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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 # 141

A pregnant client continues to visit the clinic regularly during her pregnancy. During one of her visits while lying supine on the examining table, she tells the RN that she is becoming light-headed. The RN notices that the client has pallor in her face and is perspiring profusely.

The first intervention the RN should initiate is to:

A.

Place the examining table in the Trendelenburg position

B.

Assess the client to see if she is having vaginal bleeding

C.

Obtain the client’s vital signs immediately

D.

Help the client to a sitting position

Question # 142

A 40-year-old client is admitted to the hospital for tests to diagnose cancer. Since his admission, he has become dependent and demanding to the nursing staff. The nurse identifies this behavior as which defense mechanism?

A.

Denial

B.

Displacement

C.

Regression

D.

Projection

Question # 143

A client is in active labor and has been admitted to the labor and delivery unit. The RN has just done a sterile vaginal exam and determines that the client is dilated 5 cm, effaced 85%, and the fetus’s head is at 0 station. She asks if she could have a lumbar epidural now. The epidural is started, and the anesthetic agent used is bupivacaine (Marcaine). After the client has received her lumbar epidural, it is important for the RN to monitor her for which of the following side effects:

A.

Hypertension

B.

Hypotension

C.

Hypoglycemia

D.

Hyperglycemia

Question # 144

A 45-year-old male client was admitted to a chemical dependency treatment center following legal problems related to alcohol abuse. He states, “I know that alcohol is a problem for some people, but I can stop whenever I want to. I’m never sick or miss work, and no one can complain about me.” During the initial assessment, the best response by the nurse would be:

A.

“The fact is you are an alcoholic or you wouldn’t be here.”

B.

“I understand it took strength to admit yourself to the unit, and I will do my part to help you to stay alcohol- free.”

C.

“If you can stop drinking when you want to, why don’t you stop?”

D.

“It’s good that you can stop drinking when you want to.”

Question # 145

In client teaching, the nurse should emphasize that fetal damage occurs more frequently with ingestion of drugs during:

A.

First trimester

B.

Second trimester

C.

Third trimester

D.

Every trimester

Question # 146

A 16-month-old infant is being prepared for tetralogy of Fallot repair. In the nursing assessment, which lab value should elicit further assessment and requires notification of physician?

A.

pH 7.39

B.

White blood cell (WBC) count 10,000 WBCs/mm3

C.

Hematocrit 60%

D.

Bleeding time of 4 minutes

Question # 147

The pediatrician has diagnosed tinea capitis in an 8- year-old girl and has placed her on oral griseofulvin. The nurse should emphasize which of these instructions to the mother and/or child?

A.

Administer oral griseofulvin on an empty stomach for best results.

B.

Discontinue drug therapy if food tastes funny.

C.

May discontinue medication when the child experiences symptomatic relief.

D.

Observe for headaches, dizziness, and anorexia.

Question # 148

A 6-year-old girl has been diagnosed with a urinary tract infection secondary to vesicoureteral reflux. Which statement by her mother indicates a need for further teaching?

A.

“I have taught her to wipe from front to back after urinating.”

B.

“I make sure she drinks plenty of fluids every day.”

C.

“She enjoys wearing nylon panties, but I make her change them everyday.”

D.

“She tries to empty her bladder completely after she urinates, like I told her.”

Question # 149

A male client is being treated in the burn unit for thirddegree burns on his head, neck, and upper chest received in the last 24 hours. The nurse is evaluating the effectiveness of fluid resuscitation. Which of the following indicates effective fluid balance?

A.

His weight increases from 165 to 175 lb.

B.

His urine output is equal to his total fluid intake.

C.

His urine output has been > 35 mL/hr for the past 12 hours.

D.

His blood pressure is 94/62.

Question # 150

A 78-year-old female client has a total hip arthroplasty. Her nurse should know that which of the following is contraindicated?

A.

Encourage exercises in the unaffected extremities.

B.

Encourage her to cross and uncross her legs.

C.

Check neurological and circulatory status of the affected leg hourly.

D.

Place a trochanter roll along the upper thigh of the affected leg.

Question # 151

A 3-year-old child has had symptoms of influenza including fever, productive cough, nausea, vomiting, and sore throat for the past several days. In caring for a young child with symptoms of influenza, the mother must be cautioned about:

A.

