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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 # 221

A client is admitted to the labor room. She is dilated 4 cm. She is placed on electric fetal monitoring. Which of the following observations necessitates notifying the physician?

A.

Contractions every 2 minutes, lasting 100 seconds

B.

Fetal heart decelerations during a contraction

C.

Beat-to-beat variability between contractions

D.

Fetal heart decelerations at the beginning of contractions

Question # 222

A client is medically cleared for ECT and is tentatively scheduled for six treatments over a 2-week period. Her husband asks, “Isn’t that a lot?” The nurse’s best response is:

A.

“Yes, that does seem like a lot.”

B.

“You’ll have to talk to the doctor about that. The physician knows what’s best for the client.”

C.

“Six to 10 treatments are common. Are you concerned about permanent effects?”

D.

“Don’t worry. Some clients have lots more than that.”

Question # 223

Two weeks after a client’s admission for depression, the physician orders a consult for electroconvulsive therapy (ECT). Which of the following conditions, if present, would be a contraindication for ECT?

A.

Brain tumor or other space-occupying lesion

B.

History of mitral valve prolapse

C.

Surgically repaired herniated lumbar disk

D.

History of frequent urinary tract infections

Question # 224

An IDDM client’s condition stabilizes. He begins to receive a daily injection of NPH insulin at 6:30 AM. The nurse can most likely expect a hypoglycemic reaction to occur that same day at:

A.

8:30 AM–10:30 AM

B.

2:30 PM–4:30 PM

C.

7:30 PM–9:30 PM

D.

10:30 PM–11:30 PM

Question # 225

A client has had amniocentesis. One of the tests performed on the amniotic fluid is a lecithin/sphingomyelin (L/S) ratio. The results show a ratio of 1:1. This is indicative of:

A.

Lung immaturity

B.

Intrauterine growth retardation (IUGR)

C.

Intrauterine infection

D.

Neural tube defect

Question # 226

A newborn girl’s father expresses concern that the newborn does not have good control of her hands and arms. It is important for the father to realize certain neurological patterns that characterize the newborn:

A.

Mild hypotonia is expected in the upper extremities.

B.

Purposeless, uncoordinated movements of the arms are indicative of neurological dysfunction.

C.

Function progresses in a head-to-toe, proximal-distal fashion.

D.

Asymmetrical movement of the extremities is not unusual and will disappear with maturation of the central nervous system.

Question # 227

When inspecting a cardiovascular client, the nurse notes that he needs to sit upright to breathe. This behavior is most indicative of:

A.

Pericarditis

B.

Anxiety

C.

Congestive heart failure

D.

Angina

Question # 228

The most commonly known vectors of Lyme disease are:

A.

Mites

B.

Fleas

C.

Ticks

D.

Mosquitoes

Question # 229

A 30-year-old male client is admitted to the psychiatric unit with a diagnosis of bipolar disorder. For the last 2 months, his family describes him as being “on the move,” sleeping 3–4 hours nightly, spending lots of money, and losing approximately 10 lb. During the initial assessment with the client, the nurse would expect him to exhibit which of the following?

A.

Short, polite responses to interview questions

B.

Introspection related to his present situation

C.

Exaggerated self-importance

D.

Feelings of helplessness and hopelessness

Question # 230

A client has been diagnosed as being preeclamptic. The physician orders magnesium sulfate. Magnesium sulfate (MgSO4) is used in the management of preeclampsia for:

A.

Prevention of seizures

B.

Prevention of uterine contractions

C.

Sedation

D.

Fetal lung protection

Question # 231

The primary reason for sending a burn client home with a pressure garment, such as a Jobst garment, is that the garment:

A.

Decreases hypertrophic scar formation

B.

Assists with ambulation

C.

Covers burn scars and decreases the psychological impact during recovery

D.

Increases venous return and cardiac output by normalizing fluid status

Question # 232

The physician orders fluoxetine (Prozac) for a depressed client. Which of the following should the nurse remember about fluoxetine?

A.

Because fluoxetine is a tricyclic antidepressant, it may precipitate a hypertensive crisis.

B.

The therapeutic effect of the drug occurs 2–4 weeks after treatment is begun.

C.

Foods such as aged cheese, yogurt, soy sauce, and bananas should not be eaten with this drug.

D.

Fluoxetine may be administered safely in combination with monoamine oxidase (MAO) inhibitors.

Question # 233

An 8-year-old child comes to the physician’s office complaining of swelling and pain in the knees. His mother says, “The swelling occurred for no reason, and it keeps getting worse.” The initial diagnosis is Lyme disease. When talking to the mother and child, questions related to which of the following would be important to include in the initial history?

A.

A decreased urinary output and flank pain

B.

A fever of over 103F occurring over the last 2–3 weeks

C.

Rashes covering the palms of the hands and the soles of the feet

D.

Headaches, malaise, or sore throat

Question # 234

Which of the following nursing orders should be included in the plan of care for a client with hepatitis C?

A.

The nurse should use universal precautions when obtaining blood samples.

B.

Total bed rest should be maintained until the client is asymptomatic.

C.

The client should be instructed to maintain a low semi-Fowler position when eating meals.

D.

The nurse should administer an alcohol backrub at bedtime.

Question # 235

Hypoxia is the primary problem related to near-drowning victims. The first organ that sustains irreversible damage after submersion in water is the:

A.

Kidney (urinary system)

B.

Brain (nervous system)

C.

Heart (circulatory system)

D.

Lungs (respiratory system)

Question # 236

The nurse notes hyperventilation in a client with a thermal injury. She recognizes that this may be a reaction to which of the following medications if applied in large amounts?

A.

Neosporin sulfate

B.

Mafenide acetate

C.

Silver sulfadiazine

D.

Povidone-iodine

Question # 237

A 38-year-old pregnant woman visits her nurse practitioner for her regular prenatal checkup. She is 30 weeks’ gestation. The nurse should be alert to which condition related to her age?

A.

Iron-deficiency anemia

B.

Sexually transmitted disease (STD)

C.

Intrauterine growth retardation

D.

Pregnancy-induced hypertension (PIH)

Question # 238

Which of the following should be included in discharge teaching for a client with hepatitis C?

A.

He should take aspirin as needed for muscle and joint pain.

B.

He may become a blood donor when his liver enzymes return to normal.

C.

He should avoid alcoholic beverages during his recovery period.

D.

He should use disposable dishes for eating and drinking.

Question # 239

When assessing a child with diabetes insipidus, the nurse should be aware of the cardinal signs of:

A.

Anemia and vomiting

B.

Polyuria and polydipsia

C.

Irritability relieved by feeding formula

D.

Hypothermia and azotemia

Question # 240

Discharge teaching was effective if the parents of a child with atopic dermatitis could state the importance of:

A.

Maintaining a high-humidified environment

B.

Furry, soft stuffed animals for play

C.

Showering 3–4 times a day

D.

Wrapping hands in soft cotton gloves

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