Practice Tests: NCLEX-PN Practice Exam #4 - 50 questions

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

1. Your pediatric weighs 15.8 kg. How many pounds does this child weigh?

• 36 pounds
• 33.6 pounds
• 35 pounds
• 34.8 pounds

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2. Which statement about glaucoma is true and accurate?

• Acute angle-closure glaucoma is an ocular emergency.
• Acute angle-closure glaucoma leads to the loss of peripheral vision and tunnel vision.
• Primary open-angle glaucoma leads to eye pain, nausea and vomiting, blurry vision and halos.
• Bubbles are implanted to protect the retina from the glaucoma.

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3. Which of the following differentiates ulcerative colitis from Crohn's disease?

• Crohn's disease primarily affects the left colon and rectum and ulcerative colitis most often affects the right colon and distal ileum.
• Crohn's disease presents with shallow ulcerations and ulcerative colitis presents with a cobblestone appearance of the mucosal lining.
• The extent of involvement is noncontiguous and segmented with Crohn's disease and it is contiguous and diffuse with ulcerative colitis.
• Crohn's disease has primarily mucosal involvement and it is transmural with ulcerative colitis.

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4. Select the criteria that is accurately paired with its indication of birth weight or gestational age.

• Low birth weight: The neonate's weight is less than 1,500 g at the time of delivery.
• Appropriate for gestational age: The neonate's weight ranges from the 10th to the 90th percentile.
• Large for gestational age: The neonate's weight is above the 99th percentile.
• Small for gestational age: The neonate's weight is below the 20th percentile.

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5. A client has been taking alprazolam (Xanax) for four years to manage anxiety. The client reports taking 0.5 mg four times a day. Which statement indicates that the client understands the nurse's teaching about discontinuing the medication?

• "I can drink alcohol now that I am decreasing my Xanax."
• "I should not take another Xanax pill. Here is what is left of my last prescription."
• "I should take three pills per day next week, then two pills for one week, then one pill for one week."
• "I can expect to be sleepy for several days after stopping the medicine."

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6. The stages of infection in correct sequential order are.

• the prodromal, incubation, illness and convalescence stages
• the incubation, prodromal, illness and convalescence stages
• the prodromal, primary, secondary and tertiary stages
• the inflammation, infection and immunity stages

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7. A primary belief of psychiatric mental health nursing is:

• most people have the potential to change and grow
• every person is worthy of dignity and respect
• human needs are individual to each person
• some behaviors have no meaning and cannot be understood

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8. A batterer is usually someone who:

• grew up in a loving, secure home
• was an only child
• was physically or psychologically abused
• admits he has a problem with anger

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9. Diabetes insipidus is the result of:

• a diet high in sugar and carbohydrates
• a complicated pregnancy
• a disorder of the pancreas
• a disorder of the pituitary gland

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

• "You feel inadequate because you have never learned to balance a checkbook."
• "You should have insisted your husband teach you about the finances."
• "You are strong and will learn how to manage your finances after a while."
• "Why don't you take a class in basic finance from the local college?"

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11. Which of the following foods enhances the absorption of an iron supplement?

• Orange juice
• Green beans
• Fortified Milk
• Baked potato

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12. Which type of practice is most similar to research based practice?

• Best practices
• Evidence based practice
• Benchmark practices
• Standard based practice

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13. What does the mnemonic device ABODE stand for?

• allergy, bleeding, chemicals, dietary, environment
• allergy, bleeding, cardio, diabetes, endocrine
• allergy, bleeding, cardio, digestive, endocrine
• allergy, bleeding, cortisone, diabetes, emboli

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14. How many daily feedings are considered normal for a newborn?

• 8 to 10
• 10 to 12
• 6 to 8
• 12 to 14

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15. The mnemonic "PERLA" is useful for the assessment of the eyes. What does PERLA stand for?

• Pupils equally reactive to light and accommodation
• Patient eyes are equally recessed and responsive to light and acuity
• Patient eyes are equally responsive to light and acuity
• Pupils equally reactive to light and acuity

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16. You are performing a neurological assessment of your adolescent patient. The patient has the Moro reflex. How should you interpret this neurological assessment finding?

