Practice Tests: NCLEX-PN Practice Exam #1 - 50 questions
All 50 questions are randomized each time you take the test, and do not appear in the same order here.
1. The nurse is assessing the dental status of an 18-month-old child. How many teeth should the nurse expect to examine?
- 6
- 8
- 12
- 16
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2. Which of the following methods of contraception is able to reduce the transmission of HIV and other STDs?
- intrauterine device (IUD)
- Norplant
- oral contraceptives
- vaginal sponge
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3. How often should the nurse change the intravenous tubing on total parenteral nutrition solutions?
- every 24 hours
- every 36 hours
- every 48 hours
- every 72 hours
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4. A client with Kawasaki disease has bilateral congestion of the conjunctivae, dry cracked lips, a strawberry tongue, and edema of the hands and feet followed by desquamation of fingers and toes. Which of the following nursing measures is most appropriate to meet the expected outcome of positive body image?
- administering immune globulin intravenously
- assessing the extremities for edema, redness and desquamation every 8 hours
- explaining progression of the disease to the client and his or her family
- assessing heart sounds and rhythm
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5. Which of the following statements, if made by the parents of a newborn, does not indicate a need for further teaching about cord care?
- "I should put alcohol on my baby's cord 3-4 times a day."
- "I should put the baby's diaper on so that it covers the cord."
- "I should call the physician if the cord becomes dark."
- "I should wash my hands before and after I take care of the cord."
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6. A client who is experiencing infertility says to the nurse, "I feel I will be incomplete as a man/woman if I cannot have a child." Which of the following nursing diagnoses is likely to be appropriate for this client?
- Risk for Self Harm
- Body Image Disturbance
- Ineffective Role Performance
- Powerlessness
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7. Which condition is associated with inadequate intake of vitamin C?
- rickets
- marasmus
- kwashiorkor
- scurvy
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8. After breast reconstruction secondary to breast cancer, the nurse should recognize which of the following expected client outcomes as evidence of a favorable response to nursing interventions related to disturbed body image?
- maintaining adequate tissue perfusion
- demonstrating behaviors that reduce fears
- restored body integrity
- remaining free of infection
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9. Which of the following is most likely to impact the body image of an infant newly diagnosed with Hemophilia?
- immobility
- altered growth and development
- hemarthrosis
- altered family processes
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10. What is the primary theory that explains a family's concept of health and illness?
- Health Belief Model
- Education-School-Completing Factor
- Family Health Expert Factor
- Disconnected Family Factor
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11. A 35-year-old Latin-American client wishes to lose weight to reduce her chances of developing heart disease and diabetes. The client states, "I do not know how to make my diet work with the kind of foods that my family eats." What should the nurse do first to help the client determine a suitable diet for disease prevention?
- Provide her with copies of the approved dietary guidelines for the American Diabetic Association and the American Heart Association.
- Ask the client to provide a list of the types of foods she eats to determine how to best meet her needs.
- Provide a high-protein diet plan for the client.
- Provide the client with information related to risk factors for heart disease and diabetes.
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12. Kleinman's Explanatory Model of Health and Illness is significant because.
- it explains what kind of health beliefs a family is likely to have
- it brings out the importance of culture in forming health explanations
- it discusses the important role that popular and folk domains of influence have
- it has an educational base to the structure
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13. An Rh-negative woman with previous sensitization has delivered an Rh-positive fetus. Which of the following nursing actions should be included in the client's care plan?
- emotional support to help the family deal with feelings of guilt about the infant's condition
- administration of MICRhoGam to the woman within 72 hours of delivery
- administration of Rh-immune globulin to the newborn within 1 hour of delivery
- lab analysis of maternal Direct Coombs' test
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14. A client describes her cervical mucus as clear, thin, and elastic. Upon examination, the nurse demonstrates that the cervical mucus can be stretched 8-10 cm. The nurse correctly documents the finding as:
- ferning capacity
- lack of ferning
- spinnbarkheit
- inhospitable
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15. Vaccines provide what type of immunity?
- active
- passive
- transplacental
- active and passive
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16. The nurse is teaching parents of a newborn about feeding their infant. Which of the following instructions should the nurse include?
