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NCLEX NCLEX-PN National Council Licensure Examination(NCLEX-PN) Exam Practice Test

Demo: 108 questions
Total 725 questions

National Council Licensure Examination(NCLEX-PN) Questions and Answers

Question 1

In the United States, several definitions of death are currently being used. The definition that uses apnea testing and pupillary responses to light is termed:

Options:

A.

whole brain death.

B.

heart-lung death.

C.

circulatory death.

D.

higher brain death.

Question 2

During surgery, it is found that a client with adenocarcinoma of the rectum has positive peritoneal lymph nodes. What is the next most likely site of metastasis?

Options:

A.

brain

B.

bone

C.

liver

D.

mediastinum

Question 3

The nurse teaching a client about hepatitis and its transmission should explain that one type of hepatitis does not produce a carrier state after its acute phase. Which type is it?

Options:

A.

hepatitis A

B.

hepatitis B

C.

hepatitis C

D.

hepatitis D

Question 4

The primary organ for drug elimination is the:

Options:

A.

skin.

B.

lung(s).

C.

kidney(s).

D.

liver.

Question 5

A client asks the nurse what risk factors increase the changes of getting skin cancer. The risk factors include all except:

Options:

A.

light or fair complexion.

B.

exposure to sun for great periods of time.

C.

certain diet and foods.

D.

history of bad sunburns.

Question 6

The gag reflex test assesses which cranial nerves?

Options:

A.

IX and X

B.

V and VII

C.

IX and XII

D.

V and X

Question 7

Some drugs are excreted into bile and delivered to the intestines. Prior to elimination from the body, the drug might be absorbed. This process is known as:

Options:

A.

hepatic clearance.

B.

total clearance.

C.

enterohepatic cycling.

D.

first-pass effect.

Question 8

In the process of an annual physical exam, a client is diagnosed with Benign Prostatic Hypertrophy (BPH). This client is likely to have a consult with which type of physician?

Options:

A.

gynecologist

B.

physiatrist

C.

urologist

D.

proctologist

Question 9

A client is having psychological counseling for problems communicating with his mother. Which model of stress is the most useful in reference to this stressor?

Options:

A.

Adaptation Model

B.

Stimulus-Based Model

C.

Transaction-Based Model

D.

Selye’s Model of Stress

Question 10

As a type of quality indicator, an example of a structure standard is:

Options:

A.

a written philosophy.

B.

a procedure for a straight catheterization.

C.

a protocol for treatment of a client with chest pain.

D.

the diagnostic work-up for a client with abdominal pain.

Question 11

Local anesthetics block the conduction of pain impulses to the spinal cord. Their duration of action:

Options:

A.

is always longer than general anesthesia.

B.

is determined by the rate of diffusion and absorption at the site of administration.

C.

is usually short (10 minutes).

D.

varies, depending on the client’s weight.

Question 12

The advanced directive in a client’s chart is dated August 12, 1998.The client’s daughter produces a Power of Attorney for Health Care, dated 2003, which contains different care direction(s). The nurse is supposed to:

Options:

A.

follow the 1998 version because it’s part of the legal chart.

B.

follow the 1998 version because the physician’s code order is based on it.

C.

follow the 2003 version, place it in the chart, and communicate the update appropriately.

D.

follow neither until clarified by the unitmanager.

Question 13

The nurse suspects an elderly client has been the victim of abuse. The client denies abuse and declines assistance. The nurse’s next action should be to:

Options:

A.

do nothing; the client has the right to refuse treatment.

B.

report the incident to the police.

C.

arrange an appointment with the client’s next of kin.

D.

educate the client about available services.

Question 14

The physician’s role in case management includes all of the following except:

Options:

A.

participating in interdisciplinary planning for clients.

B.

serving as the expert for resource utilization.

C.

consulting with the case management team to facilitate timely orders as needed.

D.

contributing to the documentation of a client’s needs for services.

Question 15

Delegation of tasks to appropriate personnel allows the nurse to:

Options:

A.

take a break.

