NCLEX-RN | QB2 | Practice Exam #16 (50 questions)

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

 

1. Which diet is associated with an increased risk of colorectal cancer?

• Low protein complex carbohydrates
• High protein simple carbohydrates
• High fat refined carbohydrates
• Low carbohydrates complex proteins

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2. Nurse Jannah is monitoring a male client who has been placed in restraints because of violent behavior. Nurse determines that it will be safe to remove the restraints when:

• The client verbalizes the reasons for the violent behavior.
• The client apologizes and tells the nurse that it will never happen again.
• No acts of aggression have been observed within 1 hour after the release of two of the extremity restraints.
• The administered medication has taken effect.

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3. The nurse is caring for a client with acromegaly. Following a transphenoidal hypophysectomy the nurse should:

• Monitor the clients blood sugar.
• Suction the mouth and pharynx every hour.
• Place the client in low Trendelenburg position.
• Encourage the client to cough.

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4. Which of the following are signs of ovulation? 1.Mittelschmerz; 2.Spinnabarkeit; 3.Thin watery cervical mucus; 4.Elevated body temperature of 4.0 degrees centigrade

• 1&2
• 1,2,&3
• 3&4
• 1,2,3,4

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5. The physician has ordered 50mEq of potassium chloride for a client with a potassium level of 2<5mEq/L. The nurse should administer the medication:

• Slow continuous IV push over 10 minutes
• Continuous infusion over 30 minutes
• Controlled infusion over five hours
• Continuous infusion over 24 hours

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6. Which of the following is true about masks?

• Mask should only cover the nose
• Mask functions better if they are wet with alcohol
• Masks can provide durable protection even when worn for a long time and after each and every patient care
• N95 Mask or particulate masks can filter organism as mall as 1 micromillimeter

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7. A client arrives at the health care clinic and tells the nurse that she was just bitten by a tick and would like to be tested for Lyme disease. The client tells the nurse that she removed the tick and flushed it down the toilet Which actions are most appropriate? Select all that apply. 1.Tell the client that testing is not necessary unless arthralgia develops. 2.Tell the client to avoid any woody, grassy areas that may contain ticks. 3.Instruct the client to immediately start to take the antibiotics that are prescribed. 4.Inform the client to plan to have a blood test 4 to 6 weeks after a bite to detect the presence of the disease. 5.Tell the client that if this happens again, to never remove the tick but vigorously scrub the area with an antiseptic.

• 1,2,3
• 2,3,4
• 3,4,5
• 1,3,5

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8. The development of laryngeal cancer is most clearly linked to which of the following factors?

• High-fat, low-fiber diet
• Alcohol and tobacco use
• Low socioeconomic status
• Overuse of artificial sweeteners

9. Situation: Basic knowledge on Intravenous solutions is necessary for care of clients with problems with fluids and electrolytes. Q. A nurse is assigned to care for a group of clients. On review of the client's medical records, the nurse determines that which client is at risk for deficient fluid volume?

• A client with colostomy
• A client with congestive heart failure
• A client with decreased kidney function
• A client receiving frequent wound irrigation

10. The nurse in the postpartum unit is caring for a client who has just delivered a newborn infant following a pregnancy with placenta previa. The nurse reviews the plan of care and prepares to monitor the client for which risk associated with placenta previa?

• Infection
• Hemorrhage
• Chronic hypertension
• Disseminated intravascular coagulation

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11. A 34-year-old woman with a history of asthma is admitted to the emergency department The nurse notes that the client is dyspneic, with a respiratory rate of 35 breaths/minute, nasal flaring, and use of accessory muscles. Auscultation of the lung fields reveals greatly diminished breath sounds. Based on these findings, what action should the nurse take to initiate care of the client?

• Administer bronchodilators
• Initiate oxygen therapy and reassess the client in 10 minutes.
• Draw blood for an ABG analysis and send the client for a chest x-ray.
• Encourage the client to relax and breathe slowly through the mouth

12. We say that a Filipino has attained longevity when he is able to reach the average life span of Filipinos. What other statistic may be used to determine attainment of longevity?

• Age-specific mortality rate
• Proportionate mortality rate
• Swaroop's index
• Case fatality rate

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13. Which of the following is more life threatening?

• BP = 180/100
• BP = 160/120
• BP = 90/60
• BP = 80/50

14. The nurse is assessing a patient who is 2-weeks postoperative a kyphopiasty ofL2 and L3.The patient has been participating in physical therapy and has been doing daily stretching and strengthening. Which of the following would indicate that the patient has met discharge goals?

• Reports pain in legs while sitting
• Urinating every two hours while awake
• Fatigue after performing activities of daily living
• Ambulates outdoors without assistive devices

15. A male nurse was found guilty of negligence. His license was revoked. Re-issuance of revoked certificates is after how many years?

