NCLEX-RN | QB1 | Practice Exam #28 (50 questions)
1. A patient refuses to take his dose of oral medication. The nurse tells the patient that if he does not take the medication that she will administer it by injection. The nurses comments can result in a charge of:
- Malpractice
- Assault
- Negligence
- Battery
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2. A 33-year-old male is being evaluated for possible acute leukemia. Which of the following findings is most likely related to the diagnosis of leukemia?
- The client collects stamps as a hobby.
- The client recently lost his job as a postal worker.
- The client had radiation for treatment of Hodgkins disease as a teenager
- The clients brother had leukemia as a child.
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3. Jose is diagnosed with amphetamine psychosis and was admitted in the emergency room. Nurse Ronald would most likely prepare to administer which of the following medication?
- Librium
- Valium
- Ativan
- Haldol
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4. Nurse Vicky is aware that teaching about colostomy care is understood when the client states, "I will contact my physician and report____"
- If I notice a loss of sensation to touch in the stoma tissue"
- When mucus is passed from the stoma between irrigations"
- The expulsion of flatus while the irrigating fluid is running out"
- If I have difficulty in inserting the irrigating tube into the stoma"
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5. Situation: Records contain those, comprehensive descriptions of patient's 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.These records show all medications and treatment provided on a repeated basis. What do you call this record?
- Nursing Health History and Assessment Worksheet
- Discharge Summary
- Nursing Kardex
- Medicine and Treatment Record
6. A home care nurse makes a follow-up visit to a patient who recently suffered a cerebrovascular accident. The patient is mobile and able to perform activities of daily living. However, the patient has not sleeping and has lost weight due to lack of appetite. The patient also feels overwhelmed with sadness. Which of the following is the most appropriate evaluation?
- Patient's progress is as expected and no further intervention is necessary
- Patient needs referral to a nutritionist
- Patient needs intervention for depression
- Patient needs sleeping medication
7. Which of the following would cause a false-positive result on a pregnancy
- The test was performed less than 10 days after an abortion
- The test was performed too early or too late in the pregnancy
- The urine sample was stored too long at room temperature
- A spontaneous abortion or a missed abortion is impending
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8. An older adult client is to receive and antibiotic, gentamicin. What diagnostic finding indicates the client may have difficult excreting the medication?
- High gastric pH
- High serum creatinine
- Low serum albumin
- Low serum blood urea nitrogen
9. A client has been diagnosed with Disseminated Intravascular Coagulation (DIC), Which of the following is contraindicated with the client?
- Administering Heparin
- Administering Coumadin
- Treating the underlying cause
- Replacing depleted blood products
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10. A client with sickle cell disease is admitted in active labor. Which nursing intervention would be most helpful in preventing a sickling crisis?
- Obtaining blood pressures every two hours
- Administering pain medication every three hours as ordered
- Monitoring arterial blood gas results
- Administering IV fluids at ordered rate of 200mL/hr
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11. Situation: Michelle is a 6 year old preschooler. She was reported by her sister to have measles but she was at home because of fever, upper respiratory problem and white sports in her mouth.Rubeola is an Arabic term meaning Red, the rash appears on the skin in invasive stage prior to eruption. As a nurse, your physical examination must determine complication especially:
- Otitis media
- Bronchial pneumonia
- Inflammatory conjunctiva
- Membranous laryngitis
12. A woman whose husband was recently diagnosed with active pulmonary tuberculosis (TB) is a tuberculin skin test converter Management of her care would include:
- scheduling her for annual tuberculin skin testing
- placing her in quarantine until sputum cultures are negative
- gathering a list of persons with whom she has had recent contact
- advising her to begin prophylactic therapy with isoniazid (INH)
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13. The physician has ordered an injection of RhoGam for a client with blood type A negative. The nurse understands that RhoGam is given to:
- Convert the Rh factor from negative to positive
- Provide immunity against Rh isoenzymes
- Prevent the formation of Rh antibodies
- Eliminate circulating Rh antibodies
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14. An elderly female is admitted with a fractured right femoral neck. Which clinical manifestation would the nurse expect to find?
- Free movement of the right leg
- Abduction of the right leg
- Internal rotation of the right hip
- Shortening of the right leg
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15. A 28 yr-old nurse has complaints of itching and a rash of both hands. Contact dermatitis is initially suspected. The diagnosis is confirmed if the rash appears:
- erythematous with raised papules
- dry and scaly with flaking skin
- inflamed with weeping and crusting lesions
- excoriated with multiple fissures
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16. Ribivarin (Virazole) is prescribed for a female hospitalized child with RSV. Nurse Judy prepare this medication via which route?
- Intravenous
- Oral
- Oxygen tent
- Subcutaneous
17. Exceeding which of the following serum cholesterol levels significantly increases the risk of coronary artery disease?
