Spring Sale Special Limited Time 70% Discount Offer - Ends in 0d 00h 00m 00s - Coupon code: buysanta

Exact2Pass Menu

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 # 161

On morning rounds, the nurse found a manic-depressive client who is taking lithium in a confused mental state, vomiting, twitching, and exhibiting a coarse hand tremor. Which one of the following nursing actions is essential at this time?

A.

Administer her next dosage of lithium, and then call the physician.

B.

Withhold her lithium, and report her symptoms to the physician.

C.

Place her on NPO to decrease the excretion of lithium from her body, and call the physician.

D.

Contact the lab and request a lithium level in 30 minutes, and call the physician.

Question # 162

A female client was employed as a client care technician in a hemodialysis unit. She recently began to experience extreme fatigue, being able to sleep for 16–20 hours at a time. She also noted that her urine was tea colored, which she rationalized was a result of the vitamins she began taking to alleviate fatigue. She was diagnosed with hepatitis B. After a brief hospital stay, she is discharged to her parent’s home. Her mother asks the nurse if any precautions are necessary to prevent transmission to the client’s family. The nurse explains necessary precautions, which include:

A.

Isolation of the client from the remainder of the family

B.

Separate bathroom facilities if possible; if not, then cleansing daily of the facilities with a chloride solution

C.

No necessary precautions because she is beyond the contagious phase

D.

Laundering clothes separately in cold water with a chloride solution

Question # 163

To prevent thrombophlebitis in a client on complete bed rest, the nursing care plan should include:

A.

Dangle the client’s legs over the edge of the bed every shift.

B.

Massage the client’s calves briskly every shift.

C.

Keep the client’s legs extended and discourage any movement.

D.

Have the client tighten and relax leg muscles several times daily.

Question # 164

A 2-year-old toddler is hospitalized with epiglottitis. In assessing the toddler, the nurse would expect to find:

A.

A productive cough

B.

Expiratory stridor

C.

Drooling

D.

Crackles in the lower lobes

Question # 165

A 14-year-old boy has had diabetes for 7 years. He takes 30 U of NPH insulin and 10 U of regular insulin every morning at 7 AM. He eats breakfast at 7:30 AM and lunch at noon. What time should he expect the greatest risk for hypoglycemia?

A.

9 AM

B.

1 PM

C.

11 AM

D.

3 PM

Question # 166

The initial focus when providing nursing care for a child with rheumatic fever during the acute phase of the illness should be to:

A.

Maintain contact with her parents

B.

Provide for physical and psychological rest

C.

Provide a nutritious diet

D.

Maintain her interest in school

Question # 167

Clients receiving antipsychotic drug therapy will often exhibit extrapyramidal side effects that are reversible with which of the following agents ordered by the physician?

A.

Phenothiazines

B.

Anticholinergics

C.

Anti-Parkinsonian drugs

D.

Tricyclic agents

Question # 168

A 48-year-old client is being seen in her physician’s office for complaints of indigestion, heartburn, right upper quadrant pain, and nausea of 4 days’ duration, especially after meals. The nurse realizes that these symptoms may be associated with cholecystitis and therefore would check for which specific sign during the abdominal assessment?

A.

Cullen’s sign

B.

Rebound tenderness

C.

Murphy’s sign

D.

Turner’s sign

Question # 169

A female client at 36 weeks’ gestation has been treated successfully for premature labor for 4 weeks. She has begun having uterine contractions today and has been admitted to the labor and delivery suite. Her amniocentesis results reveal a lecithin/sphingomyelin (L/S) ratio of 2 and positive phosphatidylglycerol (PG). These lab values indicate:

A.

Placental maturity

B.

Suspected chronic asphyxia

C.

Cord compression

D.

Fetal lung maturity

Question # 170

Which behavior by a female client feeding her newborn demonstrates that she needs more teaching related to safety and infant feeding?

A.

She uses the bulb syringe to help clear her baby’s nose when milk is regurgitated.

B.

She places her infant on her right side after feeding her.

C.

She props the bottle in the crib to feed her baby,which allows her to write birth announcements and feed her baby at the same time.

D.

