NCLEX-rn Practice 75 Questions Part 2

75 Questions | Total Attempts: 997

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NCLEX Rn Quizzes & Trivia

NCLEX-RN Practice 75 Questions Part 2


Questions and Answers
  • 1. 
    The nurse supervises care given to a group of patients on the unit. The nurse observes a staff member entering a patient's room wearing gown and gloves. The nurse knows that the staff member is caring for which of the following patients?
    • A. 

      An 18-month-old with respiratory syncytial virus.

    • B. 

      A 4-year-old with Kawasaki disease.

    • C. 

      A 10-year-old with Lyme disease.

    • D. 

      A 16-year-old with infectious mononucleosis.

  • 2. 
    The nurse assesses a client diagnosed with a spinal cord injury. Which of the following assessment findings by the nurse suggests the complication of autonomic dysreflexia? Select all that apply.
    • A. 

      Urinary bladder spasm pain.

    • B. 

      Severe pounding headache.

    • C. 

      Profuse sweating.

    • D. 

      Tachycardia.

    • E. 

      Severe hypotension.

    • F. 

      Nasal congestion.

  • 3. 
    An adolescent is scheduled for a below-knee (BK) amputation following a motorcycle accident. The nurse knows preoperative teaching for this client should include which of the following?
    • A. 

      Explain that the client will walk with a prosthesis soon after surgery.

    • B. 

      Encourage the client to share feelings and fears about the surgery.

    • C. 

      Take the informed consent form to the client and ask the client to sign it.

    • D. 

      Evaluate how the client plans to complete schoolwork during hospitalization.

  • 4. 
    A client at 16 weeks’ gestation undergoes an amniocentesis. The client asks the nurse what the physician will learn from this procedure. The nurse's response should be based on an understanding that which of the following conditions can be detected by an amniocentesis?
    • A. 

      Tetralogy of Fallot.

    • B. 

      Talipes equinovarus.

    • C. 

      Hemolytic disease of the newborn.

    • D. 

      Cleft lip and palate.

  • 5. 
    The nurse evaluates the nutritional intake of an adolescent girl attending camp. The adolescent eats all of the food provided to her at the camp cafeteria. Each of the day's three meals contains foods from all areas of the food pyramid, and each meal averages about 900 calories and 3 mg of iron. The girl has been menstruating monthly for about two years. Which of the following descriptions, if made by the nurse, BEST describes the girl's intake if her weight is appropriate for her height?
    • A. 

      Her diet is low in calories and high in iron.

    • B. 

      Her diet is low in calories and low in iron.

    • C. 

      Her diet is high in calories and low in iron.

    • D. 

      Her diet is high in calories and high in iron.

  • 6. 
    A client returns from surgery with a fine, reddened rash noted around the area where Betadine prep had been applied prior to surgery. Nursing documentation in the client’s chart should include which of the following?
    • A. 

      Time and circumstances under which the rash was noted.

    • B. 

      Explanation given to the client and family of the reason for the rash.

    • C. 

      Notation on an allergy list and notification of the doctor.

    • D. 

      The need for application of corticosteroid cream to decrease inflammation.

  • 7. 
    A client receives a blood transfusion and experiences a hemolytic reaction. The nurse anticipates which of the following assessment findings?
    • A. 

      Hypotension, backache, low back pain, fever.

    • B. 

      Wet breath sounds, severe shortness of breath.

    • C. 

      Chills and fever occurring about an hour after the infusion started.

    • D. 

      Urticaria, itching, respiratory distress.

  • 8. 
    The nurse develops a comprehensive care plan for a young woman diagnosed with anorexia nervosa. The nurse refers the client to assertiveness skills classes. The nurse knows that this is an appropriate intervention because this client may have problems with which of the following?
    • A. 

      Aggressive behaviors and angry feelings.

    • B. 

      Self-identity and self-esteem.

    • C. 

      Focusing on reality.

    • D. 