B.

keep other members of the team productive.

C.

maintain tight control of all aspects of the workflow.

D.

realize the importance of her role by making all decisions.

Question 16

The school nurse is conducting health screenings on schoolchildren. During the screening, she identifies a child with the behavioral characteristics of attention deficit disorder. Which of the following behaviors is consistent with this disorder?

Options:

A.

slow speech development

B.

overreaction to stimuli from the surroundings

C.

inability to carry on a conversation

D.

concrete thinking

Question 17

Mrs. Peterson complains of difficulty falling asleep, awakening earlier than desired, and not feeling rested. She attributes these problems to leg pain that is secondary to her arthritis. What is the most appropriate nursing diagnosis for her?

Options:

A.

Sleep Pattern Disturbances (related to arthritis)

B.

Fatigue (related to leg pain)

C.

Knowledge Deficit (regarding sleep hygiene measures)

D.

Sleep Pattern Disturbances (related to chronic leg pain)

Question 18

A client goes to the mental health center for difficulty concentrating, insomnia, and nightmares. The client reports being raped as a child. The nurse should assess the client for further signs of:

Options:

A.

general anxiety disorder.

B.

schizophrenia.

C.

post-traumatic stress disorder.

D.

bipolar disorder.

Question 19

Which of the following nursing diagnoses is most appropriate for a client with a new colostomy?

Options:

A.

Excess Fluid Volume

B.

Risk for Aspiration

C.

Disturbed Body Image

D.

Urinary Retention

Question 20

With a breech presentation, the nurse must be particularly alert for which of the following?

Options:

A.

quickening

B.

ophthalmia neonatorum

C.

pica

D.

prolapsed umbilical cord

Question 21

For a client requiring total oral care, it is important for the nurse to:

Options:

A.

assemble all equipment, assist the client tosemi-Fowler’s position, and place a towel on his chest.

B.

place client in Fowler’s position, prepare the equipment, and tell the client what to do.

C.

assemble all equipment, place the client in a side-lying position, and place a towel under his chin.

D.

use gloves and clean the client’s mouth, including the tongue.

Question 22

The anemias most often associated with pregnancy are:

Options:

A.

folic acid and iron deficiency.

B.

folic acid deficiency and thalassemia.

C.

iron deficiency and thalassemia.

D.

thalassemia and B12 deficiency.

Question 23

Increased cortisol levels might be found in a client with which condition?

Options:

A.

Cushing’s syndrome

B.

Addison’s disease

C.

renal failure

D.

congestive heart failure

Question 24

Which cultural group has the highest incidence of inflammatory bowel disease (IBD)?

Options:

A.

Asians

B.

Caucasians

C.

Hispanics

D.

African Americans

Question 25

Which of the following infant behaviors demonstrates the concept of object permanence?

Options:

A.

The infant cries when his mother leaves the room.

B.

The infant looks at the floor to find a toy that he was playing with and dropped.

C.

The infant picks up another toy after the one he was playing with rolls under the couch.

D.

The infant participates in a game of patty-cake.

Question 26

The nurse is using Cognitive-Behavioral methods of pain control and knows that the these methods can be expected to do all the following except:

Options:

A.

completely relieve all pain.

B.

provide benefit by restoring the client’s sense of self-control.

C.

help the client to control symptoms.

D.

help the client actively participate in his or her own care.

Question 27

In administering NSAID adjunctive therapy to an elderly client with cancer, the nurse must monitor:

Options:

A.

BUN and creatinine.

B.

creatinine and calcium.

C.

Hgb and Hct.

D.

BUN and CFT.

Question 28

A client who recently lost 50 pounds just received news that she is pregnant. A possible nursing diagnosis is:

Options:

A.

Actual Chronic Low Self-Esteem (related to obesity).

B.

Potential Chronic Low Self-Esteem (related to obesity).

C.

Actual Situational Low Self-Esteem (related to fear of weight regain and pregnancy).

