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National Council Licensure Examination(NCLEX-RN)

Last Update 19 hours ago Total Questions : 860

The National Council Licensure Examination(NCLEX-RN) content is now fully updated, with all current exam questions added 19 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 # 201

An 8-year-old boy has been diagnosed with hemophilia. Which of the following diagnostic blood studies is characteristically abnormal in this disorder?

A.

Partial thromboplastin time

B.

Platelet count

C.

Complete blood count

D.

Bleeding time

Question # 202

A 44-year-old female client is receiving external radiation to her scapula for metastasis of breast cancer.

Teaching related to skin care for the client would include which of the following?

A.

Teach her to completely clean the skin to remove all ointments and markings after each treatment.

B.

Teach her to cover broken skin in the treated area with a medicated ointment.

C.

Encourage her to wear a tight-fitting vest to support her scapula.

D.

Encourage her to avoid direct sunlight on the area being treated.

Question # 203

A 28-year-old client comes to the clinic for her first prenatal examination. In relating her obstetrical history, she tells the nurse that she has been pregnant twice before. She had a “miscarriage” with the first pregnancy after 6 weeks. With the second pregnancy, she delivered twin girls at 31 weeks’ gestation. One of the twins was stillborn and the other twin died at 4 days of age. Using a five-digit system, the nurse records her as being:

A.

2-0-2-1-0

B.

2-2-2-1-2

C.

3-0-1-1-0

D.

2-1-1-0-0

Question # 204

A female client comes for her second prenatal visit. The nurse-midwife tells her, “Your blood tests reveal that you do not show immunity to the German measles.” Which notation will the nurse include in her plan of care for the client? “Will need . . .

A.

Rh-immune globulin at the next visit”

B.

Rh-immune globulin within 3 days of delivery”

C.

Rubella vaccine at the next visit”

D.

Rubella vaccine after delivery on the day of discharge”

Question # 205

A female client presents to the obstetric-gynecology clinic for a pregnancy test, the result which turns out to be positive. Her last menstrual period began December 10, 1993. Using Nägele’s rule, the nurse estimates her date of delivery to be:

A.

September 17, 1994

B.

September 10, 1994

C.

September 3, 1994

D.

August 17, 1994

Question # 206

An 11-month-old infant is admitted with a possible diagnosis of pyloric stenosis. Which of the following best describes the characteristic clinical manifestations of pyloric stenosis?

A.

Pain, especially when eating

B.

Poor appetite and sucking reflex

C.

Increased frequency and quantity of stools

D.

Palpable olive-shaped mass in the epigastrium just right of the umbilical cord

Question # 207

A normal 3-year-old child is suspected of having meningitis. The doctor has ordered a lumbar puncture. In light of this procedure and developmental characteristics of this age group, which nursing measure is most appropriate?

A.

Emphasize those aspects of the procedure that require cooperation.

B.

Tell the child not to cry or yell.

C.

Tell the child that he will get a “stick” in his back.

D.

Use medical terminology when explaining the procedure to the client.

Question # 208

A 10-year-old has been diagnosed with acute poststreptococcal glomerulonephritis. The clinical findings were proteinuria, moderately elevated blood pressure, and periorbital edema. Which dietary plan is most appropriate for this client?

A.

Low-protein diet

B.

Low-sodium diet

C.

Increased fluid intake

D.

High-cholesterol diet

Question # 209

For the past several months, an elderly female client with Alzheimer’s disease has experienced paranoia; hallucinations; and aggressive, disruptive behavior. The family is utilizing haloperidol as needed to control her behavior. On nursing assessment, you note that the client demonstrates involuntary movements of the tongue and fingers. This may most likely indicate:

A.

Tardive dyskinesia, which may be a side effect of antipsychotic medication

B.

Early symptoms of Parkinson’s disease

C.

A more advanced stage of Alzheimer’s disease than previously experienced by the client

D.

