QB1 | Practice Exam #34 -> answers with explanation - Free NCLEX Exam Practice

NCLEX-RN | QB1 | Practice Exam #34 (50 questions)

 

1. A patient has just diagnosed with hypothyroidism. Which of the following instructions is correct?

• You will need to take thyroid hormone replacement therapy your Entire life
• You will need to take thyroid hormone replacement therapy until your laboratory result
• You will need to take thyroid hormone replacement therapy for about 2 months.
• You will need to take thyroid hormone replacement therapy for 1 year

2. Nurse Oliver interviews a young female client with anorexia nervosa to obtain information for the nursing history. The clients history is likely to reveal a:

• Strong desire to improve her body image
• Close, supportive mother-daughter relationship
• Satisfaction with and desire to maintain her present weight
• Low level of achievement in school, with little concerns for grades

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3. A client with acute respiratory distress syndrome (ARDS) is placed on mechanical ventilation. To increase ventilation and perfusion to all areas of the lungs the nurse should:

• Tell the client to inhale deeply during the inspiratory cycle.
• Increase the positive end expiratory pressure (PEEP).
• Turn the client every hour
• Administer medication to prevent the client from fighting the ventilator.

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4. The common normal site of nidation/implantation in the uterus is

• Upper uterine portion
• Mid-uterine area
• Lower uterine segment
• Lower cervical segment

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5. A nurse is assessing a patient who just arrived in the emergency department (ED) after a motor vehicle collision . The patient has a strong smell of alcohol on the breath, is restless, and has a bluish discolouration on the abdomen by the umbilicus. The patients vital signs are temperature 37.20C (98.90F), heart rate 120/min, respiration rate 24/min, and blood pressure level 100/62 mmHg. While other members of the team are evaluating the patient, the nurse should obtain:

• A pair of elastic support stockings
• A chest tube insertion tray
• Supplies for peritoneal lavage
• A vial of hydralazine

6. A healthy 2-years-old child is brought to the community health clinic for a routine checkup. At this visit the nurse should administer the following vaccine:

• Rotavirus
• Hepatitis B
• None at this time
• Varicella

7. A patient with bacterial meningitis is treated with intravenous antimicrobial agent Which of the following BEST indicates effectiveness of treatment?

• Severe headache
• Negative kernig's sign
• Nuchal rigidity
• Photophobia

8. Situation: Nurse Macarena is a Family Planning and Infertility Nurse Specialist and currently attends to FAMILY PLANNING CLIENTS AND INFERTILE COUPLES. The following conditions pertain to meeting the nursing needs of this particular population group.Cindy's cousin on the other hand, knowing nurse Macarena's specialization asks what artificial insemination by donor entails. Which would be your best answer if you were Nurse Macarena?

• Donor sperm are introduced vaginally into the uterus or cervix
• Donor sperm are injected intra-abdominally into each ovary
• Artificial sperm are injected vaginally to test tubal patency
• The husband's sperm is administered intravenously weekly

9. To assess if the cranial nerve VII of the client was damaged, which changes would not be expected?

• Drooling and drooping of the mouth.
• Inability to open eyelids on operative side.
• Sagging of the face on the operative side.
• Inability to close eyelid on operative side.

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10. Most antipsychotic medications exert which of following effects on the central nervous system (CNS)?

• Stimulate the CNS by blocking postsynaptic dopamine, norepinephrine, and serotonin receptors.
• Sedate the CNS by stimulating serotonin at the synaptic cleft.
• Depress the CNS by blocking the postsynaptic transmission of dopamine, serotonin, and norepinephrine.
• Depress the CNS by stimulating the release of acetylcholine.

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11. The nurse is aware that ego development begins during:

• Toddler period
• Preschool age
• School age
• Infancy

12. Which assessment following an amniotomy should be conducted first?

• Cervical dilation
• Bladder distention
• Fetal heart rate pattern
• Maternal blood pressure

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13. Situation: Understanding different models of care is a necessary part of the nurse patient relationship.Q. The focus of this therapy is to have a positive environmental manipulation, physical and social to effect a positive change.

• Milieu
• Psychotherapy
• Behaviour
• Group

14. Postulated that FAITH is the way of behaving. He developed four theories of faith and development based on his experience.

• Giligan
• Westerhoff
• Fowler
• Freud

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15. Situation: Mastery of research design determination is essential in passing the Nurse Licensure Examination.Q. Ana wants to know if the of time she will study for the board examination is proportional to her board rating. During the June 2008 board examination. She studied for 6 months and gained 60%. On the next board exam, she studied for 6 months again for a total of 1 year and gained 74%. On the third board exam, She studied for 6 months for a total of 1 and a half year and gained 82%. The research she used is:

• Comparative
• Correlational
• Experimental
• Qualitative

16. Nurse Maureen knows that the positive diagnosis for HIV infection is made based on which of the following:

• A history of high risk sexual behaviors.
• Positive ELISA and western blot tests
• Identification of an associated opportunistic infection
• Evidence of extreme weight loss and high fever

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17. A 25-year-old client with a goiter is admitted to the unit What would the nurse expect the admitting assessment to reveal?

