NCLEX-rn Practice 100 Questions

100 Questions | Total Attempts: 1231

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NCLEX Rn Quizzes & Trivia

NCLEX-RN Practice 100 Questions


Questions and Answers
  • 1. 
    A client has a total laryngectomy with a permanent tracheostomy. The nurse plans nutritional intake for the next 3 days. Which of the following is necessary for the nurse to consider regarding the client’s nutrition?
    • A. 

      To facilitate healing of the surgical area, a nasogastric tube may be utilized and tube feedings may be implemented.

    • B. 

      The client will be unable to maintain any oral intake as long as the tracheotomy is in place.

    • C. 

      Nutritional and/or gastric feedings will not be attempted for approximately 3 weeks to decrease the incidence of aspiration.

    • D. 

      Because the client is dependent on the ventilator, nutritional intake will be delayed.

  • 2. 
    The nurse cares for a client who presents with confusion, mood lability, impaired communication, and lethargy. The nurse should question which of the following orders?
    • A. 

      Dexamethasone suppression test.

    • B. 

      Thyroid studies.

    • C. 

      Drug toxicology screen.

    • D. 

      Trendelenburg test.

  • 3. 
    For a client with a neurologic disorder, which of the following nursing assessments is MOST helpful in determining subtle changes in the client’s level of consciousness?
    • A. 

      Client posturing.

    • B. 

      Glasgow coma scale.

    • C. 

      Client thinking pattern.

    • D. 

      Occurrence of hallucinations.

  • 4. 
    The nurse conducts a physical examination of a client suspected to have bulimia. Which of the following observations by the nurse MOST likely indicates bulimia?
    • A. 

      The client has edema of the lower extremities.

    • B. 

      Physical exam of the client reveals the presence of lanugo.

    • C. 

      The client has ulcerated mucous membranes of the mouth.

    • D. 

      The client has dry, yellowish color of the skin.

  • 5. 
    The nurse prepares a dopamine (Intropin) infusion on a client. Before beginning the infusion the nurse should take which of the following actions?
    • A. 

      Evaluate the urine output.

    • B. 

      Obtain the client’s weight.

    • C. 

      Determine the patency of the IV line.

    • D. 

      Measure pulmonary artery pressures.

  • 6. 
    The nurse assists a nursing assistant in providing a bed bath to a comatose patient with incontinence. The nurse should intervene if which of the following actions is noted?
    • A. 

      The nursing assistant answers the phone while wearing gloves.

    • B. 

      The nursing assistant log rolls the patient to provide back care.

    • C. 

      The nursing assistant places an incontinent pad under the patient.

    • D. 

      The nursing assistant positions the patient on the left side, head elevated.

  • 7. 
    • A. 

      Sore throat, fever, increased fatigue, vomiting, diarrhea.

    • B. 

      Dry mouth, nasal stuffiness, weight gain.

    • C. 

      Rapid heartbeat, frequent headaches, yellowing of eyes or skin.

    • D. 

      Weakness, staggering gait, tremor, feeling of drunkenness.

  • 8. 
    The nurse receives report from the previous shift. Which of the following patients should the nurse see FIRST?
    • A. 

      A patient post coronary artery bypass graft (CABG) having the atrioventricular (AV) wires removed later in the day.

    • B. 

      A patient with type 1 diabetes scheduled for a cardiac catheterization later today.

    • C. 

      A patient 1 day postoperative with an epidural catheter in place.

    • D. 

      A patient diagnosed with cardiomyopathy being evaluated for a heart transplant.

  • 9. 
    A child has a closed transverse fracture of the right ulna. Which of the following actions, if performed by the nurse before the application of a cast, is MOST important?
    • A. 

      Check the radial pulses bilaterally and compare.

    • B. 

      Evaluate the skin temperature and tissue turgor in the area.

    • C. 

      Assess sensation of each foot while the child closes her eyes.

    • D. 

      Apply baby powder to decrease skin irritation under the cast.

  • 10. 
    The nurse cares for a multipara client who delivered a female infant 1 hour ago. The nurse observes that the client’s breasts are soft; the uterus is boggy to the right of the midline and 2 cm below the umbilicus; moderate lochia rubra. It is MOST important for the nurse to take which of the following actions?
    • A. 

      Perform a straight catheterization.

    • B. 

      Offer the client the bedpan.

    • C. 

      Put the baby to breast.

    • D. 

      Massage the uterine fundus.

  • 11. 
    The nurse checks for placement of a nasogastric (NG) tube prior to initiating a tube feeding for a client. Which of the following results indicates to the nurse that the tube feeding can begin?
    • A. 

      A small amount of white mucus is aspirated from the NG tube.

    • B. 

      The contents aspirated from the NG tube have a pH of 3.

    • C. 

      No bubbles are seen when the nurse inverts the NG tube in water.

    • D. 

      The client says he can feel the NG tube in the back of his throat.

  • 12. 
    The nurse cares for a client after right cataract surgery. The nurse should intervene if which of the following is observed?
    • A. 

      Client is in the supine position.

    • B. 

      The head of the bed is elevated 30 degrees.

    • C. 

      The client is lying on the right side.

    • D. 

      An eye shield is over the right eye.

