NCLEX-RN | QB2 | Practice Exam #10 (50 questions)
All 50 questions are randomized each time you take the test, and do not appear in the same order.
1. Which of the following conditions is not a complication of Hodgkins disease?
- Anemia
- Infection
- Myocardial Infarction
- Nausea
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2. Situation: Nurse Lorena is a Family Planning and Infertility Nurse Specialist and currently attends to FAMILY PLANNING CLIENTS AND INFERTILE COUPLES. The following conditions pertain to meeting the nursing needs of this particular population group.Another client named Lilia is diagnosed as having endometriosis. This condition interferes with fertility because:
- endometrial implants can block the fallopian tubes
- the uterine cervix becomes inflamed and swollen
- the ovaries stop producing adequate estrogen
- pressure on the pituitary leads to decreased FSH levels
3. The nurse, who is administering bethanechol chloride, is monitoring for cholinergic overdose associated with the medication. The nurse should check the client for which sign of overdose?
- Dryskin
- Dry mouth
- Bradycardia
- Signs of dehydration
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4. The nurse is teaching the parents of an infant with osteogenesis imperfecta. The nurse should tell the parents:
- That the infant will need daily calcium supplements
- That it is best to lift the infant by the buttocks when diapering
- That the condition is a temporary one
- That only the bones of the infant are affected by the disease
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5. When being admitted to a mental health facility, a young female adult tells Nurse Mylene that the voices she hears frighten her. Nurse Mylene understands that the client tends to hallucinate more vividly:
- While watching TV
- During meal time
- During group activities
- After going to bed
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6. Barbara with bipolar disorder is being treated with lithium for the first time. Nurse Clint should observe the client for which common adverse effect of lithium?
- Polyuria
- Seizures
- Constipation
- Sexual dysfunction
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7. Situation: Clients with Bipolar disorder receives a very high nursing attention due to the increasing rate of suicide related to illness.Q. In planning activities for the depressed client, especially during the early stages of hospitalization, which of the following plan is best?
- Provide an activity that is quiet and solitary to avoid increased fatigue such as working on a puzzle and reading a book.
- Plan nothing until the client asks to participate in the milieu
- Offer the client a menu of daily activities and ask the client to participate in ah of them
- Provide a structured daily program of activities and encourage the client to participate
8. Situation: IBD is a common inflammatory functional bowel disorder also known as spastic bowel, functional colitis and mucous colitis.Q. The client with IBS asks Nurse June what causes the disease. Which of the following responses by Nurse June would be most appropriate?
- "This is an inflammation of the bowel caused by eating too much roughage"
- IBS is caused by a stressful lifestyle
- The cause of this condition is unknown
- There is thinning of the intestinal mucosa caused by ingestion of gluten
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9. The nurse is discussing the human immunodeficiency virus (HIV) with a group of high- risk patient The nurse should state that this virus is found MOSTcommoniy in which of the following body fluids?
- Blood
- Saliva
- Breast milk
- Vaginal secretions
10. A male client who is experiencing disordered thinking about food being poisoned is admitted to the mental health unit The nurse uses which communication technique to encourage the client to eat dinner?
- Focusing on self-disclosure of own food preference
- Using open ended question and silence
- Offering opinion about the need to eat
- Verbalizing reasons that the client may not choose to eat
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11. SITUATION: Alfred, a 40 year old construction worker developed cough, night sweats and fever. He was brought to the nursing unit for diagnostic studies. He told the nurse he did not receive a BCG vaccine during childhood. Q. The nurse notes that a positive result for Alfred is:
- 5 mm wheal
- 5 mm Induration
- 10 mm Wheal
- 10 mm Induration
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12. Situation: Josh is a 2-year old child who was born with a unilateral cleft lip and palate. He is being readmitted for a palate repair.Q. Which of the following nursing actions would have been included for Josh following his cleft lip repair?