• Slow pulse
• Anorexia
• Bulging eyes
• Weight gain

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18. Tony returns from surgery with permanent colostomy. During the first 24 hours the colostomy does not drain. The nurse should be aware that:

• Proper functioning of nasogastric suction
• Presurgical decrease in fluid intake
• Absence of gastrointestinal motility
• Intestinal edema following surgery

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19. Mrs. Hogan, a 43-year-old woman, is admitted to your unit for cholecystectomy.Q. Which of the following is true about verapamil?

• It is used for wide-complex tachycardia.
• It may cause a drop in blood pressure.
• It is a first line drug for Pulseless Electrical Activity.
• It is useful for treatment of severe hypotension.

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20. It is record used when rendering prenatal care in the community,

• Prenatal record
• Home Based mother's record
• Pink Card
• Mother's book

21. Chemotherapy dosage is frequently based on total body surface area (BSA), so it is important for the nurse to perform which assessment before administering chemotherapy?

• Measure the client's abdominal girth.
• Calculate the client's body mass index.
• Measure the client's current weight and height.
• Ask the client about his or her weight and height.

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22. Situation: The Gastrointestinal System is responsible for taking in and processing nutrients for all parts of the body, any problem can quickly affect other body systems and, if not adequately treated, can affect overall health, growth, and development. The following questions are about gastrointestinal disorders in a child.To rule out pyloric stenosis, the definitive diagnosis is made by watching the infant drink. After the infant drinks, what will be the characteristic sign that will describe pyloric stenosis?

• An olive-size lump can be palpated
• There is gastric peristaltic waves from left to right across the abdomen
• A hypertrophied sphincter can be seen on ultrasound
• A tingling sensation is felt on the lower extremities

23. A client is admitted to the hospital with an exacerbation of her chronic systemic lupus erythematosus (SLE). She gets angry when her call bell isn't answered immediately. The most appropriate response to her would be:

• "You seem angry. Would you like to talk about it?"
• "Calm down. You know that stress will make your symptoms worse."
• "Would you like to talk about the problem with the nursing supervisor?"
• "I can see you're angry. I'll come back when you've calmed down."

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24. Medical treatment of coronary artery disease includes which of the following procedures?

• Cardiac catheterization
• Coronary artery bypass surgery
• Oral medication administration
• Percutaneous transluminal coronary angioplasty

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25. The traction and urinary catheter have been discontinued for a patient who was immobilized in traction for 6 weeks.The pt is now having a problem with urinary incontinence .which of the following interventions would the nurse most likely implement?

• Bladder training
• Behavioural training
• Scheduled toileting
• Prompted voiding

26. A primigravida is instructed to offer her breast to the baby for the first time within 30 minutes after delivery. What is the purpose of offering the breast this early?

• To initiate the occurrence of milk letdown
• To stimulate milk production by the mammary acini
• To make sure that the baby is able to get the colustrum
• To allow the woman to practice breastfeeding in the presence of the health worker

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27. A client says to the nurse, "The federal guards were sent to kill me." Which is the best response by the nurse to the client's concern?

• "I don't believe this is true.”
• "The guards are not out to kill you.”
• "Do you feel afraid that people are trying to hurt you?"
• "What makes you think the guards were sent to hurt you?"

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28. One morning a female client on the inpatient psychiatric service complains to nurse Hazel that she has been waiting for over an hour for someone to accompany her to activities. Nurse Hazel replies to the client "We're doing the best we can. There are a lot of other people on the unit who needs attention too7 This statement shows that the nurse's use of:

• Defensive behavior
• Reality reinforcement
• Limit-setting behavior
• Impulse control

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29. The characteristic fever in Dengue Virus is characterized as:

• Tricyclic
• Bicyclic
• Biphasic
• Triphasic

30. Situation: Patricia Zeno is a client with history myasthenia gravis.Q. To provide safe care for Mrs. Zeno, it is important for the nurse to check the bedside for the presence of:

• A tracheostomy set
• An intravenous set-up
• A hypothermia blanket
• A syringe and edrophonium HCI(Tensilon)

31. Erlinda, age 85, with major depression undergoes a sixth electroconvulsive therapy (ECT) treatment. When assessing the client immediately after ECT, the nurse expects to find:

• Permanent short-term memory loss and hypertension
• Permanent long-term memory loss and hypomania
• Transitory short-term memory loss and permanent long-term memory loss
• Transitory short and long term memory loss and confusion

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32. The nurse is teaching a client with peritoneal dialysis how to manage exchanges at home. The nurse should tell the client to notify the doctor immediately if:

• The dialysate returns become cloudy in appearance.
• The return of the dialysate is slower than usual.
• A tugging^ sensation is noted as the dialysate drains.
• A feeling of fullness is felt when the dialysate is instilled.

