Nclex-rn Exam Free Review By Nclex Masters

265 Questions  I  By Rneducator
                 ;  

  
Changes are done, please start the quiz.


Question Excerpt

Removing question excerpt is a premium feature

Upgrade and get a lot more done!
1.  An important goal in the development of a therapeutic inpatient milieu is providing a A) businesslike atmosphere where clients can work on individual goals forum in which clients deB) group cide on unit rules, regulations, and policies
A.
B.
C.
D.
2.  A client is receiving a nitroglycerin (NTG) infusion for unstable angina. What would be a priority for monitoring the effects of this medication?
A.
B.
C.
D.
3.  A client frequently compliments the nurse and invites the nurse to go to a movie and dinner. The nurse should take which approach?
A.
B.
C.
D.
4.  Which of the following nursing diagnoses would be most appropriate for a client who is diagnosed as bipolar I disorder, single manic episode and is intrusive, argumentative, and severely critical of peers?
A.
B.
C.
D.
5.  A victim of a motor vehicle accident is brought to the emergency room via ambulance in hypovolemic shock. When placing the client in a modified Trendelenburg position, the nurse should place the client
A.
B.
C.
D.
6.  The nurse is giving anticipatory guidance regarding safety and injury prevention to the parents of an 18-month-old toddler. Which of the following actions by the parents indicates understanding of the safety needs of a toddler?
A.
B.
C.
D.
7.  A client is admitted with a diagnosis of schizophrenia. The client states "I don't need medication. It makes me sleepy." The client insists that the nurse explain the use and side effects of the medication. The nurse should understand that the best intervention is:
A.
B.
C.
D.
8.  Miss Peters is found wandering on campus after a fraternity party. She is disheveled and does not know who she is. She has no recollection of the evening. She is diagnosed with dissociative amnesia subsequent to a rape. The most appropriate nursing diagnosis for the nurse to formulate is :
A.
B.
C.
D.
9.  A client is admitted to the emergency room following an acute asthma attack. Which of the following findings would be most important to report?
A.
B.
C.
D.
10.  Mrs. Wyatt is hospitalized for treatment of a conversion disorder. She complained of paralysis of her right side after her husband threatened to leave her and their children. She seems unconcerned about her paralysis. An appropriate long-term goal for the nurse to formulate is that Mrs. Waytt. will
A.
B.
C.
D.
11.  A client is admitted to the emergency room following an acute asthma attack. Which of the following findings would be most important to report?
A.
B.
C.
D.
12.  While caring for a client, the nurse notes a pulsating mass in the client's periumbilical area. Which of the following actions is appropriate for the nurse to perform?
A.
B.
C.
D.
13.  The nurse is observing a client with an obsessive-compulsive disorder in an inpatient setting. Which behavior is consistent with this diagnosis?
A.
B.
C.
D.
14.  A 74 year-old male is admitted due to inability to void. He has a history of an enlarged prostate and has not voided in 14 hours. When assessing for bladder distention, the best method for the nurse to use is to check for
A.
B.
C.
D.
15.  A client calls the evening health clinic to state "I know I have a severely low sugar since the Lantus insulin was given three hours ago and it peaks in two hours." What should be the nurse's initial response to the client?
A.
B.
C.
D.
16.  The nurse would anticipate that an eight month-old would be able to  do one or more of the following:
A.
B.
C.
D.
17.   The nurse is talking with a mother to assess her child. A positive response to which question would indicate the child is in the anal stage of psychosexual development as described by Freud?
A.
B.
C.
D.
18.  Which of the following is least likely to influence the potential for patient to comply with lithium therapy after discharge?
A.
B.
C.
D.
19.  The nurse is reviewing a handout on infant feeding to be distributed to families visiting the clinic. Which information should be included in the teaching materials?  
A.
B.
C.
D.
20.  The nurse is gathering data from a client who states her last menstrual period was March 16, and she has missed one period. She reports episodes of nausea and vomiting. After confirming pregnancy, the nurse calculates the estimated date of delivery (EDD) to be about:
A.
B.
C.
D.
