Practice Tests: NCLEX-PN Practice Exam #3 - 50 questions

All 50 questions are randomized each time you take the test, and do not appear in the same order here.

1. What percentage of term newborns has a congenital heart disease due to environmental risk factors such as maternal alcoholism or drug ingestion?

• 2% to 4%
• 10% to 20%
• 5% to 10%
• 7% to 9%

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2. A positive over-the-counter pregnancy test is considered a:

• possible sign of pregnancy
• presumptive sign of pregnancy
• probable sign of pregnancy
• positive sign of pregnancy

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3. A nurse is caring for a retired MD. The MD asks the question, "What type of cells secrete insulin?" The correct answer is:

• alpha cells
• beta cells
• CD4 cells
• helper cells

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4. Avulsed teeth should be placed in.

• normal saline
• cold water
• milk
• warm water

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5. A patient has been diagnosed with diabetes mellitus. Which of the following is not a clinical sign of diabetes mellitus?

• Polyphagia
• Polyuria
• Metabolic acidosis
• Lower extremity edema

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6. Which type of cancer has the poorest prognosis?

• Squamous cell carcinoma
• Breast cancer
• Pancreatic cancer
• Gastric cancer

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7. The embryonic period during pregnancy takes place from:

• weeks 1 to 12
• weeks 1 to 10
• weeks 3 to 5
• weeks 6 to 10

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8. Your patient has just returned from the diagnostic imaging department and the doctor has told the patient that they have a Mallory-Weiss tear. The patient asks you what a Mallory-Weiss tear is. How should you respond to this patient?

• "A Mallory-Weiss tear is a kind of diverticulitis."
• "A Mallory-Weiss tear is an esophageal tear"
• "A Mallory-Weiss tear is a lacrimal gland disorder."
• "A Mallory-Weiss tear is a tear that results from a peptic ulcer."

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9. Low birth weight is defined as a newborn's weight of:

• 2500 grams or less at birth,regardless of gestational age
• 1500 grams or less at birth,regardless of gestational age
• 2500 grams or less at birth,according to gestational age
• 1500 grams or less at birth,according to gestational age

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10. A nurse is screening patients for immunizations. Which of following is not a contraindication for immunization?

• Seizures
• Fever > 3 days
• Malignancy > 3 months
• Illness > 6 months

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11. Which nursing diagnosis is the most commonly used among patients who are affected with fibromyalgia?

• Decreased self-care in the activities of daily living related to fatigue.
• Impaired mental functioning related to electrolyte imbalances.
• Increased vigilance secondary to electrolyte imbalances.
• At risk for a swallowing disorder related to fibromyalgia.

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12. Ill health, malnutrition, and wasting as a result of chronic disease are all associated with:

• Surgical asepsis
• Catabolism
• Cachexia
• Venous stasis

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13. The nurse is caring for a patient who has dysphagia related to a stroke. The nurse works with the patient to explain what food and beverages might minimize aspiration. What is this an example of?

• primary prevention
• tertiary prevention
• health promotion
• secondary prevention

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14. Which electrolyte is essential for enzyme and neurochemical activities?

• Chloride
• Magnesium
• Potassium
• Phosphate

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15. Alcohol, caffeine, or drugs are high risk factors that all fall under which broad classification of risk factors?

• Social demographic
• Environmental
• Biophysical
• Psychosocial

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16. Which nursing theorist believes that most patients are capable of performing self-care?

• Dorothea Orem
• Madeleine Leininger
• Martha Rogers
• Sister Callista Roy

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17. A nurse is setting up a vision-screening program for a new school. At what age will vision be 20/20 in children?

• 4-year-old
• 5-year-old
• 6-year-old
• 7-year-old

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18. You have been asked to speak at a new nursing assistants' orientation class about infection control and handwashing techniques. What would you include in this teaching?

• Demonstrate the correct 1-minute handwashing procedure using soap and running water.
• Demonstrate the correct 2-minute handwashing procedure using soap and running water.
• Using hot water so that the natural fats on the skins are emulsified with the soap.
• Using cold water so that the natural fats on the skins are emulsified with the soap.

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19. During which week does the fetal heart begin pumping its own blood?

• 3rd week
• 5th week
• 9th week
• 6th week

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20. The nurse is caring for a female patient who has recently been diagnosed with cancer and will soon begin chemotherapy. Which of these statements would require additional follow-up and education?

• I will be most susceptible to an infection between 7 and 12 days after chemotherapy.
• I should try to get my annual teeth cleaning in before beginning chemotherapy.
• I should wait until all my hair falls out to purchase a wig.
• I should try to drink 8-10 glasses of water a day.

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21. 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?

• ATNR reflex
• Startle reflex
• Grasping reflex
• Moro reflex

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22. When choosing a needle gauge for an intramuscular injection in a 12-year-old boy. Which of the following gauges would you choose?

• 27 gauge
• 25 gauge
• 22 gauge
• 20 gauge

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23. How many bones make up a newborn's skull?

• 8
• 4
• 6
• 5

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24. Which of these is not one of the items in the APGAR Score?

• skin color
• muscle tone
• respiratory rate
• reflex irritability

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25. Around what age do children start to develop "stranger anxiety"?

• 3 months
• 9 months
• 6 months
• 12 months

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26. Multifetal pregnancies with triplets occur at a rate of 1 in 8,100 births, but twins occur much more frequently with a rate of.

• 1 in 85 births
• 1 in 5400 births
• 1 in 2700 births
• 1 in 540 births

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27. A nurse is implementing a community awareness campaign about accidental poisoning. Which of the following should she teach in the class?