• 1 year
• 2 years
• 3 years
• 4 years

16. The nurse is taking care of a multipara who is at 42 weeks of gestation and in active labor, her membranes ruptured spontaneously 2 hours ago. While auscultating for the point of maximum intensity of fetal heart tones before applying an external fetal monitor, the nurse counts 100 beats per minute. The immediate nursing action is to:

• Start oxygen by mask to reduce fetal distress.
• Examine the woman for signs of a prolapsed cord.
• Turn the woman on her left side to increase placental perfusion.
• Take the woman's radial pulse while still auscultating the FHR.

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17. Situation: Blood transfusion was ordered for Andre after an episode of severe bleeding.Q. Which of the following is the recommended flow rate for the first 20 minutes of blood transfusion?

• 10
• 20
• 40
• 60

18. The physician has ordered lab work for a client with suspected disseminated intravascular coagulation (DIC). Which lab finding would provide a definitive diagnosis of DIC?

• Elevated erythrocyte sedimentation rate
• Prolonged clotting time
• Presence of fibrin split compound
• Elevated white cell count

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19. A four-year-old is scheduled for a routine tonsillectomy. Which of the following lab findings should be reported to the doctor?

• A hemoglobin of 12Gm
• A platelet count of 200 0
• A white blood cell count of 16 0
• A urine specific gravity of 1.010

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20. 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. Honrad, who has been complaining of anorexia and feeling tired, develops jaundice. After a workup he is diagnosed of having Hepatitis A. His wife asks you about gamma globulin for herself and her household help. Your most appropriate response would be:

• "Don't worry your husband's type of hepatitis is no longer communicable"
• "Gamma globulin provides passive immunity for Hepatitis B"
• "You should contact your physician immediately about getting gamma globulin."
• "A vaccine has been developed for this type of hepatitis"

21. Situation: Mrs. Damian an immediate post op cholecystectomy and choledocholithotomy patient, complained of severe pain at the wound site.Q. When a client complains of pain, your initial response is:

• Record the description of pain
• Verbally acknowledge the pain
• Refer the complaint to the doctor
• Change to a more comfortable position

22. Situation: As a nurse, you should be aware and prepared of the different roles you piay.Q. What role do you play, when you hold all clients' information entrusted to you in the strictest confidence?

• Patients advocate
• Educator
• Patient's Liaison
• Patient's arbiter

23. The ANA recognized nursing informatics heralding its establishment as a new field in nursing during what year?

• 1994
• 1992
• 2000
• 2001

24. In which step are plans formulated for solving community problems?

• Mobilization
• Community organization
• Follow-up/extension
• Core group formation

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25. There are times when Katherine evaluates her staff as she makes her daily rounds. Which of the following is NOT a benefit of conducting an informal appraisal?

• The staff member is observed in natural setting.
• Incidental confrontation and collaboration is allowed.
• The evaluation is focused on objective data systematically.
• The evaluation may provide valid information for compilation of a formal report.

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26. All but one is a characteristic of adaptive response

• This is an attempt to maintain homeostasis
• There is a totality of response
• Adaptive response is immediately mobilized, doesn't require time
• Response varies from person to person

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27. May knows that the step in community organizing that involves training of potential leaders in the community is:

• Integration
• Community organization
• Community study
• Core group formation

28. The nurse is monitoring a client with a diagnosis of peptic ulcer. Which assessment finding would most likely indicate perforation of the ulcer?

• Bradycardia
• Numbness in the legs
• Nausea and vomiting
• A rigid, boardlike abdomen

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29. A child is admitted with temperature of 38.5 C (101.3 F), loss of appetite and vomiting The nurse observes several joints are red, swollen, warm and tender to touch. A non pruritic rash is on the child's trunk. Laboratory test results include an elevate erythrocyte sedimentation rate (ESR), a positive c- reactive protein, and an elevated white blood cell count (WBC). The nurse should initiate the plan of care for:

• Congestive heart failure
• Meningitis
• Rotovirus
• Acute rheumatic fever

30. What potential complication does a nurse anticipate when admitting a client with the diagnosis of severe procidentia (prolapse of the uterus)?

• Edema
• Fistulas
• Exudate
• Ulcerations

31. Apnea is medical term means:

• Rapid pulse
• increase body temperature
• Stop breathing
• Low blood pressure

32. While reviewing stress management techniques with a patient diagnosed with multiple sclerosis, what would the nurse identify as most appropriate?

• Relaxing in a warm bubble bath
• Yoga in a cool room
• Sunbathing
• Cross-country running

33. A female client is brought by ambulance to the hospital emergency room after taking an overdose of barbiturates is comatose. Nurse Tina would be especially alert for which of the following?

• Epilepsy
• Myocardial Infarction
• Renal failure
• Respiratory failure

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34. Situation: Please respond as a professional nurse in the other health situations through the following question.The rationales for using a prostaglandin gel for a client prior to the induction of labor is to:

• Soften and efface the cervix
• Numb cervical' pain receptors
• Prevent cervical lacerations
• Stimulate uterine contractions

35. Diseases that results from changes in the normal structure, from recognizable anatomical changes in an organ or body tissue is termed as

• Functional
• Occupational
• Inorganic
• Organic

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36. A patient who underwent a right knee arthroplasty two days ago has a nursing diagnosis of Impaired mobile. The patient refuses to get out of bed and ambulate due chest pain.Which of the following action would the nurse MOST likely implement?