Giving aspirin and bismuth subsalicylate (Pepto-Bismol) to treat the symptoms

B.

Giving clear liquids too soon

C.

Allowing the child to come in contact with other children for 3 days

D.

The possibility of pneumonia as a complication

Question # 152

A 26-year-old female client presents at 10 weeks’ gestation. She currently is a G3 1-0-1-1. Her mother and grandmother have heart disease. Her grandmother also has insulin-dependent diabetes. The client’s previous delivery was a term female infant weighing 9 lb 13 oz. The client is 5 ft 6 inches tall and her current weight is 130 lb. Based on her history, she is at risk for developing diabetes in pregnancy. Which of the following factors places her at risk for gestational diabetes?

A.

Age > 25 years

B.

Maternal weight

C.

Previous birth of an infant weighing > 9 lb

D.

Family history of heart disease

Question # 153

Which of the following symptoms might the nurse observe in a client with a lithium blood level over 2.0?

A.

Fine hand tremor, headache, mental dullness

B.

Vomiting, impaired consciousness, decreased blood pressure

C.

Polyuria, polydipsia, edema

D.

Gastric irritation, nausea, diarrhea

Question # 154

A client at 9 weeks’ gestation comes for an initial prenatal visit. On assessment, the nurse discovers this is her second pregnancy. Her first pregnancy resulted in a spontaneous abortion. She is 28 years old, in good health, and works full-time as an elementary school teacher. This information alerts the nurse to which of the following:

A.

An increased risk in maternal adaptation to pregnancy

B.

The need for anticipatory guidance regarding the pregnancy

C.

The need for teaching regarding family planning

D.

An increased risk for subsequent abortions

Question # 155

The physician of a client diagnosed with alcoholism orders neomycin 0.5 g q6h to prevent hepatic coma. Neomycin decreases serum ammonia levels by:

A.

Decreasing nitrogen-forming bacteria in the intestines

B.

Acidifying colon contents by causing ammonia retention in the colon

C.

Decreasing the uptake of vitamin D, thereby drawing more water into the colon

D.

Irritating the bowel and promoting evacuation of stool

Question # 156

The nurse and prenatal client discuss the effects of cigarette smoking on pregnancy. It would be correct for the nurse to explain that with cigarette smoking there is increased risk that the baby will have:

A.

A low birth weight

B.

A birth defect

C.

Anemia

D.

Nicotine withdrawal

Question # 157

A client’s prenatal screening indicated that she has no immunity to rubella. She is now 10 weeks pregnant. The best time to immunize her is:

A.

In the immediate postpartum period

B.

After the first trimester

C.

At 28 weeks’ gestation

D.

Within 72 hours postpartum

Question # 158

The nurse in the mental health center is instructing a depressed client about the dietary restrictions necessary in taking her medication, which is a monoamine oxidase (MAO) inhibitor. Which of the following is she restricting from the client’s diet?

A.

Cream cheese

B.

Fresh fruits

C.

Aged cheese

D.

Yeast bread

Question # 159

The nurse is trying to help a mother understand what is happening with her son who has recently been diagnosed with paranoid schizophrenia. At present, he is experiencing hallucinations and delusions of persecution and suffers from poor hygiene. The nurse can best help her understand her son’s condition by which of the following statements?

A.

“Sometimes these symptoms are caused by an overstimulation of a chemical called dopamine in the brain.”

B.

“Has anyone in your family ever had schizophrenia?”

C.

“If your son has a twin, he probably will eventually develop schizophrenia, too.”

D.

“Some of his symptoms may be a result of his lack of a strong mother-child bonding relationship.”

Question # 160

A 26-year-old male client is brought by his wife to the emergency department (ED) unconscious. Blood is drawn for a stat blood count (CBC), fasting blood sugar level, and electrolytes. An indwelling urinary catheter is inserted. He has a history of type 1 diabetes (insulindependent diabetes mellitus [IDDM]). A diagnosis of ketoacidosis is made. Stat lab values reveal a blood sugar level of 520 mg/dL. Which of the following should the nurse expect to administer in the ER?

A.

D50W by IV push

B.

NPH insulin SC

C.

Regular insulin by IV infusion

D.

Sweetened grape juice by mouth

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