NCLEX-RN | QB2 | Practice Exam #15 (50 questions)

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

 

1. A nurse teaches women in the fertility clinic that after ovula­tion has occurred, the ovum is thought to remain viable for:

• 1 to 6 hours.
• 12 to 18hours.
• 24 to 36hours.
• 48 to 72hours.

2. Residents with Parkinsons disease often require assistance with walking because they

• become confused and forget how to take steps without help.
• have poor attention skills and do not notice safety problems.
• have visual problems that require special glasses.
• have a shuffling walk and tremors.

3. The nurse is caring for a client with several broken ribs. The client is most likely to experience what type of acid-base imbalance?

• Respiratory acidosis from inadequate ventilation
• Respiratory alkalosis from anxiety and hyperventilation
• Metabolic acidosis from calcium loss due to broken bones
• Metabolic alkalosis from taking analgesics containing base products

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4. A client with paranoid type schizophrenia becomes angry and tells the nurse to leave him alone. The nurse should:

• tell him that she eave for now but will return soon.
• ask him if its okay if she sits quietly with him.
• ask him why he wants to be left alone.
• tell him that she won't let anything happen to him.

5. Where is the best site for examining for the presence of petechiae in an African American client?

• The abdomen
• The thorax
• The earlobes
• The soles of the feet

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6. A three year-old child is day three on the postoperative care unit following a heart transplant He is prescribed cyclosporine by intravenous infusion. Blood pressure : 140/80 mmHgHeart rate : 10O/minRespiratory rate : 22/mTemperature : 37.0°COxygen saturation : 92% on room air Which vital sign most likely indicates an adverse medication effect?

• Hypertension
• Decreased O2 saturation
• Tachycardia
• Tachypnea

7. Secondary prevention for malaria includes?

• Planting of neem or eucalyptus trees
• Residual spraying of insecticides at night
• Determining whether a place is endemic or not
• Growing larva-eating fish in mosquito breeding places

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8. In the hospital lobby the registered nurse overhears a two staff members discussing about the health condition of her client What would be the appropriate action for the registered nurse to take?

• Join in the conversation, giving her input about the case.
• Ignore them, because they have the right to discuss anything they want to.
• Tell them it is not appropriate to discuss such things.
• Report this incident to the nursing supervisor.

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9. Which of the following foods if selected by the mother with a child with celiac would indicate her understanding of the dietary instructions?

• Whole-wheat toast
• Angel hair pasta
• Reuben on rye
• Rice cereal

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10. Inhalation or inspiration means:

• Stop breathing.
• Difficult breathing.
• Breathing out.
• Breathing in

11. Situation: Infection can cause debilitating consequences when host resistance is compromised and virulence of microorganisms and environmental factors are favorable. Infection control is one important responsibility of the nurse to ensure quality of care.Q. Voltaire develops a nosocomial respiratory tract infection. He ask you what that means? Your best response would be:

• "You acquired the infection after you have been admitted to the hospital ”
• "This is a highly contagious infection requiring complete isolation."
• "The infection you had prior to hospitalization flared up.”
• "As a result of medical treatment you have acquired a secondary infection."

12. An 82 year-old woman with Alzheimer s disease had moved into a long-term care facility two weeks previously. Since then, the staff has found her wondering in the hallways in middle of the night. When approached, she is confused and frustrated, often forgetting where she is. Which intervention would most likely decrease the patient's confusion?

• Administer a sleeping sedative
• Provide full-time nursing care
• Place a nightlight in the room
• Provide a large meal before bed

13. The nurse provides home care instructions to the parent of a child with acquired immunodeficiency syndrome (AIDS). Which statement by the parent indicates the need for further teaching?

• "I will wash my hands frequently."
• "I will keep my child's immunizations up to date."
• "I will avoid direct unprotected contact with my child's body fluids"
• "I can send my child to day care if he has a fever, as long as it is a low-grade fever. "

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14. A patient has a history of severe, uncontrolled epistaxis. The patients blood pressure and patient count are normal. The nurse should teach the patient to

• Sleep with the head elevated on at least two three pillows
• Apply firm pressure to the nostrils four times a day
• Use a cotton-filled applicator to apply a water-soluble lubricant to the nasal septum twice daily
• Minimize the intake of caffeine while increasing the intake of fluids rich in vitamin K

15. Situation: Jimmy developed this goal for hospitalization. To get a handle on my nervousness/ The nurse is going to collaborate with him to reach his goal. Jimmy was admitted to the hospital because he called his therapist that he planned to asphyxiate himself with exhaust from his car but frightened instead. He realized he needed help.Q. While Jimmy was discussing the signs and symptoms of anxiety with his nurse, he recognized that complete disruption of the ability to perceive occurs in:

• panic state of anxiety
• severe anxiety
• moderate anxiety
• mild anxiety

16. Situation: ENTEROSTOMAL THERAPY is now considered a specialty in nursing. You are participating in the OSTOMY CARE CLASS.Q. You would know after teaching Fermin that dietary instruction for him is effective when he states, "It is important that I eat:

• if I have any difficulty inserting the irrigating tube into the stoma"
• Bland food so that my intestines do not become irritated."
• Food low in fiber so that there is less stool"
• Everything that I ate before the operation, while avoiding foods that cause gas."

