NCLEX Questions 1
Practice NCLEX Questions
- 1.
A client is being discharged with a prescription for propanolol (Inderal). When reinforcing instructions to the client about the medication, the nurse would include which of the following?
- A.
Gentle exercising will prevent orthostatic hypotension
- B.
Hot baths and showers are advised to increase vasodilation
- C.
Medication should be taken on an empty stomach to enhance absorption
- D.
Medication should be withheld if the pulse rate drops below 60 beats per minute
Correct Answer
D. Medication should be withheld if the pulse rate drops below 60 beats per minute -
- 2.
A client with renal failure has a medication order for epoetin alfa (Epogen). The nurse would administer this medication:
- A.
Subcutaneously
- B.
Intramuscularly
- C.
With a full glass of water
- D.
Diluted in juice to enhance taste
Correct Answer
A. Subcutaneously -
- 3.
Duoderm is prescribed for a client with a leg ulcer. The nurse is assisting in preparing a plan of care for the client and most appropriately includes which of the following in the plan?
- A.
Change the Duoderm daily
- B.
Apply the Duoderm over a dry, sterile dressing
- C.
Change the Duoderm weekly
- D.
Apply the Duoderm over a normal saline-soaked dressing
Correct Answer
C. Change the Duoderm weekly -
- 4.
A nurse administers a dose of scopalamine to a preoperative client. The nurse tells the client to expect which of the following side effects of the medication?
- A.
Excessive urination
- B.
Diaphoresis
- C.
Dry mouth
- D.
Pupillary constriction
Correct Answer
C. Dry mouthExplanation
Side effect of anticholinergic medicine - dry mouth, urinary retention, decreased sweating and dilation of the pupilsRate this question:
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- 5.
A client with diabetes mellitus who has been controlled with daily insulin has been placed on atenolol (Tenormin) for the control of angina pectoris. Because of the effects of the medication, the nurse checks which of the following signs or symptoms as the most reliable indicator of hypoglycemia?
- A.
Tachycardia
- B.
Sweating
- C.
Blood glucose level
- D.
Nervousness
Correct Answer
C. Blood glucose levelExplanation
Beta blocker agents inhibit the signs and symptoms of acute hypoglycemia, which would include an elevated, sweating, and nervousness.Rate this question:
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- 6.
A nurse is assigned to care for a client admitted to the hospital with a diagnosis of systemic lupus erythematosus (SLE). The nurse reviews the physician's orders expecting to note that which of the following medications is prescribed?
- A.
Antibiotic
- B.
Narcotic analgesic
- C.
Antidiarrheal
- D.
Corticosteroid
Correct Answer
D. CorticosteroidExplanation
Lupus is an autoimmune, chronic, inflammatory disease. Thought to be due to a defect in the immune system.Rate this question:
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- 7.
- When reviewing the health care record of a client with ovarian cancer, the nurse recognizes which symptom as typical of the disease?
- A.
Hypermenorrhea
- B.
Abdominal distention
- C.
Diarrhea
- D.
Abnormal bleeding
Correct Answer
B. Abdominal distentionExplanation
Clinical manifestations - abdominal distention, urinary frequency, and urgency.Rate this question:
- 8.
A nurse is caring for a client after a radical mastectomy. Which of the following nursing interventions would assist in preventing lymphedema of the affected arm?
- A.
Placing cool compresses on the affected arm
- B.
Elevating the affected arm on a pillow above heart level
- C.
Mainatining an IV site below the antecubital area on the affected side
- D.
Avoiding arm exercises in the immediate post-operative period
Correct Answer
B. Elevating the affected arm on a pillow above heart level -
- 9.
A nurse is caring for a client who just had radiation implants. What is the priority nurisng care for this client?
- A.
Avoid rectal temps
- B.
Avoid rectal manipulation
- C.
Encourage early ambulation
- D.
Do not permit pregnant visitors or pregnant caretakers in room
Correct Answer
D. Do not permit pregnant visitors or pregnant caretakers in roomExplanation
Answer: D
Explanation: The priority nursing care for the client who has had radiation implants are not permitting pregnant visitors or pregnant caretakers in room, discourage visits by small children, and confine client to room. Nurse must wear radiation badge. Nurse limits time in room. Keep supplies and equipment within client’s reach.Rate this question:
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- 10.
A client has been diagnosed with fibromas. What should be the nursing indications for a hysterectomy in this client?
- A.
Severe menorrhagia leading to need of use of narcotic analgesics
- B.
Severe menorrhagia leading to anemia
- C.
Severe dysmenorrhea leading to anemia
- D.