      Family boundary intrusions.

  • 9. 
    Under the supervision of the registered nurse, a student nurse changes the dressing of a client with a newly inserted peritoneal dialysis catheter. Which of the following activities, if performed by the student nurse after removal of the old dressing, requires an intervention by the registered nurse?
    • A. 

      The student nurse cleans the catheter insertion site using a sterile cotton swab soaked in povidone-iodine.

    • B. 

      The student nurse applies two sterile precut 4 × 4s to the catheter insertion site.

    • C. 

      The student nurse cleans the insertion site using a circular motion from the outer abdomen toward the insertion site.

    • D. 

      The student nurse securely tapes the edges of the sterile dressing with paper tape.

  • 10. 
    The home care nurse performs an assessment of a client diagnosed with pneumonia secondary to chronic pulmonary disease. Which of the following nursing goals is MOST appropriate?
    • A. 

      Maintain and improve the quality of oxygenation.

    • B. 

      Improve the status of ventilation.

    • C. 

      Increase oxygenation of peripheral circulation.

    • D. 

      Correct the bicarbonate deficit.

  • 11. 
    A client comes to the clinic for the results of a glycosylated hemoglobin (HbA1c). Which statement, if made by the client to the nurse, indicates an understanding of the procedure?
    • A. 

      "This test is performed by sticking my finger and measuring the results."

    • B. 

      "This test needs to be performed in the morning before I eat breakfast."

    • C. 

      "This test indicates how well my blood sugar has been controlled the past 6 to 8 weeks."

    • D. 

      "I must follow my diet carefully for several days before the test."

  • 12. 
    The nurse recognizes which of these symptoms as characteristic of a panic attack?
    • A. 

      Palpitations, decreased perceptual field, diaphoresis, fear of going crazy.

    • B. 

      Decreased blood pressure, chest pain, choking feeling.

    • C. 

      Increased blood pressure, bradycardia, shortness of breath.

    • D. 

      Increased respiratory rate, increased perceptual field, increased concentration ability.

  • 13. 
    The clinic physician diagnoses Graves’ disease for a client. The nurse expects the client to exhibit which of the following symptoms?
    • A. 

      Lethargy in the early morning.

    • B. 

      Sensitivity to cold.

    • C. 

      Weight loss of 10 lb in 3 weeks.

    • D. 

      Reduced deep tendon reflexes.

  • 14. 
    During an initial interview at an outpatient clinic, a 34-year-old single mother tells the nurse that she has always had difficulty forming relationships and is worried that her 7-year-old daughter will have the same problem. Which of the following statements, if made by the nurse, is BEST?
    • A. 

      "Children develop trust from birth to 18 months of age."

    • B. 

      "Children develop trust from 18 months to three years of age."

    • C. 

      "Children develop trust from three to six years of age."

    • D. 

      "Children develop trust from six to twelve years of age."

  • 15. 
    The nurse recognizes which of the following nursing interventions is MOST important when caring for a client just placed in physical restraints?
    • A. 

      Prepare PRN dose of psychotropic medication.

    • B. 

      Check that the restraints have been applied correctly.

    • C. 

      Review hospital policy regarding duration of restraints.

    • D. 

      Monitor the client's needs for hydration and nutrition while restrained.

  • 16. 
    The geriatric residents of a long-term care facility participate in a reminiscing group. The nurse identifies which of the following as the primary goal of this type of group activity?
    • A. 

      Provides psychosocial educational opportunities for stress and coping.

    • B. 

      Provides an avenue for physical exercise.

    • C. 

      Provides an environment for social interaction and companionship.

    • D. 

      Reorients and provides a reality test for confused clients.

  • 17. 
    The nurse is aware that which of the following assessments indicates hypocalcemia?
    • A. 

      Constipation.

    • B. 

      Depressed reflexes.

    • C. 

      Decreased muscle strength.

    • D. 

      Positive Trousseau's sign.

