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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 # 101

A client who is 7 months pregnant is diagnosed with pyelonephritis. The nurse anticipates the physician ordering:

A.

Oxytocin

B.

Magnesium sulfate (MgSO4)

C.

Ampicillin

D.

Tetracycline

Question # 102

While the RN is assessing a mother’s perineum on her 2nd postpartum day after having a vaginal delivery, the RN notes a large ecchymotic area located to the left of the mother’s perineum. Which one of the following interventions should the RN initiate at this time?

A.

Have the client expose the area to air.

B.

Apply ice to the perineum.

C.

Encourage the client to take warm sitz baths.

D.

Inform the physician.

Question # 103

The nurse working with a client who is out of control should follow a model of intervention that includes which of the following?

A.

Approach the client on a continuum of least restrictive care.

B.

Challenge client’s behavior immediately with steps to prevent injury to self or others.

C.

Leave the aggressive client to himself or herself, and take other clients away.

D.

To ensure safety of other clients, place client in seclusion immediately when he or she begins shouting.

Question # 104

A 2-month-old infant is receiving IV fluids with a volume control set. The nurse uses this type of tubing because it:

A.

Prevents administration of other drugs

B.

Prevents entry of air into tubing

C.

Prevents inadvertent administration of a large amount of fluids

D.

Prevents phlebitis

Question # 105

A client’s physician has prescribed theophylline (Theo- Dur) to help control the bronchospasm associated with the client’s COPD. Instructions that should be given to the client include:

A.

“Call your physician if you develop palpitations, dizziness, or restlessness.’’

B.

“Cigarette smoking may significantly increase the risk for theophylline toxicity.’’

C.

“Take this medication on an empty stomach.’’

D.

“Do not take your medicine if your pulse is less than 60 beats per minute.’’

Question # 106

A male client has a history of diverticulosis. He has questions about the foods that he should eat. His nurse gives him the following information:

A.

He should be on a high-fiber diet.

B.

He should eat a low-residue diet.

C.

He should drink minimal amounts of fluids.

D.

He does not need to make any modifications.

Question # 107

When providing dietary teaching to an individual who has diabetes mellitus, type II, the nurse discusses the importance of consuming the recommended daily allowance of which of the following electrolytes?

A.

Potassium

B.

Magnesium

C.

Sodium

D.

HCO3

Question # 108

An obstructing stone in the renal pelvis or upper ureter causes:

A.

Radiating pain into the urethra with labia pain experienced in females or testicular pain in males

B.

Urinary frequency and dysuria

C.

Severe flank and abdominal pain with nausea, vomiting, diaphoresis, and pallor

D.

Dull, aching, back pain

Question # 109

When assessing residual volume in tube feeding, the feeding should be delayed if the amount of gastric contents (residual) exceeds:

A.

20 mL

B.

25 mL

C.

30 mL

D.

50 mL

Question # 110

The nurse is planning a reality orientation program for a group of clients with organic brain syndrome at the mental health center. Props that could be used for this program are:

A.

Month-old magazines that are provided by volunteers

B.

Large maps and posters depicting area of current residence

C.

A litter of kittens for the clients to pet

D.

A library of biographical books

Question # 111

A 45-year-old male client experiences a sense of depression because he has not yet achieved his life’s goals. His career has not been satisfying. He is still looking for the right job. His wife spends too much money, and his children seem to ignore him while being very selfish. He is tired of all of their attitudes and is considering buying a red Corvette convertible. While obtaining these data concerning the client’s feelings about his life, the nurse is able to determine he is experiencing what psychological crisis according to Erikson’s stages?

A.

Identity versus role confusion

B.

Integrity versus despair

C.

Intimacy versus isolation

D.

Generativity versus self-absorption

Question # 112

A 30-year-old female client is receiving antineoplastic chemotherapy. Which of the following symptoms should especially concern the nurse when caring for her?

A.

Respiratory rate of 16 breaths/min

B.

Pulse rate of 80 bpm

C.

Complaints of muscle aches

D.

A sore throat

Question # 113

A male client has been an insulin-dependent diabetic for approximately 30 years. He frequently indulges in highsugar foods and forgets to take his insulin. He has not experienced acute diabetic emergencies over the years but is now beginning to demonstrate symptoms of diabetic peripheral neuropathy. This distresses him because dancing is one of his favorite pastimes. He decides to question his wife’s home health nurse about diabetic peripheral neuropathy. The nurse points out his noncompliance to his diabetic diet and insulin regimen. The client answers the nurse, “It has been my experience that the diabetic diet is very difficult to follow. As far as the insulin, isn’t a fellow allowed to forget now and then?” The client’s actions and response best demonstrate:

A.

Depression

B.

Anger

C.

Denial

D.

Bargaining

Question # 114

A 10-year-old boy has been diagnosed with Legg-Calvé Perthes disease. Which of the client’s responses would indicate compliance during initial therapy?

A.

Drinking large amounts of milk

B.

Not bearing weight on affected extremity

C.

Walking short distances 3 times/day

D.

Putting self on weight reduction diet

Question # 115

During the admitting mental health assessment, a client demonstrates involuntary muscular activity. He has a marked facial tic around the mouth that is distracting to the nurse during the interview. The nurse recognizes the behavior and documents it as:

A.

Dyskinesia

B.

Akathisia

C.

Echopraxia

D.

Echolalia

Question # 116

A female client at 37 weeks’ gestation has just undergone a nonstress test. The results were two fetal movements with a corresponding increase in fetal heart rate (FHR) of 15 bpm lasting 15 seconds within a 20-minute period. Her results would be classified as:

A.

Reactive; needs follow-up contraction stress test

B.

Reactive; no contraction stress test required

C.

Non-reactive; needs follow-up contraction stress test

D.

Non-reactive; no contraction stress test required

Question # 117

A female client plans to bottle-feed her newborn. Her physician has ordered bromocriptine (Parlodel) to suppress lactation. Which of the following instructions about bromocriptine should be given by the nurse?

A.

Bromocriptine stimulates the production of prolactin.

B.

Hypertension is a primary side effect.

C.

Bromocriptine is generally taken for 5 days.

D.

Her blood pressure must be stable before starting bromocriptine.

Question # 118

An 83-year-old client has been hospitalized following a fall in his home. He has developed a possible fecal impaction. Which of the following assessment findings would be most indicative of a fecal impaction?

A.

Boardlike, rigid abdomen

B.

Loss of the urge to defecate

C.

Liquid stool

D.

Abdominal pain

Question # 119

In evaluating the laboratory results of a client with severe pressure ulcers, the nurse finds that her albumin level is low. A decrease in serum albumin would contribute to the formation of pressure ulcers because:

A.

The proteins needed for tissue repair are diminished.

B.

The iron stores needed for tissue repair are inadequate.

C.

A decreased serum albumin level indicates kidney disease.

D.

A decreased serum albumin causes fluid movement into the blood vessels, causing dehydration.

Question # 120

The nurse instructs a pregnant client (G2P1) to rest in a side-lying position and avoid lying flat on her back. The nurse explains that this is to avoid “vena caval syndrome,” a condition which:

A.

Occurs when blood pressure increases sharply with changes in position

B.

Results when blood flow from the extremities is blocked or slowed

C.

Is seen mainly in first pregnancies

D.

May require medication if positioning does not help

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