NCLEX-RN | QB2 | Practice Exam #43 (50 questions)
All 50 questions are randomized each time you take the test, and do not appear in the same order.
1. All of the following are characteristic of the Nursing process except
- Dynamic
- Cyclical
- Universal
- Intrapersonal
2. A nurse is caring for a client who is receiving a thiazide diuretic for hypertension. Which food selected by the client indicates to the nurse that dietary teaching about thiazide diuretics was effective?
- Apples
- Broccoli
- Cherries
- Cauliflower
3. Situation: Clients with Bipolar disorder receives a very high nursing attention due to the increasing rate of suicide related to illness. Q. The nurse is assigned to care for a recently admitted client who has attempted suicide. What should the nurse do?
- Search the client's belongings and room carefully for items that could be used to attempt suicide.
- Express trust that the client wont cause self-harm while in the facility
- Respect the client's privacy by not searching any belongings
- Remind all staff members to check on the client frequently
4. A patient has an acute inflammation of the gallbladder. The physician orders the nurse to schedule the patient for surgery Which of the following surgical procedures will the physician MOST likely perform?
- Pancreatectomy
- Cholecystectomy
- Hepatectomy
- Cricothoracotom
5. The nurse is assessing a client following the removal of a pituitary tumor. The nurse notes that the urinary output has increased and that the urine is very dilute. The nurse should give priority to:
- Notifying the doctor immediately
- Documenting the finding in the chart
- Decreasing the rate of [V fluids
- Administering vasopressive medication
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6. The physician has prescribed tranylcypromine sulfate (Parnate) l0mg bid. The nurse should teach the client to refrain from eating foods containing tyramine because it may cause:
- Hypertension
- Hyperthermia
- Hypotension
- Urinary retention
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7. An agitated and incoherent client, age 29, comes to the emergency department with complaints of visual and auditory hallucinations. The history reveals that the client was hospitalized for paranoid schizophrenia from ages 20 to 21. The physician prescribes haloperidol (Haldol), 5 mg LM. The nurse understands that this drug is used in this client to treat:
- dyskinesia
- dementia
- psychosis
- tardive dyskinesia.
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8. 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. Lilia's cousin on the other hand, knowing nurse Lorena's specialization asks what artificial insemination by donor entails. Which would be your best answer if you were Nurse Lorena?
- Donor sperm are introduced vaginally into the uterus or cervix
- Donor sperm are injected intra-abdominaly into each ovary
- Artificial sperm are injected vaginally to test tubal patency
- The husband's sperm is administered intravenously weekly
9. After amniotomy, the priority nursing action is:
- Document the color and consistency of amniotic fluid
- Listen the fetal heart tone
- Position the mother in her left side
- Let the mother rest
10. When performing a physical examination on a female anxious client, nurse Ellen would expect to find which of the following effects produced by the parasympathetic system?
- Muscle tension
- Hyperactive bowel sounds
- Decreased urine output
- Constipation
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11. The effectiveness of monoamine oxidase (MAO) inhibitor drug therapy in client with posttraumatic stress disorder can be demonstrated by which of the following client self - reports?
- "I'm sleeping better and don't have nightmares"
- "I'm not losing my temper as much"
- "I've lost my craving for alcohol”
- "I've lost my phobia for water”
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12. A client is suspected of developing diabetes insipidus. Which of the following is the most effective assessment?
- Taking vital signs every 4 hours
- Monitoring blood glucose
- Assessing ABG values every other day
- Measuring urine output hourly
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13. The nurse is preparing to administer a dose of naloxone intravenously to a client with an opioid overdose. Which supportive medical equipment should the nurse plan to have at the client's bedside if needed?
- Nasogastric tube
- Paracentesis tray
- Resuscitation equipment
- Central line insertion tray
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14. The nurse is caring for a client admitted to labor and delivery. The nurse is aware that the infant is in distress if she notes:
- Contractions every three minutes
- Absent variability
- Fetal heart tone accelerations with movement
- Fetal heart tone 120-130bpm
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15. In recognizing common behaviors exhibited by male client who has a diagnosis of schizophrenia, nurse Josie can anticipate:
- Slumped posture, pessimistic out look and flight of ideas
- Grandiosity arrogance and distractibility
- Withdrawal regressed behavior and lack of social skills
- Disorientation, forgetfulness and anxiety
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16. After attending a company picnic several clients are admitted to the emergency room with E.coli food poisoning. The most likely source of infection is:
- Hamburger
- Hot dog
- Potato salad
- Baked beans
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17. Which home care instructions should the nurse provide to the parent of a child with acquired immunodeficiency syndrome (AIDS)? Select all that apply. 1. Monitor the child's weight 2. Frequent hand washing is important 3. The child should avoid exposure to other illnesses. 4. The child's immunization schedule will need revision. 5. Clean up body fluid spills with bleach solution (10:1 ratio of water to bleach). 6. Fever, malaise, fatigue, weight loss, vomiting, and diarrhea are expected to occur and do not require special intervention.