21.  Mr. D. has a disorder of the hypothalamus and is on a hypothermia blanket. The nurse should make which of the following assessments?
A.
B.
C.
D.
22.  A nurse is reinforcing teaching with a client about compromised host precautions. The client is receiving filgrastim (Neupogen) for neutropenia. The selection of which lunch suggests the client has learned about necessary dietary changes?
A.
B.
C.
D.
23.  Mr. Reynolds, 69 years of age, is found unconscious by his wife at 7:00 a.m. An ambulance is summoned by the physician, and Mr. Reynolds is admitted to the medical unit, where you work as a practical nurse, with a diagnosis of cerebral vascular accident (CVA). As you assist the team leader with the admission process, you note a previous history of hypertension. His wife has also revealed that Mr. Reynolds complained of a headache before retiring the night before. The team leader instructs you to remove Mr. Reynolds's dentures. You do so because
A.
B.
C.
D.
24.  The best action to establish correct placement of a gastric tube is for the nurse to
A.
B.
C.
D.
25.  A school nurse plans to reinforce information about the most effective methods to prevent the spread of head lice in school age children at a teacher's conference . The most appropriate information to give would be that
A.
B.
C.
D.
26.  A client with paranoid delusions stares at the nurse over a period of several days. The client suddenly walks up to the nurse and shouts "You think you're so perfect and pure and good." The appropriate response for the nurse is:  
A.
B.
C.
D.
27.  In the last 48 hours of life, a hospice client may complain of dry mouth from a poor fluid intake. The nurse should only offer to moisten the mouth because:
A.
B.
C.
D.
28.  The nurse is caring for a client several days following a cerebral vascular accident (CVA). Coumadin (warfarin) has been prescribed. Today's prothrombin level is abnormally elevated. Which item is a priority to check?
A.
B.
C.
D.
29.  A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove her dentures prior to leaving the unit for the operating room. The most appropriate intervention by the nurse is:
A.
B.
C.
D.
30.  Which of the followwing entries in the progress notes of a client is the most complete?
A.
B.
C.
D.
31.  The health care provider order reads "aspirate nasogastric feeding (NG) tube every four hours and check pH of aspirate". The pH of the aspirate is 10. Which action should the nurse take?
A.
B.
C.
D.
32.  The nurse is caring for a post-operative client who develops an abdominal wound evisceration. The first nursing intervention should be to
A.
B.
C.
D.
33.  A female client is admitted for a breast biopsy. She says, tearfully to the nurse, "If this turns out to be cancer and I have to have my breast removed, my companion will never come near me." The nurse's best response would be "Are you:
A.
B.
C.
D.
34.  A client tells the nurse, "I have something very important to tell you if you promise not to tell anyone." The appropriate response by the nurse would be
A.
B.
C.
D.
35.  The nurse will administer liquid medicine to a nine month-old child. Which method is appropriate?
A.
B.
C.
D.
36.  Dorreen an adolescent female is newly diagnosed with bulimia. The nurse is reinforcing instructions to the client and her parents about the theraputic benefits of Tofranil. Which statement demonstrates an understanding by the client?
A.
B.
C.
D.
37.  Mr. C. has just been admitted for acute asthma exacerbation and placed in a high Fowler's position. The nurse knows this position is best because it
A.
B.
C.
D.
38.  A client with a diagnosis of bipolar disorder has been referred to a local boarding home to be considered for placement. The social worker telephoned the hospital unit for information about the client's mental status and adjustment. The nurse should know that the most acceptable is : 
A.
B.
C.
D.
39.  When a client is diagnosed with tuberculosis, the public health department is to be notified for what reason?
A.
B.
C.
D.
40.  The nurse in the delivery room is caringfor the newborn. Which action is the most important and most immediate action for the nurse to take?
A.
B.
C.
D.
41.  A 14 years child goes into seizures. Which nursing action is a priority for a client during a seizure
A.
B.
C.
D.
42.  X-RN A client with a diagnosis of methicillin resistant staphylococcus aureus (MRSA) has died. Which type of transmission-based precautions is the appropriate type to use when performing postmortem care?
