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National Council Licensure Examination(NCLEX-RN)

Last Update 18 hours ago Total Questions : 860

The National Council Licensure Examination(NCLEX-RN) content is now fully updated, with all current exam questions added 18 hours ago. Deciding to include NCLEX-RN practice exam questions in your study plan goes far beyond basic test preparation.

You'll find that our NCLEX-RN exam questions frequently feature detailed scenarios and practical problem-solving exercises that directly mirror industry challenges. Engaging with these NCLEX-RN sample sets allows you to effectively manage your time and pace yourself, giving you the ability to finish any National Council Licensure Examination(NCLEX-RN) practice test comfortably within the allotted time.

Question # 181

Primary nursing diagnoses for the antisocial client are:

A.

Alteration in perception and altered self-concept

B.

Impaired social interaction, ineffective individual coping, and altered self-concept

C.

Altered communication processes and altered recreational patterns

D.

Altered body image and altered thought processes

Question # 182

Before completing a nursing diagnosis, the nurse must first:

A.

Write goals and objectives

B.

Perform an assessment

C.

Plan interventions

D.

Perform evaluation

Question # 183

The nurse needs to be aware that the most common early complication of a myocardial infarction is:

A.

Diabetes mellitus

B.

Anaphylactic shock

C.

Cardiac hypertrophy

D.

Cardiac dysrhythmia

Question # 184

A client presents to the emergency room with cyanosis, coughing, tachypnea, and tachycardia. She has a history of asthma. Arterial blood gas values are pH 7.28, PaO2 54, PaCO2 60, and HCO3 24. The nursing assessment of arterial blood gases indicate the presence of:

A.

Respiratory alkalosis

B.

Respiratory acidosis

C.

Metabolic alkalosis

D.

Metabolic acidosis

Question # 185

A 49-year-old obese woman has been admitted to the general surgery unit with choledocholithiasis. As the nurse is admitting her to the unit, she states, “The doctor said I have stones that need to be removed; where are they?” The nurse knows that the best explanation for this is to tell her that:

A.

There are stones present in her gallbladder

B.

There are stones present in her kidneys

C.

There are stones present in her common bile duct

D.

There are no stones, but her gallbladder is irritated and caused her nausea, vomiting, and pain

Question # 186

A client is to have a coronary artery bypass graft performed in the morning using a saphenous vein. He wants to know why the physician does not use the internal mammary artery for his bypass graft because his friend’s physician uses this artery. The nurse tells the client that the internal mammary artery:

A.

Takes more time to remove

B.

Has a greater risk of becoming reoccluded

C.

Is smaller in diameter

D.

Has too many valves

Question # 187

Plans for the care of a client with an ulcer caused by emotional problems need to take into consideration that:

A.

His priority needs are limited to medical management

B.

There is no real psychological basis for his illness

C.

The disorder is a threat to his physical well-being

D.

He is unable to participate in planning his care

Question # 188

The physician prescribes a medical regimen of isoniazid, rifampin, and vitamin B6 for a tuberculosis client. The nurse instructs the client that B6 is given because it:

A.

Increases activity of isoniazid

B.

Increases activity of rifampin

C.

Improves nutritional status

D.

Reduces peripheral neuropathy

Question # 189

A 25-year-old outpatient presents with a diagnosis of compulsive personality disorder. His coworkers become annoyed with his rigid, perfectionistic manner and preoccupation with trivial details and schedules. A nursing intervention appropriate for this client would include:

A.

Encouraging him to engage in recreational activities

B.

Avoiding discussion of his annoying behavior

C.

Encouraging the client to set a time schedule and deadlines for himself

D.

Contracting with him for the amount of time he will spend on the compulsive behaviors

Question # 190

A 43-year-old client is admitted to the hospital with a diagnosis of peripheral vascular disorder. She arrives in her

room via stretcher and requires assistance to move to her bed. The nurse notes that her left leg is cold to touch. She complains of having recently experienced muscle spasms in that leg. To determine if these muscle spasms are indicative of intermittent claudication, the nurse would begin her assessment with the following question:

A.

