onset |
Question 35 |
Place the child on a low-bacteria diet. | |
Encourage the consumption of fresh fruits and vegetables. | |
Change dressings using sterile technique. | |
Perform meticulous hand washing before caring for the child |
Question 36 |
Drinking a glass of wine just before retiring to bed | |
Consuming a small glass of warm milk at bedtime | |
Eating a large meal 1 hour before bedtime | |
Performing mild exercises 30 minutes before going to bed |
Question 37 |
Palpitations | |
Thirst | |
Slurred speech | |
Diaphoresis |
Question 38 |
dismay | |
Numbness | |
Preparatory grief | |
Shock |
Question 39 |
To contact the surgeon if a decrease in visual acuity occurs | |
To take acetaminophen (Tylenol) for minor eye discomfort | |
To avoid activities that require bending over | |
To place an eye shield on the surgical eye at bedtime |
Question 40 |
Rise in venous pressure | |
Coldness at the site | |
Hypertension | |
Tachycardia | |
Edema | |
Swelling at the site | |
Cyanosis | |
Unconsciousness |
Question 41 |
Respiratory acidosis | |
Metabolic alkalosis | |
Respiratory alkalosis | |
Metabolic acidosis |
Question 42 |
your patient has a Foley catheter. | |
your patient has been admitted to the hospital three times in the last two months. | |
your patient's family will be there to care for him 24 hours/day. | |
your patient is ordered to continue IV antibiotics 5 days post discharge. |
Question 43 |
Gloves, a gown, and goggles | |
Gloves and goggles | |
Gloves, a gown, and shoe protectors | |
Gloves and a gown |
Question 44 |
Ask Mrs. T about her ability to shop and cook for herself. | |
Does Mrs. T like to read? | |
What medications has she been taking? | |
Ask Mrs. T about the details of her fall. |
Question 45 |
Taking photographs of the client without consent | |
Performing a surgical procedure without consent | |
Threatening to place a client in restraints | |
Telling the client that he or she cannot leave the hospital |
Question 46 |
A farm set | |
A puzzle | |
A golf set | |
A wagon |
Question 47 |
Frequently looks at snapshots of her husband and family | |
Constantly neglects personal grooming | |
Visits her husband's grave once a month | |
Visits the senior citizens' center once a month |
Question 48 |
Pneumonia client | |
Asthma client | |
Diabetic mellitus client | |
Malnourished client | |
Severely anxious client | |
Renal failure client |
Question 49 |
Trauma | |
Alkylating agents | |
X-rays | |
Ultraviolet rays | |
Cigarette smoking |
Question 50 |
Soaps should be avoided near the stoma. | |
Use diluted alcohol on the stoma to clean it. | |
Protect the stoma from water. | |
Wash the stoma daily using a washcloth. |
Question 51 |
Agitation | |
Fever | |
Bradycardia | |
Sweating |
Question 52 |
Seizures | |
Proteinuria 3+ | |
Blood pressure 168/116 mm Hg | |
Muscle cramps | |
Oliguria | |
Contractions |
Question 53 |
Sore that healed for 2 weeks | |
Lump in breast or elsewhere | |
Nagging cough or hoarseness | |
Heavy bleeding during menses | |
Fever that lasts for 2 weeks | |
Change in wart or mole | |
Constipation |
Question 54 |
increases quality of care | |
is time consuming | |
promotes multidisciplinary team collaboration | |
is cost effective |
Question 55 |
Prepare to administer intravenous fluids. | |
Prepare to administer 100% oxygen by face mask | |
Prepare to administer morphine sulfate. | |
Notify the registered nurse. |
Question 56 |
Respirations that are abnormally deep, regular, and increased in rate | |
Respirations that are regular but abnormally slow | |
Respirations that are labored and increased in depth and rate | |
Respirations that cease for several seconds |
Question 57 |
Treat hypocalcemic tetany. | |
Prevent cardiac irritability. | |
Treat thyroid storm. | |
Stimulate the release of parathyroid hormone. |
Question 58 |
Assist with activities of daily living. | |
