NCLEX Practice Exam 31 (10 Questions)

10 Questions | By Santepro | Last updated: Mar 22, 2022 | Total Attempts: 2859

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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.

The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig’s sign is charted if the nurse notes:
- A.
  
  Pain on flexion of the hip and knee
- B.
  
  Nuchal rigidity on flexion of the neck
- C.
  
  Pain when the head is turned to the left side
- D.
  
  Dizziness when changing positions
2.

The client with Alzheimer’s disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:
- A.
  
  Agnosia
- B.
  
  Apraxia
- C.
  
  Anomia
- D.
  
  Aphasia
3.

The client with dementia is experiencing confusion late in the afternoon and before bedtime. The nurse is aware that the client is experiencing what is known as:
- A.
  
  Chronic fatigue syndrome
- B.
  
  Normal aging
- C.
  
  Sundowning
- D.
  
  Delusions
4.

The client with confusion says to the nurse. “I haven’t had anything to eat all day long. When are they going to bring breakfast?” The nurse saw the client in the day room eating breakfast with other clients 30 minutes before this conversation. Which response would be best for the nurse to make?
- A.
  
  “You know you had breakfast 30 minutes ago.”
- B.
  
  “I am so sorry that they didn’t get you breakfast. I’ll report it to the charge nurse.”
- C.
  
  “I’ll get you some juice and toast. Would you like something else?”
- D.
  
  “You will have to wait a while; lunch will be here in a little while.”
5.

The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side effect is most often associated with this drug?
- A.
  
  Urinary incontinence
- B.
  
  Headaches
- C.
  
  Confusion
- D.
  
  Nausea
6.

A client is admitted to the labor and delivery unit in active labor. During examination. the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?
- A.
  
  Document the finding
- B.
  
  Report the finding to the doctor
- C.
  
  Prepare the client for a C-section
- D.
  
  Continue primary care as prescribed
7.

A client with a diagnosis of HPV is at risk for which of the following?
- A.
  
  Hodgkin’s lymphoma
- B.
  
  Cervical cancer
- C.
  
  Multiple myeloma
- D.
  
  Ovarian cancer
8.

During the initial interview. the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:
- A.
  
  Syphilis
- B.
  
  Herpes
- C.
  
  Gonorrhea
- D.
  
  Condylomata
9.

A client visiting a family planning clinic is suspected of having an STI. The best diagnostic test for treponema pallidum is:
- A.
  
  Venereal Disease Research Lab (VDRL)
- B.
  
  Rapid plasma reagin (RPR)
- C.
  
  Florescent treponemal antibody (FTA)
- D.
  
  Thayer-Martin culture (TMC)
10.

A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome?
- A.
  
  Elevated blood glucose
- B.
  
  Elevated platelet count
- C.
  
  Elevated creatinine clearance
- D.
  
  Elevated hepatic enzymes