D.

Potential Situational Low Self-Esteem (related to fear of weight regain and pregnancy).

Question 29

Physical examination of a client regarding mobility status should:

Options:

A.

begin with gait.

B.

be oriented to time, place, and person.

C.

begin with the Romberg test.

D.

begin with the Tandem Walk test.

Question 30

The parents of a 2-year-old child ask the nurse how they can teach their child to quit taking toys away from other children. Which of the following statements by the nurse offers the parents the best explanation of their child’s behavior?

Options:

A.

“Your child is egocentric. Egocentricity is normal for 2-year-old children. He believes other children want him to have their toys.”

B.

“Your child is showing negativity. He doesn’t want other children to have the toys he wants.”

C.

“Your child is demonstrating magical thinking. He believes he can make the other children want him to play with their toys.”

D.

“Your child is engaging in domestic imitation. He is doing what he has seen other children do.”

Question 31

Which of the following microorganisms is easily transmitted from client to client on the hands of health care workers?

Options:

A.

mycobacterium tuberculosis

B.

clostridium tetani

C.

staphylococcus aureus

D.

human immunodeficiency virus

Question 32

The chemotherapeutic agent 5-fluorourcacil (5-FU) is ordered for a client as an adjunct measure to surgery. Which statement about chemotherapy is true?

Options:

A.

It is a local treatment affecting only tumor cells.

B.

It is a systemic treatment affecting both tumor and normal cells.

C.

It has not yet been proved an effective treatment for cancer.

D.

It is often the drug of choice because it causes few, if any, side effects.

Question 33

Which of the following represents a normal serum potassium level?

Options:

A.

1.5 mEq/L

B.

3.0 mEq/L

C.

4.0 mEq/L

D.

6.0 mEq/L

Question 34

Which of the following medications should be held 24–48 hours prior to an electroencephalogram (EEG)?

Options:

A.

Lasix (furosemide)

B.

Cardizem (diltiazem)

C.

Lanoxin (digoxin)

D.

Dilantin (phenytoin)

Question 35

Which type of exercises might be prescribed to strengthen the pelvic floor muscles of a client with urinary incontinence?

Options:

A.

Kegel

B.

resistance

C.

passive

D.

stretching

Question 36

The nurse can promote relief of muscle pain, spasms, and tension by:

Options:

A.

having the client continue his activities as usual.

B.

immobilizing the client.

C.

applying heat, cold, pressure, or vibration to the painful area.

D.

giving as much pain medication as needed to ease the muscle.

Question 37

Two staff nurses were considered for promotion to head nurse. The promotion is announced via a memo on the unit bulletin board. When the nurse who was not promoted first read the memo and learned that the other nurse had received the promotion, she left the room in tears. This behavior is an example of:

Options:

A.

conversion.

B.

regression.

C.

introjection.

D.

rationalization.

Question 38

An elevation in which of the following enzymes is indicative of pancreatitis?

Options:

A.

alkaline phosphatase

B.

acid phosphatase

C.

creatine phosphokinase

D.

amylase

Question 39

The nurse who was not promoted then went to the utility room and slammed several cupboard doors while looking for Kleenex. This behavior exemplifies:

Options:

A.

displacement.

B.

sublimation.

C.

conversion.

D.

reaction formation.

Question 40

A client had a colostomy done one day ago. Which of the following is an abnormal finding when assessing the stoma?

Options:

A.

mild edema

B.

minimal bleeding

C.

rose color

D.

dark red color

Question 41

Which of the following conditions has a severe complication of respiratory failure?

Options:

A.

Bell’s palsy

B.

Guillain-Barré syndrome

C.

trigeminal neuralgia

D.

tetanus

Question 42

A man reports his wife is constantly cleaning. The activity has interfered with the family life. Friends have stopped visiting because she makes them uncomfortable. He states he has awakened in the middle of the night and found her cleaning. The nurse should consult with the couple and recommend the husband help with therapy by:

Options:

A.

telling his wife to stop cleaning whenever he notices her actions.