- Using a spoon to administer oral feedings
- Cleansing the suture line to prevent infection
- Allowing Josh to suck on a pacifier to prevent crying
- Positioning Josh on the abdomen to avoid aspiration
13. Situation: In your professional nursing role, it is essential to establish a meaningful nurse patient relationship.Q. Demonstrating a helping relationship enables you to establish in the patient:
- Compliance to treatment
- Positive response to illness
- Gratitude to your services
- Some sense of trust in you
14. A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?
- Slow pulse
- Anorexia
- Bulging eyes
- Weight gain
15. Which of the following treatment measures should be implemented for a child with leukemia who has been exposed to the chickenpox?
- No treatment is indicated.
- Acyclovir (Zovirax) should be started on exposure
- Varicella-zoster immunoglobulin (VZIG) should be given with the evidence of disease
- VZIG should be given within 72 hours of exposure.
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16. Kate which has diagnosed with ulcerative colitis is following physicians order for bed rest with bathroom privileges. What is the rationale for this activity restriction?
- Prevent injury
- Promote rest and comfort
- Reduce intestinal peristalsis
- Conserve energy
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17. Vangie is a new B.S.N. graduate. She wants to become a Public Health Nurse. Where should she apply?
- Department of Health
- Provincial Health Office
- Regional Health Office
- Rural Health Unit
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18. The nurse has given instructions to a client who has just been prescribed cholestyramine. Which statement by the client indicates a need for further instruction?
- "I will continue taking vitamin supplements."
- "This medication will help to lower my cholesterol"
- "This medication should only be taken with water."
- "A high-fiber diet is important while taking this medication."
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19. Whitney, a patient of nurse Blake, verbalizes... I have nothing, nothing... nothing! Don t make me close one more door, I don't wanna hurt anymore!" Which of the following is the most appropriate response by Blake?
- Why are you singing?
- What makes you say that?
- Of course you are everything
- What is that you said?
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20. Conney with borderline personality disorder who is to be discharge soon threatens to "do something" to herself if discharged. Which of the following actions by the nurse would be most important?
- Ask a family member to stay with the client at home temporarily
- Discuss the meaning of the client's statement with her
- Request an immediate extension for the client
- Ignore the clients statement because it's a sign of manipulation
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21. A client with cervical cancer has a radioactive implant. Which statement indicates that the client understands the nurses teaching regarding radioactive implants?
- I wont be able to have visitors while getting radiation therapy.
- I win have a urinary catheter while the implant is in place.
- I can be up to the bedside commode while the implant is in place.
- I wont have any side effects from this type of therapy.
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22. The nurse is conducting a lecture to a group of volunteer nurses. The nurse is correct in imparting the idea that the Good Samaritan law protects the nurse from a suit for malpractice when:
- The nurse stops to render emergency aid and leaves before the ambulance arrives.
- The nurse acts in an emergency at his or her place of employment
- The nurse refuses to stop for an emergency outside of the scope of employment.
- The nurse is grossly negligent at the scene of an emergency.
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23. Situation: Mrs. Diaz is assigned in the female surgical ward. While on duty an 15 year old client, married, was admitted for CS. The informed consent for the operation has to be obtained.Q. After one year, Mrs. Diaz was rotated to the delivery room. As a DR Nurse, the Obstetrician ordered her to administer spinal anesthesia because the anaesthesiologist did not arrive at the scene. The nurse would:
- Give the anesthesia if the supervising nurse approves it
- Give the anesthesia if the OB supervises her
- Give the anesthesia if the doctor writes the order
- Do not follow
24. A client received 20 units of Humulin N insulin subcutaneously at 08:00. At what time should the nurse plan to assess the client for a hypoglycemic reaction?
- 10:00
- 11:00
- 17:00
- 24:00
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25. Which of the following findings in a woman would be consistent with a pregnancy of two months duration?