A.
B.
C.
D.
43.  The mother of an infant who is being treated for pesticide poisoning asks why activated charcoal is the treatment. What is the nurse's best response?
A.
B.
C.
D.
44.  The nurse is to open a sterile package from central supply. Which is the correct direction to open the first flap?
A.
B.
C.
D.
45.  Ms. W. has a draining pressure ulcer on her sacrum and is to be discharged to her daughter's care. The nurse has taught Ms. W.'s daughter to perform dressing changes. Which observation by the nurse indicates the daughter's technique is done correctly? The daughter
A.
B.
C.
D.
46.  When evaluating a client with a pressure ulcer, the nurse understands that the best response to treatment of the sacral pressure ulcer on a client with a hip fracture would be indicated by
A.
B.
C.
D.
47.  X-RN A client with a diagnosis of methicillin resistant staphylococcus aureus (MRSA) has died. Which type of transmission-based precautions is the appropriate type to use when performing postmortem care?
A.
B.
C.
D.
48.  The mother of an infant who is being treated for pesticide poisoning asks why activated charcoal is the treatment. What is the nurse's best response?
A.
B.
C.
D.
49.  The client is receiving an intravenous piggyback infusion of penicillin. Which client statement would require the nurse's immediate attention?
A.
B.
C.
D.
50.  Mr. A. has sprained his ankle. The physician would order cold applied to the injured area to
A.
B.
C.
D.
51.  The nurse is caring for a four year-old two hours after tonsillectomy and adenoidectomy. Which observation must be reported immediately?
A.
B.
C.
D.
52.  Scoliosis a C S curvature of the spine; it cna a temporary or permanent condidtion. At what time would the nurse expect early findings of scoliosis to appear?                                                                                      
A.
B.
C.
D.
53.  A two month-old infant has both a cleft lip and palate which will be repaired in stages. In the immediate postoperative period for a cleft lip repair, which of these nursing actions should be the priority?
A.
B.
C.
D.
54.  The nurse is observing a client with an obsessive-compulsive disorder in an inpatient setting. Which behavior is consistent with this diagnosis?
A.
B.
C.
D.
55.  The nurse is collecting data on a client with a stage 2 skin ulcer. Which treatment is considered most effective to promote healing?
A.
B.
C.
D.
56.  The nurse finds, during the initial assessment of the star player on the basketball team, that he is not concerned about the sudden paralysis of his "shooting arm." This behavior is known as :
A.
B.
C.
D.
57.  The nurse is assessing a six-month-old infant during a well child visit. The nurse makes all of the following observations. Which of the following assessments made by the nurse is an area of concern indicating a need for further evaluation?
A.
B.
C.
D.
58.  A client is admitted for Lithium (Lithane) toxicity. Which finding should the nurse report immediately to the health care provider?
A.
B.
C.
D.
59.  Mr. T. is a C4 quadriplegic in a nursing home. Which of the following techniques would the nurse use to transfer him from bed to wheelchair?
A.
B.
C.
D.
60.  A nurse arranges for an interpreter to assist with communication between the health care team and a non-English speaking client. To promote therapeutic communication when working with an interpreter, the utmost thing for the nurse to remember is to :
A.
B.
C.
D.
61.  A 52 year-old post menopausal woman asks the nurse how frequently she should have a mammogram. The nurse's best response is:
A.
B.
C.
D.
62.  A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove her dentures prior to leaving the unit for the operating room. The most appropriate intervention by the nurse is:
A.
B.
C.
D.
63.  The nurse is assigned to a client with HIV infection. The client also has a secondary herpes simplex 1 (HSV 1) infection. The nurse knows that the most likely cause of the HSV 1 infection is which of these items?
A.
B.
C.
D.
64.  In the last 48 hours of life, a hospice client may complain of dry mouth from a poor fluid intake. The nurse should only offer to moisten the mouth because:
A.
B.
C.
D.
65.  A client who has just joined a health maintenance organization (HMO) asks for information about the payment obligations with this plan. The most accurate description of health care costs is that the client will be charged
A.