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33. Situation: Susan is a patient in the clinic where you work. She is inquiring about pregnancy.Susan tells you she is worried because she develops breast later than most of her friends. Breast development is termed as:

• Adrenarche
• Mamarche
• Thelarche
• Menarche

34. SITUATION: MARK Lester had been diagnosed with Stage 1 bronchogenic cancer He had undergone lobectomy on the left lower lung, A two-bottle drainage system is inserted Jf the nurse sees fluid moving up and down during inspiration and expiration on the water seal bottle, she should:

• Do nothing as this is expected
• Immediately check the bottle for leaks
• Call the physician immediately and damp the chest tube
• Cover the wound with wet sterile gauze and send someone to calf the physician

35. A patient is admitted to the emergency department with a sucking, chest wound has diminished breath sounds or auscultation. Which of the following interventions would the nurse perform FIRST?

• Monitor O2 saturation and arterial blood gas (ABG)levels
• Apply Petroleum Gauze to wound
• Prepare the patient for emergency thoracentesis
• Position the patient in an upright position.

36. The nurse is caring for a client with a diagnosis of gout. Which laboratory value would the nurse expect to note in the client?

• Calcium level of 9.0 mg/dL (2.25 mmol/L)
• Uric acid level of 9.0 mg/dL (0.54 mmol/L)
• Potassium level of 4.1 mEq/L(4.1 mmol/L)
• Phosphorus level of 3.1 mg/dL (1.0 mmol/L)

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37. Nurse Bryan knows that the age group that uses the most units of blood and blood products is:

• Premature infants.
• Children ages 1-20 years.
• Adults ages 21-64 years.
• The elderly above age 65 years.

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38. The nurses should assess a client with psoriasis

• Pruritic lesions
• Multiple petechiae
• Shiny, scaly lesions
• Erythematous macules

39. An obstetrical client has just been diagnosed with cardiac disease. The nurse should give priority to:

• Instructing the client to remain on strict bed rest
• Telling the client to monitor her pulse and respirations
• Instructing the client to check her temperature in the evening
• Telling the client to weigh herself monthly

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40. A female child with rubella should be isolated from a:

• 21 year old male cousin living in the same house
• 18 year old sister who recently got married
• 11 year old sister who had rubeola during childhood
• 4 year old girl who lives next door

41. The emergency room nurse admits a child who experienced a seizure at school The father comments that this is the first occurrence, and denies any family history of epilepsy. What is the best response by the nurse?

• "Do not worry. Epilepsy can be treated with medications."
• "The seizure may or may not mean your child has epilepsy"
• "Since this was the first convulsion, it may not happen again."
• "Long term treatment will prevent future seizures"

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42. Exchange of gases takes place in which of the following organ?

• Kidney
• Lungs
• Liver
• Heart

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43. The nurse is preparing to administer exogenous surfactant to a premature infant who has respiratory distress syndrome. The nurse prepares to administer the medication by which route?

• Intradermal
• Intratracheal
• Subcutaneous Intramuscular
• Intramuscular

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44. Situation: The nurse-patient relationship is a modality through which the nurse meets the clients needs.Q. The nurse's most unique tool in working with the emotionally ill client is his/her:

• theoretical knowledge
• personality make up
• emotional reactions
• communication skills

45. A male patient needs a percutaneously inserted central catheter (PICC) for prolonged IV therapy. He knows it can be inserted without going to the operating room. He mentions that, "at least the doctor won't be wearing surgical garb, will he?" How will the nurse answer the patient?

• "You are correct. It is a minor procedure performed on the unit and does not necessitate surgical attire.”
• "To decrease the risk of infection, the doctor inserting the PICC will wear a cap, mask, and sterile gown and gloves."
• "It depends on the doctor's preference”
• "Most doctors only wear sterile gloves, not a cap, mask, or sterile gown”

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46. A client with schizophrenia has been taking Thorazine (chlorpromazine) 200mg four times a day. Which finding should be reported to the doctor immediately?

• The client complains of thirst.
• The client has gained four pounds in the past two months.
• The client complains of a sore throat.
• The client naps throughout the day.

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47. Which of the following vascular system changes results from aging?

• Increased peripheral resistance of the blood vessels
• Decreased blood flow
• Increased workload of the left ventricle
• All of the above

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48. A patient has an order for a pneumatic compression device. Which of the following is an appropriate goal?

• Reduce the risk deep vein thrombosis
• Reduce lower extremity edema
• Reduce lower extremity pain
• Reduce the risk of phlebitis

49. After a computer tomography scan with intravenous contrast medium, a client returns to the unit complaining of shortness of breath and itching. The nurse should be prepared to treat the client for:

• An anaphylactic reaction to the dye
• Inflammation from the extravasation of fluid during injection.
• Fluid overload from the volume of the infusions
• A normal reaction to the stress of the diagnostic procedure.

50. In the admission care unit, which of the following client would the nurse give immediate attention?

• A client who is 3 days postoperative with left calf pain.
• A client who is postoperative hip pinning who is complaining of pain.
• New admitted client with chest pain.
• A client with diabetes who has a glucoscan reading of 180.

 

NCLEX-RN | QB1 | Practice Exam #34 (50 questions)