She burps her baby by placing her in a sitting position, supporting her head and neck and gently massaging her back.

Question # 171

The physician has ordered that ampicillin 250 mg IV be given over 30 minutes. The medication is diluted as recommended in 10 mL in the volume control chamber of a set that has a tubing of 12 mL. Which nursing measure is most accurate considering these facts?

A.

Infuse volume at 44 mL/hr.

B.

Infuse volume at 22 mL/hr.

C.

Infuse volume at 10 mL/hr.

D.

Infuse volume at 30 mL/hr.

Question # 172

The postpartum nurse should include which of the following instructions to breast-feeding mothers?

A.

Limit feeding times for several days to avoid nipple soreness.

B.

Wash the nipples with soap and water before and after each feeding.

C.

Daily caloric intake should be increased by 500 cal.

D.

Breast milk is totally digestible by the baby because it contains lactose.

Question # 173

A 14-year-old teenager is demonstrating behavior indicative of an obsessive-compulsive disorder. She is obsessed with her appearance. She will not leave her room until her hair, clothes, and makeup are perfect. She always dresses immaculately. Recently, she expressed disgust over her appearance after she gained 5 lb. After observing a marked weight loss over a 2-week period, her mother suspects that she is experiencing bulimia. She eats everything on her plate, then runs to the bathroom. In interviewing the teenager, she discusses in great detail all of the events leading to her bulimia, but not her feelings. What defense mechanism is she using?

A.

Dissociation

B.

Intellectualization

C.

Rationalization

D.

Displacement

Question # 174

A 1-year-old child is to receive an IM injection ordered by his pediatrician. He has fallen asleep in his mother’s arms when the nurse approaches. Which approach is most appropriate at this time?

A.

Give the injection in the vastus lateralis site before the child awakens.

B.

Awaken the child first and give the injection in the ventrogluteal site.

C.

Awaken the child first and give the injection in the dorsogluteal site.

D.

Ask the mother to place the child on the examination table and leave the room, and then give the injection in an appropriate site.

Question # 175

A 7-year-old girl has been diagnosed with juvenile arthritis and has been placed on daily aspirin. Which statement made by the parent indicates a need for further teaching?

A.

“My daughter takes her aspirin with her meals.”

B.

“Her gums have been bleeding frequently. Maybe she is brushing too hard.”

C.

“I give her aspirin on a regular schedule every day.”

D.

“One sign of aspirin toxicity can be ringing in the ears.”

Question # 176

Following the delivery of a healthy newborn, a client has developed thrombophlebitis and is receiving heparin IV. What are the signs and symptoms of a heparin overdose for which the nurse would need to observe during postpartum care of the client?

A.

Dysuria

B.

Epistaxis, hematuria, dysuria

C.

Vertigo, hematuria, ecchymosis

D.

Hematuria, ecchymosis, and epistaxis

Question # 177

A client has ascites, which is caused by:

A.

Decreased plasma proteins

B.

Electrolyte imbalance

C.

Decreased renal function

D.

Portal hypertension

Question # 178

A 29-year-old client delivered her fifth child by the Lamaze method and developed a postpartal hemorrhage in the recovery room. What are the initial symptoms of shock that she may experience?

A.

Marked elevation in blood pressure, respirations, and pulse

B.

Decreased systolic pressure, cold skin, and anuria

C.

Rapid pulse; narrowed pulse pressure; cool, moist skin

D.

No urinary output, tachycardia, and restlessness

Question # 179

The nurse is notified that a 27-year-old primigravida diagnosed with complete placenta previa is to be admitted to the hospital for a cesarean section. The client is now at 36 weeks’ gestation and is presently having bright red bleeding of moderate amount. On admission, the nursing intervention that the nurse should give the highest priority to is:

A.

Shave the client’s abdomen and arrange her lab work

B.

Determine the status of the fetus by fetal heart tones

C.

Start an IV infusion in the client’s arm

D.

Insert an indwelling catheter into her bladder

Question # 180

The nurse documents a client’s surgical incision as having red granulated tissue. This indicates that the wound is:

A.

Infected

B.

Not healing

C.

Necrotic

D.

Healing

Go to page: