QB1 | Practice Exam #27 -> answers with explanation - Free NCLEX Exam Practice

NCLEX-RN | QB1 | Practice Exam #27 (50 questions)

 

1. He plans for his sampling method. Which sampling method gives equal chance to all units in the population to get picked?

• Random
• Accidental
• Quota
• Judgment

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2. The client is admitted and is on the fourth cycle of chemotherapy. During the night shift, the nurse d signs of extravasation. Which of the following is NOT a sign of extravasation?

• Local infection
• Tissue breakdown
• Redness and heat on the site
• Pain on the IV site

3. The client is scheduled for cardiac catheterization because the physician wants to view the right side of the heart Which of the following would the nurse expect to see in this procedure?

• A dye is injected to facilitate the viewing of the heart
• Thallium is injected to facilitate the scintillation camera
• A probe with a transducer tip is swallowed by the client.
• A tiny ultrasound probe is inserted into the coronary artery

4. Mr. Rodriguez is admitted with severe pain in the knees. Which form of arthritis is characterized by urate deposits and joint pain, usually in the feet and legs, and occurs primarily in men over age 30?

• Septic arthritis
• Traumatic arthritis
• Intermittent arthritis
• Gouty arthritis

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5. Situation: A computer analyst, Mr. Ricardo J. Santos, 25 was brought to the hospital for diagnostic workup after he had experienced seizure in his office.Q. Before, during and after seizure. The nurse knows that the patient is ALWAYS placed in what position?

• Low fowler's
• Modified trendelenburg
• Side Lying
• Supine

6. 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. Which of the following is true about Autism?

• Autism is common among boys than girls
• Autism is common among girls than boys
• MMR vaccination has been strongly linked in the development of Autism
• Autistic children usually develops normal social skills

7. The nurse asked the client if he has an advance directive. The reason for asking the client this question is:

• She is curious about his plans regarding funeral arrangements.
• Much confusion can occur with the clients family if he does not have an advanced directive.
• An advanced directive allows the medical personnel to make decisions for the client.
• An advanced directive allows active euthanasia to be carried out if the client is unable to care for himself.

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8. Situation: The nurse is often met with the following situations when clients become angry and hostile.Q. Which of the following is an accurate way of reporting and recording an incident?

• "When asked about his relationship with his father, client became anxious."
• "When asked about his relationship with his father, client clenched his jaw/teeth made a fist and turned away from the nurse."
• "When asked about his relationship with his father, client was resistant to respond.”
• "When asked about his relationship with his father, his anger was suppressed."

9. A client has ataxia following a cerebral vascular accident The nurse should:

• Supervise the clients ambulation.
• Measure the clients intake and output.
• Request a consult for speech therapy.
• Provide the client with a magic slate.

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10. The home health nurse is visiting an 18-year-old with osteogenesis imperfecta. Which information obtained on the visit would cause the most concern? The client:

• Likes to play football
• Drinks carbonated drinks
• Has two sisters
• Is taking acetaminophen for pain

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11. Situation: Andrea is admitted to the ER following an assault where she was hit on the face and head. She was brought to the ER by a police woman. Emergency measures were stated.Q. What do you call the triad of sign and symptoms seen in a client with increasing ICP?

• Biot's
• The Chinese triad
• Cushing's Triad
• Charcot's Triad

12. Which of the following groups of symptoms indicated a ruptured abdominal aneurysm?

• Lower back pain, increased BR decreased RBC, increased WBC
• Severe lower back pain, decreased BR decreased RBC, increased WBC
• Severe lower back pain, decreased BR decreased RBC, decreased WBC
• Intermittent lower back pain, decreased BR decreased RBC, increased WBC

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13. A client with AIDS tells the nurse that he regularly takes echinacea to boost his immune system. The nurse should tell the client that:

• Document the finding and continue to monitor the client.
• Irrigate the drainage tube with 10mL of normal saline.
• Decrease the amount of intermittent suction.
• Notify the physician of the findings.

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14. The nurse is creating a plan of care for a child who is at risk for seizures. Which interventions apply if the child has a seizure? Select all that apply. 1.Time the seizure. 2.Restrain the child. 3.Stay with the child. 4.Place the child in a prone position. 5.Move furniture away from the child. 6.Insert a padded tongue blade in the child's mouth.

• 1,4,5
• 1,3,5
• 1,2,3,4
• 3,4,5

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15. A community health nurse is implementing an adult immunization program in the neighborhood. Which of the following would MOST likely be a universally recommended adult vaccination and dose frequency general population?

• Tetanus-diphtheria toxoid every 20 years
• Pneumococcal vaccination every 2 years
• Influenza vaccination every year
• One time typhoid vaccine followed by boosters every 5 years

16. The nurse instructs a client with chronic kidney disease who is receiving hemodialysis about dietary modifications. The nurse determines that the client understands these dietary modifications if the client selects which items from the dietary menu?

• Cream of wheat blueberries, coffee
• Sausage and eggs, banana, orange juice
• Bacon, cantaloupe melon, tomato juice
• Cured pork, grits, strawberries, orange juice

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17. The nurse reviews the blood gas results of a client with atelectasis. The nurse analyzes the results and determines that the client is experiencing respiratory acidosis. Which result validates the nurse's findings?