The need to change her medication from haloperidol to another antipsychotic drug to lessen symptoms

Question # 210

At 32 weeks’ gestation, a client is scheduled for a fetal activity test (nonstress test). She calls the clinic and asks the RN, “How do I prepare for the test I am scheduled for?” The RN will most likely inform her of the following instructions to help prepare her for the test:

A.

“You need to know that an IV is always started before the test.”

B.

“You will need to drink 6 to 8 glasses of water to fill your bladder.”

C.

“Do not eat any food or drink any liquids before the test is started.”

D.

“You will have to remain as still as you possibly can.”

Question # 211

A 55-year-old client is unconscious, and his physician has decided to begin tube feeding him using a smallbore silicone feeding tube (Keofeed, Duo-Tube). After the tube is inserted, the nurse identifies the most reliable way to confirm appropriate placement is to:

A.

Aspirate gastric contents

B.

Auscultate air insufflated through the tube

C.

Obtain a chest x-ray

D.

Place the tip of the tube under water and observe for air bubbles

Question # 212

A client presents to the psychiatric unit crying hysterically. She is diagnosed with severe anxiety disorder. The first nursing action is to:

A.

Demand that she relax

B.

Ask what is the problem

C.

Stand or sit next to her

D.

Give her something to do

Question # 213

A 16-year-old client reports a weight loss of 20% of her previous weight. She has a history of food binges followed by self-induced vomiting (purging). The nurse should suspect a diagnosis of:

A.

Anorexia nervosa

B.

Anorexia hysteria

C.

Bulimia

D.

Conversion reaction

Question # 214

A female client who has chronic obstructive pulmonary disease (COPD) has presented in the emergency department with cough productive of yellow sputum and increasing shortness of breath. On room air, her blood gases are as follows: pH 7.30 mm Hg, PCO2 60 mm Hg, PO2 55 mm Hg, HCO3 32 mEq/L. These arterial blood gases reflect:

A.

Compensated respiratory acidosis

B.

Normal blood gases

C.

Uncompensated metabolic acidosis

D.

Uncompensated respiratory acidosis

Question # 215

A nurse is performing a vaginal exam on a client in active

labor. An important landmark to assess during labor

and delivery are the ischial spines because:

A.

Ischial spines are the narrowest diameter of the pelvis

B.

Ischial spines are the widest diameter of the pelvis

C.

They represent the inlet of birth canal

D.

They measure pelvic floor

Question # 216

A 13-year-old hemophiliac is hospitalized for hemarthrosis of his right knee. To relieve the pain, the nurse should:

A.

Place on bed rest; elevate and splint the right knee

B.

Apply moist heat to the right knee

C.

Administer aspirin for pain

D.

Encourage active range of motion to right knee

Question # 217

A schizophrenic client who is experiencing thoughts of having special powers states that “I am a messenger from another planet and can rule the earth.” The nurse assesses this behavior as:

A.

Ideas of reference

B.

Delusions of persecution

C.

Thought broadcasting

D.

Delusions of grandeur

Question # 218

A husband and wife and their two children, age 9 and age 5, are requesting family therapy. Which of the following strategies is most therapeutic for the nurse to use during the initial interaction with a family?

A.

Always allow the most vocal person to state the problem first.

B.

Encourage the mother to speak for the children.

C.

Interpret immediately what seems to be going on within the family.

D.

Allow family members to assume the seats as they choose.

Question # 219

In counseling a client, the nurse emphasizes the danger signals during pregnancy. On the next visit, the client identifies which of the following as a danger signal that should be reported immediately?

A.

Backache

B.

Leaking of clear yellow fluid from breasts

C.

Constipation with hemorrhoids

D.

Visual changes

Question # 220

An 18-year-old girl is admitted to the hospital with a depressed skull fracture as a result of a car accident. If the nurse were to observe a rising pulse rate and lowering blood pressure, the nurse would suspect that the client:

A.

Has a sudden and severe increase in intracranial pressure

B.

Has sustained an internal injury in addition to the head injury

C.

Is beginning to experience a dangerously high level of anxiety

D.

Is having intracranial bleeding

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