B.

making a baseline record of the time the wife spends cleaning.

C.

decreasing the stimuli in the home.

D.

helping his wife with the cleaning.

Question 43

When a client who is having trouble conceiving says to the nurse, “I have started taking ginseng,” the best response by the nurse is:

Options:

A.

“No studies show that ginseng is effective for infertility.”

B.

“Some studies show that ginseng enhances in vitro sperm motility.”

C.

“Why don’t you try acupuncture instead. Many studies have shown it to be effective for infertility.”

D.

“It’s probably not going to hurt you, but it’s also probably not going to help. Let’s look at some other alternatives.”

Question 44

Accurate documentation of assessment findings regarding pressure ulcers is very important because:

Options:

A.

the law requires the nurse to document lesions.

B.

the hospital requires the nurse to document lesions.

C.

the physician requires the nurse to document lesions.

D.

the nursing assessment of ulcers is a standard of nursing practice.

Question 45

Jane Love, a 35-year old gravida III para II at 23 weeks gestation, is seen in the Emergency Department with painless, bright red vaginal bleeding. Jane reports that she has been feeling tired and has noticed ankle swelling in the evening. Laboratory tests reveal a hemoglobin level of 11.5 g/dL. After evaluating the situation, the nurse determines that Jane is at risk for placenta previa, based on which of the following data?

Options:

A.

anemia

B.

edema

C.

painless vaginal bleeding

D.

fatigue

Question 46

Which of the following tests is commonly performed on newborns with jaundice?

Options:

A.

blood urea nitrogen

B.

magnesium

C.

bilirubin

D.

prolactin

Question 47

The sexually transmitted disease, sometimes referred to as the silent STD, that is more common than gonorrhea and a leading cause of PID is:

Options:

A.

genital herpes.

B.

trichomoniasis.

C.

syphilis.

D.

chlamydia.

Question 48

A client, age 28, is 8 1⁄2 months pregnant. She is most likely to display which normal skin-color variation?

Options:

A.

vitiligo

B.

erythema

C.

cyanosis

D.

chloasma

Question 49

When the nurse is determining the appropriate size of a nasopharyngeal airway to insert, which body part should be measured on the client?

Options:

A.

corner of the mouth to tragus of the ear

B.

corner of the eye to top of the ear

C.

tip of the chin to the sternum

D.

tip of the nose to the earlobe

Question 50

Pressure ulcers usually occur:

Options:

A.

when clients are left in one position in bed for extended periods of time.

B.

when clients are underweight.

C.

when clients are overweight.

D.

only in underweight and overweight clients.

Question 51

In evaluating the lab work of a client in a hepatic coma, which of the following lab tests is most important?

Options:

A.

blood urea nitrogen

B.

serum calcium

C.

serum ammonia

D.

serum creatinine

Question 52

Which of the following is not a reason for pelvic ultrasonography?

Options:

A.

to measure uterine size

B.

to detect multiple pregnancies

C.

to measure renal size

D.

to detect foreign bodies

Question 53

Hazards of improper splinting include:

Options:

A.

aggravation of a bone or joint injury.

B.

reduced distal circulation.

C.

delay in transport of a client with a lifethreatening injury.

D.

all of the above.

Question 54

Which instruction should be given in a health education class regarding testicular cancer?

Options:

A.

All males should perform a testicular exam after the age of 30.

B.

Testicular exams should be performed on a daily basis.

C.

Reddening or darkening of the scrotum is a normal finding.

D.

Testicular exams should be performed after a warm bath or shower.

Question 55

The kind of man who beats a woman is:

Options:

A.

from a minority culture in a low-income group.

B.

from a majority culture in a middle-income group.

C.

one who was never allowed to compete as a child.

D.

from any walk of life, race, income group, or profession.

Question 56

Which of the following diseases or conditions is least likely to be associated with increased potential for bleeding?