- Weight gain of 6-10 lbs. and presence of striae gravidarum
- Fullness of the breast and urinary frequency
- Braxton Hicks contractions and quickening
- Increased respiratory rate and ballottement
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26. Which of the following would be most appropriate for a nurse to use when describing menarche to a 13-year-old?
- A females first menstruation or menstrual periods
- The first year of menstruation or period
- The entire menstrual cycle or from one "period" to another
- The onset of uterine maturation or peak growth
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27. Mr. Duffy is admitted to the CCll with a diagnosis of R/O Ml. He presented in the ER with a typical description of pain associated with an Ml, and is now cold and clammy, pale and dyspneic. He has an IV of D5W running, and is complaining of chest pain. Oxygen therapy has not been started, and he is not on the monitor. He is frightened.Q. The coronary arteries furnish blood supply to the myocardium. Which of the following is a true statement relative to the coronary circulation?
- the right and left coronary arteries are the first of many branches off the ascending aorta
- blood enters the right and left coronary arteries during systole only
- the right coronary artery forms almost a complete circle around the heart, yet supplies only the right ventricle
- the left coronary artery has two main branches, the left anterior descending and left circumflex: both supply the left ventricle
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28. Nurse Maureen is aware that a client who has been diagnosed with chronic renal failure recognizes an adequate amount of high-biologic-value protein when the food the client selected from the menu was:
- Raw carrots
- Apple juice
- Whole wheat bread
- Cottage cheese
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29. Which of the following is a contraindication in taking RECTAL temperature?
- Unconscious
- Neutropenic
- NPO
- Very young children
30. What is the primary reason for administering morphine to a client with myocardial infarction?
- To sedate the client
- To decrease the Client's pain
- To decrease the Client's anxiety
- To decrease oxygen demand on the clients heart
31. Which clients have a high risk of obesity and diabetes mellitus? Select all that apply. 1.Latino American man. 2.Native American man. 3.Asian American woman. 4.Hispanic American man. 5.African American woman
- 1,2,4,5
- 2,3,4,5
- 1,3,5,6
- 1,2,3,5,6
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32. A six-month-old is hospitalized with symptoms of botulism. What aspect of the infants history is associated with Clostridium botulinum infection?
- The infant sucks on his fingers and toes.
- The mother sweetens the infants cereal with honey.
- The infant was switched to soy-based formula.
- The father recently purchased an aquarium.
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33. Florence Nightingale was born in:
- Germany
- Britain
- France
- Italy
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34. Freedom of choice in one of the policies of the Family Planning Program of the Philippines. Which of the following illustrates this principle?
- Information dissemination about the need for family planning
- Support of research and development in family planning methods
- Adequate information for couples regarding the different methods
- Encouragement of couples to take family planning as a joint responsibility
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35. The nurse is preparing to care for a burn client scheduled for an escharotomy procedure being performed for a third-degree circumferential arm burn. The nurse understands that which finding is the anticipated therapeutic outcome of the escharotomy?
- Return of distal pulses
- Brisk bleeding from the site
- Decreasing edema formation
- Formation of granulation tissue
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36. A home health nurse is teaching a family member about the care of patients peripherally inserted central catheter (PICC). Which of the following statements would be appropriate for the nurse to make?
- Place the used intravenous tubing in a leak proof container and then place this sealed container inside a second leak proof container."
- You will need to put on a disposable face mask before you connect the intravenous tubing to the port of thePiCC. The port of the PIC catheter will need to be cleansed with povidone-iodine (BETADINE) after the infusion is completed"
- "The empty medication container can be placed in the same container as your Household refuses"
- None of the above.
37. The nurse is teaching a psychiatric client about her prescribed drugs, chlorpromazine and benztropine. Why is benztropine administered?
- To reduce psychotic symptoms
- To reduce extrapyramidal symptoms
- To control nausea and vomiting
- To relieve anxiety
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38. Mickey a 3-year old client was brought to the health center with the chief complaint of severe diarrhea and the passage of "rice-watery" stools. The client is most probably suffering from which condition?