• Medicate the patient prior to ambulation
• Add a nursing diagnosis of non-compliance
• Let the patient rest now and then try to ambulate later
• Assess to determine the cause of the chest pain

37. The nurse is planning dietary changes for a client following an episode of acute pancreatitis. Which diet is suitable for the client?

• Low calorie low carbohydrate
• High calorie low fat
• High protein high fat
• Low protein high carbohydrate

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38. A client returns from surgery with a total knee replacement. Which of the following findings requires immediate nursing intervention?

• Bloody drainage of 30mL from the Davol drain is present.
• The CPM is set on 90° flexion.
• The client is unable to ambulate to the bathroom.
• The client is complaining of muscle spasms.

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39. Situation: Records contain those, comprehensive descriptions of patients health conditions and needs and at the same serve as evidences of every nurse's accountability in the, caregiving process. Nursing records normally differ from institution to, institution nonetheless they follow similar patterns of meeting needs for specifics, types of information. The following pertains to documentation/records management.Q. Most nurses regard this as conventional recording of the date, time and mode by which the patient leaves a healthcare unit but this record includes importantly, directs of planning for discharge that starts soon after the' person is admitted to a healthcare institution, it is accepted that collaboration or multidisciplinary involvement (of all members of the health team) in discharge results in comprehensive care. What do you call this?

• Discharge Summary
• Nursing Karaex
• Nursing Health History and Assessment Worksheet
• Medicine and Treatment Record

40. In placenta praevia marginalis, the placenta is found at the:

• Internal cervical os partly covering the opening
• External cervical os slightly covering the opening
• Lower segment of the uterus with the edges near the internal cervical os
• Lower portion of the uterus completely covering the cervix

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41. When communicating with a client who speaks a different language, which best practice should the nurse implement?

• Speak loudly and slowly.
• Arrange for an interpreter to translate.
• Speak to the client and family together.
• Stand close to the client and speak loudly.

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42. Nurse Amy has an order to obtain a urinalysis from a male client with an indwelling urinary catheter The nurse avoids which of the following, which contaminate the specimen?

• Wiping the port with an alcohol swab before inserting the syringe.
• Aspirating a sample from the port on the drainage bag.
• Clamping the tubing of the drainage bag.
• Obtaining the specimen from the urinary drainage bag.

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43. Sally Baker, a 40-year-old woman, is admitted to the hospital with an established diagnosis of mitral stenosis. She is scheduled for surgery to repair her mitral valve.Q. On physical exam of Ms. Baker, several abnormal findings can be observed. Which of the following is not one of the usual objective findings associated with mitral stenosis?

• low-pitched rumbling diastolic murmur, precordial thrill, and parasternal lift
• small crepitant rales at the bases of the lungs
• weak, irregular pulse, and peripheral and facial cyanosis in severe disease
• chest x-ray shows left ventricular hypertrophy

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44. Situation: Annie has a morbid fear of heights. She asks the nurse what desensitization therapy is:Q. The nursing management of anxiety related with post traumatic stress disorder includes all of the following EXCEPT:

• Encourage participation in recreation or sport activities
• Reassurance client's safety while touching client
• Speak in calm soothing voice
• Remain with the client while fear level is high

45. Cleo is diagnosed with osteoporosis. Which electrolytes are involved in the development of this disorder?

• Calcium and sodium
• Calcium and phosphorous
• Phosphorous and potassium
• Potassium and sodium

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46. The nurse is assigned to care for the client with a Steinman pin. During pin care she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?

• Assisting the LPN with opening sterile packages and peroxide
• Telling the LPN that clean gloves are allowed
• Telling the LPN that the registered nurse should perform pin care
• Asking the LPN to clean the weights and pulleys with peroxide

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47. Postulated that health is a state and process of being and becoming an integrated and whole person.

• Cannon
• Bernard
• Dunn
• Roy

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48. The nurse is caring for the patient following removal of a large posterior oral lesion. The priority nursing measure would be to:

• Maintain a patent airway
• Perform meticulous oral care every two hours
• Ensure that the incisional area is kept as dry as possible
• Assess the client frequently for pain

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49. When preparing a teaching plan for the client with osteoarthritis who is taking celecoxib (Celebrex), the nurse expects to explain that the major advantage of celecoxib over diclofenac (Voltaren), is that the celecoxib is likely to produce which of the following?

• Hepatotoxicity
• Renal toxicity
• Gastrointestinal bleeding
• Nausea and vomiting

50. A 56-year-old patient presents in triage with left-sided chest pain, diaphoresis, and dizziness. This patient should be prioritized into which category?

• High urgent
• Urgent
• Non-urgent
• Emergent

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NCLEX-RN | QB2 | Practice Exam #16 (50 questions)