- 1,2,3,5
- 1,2,4,5
- 2,3,4
- 1,3,5,6
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18. The nurse is caring for a 4 year-old patient with a diagnosis of cystic fibrosis and pneumonia. The child is feeling better on the 3rd day of the hospitalization and "wants to play" What would be the BEST choice of entertainment?
- Blowing bubbles
- Looking at picture books
- Watching videos
- Riding in a wagon
19. Situation: Jose, 39 year old farmer, unmarried, had been confined in the National Center for Mental Health for three years with a diagnosis of schizophrenia. Q. When communicating with Jose. The nurse considers the following except:
- Be Warm and enthusiastic
- Refrain from touching Jose
- Do not argue regarding his hallucination and delusion
- Use simple, clear language
20. Contains the pneumotaxic and the apneustic centers:
- Medulla oblongata
- Pons
- Carotid bodies
- Aortic bodies
21. A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?
- Check the bowel sounds.
- Assess the blood pressure.
- Offer pain medication.
- Check for swelling.
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22. A client is hospitalized with signs of transplant rejection following a recent renal transplant Assessment of the client would be expected to reveal:
- A weight loss of two pounds in one day
- A serum creatinine 1.25mg/dL
- Urinary output of 50mL/hr
- Rising blood pressure
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23. The nurse is assessing 16-month old girl The nurse observes poor hygiene, diaper rash and bruises over the child's body that is at different stages of healing. Which of the following interventions would reduce fear and promotes the trust of the child?
- Avoid scaring the child by saying "No or setting limits
- Challenge the information the parents give regarding the injury
- Question the parents of the child regarding the abuse
- Assign one nurse to care for the child over the course of hospital stay
24. Which characteristic of nursing process is responsible for proper utilization of human resources, time and cost resources?
- Organized and Systematic
- Humanistic
- Efficient
- Effective
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25. Situation: With the increasing documented cases of CANCER the best alternative to treatment still remains to be PREVENTION. The following conditions apply. In the prevention and control of cancer, which of the following activity is the most important function of the community health nurse?
- Conduct community assemblies
- Referral to cancer specialist those clients with symptoms of cancer
- Use the nine warning signs of cancer as parameters in our process of detection; control and treatment modalities.
- Teach women about proper/correct nutrition
26. Situation: Understanding different models of care is a necessary part of the nurse patient relationship. Q. When the nurse identifies a client who has attempted to commit suicide the nurse should:
- Call a priest
- Counsel the client
- refer the client to psychiatrist
- refer the matter to the police
27. The nurse is reviewing the laboratory report of a client who underwent a bone marrow biopsy. The finding that would most strongly support a diagnosis of acute leukemia is the existence of a large number of immature:
- lymphocytes
- thrombocytes
- reticulocytes
- leukocytes
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28. The client is admitted with left-sided congestive heart failure. In assessing the client for edema the nurse should check the:
- Feet
- Neck
- Hands
- Sacrum
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29. A male client with emphysema becomes restless and confused. What step should nurse Jasmine take next?
- Encourage the client to perform pursed lip breathing.
- Check the events temperature.
- Assess the client's potassium level.
- Increase the client's oxygen flow rate.
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30. You are caring for a victim of frostbite to the feet Place the following interventions in the correct order: a.Apply a loose, sterile, bulky dressing. b.Give pain medication. c.Remove the victim from the cold environment. d.Immerse the feet in warm water 10OF to 105F (40.6C to 46.1C)
- A, B, C, D
- B, D, A, C
- C, B, D, A
- B, C, D, A
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31. A patient with malignant cancer has decided to stop chemotherapy and receive hospice care. What is the PRIORITY nursing diagnosis?
- Alteration in comfort
- Hopelessness
- Powerlessness
- Non-compliance
32. An adult clients insulin dosage is 10 units of regular insulin and 15 units of NPH insulin in the morning. The client should be taught to expect the first insulin peak:
- as soon as food is ingested.
- in two to four hours.
- in six hours.
- in ten to twelve hours.
33. Situation: Sterilization is the process of removing ALL living microorganism. To be free of ALL living microorganism is sterility. Q. Autoclave or steam steam under pressure is the most common method of sterilization in the hospital. The nurse knows that the temperature and time is set to the optimum level to destroy not only the microorganism, but also the spores. Which of the following is the ideal setting of the autoclave machine?
