NCLEX-rn 150 Practice Questions

31 Questions | Total Attempts: 2902

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NCLEX Rn Quizzes & Trivia

NCLEX-RN 150 Practice Questions


Questions and Answers
  • 1. 
    A young adult is involved in a motorcycle accident and is brought to the emergency room. The physician diagnoses a closed head injury with suspected subdural hematoma. Although complaining of a severe headache, the client is alert and answers questions appropriately. The nurse should question which of the following orders?
    • A. 

      "Promethazine (Phenergan) 25 mg IM 3 h."

    • B. 

      "Morphine sulfate 10 mg IM q3 4h."

    • C. 

      "Docusate sodium (Colace) 50 mg PO bid."

    • D. 

      "Ranitidine (Zantac) 50 mg IVPB q12h."

  • 2. 
    The nurse returns to the desk and finds four phone messages to return. Which of the following messages should the nurse return FIRST?
    • A. 

      A woman in the first trimester of pregnancy complains of heartburn.

    • B. 

      A man complains of heartburn that radiates to the jaw.

    • C. 

      A woman complains of hot flashes and difficulty sleeping.

    • D. 

      A boy complains of knee pain after playing basketball.

  • 3. 
    A patient is admitted to the surgical unit with a diagnosis with rule out (R/O) intestinal obstruction. The nurse prepares to insert a Salem sump NG tube as ordered. It is BEST for the nurse to place the patient in which of the following positions?
    • A. 

      Head of bed elevated 30–45°.

    • B. 

      Head of bed elevated 60–90°.

    • C. 

      Side-lying with head elevated 15°.

    • D. 

      Lying flat with head turned to the left side.

  • 4. 
    The nurse monitors the fluid status of an older patient receiving IV fluids following surgery. Which of the following symptoms suggests to the nurse that the patient has fluid volume overload?
    • A. 

      Temperature 101°F (38.3°C), BP 96/60, pulse 96 and thready.

    • B. 

      Cool skin, respiratory crackles, pulse 86 and bounding.

    • C. 

      Complaints of a headache, abdominal pain, and lethargy.

    • D. 

      Urinary output 700 ml/24 h, CVP of 5, and nystagmus.

  • 5. 
    • A. 

      "Most women find that they feel better when they are pregnant."

    • B. 

      "How long have you been in remission?"

    • C. 

      "Women with lupus frequently have slightly longer gestations."

    • D. 

      "It is best to become pregnant within the first 6 months of diagnosis."

  • 6. 
    • A. 

      Confirm that all staff members understand and comply with the treatment plan.

    • B. 

      Establish mutually agreed-upon, realistic goals.

    • C. 

      Ensure that the potent reinforcers (rewards) are important to the client.

    • D. 

      Establish a fixed interval schedule for reinforcement.

  • 7. 
    • A. 

      Kussmaul respirations and diaphoresis.

    • B. 

      Anorexia and lethargy.

    • C. 

      Diaphoresis and trembling.

    • D. 

      Headache and polyuria.

  • 8. 
    The nursing assistant reports to the nurse that a client who is 1 day postoperative after an angioplasty refuses to eat and states, "I just don't feel good." Which of the following actions by the nurse is BEST?
    • A. 

      Talk with the client about how the client is feeling.

    • B. 

      Instruct the nursing assistant to sit with the client while the client eats.

    • C. 

      Contacts the physician to obtain an order for an antacid.

    • D. 

      Evaluate the most recent vital signs recorded in the chart.

  • 9. 
    The nurse prepares a patient for a cesarean section. The patient says that she had major surgery several years ago and asks if she will receive a similar "shot" before surgery. The nurse's response should be based on an understanding that the preoperative medication given before a cesarean section
    • A. 

      Contains a lower overall dosage of medication than is given before general surgery.

    • B. 

      Contains lower amounts of sedatives and hypnotics than are given before general surgery.

    • C. 

      Contains lower amounts of narcotics than are given before general surgery.

    • D. 

      Contains medications similar in type and dosages to those given before general surgery.

  • 10. 
    • A. 

      Place a trochanter roll on the outer aspect of the thigh.

    • B. 

      Perform resistive range of motion of the left leg.

    • C. 

      Adduct and internally rotate the left leg.

    • D. 

      Instruct the patient to maintain the left leg in a neutral position.

  • 11. 
    The nurse prepares a 5-year-old child for surgery. The nurse notes that the child's parents are divorced and have joint legal custody. The informed consent for surgery has been signed by the mother. Which of the following actions by the nurse is BEST?
    • A. 

      Notify the physician.

    • B. 

      Inform surgery.

    • C. 

      Contact the father to obtain consent.

    • D. 

      Continue the child's preoperative preparation.

  • 12. 
    The nurse cares for clients on the neurology unit. What is the MOST appropriate action for the nurse to take after noting that a client suddenly develops a fixed and dilated pupil?
    • A. 

      Reassess in 5 minutes.

    • B. 

      Check the client's visual acuity.

    • C. 

      Lower the head of the client's bed.

    • D. 

      Contact the physician.

  • 13. 
    A mother brings her 2-year-old to the pediatrician's office. Which of the following symptoms suggests to the nurse that the child has strabismus?
    • A. 

      The child places his head close to the table when drawing.

    • B. 