• It is normal among adolescents.
• It indicates that the patient has an intact peripheral nervous system.
• It indicates that the patient has an intact central nervous system.
• It is not a normal finding.

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17. A health care worker is concerned about a new mother being overwhelmed by caring for her infant. The health care worker should:

• immediately contact child protective services
• provide the mother with literature about child care
• consult a therapist to help the mother work out her fears
• refer the mother to parenting classes

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18. Which of the following is considered normal for the neonate?

• Chest Circumference: 10 to 13 inches
• Length: 16 to 22 inches
• Weight: 1,500 to 4,000 g
• Head Circumference: 12.6 to 14.5 inches

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19. The kind of man who beats a woman is:

• from a minority culture in a low-income group.
• from a majority culture in a middle-income group.
• one who was never allowed to compete as a child.
• from any walk of life, race, income group, or profession.

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20. Which quality assurance or performance improvement technique is used to identify underlying process flaws?

• Small group process
• Root cause analysis
• People at fault process
• Cause and effect

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21. How many calories per kilogram does an average full term infant require when the infants is around 1-2 months old?

• 140 calories per kilogram per day
• 120 calories per kilogram per day
• 100 calories per kilogram per day
• 160 calories per kilogram per day

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22. 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:

• wearing clothing that is too small for the child
• the child being shaken
• falling while learning to walk
• parents trying to awaken the child

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23. Which statement about appendicitis is accurate and true?

• Appendicitis is more common among females than males.
• A high fiber diet is a risk factor associated with appendicitis.
• Left lower quadrant pain is suggestive of appendicitis.
• Me Burney's point tenderness is suggestive of appendicitis.

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24. Most water leaves the body by way of the:

• lungs
• intestines
• skin
• kidneys

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25. Babies should double their birth weight by the:

• 5th to 6th month
• 3rd to 4th month
• 4th to 5th month
• 5th to 7th month

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26. A nurse is planning a brief treatment program for a client who was raped. A realistic, short-term goal is to:

• identify all psychosocial problems
• eliminate the client's enticing behaviors
• resolve feelings of trauma and fear
• verbalize feeling about the event

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27. Which of the following assessment tools is used to determine the patients' level of consciousness?

• the Snellen Scale
• the Norton Scale
• the Morse Scale
• the Glasgow Scale

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28. A 12-year-old male is brought to his primary care provider to determine whether sexual abuse has occurred. The mother states, "Because there is no permanent physical damage, he does not need any more treatment." The nurse's response should be based on which of the following pieces of information?

• Male victims of sexual abuse seldom have long-term psychological problems.
• Survivors of male sexual abuse might become confused about their sexual identity.
• Unless treated, all male sex abuse survivors grow up to abuse other children.
• All children who have been sexually abused have the same needs, regardless of gender.

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29. The nurse wishes to decrease a client's use of denial and increase the client's expression of feelings. To do this the nurse should:

• tell the client to stop using the defense mechanism of denial
• positively reinforce each expression of feelings
• instruct the client to express feelings
• challenge the client each time denial is used

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30. How long can women lactate for?

• Indefinitely
• 12 to 18 months
• 18 to 24 months
• 30 to 36 months

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31. A nurse observes a client sitting alone and talking. When asked, the client reports that he is "talking to the voices. The nurse's next action should be:

• touching the client to help him return to reality
• leaving the client alone until reality returns
• asking the client to describe what is happening
• telling the client there are no voices

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32. Which pain assessment scale is used exclusively for infants and neonates from 32 weeks of gestation to six months of age?

• The PEPPS pain scale
• The FLACC pain scale
• The Faces pain scale
• The CRIES pain scale

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33. In what vitamin or mineral is a patient who has a history of alcohol abuse most likely to be deficient?

• Niacin (Vitamin B3)
• Riboflavin (Vitamin B2)
• Thiamine (Vitamin B1)
• Iron

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34. Which of the following is a hazard of immobility?

• Loss of bone calcium.
• Increased vital capacity.
• Venous vasoconstriction.
• A positive nitrogen balance.