Options:

A.

metastatic liver cancer

B.

gram-negative septicemia

C.

pernicious anemia

D.

iron-deficiency anemia

Question 57

Following a classic cholecystectomy resection for multiple stones, the PACU nurse observes a serosanguious drainage on the dressing. The most appropriate intervention is to:

Options:

A.

notify the physician of the drainage.

B.

change the dressing.

C.

reinforce the dressing.

D.

apply an abdominal binder.

Question 58

When helping a client gain insight into anxiety, the nurse should:

Options:

A.

help relate anxiety to specific behaviors.

B.

ask the client to describe events that precede increased anxiety.

C.

instruct the client to practice relaxation techniques.

D.

confront the client’s resistive behavior.

Question 59

The nurse is assessing the dental status of an 18-month-old child. How many teeth should the nurse expect to examine?

Options:

A.

6

B.

8

C.

12

D.

16

Question 60

When making an occupied bed, it is important for the nurse to:

Options:

A.

keep the bed in the low position.

B.

use a bath blanket or top sheet for warmth and privacy.

C.

constantly keep side rails raised on both sides.

D.

move back and forth from one side to the other when adjusting the linens.

Question 61

A client with which of the following conditions is at risk for developing a high ammonia level?

Options:

A.

renal failure

B.

psoriasis

C.

lupus

D.

cirrhosis

Question 62

Ashley and her boyfriend Chris, both 19 years old, are transported to the Emergency Department after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent injuries, though she appears confused and has trouble focusing on what is going on around her. She complains of dizziness and nausea. Her pulse is rapid, and she is hyperventilating. The nurse should assess Ashley’s level of anxiety as:

Options:

A.

mild.

B.

moderate.

C.

severe.

D.

panic.

Question 63

Which of the following medications is a serotonin antagonist that might be used to relieve nausea and vomiting?

Options:

A.

metoclopramide (Reglan)

B.

onedansetron (Zofran)

C.

hydroxyzine (Vistaril)

D.

prochlorperazine (Compazine)

Question 64

A 10-month-old child is brought to the Emergency Department because he is difficult to awaken. The nurse notes bruises on both upper arms. These findings are most consistent with:

Options:

A.

wearing clothing that is too small for the child.

B.

the child being shaken.

C.

falling while learning to walk.

D.

parents trying to awaken the child.

Question 65

A client with an ileus is placed on intestinal tube suction. Which of the following electrolytes is lost with intestinal suction?

Options:

A.

calcium

B.

magnesium

C.

potassium

D.

sodium chloride

Question 66

A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, “I need this surgery because nothing else I have done has helped me to lose weight.” Which response by the nurse is most appropriate?

Options:

A.

“If you eat less, you can save some money.”

B.

“Exercise is a healthier way to lose weight.”

C.

“You should try the Atkins diet first.”

D.

“I respect your decision to choose surgery.”

Question 67

Which of the following foods should be avoided by clients who are prone to develop heartburn as a result of gastroesophgeal reflux disease (GERD)?

Options:

A.

lettuce

B.

eggs

C.

chocolate

D.

butterscotch

Question 68

When a client informs the nurse that he is experiencing hypoglycemia, the nurse provides immediate intervention by providing:

Options:

A.

one commercially prepared glucose tablet.

B.

two hard candies.

C.

4–6 ounces of fruit juice with 1 teaspoon of sugar added.

D.

2–3 teaspoons of honey.

Question 69

Which of the following statements, if made by the parents of a newborn, does not indicate a need for further teaching about cord care?

Options:

A.

“I should put alcohol on my baby’s cord 3–4 times a day.”

B.

“I should put the baby’s diaper on so that it covers the cord.”

C.

“I should call the physician if the cord becomes dark.”

D.

“I should wash my hands before and after I take care of the cord.”

Question 70

A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted to Vicodin. The nurse should base her reply on the knowledge that:

Options:

A.

the client’s body has developed tolerance, requiring more drug to produce the same effect.

