QB1 | Practice Exam #36 -> answers with explanation - Free NCLEX Exam Practice

NCLEX-RN | QB1 | Practice Exam #36 (50 questions)

 

1. In removing protective devices, which should be the exact sequence? 1.Eye wear or goggles 2.Cap 3.Mask 4.Gloves 5.Gown

• 4,3,5,1,2
• 2,3,1,5,4
• 5,4,3,2,1
• 1,2,3,4,5

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2. The physician has ordered Basaljel (aluminum carbonate gel) for a client with recurrent indigestion. The nurse should teach the client common side effects of the medication which include:

• Constipation
• Urinary retention
• Diarrhea
• Confusion

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3. The nurse working the organ transplant unit is caring for a client with a white blood cell count of 450. During evening visitation a visitor brings a basket of fruit What action should the nurse take?

• Allow the client to keep the fruit.
• Place the fruit next to the bed for easy access by the client.
• Offer to wash the fruit for the client.
• Ask the family members to take the fruit home.

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4. The client is being taught to self-administer insulin. Learning goals most likely will be attained when they are established by the:

• Nurse and client because both need to be responsible for teaching
• Physician and client because the physician is the manager of care and the client is the main participant
• Client because the client is best able to identify his or her own needs and how to meet those needs
• Client, nurse and physician so the client can participate in planning care with the nurse and physician

5. Situation: Still in your self-managed Child Health Nursing Clinic, your encounter these cases pertaining to the CARE OF CHILDREN WITH PULMONARY AFFECTIONS. Josie brought her 3-months old child to your clinic because of cough and colds. Which of the following is your primary action?

• Give cotrimoxazole tablet or syrup
• Assess the patient using the chart on management of children with cough
• Refer to the doctor
• Teach the mother how to count her child's bearing

6. Situation: Joanna Marie, a 40 year old client was diagnosed with breast cancer.Q, The nurse is teaching the sisters of Joanna about Mammography, The nurse tells the client that:

• Mammography takes about 1 hour
• To avoid the use of deodorant powders and creams on the day of the test
• There is no discomfort associated with the procedure
• To maintain an NPO status 8 hours before the procedure

7. While performing an assessment on a post-surgical patient 2 days after surgery, the nurse notes shallow and rapid respirations. What should the nurse do NEXT?

• Asses the patient from pain
• Obtain an order from supplemental oxygen
• Elevate the head of the bed
• Place a warmed blanket on the patient

8. A client has been diagnosed with MEASLES. What precaution is used for this patient?

• Standard precaution
• Airborne precaution
• Droplet precaution
• Contact precaution

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9. This specimen is required to assess glucose levels and for the presence of albumin the the urine

• Midstream clean catch urine
• 24 hours urine collection
• Postprandial urine collection
• Second voided urine

10. The nurse in a maternity unit is reviewing the clients' records. Which clients should the nurse iden- tify as being at the most risk for developing disseminated intravascular coagulation (DIC)? Select all that apply. 1.A primigravida with mild preeclampsia. 2.A primigravida who delivered a 10-lb infant 3 hours ago. 3.A gravida II who has just been diagnosed with dead fetus syndrome. 4.A gravida IV who delivered 8 hours ago and has lost 500 mL of blood. 5.A primigravida at 29 weeks of gestation who was recently diagnosed with severe preeclampsia

• 1,2,3,4
• 2,3
• 3,5
• 2,4,5

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11. Situation: Michelle, 36 weeks gestation visits the hospital because the suspects that her bag of water was ruptured. After being confirmed that membranes has been ruptured and there was no evidence of labor, which of me following would the nurse expect the physician to order?

• Frequent assessment of cervical dilation
• Intravenous oxytocin administration
• Vaginal culture for Neisseria Gonorrhoeae
• Sonogram for amniotic fluid volume index

12. The client has experienced an electrical injury with the entrance site on the left hand and the exit site on the left foot. What are the priority assessment data to obtain from this client on admission?