- 100 mg/dl
- 150 mg/dl
- 175 mg/dl
- 200 mg/dl
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18. When caring for a client receiving haloperidol (Haldol), the nurse would assess for which of the following?
- Hypertensive episodes.
- Extrapyramidal symptoms.
- Hypersalivation.
- Oversedation.
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19. A client with Meniere's disease is experiencing severe vertigo. Which instruction should the nurse give to the client to assist in controlling the vertigo?
- Increase sodium in the diet.
- Avoid sudden head movements.
- Lie still and watch the television.
- Increase fluid intake to 3000 mL a day.
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20. Ensuring that there is an informed consent on the part of the patient before a surgery is done, illustrates the bioethical principle of:
- Beneficence
- Autonomy
- Veracity
- Non-maleficence
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21. Which instruction should be given to the client who is fitted for a behind-the-ear hearing aid?
- Remove the mold and clean every week.
- Store the hearing aid in a warm place.
- Clean the lint from the hearing aid with a toothpick
- Change the batteries weekly.
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22. A client admitted with newly diagnosed with Hodgkin's disease. Which of the following would the nurse expect the client to report?
- Lymph node pain
- Weight gain
- Night sweats
- Headache
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23. A client is admitted with a diagnosis of renal calculi. The nurse should give priority to:
- Initiating an intravenous infusion
- Encouraging oral fluids
- Administering pain medication
- Straining the urine
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24. A 2-month-old child in the emergency department has projectile vomiting after feeding. The vomitus is non-bilious containing milk and gastric juices. Immediately after vomiting the child tries to feed again. The nurse palpates the child's abdomen during feeding and s a firm area to the right of the umbilicus at the upper right quadrant. Which of the following is consistent with this history?
- Hypertrophic pyloric stenosis
- Hirschsprung's disease
- Gastro esophageal reflux
- Tracheoesophagel fistula
25. A 40 year-old woman is undergoing an elective rhinoplasty under general anesthesia. The patient is in the pre-operative room and the nurse is prepared to administer pre-operative intravenous medications. The patient states that she does not have any drug allergies. Which additional nursing action is most important prior to administering the medicine?
- Request the patient urinate
- Perform blood typing and cross matching
- Ensure the consent form has been signed
- Clarify contact numbers of her family members
26. Situation: Mrs. Andres brought his son, Juanito, age 3 to the Pediatric clinic. She noticed that her son is not speaking and tend to repeat everything she says. The mother also told the nurse that Juanito prefers to be alone, will cry when someone will come near him and tend to rock himself from morning till he will fell asleep.Q. Typically, if there is a change in the environment, the child will manifest which of the following?
- Clinging behavior
- Temper tantrums
- Suicide
- Talks incoherently
27. A client is admitted with a diagnosis of pernicious anemia. Which of the following signs or symptoms would indicate that the client has been noncompiiant with ordered B12 injections?
- Hyperactivity in the evening hours
- Weight gain
- Paresthesia of hands and feet
- Diarrhea stools
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28. In order to reduce the risk of disease transmission from a patient with diphtheria, which of the following standard precautions would be the nurse implemented?
- Airborne
- Contact
- Droplets
- Ventilatory
29. Situation: Mr Baldo t 36 years old patient complaints of fatigue, weight loss, and low-grade fever He also has pain his fingers, elbows, and ankles.Q. Which of the following conditions is suspected?
- Anemia
- Leukemia
- Rheumatic arthritis
- Systemic Lupus Erythematosus (SLE)
30. Situation: Sexually Transmitted Diseases are important to identify during pregnancy because of their potential effect on the pregnancy, fetus, or newborn. The following questions pertain to STD's.In order to prevent acquiring sexually transmitted diseases, what is the BEST way to consider?
- Condom use
- Withdrawal
- vasectomy
- Abstinence
31. Situation: Susan is a patient in the clinic where you work. She is inquiring about pregnancy.While talking with Susan, 2 new patients arrived and they are covered with large towels and the nurse noticed that there are many cameraman and news people outside of the OPD. Upon assessment the nurse noticed that both of them are still nude and the male client's penis is still inside the female client's vagina and the male client said that "I can't pull it." Vaginismus was your first impression. You know that the psychological cause of Vaginismus is related to:
- The male client inserted the penis too deeply that it stimulates vaginal closure
- The penis was too large that's why the vagina triggered it's defense to attempt to close
- The vagina do not want to be penetrated
- It is due to learning patterns of the female client where she views sex as bad or sinful.
32. The following methods of artificial birth control works as a barrier device EXCEPT:
- Condom
- Cervical cap
- Cervical Diaphragm
- Intrauterine device (IUD)
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33. The nurse is working with another nurse and a patient care assistant. Which of the following clients should be assigned to the registered nurse?
- A client two days post-appendectomy
- A client one week post-thyroidectomy
- A client three days post-splenectomy
- A client two days post-thoracotomy
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34. In what position should a dyspneic patient be placed?