- Use the defrost setting on microwave ovens to warm bottles.
- When refrigerating formula, don't feed the baby partially used bottles after 24 hours.
- When using formula concentrate, mix two parts water and one part concentrate.
- If a portion of one bottle is left for the next feeding, go ahead and add new formula to fill it.
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17. A concern regarding maternal and infant mortality and morbidity is that:
- a segment of the population is not receiving prenatal care
- families appear unconcerned about quality health care
- the personnel shortage in the maternity field will increase
- maternal-child health workers are not adequately prepared
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18. A 2-year-old child diagnosed with HIV comes to a clinic for immunizations. Which of the following vaccines should the nurse expect to administer in addition to the scheduled vaccines?
- pneumococcal vaccine
- hepatitis A vaccine
- Lyme disease vaccine
- typhoid vaccine
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19. When a client who is having trouble conceiving says to the nurse, "I have started taking ginseng," the best response by the nurse is:
- "No studies show that ginseng is effective for infertility."
- "Some studies show that ginseng enhances in vitro sperm motility."
- "Why don't you try acupuncture instead. Many studies have shown it to be effective for infertility."
- "It's probably not going to hurt you, but it's also probably not going to help. Let's look at some other alternatives."
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20. In conducting a health screening for 12-month-old children, the nurse expects them to have been immunized against which of the following diseases?
- measles, polio, pertussis, hepatitis B
- diptheria, pertussis, polio, tetanus
- rubella, polio, pertussis, hepatitis A
- measles, mumps, rubella, polio
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21. A preschooler has successfully completed the test item "counts 5 blocks" on the Denver II test. This pass is evidence of which of the following developmental concepts?
- centration
- causality
- nonreversibility
- conservation
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22. American families are having difficulty adequately performing their vital health care function. What are the basic reasons for this difficulty?
- structure of the health care system and family structure
- psychological factors for men and women seeking health care
- conditions being labeled disabilities and seen as too time consuming
- health care organizations (HMOs) and disconnected families
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23. A client states, "I eat a well-balanced diet. I do not smoke. I exercise regularly, and I have a yearly checkup with my physician. What else can I do to help prevent cancer?". The nurse should respond with which of the following statements?
- Sleep at least 6-8 hours a night
- Practice monthly self-breast examination
- Reduce stress
- All of the above
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24. Which is the best way to position a client's neck for palpation of the thyroid?
- flexed toward the side being examined
- hyperextended directly backward
- flexed away from the side being examined
- flexed directly forward
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25. A day care center has asked the nurse to provide education for parents regarding safety in the home. What type of preventive care does this represent?
- primary
- secondary
- tertiary
- health promotion
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26. A client has just returned from surgery where a femoral-popliteal bypass was performed. The nurse has assessed the client and is unable to feel a pulse at either the dorsalis pedis or the posterior tibial sites of the left foot. The foot feels warm and the color is pink. What action should the nurse perform next to prevent ischemia?
- Notify the physician immediately.
- Obtain a Doppler device to check for pulses, and notify the physician if they are still absent.
- Wait 30 minutes and recheck the pulses.
- Document the finding.
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27. Which of the following client groups should the nurse recognize as the fastest-growing segment of the homeless population?
- single, adult men
- single mothers with 2 or 3 children
- runaway adolescents
- single, adult women
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28. Which of the following foods is a complete protein?
- corn
- eggs
- peanuts
- sunflower seeds
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29. Which of the following strategies should the nurse include when planning care for children of migrant workers?
- Delay immunization because of acute illness.
- Provide parents with copies of medical records.
- Schedule preventive services at acute illness visits.
- Stress the importance of using one primary care provider.
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30. When working with multicultural populations, the nurse should consider all of the following when planning care for a client with an altered sexuality pattern except:
- some members of the Hispanic and Native-American cultures are very open when discussing sexuality
- some cultures view the postpartum period as a state of impurity
- some women in the African-American culture view childbearing as a validation of their femaleness
- some Native-American women believe monthly menstruation maintains physical well-being and harmony
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31. What is the primary nutritional deficiency of concern for a strict vegetarian?
