NCLEX Practice Exam 4 (10 Questions)

10 Questions | Total Attempts: 8951

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NCLEX Practice Exam Quizzes & Trivia

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.


Questions and Answers
  • 1. 
    While assessing a 1-month-old infant. which finding should the nurse report immediately?
    • A. 

      Abdominal respirations

    • B. 

      Irregular breathing rate

    • C. 

      Inspiratory grunt

    • D. 

      Increased heart rate with crying

  • 2. 
    The nurse practicing in a maternity setting recognizes that the post mature fetus is at risk due to
    • A. 

      Excessive fetal weight

    • B. 

      Low blood sugar levels

    • C. 

      Depletion of subcutaneous fat

    • D. 

      Progressive placental insufficiency

  • 3. 
    The nurse is caring for a client who had a total hip replacement four (4) days ago. Which assessment requires the nurse’s immediate attention?
    • A. 

      I have bad muscle spasms in my lower leg of the affected extremity.

    • B. 

      “I just can’t ‘catch my breath’ over the past few minutes and I think I am in grave danger.”

    • C. 

      “I have to use the bedpan to pass my water at least every 1 to 2 hours.”

    • D. 

      “It seems that the pain medication is not working as well today.”

  • 4. 
    A client has been taking furosemide (Lasix) for the past week. The nurse recognizes which finding may indicate the client is experiencing a negative side effect from the medication?
    • A. 

      Weight gain of 5 pounds

    • B. 

      Edema of the ankles

    • C. 

      Gastric irritability

    • D. 

      Decreased appetite

  • 5. 
    A client who is pregnant comes to the clinic for a first visit. The nurse gathers data about her obstetric history. which includes 3-year-old twins at home and a miscarriage 10 years ago at 12 weeks gestation. How would the nurse accurately document this information?
    • A. 

      Gravida 4 para 2

    • B. 

      Gravida 2 para 1

    • C. 

      Gravida 3 para 1

    • D. 

      Gravida 3 para 2

  • 6. 
    The nurse is caring for a client with a venous stasis ulcer. Which nursing intervention would be most effective in promoting healing?
    • A. 

      Apply dressing using sterile technique

    • B. 

      Improve the client’s nutrition status

    • C. 

      Initiate limb compression therapy

    • D. 

      Begin proteolytic debridement

  • 7. 
    A nurse is to administer meperidine hydrochloride (Demerol) 100 mg. atropine sulfate (Atropisol) 0.4 mg. and promethazine hydrochloride (Phenergan) 50 mg IM to a pre-operative client. Which action should the nurse take first?
    • A. 

      Raise the side rails on the bed

    • B. 

      Place the call bell within reach

    • C. 

      Instruct the client to remain in bed

    • D. 

      Have the client empty bladder

  • 8. 
    Which of these statements best describes the characteristic of an effective reward-feedback system?
    • A. 

      Specific feedback is given as close to the event as possible

    • B. 

      Staff is given feedback in equal amounts over time

    • C. 

      Positive statements are to precede a negative statement

    • D. 

      Performance goals should be higher than what is attainable

  • 9. 
    A client with multiple sclerosis plans to begin an exercise program. In addition to discussing the benefits of regular exercise. the nurse should caution the client to avoid activities which
    • A. 

      Increase the heart rate

    • B. 

      Lead to dehydration

    • C. 

      Are considered aerobic

    • D. 

      May be competitive

  • 10. 
    During the evaluation of the quality of home care for a client with Alzheimer’s disease. the priority for the nurse is to reinforce which statement by a family member?
    • A. 

      At least two (2) full meals a day is eaten.

    • B. 

      We go to a group discussion every week at our community center.

    • C. 

      We have safety bars installed in the bathroom and have 24-hour alarms on the doors.

    • D. 

      The medication is not a problem to have it taken three (3) times a day.

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