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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 # 21

A diagnosis of hepatitis C is confirmed by a male client’s physician. The nurse should be knowledgeable of the differences between hepatitis A, B, and C. Which of the following are characteristics of hepatitis C?

A.

The potential for chronic liver disease is minimal.

B.

The onset of symptoms is abrupt.

C.

The incubation period is 2–26 weeks.

D.

There is an effective vaccine for hepatitis B, but not for hepatitis C.

Question # 22

A postpartum client complains of rectal pressure and severe pain in her perineum; this may be indicative of:

A.

Afterbirth pains

B.

Constipation

C.

Cystitis

D.

A hematoma of the vagina or vulva

Question # 23

A family is experiencing changes in their lifestyle in many ways. The invalid grandmother has moved in with them. The couple have a 2-year-old son by their marriage, and the wife has two children by her previous marriage. The older children are in high school. In applying systems theory to this family, it is important for the nurse to remember which of the following principles?

A.

The parts of a system are only minimally related.

B.

Dysfunction in one part affects every other part.

C.

A family system has no boundaries.

D.

Healthy families are enmeshed.

Question # 24

A chronic alcoholic client’s condition deteriorates, and he begins to exhibit signs of hepatic coma. Which of the following is an early sign of impending hepatic coma?

A.

Hiccups

B.

Anorexia

C.

Mental confusion

D.

Fetor hepaticus

Question # 25

A mother continues to breast-feed her 3-month-old infant. She tells the nurse that over the past 3 days she has not been producing enough milk to satisfy the infant. The nurse advises the mother to do which of the following?

A.

“Start the child on solid food.”

B.

“Nurse the child more frequently during this growth spurt.”

C.

“Provide supplements for the child between breastfeeding so you will have enough milk.”

D.

“Wait 4 hours between feedings so that your breasts will fill up.”

Question # 26

After a 10-year-old child with insulin-dependent diabetes mellitus receives her dinner tray, she tells the nurse that she hates broccoli and wants some corn on the cob. The nurse’s appropriate response is:

A.

“No vegetable exchanges are allowed.”

B.

“Corn and other starchy vegetables are considered to be bread exchanges.”

C.

“Yes, you may exchange any vegetable for any other vegetable.”

D.

“Yes, but only one-half ear is allowed.”

Question # 27

A 26-year-old client is in a treatment center for aprazolam (Xanax) abuse and continues to manifest moderate levels of anxiety 3 weeks into the rehabilitation program, often requesting medication for “his nerves.” Included in the client’s plan of care is to identify alternate methods of coping with stress and anxiety other than use of medication. After intervening with assistance in stress reduction techniques, identifying feelings and past coping, the nurse evaluates the outcome as being met if:

A.

Client promises that he will not abuse aprazolam after discharge

B.

Client demonstrates use of exercise or physical activity to handle nervous energy following conflicts of everyday life

C.

Client is able to verbalize effects of substance abuse on the body

D.

Client has remained substance free during hospitalization and is discharged

Question # 28

A child receiving chemotherapeutic drugs experiences a loss of appetite directly related to the therapy. Which of the following strategies should be most effective in encouraging the child to eat?

A.

Provide a well-balanced diet at usual times, and restrict dessert if the child fails to eat well.

B.

Schedule procedures immediately after eating so that the child will not be tired or in pain at mealtime.

C.

Offer the child a diet with a wider variety of foods and with more seasoning than her usual diet.

D.

Offer the child smaller meals more frequently than usual, and include as many of her favorite foods as possible.

Question # 29

In admitting a client to the psychiatric unit, the nurse must explain the rules and regulations of the unit. A client with antisocial personality disorder makes the following remark, “Forget all those rules. I always get along well with the nurses.” Which nursing response to him would be most effective?

A.

“OK, don’t listen to the rules. See where you end up.”

B.

“I’m pleased that you get along so well with the staff.You must still know and abide by the rules.”

C.

“It is irrelevant whether you get along with the nurses.”

D.

