NCLEX RN Comprehensive Question And Answers Part 10.3, NCLEX Style Exam Sample

10 Questions | By Whatisnclex | Last updated: Mar 20, 2022 | Total Attempts: 1520

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This NCLEX Style Comprehensive Question and Answers Exam includes 265 questions in each volume. This sample includes 10 of the 265 NCLEX test questions from Volume 10. 3 of the nclex examination. Once finished with this nclex practice test, feel free to try our other nclex sample tests then preview and order the full package we offer that helps more nurses pass the nclex effectively - the first time.

Questions and Answers

1.

A 79-vear-old client is admitted for dehydration, and an IV infusion of normal saline at 125 mL/hr is started. One hour later the client begins screaming, “I can’t breathe.” The nurse should:
- A.
  
  Assess for allergies and change the IV to an intermittent infusion device.
- B.
  
  Discontinue the IV and call the practitioner.
- C.
  
  Elevate the head of the bed and obtain vital signs.
- D.
  
  Call the practitioner and obtain an order for a sedative.
2.

A client who has a hemiglossectomy and right radical neck dissection arrives in the postanesthesia care unit with two portable drainage catheters in the area of the incision, which are attached to Hemovacs. Six hours later one Hemovac accumulates 180 mL of serosanguineous drainage. The priority nursing intervention is to:
- A.
  
  Document the output because it is expected.
- B.
  
  Turn the client onto the right side.
- C.
  
  Notify the practitioner immediately.
- D.
  
  Empty the container to reestablish negative pressure.
3.

A 49-year-old female is admitted to the hospital with a possible diagnosis of Addison’s disease. What is an important nursing responsibility during a 24-hour urine collection for the client suspected of having Addison’s disease?
- A.
  
  Keep the client quiet and reduce stress.
- B.
  
  Monitor the client for an elevation in blood pressure.
- C.
  
  Restrict the client’s fluid intake during the day of the test.
- D.
  
  Assess the client for signs and symptoms of edema.
4.

Which sign indicates adequate intravenous fluid replacement for a client with a 30% total body surface area burn?
- A.
  
  Increasing hematocrit level.
- B.
  
  Central venous pressure progressing from 5 to 1 mm water.
- C.
  
  Slowing of a previously rapid pulse rate.
- D.
  
  Urinary output of 15 to 20 mL/hr.
5.

The nurse is teaching a client, who is formula feeding her infant, how to care for her engorged breasts. The statement that indicates that the client understands the teaching is, “I am:
- A.
  
  Drinking 10 glasses of liquid every day."
- B.
  
  Letting warm water run over my breasts when I am showering."
- C.
  
  Wearing a well-fitting, tight brassiere."
- D.
  
  Expressing milk from my breasts every 4 hours."
6.

A client with diabetic ketoacidosis, who is receiving intravenous fluids and insulin, complains of tingling and numbness of the fingers and toes and shortness of breath. The cardiac monitor shows the appearance of a U wave. The nurse concludes that these symptoms indicate:
- A.
  
  Hypercalcemia.
- B.
  
  Hypoglycemia.
- C.
  
  Hypernatremia.
- D.
  
  Hypokalemia.
7.

A client who sustained a severe head injury in a diving accident remains unconscious. In addition, the nurse observes bleeding from the left ear and rhinorrhea. The nurse concludes that drainage from the ear and nose indicates a:
- A.
  
  Contusion.
- B.
  
  Concussion.
- C.
  
  Nose fracture.
- D.
  
  Basilar fracture.
8.

Before discharging a client who had an inguinal herniorrhaphy, the nurse teaches the client about exercising to prevent venous stasis. For best results the nurse should:
- A.
  
  Advise against sitting for prolonged periods.
- B.
  
  Suggest that the client change position frequently.
- C.
  
  Suggest frequent moving of the legs.
- D.
  
  Demonstrate specific exercises.
9.

The nurse teaches a client with exophthalmos how to reduce discomfort and prevent corneal ulceration. The nurse evaluates that the teaching is understood when the client states, “I should:
- A.
  
  Elevate the head of my bed at night.”
- B.
  
  Avoid using a sleeping mask at night.”
- C.
  
  Eliminate excessive blinking.”
- D.
  
  Not move my extraocular muscles.”
10.

A nurse is performing range-of-motion exercises with a client who had a brain attack. The nurse places the client’s hand in the position exhibited in the picture. This position is known as:
- A.
  
  Adduction.
- B.
  
  Circumduction.
- C.
  
  Extension.
- D.
  
  Flexion.