B.
C.
D.
66.  The nurse is caring for a client with advanced cancer of the breast. She complains of hypoguesia. The nurse should recommend
A.
B.
C.
D.
67.  If a nurse is uncertain about whether he or she is licensed to perform certain tasks, they should first check information in which of these resources?
A.
B.
C.
D.
68.  In addition to handwashing, an appropriate infection control intervention during the care of a newly admitted adult client with a diagnosis of Hepatitis A would be which action?
A.
B.
C.
D.
69.  When planning for the care of a client with a pressure ulcer on the sacrum, the nurse would include which of the following?
A.
B.
C.
D.
70.  The nurse is caring for a client who is receiving procainamide (Pronestyl) intravenously. What is a priority for the nurse to do for her client?
A.
B.
C.
D.
71.  The nurse is reviewing a handout on infant feeding to be distributed to families visiting the clinic. Which information should be included in the teaching materials?  
A.
B.
C.
D.
72.  A client with paranoid delusions stares at the nurse over a period of several days. The client suddenly walks up to the nurse and shouts "You think you're so perfect and pure and good." The appropriate response for the nurse is:  
A.
B.
C.
D.
73.  Which newly admitted client would be most appropriate to assign to the unlicensed assistive personnel (UAP)?
A.
B.
C.
D.
74.  After working with a very demanding client, an unlicensed assistive personnel (UAP) tells the nurse, "I have had it with that client. I just can't do anything that pleases him. I'm not going in there again." The nurse's appropriate response should be
A.
B.
C.
D.
75.  Which of these protocols would be essential for the nurse to implement during the care of a client with active tuberculosis?
A.
B.
C.
D.
76.  The parents of a child who has suddenly been hospitalized for an acute illness state that they should have taken the child to the pediatrician earlier. Which approach by the nurse is appropriate?
A.
B.
C.
D.
77.  A client receives high doses of potassium over 30 minutes. Which is a priority to check prior to giving this medication?
A.
B.
C.
D.
78.  A 5 years old child has been admitted to the pediatric unit after swallowing a household cleaner. Which of these findings is more commonly associated with the fact that the poison was a corrosive?
A.
B.
C.
D.
79.  A nurse has been named in a lawsuit. The best evidence a nurse can use for self- protection in a court of law is which of these items?
A.
B.
C.
D.
80.  An important goal in the development of a therapeutic inpatient milieu is providing a A) businesslike atmosphere where clients can work on individual goals forum in which clients deB) group cide on unit rules, regulations, and policies
A.
B.
C.
D.
81.  A 14 years child goes into seizures. Which nursing action is a priority for a client during a seizure
A.
B.
C.
D.
82.  Which statement by the nurse is appropriate when asking an unlicensed assistive personnel (UAP) to assist a 69 year-old surgical client to ambulate for the first time?
A.
B.
C.
D.
83.  The nurse is caring for a client who is receiving TPA (altipase) For a cerebral vascular accident (CVA). Which of these nursing interventions should receive priority?
A.
B.
C.
D.
84.  A client with heart failure has been instructed by the RN about proper nutrition. The selection of which lunch indicates the client has learned about sodium restriction?
A.
B.
C.
D.
1 comment
85.  A client calls the PN because of an onset of chest pain. Which of these statements would require the most immediate action?
A.
B.
C.
D.
86.  The nurse is assisting in the assessment of a client's home in preparation for discharge. Which focus should be given priority consideration?
A.
B.
C.
D.
87.  The partner of a client with Alzheimer's disease expresses concern about the burden of caregiving. Which action by the nurse should be a priority?
A.
B.
C.
D.
88.  Privacy and confidentiality of client information is legally protected. In which of these situations would the nurse make an exception to this practice?
A.
B.
C.
D.
89.  The nurse will administer liquid medicine to a nine month-old child. Which method is appropriate?
A.
B.
C.
D.
90.  A two month-old infant has both a cleft lip and palate which will be repaired in stages. In the immediate postoperative period for a cleft lip repair, which of these nursing actions should be the priority?
A.
B.
C.
D.