Monitor for hemorrhage. | |
Encourage coughing and deep breathing. | |
Maintain the eye patch or shield. | |
Administer eye medications. | |
Educate regarding symptoms of retinal detachment. |
Question 59 |
A client on a ventilator | |
A client admitted on the previous shift who has a diagnosis of gastroenteritis | |
A client in skeletal traction | |
A postoperative client preparing for discharge |
Question 60 |
Phosphate binders | |
Insulin | |
Antibiotics | |
Cardiac glycosides |
Question 61 |
kind of data used in making the decision | |
selling the decision | |
personal value system of the decision maker | |
defensibility of the decision |
Question 62 |
The violent behavior is most often justified by the stressor. | |
The client functions well in other areas of his life. | |
The degree of aggressiveness is out of proportion to the stressor. | |
The client has a history of parental alcoholism and chaotic, abusive family life |
Question 63 |
Bradycardia | |
Agitation | |
Sweating | |
Fever | |
Pallor |
Question 64 |
Color of nail beds | |
Presence of chest pain. | |
Presence of peripheral edema | |
Auscultation of breath sounds |
Question 65 |
Polydipsia | |
Lethargy | |
Head tilt | |
Vomiting |
Question 66 |
Activity Intolerance | |
Imbalanced Nutrition; Less than Body Requirements | |
Impaired Gas Exchange | |
Excess Fluid Volume |
Question 67 |
To take acetaminophen (Tylenol) for minor eye discomfort | |
To place an eye shield on the surgical eye at bedtime | |
That episodes of sudden severe pain in the eye is expected | |
To contact the surgeon if a decrease in visual acuity occurs |
Question 68 |
Maintaining a low-sodium diet | |
Maintaining a low-potassium diet | |
Monitoring intake and output | |
Monitoring extremities for edema |
Question 69 |
delegates to another individual | |
is accountable | |
makes decisions | |
assumes responsibility |
Question 70 |
Inquiring about the client’s perception of the cause of the neighbor’s death | |
Identifying the client’s potential for self-harm | |
Inquiring about the client’s feelings that may affect coping | |
Identifying the client’s ability to function |
Question 71 |
Wearing a film (dosimeter) badge when in the client’s room | |
Wearing a lead apron when providing direct care to the client | |
Keeping all linens in the room until the implant is removed | |
Wearing gloves when emptying the client’s bedpan | |
Placing the client in a semiprivate room at the end of the hallway |
Question 72 |
A client with diabetes mellitus | |
A 101-year-old man | |
A client on renal dialysis | |
A premature infant |
Question 73 |
A 45-year-old female client with a history of migraine headaches | |
A 10-year-old female client with a urinary tract infection | |
A 24-year-old male client with a lower back injury | |
A 60-year-old male client with rhinitis |
Question 74 |
Notify the registered nurse. | |
Prepare to administer 100% oxygen by face mask. | |
Place the infant in a prone position. | |
Prepare to administer morphine sulfate. | |
Call a code blue. | |
Prepare to administer intravenous fluids. |
Question 75 |
Identifying the client's potential for self-harm | |
Inquiring about the client's feelings that may affect coping | |
Identifying the client's ability to function | |
Inquiring about the client's perception of the cause of the neighbor's death |
Question 76 |
Partial thromboplastin time. | |
Platelet count | |
Prothrombin time | |
Complete Blood Count |
Question 77 |
Respiratory acidosis | |
Metabolic acidosis | |
Metabolic alkalosis | |
Respiratory alkalosis |
Question 78 |
“I can place an aspirin tablet in my pouch to decrease odor.” | |
“I can usually keep my ostomy pouch on for 3 to 7 days before changing it.” | |
“I must use a skin barrier to protect my skin from urine.” | |
“I should empty my ostomy pouch of urine when it is full.” |
Question 79 |