  • 13. 
    A young adult immobilized for trauma to the spinal cord has periods of diaphoresis, a draining abdominal wound, and diarrhea. On the basis of the nursing assessment, which of the following is the MOST important nursing diagnosis?
    • A. 

      Risk for constipation related to immobilization.

    • B. 

      Risk for impaired skin integrity related to immobilization and secretions.

    • C. 

      Risk for wound infection related to involuntary bowel secretions.

    • D. 

      Risk for fluid volume excess related to secretions.

  • 14. 
    The nurse cares for a client one day after a thoracotomy. Nursing actions listed on the care plan include turn, cough, and deep breathe q 2 h. The nurse understands that the purpose of this nursing action includes which of the following?
    • A. 

      Promote ventilation and prevent respiratory acidosis.

    • B. 

      Increase oxygenation and removal of secretions.

    • C. 

      Increase pH and facilitate balance of bicarbonate.

    • D. 

      Prevent respiratory alkalosis by increasing oxygenation.

  • 15. 
    • A. 

      Death is punishment for his/her actions.

    • B. 

      Death is inevitable and irreversible.

    • C. 

      Death is temporary and gradual.

    • D. 

      Death as a concept based on past experience.

  • 16. 
    A client with newly diagnosed type 1 diabetes says to the nurse, "I know that I have to take good care of my feet. When I buy new shoes, is there anything special I should do?" Which of the following responses by the nurse is BEST?
    • A. 

      "It is best to buy new shoes in the morning."

    • B. 

      "Have each foot measured every time you buy new shoes."

    • C. 

      "Buy shoes a half-size larger than your foot size so the fit is roomy."

    • D. 

      "Buy vinyl shoes because they won’t lose their shape easily."

  • 17. 
    A neonate weighing 7 lb 4 oz with Apgar scores of 7 and 8 at 1 and 5 minutes, respectively, is admitted to the nursery. Because the infant’s mother is diagnosed with a type 1 diabetes, the nurse knows the infant is at GREATEST risk for developing which of the following?
    • A. 

      Hypovolemia.

    • B. 

      Hypoglycemia.

    • C. 

      Hyperglycemia.

    • D. 

      Cold stress.

  • 18. 
    The nurse in the outpatient clinic assists with the application of a cast to the left arm of a pre-school-aged child. After the cast is applied, the nurse should take which of the following actions?
    • A. 

      Petal the edges of the cast to prevent irritation.

    • B. 

      Elevate the client’s left arm on two pillows.

    • C. 

      Apply cool, humidified air to dry the cast.

    • D. 

      Ask the client to move the fingers to maintain mobility.

  • 19. 
    The nurse cares for patients on the pediatric unit. The mother of a 2-year-old who is one day postoperative tells the nurse, "My child is so restless and overactive." The nurse should take which of the following actions?
    • A. 

      Direct the LPN/LVN to obtain the child’s vital signs.

    • B. 

      Ask the mother if the child’s sutures are still intact.

    • C. 

      Tell the nursing assistant to take the child for a walk.

    • D. 

      Check to see when the child last received pain medication.

  • 20. 
    • A. 

      High protein, high fat, and high calories.

    • B. 

      High protein, low fat, and high calories.

    • C. 

      Low protein, low fat, and low carbohydrate.

    • D. 

      High protein, high fat, and low carbohydrate.

  • 21. 
    A male client is admitted with urinary tract problems. A prostate-specific antigen (PSA) and acid phosphatase test are to be done. The nurse knows that
    • A. 

      these tests are valuable screening tests for prostatic cancer.

    • B. 

      the level of PSA is decreased in clients with renal stones.

    • C. 

      the tests reflect the level of renal involvement in acid-base problems.

    • D. 

      the level of PSA is elevated in clients in early-stage renal failure.

  • 22. 
    A client with clear lung sounds and unlabored breathing receives aminophylline IV. Which of the following is the MOST appropriate nursing action if the client’s IV infiltrates?
    • A. 

      Apply warm soaks to the infiltration site, start a new IV, and continue IV medications.

    • B. 

      Wait 2 hours, reassess the client, and restart the IV if the client has wheezing or labored breathing.

    • C. 

      Restart the IV and continue the previous medication schedule.

    • D. 

      Call the physician and recommend that the IV medications be changed to PO.

  • 23. 
    • A. 

      Provide adequate hygiene and nutrition.

    • B. 

      Decrease environmental stimuli.

    • C. 

      Slowly involve the client in unit activities.

    • D. 

      Administer and monitor sedative and mood-stabilizing medications.

  • 24. 
    A client is admitted to the neurosurgery unit for the removal of a cerebellar tumor. The nurse expects the patient to make which of the following statements about symptoms?
    • A. 

      "I have been having difficulty with my hearing."

    • B. 

      "I lose my balance easily."

    • C. 

      "I can't tell the difference between a sweet and sour taste."

    • D. 

      "It is not easy for me to remember names and faces."

  • 25. 
    • A. 

      A fat-free meal the evening before the examination and radiopaque tablets at bedtime.

    • B. 

      Placement of a retention urinary catheter to facilitate dilation of the bladder sphincter.

    • C. 

      Cleansing enemas the evening before to provide for adequate visualization of the urinary tract.

    • D. 

      Explaining the importance of following directions regarding voiding during the test.