NCLEX-RN | QB3 | Practice Exam #25 (50 questions)
All 50 questions are randomized each time you take the test, and do not appear in the same order.
1. A client is admitted with a diagnosis of duodenal ulcer. A common complaint of the client with a duodenal ulcer is:
- Epigastric pain that is relieved by eating
- Weight loss
- Epigastric pain that is worse after eating
- Vomiting after eating
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2. Which of the following activities, when voiced by the parents following a teaching session about the characteristics of school-age cognitive development would indicate the need for additional teaching?
- Collecting baseball cards and marbles
- Ordering dolls according to size
- Considering simple problem-solving options
- Developing plans for the future
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3. A baby girl is born 8 weeks premature. At birth, she has no spontaneous respirations but is successfully resuscitated. Within several hours she develops respiratory grunting, cyanosis, tachypnea, nasal flaring, and retractions. She’s diagnosed with respiratory distress syndrome, intubated, and placed on a ventilator. Which nursing action should be included in the baby's plan of care to prevent retinopathy of prematurity?
- Cover his eyes while receiving oxygen.
- Keep her body temperature low.
- Monitor partial pressure of oxygen (PaO2) levels.
- Humidify the oxygen.
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4. Linda is pacing the floor and appears extremely anxious. The duty nurse approaches in an attempt to alleviate Linda's anxiety. The most therapeutic question by the nurse would be? Would you like to watch TV?
- Would you like me to talk with you?
- Are you feeling upset now?
- Ignore the client
- Would you like to watch TV?
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5. Which nursing assessment would identify the earliest sign of ICP?
- Change in level of consciousness
- Temperature of over 103°F
- Widening pulse pressure
- Unequal pupils
6. A client with tuberculosis whose status is being monitored in an ambulatory care clinic asks the nurse when it is permissible to return to work. What factor should the nurse include when responding to the client?
- Five blood cultures are negative.
- Three sputum cultures are negative.
- A blood culture and a chest x-ray are negative.
- A sputum culture and a tuberculin skin test are negative.
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7. Situation: Understanding different models of care is a necessary part of the nurse patient relationship. Q. The nurse is providing information to a client with the use of disulfiram (antabuse) for the treatment of alcohol abuse. The nurse understands that this form of therapy works on what principle?
- Negative Reinforcement
- Aversion Therapy
- Operant Conditioning
- Gestalt therapy
8. A parent with a daughter with bulimia nervosa asks a nurse, “How can my child have an eating disorder when she isn't underweight?" Which of the following responses is best?
- "A person with bulimia nervosa can maintain a normal weight."
- "It's hard to face this type of problem in a person you love."
- "At first there is no weight loss; it comes later In the disease.”
- "This is a serious problem even though there is no weight loss."
9. Which of the following statements is true about residents who are restrained?
- They are at greater risk for developing pressure sores.
- They are at lower risk of developing pneumonia.
- Their posture and alignment are improved.
- They are not at risk for falling.
10. A hospitalized patient eats 20% of the meal and states being too tired to eat more. What should the nurse do?
- Offer to feed the patient after short rest period.
- Encourage the patient to finish the fluids.
- Remove the meal tray and allow the patient to rest.
- Encourage the patient to finish the protein portion of the meal
11. The nurse is evaluating a client in skeletal traction. When evaluating the pin sites, the nurse would be most concerned with which finding?
- Redness around the pin sites
- Pain on palpation at the pin sites
- Thick, yellow drainage from the pin sites
- Clear, watery drainage from the pin sites
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12. Walter, a teenage patient is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs?
- Lungs
- Liver
- Kidney
- Adrenal Glands
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13. A client has been diagnosed with IMPETIGO. What precaution is used for this patient?
- Standard precaution
- Airborne precaution
- Droplet precaution
- Contact precaution
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14. A 32-year-old woman meets with the nurse on her first office visit since undergoing a left mastectomy. When asked how she is doing, the woman states her appetite is still not good, she is not getting much sleep because she doesn't go to bed until her husband is asleep, and she is really anxious to get back to work. Which of the following nursing interventions should the nurse explore to support the client's current needs?
- Call the physician to discuss allowing the client to return to work earlier.
- Suggest that the client learn relaxation techniques to help with her insomnia
- Perform a nutritional assessment to assess for anorexia
- Ask open-ended questions about sexuality issues related to her mastectomy
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15. It is a transparent membrane that focuses the light that enters the eyes to the retina:
- Lens
- Sclera
- Cornea
- Pupils
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16. A manic client begins to make sexual advances toward visitors in the dayroom. When the nurse firmly states that this is inappropriate and will not be allowed, the client becomes verbally abusive and threatens physical violence to the nurse. Based on the analysis of this situation, which intervention should the nurse implement?
- Place the client in seclusion for 30 minutes.
- Tell the client that the behavior is inappropriate.
- Escort the client to their room, with the assistance of other staff.