17. A woman is hospitalized with mild preeclampsia. The nurse is formulating a plan of care for this client, which nursing care is least likely to be done?

• Deep-tendon reflexes once per shift.
• Vital signs and FHR and rhythm q4h while awake.
• Absolute bed rest.
• Daily weight.

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18. A client with rheumatoid arthritis has Sjogrens syndrome. The nurse can help relieve the symptoms of Sjogrens syndrome by:

• Providing heat to the joints
• Instilling eyedrops
• Administering pain medication
• Providing small frequent meals

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19. Myra told Blake I cannot sleep, I stay away all night. Blake told her You have difficulty sleeping?" This is what type of therapeutic communication technique?

• Reflecting
• Restating
• Exploring
• Seeking clarification

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20. Situation: A nurse should be aware that some problems in the emergency setting are not always physiologic. Sometimes, Crisis can affect the patient in an emergency setting.Q. Which of the following is an example of hostile environment in terms of sexual harassment?

• the boss assures you of a big promotion if you go out on a couple of dates with him
• your supervisor makes masturbatory gestures everytime you walk pass him
• the personnel manager hints that the job will be yours if you cooperate sexually with him
• your boss suggests that your "raise" is dependent upon having sex with him

21. Which of the following is an appropriate toy for an 18-month-old?

• Multiple-piece puzzle
• Miniature cars
• Finger paints
• Comic book

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22. When planning a class on pregnancy, the nurse should include symptoms of pregnancy that must be reported immediately such as:

• Leg cramps
• Vision disturbance
• Swelling of the legs
• Constipation

23. Situation: Manny, 6 years old was admitted at Cardinal Santos Hospital due to increasing frequency of bowel movements, abdominal cramps and distension.Q. What life threatening condition may result in persistent diarrhea?

• hypokalemia
• dehydration
• cardiac dysrhythmias
• leukocytosis

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24. A client with congestive heart failure has been receiving digoxin (Laxoxin). Which finding indicates that the medication is having a desired effect?

• Increased urinary output
• Stabilized weight
• Improved appetite
• Increased pedal edema

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25. Situation: Mang Cardo, Age 72, is a widower with moderate Alzheimer s disease. Was brought to the home for the Aged by his married daughter. On admission, she says to the nurse, "1 never thought this would happen to us. I really feel guilty about bringing him here, I can't bear to part with him "Q. Which of the following is the cause of Dementia of the Alzheimer's type?

• Unknown
• Decreased Acetylcholine
• Increasing Age
• Senile plaques deposition

26. Situation: Nurse Lorena is a Family Planning and Infertility Nurse Specialist and is currently attending to a meeting. The following conditions pertain to meeting the nursing of this particular population group.Q. Dina, 17 years old, asks you how a tubal ligation prevents pregnancy. Which would be the best answer?

• Prostaglandins released from the cut fallopian tubes can kill sperm
• Sperm cannot enter the uterus, because the cervical entrance is blocked
• Sperm can no longer reach the ova, because the fallopian tubes are blocked
• The ovary no longer releases ova, as there is no where for them to go

27. The nurse is caring for a client with an endemic goiter. The nurse recognizes that the clients condition is related to:

• Living in an area where the soil is depleted of iodine
• Eating foods that decrease the thyroxine level
• Using aluminum cookware to prepare the familys meals
• Taking medications that decrease the thyroxine level

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28. A nurse is assessing an adolescent girl recently diagnosed with an eating disorder and symptoms of bulimia nervosa. Which of the following findings is expected based on laboratory test results?

• Hypocalcemia
• Hypoglycemia
• Hypokalemia
• Hypophosphatemia

29. A nurse explains to a client with cervical erosion that early treatment of the erosion can help prevent:

• cancer of the cervix.
• pelvic inflammatory disease.
• unexpected vaginal bleeding.
• more erosions from occurring.

30. Nurse Eve is caring for a client who had a thyroidectomy 12 hours ago for treatment of Grave's disease. The nurse would be most concerned if which of the following was observed?

• Blood pressure 138/82, respirations 16t oral temperature 99 degrees Fahrenheit.
• The client supports his head and neck when turning his head to the right
• The client spontaneously flexes his wrist when the blood pressure is obtained.
• The client is drowsy and complains of sore throat.

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31. Scotch tape swab is done to check for which intestinal parasite?

