Practice Tests: NCLEX-PN Practice Exam #2 - 50 questions
All 50 questions are randomized each time you take the test, and do not appear in the same order here.
1. Which of the following home-care strategies is most likely to negatively impact the body image of a client with Cushing's syndrome?
- providing safety measures to prevent falls
- taking medications as prescribed
- wearing a medical ID indicating Cushing's syndrome
- having regular health assessments
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2. Which of the following substances need to be assessed when completing a family health assessment?
- coffee, tea, cola, and cocoa
- alcohol, tobacco, and illegal substances
- medicines prescribed by a physician
- all of the above
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3. Which of the following vaccines are not part of the regular schedule of immunizations for children?
- DTaP
- MMR
- Hib
- hepatitis A
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4. A client asks the nurse what risk factors increase the chances of getting skin cancer. The risk factors include all except.
- light or fair complexion.
- exposure to sun for great periods of time.
- certain diet and foods.
- history of bad sunburns.
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5. During the health screening of an adolescent, which finding by the nurse requires further teaching?
- The client started her first menses 2 years ago.
- The client states she is currently on birth control pills.
- The client states she recently lost 5 pounds.
- The client states she is experiencing growing pains.
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6. All of the following are clinical manifestations indicating male climacteric except.
- hot flashes
- loss of reproductive ability
- headaches
- heart palpitations
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7. Which of the following vaccines is a live virus?
- varicella
- IPV
- DTaP
- hepatitis B
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8. A nurse is trying to motivate a client toward more effective management of a therapeutic regimen. Which of the following actions by the nurse is most likely to be effective in increasing the client's motivation?
- determining whether the client has any family or friends living nearby
- developing a lengthy discharge plan and reviewing it carefully with the client
- teaching the client about the disorder at the client's level of understanding
- making a referral to an area agency for client follow up
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9. A paraplegic client is in the hospital to be treated for an electrolyte imbalance. Which level of care is the client currently receiving?
- primary prevention
- secondary prevention
- tertiary prevention
- health promotion
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10. An example of an extended care facility is a:
- home health agency
- suicide prevention center
- state-owned psychiatric hospital
- nursing facility
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11. When a client who is 25 years of age asks the nurse when she should seek fertility counseling, the best response by the nurse is.
- "Fertility counseling should be sought when you have been unable to conceive after 1 year of unprotected intercourse."
- "Fertility couseling should be sought when you have not been able to conceive after 6-9 months of unprotected intercourse."
- "The average time it takes someone your age to conceive is 51/2 months, so if you haven't conceived by then, we can refer you."
- "We can give you some guidance now on how to increase your chances of conceiving and then refer you if it doesn't happen within a year."
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12. The LPN is caring for a patient newly diagnosed with HIV. Which statement made by the patient regarding antiretroviral therapy (ART) would require correction from the nurse?
- "I will need to be on ART indefinitely."
- B. "I know I will need to come back for blood draws so that I can begin ART when my CD4 count is over 1,000 cells/mm3."
- "I can still use ART even though I am Hepatitis C positive."
- "If I start ART and use condoms, I'm less likely to transmit HIV to my partner."
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13. Which of the following infant behaviors demonstrates the concept of object permanence?
- The infant cries when his mother leaves the room.
- The infant looks at the floor to find a toy that he was playing with and dropped.
- The infant picks up another toy after the one he was playing with rolls under the couch.
- The infant participates in a game of patty-cake.
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14. Which of the following is one of the main goals for Healthy People?
- reduction of health care costs
- elimination of health disparities
- investigation of substance abuse
- determination of an acceptable morbidity rate
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15. 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?
- slow speech development
- overreaction to stimuli from the surroundings
- inability to carry on a conversation
- concrete thinking
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16. A mother has come to the pediatric clinic concerned about the recent outbreak of West Nile Virus. The ages of her children are 5, 7, and 10. The mother has asked the nurse what she can do to prevent her children from contracting this illness. Which piece of information is best to provide the mother with?
- The children should wear long sleeves and long pants while outside.
- Apply insect repellant containing DEET when the children are outside.
- Remove standing water from the property.
- All of the above.
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17. The LPN is teaching a first-time mother about breastfeeding her infant, who was born that day. Which statement, if made by the mother, would reflect that the teaching had been successful?
- "My baby should be nursing 8-12 times a day during this period."
- "My baby should be having at least 4-6 wet diapers a day until 1 month."
- "It's nice that breastfed babies eat a bit less than formula fed babies."
