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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 # 121

The nurse is caring for a laboring client. Assessment data include cervical dilation 9 cm; contractions every 1–2 minutes; strong, large amount of “bloody show.” The most appropriate nursing goal for this client would be:

A.

Maintain client’s privacy.

B.

Assist with assessment procedures.

C.

Provide strategies to maintain client control.

D.

Enlist additional caregiver support to ensure client’s safety.

Question # 122

Degenerative disorders are attributed to many factors. As a nurse assigned to a convalescent home, one must often educate families about how such conditions occur. Which of the following statements might the nurse need to explore when a daughter tries to explain to her mother what caused her degenerative disorder?

A.

“Some folks believe that aging causes this, Mother.”

B.

“Perhaps, it’s the way your parents used those double- bind messages, Mother.”

C.

“I know some people who are having this problem and they were exposed to chemicals at work, Mother.”

D.

“It can be caused by lots of things, toxic agents and even alcohol, Mother.”

Question # 123

A 35-year-old primigravida comes to the clinic for her first prenatal visit. The midwife, on examining the client, suspects that she is approximately 11 weeks pregnant. The pregnancy is positively confirmed by finding:

A.

Chadwick’s sign

B.

FHR by ultrasound

C.

Enlargement of the uterus

D.

Breast tenderness and enlargement

Question # 124

A client suspected of having anorexia nervosa is placed on bed rest with an IV infusion and a high-carbohydrate liquid diet. Within 72 hours, the results of her lab work show a return to normal limits. She is transferred to the psychiatric service for further treatment. A behavior modification plan is initiated. Three days after her transfer, the client tells the nurse, “I haven’t exercised in 6 days. I won’t be eating lunch today.” This statement by her most likely reflects:

A.

Her lack of internal awareness about the outcome of the behavior

B.

Increased knowledge about personal exercise plans

C.

A manipulative technique to trick the nurse into allowing her to miss a meal

D.

A true desire to stay fit while in the hospital

Question # 125

A client’s record from the ED indicates that she overdosed on phenelzine sulfate (Nardil), a monoamine oxidase (MAO) inhibitor. Which diet would be the most appropriate at this time?

A.

High carbohydrate, low cholesterol

B.

High protein, high carbohydrate

C.

1 g sodium

D.

Tyramine-free

Question # 126

A client is pleased about being pregnant, yet states, “It is really not the best time, but I guess it will be OK.” The nurse’s assessment of this response is:

A.

Initial maternal-infant bonding may be poor.

B.

Client may have a poor relationship with her husband.

C.

This response is normal in the first trimester.

D.

This response is abnormal, to be re-evaluated at the next visit.

Question # 127

A client presented herself to the mental health center, describing the following symptoms: a weight loss of 20 lb in the past 2 months, difficulty concentrating, repeated absences from work due to “fatigue,” and not wanting to get dressed in the morning. She leaves her recorded message on her telephone and has lost interest in answering the phone or doorbell. The nurse’s assessment of her behavior would most likely be:

A.

Deep depression

B.

Psychotic depression

C.

Severe anxiety

D.

Severe depression

Question # 128

A client’s membranes have just ruptured spontaneously. Which of the following nursing actions should take priority?

A.

Assess quantity of fluid.

B.

Assess color and odor of fluid.

C.

Document on fetal monitor strip and chart.

D.

Assess fetal heart rate (FHR).

Question # 129

A client is started on prednisone 2.5 mg po bid. Which of the following instructions should be included in her discharge teaching specific to this medication?

A.

Increase your oral intake of fluids to at least 4000 mL every day.

B.

Avoid contact with people who have contagious illnesses.

C.

Brush your teeth at least 4 times a day with a firm toothbrush.

D.

Immediately stop taking the prednisone if you feel depressed.

Question # 130

The nurse writes the following nursing diagnosis for a client in acute renal failure—Impaired gas exchange related to:

A.

Decreased red blood cell production

B.

Increased levels of vitamin D

C.

Increased red blood cell production

D.

Decreased production of renin

Question # 131

Parents should be taught not to prop the bottle when feeding their infants. In addition to the risk of choking, it puts the infant at risk for:

A.

Otitis media

B.

Asthma

C.

Conjunctivitis

D.

Tonsillitis

Question # 132

A 38-year-old female client with a history of chronic schizophrenia, paranoid type, is currently an outpatient at the local mental health and mental retardation clinic. The client comes in once a week for medication evaluation and/or refills. She self-administers haloperidol 5 mg twice a day and benztropine 1 mg once a day. During a recent clinic visit, she says to the nurse, “I can’t stay still at night. I toss and turn and can’t fall asleep.” The nurse suspects that she may be experiencing:

A.

Akathisia

B.

Akinesia

C.

Dystonia

D.

Opisthotonos

Question # 133

When planning care for a 9-year-old client, the nurse uses which of the most effective means of helping siblings cope with their feelings about a brother who is terminally ill?

A.

Open discussion and understanding

B.

Play-acting out feelings in different roles

C.

Storytelling

D.

Drawing pictures

Question # 134

A 47-year-old male client is admitted for colon surgery. Intravenous antibiotics are begun 2 hours prior to surgery. He has no known infection. The rationale for giving antibiotics prior to surgery is to:

A.

Provide cathartic action within the colon

B.

Reduce the risk of wound infection from anaerobic bacteria

C.

Relieve the client’s concern regarding possible infection

D.

Reduce the risk of intraoperative fever

Question # 135

The nurse will be alert to the most potentially lifethreatening side effect associated with the administration of monoamine oxidase (MAO) inhibitor. This is:

A.

Oculogyric crisis

B.

Hypertensive crisis

C.

Orthostatic hypotension

D.

Tardive dyskinesia

Question # 136

Which of the following lab data is representative of a client with aplastic anemia?

A.

Hemoglobin 9.2, hematocrit 27, red blood cells 3.2 million

B.

White blood cells 4000, erythrocytes 2.5 million, thrombocytes 100,000

C.

White blood cells 3000, hematocrit 27, red blood cells 2.8 million

D.

Red blood cells 1 million, white blood cells 1500, thrombocytes 16,000

Question # 137

The nurse is assessing breath sounds in a bronchovesicular client. She should expect that:

A.

Inspiration is longer than expiration

B.

Breath sounds are high pitched

C.

Breath sounds are slightly muffled

D.

Inspiration and expiration are equal

Question # 138

Which of the following nursing orders has the highest priority for a child with epiglottitis?

A.

Vital signs every shift

B.

Tracheostomy set at bedside

C.

Intake and output

D.

Specific gravity every shift

Question # 139

A young child has been placed in a spica cast. The chief concern of the nurse during the first few hours is:

A.

Prevention of neurovascular complications

B.

Prevention of loss of muscle tone

C.

Immobilization of the affected limb

D.

Using heated fans to dry the cast

Question # 140

A 32-year-old male client is a marketing representative. His job requires him to have a tremendous amount of energy during the day. He frequently uses cocaine to sustain his energy level. Lately he has increased his use of cocaine and even experimented with crack cocaine. Realizing he can no longer continue this destructive behavior, he is seeking treatment for cocaine addiction. In planning nursing care for the client’s inpatient stay, which expected outcome is most appropriate?

A.

He will attend four consecutive group educational sessions on substance abuse.

B.

He will name activities that he would most likely be involved in posttreatment.

C.

He will meet with his family in counseling sessions and discuss his feelings.

D.

He will be able to deal with his feelings through participation in group therapy sessions.

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