1 comment
91.  Privacy and confidentiality of client information is legally protected. In which of these situations would the nurse make an exception to this practice?
A.
B.
C.
D.
92.  For which procedure would the nurse use aseptic technique and which would require the nurse to use sterile technique?
A.
B.
C.
D.
93.  A client in a long term care facility complains of pain. The nurse collects data about the client's pain. The first step in pain assessment is for the nurse to
A.
B.
C.
D.
94.  Which of the followwing entries in the progress notes of a client is the most complete?
A.
B.
C.
D.
95.  19.    The nurse is caring for a 48-hour full-term infant whose mother abused cocaine and heroin throughout pregnancy. The mother does not wish to go into rehabilitation at this time. The nursing care plan should include which of the following?            
A.
B.
C.
D.
96.  Which action would be the best strategy for the nurse to use when reinforcing insulin injection techniques to a newly diagnosed adult client with diabetes mellitus?
A.
B.
C.
D.
97.  Which of these actions best describes the application of time management strategies for the role of the PN charge nurse?
A.
B.
C.
D.
98.  Which one of these tasks for a 69 year-old client with a diagnosis of hyperglycemia could the nurse assign to the unlicensed assistive personnel (UAP)?
A.
B.
C.
D.
99.  Scoliosis a C S curvature of the spine; it cna a temporary or permanent condidtion. At what time would the nurse expect early findings of scoliosis to appear?                                                                                      
A.
B.
C.
D.
100.  The nurse is checking a woman in early labor. While positioning for a vaginal exam, she complains of dizziness and nausea and appears pale. Her blood pressure has dropped slightly. What is the appropriate initial nursing action?
A.
B.
C.
D.
101.  PharmacologyAn antibiotic (intramuscular) IM injection for a two year-old child is ordered. The total volume of the injection equals 2.0 ml The correct action is to
A.
B.
C.
D.
102.  Ms. Jordan is bedridden and positioned on her right side. There is a pillow beneath her head. Her right arm is extended near her hip. Her left leg is extended and parallel with the right leg. Which of the following is correct?
A.
B.
C.
D.
E.
103.  The nurse is assisting with a pre-kindergarten physical on a five year-old. The last MMR vaccine will be administered. Allergy to which item might be a contraindication to giving the vaccine?
A.
B.
C.
D.
104.  Pediatric Nursing The nurse is testing reflexes in a four-month­old infant as part of the neurologic asse,ssment. Which of the following findings would indicate an abnormal reflex pattern and an area of concern in a four-month-old -infant?
A.
B.
C.
D.
105.  A client with chronic obstructive pulmonary disease (COPD) and a history of coronary artery disease is receiving Aminophylline, 25mg/hour. Which finding by the nurse would require immediate intervention?
A.
B.
C.
D.
106.  Several clients are admitted to an adult medical unit. The nurse would expect airborne precautions for a client with which of the following medical conditions?
A.
B.
C.
D.
107.  While caring for a client, the nurse notes a pulsating mass in the client's periumbilical area. Which of the following actions is appropriate for the nurse to perform?
A.
B.
C.
D.
108.  A school nurse plans to reinforce information about the most effective methods to prevent the spread of head lice in school age children at a teacher's conference . The most appropriate information to give would be that
A.
B.
C.
D.
109.  A nurse is reinforcing teaching with a client about compromised host precautions. The client is receiving filgrastim (Neupogen) for neutropenia. The selection of which lunch suggests the client has learned about necessary dietary changes?
A.
B.
C.
D.
110.  Ms. F. suffered a stroke and has right-sided hemiparesis. The nurse is going to transfer her from bed to wheelchair. Which of the following is the best method?
A.
B.
C.
D.
111.  The nurse should be informed about cultural issues related to the client's background because one of the following:
A.
B.
C.
D.
112.  The nurse is responsible for assisting in the decisions about client room assignments. Which of these possible roommates would be most appropriate for a three year-old child with minimal change nephrotic syndrome?
A.
B.
C.
D.
113.  In taking the history of a pregnant woman, which factor would the nurse recognize as the primary contraindication for breast feeding?