- Giardiasis
- Cholera
- Amebiasis
- Dysentery
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39. The nurse is caring for a client with cirrhosis of the liver. To minimize the effects of the disorder, the nurse teaches the client about foods that are high in thiamine. The nurse determines that the client has the best understanding of the dietary measures to follow if the client states an intention to increase the intake of which food?
- Milk
- Chicken
- Broccoli
- Legumes
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40. Which of the following represents the most appropriate nursing intervention for a client with pruritis caused by cancer or the treatments?
- Administration of antihistamines
- Steroids
- Silk sheets
- Medicated cool baths
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41. John plans to use a Likert Scale to his study to determine the:
- Degree of agreement and disagreement
- Compliance to expected standards
- Level of satisfaction
- Degree of acceptance
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42. A 3-years-old has returned to the clinic 4 days after being diagnosed with gastroenteritis and dehydration. A parent reports that the vomiting has stopped, and the child is tolerating liquids, rice, apple sauce, and bananas. The diarrhea persists, but seems to be decreasing in volume. When evaluating for signs of dehydration, the nurse will assess the patient's skin turgor by:
- Grasping the skin over the abdomen with two fingers raising the skin with two fingers
- Grasping the skin over the forehead with two fingers and raising the skin with two fingers
- Holding the patient's mouth open and assessing the tongue for deep creases or Furrows
- Drawing two tubes of blood and running blood urea nitrogen (BUN) and Creatinine (Cr).
43. The nurse is caring for a client who is at risk for suicide. What is the priority nursing action for this client?
- Provide authority, action, and participation.
- Display an attitude of detachment, confrontation, and efficiency.
- Demonstrate confidence in the client's ability to deal with stressors.
- Provide hope and reassurance that the problems will resolve themselves.
44. Situation: Please respond as a professional nurse in the other health situations through the following question. Transmission of HIV from an infected individual to another person occurs:
- Most frequency in nurses with needles ticks.
- Only if there is a large viral load in the blood.
- Most commonly as a result of sexual contact.
- In a infants born to women with HIV infection.
45. In a mothers class. Nurse Lynnette discussed childhood diseases such as chicken pox. Which of the following statements about chicken pox is correct?
- The older one gets, the more susceptible he becomes to the complications of chickenpox.
- A single attack of chickenpox will prevent future episodes, including conditions such as shingles.
- To prevent an outbreak in the community, quarantine may be imposed by health authorities.
- Chicken pox vaccine is best given when there is an impending outbreak in the community.
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46. A client comes to the emergency department after an assault and is extremely agitated, trembling, and hyperventilating. What is the priority nursing action for this client?
- Begin to teach relaxation techniques.
- Encourage the client to discuss the assault.
- Remain with the client until the anxiety decreases.
- Place the client in a quiet room alone to decrease stimulation.
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47. A nurse is reviewing the serum laboratory test results for a client with sickle cell anemia. The nurse finding that which of the following values is elevated?
- Hemoglobin F
- Hemoglobin S
- Hemoglobin C
- Hemoglobin A
48. Mr. Poncho was caught by the police because of his illegal activities. When he got home after paying for the bail, he shouted at his son. What defense mechanism did Mr. Poncho used?
- Restitution
- Projection
- Displacement
- Undoing
49. Situation: With the increasing documented cases of CANCER the best alternative to treatment still remains to be PREVENTION. The following conditions applyJn Community Health Nursing, despite the availability and use of many equipment and devices to facilitate the job of the community health nurse, the nurse should be prepared to apply is a scientific approach. This approach ensures quality of care even at the community setting. This nursing parlance is nothing less than the:
- Nursing diagnosis
- Nursing protocol
- Nursing research
- Nursing process
50. It is a flip over card usually kept in portable file at nursing station.
- Nursing care plan
- Medicine and treatment record
- Kardex
- TPR sheet