B.

the client is preoccupied with getting the drug and is experiencing loss of control, indicating drug dependence.

C.

addiction is the term used to describe physical dependence with withdrawal symptoms and tolerance.

D.

the client has a dual diagnosis of substance abuse and chronic back pain.

Question 71

A client is having a seizure; his blood oxygen saturation drops from 92% to 82%. What should the nurse do first?

Options:

A.

Open the airway.

B.

Administer oxygen.

C.

Suction the client.

D.

Check for breathing.

Question 72

The nurse teaching about preventable diseases should emphasize the importance of getting the following vaccines:

Options:

A.

human papilloma virus, genital herpes, measles.

B.

pneumonia, HIV, mumps.

C.

syphilis, gonorrhea, pneumonia.

D.

polio, pertussis, measles.

Question 73

To manage time most effectively, the nurse responds to which of the following stimuli first:

Options:

A.

the physician’s loud verbal direction.

B.

the nursing supervisor who is going to a meeting.

C.

unit staff leaving on a break.

D.

the care needs of the returning postoperative client just exiting the elevator.

Question 74

A client has experienced a CVA with right hemiparesis and is ready for discharge from the hospital to a long-term care facility for rehab. To provide optimal continuity of care, the nurse should do all of the following except:

Options:

A.

document current functional status.

B.

have the physician phone a report to the receiving facility.

C.

copy appropriate parts of the medical record for transport to the receiving facility.

D.

phone a report to the facility.

Question 75

The PN is caring for a client with diabetes insipidus. The nurse can expect the lab work to show:

Options:

A.

elevated urine osmolarity and elevated serum osmolarity.

B.

decreased urine osmolarity and decreased serum osmolarity.

C.

elevated urine osmolarity and decreased serum osmolarity.

D.

decreased urine osmolarity and elevated serum osmolarity.

Question 76

A client receives a cervical intracavity radium implant as part of her therapy. A common side effect of a cervical implant is:

Options:

A.

creamy, pink-tinged vaginal drainage.

B.

stomatitis.

C.

constipation.

D.

xerostomia.

Question 77

Tricyclics (Antidepressants) sometimes have which of the following adverse affects on patients that have a diagnosis of depression?

Options:

A.

Shortness of breath

B.

Fainting

C.

Large Intestine ulcers

D.

Distal muscular weakness

Question 78

A client was involved in a motor vehicle accident in which the seat belt was not worn. The client is exhibiting crepitus, decreased breath sounds on the left, complains of shortness of breath, and has a respiratory rate of 34/min. Which of the following assessment findings should concern the nurse the most?

Options:

A.

temperature of 102° F and a productive cough

B.

arterial blood gases (ABGs) with a PaO2 of 92 and PaCO2 of 40 mmHg

C.

trachea deviating to the right

D.

barrel-chested appearance

Question 79

The nurse belongs to a professional nursing organization that provides social, educational, and political venues for nurses. The nurse has been active in this organization for almost two years, during which time she meets and works with nurses from several different nursing agencies and health care institutions to achieve a variety of

goals, including obtaining advice regarding a personal career choice. This is an example of:

Options:

A.

professional nurturing.

B.

networking.

C.

mentoring.

D.

collegiality.

Question 80

A woman seeks assistance because she recently remembered childhood sexual abuse. The nurse should include which of the following goals for this client?

Options:

A.

prosecuting the perpetrator

B.

managing symptoms of anxiety and fear

C.

determining if the memories are real

D.

collaborating the client’s story

Question 81

A 64 year-old Alzheimer’s patient has exhibited excessive cognitive decline resulting in harmful behaviors. The physician orders restraints to be placed on the patient. Which of the following is the appropriate procedure?

Options:

A.

Secure the restraints to the bed rails on all extremities.

B.

Notify the physician that restraints have been placed properly.

C.

Communicate with the patient and family the need for restraints.

D.

Position the head of the bed at a 45 degree angle.

