Practice Tests: NCLEX-PN Practice Exam #14 - 50 questions
All 50 questions are randomized each time you take the test, and do not appear in the same order here.
1. Which is the proper hand position for performing chest vibration?
- cup the hands
- use the side of the hands
- flatten the hands
- spread the fingers of both hands
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2. Which of these is not a symptom of Serotonin Syndrome?
- fever
- tremors
- edema
- confusion
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3. When the nurse is determining the appropriate size of an oropharyngeal airway to insert, what part of a client's body should she measure?
- corner of the mouth to the tragus of the ear
- corner of the eye to the top of the ear
- tip of the chin to the sternum
- tip of the nose to the earlobe
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4. A young boy is recently diagnosed with a seizure disorder. Which of the following statements by the boy's mother indicates a need for further teaching by the nurse?
- "I should make sure he gets plenty of rest."
- "I should get him a medic alert bracelet."
- "I should lay him on his back during a seizure."
- "I should loosen his clothing during a seizure."
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5. The PN participates in a home visit for a patient with Type 2 Diabetes who has been taking Metformin for 3 years. The patient states that for the past 3 months, they have been trying a vegan diet and experiencing fatigue, confusion, and mood changes. What is a likely cause of the new symptoms?
- vitamin B12 deficiency
- vitamin D deficiency
- chronic hypoglycemia
- increased tolerance to Metformin
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6. The PN is preparing a patient for discharge and the discharge medications include phenobarbital. Which of these patient statements would indicate a need for reinforced teaching about this medication?
- "It's best to take this medication with food."
- "I can't wait to get back to my nightly glass of wine."
- "I should try to take this medication at the same time every day."
- "I will need to avoid eating excessive leafy greens."
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7. Which of the following isoenzymes is elevated in a client who has had a myocardial infarction?
- CPK-BB
- CPK-MM
- CPK-MB
- CPK-MI
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8. Which of the following foods might a client with a hypercholesterolemia need to decrease his or her intake of?
- broiled catfish
- hamburgers
- wheat bread
- fresh apples
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9. Which of these medications has the least risk of causing tinnitus?
- Aspirin
- Gentamicin
- Fluoxetine
- Lasix
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10. An elevation in which of the following enzymes is indicative of pancreatitis?
- alkaline phosphatase
- acid phosphatase
- creatine phosphokinase
- amylase
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11. All of the following should be performed when fetal heart monitoring indicates fetal distress except:
- increase maternal fluids
- administer oxygen
- decrease maternal fluids
- turn the mother
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12. Which of the following indicates a hazard for a client on oxygen therapy?
- A No Smoking sign is on the door.
- The client is wearing a synthetic gown.
- Electrical equipment is grounded.
- Matches are removed.
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13. Which is the proper hand position for performing chest percussion?
- cup the hands
- use the side of the hands
- flatten the hands
- spread the fingers of both hands
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14. Which of the following is not a reason for pelvic ultrasonography?
- to measure uterine size
- to detect multiple pregnancies
- to measure renal size
- to detect foreign bodies
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15. Which sign might the nurse see in a client with a high ammonia level?
- coma
- edema
- hypoxia
- polyuria
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16. The patient has an order for 0.45mg Diltiazem. The medication vial has a concentration of 3 mg/mL. How many mL of the drug should be administered?
- 0.65 mL
- 1.5 mL
- 0.15 mL
- 6.6 mL
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17. When a client needs oxygen therapy, what is the highest flow rate that oxygen can be delivered via nasal cannula?
- 2 liters/minute
- 4 liters/minute
- 6 liters/minute
- 8 liters/minute
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18. Which of the following tests is commonly performed on newborns with jaundice?
- blood urea nitrogen
- magnesium
- bilirubin
- prolactin
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19. The patient has an order for a 1,000 mL bag of fluids to be infused over 8 hours. What is the correct rate?
- 100mL/hr
- 80 mL/min
- 125mL/hr
- 125 mL/min
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20. Which of the following allergies might be a contraindication for a client to receive contrast enhancement for intracranial computed tomography?
- penicillin
- iodine
- erythromycin
- aspirin
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21. Which of the following is the most appropriate diet for a client who is unable to swallow?
- nothing by mouth
- nasogastric feedings
- clear liquids
- total parenteral nutrition
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22. Which fetal heart monitor pattern can indicate cord compression?
- variable decelerations
- early decelerations
- bradycardia
- tachycardia
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23. Which of these is not one of the Five Rights of Medication Administration?
- right dose
- right time
- right explanation
- right patient
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24. A Roman Catholic client is preparing to have magnetic resonance imaging. He wants to wear his metal crucifix pendant while he is receiving the test. Which of the following is an appropriate response by the nurse?
- "Because it gives you comfort, you may wear it."
- "It is a violation of religious rights to forbid it."
- "I am sorry, but it is not safe for you to wear the crucifix during this test."
- "You may wear it because it is important to you."
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25. Which of the following lab values is elevated first after a client has a myocardial infarction?
- LDH
- troponin
- CPK
- SGOT
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26. The PN has been asked to help a patient taking Risperdal with activities of daily living in the morning. Which of these tasks is most likely to be potentially impacted by this medication?
