NCLEX Practice Exam 32 (10 Questions)

10 Questions | Total Attempts: 1314

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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. 
    The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?
    • A. 

      The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer.

    • B. 

      The nurse loosely suspends the client’s arm in an open hand while tapping the back of the client’s elbow.

    • C. 

      The nurse instructs the client to dangle her legs as the nurse strikes the area below the patella with the blunt side of the reflex hammer.

    • D. 

      The nurse instructs the client to place her arms loosely at her side as the nurse strikes the muscle insert just above the wrist.

  • 2. 
    A primigravida with diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which doctor’s order should the nurse question?
    • A. 

      Magnesium sulfate 4gm (25%) IV

    • B. 

      Brethine 10 mcg IV

    • C. 

      Stadol 1 mg IV push every 4 hours as needed prn for pain

    • D. 

      Ancef 2gm IVPB every 6 hours

  • 3. 
    • A. 

      The infant is at low risk for congenital anomalies.

    • B. 

      The infant is at high risk for intrauterine growth retardation.

    • C. 

      The infant is at high risk for respiratory distress syndrome.

    • D. 

      The infant is at high risk for birth trauma.

  • 4. 
    Which observation in the newborn of a diabetic mother would require immediate nursing intervention?
    • A. 

      Crying

    • B. 

      Wakefulness

    • C. 

      Jitteriness

    • D. 

      Yawning

  • 5. 
    The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:
    • A. 

      Decreased urinary output

    • B. 

      Hypersomnolence

    • C. 

      Absence of knee jerk reflex

    • D. 

      Decreased respiratory rate

  • 6. 
    The client has elected to have epidural anesthesia to relieve labor pain. If the client experiences hypotension. the nurse would:
    • A. 

      Place her in Trendelenburg position

    • B. 

      Decrease the rate of IV infusion

    • C. 

      Administer oxygen per nasal cannula

    • D. 

      Increase the rate of the IV infusion

  • 7. 
    A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis?
    • A. 

      Alteration in nutrition

    • B. 

      Alteration in bowel elimination

    • C. 

      Alteration in skin integrity

    • D. 

      Ineffective individual coping

  • 8. 
    The nurse is caring for a client with ascites. Which is the best method to use for determining early ascites?
    • A. 

      Inspection of the abdomen for enlargement

    • B. 

      Bimanual palpation for hepatomegaly

    • C. 

      Daily measurement of abdominal girth

    • D. 

      Assessment for a fluid wave

  • 9. 
    The client arrives in the emergency department after a motor vehicle accident. Nursing assessment findings include BP 80/34. pulse rate 120. and respirations 20. Which is the client’s most appropriate priority nursing diagnosis?
    • A. 

      Alteration in cerebral tissue perfusion

    • B. 

      Fluid volume deficit

    • C. 

      Ineffective airway clearance

    • D. 

      Alteration in sensory perception

  • 10. 
    The home health nurse is visiting an 18-year-old with osteogenesis imperfecta. Which information obtained on the visit would cause the most concern? The client:
    • A. 

      Likes to play football

    • B. 

      Drinks several carbonated drinks per day

    • C. 

      Has two sisters with sickle cell tract

    • D. 

      Is taking acetaminophen to control pain