NCLEX RN Practice Questions 1 (Exam Mode)

1. A 28 year old male has been found wandering around in a confused pattern. The male is sweaty and pale. Which of the following tests is most likely to be performed first?

Blood sugar check

CT scan

Blood cultures

Arterial blood gases

With a history of diabetes, the first response should be to check blood sugar levels.

Explanation

With a history of diabetes, the first response should be to check blood sugar levels.

2. A patient asks a nurse, “My doctor recommended I increase my intake of folic acid. What type of foods contain the highest concentration of folic acids?”

Green vegetables and liver

Yellow vegetables and red meat

Carrots

Milk

Green vegetables and liver are a great source of folic acid.

Explanation

Green vegetables and liver are a great source of folic acid.

3. A 84 year-old male has been loosing mobility and gaining weight over the last 2 months. The patient also has the heater running in his house 24 hours a day, even on warm days. Which of the following tests is most likely to be performed?

FBC (full blood count)

ECG (electrocardiogram)

Thyroid function tests

CT scan

Weight gain and poor temperature tolerance indicate something may be wrong with the thyroid function.

Explanation

Weight gain and poor temperature tolerance indicate something may be wrong with the thyroid function.

4. A fifty-year-old blind and deaf patient has been admitted to your floor. As the charge nurse your primary responsibility for this patient is?

Let others know about the patient’s deficits.

Communicate with your supervisor your patient safety concerns.

Continuously update the patient on the social environment.

Provide a secure environment for the patient.

This patient’s safety is your primary concern.

Explanation

This patient’s safety is your primary concern.

5. A nurse is administering a shot of Vitamin K to a 30 day-old infant. Which of the following target areas is the most appropriate?

Gluteus maximus

Gluteus minimus

Vastus lateralis

Vastus medialis

Vastus lateralis is the most appropriate location.

Explanation

Vastus lateralis is the most appropriate location.

6. A fragile 87 year-old female has recently been admitted to the hospital with increased confusion and falls over last 2 weeks. She is also noted to have a mild left hemiparesis. Which of the following tests is most likely to be performed?

FBC (full blood count)

ECG (electrocardiogram)

Thyroid function tests

CT scan

A CT scan would be performed for further investigation of the hemiparesis.

Explanation

A CT scan would be performed for further investigation of the hemiparesis.

7. A young adult is 20 years old and has been recently admitted into the hospital. According to Erickson which of the following stages is the adult in?

Trust vs. mistrust

Initiative vs. guilt

Autonomy vs. shame

Intimacy vs. isolation

Intimacy vs. isolation- 18-35 years old

Explanation

Intimacy vs. isolation- 18-35 years old

8. A patient tells you that her urine is starting to look discolored. If you believe this change is due to medication, which of the following patient's medication does not cause urine discoloration?

Sulfasalazine

Levodopa

Phenolphthalein

Aspirin

All of the others can cause urine discoloration except aspirin.

Explanation

All of the others can cause urine discoloration except aspirin.

9. A nurse has just started her rounds delivering medication. A new patient on her rounds is a 4 year-old boy who is non-verbal. This child does not have on any identification. What should the nurse do?

Contact the provider

Ask the child to write their name on paper.

Ask a co-worker about the identification of the child.

Ask the father who is in the room the child’s name.

In this case you are able to determine the name of the child by the father’s statement. You should not withhold the medication from the child following identification.

Explanation

In this case you are able to determine the name of the child by the father’s statement. You should not withhold the medication from the child following identification.

10. A second year nursing student has just suffered a needlestick while working with a patient that is positive for AIDS. Which of the following is the most important action that nursing student should take?

Immediately see a social worker

Start prophylactic AZT treatment

Start prophylactic Pentamide treatment

Seek counseling

AZT treatment is the most critical innervention.

Explanation

AZT treatment is the most critical innervention.

11. A nurse is administering blood to a patient who has a low hemoglobin count. The patient asks how long to RBC’s last in my body? The correct response is.

The life span of RBC is 45 days

The life span of RBC is 60 days

The life span of RBC is 90 days

The life span of RBC is 120 days

RBC’s last for 120 days in the body

Explanation

RBC’s last for 120 days in the body

12. A mother has recently been informed that her child has Down’s syndrome. You will be assigned to care for the child at shift change. Which of the following characteristics is not associated with Down’s syndrome?

Simian crease

Brachycephaly

Oily skin

Hypotonicity

The skin would be dry and not oily.

Explanation

The skin would be dry and not oily.

13. Rho gam is most often used to treat____ mothers that have a ____ infant.

RH positive, RH positive

RH positive, RH negative

RH negative, RH positive

RH negative, RH negative

Rho gam prevents the production of anti-RH antibodies in the mother that has a Rh positive fetus.

Explanation

Rho gam prevents the production of anti-RH antibodies in the mother that has a Rh positive fetus.

14. A 65 year old man has been admitted to the hospital for spinal stenosis surgery. When does the discharge training and planning begin for this patient?

Following surgery

Upon admit

Within 48 hours of discharge

Preoperative discussion

Discharge education begins upon admit.