Severe dysmenorrhea is causing severe low back and pelvic pain
Correct Answer
B. Severe menorrhagia leading to anemiaExplanation
Answer: B
Explanation: in the client who has fibromas, the indication for a hysterectomy are as follows: Severe menorrhagia leading to anemia, severe dysmenorrhea requiring narcotic analgesics, severe uterine enlargement causing pressure on other organs, severe low back and pelvic pain.Rate this question:
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- 11.
A nurse is caring for a client that is on NSAIDs medication. What is the priority nursing intervention used with clients taking this type of medication?
- A.
Teach client to take drugs with food
- B.
Prevent client from taking drugs with milk
- C.
Teach client to take medication before eating
- D.
Prevent client to take medication before sleeping
Correct Answer
A. Teach client to take drugs with foodExplanation
Answer: A
Explanation:The priority nursing intervention used with clients taking NSAIDs is to administer or teach client to take drugs with food or milk.Rate this question:
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- 12.
A client is prescribed to take salicylates medication. What are the common side effects of these drugs?
- A.
Mild liver enzyme elevation
- B.
UTI
- C.
Anemia
- D.
Hair loss
Correct Answer
A. Mild liver enzyme elevationExplanation
Answer: A
Explanation: The side effects of salicylates are GI irritation, tinnitus, thrombocytopenia, mild liver enzyme elevation.Rate this question:
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- 13.
Providing consistent caregiver is a priority in planning nursing care for the confused older client because change increases anxiety and confusion. What is the main difference between delirium and dementia?
- A.
Delerium is acute, and reversible
- B.
Dementia is acute, and reversible
- C.
Delerium is gradual and permanent
- D.
Dementia is more aggressive
Correct Answer
A. Delerium is acute, and reversibleExplanation
Answer: A
Explanation: The basic difference between delirium and dementia is that delirium is acute, and reversible, whereas dementia is gradual and permanentRate this question:
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- 14.
A nurse is caring for a chemically dependent client since two days. What basic needs have priority when working with chemically dependent clients?
- A.
Hydration
- B.
Nutrition
- C.
Physical activity
- D.
Habit change
Correct Answer
B. NutritionExplanation
Answer: B
Explanation: Nutrition is a priority. Alcohol and drug intake has superseded the intake of food for these clients.Rate this question:
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- 15.
The normal inflammatory response is not always a reliable indicator of disease in the older adult because:
- A.
Aging changes heighten the older adult's pain perception
- B.
Cardiovascular changes heighten the erythema that develops around the infection site
- C.
Changes in the hypothalamus diminish the ability of th eolder adult to produce a fever
- D.
Change in the hypothalamus grossly elevate temperature changes in the older adult
Correct Answer
C. Changes in the hypothalamus diminish the ability of th eolder adult to produce a fever -
- 16.
A 16 year old patient is admitted to the neurology floor after being involved in a motor vehicle accident (MVA). His head hit the windshield, and he is being admitted for observation. During the afternoon he begins to complain of a headache, had two episodes of vomiting, and is more difficult to arouse. The initial nurisng intervention is to:
- A.
Do nothing; he needs his rest
- B.
Place him in a recumbent position, administer oxygen, and notify the physician immediately
- C.
Prepare him for emergency surgery
- D.
Assess his neurological status, elevate the head of the bed slightly, and notify the physician immediately
Correct Answer
D. Assess his neurological status, elevate the head of the bed slightly, and notify the physician immediatelyExplanation
A change in neuro status may indicat an increase in ICP. A thorough neuro assesment is needed. Placing the head of the bed in a slightly elevated position aids in decreasing the pressure rise.Rate this question:
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- 17.
A nurse is preparing a patient for discharge. Because the patient is taking a monosmine oxidase inhibitor (MAOI), the nurse emphasizes which of the following instructions?
- A.
"Avoid aged cheeses."
- B.
"Take the medication with food."
- C.
"Take the medication at bedtime."
- D.
"Limit caffeine intake."
Correct Answer
A. "Avoid aged cheeses."Explanation
This can cause a hypertensive crisis.Rate this question:
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- 18.
A patient was admitted 3 days ago for depression and attempted suicide. Her depression seems to have lifted. The nurse knows that this means her risk for suicide:
- A.
Is less than it was when she was severly depressed
- B.
Is more than she was when she was severly depressed
- C.
Does not exist anymore because she is no longer depressed
- D.
Needs to be reevaluated
Correct Answer
B. Is more than she was when she was severly depressedExplanation
People who are less depressed have more energy to commit suicideRate this question:
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- 19.