- eating breakfast
- getting out of bed to use the bathroom
- brushing teeth
- drinking fluids
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27. Which of these actions would be least appropriate when the PN is caring for a patient with an active Digoxin IV order?
- Administer over at least 5 minutes.
- Monitor respirations during administration.
- Monitor EKG rhythm throughout administration.
- Monitor the patient's pulse for a minute prior to administration.
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28. The PN is on a home visit with a patient taking Amiodarone. Which of these statements would indicate that the patient understands the potential drug side effects?
- "I need to take supplemental vitamin B12."
- "I need to make sure I wear sunblock when going outdoors."
- "I should avoid eating leafy vegetables."
- "It is normal if I have numbing or tingling in my feet."
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29. A client with a nasogastric (NG) tube begins vomiting. What action should the nurse take?
- Retape the NG tube.
- Clamp the NG tube.
- Remove the NG tube.
- Check the NG tube placement.
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30. What classification of drug is Diltiazem?
- Beta-Blocker
- Calcium-Channel Blocker
- ACE Inhibitor
- NSAID
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31. Which of the following lab values is associated with a decreased risk of cardiovascular disease?
- high HDL cholesterol
- low HDL cholesterol
- low total cholesterol
- low triglycerides
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32. The PN is caring for a patient admitted for acute pancreatitis. Which of these medications would be least appropriate for pain management?
- Tylenol
- Tramadol
- Codeine
- Morphine
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33. While undergoing fetal heart monitoring, a pregnant Native-American woman requests that a medicine woman be present in the examination room. Which of the following is an appropriate response by the nurse?
- "I will assist you in arranging to have a medicine woman present."
- "We do not allow medicine women in exam rooms."
- "That does not make any difference in the outcome."
- "It is old-fashioned to believe in that."
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34. Which of the following instructions should the nurse give a client who will be undergoing mammography?
- Be sure to use underarm deodorant.
- Do not use underarm deodorant.
- Do not eat or drink after midnight.
- Have a friend drive you home.
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35. Which of the following statements by a client indicates adequate understanding of preparation for a lipoprotein fractionation test?
- "I cannot eat or drink after midnight."
- "I cannot eat for 12 hours before the test."
- "I need to limit my fluid intake."
- "I need to ingest a lipid solution."
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36. Which of the following neurological disorders is characterized by writhing, twisting movements of the face and limbs?
- epilepsy
- Parkinson's
- muscular sclerosis
- Huntington's chorea
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37. Which of the following conditions is mammography used to detect?
- pain
- tumor
- edema
- epilepsy
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38. Which of the following might be an appropriate nursing diagnosis for an epileptic client?
- Dysreflexia
- Risk for Injury
- Urinary Retention
- Unbalanced Nutrition
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39. A client with which of the following conditions is at risk for developing a high ammonia level?
- renal failure
- psoriasis
- lupus
- cirrhosis
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40. The PN should inform the mother that ______ medications should be used with extreme caution.
- Diphenhydramine
- Simethicone
- Acetaminophen
- Bacitracin
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41. Which of the following nursing diagnoses might be appropriate as Parkinson's disease progresses and complications develop?
- Impaired Physical Mobility
- Dysreflexia
- Hypothermia
- Impaired Dentition
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42. Which medication might the physician order if the client expresses discomfort with being in the enclosed space of a CT scanner?
- Valium (diazepam)
- Clozaril (clozapine)
- Catapress (clonidine)
- Lasix (furosemide)
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43. The PN is admitting a patient to the unit and the patient has rapidly blinking eyes, stuck out tongue, and a distorted posture. Which of these medications is the patient most likely taking?
- Ondansetron
- Haloperidol
- Clozapine
- Fluoxetine
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44. Which of the following instructions should a nurse give a client who is about to undergo pelvic ultrasonography?
- "Urinate prior to the test."
- "Have someone drive you home."
- "Do not drink after midnight."
- "Drink plenty of water."
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45. For which of the following conditions might blood be drawn for uric acid level?
- asthma
- gout
- diverticulitis
- meningitis
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46. A client is having a seizure; his blood oxygen saturation drops from 92% to 82%. What should the nurse do first?
- Open the airway.
- Administer oxygen.
- Suction the client.
- Check for breathing.
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47. Which of the following statements by a client with gastroesophageal reflux disease (GERD) indicates adequate understanding?
- "I should eat right before bedtime."
- "I should eat large meals."
- "I should sit up after eating."
- "I should lie flat after eating."
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48. The PN is caring for a patient taking Lipitor (Atorvastatin). Which of these statements would indicate that the patient may need reinforced teaching?
- "I take my Lipitor and my other morning medications with my grapefruit juice at breakfast."
- "I take my Lipitor and wait 30 minutes before taking my other medications."
- "I take my Lipitor 30 minutes after I eat something."
- "I take my Lipitor with a glass of milk after my breakfast."
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49. Why might breast implants interfere with mammography?
- They might cause additional discomfort.
- They are contraindications to mammography.
- They are likely to be dislodged.
- They might prevent detection of masses.
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50. Which of the following is a predisposing factor for cancer of the tongue?
- tobacco use
- obesity
- sun exposure
- eating sweets
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