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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 # 41

A dose of theophylline may need to be altered if a client with COPD:

A.

Is allergic to morphine

B.

Has a history of arthritis

C.

Operates machinery

D.

Is concurrently on cimetidine for ulcers

Question # 42

A 26-year-old client is admitted to the labor, delivery, recovery, postpartum unit. The nurse completes her assessment and determines the client is in the first stage of labor. The nurse should instruct her:

A.

To hold her breath during contractions

B.

To be flat on her back

C.

Not to push with her contractions

D.

To push before becoming fully dilated

Question # 43

A gravida 2 para 1 client is hospitalized with severe preeclampsia. While she receives magnesium sulfate

(MgSO4) therapy, the nurse knows it is safe to repeat the dosage if:

A.

Deep tendon reflexes are absent

B.

Urine output is 20 mL/hr

C.

MgSO4serum levels are > 15 mg/dL

D.

Respirations are > 16 breaths/min

Question # 44

Assessment of severe depression in a client reveals feelings of hopelessness, worthlessness; inability to feel pleasure; sleep, psychomotor, and nutritional alterations; delusional thinking; negative view of self; and feelings of abandonment. These clinical features of the client’s depression alert the nurse to prioritize problems and care by addressing which of the following problems first:

A.

Nutritional status

B.

Impaired thinking

C.

Possible harm to self

D.

Rest and activity impairment

Question # 45

A pregnant client comes to the office for her first prenatal examination at 10 weeks. She has been pregnant twice before; the first delivery produced a viable baby girl at 39 weeks 3 years ago; the second pregnancy produced a viable baby boy at 36 weeks 2 years ago. Both children are living and well. Using the gravida and para system to record the client’s obstetrical history, the nurse should record:

A.

Gravida 3 para 1

B.

Gravida 3 para 2

C.

Gravida 2 para 1

D.

Gravida 2 para 2

Question # 46

A child is admitted with severe headache, fever, vomiting, photophobia, drowsiness, and stiff neck associated with viral meningitis. She will be more comfortable if the nurse:

A.

Dims the lights in her room

B.

Encourages her to breathe slowly and deeply

C.

Offers sips of warm liquids

D.

Places a large, soft pillow under her head

Question # 47

A child with celiac disease is being discharged from the hospital. The mother demonstrates knowledge of nutritional needs of her child when she is able to state the foods which are included in a:

A.

Lactose-restricted diet

B.

Gluten-restricted diet

C.

Phenylalanine-restricted diet

D.

Fat-restricted diet

Question # 48

To prevent transmission of bacterial meningitis, the nurse would instruct an infected baby’s mother to:

A.

Avoid touching the baby while in the room.

B.

Stay outside of the baby’s room.

C.

Wear a gown and gloves and wash her hands before and after leaving the room.

D.

Wear a mask while in the room.

Question # 49

A 6-month-old infant who was diagnosed at 4 weeks of age with a ventricular septal defect, was admitted today with a diagnosis of failure to thrive. His mother stated that he had not been eating well for the past month. A cardiac catheterization reveals congestive heart failure. All of the following nursing diagnoses are appropriate. Which nursing diagnosis should have priority?

A.

Altered nutrition: less than body requirements related to inability to take in adequate calories

B.

Altered growth and development related to decreased intake of food

C.

Activity intolerance related to imbalance between oxygen supply and demand

D.

Decreased cardiac output related to ineffective pumping action of the heart

Question # 50

A 20-year-old male client is being treated for protein deficiency. If he likes all of the following foods, which one would the nurse recommend to increase in the diet?

A.

Cantaloupe

B.

Rice

C.

Chicken

D.

Green beans

Question # 51

Nursing assessment of early evidence of septic shock in children at risk includes:

A.

Fever, tachycardia, and tachypnea

B.

Respiratory distress, cold skin, and pale extremities

C.

Elevated blood pressure, hyperventilation, and thready pulses

D.

Normal pulses, hypotension, and oliguria

Question # 52

The mother of a preschooler reports to the nurse that he frequently tells lies. The admission assessment of the child indicates possible child abuse. The nurse knows that his:

A.

Behavior is not normal, and a child psychiatrist should be consulted.

B.

Mother is lying to protect herself.

C.

Lying is normal behavior for a preschool child who is learning to separate fantasy from reality.

D.

Behavior indicates a developmental delay, because preschoolers should be able to tell right from wrong.

Question # 53

The nurse discovers that a 78-year-old client who received hydralazine (Apresoline) 20 mg 45 minutes ago has a blood pressure of 70/40 mm Hg. The client has been on this dose of the medication for 3 years. Which of the following data is most likely significant in relation to the cause of the low blood pressure?

A.

Pedal pulses 11 (weak)

B.

Twenty-four-hour intake 1000 mL/day for past 2 days

C.

Serum potassium 3.3

D.

Pulse rate 150 bpm

Question # 54

A client tells the nurse that he has been hearing voices that tell him to kill his girlfriend because she is a spy. He further states that he is having difficulty not obeying the voices because, if he does not, his house will be burned down. The highest priority nursing diagnosis for him at this time is:

A.

Sensory-perceptual alteration: auditory command hallucinations

B.

Alteration in thought processes: paranoid delusions

C.

Potential for violence directed at others

D.

Impaired verbal communication: loose associations

Question # 55

The physician orders medication for a client’s unpleasant side effects from the haloperidol. The most appropriate drug at this time is:

A.

Lorazepam

B.

Triazolam (Halcion)

C.

Benztropine

D.

Thiothixene

Question # 56

A 23-year-old male client is admitted to the chemical dependency unit with a medical diagnosis of alcoholism. He reports that the last time he drank was 3 days ago, and that now he is starting to “feel kind of shaky.” Based on the information given above, nursing care goals for this client will initially focus on:

A.

Self-concept problems

B.

Interpersonal issues

C.

Ineffective coping skills

D.

Physiological stabilization

Question # 57

A child has a nursing diagnosis of fluid volume excess related to compromised regulatory mechanisms. Which of the following nursing interventions is the most accurate measure to include in his care?

A.

Weigh the child twice daily on the same scale.

B.

Monitor intake and output.

C.

Check urine specific gravity of each voiding.

D.

Observe for edema.

Question # 58

A 52-year-old female client is admitted to the hospital in acute renal failure. She has been on hemodialysis for the past 2 years. Stat arterial blood gases are drawn on the client yielding the following results: pH 7.30, PCO2 51 mm Hg, HCO3, 18 mEq/L, PaO2, 84 mm Hg. The nurse would interpret these results as:

A.

Compensated metabolic alkalosis

B.

Respiratory acidosis

C.

Partially compensated metabolic alkalosis

D.

Combined respiratory and metabolic acidosis

Question # 59

A client has been taking lithium 300 mg po bid for the past two weeks. This morning her lithium level was 1 mEq/L. The nurse should:

A.

Notify the physician immediately

B.

Hold the morning lithium dose and continue to observe the client

C.

Administer the morning lithium dose as scheduled

D.

Obtain an order for benztropine (Cogentin)

Question # 60

A child is to receive atropine 0.15 mg (1/400 g) as part of his preoperative medication. A vial containing atropine 0.4 mg (1/150 g)/mL is on hand. How much atropine should be given?

A.

0.06 mL

B.

0.38 mL

C.

2.7 mL

D.

Information given insufficient to determine the amount of atropine to be administered

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