A nurse is caring for a patient who is receiving total parenteral nutrition (TPN). Appropriate nursing interventions for this patient include:
- A.
Weighing daily, monitoring blood glucose levels, and weaning TPN gradually
- B.
Assessing for degree of hunger every shift
- C.
Monitoring liver, renal, and cardiovascular function
- D.
Weighing every week, monitoring for glycosuria, and discontinuing TPN on the third day
Correct Answer
A. Weighing daily, monitoring blood glucose levels, and weaning TPN gradually -
- 20.
A 60 year old patient is being discharged after undergoing cardiac catherization. Which of the following important instructions should the nurse include at the time of discharge?
- A.
Drive a car that has an automatic transmission
- B.
Tub baths are allowed after 24 hours
- C.
Rest and avoid heavy lifting or strenuous activity
- D.
Do not change the bandage for 48 hours and report site soreness to the physician
Correct Answer
C. Rest and avoid heavy lifting or strenuous activityExplanation
This promotes healing and decreases intraabdominal pressures to the puncture site. Heavy lifting may precipitate a bleeding episode.Rate this question:
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- 21.
A resident in long-term care has a diagnosis of elevated ammonia levels related to cirrhosis. Which of the following foods would the nurse advise the nursing assistant to eliminate as a possilble snack for the resident?
- A.
Pretzels
- B.
Crackers and cheese
- C.
Chicken salad sandwich
- D.
A bowl of vanilla ice cream
Correct Answer
C. Chicken salad sandwichExplanation
Protein rich foods should be avoided in a patient with elevated ammonia levelsRate this question:
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- 22.
The nurse is determining an ashmatic patient's achievement of the goals for the nursing diagnosis of activity intolerance related to imbalance between oxygen supply and demand. Which of the following expected outcomes is appropriate?
- A.
No evidence of anxiety
- B.
Demonstrated knowledge of disease process
- C.
Able to perform activities of daily living
- D.
Clear breath sounds
Correct Answer
C. Able to perform activities of daily livingExplanation
Being able to perform activities of daily living indicates that activity tolerance is increasingRate this question:
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- 23.
A patient with a diagnosis of myocardial infarction ha ben admitted to the coronary care unit. The nurse assesses the patient's breath sounds and hears fine crackles in the lower lung bases. This symptom may indicate:
- A.
Pneumonia
- B.
Arrhythmias
- C.
Lung congestion from heart failure
- D.
An extension of the myocardial infarction
Correct Answer
C. Lung congestion from heart failureExplanation
As the heart fails, circulating blood backs up into the pulmonary tree; a sign of congestion is crackles in the lung basesRate this question:
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- 24.
A patient is admitted for possible obstructive urinary retention caused by an enlarged prostate gland. During the assessment the nurse would expect the patient to complain of:
- A.
Nausea
- B.
Burning on urination
- C.
Hesitancy in initiating voiding
- D.
Hematuria
Correct Answer
C. Hesitancy in initiating voiding -
- 25.
A patient has shallow respirations at 8 to 10 times per minute. This hypoventilation results in acidosis by:
- A.
Retaining carbon dioxide (CO2)
- B.
Excreting needed CO2
- C.
Excreting O2
- D.
Retaining too much O2
Correct Answer
A. Retaining carbon dioxide (CO2)Explanation
Hypoventilation reduces O2 to the alveoli and reduces CO2 eliminationRate this question:
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- 26.
A client had a spontaneous vaginal delivery after 18 hours of labor. Her excessive vaginal bleeding has now become a postpartum hemorrhage. Immediate nursing care of this client should include which of the following interventions?
- A.
Avoiding massaging the uterus
- B.
Monitoring vital signs every hour
- C.
Placing the client in Trendelenburg's position
- D.
Elevating the head of the bed to increase blood flow
Correct Answer
C. Placing the client in Trendelenburg's positionExplanation
The client should be placed in this position to prevent or control hypovolemic shockRate this question:
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- 27.
A client has a history of chronic renal failure and receives hemodialysis treatments three times a week thorugh an arteriovenous (AV) fistula in the left arm. Which of the following interventions is included in this client's care?
- A.
Keep the AV fistula site dry
- B.
Keep the AV fistula wrapped in gauze
- C.
Take the blood pressure in the left arm
- D.
Assess the AV fistula for a bruit and thrill
Correct Answer
D. Assess the AV fistula for a bruit and thrillExplanation
If bruit and thrill are not present, it indicates a nonfunctioning fistulaRate this question:
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Feb 28, 2013Quiz Edited by
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Oct 11, 2012Quiz Created by
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