- 10,000 degree Celsius for 1 hour
- 5,000 degree Celsius for 30 minutes
- 37 degree Celsius for 15 minutes
- 121 degree Celsius for 15 minutes
34. A nurse is observing a local softball game when one of the players is hit in the nose with a ball. The players nose is visibly deformed and bleeding. The best way for the nurse to control the bleeding is to:
- Tilt the head back and pinch the nostrils.
- Apply a wrapped ice compress to the nose.
- Pack the nose with soft clean tissue.
- Tilt the head forward and pinch the nostrils.
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35. Which of the following cannot be corrected by dialysis?
- Hypernatremia
- Hyperkalemia
- Elevated creatinine
- Decreased hemoglobin
36. Oxybutynin chloride is prescribed for a client with urge incontinence. Which sign would indicate a possible toxic effect related to this medication?
- Pallor
- Drowsiness
- Bradycardia
- Restlessness
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37. Which among these drugs is NOT an anxiolytic?
- Valium
- Ativan
- Milltown
- Luvox
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38. Scrub nurse role includes:
- Assist the surgeons.
- Draping the client with sterile drapes.
- Handling sterile equipments and supplies.
- All of the above.
39. The nurse is evaluating a clients response to cardioversion. Which assessment would be the priority?
- Blood pressure
- Status of airway
- Oxygen flow rate
- Level of consciousness
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40. The nurse is asked to discuss the signs and symptoms of vaginitis caused by the fungus Candida albicans with Ms. Barrows. Which one of the following is a usual sign and symptoms of this infection?
- Pain high in the abdomen
- Intensive vaginal and perineal itching
- Decrease in urinary output
- High fever
41. Joey orients his staff on the patterns of reporting relationship throughout the organization. Which of the following principles refer to this?
- Span of control
- Hierarchy
- Esprit a corps
- Unity of direction
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42. Nurse Greta is working on a surgical floor. Nurse Greta must logroll a client following a:
- Laminectomy
- Thoracotomy
- Hemorrhoidectomy
- Cystectomy.
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43. When teaching a client about contraception. Which of the following would the nurse include as the most effective method for preventing sexually transmitted infections?
- Spermicides
- Diaphragm
- Condoms
- vasectomy
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44. The home health nurse visits a client who is taking phenytoin for control of seizures. During the assessment, the nurse notes that the client is taking birth control pills. Which information should the nurse include in the teaching plan?
- Pregnancy must be avoided while taking phenytoin.
- The client may stop the medication if it is causing severe gastrointestinal effects.
- There is the potential of decreased effectiveness of birth control pills while taking phenytoin.
- There is the increased risk of thrombophlebitis while taking phenytoin and birth control pills together.
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45. What is the fast breathing of Jana who is 3 weeks old?
- 60 breaths per minute
- 40 breaths per minute
- 10 breaths per minute
- 20 breaths per minute
46. An infant who weighs 11 lbs. is to receive 750 mg of an antibiotic in a 24-hour period. The liquid antibiotic comes in a concentration of 125 mg/5ml. If the antibiotic were to be given three times each day. how many ml would the nurse administer with each dose?
- 6.25
- 10
- 5
- 2
47. The nurse is teaching a client with myasthenia gravis about the prevention of myasthenic and cholinergic crises. Which client activity suggests that teaching is most effective?
- Taking medications as scheduled
- Eating large, well-balanced meals
- Doing muscle-strengthening exercises
- Doing all chores early in the day while less fatigued
48. The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. The nurse can reinforce the physicians teaching by telling the parents that:
- The medication will be needed only during times of rapid growth.
- The medication will be needed throughout the child's lifetime.
- The medication schedule can be arranged to allow for drug holidays.
- The medication is given one time daily every other day.
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49. Alice, a new staff nurse asks her preceptor nurse how to obtain a blood sample from patient with a portacath device. The preceptor nurse teaches the new staff nurse:
- The sample will be withdrawn into a syringe attached to the portacath needle and then placed into a vacutainer.
- Portacath devices are not used to obtain blood samples because of the risk of clot formation.
- The vacutainer will be attached to the portacath needle to obtain a direct sample.
- Any needle and syringe may be utilized to obtain the sample.
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50. The physician has ordered Amoxil (amoxicillin) 500mg capsules for a client with esophageal varices. The nurse can best care for the clients needs by:
- Giving the medication as ordered
- Providing extra water with the medication
- Giving the medication with an antacid
- Requesting an alternate form of the medication
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