“I’m not the other nurses. You better read the rules yourself.”

Question # 30

A client has returned to the unit following a left femoral popliteal bypass graft. Six hours later, his dorsalis pedis pulse cannot be palpated, and his foot is cool and dusky. The nurse should:

A.

Continue to monitor the foot

B.

Notify the physician immediately

C.

Reposition and reassess the foot

D.

Assure the client that his foot is fine

Question # 31

A group of nursing students at a local preschool day care center are going to screen each child’s fine and gross motor, language, and social skills. The students will use which one of the most widely used screening tests?

A.

Revised Prescreening Developmental Questionnaire

B.

Goodenough Draw-a-Person Screening Test

C.

Denver Development Screening Test

D.

Caldwell Home Inventory

Question # 32

The nurse is teaching a mother care of her child’s spica cast. The mother states that he complains of itching under the edge of the cast. One nonpharmacological technique the nurse might suggest would be:

A.

“Blowing air under the cast using a hair dryer on cool setting often relieves itching.”

B.

“Slide a ruler under the cast and scratch the area.”

C.

“Guide a towel under and through the cast and moveit back and forth to relieve the itch.”

D.

“Gently thump on cast to dislodge dried skin that causes the itching.”

Question # 33

In performing the initial nursing assessment on a client at the prenatal clinic, the nurse will know that which of the following alterations is abnormal during pregnancy?

A.

Striae gravidarum

B.

Chloasma

C.

Dysuria

D.

Colostrum

Question # 34

A 74-year-old obese man who has undergone open reduction and internal fixation of the right hip is 8 days postoperative. He has a history of arthritis and atrial fibrillation. He admits to right lower leg pain, described as “a cramp in my leg.” An appropriate nursing action is to:

A.

Assess for pain with plantiflexion

B.

Assess for edema and heat of the right leg

C.

Instruct him to rub the cramp out of his leg

D.

Elevate right lower extremity with pillows propped under the knee

Question # 35

Iron dextran (Imferon) is a parenteral iron preparation.

The nurse should know that it:

A.

Is also called intrinsic factor

B.

Must be given in the abdomen

C.

Requires use of the Z-track method

D.

Should be given SC

Question # 36

With a geriatric client, the nurse should also assess whether he has been obtaining a yearly vaccination against influenza. Why is this assessment important?

A.

Influenza is growing in our society.

B.

Older clients generally are sicker than others when stricken with flu.

C.

Older clients have less effective immune systems.

D.

Older clients have more exposure to the causative agents.

Question # 37

A client is in early labor. Her fetus is in a left occipitoanterior (LOA) position; fetal heart sounds are best auscultated just:

A.

Below the umbilicus toward left side of mother’s abdomen

B.

Below the umbilicus toward right side of mother’s abdomen

C.

At the umbilicus

D.

Above the umbilicus to the left side of mother’s abdomen

Question # 38

The nurse would teach a male client ways to minimize the risk of infection after eye surgery. Which of the following indicates the client needs further teaching?

A.

“I will wash my hands before instilling eye medications.”

B.

“I will wear sunglasses when going outside.”

C.

“I will wear an eye patch for the first 3 postoperative days.”

D.

“I will maintain the sterility of the eye medications.”

Question # 39

A 6-month-old infant has developmental delays. His weight falls below the 5th percentile when plotted on a growth chart. A diagnosis of failure to thrive is made. What behaviors might indicate the possibility of maternal deprivation?

A.

Responsive to touch, wants to be held

B.

Uncomforted by touch, refuses bottle

C.

Maintains eye-to-eye contact

D.

Finicky eater, easily pacified, cuddly

Question # 40

Prenatal clients are routinely monitored for early signs of pregnancy-induced hypertension (PIH). For the prenatal client, which of the following blood pressure changes from baseline would be most significant for the nurse to report as indicative of PIH?

A.

136/88 to 144/93

B.

132/78 to 124/76

C.

114/70 to 140/88

D.

140/90 to 148/98

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