NCLEX Test 74 Questions

74 Questions | Total Attempts: 1089

SettingsSettingsSettings
NCLEX Quizzes & Trivia

NCLEX Test 74 Questions


Questions and Answers
  • 1. 
    The nurse cares for clients in the outpatient clinic. Which of the following messages should the nurse return FIRST?
    • A. 

      A mother reports the umbilical cord of her 5-day-old infant is dry and hard to the touch.

    • B. 

      A mother reports the "soft spot" on the head of her 4-day-old infant feels slightly elevated when the baby sleeps.

    • C. 

      A mother reports that the circumcision of her 3-day-old infant is covered with yellowish exudate.

    • D. 

      A father reports that he bumped the crib of his 2-day-old infant and she violently extended her extremities and returned them to their previous position.

  • 2. 
    The parents of a child diagnosed with hemophilia ask the nurse to explain the cause of the disease. Which of the following responses by the nurse is BEST?
    • A. 

      "The father transmits the gene to his son."

    • B. 

      "Both the mother and the father carry a recessive trait."

    • C. 

      "The mother transmits the gene to her son."

    • D. 

      "There is a 50% chance that the mother will pass the trait to each of her daughters."

  • 3. 
    A 6-month-old is brought to the clinic for a well-baby checkup. During the exam, the nurse expects to observe which of the following?
    • A. 

      A pincer grasp.

    • B. 

      Sitting with support.

    • C. 

      Tripling of the birth weight.

    • D. 

      Presence of the posterior fontanelle.

  • 4. 
    A client with an endotracheal tube requires suctioning. Which of the following statements is an accurate description of how the nurse should perform the procedure?
    • A. 

      Insert the suction catheter 4 in into the tube. Apply suction for 30 seconds, using a twirling motion as the catheter is withdrawn.

    • B. 

      Hyperoxygenate the client. Insert the suction catheter into the tube, and suction while removing the catheter in a back and forth motion.

    • C. 

      Explain the procedure to the patient. Insert the catheter gently while applying suction, and withdraw using a twisting motion.

    • D. 

      Insert the suction catheter until resistance is met, and then withdraw it slightly. Apply suction intermittently as the catheter is withdrawn.

  • 5. 
    A client comes to the outpatient psychiatric clinic for treatment of a fear of heights. The nurse knows that phobias involve which of the following?
    • A. 

      Projection and displacement.

    • B. 

      Sublimation and internalization.

    • C. 

      Rationalization and intellectualization.

    • D. 

      Reaction formation and symbolization.

  • 6. 
    The nurse cares for prenatal client at 8 weeks’ gestation with a positive VDRL. When the nurse prepares the teaching plan, it is MOST important for the nurse to include which of the following?
    • A. 

      Advise the client to not take any over-the-counter medications.

    • B. 

      Instruct the client on the importance of taking the penicillin for the prescribed time.

    • C. 

      Inform the client to refrain from sexual activity.

    • D. 

      Maintain the confidentiality of sexual partners or contacts.

  • 7. 
    An elderly client recently immobilized is ordered to begin passive range-of-motion (ROM) exercises. What should the nurse understand about ROM before initiating this order?
    • A. 

      Passive ROM exercises increase muscle strength.

    • B. 

      A full ROM must be completed for the elderly client.

    • C. 

      Exercises should be completed to the point of discomfort.

    • D. 

      A sufficient ROM assists the elderly to carry out activities of daily living (ADLs).

  • 8. 
    The nurse cares for an older patient scheduled for a colon resection this morning. The nurse notes the patient had polyethylene glycol-electrolyte solution (GoLYTELY) and a soapsuds enema the previous evening. This morning the patient passes a medium amount of soft brown stool. Which of the following conclusions by the nurse is MOST accurate?
    • A. 

      The bowel preparation is incomplete.

    • B. 

      The patient ate something after midnight.

    • C. 

      This is an expected finding before this type of surgery.

    • D. 

      The patient passed the last stool left in the colon.

  • 9. 
    The nurse cares for a newborn infant diagnosed with fetal alcohol syndrome. The nurse expects to see which of the following physical characteristics?
    • A. 

      An infant large for gestational age (LGA), craniofacial abnormalities, and hydrocephalus.

    • B. 

      An infant with a small head circumference, low birth weight, and undeveloped cheekbones.

    • C. 

      An infant with a large head circumference, low birth weight, and excessive rooting and sucking behaviors.

    • D. 

      An infant with a normal head circumference, low birth weight, and respiratory distress syndrome.

  • 10. 
    The physician orders hydromorphone hydrochloride (Dilaudid) 15 mg IM for a patient. The nurse should observe for which of the following side effects?
    • A. 

      Photosensitivity and constipation.

    • B. 

      Hypotension and respiratory depression.

    • C. 

      Tardive dyskinesia and diplopia.

    • D. 

      Dry mouth and tinnitus.

  • 11. 
    The outpatient clinic nurse cares for an elderly client diagnosed with type 1 diabetes. Because the client is unwilling to perform blood glucose monitoring, the client tests urine for sugar and acetone. The nurse knows that blood glucose monitoring is preferred over urine testing for glucose because of which of the following?
    • A. 

      The renal threshold for glucose is elevated in the elderly.

    • B. 

      Blood glucose monitoring is easier and less costly for clients to perform.

    • C. 

      Urine testing for glucose provides false-positive readings.

    • D. 

      Determination of the color on a reagent strip varies from person to person.

  • 12. 
    At 32 weeks’ gestation, a client has an order for an ultrasound. The nurse determines the client understands the procedure if the client states which of the following?
    • A. 