- Prone
- Recumbent
- Semi-fowler's
- Trendelenburg
35. The nurse is working with a client who abuses alcohol. Which of the following facts should the nurse communicate to the client?
- Abstinence is the basis for successful treatment.
- Attendance at Alcoholics Anonymous meetings every day will cure alcoholism.
- For treatment to be successful, family members must participate.
- An occasional social drink is acceptable behavior for the alcoholic
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36. The nurse is caring for a client following an autograft and grafting to a burn wound on the right knee. What would the nurse anticipate to be prescribed for the client?
- Out-of-bed activities
- Bathroom privileges
- Immobilization of the affected leg
- Placing the affected leg in a dependent position
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37. In discharge teaching, the nurse should emphasize that which of these is a common side effect of clozapine (Clozaril) therapy?
- Dry mouth
- Rhinitis
- Dry skin
- Extreme salivation
38. Disposal of medical records in government hospital/institutions must be done in close coordination with what agency?
- Department of Health
- Records Management Archives Office
- Metro Manila Development Authority
- Bureau of Internal Revenue
39. A patient is 3 week postoperative left below the knee amputation. Which of the following is an expected outcome for this patient?
- Verbalize relief of incisional pain, has intense phantom sensation
- Participates in care plan, express concern about independence
- Full passive range of motion, requires assistance with transfers
- Low grade temperature, dressing reinforced every hour
40. The emergency department nurse is caring for a child diagnosed with epiglottitis, in assessing the child, the nurse should monitor for which indication that the child may be experiencing airway obstruction?
- The child exhibits nasal flaring and bradycardia.
- The child is leaning forward, with the chin thrust out.
- The child has a low-grade fever and complains of a sore throat.
- The child is leaning backward, supporting himself or herself with the hands and arms.
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41. She decides to illustrate the organizational structure. Which of the following elements is NOT included?
- Level of authority
- Lines of communication
- Span of control
- Unity of direction
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42. Situation: As a nurse, you should be aware and prepared of the different roles you play.Q. Pentoxicodone 5 mg IV every 8 hours was prescribed for post abdominal pain. Which will be your priority nursing action?
- Check abdominal dressing for possible swelling
- Explain the proper use of PCA to alleviate anxiety
- Avoid overdosing to prevent dependence/tolerance
- Monitor VS, more importantly RR.
43. Nurse Myrna is providing instructions to a nursing assistant assigned to give a bed bath to a client who is on contact precautions. Nurse Myrna instructs the nursing assistant to use which of the following protective items when giving bed bath?
- Gown and goggles
- Gown and gloves
- Gloves and shoe protectors
- Gloves and goggles
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44. A client with a spinal cord injury and subsequent urine retention receives intermittent catheterization every 4 hours. The average catheterized urine volume has been 550 ml The nurse should plan to:
- Increase the frequency of the catheterizations.
- Insert an indwelling urinary catheter
- Place the client on fluid restrictions
- Use a condom catheter instead of an invasive one.
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45. Situation: During surgical operation, it is inevitable to utilize sutures. The nurse should know the basic principles in suturing as well as knowledge in selecting sutures and caring for clients with sutures.Q. When least amount of trauma is desired, or when the client is prone to keloid formation, the nurse should prepare which type of the needle?
- Swaged
- Round
- Blunt
- Taper
46. Known as mood elevators:
- Anti depressants
- Antipsychotics
- Anti manic
- Anti anxiety
47. Situation: As the CPES is applicable for all professional nurse, the professional growth and development of Nurses with specialties shall be addressed by a Specialty Certification Council. The following questions apply to these special groups of nurses. Which of the following is NOT a correct statement as regards Specialty Certification?
- The Board of Nursing intended to create the Nursing Specialty Certification Program as a means of perpetuating the creation of an elite force of Filipino Nurse Professionals.
- The Board of Nursing shall oversee the administration of the NSCP through the various Nursing Specialty Boards which will eventually, be created.
- The Board of Nursing at the time exercised their powers under R.A. 7164 in order to adopt the creation of the Nursing Specialty Certification /council and Program.
- The Board of Nursing consulted nursing leaders of national nursing associations and other concerned nursing groups which later decided to ask a special group of nurses of the program for nursing specialty certification.
48. A patient with measles (rubella) is on airborne precautions. Which of the following precaution techniques would be essential to implement for non-immune persons entering the room?
- Gloves
- Gowns
- Face shields
- Masks
49. A child with burn injury, the burn covers 80 % of the child body, what is the appropriate diagnosis:
- Liquid deficiency
- Ineffective airways clearance
50. A client with iron deficiency anemia is scheduled for discharge. Which Instruction about prescribed ferrous gluconate therapy should the nurse Include in the teaching plan
- Take the medication with an antacid.
- Take the medication with a glass of milk.
- Take the medication with cereal.
- Take the medication on an empty stomach.
NCLEX-RN | QB1 | Practice Exam #28 (50 questions)