  • 18. 
    When obtaining a specimen from a client for sputum culture and sensitivity (C and S), the nurse identifies which of the following instructions is BEST?
    • A. 

      After pursed lip breathing, cough into a container.

    • B. 

      Upon awakening, cough deeply and expectorate into a container.

    • C. 

      Save all sputum for three days in a covered container.

    • D. 

      After respiratory treatment, expectorate into a container.

  • 19. 
    A patient has a Levin tube connected to intermittent low suction. At 7 A.M., the nurse charts that there is 235 ml of greenish drainage in the suction container. At 3 P.M., the nurse notes that there is 445 ml of greenish drainage in the suction container. Twice during the shift, the nurse irrigates the Levin tube with 30 ml of normal saline, as ordered by the physician. What is the actual amount of drainage from the nasogastric tube for the 7 to 3 shift?
    • A. 

      150 ml.

    • B. 

      210 ml.

    • C. 

      295 ml.

    • D. 

      385 ml.

  • 20. 
    The nurse cares for a patient during a radium implant. During the removal of the implant, it is MOST important for the nurse to take which of the following actions?
    • A. 

      Clean the radium implant carefully with a disinfectant (alcohol or bleach) using long forceps.

    • B. 

      Handle the radium carefully using forceps and rubber latex gloves.

    • C. 

      Chart the date and time of removal together with the total time of implant treatment.

    • D. 

      Double-bag the radium implant before the person from radiology removes it from the room.

  • 21. 
    The physician prescribes lithium carbonate (Lithobid) 300 mg PO QID for an adult client. The nurse in the outpatient clinic instructs the client about the medication. The nurse should encourage the client to maintain an adequate intake of which of the following?
    • A. 

      Sodium.

    • B. 

      Protein.

    • C. 

      Potassium.

    • D. 

      Iron.

  • 22. 
    A college student comes to the college health services complaining of a severe headache, nausea, and photophobia. The physician orders a complete blood count (CBC) and a lumber puncture (LP). Which of the following lab results would the nurse expect if a diagnosis of bacterial meningitis is made?
    • A. 

      Cerebrospinal fluid (CSF) cloudy, Hgb 13 g/dL, HCT 38%, WBC 18,000/mm3.

    • B. 

      CSF with RBCs present, Hgb 10 g/dL, HCT 37%, WBC 8,000/mm3.

    • C. 

      CSF cloudy, Hgb 12 g/dL, HCT 37%, WBC 7,000/mm3.

    • D. 

      CSF clear, Hgb 15 g/dL, HCT 40%, WBC 11,000/mm3.

  • 23. 
    A Miller-Abbott tube is ordered for a client. The nurse knows that the main reason this tube is inserted is because of which of the following?
    • A. 

      Provides an avenue for nutrients to flow past an obstructed area.

    • B. 

      Prevents fluid and gas accumulation in the stomach.

    • C. 

      Administers drugs that can be absorbed directly from the intestinal mucosa.

    • D. 

      Removes fluid and gas from the small intestine.

  • 24. 
    The nurse prepares discharge teaching for the parents of a newborn. Which of the following information should the nurse provide to the parents regarding the accuracy of a PKU (phenylketonuria) test?
    • A. 

      The initial specimen should be collected as close to discharge as possible but not after 7 days.

    • B. 

      The infant can have water but should not have formula for 6 hours before the test.

    • C. 

      The test will need to be repeated at 6 weeks and at the 3-month check-up.

    • D. 

      Blood will be drawn at three 1-hour intervals; there is no specific preparation.

  • 25. 
    Promethazine hydrochloride (Phenergan) 25 mg IV push is ordered for a patient. Prior to administering this medication to the patient, the nurse should check which of the following?
    • A. 

      The color of the medication solution.

    • B. 

      The patient’s pulse and temperature.

    • C. 

      The time of the last analgesic dose the patient received.

    • D. 

      The patency of the patient’s vein.