Question 82

A nurse is assessing a patient’s right lower extremity. The extremity is warm to touch, red and swollen. The patient is also running a low fever. Which of the following conditions would be the most likely cause of the patient’s condition?

Options:

A.

Herpes

B.

Scleroderma

C.

Dermatitis

D.

Cellulitis

Question 83

A 14 year-old boy has been admitted to a mental health unit for observation and treatment. The boy becomes agitated and starts yelling at nursing staff members. What should the nurse first response be?

Options:

A.

Create an atmosphere of seclusion for the boy according to procedures.

B.

Remove other patients from the area via wheelchairs for added speed.

C.

Ask the patient, “What is making you mad?”

D.

Ask the patient, “Why are you doing this, have you thought about what yourparents might say?”

Question 84

A newborn baby exhibits a reflex that includes: hand opening, abducted and extended extremities following a jarring motion. Which of the following correctly identifies the reflex?

Options:

A.

ATNR reflex

B.

Startle reflex

C.

Grasping reflex

D.

Moro reflex

Question 85

A nurse is reviewing a patient’s medical record. The record indicates the patient has limited shoulder flexion on the left. Which plane of movement is limited?

Options:

A.

Horizontal

B.

Sagittal

C.

Frontal

D.

Vertical

Question 86

A client who has a known history of cardiac problems and is still smoking enters the clinic complaining of sudden onset of sharp, stabbing pain that intensifies with a deep breath. The pain is occurring on only one side and can be isolated upon general assessment. The nurse concludes that this description is most likely caused by:

Options:

A.

pleurisy.

B.

pleural effusion.

C.

atelectasis.

D.

tuberculosis.

Question 87

How many feet should separate the nurse and the source when extinguishing a small, wastebasket fire with an appropriate extinguisher?

Options:

A.

1 foot

B.

2 feet

C.

4 feet

D.

6 feet

Question 88

A client has a 10% dextrose in water IV solution running. He is scheduled to receive his antiepileptic drug, phenytoin (Dilantin), at this time. The nurse knows that the phenytoin:

Options:

A.

is given after the D10W is finished.

B.

should be given at the time it is due in the medication port closest to the client.

C.

can be piggybacked into the D10W solution now.

D.

is incompatible with dextrose solutions.

Question 89

During the health screening of an adolescent, which finding by the nurse requires further teaching?

Options:

A.

The client started her first menses 2 years ago.

B.

The client states she is currently on birth control pills.

C.

The client states she recently lost 5 pounds.

D.

The client states she is experiencing growing pains.

Question 90

A patient that has TB can be taken off restrictions after which of the following parameters have been met?

Options:

A.

Negative culture results.

B.

After 30 days of isolation.

C.

Normal body temperature for 48 hours.

D.

Non-productive cough for 72 hours.

Question 91

A child comes to the clinic with a skin rash. The maculopapular lesions are distributed around the mouth and have honey-colored drainage. The caregiver states that the rash is getting worse and seems to spread with the child’s scratching. Which of the following advisory comments should be given?

Options:

A.

The history and presentation might indicate chickenpox, a highly contagious disease.

B.

The lesions might indicate a noncontagious infection that does not require isolation.

C.

The history and presentation might indicate an infectious illness called impetigo.

D.

The lesions are not contagious unless others have open wounds or lesions themselves.

Question 92

A client is told that his test is positive, but in fact, the client does not have the disease tested for. Which type of false report is this an example of?

Options:

A.

positive

B.

false positive

C.

negative

D.

false negative

Question 93

A chemical reaction between drugs prior to their administration or absorption is known as:

Options:

A.

a drug incompatibility.

B.

a side effect.

C.

an adverse event.

D.

an allergic response.

Question 94

The role of the incident report in risk management is:

Options:

A.

liability protection.

B.

to provide data for analysis by a risk manager to determine how future problems can be avoided.

C.

to discipline staff for errors.

D.

all of the above.