To avoid activities that require bending over | |
That episodes of sudden severe pain in the eye is expected | |
To place an eye shield on the surgical eye at bedtime | |
To take acetaminophen (Tylenol) for minor eye discomfort | |
To contact the surgeon if a decrease in visual acuity occurs | |
To contact the surgeon if eye scratchiness occurs |
Question 80 |
Purulent mucus production | |
Scant mucus | |
Mild episodes of dyspnea | |
Marked weight loss | |
Early onset cough |
Question 81 |
Hemodialysis | |
Activated charcoal and a saline cathartic | |
Gastric lavage | |
Administration of Flumazenil |
Question 82 |
Early onset cough | |
Mild episodes of dyspnea | |
Marked weight loss | |
Purulent mucus production |
Question 83 |
Inspect the insertion site for swelling, erythema, or drainage | |
If unable to aspirate blood, reposition the client and encourage the client to cough. | |
Contact the health care provider about verifying placement if the status is questionable. | |
Verify patency of the line by the presence of a blood return at regular intervals. |
Question 84 |
Perform neurovascular checks. | |
Apply continuous passive motion machine during day. | |
Elevate head of bed 30 degrees before meals. | |
Change dressing once a shift |
Question 85 |
Temperament | |
Nutrition | |
Ordinal position in the family | |
Health | |
Intelligence | |
Gender |
Question 86 |
Increased respirations | |
Negative urinary protein | |
Elevated blood pressure | |
Facial edema |
Question 87 |
Cardiovascular | |
Neurological | |
Respiratory | |
Psychosocial |
Question 88 |
Severe anxiety | |
Environmental noise | |
Excessive caffeine | |
Chronic stress |
Question 89 |
Muscle cramps | |
Proteinuria 3+ | |
Contractions | |
Oliguria |
Question 90 |
Barbiturates deprive people of REM sleep | |
Nightmares are often an adverse effect when discontinuing barbiturates | |
When the barbiturates are discontinued, the REM sleep increases | |
When the barbiturates are discontinued, the NREM sleep increases |
Question 91 |
"Report symptoms such as shortness of breath or tiredness." | |
“Take the medication with each meal." | |
"Take some form of glucose if hypoglycemia occurs." | |
"Side effects include abdominal bloating and flatus." |
Question 92 |
Tuck pant legs into socks. | |
Cover the ground with a blanket when sitting. | |
Apply insect repellent containing DEET. | |
Wear closed shoes when hiking. |
Question 93 |
headache | |
acute bone pain | |
confusion, , and. | |
seizures |
Question 94 |
Supine on the left side | |
With the head in a midline position | |
With the neck flexed | |
With extreme hip flexion | |
In a semi-Fowler’s position | |
On the left side |
Question 95 |
Monitor deep tendon reflexes hourly | |
Keep calcium gluconate on hand in case of a magnesium sulfate overdose | |
Monitor renal function and cardiac function closely | |
Notify the physician if urinary output is less than 30 ml per hour. |
Question 96 |
Visual disturbance | |
Orthopnea | |
Gout | |
Headache |
Question 97 |
"Weigh at the same time each day." | |
"Take pulse rate each day." | |
"Be careful when rising from sitting to standing." | |
"Palpitations may occur early in therapy." |
Question 98 |
Hypoactive bowel sounds | |
Possible seizure activity | |
Diarrhea | |
Positive Trousseau's sign |
Question 99 |
Verify patency of the line by the presence of a blood return at regular intervals. | |
Inspect the insertion site for swelling, erythema, or drainage. | |
If unable to aspirate blood, reposition the client and encourage the client to cough. | |
Administer a cytotoxic agent to keep the regimen on schedule even if blood return is not present. |
Question 100 |
Evaluating the client’s response to antidiarrheal medications | |
Obtaining the client’s weight. | |
Maintaining intake and output records | |
Providing skin care following bowel movements |
List |