      The child rubs his eyes frequently.

    • C. 

      The child closes one eye to see a poster on the wall.

    • D. 

      The child is unable to see objects in the periphery of his visual field.

  • 14. 
    The nurse administers morphine 6 mg IV push to a patient for postoperative pain. Following administration of the drug, the nurse observes the following: BP 100/68, pulse 68, respirations 8, client sleeping quietly. Which of the following nursing actions is MOST appropriate?
    • A. 

      Allow the client to sleep undisturbed.

    • B. 

      Administer oxygen via face mask or nasal prongs.

    • C. 

      Administer naloxone (Narcan).

    • D. 

      Place epinephrine 1:1,000 at the bedside.

  • 15. 
    The school nurse instructs a group of preschool mothers about poison prevention in the home. Which of the following statements, if made by a mother to the nurse, indicates further teaching is necessary?
    • A. 

      "The poison control center number is stored on all the phones in our house."

    • B. 

      "I should induce vomiting if my child swallows lighter fluid."

    • C. 

      "If I carry medication in my purse, it should be in a child-proof container."

    • D. 

      "Proper storage is the key to poison prevention in the home."

  • 16. 
    The nurse cares for a manic client in the seclusion room, and it is time for lunch. It is MOST appropriate for the nurse to take which of the following actions?
    • A. 

      Take the client to the dining room with 1:1 supervision.

    • B. 

      Inform the client that he may go to the dining room when he controls his behavior.

    • C. 

      Hold the meal until the client is able to come out of seclusion.

    • D. 

      Serve the meal to the client in the seclusion room.

  • 17. 
    Which of the following nursing actions has the HIGHEST priority for a teenager admitted with burns to 50% of the body?
    • A. 

      Counseling regarding problems of body image.

    • B. 

      Maintain airborne precautions.

    • C. 

      Maintain aseptic technique during procedures.

    • D. 

      Encourage peers to visit on a regular basis.

  • 18. 
    The home health care nurse cares for a client diagnosed with type 1 diabetes. The client is maintained on a regimen of NPH and regular insulin and a 1,800-calorie diabetic diet with normal blood sugar levels. Morning self-monitoring blood sugar (SMBG) readings the past 2 days were 205 and 233 mg/dL. The nurse expects the physician to take which of the following actions?
    • A. 

      Reduce the client's diet to 1,500 calorie ADA.

    • B. 

      Order three additional units of NPH insulin at 10 P.M.

    • C. 

      Order an additional 10 units of regular insulin at 8 P.M.

    • D. 

      Eliminate the client's bedtime snack.

  • 19. 
    • A. 

      The client has slight edema of the eyelids.

    • B. 

      There is clear fluid draining from the client's right ear.

    • C. 

      There is some bleeding from the child's lacerations.

    • D. 

      The client withdraws in response to painful stimuli.

  • 20. 
    A psychiatric nurse is assigned to conduct an admission nursing history on a new client. The admission should include which of the following?
    • A. 

      The nurse's opinion regarding the mental and emotional status of the client.

    • B. 

      Data addressing the client's emotional state.

    • C. 

      Data addressing a biopsychosocial approach, including a family system assessment.

    • D. 

      Specific data detailing the client's mental status.

  • 21. 
    • A. 

      Obtain respirations and temperature.

    • B. 

      Dilute with 9 ml of NS.

    • C. 

      Draw the medications in separate syringes.

    • D. 

      Verify the route of administration.

  • 22. 
    • A. 

      "That must have been a real shock to you."

    • B. 

      "You should be tested for hepatitis B."

    • C. 

      "You'll receive the hepatitis B immune globulin (HBIG)."

    • D. 

      "Have you had unprotected sex with your boyfriend?"

  • 23. 
    A young adult patient constantly seeks attention from the nurses, stomping away from the nurses' station and pouting when requests are refused. Which of the following responses by the nurse is MOST appropriate?
    • A. 

      Encourage the patient to establish trust with one staff person with whom therapeutic interventions should occur.

    • B. 

      Give the patient unsolicited attention when the patient is exhibiting acceptable behaviors.

    • C. 

      Ignore the patient when the patient exhibits attention-seeking behavior.

    • D. 

      Rotate the staff so that the patient will learn to relate to more than one nurse.

  • 24. 
    After abdominal surgery, a client has a nasogastric tube attached to low suctioning. The client becomes nauseated, and the nurse observes a decrease in the flow of gastric secretions. Which of the following nursing interventions is MOST appropriate?
    • A. 

      Irrigate the nasogastric tube with distilled water.

    • B. 

      Aspirate the gastric contents with a syringe.

    • C. 

      Administer an antiemetic medicine.

    • D. 

      Insert a new nasogastric tube.

  • 25. 
    A middle-aged woman, mother of two, has a mastectomy for breast cancer. When she returns to the physician's office a month later for a routine checkup, the nurse asks the client how she has been. Which of the following responses, if made by the client to the nurse, indicates that the client is experiencing a normal reaction to the surgery?
    • A. 

      "I have been helping my family deal with their feelings about the surgery."

    • B. 

      "I have been having difficulty coping with the surgery and cry frequently."

    • C. 

      "I have been unable to leave the house or talk to my friends about the surgery."

    • D. 

      "I am doing just great since the surgery and have gone back to work at my job."