      "The results will inform us of the gestational age."

    • B. 

      "This test will evaluate the baby’s lungs."

    • C. 

      "The test will show us if there is any problem in the spinal cord."

    • D. 

      "Early problems with the baby’s blood can be identified with this test."

  • 13. 
    The nurse cares for a child diagnosed with pediculosis capitis (head lice) and is being treated with 1% gamma benzene hexachloride (Kwell) shampoo. The nurse should include which of the following when instructing the child’s parents?
    • A. 

      Continue treatment every other day for 1 week.

    • B. 

      Wash the child’s clothing and personal belongings in soap and cool water.

    • C. 

      Repeat the application of the shampoo in 7 to 10 days.

    • D. 

      One treatment with Kwell kills both lice and nits.

  • 14. 
    The nurse supervises an LPN/LVN administering an enema to a patient. The nurse determines the LPN/LVN’s actions are appropriate if which of the following is observed?
    • A. 

      The LPN/LVN places the solution 20 inches above the anus.

    • B. 

      The LPN/LVN adjusts the temperature of the solution.

    • C. 

      The LPN/LVN inserts the tube 6 inches.

    • D. 

      The LPN/LVN positions the patient left side-lying (Sim’s) with knee flexed.

  • 15. 
    An 18-month-old is admitted to the unit with a diagnosis of laryngotracheobronchitis (LTB). During the initial assessment, the nurse expects to find which of the following early symptoms?
    • A. 

      Kussmaul respirations and bradycardia.

    • B. 

      Elevated temperature and slow respiratory rate

    • C. 

      Expiratory wheezing and substernal retractions.

    • D. 

      Inspiratory stridor and restlessness.

  • 16. 
    The nurse cares for a patient receiving chlorpromazine hydrochloride (Thorazine). The nurse notes the patient is restless, unable to sit still, and complains of insomnia and fine tremors of the hands. The nurse identifies which of the following as the BEST explanation about why these symptoms are occurring?
    • A. 

      A side effect of the medication that will disappear as time passes.

    • B. 

      The reason the patient is receiving this medication.

    • C. 

      Extrapyramidal side effects resulting from this medication.

    • D. 

      An indication that the dosage of the medication needs to be increased.

  • 17. 
    The nurse cares for a client with a tracheostomy. Which of the following is the priority nursing diagnosis for this client?
    • A. 

      Impaired verbal communication related to absence of speaking ability.

    • B. 

      Ineffective airway clearance related to increased tracheobronchial secretions.

    • C. 

      Risk for impaired skin integrity related to tracheostomy incision.

    • D. 

      Alteration in comfort: pain related to tracheostomy.

  • 18. 
    Which of the following types of foods should the nurse encourage for a client diagnosed with hypoparathyroidism?
    • A. 

      Foods high in phosphorus.

    • B. 

      Foods high in calcium.

    • C. 

      Foods low in sodium.

    • D. 

      Foods low in potassium.

  • 19. 
    A client arrives at the hospital in active labor, and the admitting nurse attaches an internal fetal monitor. The nurse knows which of the following is the MOST important reason for the fetal monitor?
    • A. 

      To evaluate the progress of the client’s labor.

    • B. 

      To assess the strength and duration of the client’s contractions.

    • C. 

      To monitor the oxygen status of the fetus during labor.

    • D. 

      To determine if an oxytocin drip is necessary.

  • 20. 
    The nurse prepares an adult client diagnosed with mental retardation for discharge. The physician ordered warfarin sodium (Coumadin), 5 mg each day. To maintain client safety, which of the following actions should the nurse take FIRST?
    • A. 

      Instruct a significant other about the medication regimen.

    • B. 

      Determine the client’s comprehension of the medication administration.

    • C. 

      Prepackage the medication to encourage correct administration.

    • D. 

      Encourage a return demonstration of medication self-administration.

  • 21. 
    A client, gravida 2 para 1, is admitted with hypertension and complains that her wedding band is tight. The nurse should assess which of the following indications of early pre-eclampsia?
    • A. 

      Blurred vision and proteinuria.

    • B. 

      Epigastric pain and headache.

    • C. 

      Facial swelling and proteinuria.

    • D. 

      Polyuria and hypertonic reflexes.

  • 22. 
    The nurse cares for clients in a drug rehabilitation facility. Which of the following complications of IV drug abuse is the nurse MOST likely to observe?
    • A. 

      Jaundice.

    • B. 

      Rash.

    • C. 

      Bruising.

    • D. 

      Cellulitis.

  • 23. 
    The nurse cares for a client admitted with a diagnosis of cerebrovascular accident (CVA) and facial paralysis. Nursing care should be planned to prevent which of the following complications?
    • A. 

      Inability to talk.

    • B. 

      Loss of the gag reflex.

    • C. 

      Inability to open the affected eye.

    • D. 

      Corneal abrasion.

  • 24. 
    The nurse cares for a client who is to receive docusate sodium (Colace) 100 mg through a gastric tube. The solution contains 150 mg/15 mL. The nurse should administer how much solution to the client?
    • A. 

      1.5 mL.

    • B. 

      10 mL.

    • C. 

      15 mL.

    • D. 

      20 mL.

  • 25. 
    The nurse recognizes which of the following are early signs of lithium toxicity?
    • A. 

      Restlessness, shuffling gait, involuntary muscle movements.

    • B. 

      Ataxia, confusion, seizures.

    • C. 

      Fine tremors, nausea, vomiting, diarrhea.

    • D. 

      Elevated white blood cell count, fever, orthostatic hypotension.

Back to Top Back to top