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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 # 61

The nurse is interviewing a client with a diagnosis of possible abdominal aortic aneurysm. Which of the following statements will be reflected in the client’s chief complaint?

A.

“I’ve been having a dull pain at the upper left shoulder.”

B.

“My legs have been numb for three months.”

C.

“I’ve only been urinating three times a day lately.”

D.

“I don’t remember anything in particular, I just haven’t felt well.”

Question # 62

A 29-year-old client is admitted for a hysterectomy. She has repeatedly told the nurses that she is worried about having this surgery, has not slept well lately, and is afraid that her husband will not find her desirable after the surgery. Shortly into the preoperative teaching, she complains of a tightness in her chest, a feeling of suffocation, lightheadedness, and tingling in her hands. Her respirations are rapid and deep. Assessment reveals that the client is:

A.

Having a heart attack

B.

Wanting attention from the nurses

C.

Suffering from complete upper airway obstruction

D.

Hyperventilating

Question # 63

A 3-year-old child is in the burn unit following a home accident. The first sign of sepsis in burned children is:

A.

Disorientation

B.

Low-grade fever

C.

Diarrhea

D.

Hypertension

Question # 64

A 3-year-old female client is brought into the pediatric clinic because she limps. She has not been to the clinic since she was 9 months old. The nurse practitioner describes the limp as a “Trendelenburg gait.” This gait is characteristic of:

A.

Scoliosis

B.

Dislocated hip

C.

Fractured femur

D.

Fractured pelvis

Question # 65

A family by court order undergoes treatment by a family therapist for child abuse. The nurse, who is the child’s case manager knows that treatment has been effective when:

A.

The child is removed from the home and placed in foster care

B.

The child’s parents identify the ways in which he is different from the rest of the family

C.

The child’s father is arrested for child abuse

D.

The child’s parents can identify appropriate behaviors for children in his age group

Question # 66

Forty-eight hours after a thyroidectomy, a female client complains of numbness and tingling of the toes and fingers. The nurse notes upper arm and facial twitching. The nurse needs to:

A.

Report the findings to the physician

B.

Assist the client to do range of motion exercises

C.

Check the client’s potassium level

D.

Administer the as-needed dose of phenytoin (Dilantin)

Question # 67

Two hours after the second injection of haloperidol, a client complains to the nurse of a stiff neck and inability to sit still. He is experiencing symptoms consistent with:

A.

Parkinsonism and dystonia

B.

Dystonia and akathisia

C.

Akathisia and parkinsonism

D.

Neuroleptic malignant syndrome

Question # 68

The physician orders haloperidol 5 mg IM stat for a client and tells the nurse that the dose can be repeated in 1–2 hours if needed. The most likely rationale for this order is:

A.

The client will settle down more quickly if he thinks the staff is medicating him

B.

The medication will sedate the client until the physician arrives

C.

Haloperidol is a minor tranquilizer and will not oversedate the client

D.

Rapid neuroleptization is the most effective approach to care for the violent or potentially violent client

Question # 69

A 23-year-old borderline client is admitted to an inpatient psychiatric unit following an impulsive act of self-mutilation. A few hours after admission, she requests special privileges, and when these are not granted, she stands up and angrily shouts that the people on the unit do not care, and she storms across the room. The nurse should respond to this behavior by:

A.

Placing her in seclusion until the behavior is under control

B.

Walking up to the client and touching her on the arm to get her attention

C.

Communicating a desire to assist the client to regain control, offering a one-to-one session in a quiet area

D.

Confronting the client, letting her know the consequences for getting angry and disrupting the unit

Question # 70

A schizophrenic client has made sexual overtures toward her physician on numerous occasions. During lunch, the client tells the nurse, “My doctor is in love with me and wants to marry me.” This client is using which of the following defense mechanisms?

A.

Displacement

B.

Projection

C.

Reaction formation

D.

Suppression

Question # 71

During the assessment, the nurse observes a client scratching his skin. He has been admitted to rule out Laennec’s cirrhosis of the liver. The nurse knows the pruritus is directly related to:

A.

A loss of phagocytic activity

B.

Faulty processing of bilirubin

C.

Enhanced detoxification of drugs

D.

The formation of collateral circulation

Question # 72

A type I diabetic client delivers a male newborn. The newborn is 45 minutes old. What is the primary nursing goal in the nursery during the first hours for this newborn?

A.

Bonding

B.

Maintain normal blood sugar

C.

Maintain normal nutrition

D.

Monitor intake and output

Question # 73

At 16 weeks’ gestation, a pregnant client is admitted to the maternity unit to have a McDonald procedure (cerclage) done. She tells the RN who is admitting her to the unit that her physician had explained what this procedure was, but that she did not understand. The RN explains to the client that the purpose for this procedure is to:

A.

Reinforce an incompetent cervix

B.

Repair the amniotic sac

C.

Evaluate cephalopelvic disproportion

D.

Dilate the cervix

Question # 74

A 24-year-old client presents to the emergency department protesting “I am God.” The nurse identifies this as a:

A.

Delusion

B.

Illusion

C.

Hallucination

D.

Conversion

Question # 75

Medication is administered to a client who has been placed in restraints after a sudden violent episode, and his EPSs subside. Restraints can be removed when:

A.

The physician orders it

B.

A therapeutic alliance has been established, and violent behavior subsides

C.

The violent behavior subsides, and the client agrees to behave

D.

The nurse deems that removal of restraints is necessary

Question # 76

A client has a chest tube placed in his left pleural space to re-expand his collapsed lung. In a closed-chest drainage system, the purpose of the water seal is to:

A.

Prevent air from entering the pleural space

B.

Prevent fluid from entering the pleural space

C.

Provide a means to measure chest drainage

D.

Provide an indicator of respiratory effort

Question # 77

Newborns are routinely screened for phenylketonuria. The nursery nurse ensures that this screening test is performed:

A.

Immediately after birth, because the most accurate result is obtained at this time

B.

After 2–3 days of milk ingestion

C.

At 2–3 days of age regardless of amount of milk feedings

D.

At 1 month, because the biochemical buildup of phenylalanine takes 1 month to detect

Question # 78

A client had a myocardial infarction 5 days ago. His physician has ordered an echocardiogram to determine how his myocardial infarction has affected his ventricular wall motion. When the client asks if this test is painful, an appropriate response is:

A.

“No, but you must be able to ride on a stationary bicycle while the test is being performed.”

B.

“No, but you will have to lie still and the gel that is used may be cool.”

C.

“Yes, but your physician will be there and will order pain medicine for you.”

D.

“Your physician has ordered medicine, which you will be given before you go for the test, which will make you sleepy.”

Question # 79

A burn victim’s immunization history is assessed by the nurse. Which immunization is of priority concern?

A.

Oral poliovirus vaccine

B.

Inactivated poliovirus vaccine

C.

Tetanus toxoid

D.

Hepatitis B vaccine

Question # 80

A client has been in labor for 10 hours. Her contractions have become hypoactive and slowed in duration. The fetus is at 0 station, cervix is dilated 8 cm and effaced 90%. The physician orders an oxytocin (Pitocin) infusion to be started at once. The RN begins the oxytocin infusion. It is important that the RN discontinue the infusion if which one of the following occur?

A.

The client’s contractions are < 2 minutes apart.

B.

Duration of the contractions are 60 seconds.

C.

The uterus relaxes between contractions.

D.

The client complains that she is tired.

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