Explanation

Discharge education begins upon admit.

15. When you are taking a patient’s history, she tells you she has been depressed and is dealing with an anxiety disorder. Which of the following medications would the patient most likely be taking?

Elavil

Calcitonin

Pergolide

Verapamil

Elavil is a tricyclic antidepressant.

Explanation

Elavil is a tricyclic antidepressant.

16. A 34 year old female has recently been diagnosed with an autoimmune disease. She has also recently discovered that she is pregnant. Which of the following is the only immunoglobulin that will provide protection to the fetus in the womb?

IgA

IgD

IgE

IgG

IgG is the only immunoglobulin that can cross the placental barrier.

Explanation

IgG is the only immunoglobulin that can cross the placental barrier.

17. You are taking the history of a 14 year old girl who has a (BMI) of 18. The girl reports inability to eat, induced vomiting and severe constipation. Which of the following would you most likely suspect?

Multiple sclerosis

Anorexia nervosa

Bulimia

Systemic sclerosis

All of the clinical signs and systems point to a condition of anorexia nervosa.

Explanation

All of the clinical signs and systems point to a condition of anorexia nervosa.

18. Which of the following conditions would a nurse not administer erythromycin?

Campylobacterial infection

Legionnaire’s disease

Pneumonia

Multiple Sclerosis

Erythromycin is used to treat conditions Campylobacterial infection,Legionnaire’s disease and Pneumonia

Explanation

Erythromycin is used to treat conditions Campylobacterial infection,Legionnaire’s disease and Pneumonia

19. A 20 year-old female attending college is found unconscious in her dorm room. She has a fever and a noticeable rash. She has just been admitted to the hospital. Which of the following tests is most likely to be performed first?

Blood sugar check

CT scan

Blood cultures

Arterial blood gases

Blood cultures would be performed to investigate the fever and rash symptoms.

Explanation

Blood cultures would be performed to investigate the fever and rash symptoms.

20. A parent calls the pediatric clinic and is frantic about the bottle of cleaning fluid her child drank 20 minutes. Which of the following is the most important instruction the nurse can give the parent?

This too shall pass

Take the child immediately to the ER

Contact the Poison Control Center quickly

Give the child syrup of ipecac

The poison control center will have an exact plan of action for this child.

Explanation

The poison control center will have an exact plan of action for this child.

21. A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal?

11 year old male – 90 b.p.m, 22 resp/min. , 100/70 mm Hg

13 year old female – 105 b.p.m., 22 resp/min., 105/60 mm Hg

5 year old male- 102 b.p.m, 24 resp/min., 90/65 mm Hg

6 year old female- 100 b.p.m., 26 resp/min., 90/70mm Hg

HR and Respirations are slightly increased. BP is down.

Explanation

HR and Respirations are slightly increased. BP is down.

22. A toddler is 16 months old and has been recently admitted into the hospital. According to Erickson which of the following stages is the toddler in?

Trust vs. mistrust

Initiative vs. guilt

Autonomy vs. shame

Intimacy vs. isolation

Trust vs. Mistrust- 12-18 months old

Explanation

Trust vs. Mistrust- 12-18 months old

23. A patient’s chart indicates a history of ketoacidosis. Which of the following would you not expect to see with this patient if this condition were acute?

Vomiting

Extreme Thirst

Weight gain

Acetone breath smell

Weight loss would be expected.

Explanation

Weight loss would be expected.

24. You are responsible for reviewing the nursing unit’s refrigerator. If you found the following drug in the refrigerator it should be removed from the refrigerator’s contents?

Corgard

Humulin (injection)

Urokinase

Epogen (injection)

Corgard could be removed from the refigerator.

Explanation

Corgard could be removed from the refigerator.

25. A new mother has some questions about (PKU). Which of the following statements made by a nurse is not correct regarding PKU?

A Guthrie test can check the necessary lab values.

The urine has a high concentration of phenylpyruvic acid

Mental deficits are often present with PKU.

The effects of PKU are reversible.

The effects of PKU stay with the infant throughout their life.

Explanation

The effects of PKU stay with the infant throughout their life.

26. A patient has recently experienced a (MI) within the last 4 hours. Which of the following medications would most like be administered?

Streptokinase

Atropine

Acetaminophen

Coumadin

Streptokinase is a clot busting drug and the best choice in this

Explanation

Streptokinase is a clot busting drug and the best choice in this

27. A nurse if reviewing a patient's chart and notices that the patient suffers from Lyme disease. Which of the following microorganisms is related to this condition?

Borrelia burgdorferi

Streptococcus pyrogens

Bacilus anthracis

Enterococcus faecalis

Streptococcus pyrogens is linked to Rheumatic fever, Bacilus anthracis is linked to Anthrax, Enterococcus faecalis is linked to Endocarditis.

Explanation

Streptococcus pyrogens is linked to Rheumatic fever, Bacilus anthracis is linked to Anthrax, Enterococcus faecalis is linked to Endocarditis.