- "I'm a little nervous about my milk coming in tomorrow. I've heard it's uncomfortable."
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18. The teaching plan for gay or lesbian parents who want to disclose their homosexuality to their children should include all of the following instructions except:
- disclose the information before the child knows or suspects
- be comfortable with your sexual preference first
- have the discussion in a quiet place where interruptions are unlikely
- explain how your relationship with the child changes because of the discussion
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19. When a client describes their family as having multiple wives, all of whom are sisters, married to one man, the nurse documents the family structure as?
- polyandry
- sororal
- nonsororal
- sororate
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20. An appraisal of self-care practices involves an assessment of:
- all diagnostic tests
- home treatment practices, including nurse visits for the sick or disabled
- the family's capability to get health insurance
- caregiving needs and the potential for strain
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21. Which cranial nerves assesses the gag reflex test?
- IX and X
- V and VII
- IX and XII
- V and X
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22. When an elder client asks the nurse whether he will be capable of sexual activity in old age, the best response by the nurse is.
- "Elder adults are psychologically and physically capable of engaging in sexual activity regardless of age-related changes."
- "If you haven't been sexually active throughout your life, you will not be able to participate in sexual activity in old age."
- "When intercourse isn't possible, many of your sexual needs can be met through intimacy and touch."
- "You might find it takes longer for you to achieve an erection, but you can maintain it for a longer time."
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23. A mother brings her 1-year-old child to the clinic. The child has no record of previous immunizations, and the mother confirms the child has not been immunized. Which of the following should include teaching by the nurse?
- Immunizations may be started at any age.
- The recommended immunization schedule must be followed exactly.
- If a primary series of immunizations is interrupted, the series must be restarted.
- This child is at increased risk for reaction to the vaccines, when they are started.
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24. If a client has chronic renal failure, which of the following sexual complications is the client at risk of developing?
- retrograde ejaculation
- decreased plasma testosterone
- hypertrophy of testicles
- state of euphoria
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25. When a client wishes to improve her appearance by removing excess skin from her face and neck, the nurse should provide teaching regarding which of the following procedures?
- dermabrasion
- rhinoplasty
- blepharoplasty
- rhytidectomy
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26. The LPN is teaching a 28-year-old patient about HPV. Which statement, if made by the patient, would warrant the need for further teaching?
- "I'm just so confused how I got it; my boyfriend never had any symptoms!"
- "It's a bummer that I'm too old for the vaccine."
- "It's great that HPV usually just goes away on its own."
- "I feel a bit better about having HPV now that I know that almost all sexually active people have it at some point."
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27. The LPN needs to determine the patient's respiratory rate. What is the best technique to do this?
- Count respirations while pretending to check the patient's pulse.
- Subtly watch the patient from across the room when they are doing an activity.
- Ask the patient to sit still for 30 seconds.
- Tell the patient you need to count their respiratory rate.
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28. After 12 months of cessation of menses, which of the following assessment findings in a client who is taking hormone replacement therapy should the nurse report to the physician immediately?
- breast tenderness
- weight gain
- fluid retention
- uterine bleeding
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29. On which of the following aspects of the assessment should a nurse who is assessing the health-related physical fitness of a client as part of a health assessment be focused?
- agility
- speed
- body composition
- risk factors
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30. When caring for pediatric patients, the nurse should pay special attention to the psychosocial development stages credited to:
- Erik Erikson
- Robert Peck
- Jean Piaget
- Sigmund Freud
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31. A pregnant patient asks how she can prevent getting Group B Strep. What is the LPN's best response?
- "You cannot prevent getting Group B Strep, you can only treat it."
- "The Group B Strep vaccine is the only proven way to prevent the disease."
- "You should be extra vigilant about hand-washing, especially in the third trimester."
- "You should have your partner wear a condom every time you have intercourse."
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32. The LPN is caring for a 9 month-old infant. Which of these behaviors exhibited by the child warrants further investigation?
- She prefers crawling and is making no attempt to walk.
- She seems distressed with new adults.
- She only babbles "mama" and "dada."
- She does not respond to her own name.
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33. A client and his family facing the end stage of a terminal illness might be best served by.
- a rehabilitation center
- an extended care facility
- Hospice
- a crisis intervention center
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34. The LPN is performing an assessment on a 4-day-old 8-pound, 6-ounce newborn with a head circumference of 33 cm. Given this information, what would the nurse expect the child's chest circumference to be?