• Ascaris
• Pinworm
• Hookworm
• Schistosoma

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32. Situation : Rene is a 3 y/o boy brought to the health center for fever and cough. You noted grayish pinpoint dots located at the buccal mucosa. A maculopapular rash was noted on his face.Q. The lesion in his buccal mucosa is called:

• Forchheimer's spot
• Pseudomembrane
• Ghon's tubercle
• Koplik's spot

33. The nurse is performing a physical examination to the client with hearing difficulty. The nurse activated the tuning fork and placed it on top of the client's head. What test did the nurse perform?

• Whisper test
• Rinne test
• Audiometer
• Weber test

34. A patient in a long-term care facility is in persistent vegetative state with a right contracture of the right arm and hand. What is the BEST goal over the next 90days for this patient related to the nursing diagnosis of impaired mobility?

• Develop no further contractures
• Wear an arm and hand splint
• Have no pain related to the contractures
• None.

35. A home health nurse is visiting a patient who recently suffered a Cerebro vascular accident(CVA). The nurse would MOST likely implement which of the following interventions to prevent muscle and ligament deformities?

• Daily moist heat and isometric exercises
• Daily balance training and routine medications for pain
• Instruct patient to use non-affected side to perform activities of daily living
• Daily range of motion exercises.

36. This is characterized by severe symptoms relatively of short duration.

• Chronic Illness
• Acute Illness
• Pain
• Syndrome

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37. In community health nursing, it is the most important risk factor in the development of mental illness?

• Separation of parents
• Political problems
• Poverty
• Sexual abuse

38. If the nurse is unable to elicit the deep tendon reflexes of the patella the nurse should ask the client to:

• Pull against the palms
• Grimace the facial muscles
• Cross the legs at the ankles
• Perform Valsalva maneuver

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39. Mrs. Lim begins to cry as the nurse discusses hair loss. The best response would be:

• "Don't worry. It's only temporary"
• "Why are you crying? I didn't get to the bad news yet"
• "Your hair is really pretty"
• "I know this will be difficult for you, but your hair will grow back after the completion of chemotheraphy"

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40. Situation: You are the nurse in the Out-Patient-Department and during your shift you encountered multiple children's condition. The following questions apply.A child who has some palmar pallor can be classified as:

• moderate anemia/normal weight
• severe malnutrition/anemia
• anemia/very low weight
• not very iow eight to anemia

41. The nurse is preparing to hang the first bag of parenteral nutrition (PN) solution via the central line of an assigned client The nurse should obtain which most essential piece of equipment before hanging the solution?

• Urine test strips
• Blood glucose meter
• Electronic infusion pump
• Noninvasive blood pressure monitor

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42. The nurse is caring for a client following a right nephrolithotomy. Post-operatively the client should be positioned:

• On the right side
• Supine
• On the left side
• Prone

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43. Norma, a 42-year-old client with a diagnosis of chronic undifferentiated schizophrenia lives in a rooming house that has a weekly nursing clinic. She scratches while she tells the nurse she feels creatures eating away at her skin. Which of the following interventions should be done first?

• Talk about his hallucinations and fears
• Refer him for anticholinergic adverse reactions
• Assess for possible physical problems such as rash
• Call his physician to get his medication increased to control his psychosis

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44. During postoperative neuromuscular assessment of a patient who had a total knee replacement nurse assesses the peroneal nerve by testing sensation:

• On the bottom of the foot
• In the space between great and second toe
• I n the anterior to the rectum
• I n the anterior portion of the calf

45. Situation: Team efforts is best demonstrated in the ORQ. If you are the nurse in charge for scheduling surgical cases, what important information do you need to ask the surgeon?

• Who is your internist
• Who is your assistant and anesthesiologist, and what is your preferred time and type of surgery?
• Who are your anesthesiologist internist, and assistant
• Who is your anesthesiologist.

46. A diabetic patient was amputated following an unexpected necrosis on the right leg, he sustained and undergone BKA. He then underwent therapy on how to use his new prosthetic leg. This is a type of what level of prevention?

• primary
• secondary
• tertiary
• nota

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47. What medication would the nurse anticipate giving a client with Meniere's disease?

• Nifedipine
• Amoxicillin
• Propranolol
• Hydrochloride (Hydro DIURIL)

48. Which finding is associated with secondary syphilis?

• Painless papular lesions on the perineum fingers and eyelids
• Absence of lesions
• Deep asymmetrical granulomatous lesions
• Well-defined generalized lesions on the palms soles and perineum

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49. When teaching parents about childhood depression Nurse Tina should say?

• It may appear acting out behavior
• Does not respond to conventional treatment
• Is short in duration & resolves easily
• Looks almost identical to adult depression

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50. SITUATION: John Lloyd, a 27 basketball player sustained inhalation burn that required him to have tracheostomy due to massive upper airway edema.Q. Wilma is using a portable suction unit at home, What is the amount of suction required by John Lloyd using this unit?

• 2-5 mmHg
• 5-10 mmHg
• 10-15 mmHg
• 20-25 mmHg

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NCLEX-RN | QB2 | Practice Exam #15 (50 questions)