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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 # 81

At 38 weeks’ gestation, a client is in active labor. She is using her Lamaze breathing techniques. The RN is coaching her breathing and encouraging her to relax and work with her contractions. Which one of the following complaints by the client will alert the RN that she is beginning to hyperventilate with her breathing?

A.

“I am cold.”

B.

“I have a backache.”

C.

“I feel dizzy.”

D.

“I am nauseous.”

Question # 82

A client is diagnosed with organic brain disorder. The nursing care should include:

A.

Organized, safe environment

B.

Long, extended family visits

C.

Detailed explanations of procedures

D.

Challenging educational programs

Question # 83

A 1000-mL dose of lactated Ringer’s solution is to be infused in 8 hours. The drop factor for the tubing is 10 gtt/mL. How many drops per minute should the nurse administer?

A.

125 gtt/min

B.

48 gtt/min

C.

20 gtt/min

D.

21 gtt/min

Question # 84

A newborn infant is exhibiting signs of respiratory distress. Which of the following would the nurse recognize as the earliest clinical sign of respiratory distress?

A.

Cyanosis

B.

Increased respirations

C.

Sternal and subcostal retractions

D.

Decreased respirations

Question # 85

After the fetal activity test (nonstress test) is completed, the RN is looking at the test results on the monitor strip. The RN observes that the fetal heart accelerated 5 beats/min with each fetal movement. The accelerations lasted ≥15 seconds and occurred 3 times during the 20- minute test. The RN knows that these test results will be interpreted as:

A.

A reactive test

B.

A nonreactive test

C.

An unsatisfactory test

D.

A negative test

Question # 86

A 16-year-old female client is admitted to the hospital because she collapsed at home while exercising with videotaped workout instructions. Her mother reports that she has been obsessed with losing weight and staying slim since cheerleader try-outs 6 months ago, when she lost out to two of her best friends. The client is 5’4” and weighs 92 lb, which represents a weight loss of 28 lb over the last 4 months. The most important initial intervention on admission is to:

A.

Obtain an accurate weight

B.

Search the client’s purse for pills

C.

Assess vital signs

D.

Assign her to a room with someone her own age

Question # 87

A female client is exhibiting signs of respiratory distress. Which of the following signs indicate a possible pneumothorax?

A.

Crackles or rales on the affected side

B.

Bradypnea and bradycardia

C.

Shortness of breath and sharp pain on the affected side

D.

Increased breath sounds on the affected side

Question # 88

A client who has been diagnosed with anorexia nervosa reluctantly agrees to eat all prescribed meals. The most important intervention in monitoring her dietary compliance would be to:

A.

Allow her privacy at mealtimes

B.

Praise her for eating everything

C.

Observe behavior for 1–2 hours after meals to prevent vomiting

D.

Encourage her to eat in moderation, choose foods that she likes, and avoid foods that she dislikes

Question # 89

A client has renal failure. Today’s lab values indicate he has an elevated serum potassium. What additional priority information does the nurse need to obtain?

A.

Evaluation of his level of consciousness

B.

Evaluation of an electrocardiogram

C.

Measurement of his urine output for the past 8 hours

D.

Serum potassium lab values for the last several days

Question # 90

A common complication of cirrhosis of the liver is prolonged bleeding. The nurse should be prepared to administer?

A.

Vitamin C

B.

Vitamin K

C.

Vitamin E

D.

Vitamin A

Question # 91

A 14-year-old boy fell off his bike while “popping a wheelie” on the dirt trails. He has sustained a head injury with laceration of his scalp over his temporal lobe. If he were to complain of headache during the first 24 hours of his hospitalization, the nurse would:

A.

Ask the physician to order a sedative

B.

Have the client describe his headache every 15 minutes

C.

Increase his fluid intake to 3000 mL/24 hr

D.

Offer diversionary activities

Question # 92

A 30-year-old client in the third trimester of her pregnancy asks the nurse for advice about upper respiratory discomforts. She complains of nasal stuffiness and epistaxis, most noticeable on the left side. Which reply by the nurse is correct?

A.

“It sounds as though you are coming down with a bad cold. I’ll ask the doctor to prescribe a decongestant for relief of symptoms.”

B.

“A good vaporizer will help; avoid the cool air kind. Also, try saline nose drops, and spend less time on your left side.”

C.

“These discomforts are all a result of increased blood supply; one of the pregnancy hormones, estrogen, causes them.”

D.

“This is most unusual. I’m sure your obstetrician will want you to see an ENT (ear, nose, throat) specialist.”

Question # 93

Before giving methergine postpartum, the nurse should assess the client for:

A.

Decreased amount of lochial flow

B.

Elevated blood pressure

C.

Flushing

D.

Afterpains

Question # 94

A 24-hours’ postpartum client complains of discomfort at the episiotomy site. On assessment, the nurse notes the episiotomy is without signs of infection. To relieve the discomfort, the nurse should first:

A.

Assist her with a sitz bath

B.

Administer the prescribed medication for pain

C.

Teach her Kegel exercises

D.

Apply an ice pack

Question # 95

A husband asks if he can visit with his wife on her ECT treatment days and what to expect after the initial treatment. The nurse’s best response is:

A.

“You’ll have to get permission from the physician to visit. Clients are pretty sick after the first treatment.”

B.

“Visitors are not allowed. We will telephone you to inform you of her progress.”

C.

“There’s really no need to stay with her. She’s going to sleep for several hours after the treatment.”

D.

“Yes, you may visit. She may experience temporary drowsiness, confusion, or memory loss after each treatment.”

Question # 96

An 11-year-old boy has received a partial-thickness burn to both legs. He presents to the emergency room approximately 15 minutes after the accident in excruciating pain with charred clothing to both legs. What is the first nursing action?

A.

Apply ice packs to both legs.

B.

Begin débridement by removing all charred clothing from wound.

C.

Apply Silvadene cream (silver sulfadiazine).

D.

Immerse both legs in cool water.

Question # 97

On a mother’s 2nd postpartum day after having a vaginal delivery, the RN is preparing to assess her perineum and anus as part of her daily assessment. The best position for the client to be placed in for this assessment is:

A.

Sims’

B.

Fowler’s

C.

Prone

D.

Any position that the RN chooses

Question # 98

The physician is preparing to induce labor on a 40-week multigravida. The nurse should anticipate the administration of:

A.

Oxytocin (Pitocin)

B.

Progesterone

C.

Vasopressin (Pitressin)

D.

Ergonovine maleate

Question # 99

At 30 weeks’ gestation, a client is admitted to the unit in premature labor. Her contractions are every 5 minutes and last 60 seconds, her cervix is closed, and the suture placed around her cervix during her 16th week of gestation, when she had the MacDonald procedure, can still be felt by the physician. The amniotic sac is still intact. She is very concerned about delivering prematurely. She asks the RN, “What is the greatest risk to my baby if it is born prematurely?” The RN’s answer should be:

A.

Hyperglycemia

B.

Hypoglycemia

C.

Lack of development of the intestines

D.

Lack of development of the lungs

Question # 100

A pregnant client experiences spontaneous rupture of membranes. The first nursing action is to:

A.

Assess the client’s respirations

B.

Notify the physician

C.

Auscultate fetal heart rate

D.

Transfer to delivery suite

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