• Airway patency
• Heart rate and rhythm
• Orientation to time, place, and person
• Current range of motion in all extremities

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13. Which of the following is an example of nursing malpractice?

• The nurse administers penicillin to a patient with a documented history of allergy to the drug. The patient experiences an allergic reaction and has cerebral damage resulting from anoxia.
• The nurse applies a hot water bottle or a heating pad to the abdomen of a patient with abdominal cramping.
• The nurse assists a patient out of bed with the bed locked in position; the patient slips and fractures his right humerus.
• The nurse administers the wrong medication to a patient and the patient vomits. This information is documented and reported to the physician and the nursing supervisor.

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14. The doctor has ordered 80mg of furosemide (Lasix) two times per day. The nurse notes the patients potassium level to be 2.5meq/L. The nurse should:

• Administer the Lasix as ordered
• Administer half the dose
• Offer the patient a potassium-rich food
• Withhold the drug and call the doctor

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15. A woman is to have a pelvic exam. Which of the following should the nurse have the client do first?

• Remove all her clothes and her socks and shoes
• go to the bathroom and void saving a sample
• assume a lithotomy position on the exam table
• assemble all the equipment needed for the examination

16. Situation: Mental Retardation is an increasingly common childhood disorder that impairs learning.Q. The child was classified as having an IQ of 55. This is said to be:

• Miild Mental Retardation
• Moderate Mental Retardation
• Severe Mental Retardation
• Profound Mental Retardation

17. The nurse is caring for the client following a cerebral vascular accident. Which portion of the brain is responsible for taste smell and hearing?

• Occipital
• Frontal
• Temporal
• Parietal

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18. Situation: Mr. Roberto was long diagnosed with chronic renal failure. You are his nurse and the following question assesses your knowledge in the different fluid and electrolyte imbalances that are associated with chronic renal failure. Q. In Mr. Roberto's ECG tracing, you would expect to find:

• Depressed T wave
• Presence of U wave
• A peaked T wave
• Inverted T wave

19. A patient is 2-days post-operative hernia repair and has an order for a dressing change patients has been diagnosed with auto immune deficiency disease syndrome (AIDS). While performing the dressing change the nurse should take which of the following actions?

• Put the patient in a private room
• Wear gloves during the dressing change
• Wear gloves gown, and mask during dressing change
• Put the patient in reverse isolation

20. Which statement by the patient with hyperlipidemia shows a basic understanding of the disease and it treatment?

• Exercise has no effect on cholesterol levels
• Hyperipidemia is usually symptomatic until significant target organ damage is done
• HDL cholesterol level of greater the 60 mg/dl increases the chance of coronary artery disease
• Cholestyramine (Quesram)should be taken in the morning with other medications

21. A patient presents to the emergency room due to an overdose of morphine sulfate.Which of the following should the nurse has readily available?

• Glucagon
• Antibiotic
• Acetylcysteine (Mucomyst)
• Naloxone (Narcan)

22. Nurse Hazel invites new clients parents to attend the psycho educational program for families of the chronically mentally ill. The program would be most likely to help the family with which of the following issues?

• Developing a support network with other families
• Feeling more guilty about the clients illness
• Recognizing the client's weakness
• Managing their financial concern and problems

23. A nurse educates a patient diagnosed with diabetes, on the importance of exercise and a well-balanced, low-carbohydrate diet. The patient takes metforin(glucophage) 500 mg once a day. Which following indicates the patient's plan of Care needs to be re-evaluated?

• Blood glucose level is 90mg/dl
• HbA1C (glycosylated hemoglobin) level is 9.0%
• Total H DL level is 60mg/dl
• Low density Lipoprotien is l30 mg/dl

24. The registered nurse is making shift assignments. Which client should be assigned to the licensed practical nurse (LPN)?