28. A mother is inquiring about her child’s ability to potty train. Which of the following factors is the most important aspect of toilet training?

The age of the child

The child ability to understand instruction.

The overall mental and physical abilities of the child.

Frequent attempts with positive reinforcement.

Age is not the greatest factor in potty training. The overall mental and physical abilities of the child is the most important factor.

Explanation

Age is not the greatest factor in potty training. The overall mental and physical abilities of the child is the most important factor.

29. A child is 5 years old and has been recently admitted into the hospital. According to Erickson which of the following stages is the child in?

Trust vs. mistrust

Initiative vs. guilt

Autonomy vs. shame

Intimacy vs. isolation

Initiative vs. guilt- 3-6 years old

Explanation

Initiative vs. guilt- 3-6 years old

30. A nurse is putting together a presentation on meningitis. Which of the following microorganisms has NOT been linked to meningitis in humans?

S. pneumonia

H. influenza

N. meningitis

Cl. difficile

Cl. difficile has not been linked to meningitis

Explanation

Cl. difficile has not been linked to meningitis

31. A patient's chart indicates a history of hyperkalemia. Which of the following would you not expect to see with this patient if this condition were acute?

Decreased HR

Paresthesias

Muscle weakness of the extremities

Migranes

Decreased HR, paresthesias and muscle weakness of the extremities were symptoms of acute hyperkalemia.

Explanation

Decreased HR, paresthesias and muscle weakness of the extremities were symptoms of acute hyperkalemia.

32. A nurse if reviewing a patient's chart and notices that the patient suffers from conjunctivitis. Which of the following microorganisms is related to this condition?

Yersinia pestis

Helicobacter pyroli

Vibrio cholera

Hemophilus aegyptius

Yersinia pestis is linked to Plague, Helicobacter pyroli is linked to peptic ulcers, Vibrio cholera is linked to Cholera.

Explanation

Yersinia pestis is linked to Plague, Helicobacter pyroli is linked to peptic ulcers, Vibrio cholera is linked to Cholera.

33. A nurse is caring for an infant that has recently been diagnosed with a congenital heart defect. Which of the following clinical signs would most likely be present?

Slow pulse rate

Weight gain

Decreased systolic pressure

Irregular WBC lab values

Weight gain is associated with CHF and congenital heart deficits.

Explanation

Weight gain is associated with CHF and congenital heart deficits.

34. A 24 year old female is admitted to the ER for confusion. This patient has a history of a myeloma diagnosis, constipation, intense abdominal pain, and polyuria. Which of the following would you most likely suspect?

Diverticulosis

Hypercalcaemia

Hypocalcaemia

Irritable bowel syndrome

Hypercalcaemia can cause polyuria, severe abdominal pain, and confusion.

Explanation

Hypercalcaemia can cause polyuria, severe abdominal pain, and confusion.

35. A thirty five year old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect?

Atherosclerosis

Diabetic nephropathy

Autonomic neuropathy

Somatic neuropathy

Autonomic neuropathy can cause inability to urinate.

Explanation

Autonomic neuropathy can cause inability to urinate.

36. A patient has taken an overdose of aspirin. Which of the following should a nurse most closely monitor for during acute management of this patient?

Onset of pulmonary edema

Metabolic alkalosis

Respiratory alkalosis

Parkinson’s disease type symptoms

Aspirin overdose can lead to metabolic acidosis and cause pulmonary edema development.

Explanation

Aspirin overdose can lead to metabolic acidosis and cause pulmonary edema development.

37. A patient is getting discharged from a SNF facility. The patient has a history of severe COPD and PVD. The patient is primarily concerned about their ability to breath easily. Which of the following would be the best instruction for this patient?

Deep breathing techniques to increase O2 levels.

Cough regularly and deeply to clear airway passages.

Cough following bronchodilator utilization

Decrease CO2 levels by increase oxygen take output during meals

The bronchodilator will allow a more productive cough.

Explanation

The bronchodilator will allow a more productive cough.

38. A patient's chart indicates a history of meningitis. Which of the following would you NOT expect to see with this patient if this condition were acute?

Increased appetite

Vomiting

Fever

Poor tolerance of light

Loss of appetite would be expected.

Explanation

Loss of appetite would be expected.

39. A nurse is reviewing a patient's PMH. The history indicates photosensitive reactions to medications. Which of the following drugs has not been associated with photosensitive reactions? Note: More than one answer may be correct.

Cipro

Sulfonamide

Noroxin

Bactrim

Accutane

Nitrodur

All of the others have can cause photosensitivity reactions except Nitrodur.

Explanation

All of the others have can cause photosensitivity reactions except Nitrodur.

40. For complete set of this exam visit: RNpedia website. A nurse is reviewing a patient's medication during shift change. Which of the following medication would be contraindicated if the patient were pregnant? Note: More than one answer may be correct.

Coumadin

Finasteride

Celebrex

Catapress

Habitrol

Clofazimine

Coumadin and Finasteride are both contraindicated with pregnancy.

Explanation

Coumadin and Finasteride are both contraindicated with pregnancy.

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