- Tell the client that their telephone privileges are revoked for 24 hours.
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17. A client is diagnosed as having a bowel tumor. The nurse should monitor the client for which complications of this type of tumor? Select all that apply. 1. Flatulence 2. Peritonitis 3. Hemorrhage 4. Fistula formation 5. Bowel perforation 6. Lactose intolerance
- 1,4,5
- 2,3,4,5
- 1,2,3,4
- 4,5
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18. The nurse would question which medication order for a client with acute-angled glaucoma?
- Atropine (Sal-tropine) 1-2 drops in each eye now
- Hydrochloride (Diuril) 25 mg PO daily
- Propranolol (Inderal) 20 mg PO 2 times a day
- Carbanyl choline (Isopto carbachol) eye drops; 1 drop 2 times a day
19. The nurse enter a room and finds a fire. Which is the best initial action?
- Evacuate any people in the room, beginning with the most ambulatory and ending with the least mobile
- activating the fire alarm or call the operator, depending on the institutions system
- get a fire extinguisher and put out the fire
- close all the windows and doors and turn off any oxygen or electricity appliance.
20. The nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which of the following would the nurse expect to note specifically in this disorder?
- Decreased number of plasma cells in the bone marrow.
- Increased WBC's
- Increased calcium levels
- Decreased blood urea nitrogen
21. Situation: If a child with diarrhea registers one sign in the pink row and one in the yellow row in the IMCI Chart. We can classify the patient as:
- moderate dehydration
- some dehydration
- no dehydration
- severe dehydration
22. Too narrow cuff will cause what change in the Clients BP?
- True high reading
- True low reading
- False high reading
- False low reading
23. Patient's refusal to divulge information is a limitation because it is beyond the control of the researcher. What type of research is appropriate for this study?
- Descriptive-correlational
- Experiment
- Quasi-experiment
- Historical
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24. A removal of the left lower lobe of the lung is performed on a client with lung cancer. Which post-operative measure would usually be included in the plan?
- Closed chest drainage
- A tracheostomy
- A Swan Ganz Monitor
- Percussion vibration and drainage
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25. A nurse is evaluating therapy with the family of a client with anorexia nervosa. Which of the following would indicate that the therapy was successful?
- The parents reinforced increased decision making by the client
- The parents clearly verbalize their expectations for the client
- The client verbalizes that family meals are now enjoyable
- The client tells her parents about feelings of low-self esteem
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26. An unemployed woman, age 24, seeks help because she feels depressed and abandoned and doesn't know what to do with her life. She says she has quit her last five jobs because her coworkers didn't like her and didn't train her adequately. Last week, her boyfriend broke up with her after she drove his car into a tree after an argument The client's initial diagnosis is borderline personality disorder. Which nursing observations support this diagnosis?
- Flat affect, social withdrawal, and unusual dress
- Suspiciousness, hypervigilance, and emotional coldness
- Lack of self-esteem, strong dependency needs, and impulsive behavior
- Insensitivity to others, sexual acting out, and violence
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27. Mr. Domingo with a history of hypertension is diagnosed with primary hyperaldosteronism. This diagnosis indicates that the client's hypertension is caused by excessive hormone secretion from which of the following glands?
- Adrenal cortex
- Pancreas
- Adrenal medulla
- Parathyroid
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28. When residents obtain water from an artesian well in the neighborhood, the level of this approved type of water facility is:
- I
- II
- III
- IV
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29. Situation: As a beginner in research, you are aware that sampling is an essential element of the research process. Q. What does a sample group represent?
- Control group
- Study subjects
- General population
- Universe
30. Which of the following fundal heights indicates less than 12 weeks' gestation when the date of the LMP is unknown?
- Uterus in the pelvis
- Uterus at the xiphoid
- Uterus in the abdomen
- Uterus at the umbilicus
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31. Jose Miguel, a 50 year old business man is 6'0 Tall and weights 179 lbs. As a nurse, you know that Jose Miguel is:
- Overweight
- Underweight
- Normal
- Obese
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32. A client is diagnosed with trigeminal neuralgia. Which medication should the nurse anticipate will be prescribed for this client?
- Ascorbic acid
- Morphine sulfate
- Allopurinol (Zyloprim)
- Carbamazepine (Tegretol)
33. When she presents the nursing procedures to be followed, she refers to what type of standards?
- Process
- Outcome
- Structure
- Criteria
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34. A client with a history of polysubstance abuse is admitted to the facility. She complains of nausea and vomiting 24 hours after admission. The nurse assesses the client and notes piloerection, pupillary dilation, and lacrimation. The nurse suspects that the client is going through which of the following withdrawals?
- Alcohol withdrawal
- Cannabis withdrawal
- Cocaine withdrawal
- Opioid withdrawal
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35. Standards of pain management dictate the nurses:
- Administer analgesic via injection whenever possible
- Avoid the use of the word "pain"
- Screen for pain at each encounter
- Discourage around-the clock dosage of analgesics
36. Tony, a basketball player twist his right ankle while playing on the court and seeks care for ankle pain and swelling. After the nurse applies ice to the ankle for 30 minutes, which statement by Tony suggests that ice application has been effective?