• A client who is a diabetic with a foot ulcer
• A client with a deep vein thrombosis receiving intravenous heparin
• A client being weaned from a tracheostomy
• A post-operative cholecystectomy with a T-tube

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25. The nurse is preparing to perform an admission assessment on a client with a diagnosis of bulimia nervosa. Which assessment findings should the nurse expect to note? Select all that apply. 1.Dental decay. 2.Moist, oily skin. 3.Loss of tooth enamel. 4. Electrolyte imbalances. 5.Body weight well below ideal range

• 1,2,3
• 1,3,5
• 1,2,4
• 1,3,4

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26. Which of the following is a positive sign of pregnancy?

• Fetal movement felt by mother
• Enlargement of the uterus
• (+) pregnancy test
• (+) ultrasound

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27. The advantage of use head to toe approach when you assess the patient:

• It increase the number of position changes
• It helps to prevent overlooking some aspect of data collection
• It takes more time
• It is difficult to detect the disease or problem

28. Situation: Jolina is an 18 year old beginning college student Her mother observed that she is having problems relating with her friends. She is undecided about her future. She has lost insight, lost interest in anything and complained and complained of constant tiredness.Q. This is a tricyclic antidepressant drug:

• Venlafaxine (Effexor)
• Sertraline (Zoloft)
• Fluoxetine (Prozac)
• Imipramine (Tofranil)

29. Situation: Michelle, 36 weeks gestation visits the hospital because the suspects that her bag of water was ruptured. Q. Michelle is to be discharged home on bed rest with follow - tip by the community health nurse. After instruction about care while at home, which of the following clients statements indicates effective teaching?

• "It is permissible to douche if the fluid irritates my vaginal area"
• "I can take either a tub Bath or a shower when I feel it"
• "I shouldn't limit my fluid intake to less than 1 quart daily."
• " I should contact the doctor if my temperature is 100.4 F or higher."

30. The nurse administered a prescribed intramuscular medication to a patient during a home health visit. How should the nurse dispose of the used needle and syringe?

• Recap the needle, then place the needle and syringe into a waterproof container until safe disposal can be made
• Bend the needle back towards the barrel of the syringe before putting the needle and syringe in a metal trash container
• Wrap the needle and syringe in disposable paper before putting the needle and syringe into the dirty section of the nurse's equipment bag
• Put the needle and syringe directly into a puncture-resistant plastic container that has a lid

31. When planning the discharge of a client with chronic anxiety the nurse directs the goals at promoting a safe environment at home. Which is the most appropriate maintenance goal?

• Suppressing feelings of anxiety
• Identifying anxiety-producing situations
• Continuing contact with a crisis counselor
• Eliminating all anxiety from daily situations

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32. Which of the following takes place during the implementation phase of the nursing process?

• Development of a goals and a nursing care plan
• Identification of actual or potential health problems
• Actualization of the care plan through nursing interventions
• Determination of the patients responses to the nursing interventions

33. Situation: Mang 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 Mang Jose says to you: "The voices are telling me bad things again!" The best response is:

• "Whose voices are those?"
• "I doubt what the voices are telling you."
• "I do not hear the voice you say you hear"
• "Are you sure you hear these voices?"

34. Which of the following is the nurse's role in the health promotion

• Health risk appraisal
• Teach client to be effective health consumer
• Worksite wellness
• None of the above

35. A nurse is providing instructions to a client regarding quinapril hydrochloride (Accupril). The nurse tells the client:

• to take the medication with food only
• to rise slowly from a lying to a sitting position
• to discontinue the medication if nausea occurs
• that a therapeutic effect will be noted immediately

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36. The appropriate needle size for insulin injection is:

• 18G, 1 1/2" long
• 22G, 1" long
• 22G, 1 1/2" long
• 25G, 5/8" long

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37. "+++ Positive" result after Benedicts test is depicted by what color?

