NCLEX RN Practice Questions 1 (Practice Mode) By RNpedia.Com

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  • 1/40 Questions

    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
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NCLEX RN Practice Questions 1 (Practice Mode) By RNpedia.Com - Quiz

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  • 2. 

    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

    Correct Answer
    A. Thyroid function tests
    Explanation
    Weight gain and poor temperature tolerance indicate something may be wrong with the thyroid function.

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  • 3. 

    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.

    Correct Answer
    A. Provide a secure environment for the patient.
    Explanation
    This patient’s safety is your primary concern.

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  • 4. 

    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

    Correct Answer
    A. Green vegetables and liver
    Explanation
    Green vegetables and liver are a great source of folic acid.

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  • 5. 

    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

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

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  • 6. 

    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

    Correct Answer
    A. Vastus lateralis
    Explanation
    Vastus lateralis is the most appropriate location.

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  • 7. 

    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

    Correct Answer
    A. The life span of RBC is 120 days
    Explanation
    RBC’s last for 120 days in the body

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  • 8. 

    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

    Correct Answer
    A. Intimacy vs. isolation
    Explanation
    Intimacy vs. isolation- 18-35 years old

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  • 9. 

    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

    Correct Answer
    A. Aspirin
    Explanation
    All of the others can cause urine discoloration except aspirin.

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  • 10. 

    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

    Correct Answer
    A. Increased appetite
    Explanation
    Loss of appetite would be expected.

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  • 11. 

    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

    Correct Answer
    A. Oily skin
    Explanation
    The skin would be dry and not oily.

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  • 12. 

    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

    Correct Answer
    A. Upon admit
    Explanation
    Discharge education begins upon admit.

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  • 13. 

    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

    Correct Answer
    A. Start prophylactic AZT treatment
    Explanation
    AZT treatment is the most critical innervention.

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  • 14. 

    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

    Correct Answer
    A. Elavil
    Explanation
    Elavil is a tricyclic antidepressant.

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  • 15. 

    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.

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

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  • 16. 

     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

    Correct Answer
    A. RH negative, RH positive
    Explanation
    Rho gam prevents the production of anti-RH antibodies in the mother that has a Rh positive fetus.

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  • 17. 

    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

    Correct Answer
    A. Blood cultures
    Explanation
    Blood cultures would be performed to investigate the fever and rash symptoms.

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  • 18. 

    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

    Correct Answer
    A. IgG
    Explanation
    IgG is the only immunoglobulin that can cross the placental barrier.

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  • 19. 

    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

    Correct Answer
    A. Anorexia nervosa
    Explanation
    All of the clinical signs and systems point to a condition of anorexia nervosa.

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  • 20. 

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

    • Campylobacterial infection

    • Legionnaire’s disease

    • Pneumonia

    • Multiple Sclerosis

    Correct Answer
    A. Multiple Sclerosis
    Explanation
    Erythromycin is used to treat conditions Campylobacterial infection,Legionnaire’s disease and Pneumonia

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  • 21. 

    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

    Correct Answer
    A. Contact the Poison Control Center quickly
    Explanation
    The poison control center will have an exact plan of action for this child.

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  • 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

    Correct Answer
    A. Trust vs. mistrust
    Explanation
    Trust vs. Mistrust- 12-18 months old

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  • 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

    Correct Answer
    A. Weight gain
    Explanation
    Weight loss would be expected.

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  • 24. 

    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.

    Correct Answer
    A. The effects of PKU are reversible.
    Explanation
    The effects of PKU stay with the infant throughout their life.

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  • 25. 

    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

    Correct Answer
    A. 13 year old female – 105 b.p.m., 22 resp/min., 105/60 mm Hg
    Explanation
    HR and Respirations are slightly increased. BP is down.

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  • 26. 

    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)

    Correct Answer
    A. Corgard
    Explanation
    Corgard could be removed from the refigerator.

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  • 27. 

    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

    Correct Answer
    A. Streptokinase
    Explanation
    Streptokinase is a clot busting drug and the best choice in this

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  • 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.

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

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  • 29. 

    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

    Correct Answer
    A. Borrelia burgdorferi
    Explanation
    Streptococcus pyrogens is linked to Rheumatic fever, Bacilus anthracis is linked to Anthrax, Enterococcus faecalis is linked to Endocarditis.

    Rate this question:

  • 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

    Correct Answer
    A. Cl. difficile
    Explanation
    Cl. difficile has not been linked to meningitis

    Rate this question:

  • 31. 

    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

    Correct Answer
    A. Initiative vs. guilt
    Explanation
    Initiative vs. guilt- 3-6 years old

    Rate this question:

  • 32. 

    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

    Correct Answer
    A. Migranes
    Explanation
    Decreased HR, paresthesias and muscle weakness of the extremities were symptoms of acute hyperkalemia.

    Rate this question:

  • 33. 

    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

    Correct Answer
    A. Hemophilus aegyptius
    Explanation
    Yersinia pestis is linked to Plague, Helicobacter pyroli is linked to peptic ulcers, Vibrio cholera is linked to Cholera.

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  • 34. 

    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

    Correct Answer
    A. Weight gain
    Explanation
    Weight gain is associated with CHF and congenital heart deficits.

    Rate this question:

  • 35. 

    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

    Correct Answer
    A. Hypercalcaemia
    Explanation
    Hypercalcaemia can cause polyuria, severe abdominal pain, and confusion.

    Rate this question:

  • 36. 

    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

    Correct Answer
    A. Autonomic neuropathy
    Explanation
    Autonomic neuropathy can cause inability to urinate.

    Rate this question:

  • 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

    Correct Answer
    A. Cough following bronchodilator utilization
    Explanation
    The bronchodilator will allow a more productive cough.

    Rate this question:

  • 38. 

    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

    Correct Answer
    A. Parkinson’s disease type symptoms
    Explanation
    Aspirin overdose can lead to metabolic acidosis and cause pulmonary edema development.

    Rate this question:

  • 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

    Correct Answer
    A. Nitrodur
    Explanation
    All of the others have can cause photosensitivity reactions except Nitrodur.

    Rate this question:

  • 40. 

    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

    Correct Answer(s)
    A. Coumadin
    A. Finasteride
    Explanation
    Coumadin and Finasteride are both contraindicated with pregnancy.

    Rate this question:

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  • Mar 19, 2023
    Quiz Edited by
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  • May 21, 2012
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