• The child should be given milk.
• The child should be given syrup of Ipecac
• The poison control center should be contacted
• The child should be taken to the ER

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28. After your patient has been told that they have Cushing's syndrome, the patient asks you what Cushing's syndrome is. How would you respond to this patient's question?

• "Cushing's syndrome is a type of irritable bowel syndrome."
• "Cushing's syndrome is a disorder of the adrenal gland."
• "Cushing's syndrome often occurs among patients who are getting radiation therapy."
• "Cushing's syndrome often occurs among patients who are chemotherapy."

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29. A patient has fallen off a bicycle and fractured the head of the proximal fibula. A cast was placed on the patient's lower extremity. Which of the following is the most probable result of the fall?

• Peroneal nerve injury
• Tibial nerve injury
• Sciatic nerve injury
• Femoral nerve injury

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30. Which statement about Meniere's disease is accurate and true?

• Meniere's disease most commonly occurs among members of the elderly population.
• Meniere's disease is insidious and it always affects both ears.
• Meniere's disease occurs with an impairment of the second cranial nerve.
• Antiemetic drugs are used for the treatment of patients affected with Meniere's disease.

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31. When giving an intramuscular injection to an infant. Which of the following sites is preferred?

• Ventrogluteal region
• Deltoid
• Vastus lateralis
• Dorsogluteal region

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32. Which of the following is the World Health Organization's (WHO) definition of health?

• The absence of all illness and disease
• The absence of any comorbidities
• A holistic state of wellbeing
• A use of health promotion activities

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33. Select the member of the healthcare team that is paired with one of the main functions of this team member.

• Occupational therapist: Gait exercises
• Physical therapist: The provision of assistive devices to facilitate the activities of daily living
• Speech and language therapist: The treatment of swallowing disorders
• Case manager: Ordering medications and treatments

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34. You are caring for a neonate who has a cleft palate. You should inform the mother that surgical correction will be done when the infant is.

• 8 to 12 months of age
• 20 to 24 months of age
• 16 to 20 months of age
• 12 to 16 months of age

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35. The nurse is caring for a 4-year-old patient. What is the most appropriate pain scale for the nurse to use during the assessment?

• CRIES Pain Scale
• FLACC Pain Scale
• McGill Pain Scale
• Wong-Baker Pain Scale

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36. Which disease decreases the metabolic rate?

• Cancer
• Hypothyroidism
• Chronic obstructive pulmonary disease
• Cardiac failure

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37. How many minims are contained in 1 milliliter?

• Between 10-11
• 12
• 20
• Between 15 or 16

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38. When a woman has miscarried in three or more consecutive pregnancies, it is referred to a type of spontaneous abortion.

• Inevitable
• Missed
• Habitual

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39. A cesarean mode of delivery, often utilized for various reasons, is the most common mode for females with pelvic type:

• android
• anthropoid
• gynecoid
• platypelloid

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40. A mother that has never breast-feed a child before is having trouble getting the baby to latch on to the breast. The baby has lost 3% of its' birth weight within the first 2 days of life. The best statement is:

• the baby will eventually take to the breast
• I can fix up a bottle if you want to try that
• a small amount of weight loss in the first few days is normal
• I can get the charge nurse to come and talk to you about breast-feeding

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41. The nurse is assessing an 18-month-old. Which of these statements made by the parent or caregiver would require follow-up?

• I'm worried that my child is not using two-word phrases yet.
• I’m letting my child use a spoon to eat.
• My child has recently taken a few steps but does not seem stable when standing.
• My child seems to have developed separation anxiety when I leave.

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42. The nurse is caring for an elderly patient and providing education. Which of the following would be least appropriate?

• The nurse breaks up the education into multiple shorter sessions.
• The nurse provides supplemental written resources.
• The nurse allows additional time after each instruction to allow the patient to process.
• The nurse speaks in a loud voice.

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43. The nurse is assessing the newborn's respirations. Which of these findings would indicate a need for follow-up and further intervention?

• irregular respirations
• shallow respirations
• 70 breaths per minute
• abdominal respirations

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44. Periwound maceration occurs when:

• The skin around the wound softens and is damaged.
• Selecting a dressing individualized to the type of wound.
• Negative-pressure to "air out" the wound is used.
• The skin around the wound dries out and hardens.

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45. Which of the following is not considered one of the main mechanisms of Type II Diabetes treatment?

• Medications
• Nutrition
• Increased activity
• Continuous Insulin

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46. Which patient is at greatest risk for cholelithiasis and choledocholithiasis?

• A 70 year old male patient who has liver disease.
• A 70 year old female patient who has liver disease.
• A 50 year old male patient who is Asian.
• A 50 year old female patient who is Asian.

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47. Rh negative maternal blood indicates:

• an incompatibility in the blood between the mother and fetus
• that antibodies in the mother's blood are attacking her baby's blood
• the mother will require a blood transfusion at the time of delivery
• the mother does not have a specific marker on her red blood cells

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48. What is the ultimate purpose and goal of performance improvement activities?

• To increase efficiency.
• To contain costs.
• To improve processes.
• To improve policies.

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49. Which of the following motions is identified with the corresponding action? (Action - Turning palm of hand over to face in the anterior direction, dorsum of the hand is pointed downward toward the floor.)

• Pronation
• Supination
• Abduction
• Adduction

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50. What element is minimally assessed during a basic prenatal physical examination?

• Palpation and auscultation of the abdomen.
• Examination of the anus and rectum.
• Urinalysis for glucose, protein and ketones.
• Visual assessment of cervix and vagina.

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NCLEX-PN Practice Exam #3 - 50 questions

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