A.
B.
C.
D.
114.  Which cognitive skill would the nurse expect a six-year-old child to be in the process of developing?
A.
B.
C.
D.
115.  Which nursing diagnosis would indicate that an 86 year-old client is at greatest risk for falls?
A.
B.
C.
D.
116.  The nurse monitors a client after the treatment of bradycardia with intravenous atropine sulfate. Which of these findings should be reported to the health care provider immediately?
A.
B.
C.
D.
117.  The parent of a three-year-old child brings the child to the clinic for a well child checkup. Which of these assessment findings made by the nurse is an area of concern and requires further investigation?
A.
B.
C.
D.
118.  The nurse observes a newborn whose Apgar score was 8 and 9. This score would be most closely associated with which of these areas?
A.
B.
C.
D.
119.  The nurse is reinforcing instructions for a client with asthma. Which item should be stressed for the client to monitor on a daily basis?
A.
B.
C.
D.
120.  A client receiving chlorpromazine HCL (Thorazine) is in psychiatric home care. During a home visit the nurse observes the client smacking the lips alternately with grinding of the teeth. The nurse assesses this as
A.
B.
C.
D.
121.  A client tells the nurse, "I have something very important to tell you if you promise not to tell anyone." The appropriate response by the nurse would be
A.
B.
C.
D.
122.  In addition to handwashing, an appropriate infection control intervention during the care of a newly admitted adult client with a diagnosis of Hepatitis A would be which action?
A.
B.
C.
D.
123.  Which nursing diagnosis would indicate that an 86 year-old client is at greatest risk for falls?
A.
B.
C.
D.
124.  While giving nursing care to a hospitalized adolescent, the nurse should be aware that the major threat felt by the hospitalized adolescent is :
A.
B.
C.
D.
125.  A client with heart failure has a prescription for digoxin. The nurse is aware that sufficient potassium should be included in the diet because hypokalemia in combination with this medication
A.
B.
C.
D.
126.  A client receiving chlorpromazine HCL (Thorazine) is in psychiatric home care. During a home visit the nurse observes the client smacking the lips alternately with grinding of the teeth. The nurse assesses this as
A.
B.
C.
D.
127.  What is the primary nursing intervention to limit transmission of organisms for a client with a salmonella infection?
A.
B.
C.
D.
128.  A 14 month-old child ingested half a bottle of aspirin tablets. Which finding would the nurse expect to see in the child?
A.
B.
C.
D.
129.  The nurse is conducting a class on aseptic technique and universal precautions. Which of the following statements is correct and should be included in the discussion?
A.
B.
C.
D.
130.  Which of the following agents should be avoided by clients on methotrexate therapy?
A.
B.
C.
D.
131.  A nurse is to collect a sputum specimen for acid-fast bacillus (AFB) from a client. Which action should the nurse take first?
A.
B.
C.
D.
132.  The nurse is caring for a client who is four days post-op for a transverse colostomy. The client is ready for discharge and asks the nurse to empty the colostomy pouch. The nurse's best response to the client is:
A.
B.
C.
D.
133.  A client states, "People think I'm no good, you know what I mean?" Which nursing response would be most therapeutic for this client?
A.
B.
C.
D.
134.  The community health nurse is making a newborn follow-up home visit. During the visit the two-year-old sibling has a temper tantrum. The parent asks the nurse for guidance in dealing with the toddler's temper tantrums. Which of the following is the most appropriate nursing action?
A.
B.
C.
D.
135.  A three year-old child is treated in the emergency room after ingestion of an ounce from a liquid narcotic bottle. What action should the nurse take first?
A.
B.
C.
D.
136.  A client is admitted with severe injuries from an auto accident. The client's vital signs are BP 120/50, pulse rate 110, and respiratory rate of 28. The initial nursing intervention would be to
A.
B.
C.
D.
137.  Following change-of-shift report on an orthopedic unit, which client should the nurse see first?
A.
B.
C.
D.
138.  Which of these protocols would be essential for the nurse to implement during the care of a client with active tuberculosis?
A.
B.
C.
D.