Question 95

A client is given an opiate drug for pain relief following general anesthesia. The client becomes extremely somnolent with respiratory depression. The physician is likely to order the administration of:

Options:

A.

naloxone (Narcan).

B.

labetalol (Normodyne).

C.

neostigmine (Prostigmin).

D.

thiothixene (Navane).

Question 96

A 57-year-old woman is recently widowed. She states, “I will never be able to learn how to manage the finances. My husband did all of that.” Select the nurse’s response that could help raise the client’s self-esteem.

Options:

A.

“You feel inadequate because you have never learned to balance a checkbook.”

B.

“You should have insisted your husband teach you about the finances.”

C.

“You are strong and will learn how to manage your finances after awhile.”

D.

“Why don’t you take a class in basic finance from the local college?”

Question 97

What is the primary theory that explains a family’s concept of health and illness?

Options:

A.

Health Belief Model

B.

Education-School-Completing Factor

C.

Family Health Expert Factor

D.

Disconnected Family Factor

Question 98

An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?

Options:

A.

knowledge that elder abuse is rare

B.

personal belief that abuse is deserved

C.

lack of developmentally appropriate screening tools

D.

fear of reprisal or further violence if the incident is reported

Question 99

The nurse teaching an obese client about nutritional needs and weight loss should include all of the following except:

Options:

A.

knowledge of food and food products.

B.

development of a positive mental attitude.

C.

adequate exercise.

D.

starting a fast weight-loss diet.

Question 100

Support-system enhancement includes all of the following except:

Options:

A.

determining the barriers to using support systems.

B.

discussing ways to help with others who are concerned.

C.

exploring life problems of the support-team members.

D.

involving spouse, family, and friends in the care and planning.

Question 101

A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first:

Options:

A.

review their own cultural beliefs and biases.

B.

respectfully request that the couple utilize only medically approved health care providers.

C.

realize that the clients have to learn their new country’s accepted medical practices.

D.

study family dynamics to understand the male and female gender roles in the clients’ culture.

Question 102

The physician orders the antibiotics ampicillin (Omnipen) and gentamicin (Garamycin) for a newly admitted client with an infection. The nurse should:

Options:

A.

administer both medications simultaneously.

B.

give the medications sequentially, and flush well between them.

C.

ask the physician or pharmacy which medication to give first and how long to wait before giving the other drug.

D.

start one medication now and begin the other medication in 2–4 hours.

Question 103

A corporate executive works 60–80 hours a week. The client is experiencing some physical signs of stress. The nurse teaches the client biofeedback techniques. This is an example of which of the following health-promotion interventions?

Options:

A.

structure

B.

relaxation technique

C.

time management

D.

regular exercise

Question 104

Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is an advantage of using CVADs for chemotherapeutic agent administration?

Options:

A.

CVADs are less expensive than a peripheral IV.

B.

Weekly administration is possible.

C.

Chemotherapeutic agents can be caustic to smaller veins.

D.

The client or family can administer the drug at home.

Question 105

Which of the following observations is most important when assessing a client’s breathing?

Options:

A.

presence of breathing and pulse rate

B.

breathing pattern and adequacy of breathing

C.

presence of breathing and adequacy of breathing

D.

patient position and adequacy of breathing

Question 106

Several passengers aboard an airliner suddenly become weak and suffer breathing difficulty. The diagnosis is likely to be:

Options:

A.

outbreak of Asian flu.

B.

Chemical exposure.

C.

bacterial pneumonia.

D.

allergic reaction.

Question 107

A syringe pump is a type of electronic infusion pump used to infuse fluids or medications directly from a syringe. This device is commonly used for:

Options:

A.

solutions administered in obstetrics.

B.

dilute antibiotics.

C.

large volumes of IV solution.

D.

the neonatal and pediatric populations.

Question 108

Client self-determination is the primary focus of:

Options:

A.

malpractice insurance.

B.

nursing’s advocacy for clients.

C.

confidentiality.

D.

health care.

Demo: 108 questions
Total 725 questions