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35. A woman asks, "How much alcohol can I safely drink while pregnant?" The nurse's best response is:

• "The amount of alcohol that is safe during pregnancy is unknown."
• "Consuming one or two beers or glasses of wine a day is considered safe for a healthy pregnant woman."
• "Drinking three or more drinks on any given occasion is the only harmful type of drinking during pregnancy."
• "You can have a drink to help you relax and get to sleep at night."

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36. You have been assigned to care for a neonate who has been diagnosed with the Tetralogy of Fallot. The mother asks you what the Tetralogy of Fallot is. How should you respond to this mother?

• "The Tetralogy of Fallotis a congenital gastrointestinal disorder"
• "The Tetralogy of Fallotis a congenital cardiac disorder"
• "The Tetralogy of Fallotwill affect the baby's reflexes"
• "The Tetralogy of Fallotwill affect the baby's ability to breastfeed"

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37. John returns home from school angry and upset because his teacher gave him a low grade on an assignment. After returning home from school, he kicks the dog. This coping mechanism is known as:

• denial
• suppression
• displacement
• fantasy

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38. The hormone produces mother's milk is:

• Progesterone
• Estrogen
• Prolactin
• Colostrum

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39. How many temporary teeth should the nurse expect to find in a 5-year-old client's mouth?

• up to 10
• up to 15
• up to 20
• up to 32

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40. Which cardiac arrhythmia can be either acquired or congenital and can spontaneously disappear on its own or lead to ventricular fibrillation?

• Wenckebach
• Premature arterial contractions
• Torsades de pointes
• Premature ventricular contractions

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

• help relate anxiety to specific behaviors
• ask the client to describe events that precede increased anxiety
• instruct the client to practice relaxation techniques
• confront the client's resistive behavior

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42. 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?

• knowledge that elder abuse is rare
• personal belief that abuse is deserved
• lack of developmentally appropriate screening tools
• fear of reprisal or further violence if the incident is reported

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43. The normal sodium level in the body is:

• 135 to 145 milliequivalents
• 3 to 5 milliequivalents
• 135 to 145 microequivalents
• 3 to 5 microequivalents

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44. What is the expected date of delivery for the woman who has had their last menstrual period on April 20th?

• January 20th
• January 27th
• January 29th
• January 31st

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45. Which anatomic malformations are associated with the Tetralogy of Fallot?

• A sub-aortic septal defect, an overriding aorta, left ventricular hypertrophy, and right ventricularoutflow.
• A sub-aortic septal defect, an overriding aorta, right ventricular hypertrophy, and left ventricularoutflow.
• A sub-aortic septal defect, an overriding aorta, pulmonary atresia, and right ventricular outflow.
• A sub-aortic septal defect, an overriding aorta, right ventricular hypertrophy, and right ventricular outflow.

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46. Which atrioventricular heart block is also referred to as Mobitz II?

• Third-degree atrioventricular heart block.
• Second-degree atrioventricular heart block.
• First-degree atrioventricular heart block.
• Complete heart block.

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47. Which patient is most at risk for Osgood-Schlatter disease?

• An elderly female who is hospitalized with a hip fracture and on bed rest
• A middle aged male patient who has been exposed to asbestos in the shipping industry
• An adolescent who is physically active and the captain of their soccer team
• An infant of low birth weight and a gestational age of 28 weeks

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48. A nurse observes a client sitting alone and talking. When asked, the client reports that he is "talking to the voices." The nurse's next action should be:

• touching the client to help him return to reality
• leaving the client alone until reality returns
• asking the client to describe what is happening
• telling the client there are no voices

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49. 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:

• the client's body has developed tolerance, requiring more drug to produce the same effect.
• the client is preoccupied with getting the drug and is experiencing loss of control, indicating drug dependence.
• addiction is the term used to describe physical dependence with withdrawal symptoms and tolerance.
• the client has a dual diagnosis of substance abuse and chronic back pain.

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50. Which of these breath sounds is considered normal and not adventitious?

• Vesicular breath sounds
• Fine rales
• Rhonchi
• Wheezes

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NCLEX-PN Practice Exam #4 - 50 questions

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