- "My ankle looks less swollen now”.
- "My ankle appears redder now".
- "My ankle feels warm".
- "I need something stronger for pain relief".
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37. Situation: The question with regards to the OPERATING ROOM. Q. The operating room is divided into three areas, The unrestricted, the semi restricted and the restricted areas. Where is the operating room?
- Restricted
- Unrestricted
- Semi restricted
- PACK
38. Magnesium sulfate is given to Jenna with preeclampsia to prevent which of the following condition?
- Hemorrhage
- Hypertension
- Hypomagnesemia
- Seizure
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39. A client with a brain attack is comatose on admission. Which clinical indicator is the nurse most likely to identify?
- Twitching motions
- Purposeful motions
- Urinary incontinence
- Unresponsiveness to pain
40. 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. When a toddler is hospitalized, age appropriate toys would include:
- Wind-up toys, music boxes, and electric trains
- Toys requiring pushing, pulling and to big to be swallowed
- Marble tracks and small blocks encouraging fine-motor coordination
- Colorful mobiles, wind-up toys, and marble tracks
41. A 7-year-old client is brought to the E.R. He's tachypneic and afebrile and has a respiratory rate of 36 breaths/minute and a nonproductive cough. He recently had a cold. From his history, the client may have which of the following?
- Acute asthma
- Bronchial pneumonia
- Chronic obstructive pulmonary disease (COPD)
- Emphysem
42. Which of the following statements is TRUE of conception?
- Within 2-4 hours after intercourse conception is possible in a fertile woman
- Generally, fertilization is possible 4 days after ovulation
- Conception is possible during menstruation in a long menstrual cycle
- To avoid conception, intercourse must be avoided 5 days before and 3 days after menstruation
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43. Situation: Annie has a morbid fear of heights. She asks the nurse what desensitization therapy is: Q. It is essential in desensitization for the patient to:
- Have a rapport with therapist
- Use deep breathing or another relaxation technique
- Assess one's self for the need of anxiolytic drug
- Work through unresolved unconsciousness conflicts
44. During a Romberg test, the nurse asks the patient to assume which position?
- Sitting
- Genupectoral
- Trendelenburg
- Standing
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45. A gravidocardiac mother is advised to observe bed rest primarily to:
- Minimize oxygen consumption which can aggravate the condition of the compromised heart of the mother
- Allow the fetus to achieve normal intrauterine growth
- Prevent perinatal infection
- Reduce incidence of premature labor
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46. A patient has exacerbation of chronic obstructive pulmonary disease (COPD) manifested by shortness of breath; orthopnea: thick, tenacious secretions; and a dry hacking cough. An appropriate nursing diagnosis would be:
- Ineffective airway clearance related to thick, tenacious secretions.
- Ineffective airway clearance related to dry, hacking cough.
- Ineffective individual coping to COPD.
- Pain related to immobilization of affected leg.
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47. A client with fracture develops compartment syndrome. When caring for the client, the nurse would be alert for which of the following signs of possible organ failure?
- Rales
- Jaundice
- Generalized edema
- Dark, scanty urine
48. A client experiences post partum hemorrhage eight hours after the birth of twins. Following administration of IV fluids and 500 ml of whole blood, her hemoglobin and hematocrit are within normal limits. She asks the nurse whether she should continue to breast feed the infants. Which of the following is based on sound rationale?
- "Nursing will help contract the uterus and reduce your risk of bleeding."
- "Breastfeeding twins will take too much energy after the hemorrhage."
- "The blood transfusion may increase the risks to you and the babies."
- "Lactation should be delayed until the Teal milk" is secreted."
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49. A client is hospitalized in the acute phase of severe ovarian hyperstimulation syndrome. The following nursing diagnosis has been identified: Fluid volume excess (extravascular) related to third spacing. Which of the following nursing goals is highest priority in relation to this diagnosis?
- Client's weight will be within normal limits by date of discharge.
- Client's skin will show no evidence of breakdown throughout hospitalization.
- Client's electrolyte levels will be within normal limits within one day.
- Client's lung fields will remain clear throughout hospitalization.
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50. Situation: The body has regulatory mechanism to maintain the needed electrolytes. However there are conditions/surgical interventions that could compromise life. You have to understand how management of these conditions are done. Q. You are caring for Leda who is scheduled to undergo total thyroidectomy because of a diagnosis of thyroid cancer. Prior to total thyroidectomy, you should instruct Leda to:
- Perform range and motion exercises on the head and neck
- Apply gentle pressure against the incision when swallowing
- Cough and deep breath every 2 hours
- Support head with the hands when changing position
NCLEX-RN | QB3 | Practice Exam #25 (50 questions)