NCLEX Practice Exam 41 (10 Questions)

10 Questions | Total Attempts: 1337

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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. 
    A mother complains to the clinic nurse that her 2 ½-year-old son is not yet toilet trained. She is particularly concerned that. although he reliably uses the potty seat for bowel movements. he isn’t able to hold his urine for long periods. Which of the following statements by the nurse is correct?
    • A. 

      The child should have been trained by age 2 and may have a psychological problem that is responsible for his “accidents.”

    • B. 

      Bladder control is usually achieved before bowel control. and the child should be required to sit on the potty seat until he passes urine.

    • C. 

      Bowel control is usually achieved before bladder control. and the average age for completion of toilet training varies widely from 24 to 36 months.

    • D. 

      The child should be told “no” each time he wets so that he learns the behavior is unacceptable.

  • 2. 
    The mother of a 14-month-old child reports to the nurse that her child will not fall asleep at night without a bottle of milk in the crib and often wakes during the night asking for another. Which of the following instructions by the nurse is correct?
    • A. 

      Allow the child to have the bottle at bedtime. but withhold the one later in the night.

    • B. 

      Put juice in the bottle instead of milk.

    • C. 

      Give only a bottle of water at bedtime.

    • D. 

      Do not allow bottles in the crib.

  • 3. 
    Which of the following actions is NOT appropriate in the care of a 2-month-old infant?
    • A. 

      Place the infant on her back for naps and bedtime.

    • B. 

      Allow the infant to cry for 5 minutes before responding if she wakes during the night as she may fall back asleep.

    • C. 

      Talk to the infant frequently and make eye contact to encourage language development.

    • D. 

      Wait until at least 4 months to add infant cereals and strained fruits to the diet.

  • 4. 
    An older patient asks a nurse to recommend strategies to prevent constipation. Which of the following suggestions would be helpful? Note: More than one answer may be correct.
    • A. 

      Get moderate exercise for at least 30 minutes each day.

    • B. 

      Drink 6-8 glasses of water each day.

    • C. 

      Eat a diet high in fiber.

    • D. 

      Take a mild laxative if you don’t have a bowel movement every day.

  • 5. 
    A child is admitted to the hospital with suspected rheumatic fever. Which of the following observations is NOT confirming of the diagnosis?
    • A. 

      A reddened rash visible over the trunk and extremities.

    • B. 

      A history of sore throat that was self-limited in the past month.

    • C. 

      A negative antistreptolysin O titer.

    • D. 

      An unexplained fever.

  • 6. 
    A patient with a history of congestive heart failure arrives at the clinic complaining of dyspnea. Which of the following actions is the first the nurse should perform?
    • A. 

      Ask the patient to lie down on the exam table.

    • B. 

      Draw blood for chemistry panel and arterial blood gas (ABG).

    • C. 

      Send the patient for a chest x-ray.

    • D. 

      Check blood pressure.

  • 7. 
    A clinic patient has recently been prescribed nitroglycerin for treatment of angina. He calls the nurse complaining of frequent headaches. Which of the following responses to the patient is correct?
    • A. 

      “Stop taking the nitroglycerin and see if the headaches improve.”

    • B. 

      “Go to the emergency department to be checked because nitroglycerin can cause bleeding in the brain.”

    • C. 

      “Headaches are a frequent side effect of nitroglycerine because it causes vasodilation.”

    • D. 

      “The headaches are unlikely to be related to the nitroglycerin. so you should see your doctor for further investigation.”

  • 8. 
    A patient received surgery and chemotherapy for colon cancer. completing therapy 3 months previously. and she is now in remission. At a follow-up appointment. she complains of fatigue following activity and difficulty with concentration at her weekly bridge games. Which of the following explanations could account for her symptoms?
    • A. 

      The symptoms may be the result of anemia caused by chemotherapy.

    • B. 

      The patient may be immunosuppressed.

    • C. 

      The patient may be depressed.

    • D. 

      The patient may be dehydrated.

  • 9. 
    A clinic patient has a hemoglobin concentration of 10.8 g/dL and reports sticking to a strict vegetarian diet. Which of the follow nutritional advice is appropriate?
    • A. 

      The diet is providing adequate sources of iron and requires no changes.

    • B. 

      The patient should add meat to her diet; a vegetarian diet is not advised.

    • C. 

      The patient should use iron cookware to prepare foods. such as dark green. leafy vegetables and legumes. which are high in iron.

    • D. 

      A cup of coffee or tea should be added to every meal.

  • 10. 
    A hospitalized patient is receiving packed red blood cells (PRBCs) for treatment of severe anemia. Which of the following is the most accurate statement?
    • A. 

      Transfusion reaction is most likely immediately after the infusion is completed.

    • B. 

      PRBCs are best infused slowly through a 20g. IV catheter.

    • C. 

      PRBCs should be flushed with a 5% dextrose solution.

    • D. 

      A nurse should remain in the room during the first 15 minutes of infusion.