• Blue
• Green
• Yellow
• Orange

38. Situation: Survey and Statistics are important part of research that is necessary to explain the characteristics of the population.Q. In the value: 80, 80, 80, 82, 82, 90, 90,100. What is the mode?

• 80
• 82
• 90
• 85.5

39. For a 6 year-old child hospitalized with moderate edema and mild hypertension associated with acute glomerulonephritis (AGN), which one of the following nursing interventions would be appropriate?

• Institute seizure precautions
• Weigh the child twice per shift
• Encourage the child to eat protein-rich foods
• Relieve boredom through physical activity

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40. John's temperature 10 hours ago is a normal 36.5 degrees. 4 hours ago, He has a fever with a temperature of 38.9 Degrees. Right now, his temperature is back to normal. Which of the following best describe the fever john is having?

• Relapsing
• Intermittent
• Remittent
• Constant

41. The nurse is monitoring a client in active labor and notes that the client is having contractions every 3 minutes that last 45 seconds. The nurse notes that the fetal heart rate between contractions is 100 beats/ minute. Which nursing action is most appropriate?

• Notify the health care provider (HCP).
• Continue monitoring the fetal heart rate.
• Encourage the client to continue pushing with each contraction.
• Instruct the client's coach to continue to encourage breathing techniques.

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42. When administering medication via nasogastric tubing, clamp the tube for at least:

• One half hour prior to medication administration to prevent complication
• One half hours after instilling medication to allow for absorption
• One hour prior to medication administration to prevent complication
• One and one half hours after instilling medication to allow for absorption

43. According to the Biopsychosocial and spiritual theory of Sister Callista Roy, Man, As a SOCIAL being is

• Like all other men
• Like some other men
• Like no other men
• Like men

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44. SITUATION : Knowledge of the drug prophantheline bromide [Probanthine] Is necessary in treatment of various disorders.Q. Which of the following disease would Probanthine exert the much needed action for control or treatment of the disorder?

• Urinary retention
• Peptic Ulcer Disease
• Ulcerative Colitis
• Glaucoma

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45. Damage to the VII cranial nerve results in:

• Facial pain
• Absence of ability to smell
• Absence of eye movement
• Tinnitus

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46. A vitamin taken in conjunction with ISONIAZID to prevent peripheral neuritis

• Vitamin B1
• Vitamin B2
• Vitamin B3
• Vitamin B6

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47. Situation: During the morning endorsement, the' outgoing nurse informed the nursing staff that Regina, 5 years oid, was given Flurazepam (Dalmane) 15 mg at 10:00pm because she had trouble going to sleep. Before approaching Regina, the nurse read the observation of the night nurse.Q. Which of the following approaches of the nurse validates the data gathered?

• "I learned that you were up till ten last night, tell me what happened before you were finally able to sleep and how was your sleep?"
• "Hmm...You look like you had a very sound sleep. That pill you were given last night is effective isn't it?"
• "Regina, did you sleep well?"
• "Regina, how are you?"

48. A client with bacterial pneumonia is admitted to the pediatric unit.What would the nurse expect the admitting assessment to reveal?

• High fever
• Nonproductive cough
• Rhinitis
• Vomiting and diarrhea

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49. SITUATION: Mr. Francisco, 70 years old, suddenly could not lift his spoons nor speak at breakfast. He was rushed to the hospital unconscious. His diagnosis was CVA.Q. What is the rationale for giving Mr. Francisco frequent mouth care?

• He will be thirsty considering that he is doesn't drink enough fluids
• To remove dried blood when tongue is bitten during a seizure
• The tactile stimulation during mouth care will hasten return to consciousness
• Mouth breathing is used by comatose patient and it'll cause oral mucosa dying and cracking.

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50. The nurse is making initial rounds on a client with a C5 fracture and Crutchfield tongs. Which equipment should be kept at the bedside?

• A pair of forceps
• A torque wrench
• A pair of wire cutters
• A screwdriver

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NCLEX-RN | QB1 | Practice Exam #36 (50 questions)