- about 29 cm
- about 36 cm
- about 33 cm
- about 31 cm
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35. An LPN is taking care of an elderly patient who experiences the effects of Sundowner's Syndrome almost every evening. Which of these interventions implemented by the nurse would be the most helpful?
- Administer the PRN sedative prescribed by the attending physician.
- Remind the patient the things and people they are seeing are not real and that they are safe.
- Turn on the TV or radio to a station the patient enjoys.
- Place a nightlight in the patient's room.
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36. When a woman is receiving postpartum epidural morphine, the nurse should plan to observe for which of the following side effects to occur within the first 3 hours?
- nausea and vomiting
- itching
- urinary retention
- somnolence
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37. If Ms. Bond's distance vision is 20/30, which of the following statements is true?
- The client can read from 20' what a person with normal vision can read at 30'.
- The client can read from 30' what a person with normal vision can read at 20'.
- The client can read the entire chart from 30'.
- The client can read the chart from 20' with the left eye and from 30' with the right eye.
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38. 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?
- "Your child is egocentric. Egocentricity is normal for 2-year-old children. He believes other childrenwant himto have their toys."
- "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 toplay withtheir toys."
- "Your child is engaging in domestic imitation. He is doing what he has seen other children do."
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39. The teaching plan for a postpartum client who is about to be discharged should include which of the following instructions?
- "It is normal for your breasts to be tender. You should call the physician if you also have redness and fatigue."
- "Because your baby was delivered vaginally, you might have to urinate more frequently."
- "It is normal to run a low-grade temperature for a few days. If it is higher than 100° F, call your physician."
- "Be sure to call your physician if your vaginal discharge becomes bright red."
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40. When a couple experiencing infertility presents for a fertility workup, which of the following procedures should the nurse prepare the couple to have first?
- hysterosalpingography
- semen analysis
- endometrial biopsy
- transvaginal ultrasound
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41. During a routine health screening, the nurse should talk to the parents of a 1-year-old child about which of the following?
- the potential hazards of accidents
- appropriate nutrition now that the child has been weaned from breast-feeding
- toilet training
- how to purchase appropriate shoes now that the child is walking
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42. Mr. Lee comes to the clinic with thick green drainage around his eyelids. The nurse examiner takes his history and performs a physical examination, beginning with an eye history. General information the nurse should seek is:
- type of employment
- burning or itchy sensation in the eyes
- position of the eyelids
- existence of floaters
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43. When teaching a woman about possible side effects of hormone replacement therapy, the nurse should include information about all of the following except:
- Hypoglycemia in diabetic women.
- The possible return of monthly menses when taking combination hormones.
- Increased risk of gallbladder disease.
- Increased risk of breast, cervical, and ovarian cancer with long-term use.
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44. Which of the following developmental milestones for a 6-month-old child should be screened by the nurse during a routine office visit?
- standing while holding something
- rolling over
- sitting up
- creeping
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45. You are caring for a 78-year-old woman who is wondering why she was diagnosed with glaucoma. Although she has several risk factors, which of these is not one of them?
- Mexican-American heritage
- blood pressure reading of 143/89
- age
- 20/80 vision
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46. The home health nurse has made a visit to an 85-year-old female client's home who has recently had surgery to replace her left knee. The client has been discharged from a rehab facility and has been able to walk on her own. The nurse assesses the need for teaching related to fall prevention. What should the nurse include in this teaching plan?
- The client should remove all scatter rugs from the floor and minimize clutter.
- The client should not get up and move around the house.
- The client does not need to install a raised toilet and grab bar because she is able to walk on her own.
- The client should wear a robe and socks while walking in the house.
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47. To improve overall health, the nurse should place highest priority on assisting a client to make lifestyle changes for which of the following habits?
- drinking a six-pack of beer each day
- eating an occasional chocolate bar
- exercising twice a week
- using relaxation exercises to deal with stress
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48. When a middle-age woman says to the nurse, "I'm really worried about menopause. When my mom went through it, she got really depressed." The nurse's best response is.
- "It is a myth that women get depressed because of menopause."
- "Menopause is a normal developmental process."
- "It sounds like you are worried that you might become depressed during menopause."
- "When women experience depression during menopause it is usually because of social stresses."
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49. Who should receive the hepatitis A vaccine?
- children who are 18 months of age
- infants, who should receive the vaccination at birth
- people who travel to other countries
- individuals who might come into contact with blood
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50. A laboring patient is experiencing late decelerations. Which position should she be placed in?
- lithotomy
- semi-Fowler's
- left lateral
- right lateral
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