“Would you describe the intensity, duration, and symptoms associated with your pain?”

B.

“Do you experience swelling at the end of the day in the affected and unaffected leg?”

C.

“Have you had any lesions of the affected leg that have been difficult to heal?”

D.

“Do your muscle spasms occur following rest, walking, or exercising?”

Question # 191

A client who was started on antipsychotic medication 2 weeks ago is preparing for discharge from the hospital. Compliance with the medication regimen is important despite the mild side effects encountered. In order to increase the likelihood of medication compliance, the nurse would:

A.

Discuss the disease process and the importance of the medication in prevention of symptoms.

B.

Inform the client that additional side effects are to be expected and need not be reported.

C.

Discuss the importance of getting blood drawn weekly to determine medication therapeutics.

D.

Inform the client to cease taking the medication when all psychotic symptoms have cleared.

Question # 192

A client is admitted to the hospital with diabetic ketoacidosis.

The emergency room nurse should anticipate the administration of:

A.

Humulin N

B.

Humulin R

C.

Humulin U

D.

Humulin L

Question # 193

A 5-year-old child cries continually in her bed. Her parents have been unsuccessful in assisting her in expressing her feelings. Which activity should the nurse provide the child to assist her in expressing her feelings?

A.

Books with colorful pictures

B.

Music

C.

Riding toys

D.

Puppets

Question # 194

When caring for a postoperative cholecystectomy client, the nurse assesses patency and documents drainage of the T-tube. The nurse recognizes that the expected amount of drainage during the first 24 hours postoperatively is:

A.

50–100 mL

B.

200–300 mL

C.

300–500 mL

D.

1000–1200 mL

Question # 195

A 48-year-old client presents with a long history of severedepression unrelieved by medication. He is admitted to the hospital for electroconvulsive therapy. Familymembers are very concerned about this therapy and are requesting information about aftereffects of the treatment. The nurse informs the family that he will:

A.

Have transient memory loss, confusion, andheadache

B.

Be alert and oriented immediately after the treatment

C.

Have insomnia for the first few days

D.

Require no special care after the procedure

Question # 196

A 75-year-old client is hospitalized with pneumonia caused by gram-positive bacteria. Which one of the following best describes a gram-positive bacterial pneumonia?

A.

Klebsiellapneumonia

B.

Pneumococcal pneumonia

C.

Legionella pneumophilapneumonia

D.

Escherichia colipneumonia

Question # 197

Home-care instructions for the child following a cardiac catheterization should include:

A.

Notify the physician if a slight bruise develops around the insertion site.

B.

Use sponge bathing until stitches are removed.

C.

Give aspirin if the child complains of pain at the insertion site.

D.

Keep a clean, dry dressing on the insertion site for 2 days.

Question # 198

A successful executive left her job and became a housewife after her marriage to a plastic surgeon. She started doing volunteer work for a charity organization. She developed pain in her legs that advanced to the point of paralysis. Her physicians can find no organic basis for the paralysis. The client’s behavior can be described as:

A.

Housework phobia

B.

Malingering

C.

Conversion reaction

D.

Agoraphobia

Question # 199

A 17-year-old pregnant client who is gravida 1, para 0, is at 36 weeks’ gestation. Based on the nurse’s knowledge of the maternal physiological changes in pregnancy, which of these findings would be of concern?

A.

Complaints of dyspnea

B.

Edema of face and hands

C.

Pulse of 65 bpm at 8 weeks, 73 bpm at 36 weeks

D.

Hematocrit 39%

Question # 200

A female client at 30 weeks’ gestation is brought into the emergency department after falling down a flight of stairs. On examination, the physician notes a rigid, boardlike abdomen; FHR in the 160s; and stable vital signs. Considering possible abdominal trauma, which obstetric emergency must be anticipated?

A.

Abruptio placentae

B.

Ectopic pregnancy

C.

Massive uterine rupture

D.

Placenta previa

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