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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 # 241

When the nurse is evaluating lab data for a client 18–24 hours after a major thermal burn, the expected physiological changes would include which of the following?

A.

Elevated serum sodium

B.

Elevated serum calcium

C.

Elevated serum protein

D.

Elevated hematocrit

Question # 242

A client with emphysema is placed on diuretics. In order to avoid potassium depletion as a side effect of the drug therapy, which of the following foods should be included in his diet?

A.

Celery

B.

Potatoes

C.

Tomatoes

D.

Liver

Question # 243

Diabetes during pregnancy requires tight metabolic control of glucose levels to prevent perinatal mortality. When evaluating the pregnant client, the nurse knows the recommended serum glucose range during pregnancy is:

A.

70 mg/dL and 120 mg/dL

B.

100 mg/dL and 200 mg/dL

C.

40 mg/dL and 130 mg/dL

D.

90 mg/dL and 200 mg/dL

Question # 244

A 27-year-old man was diagnosed with type I diabetes 3 months ago. Two weeks ago he complained of pain, redness, and tenderness in his right lower leg. He is admitted to the hospital with a slight elevation of temperature and vague complaints of “not feeling well.” At 4:30 PM on the day of his admission, his blood glucose level is 50 mg; dinner will be served at 5:00 PM. The best nursing action would be to:

A.

Give him 3 tbsp of sugar dissolved in 4 oz of grape juice to drink

B.

Ask him to dissolve three pieces of hard candy in his mouth

C.

Have him drink 4 oz of orange juice

D.

Monitor him closely until dinner arrives

Question # 245

The nurse is aware that nutrition is an important aspect of care for a client with hepatitis. Which of the following diets would be most therapeutic?

A.

High protein and low carbohydrate

B.

Low calorie and low protein

C.

High carbohydrate and high calorie

D.

Low carbohydrate and high calorie

Question # 246

The nurse practitioner determines that a client is approximately 9 weeks’ gestation. During the visit, the practitioner informs the client about symptoms of physical changes that she will experience during her first trimester, such as:

A.

Nausea and vomiting

B.

Quickening

C.

A 6–8 lb weight gain

D.

Abdominal enlargement

Question # 247

The therapeutic blood-level range for lithium is:

A.

0.25–1.0 mEq/L

B.

0.5–1.5 mEq/L

C.

1.0–2.0 mEq/L

D.

2.0–2.5 mEq/L

Question # 248

The medication that best penetrates eschar is:

A.

Mafenide acetate (Sulfamylon)

B.

Silver sulfadiazine (Silvadene)

C.

Neomycin sulfate (Neosporin)

D.

Povidone-iodine (Betadine)

Question # 249

When evaluating a client with symptoms of shock, it is important for the nurse to differentiate between neurogenic and hypovolemic shock. The symptoms of neurogenic shock differ from hypovolemic shock in that:

A.

In neurogenic shock, the skin is warm and dry

B.

In hypovolemic shock, there is a bradycardia

C.

In hypovolemic shock, capillary refill is less than 2 seconds

D.

In neurogenic shock, there is delayed capillary refill

Question # 250

Three weeks following discharge, a male client is readmitted to the psychiatric unit for depression. His wife stated that he had threatened to kill himself with a handgun. As the nurse admits him to the unit, he says, “I wish I were dead because I am worthless to everyone; I guess I am just no good.” Which response by the nurse is most appropriate at this time?

A.

“I don’t think you are worthless. I’m glad to see you, and we will help you.”

B.

“Don’t you think this is a sign of your illness?”

C.

“I know with your wife and new baby that you do have a lot to live for.”

D.

“You’ve been feeling sad and alone for some time now?”

Question # 251

Which of the following statements relevant to a suicidal client is correct?

A.

The more specific a client’s plan, the more likely he or she is to attempt suicide.

B.

A client who is unsuccessful at a first suicide attempt is not likely to make future attempts.

C.

A client who threatens suicide is just seeking attention and is not likely to attempt suicide.

D.

Nurses who care for a client who has attempted suicide should not make any reference to the word “suicide” in order to protect the client’s ego.

Question # 252

A 25-year-old client believes she may be pregnant with her first child. She schedules an obstetric examination with the nurse practitioner to determine the status of her possible pregnancy. Her last menstrual period began May 20, and her estimated date of confinement using Nägele’s rule is:

A.

March 27

B.

February 1

C.

February 27

D.

January 3

Question # 253

A client is 6 weeks pregnant. During her first prenatal visit, she asks, “How much alcohol is safe to drink during pregnancy?” The nurse’s response is:

A.

Up to 1 oz daily

B.

Up to 2 oz daily

C.

Up to 4 oz weekly

D.

No alcohol

Question # 254

The most important reason to closely assess circumferential burns at least every hour is that they may result in:

A.

Hypovolemia

B.

Renal damage

C.

Ventricular arrhythmias

D.

Loss of peripheral pulses

Question # 255

A 3-year-old child is hospitalized with burns covering her trunk and lower extremities. Which of the following would the nurse use to assess adequacy of fluid resuscitation in the burned child?

A.

Blood pressure

B.

Serum potassium level

C.

Urine output

D.

Pulse rate

Question # 256

A male client receives 10 U of regular human insulin SC at 9:00 AM. The nurse would expect peak action from this injection to occur at:

A.

9:30 AM

B.

10:30 AM

C.

12 noon

D.

4:00 PM

Question # 257

A child sustains a supracondylar fracture of the femur. When assessing for vascular injury, the nurse should be alert for the signs of ischemia, which include:

A.

Bleeding, bruising, and hemorrhage

B.

Increase in serum levels of creatinine, alkaline phosphatase, and aspartate transaminase

C.

Pain, pallor, pulselessness, paresthesia, and paralysis

D.

Generalized swelling, pain, and diminished functional use with muscle rigidity and crepitus

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