- vitamin C
- vitamin B12
- vitamin E
- magnesium
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32. All of the following factors, when identified in the history of a family, are correlated with poverty except:
- high infant mortality rate
- frequent use of Emergency Departments
- consultation with folk healers
- low incidence of dental problems
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33. Rehabilitation services begin:
- when the client enters the health care system
- after the client requests rehabilitation services
- after the client's physical condition stabilizes
- when the client is discharged from the hospital
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34. An assessment of the skull of a normal 10-monthold baby should identify which of the following?
- Closure of the posterior fontanel.
- Closure of the anterior fontanel.
- Overlap of cranial bones.
- Ossification of the sutures.
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35. Health promotion activities are designed to help clients.
- reduce the risk of illness
- maintain maximal function
- promote healthy habits related to health care
- all of the above
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36. Which of the following physical findings indicates that an 11-12-month-old child is at risk for developmental dysplasia of the hip?
- refusal to walk
- not pulling to a standing position
- negative Trendelenburg sign
- negative Ortolani sign
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37. The nurse teaching an obese client about nutritional needs and weight loss should include all of the following except:
- knowledge of food and food products
- development of a positive mental attitude
- adequate exercise
- starting a fast weight-loss diet
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38. The nurse is caring for a postpartum woman who has relinquished her baby for adoption. The care plan for the client should include which of the following priority strategies?
- Make a referral for grief counseling.
- Allow the woman to see her baby initially, and then discourage further visits.
- Provide opportunities for the woman to express her feelings.
- Inform the woman she has the right to change her mind about relinquishment.
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39. A client, age 28, is 81/2 months pregnant. She is most likely to display which normal skin-color variation?
- vitiligo
- erythema
- cyanosis
- chloasma
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40. While performing a physical assessment on a 6-month-old infant, the nurse observes head lag. Which of the following nursing actions should the nurse perform first?
- Ask the parents to allow the infant to lay on her stomach to promote muscle development.
- Notify the physician because a developmental or neurological evaluation is indicated.
- Document the findings as normal in the nurse's notes.
- Explain to the parents that their child is likely to be mentally retarded.
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41. Which of the following is the primary force in sex education in a child's life?
- school nurse
- peers
- parents
- media
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42. Which of the following values should the nurse monitor closely while a client is on total parenteral nutrition?
- calcium
- magnesium
- glucose
- cholesterol
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43. When obtaining a health history on a menopausal woman, which information should a nurse recognize as a contraindication for hormone replacement therapy?
- family history of stroke
- ovaries removed before age 45
- frequent hot flashes and/or night sweats
- unexplained vaginal bleeding
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44. When a client with a major burn experiences body image disturbance, which of the following is an appropriate nursing intervention classification?
- grief work facilitation
- vital signs monitoring
- medication administration: skin
- anxiety reduction
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45. Diagnostic genetic counseling, for procedures such as amniocentesis and chorionic villus sampling, allows clients to make all of the following choices except
- terminating the pregnancy
- preparing for the birth of a child with special needs
- accessing support services before the birth
- completing the grieving process before the birth
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46. Which of the following nursing actions is most effective when evaluating a kinetic family drawing?
- telling the child to draw their family doing something
- offering specific suggestions of what to include in the drawing
- discouraging the child from talking about the drawing
- noting the omission of any family members
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47. A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six months. The nurse should assess the woman for other symptoms of:
- climacteric
- menopause
- perimenopause
- postmenopause
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48. When teaching parents how their children learn sex role identification, the nurse should include which of the following statements?
- Sex role identification begins in infancy.
- Sex role identification begins in the preschool years.
- Sex role identification begins during the school-age years.
- Sex role identification begins during early adolescence.
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49. As part of a routine health screening, the nurse notes the play of a 2-year-old child. Which of the following is an example of age-appropriate play at this age?
- builds towers with several blocks
- tries to color within the lines
- says "Mine!" when playing with toys
- tries to jump rope
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50. Which of the following statements is correct about Maslow's hierarchy of needs?
- Four of the levels may require physical intervention, while two of the levels may require psychosocial intervention.
- There are psychosocial interventions that may be applicable to all of the levels.
- There are physical interventions that may be applicable to all of the levels.
- Two of the levels may require physical intervention while four of the levels may require psychosocial intervention.
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