• pH 7.25, PaCO2 50 mm Hg (50 mm Hg)
• pH 7.35, PaCO2 40 mm Hg (40 mm Hg)
• pH 7.50, PaCO2 52 mm Hg (52 mm Hg)
• pH 7.52, PaCO2 28 mm Hg (28 mm Hg)

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18. The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds the children that chemical sunscreens are most effective when applied at which times?

• Immediately before swimming
• 5 minutes before exposure to the sun
• Immediately before exposure to the sun
• At least 30 minutes before exposure to the sun

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19. Situation: Infection can cause debilitating consequences when host resistance is compromised and virulence of microorganisms and environmental factors are favorable. Infection control is one important responsibility of the nurse to ensure quality of care.Q. A solution used to treat Pseudomonas wound infection is:

• Dakin's solution
• Half-strength hydrogen peroxide
• Acetic acid
• Betadine

20. She conceptualized that man, as an Open system is in constant interaction and transaction with a changing environment

• Roy
• Levin
• Neuman
• Newman

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21. While performing a neurological assessment on a client with a closed head injury the nurse s a positive Babinski reflex. The nurse should:

• Recognize that the clients condition is improving.
• Reposition the client and check reflexes again.
• Do nothing because the finding is an expected one.
• Notify the physician of the finding.

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22. A male client has a tentative diagnosis of urethritis. The nurse should assess the client for which manifestation of the disorder?

• Hematuria and pyuria
• Dysuria and proteinuria
• Hematuria and urgency
• Dysuria and penile discharge

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23. Which of the following is the most frequent cause of noncompliance to the medical treatment of open-angle glaucoma?

• The frequent nausea and vomiting accompanying use of miotic drug.
• Loss of mobility due to severe driving restrictions.
• Decreased light and near-vision accommodation due to miotic effects of pilocarpine.
• The painful and insidious progression of this type of glaucoma.

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24. A client has an as needed prescription for loperamide hydrochloride. For which condition should the nurse administer this medication?

• Constipation
• Abdominal pain
• An episode of diarrhea
• Hematest-positive nasogastric tube drainage

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25. The nurse is teaching a parent about side effects of routine immunizations. Which of the following must be reported immediately?

• Irritability
• Slight edema at site
• Local tenderness
• Temperature of 102.5F

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26. All but one is the early sign of leprosy:

• Madarosis
• Nasal obstruction or bleeding
• Change in skin color
• Ulcers that do not heal

27. In assessing a client's incision 1 day after the surgery, Nurse Betty expect to see which of the following as signs of a local inflammatory response?

• Greenish discharge
• Brown exudates at incision edges
• Pallor around sutures
• Redness and warmth

28. While walking down the hall, a nurse aide looks into a residents room and sees another nurse aide hitting a resident. The nurse aide is expected to:

• contact the state agency that inspects the nursing facility
• enter the room immediately to provide for the residents safety
• wait to confront the nurse aide when he/she leaves the resident's room.
• check the resident for any signs of injury after the nurse aide leaves the room.

29. A nurse is caring for a 3-year-old child with a fractured arm. Which of the following interventions is the MOST appropriate for pain management?

• Administer analgesics when necessary
• Assess pain once a shift
• Anticipate pain and intervene early
• Encourage the use of self-quieting techniques

30. A child with asthma has an order for albuterol .Prior to administration of medication the nurse must:

• Pre-oxygenate the patient
• Assess the patient's heart rate
• Obtain venous access
• Feed the patient a snack

31. A patient has the following order: cephalexin (keflex) 500 milligrams (mg) by mouth 4 times a day. The pharmacy has the following dose: 250mg per 5mill lliters (ml). The nurse should administer:

• 5ml
• 10 ml
• 15 ml
• 20 ml

32. First postop day after a right lower lobe (RLL) lobectomy the client breathes and coughs but has difficulty raising mucus. What indicates that the client is not adequately clearing secretions?

• Chest x-ray film shows right sided pleural fluid
• A few scattered crackles on RLL on auscultation
• PCO2 increases from 35-45 mmHg
• Decrease in forced vital capacity

33. Situation: With the improvement in life expectancies and the emphasis in the quality of life it is important to provide quality care to our older patients. There are frequently encountered situations and issues relevant to the older, patients.Q. The most dependable sign of infection in the older patient is:

• change in mental status pain
• fever
• pain
• decreased breath sound with crackles

34. The nurse is preparing to initiate an intravenous (IV) line containing a high dose of potassium chloride and plans to use an IV infusion pump. The nurse brings the pump to the bedside, prepares to plug the pump cord into the wall, and s that no receptacle is available in the wall socket. The nurse should take which action?

• Initiate the IV line without the use of a pump.
• Contact the electrical maintenance department for assistance.
• Plug in the pump cord in the available plug above the room sink.
• Use an extension cord from the nurses' lounge for the pump plug.

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35. Situation: Michelle, 36 weeks gestation visits the hospital because the suspects that her bag of water was ruptured.Q. To confirm Michelle's statement, the nurse uses nitrazine paper; if the membrane has ruptured the paper which of the following color?

• Yellow
• Green
• Red
• Blue

36. When is the best time in performing breast self examination?

• 7 days after menstrual period
• 7 days before menstrual period
• 5 days after menstrual period
• 5 days before menstrual period

37. A client has a medical history of rheumatic fever, type 1 (insulin dependent) diabetes mellituS; hypertension, pernicious anemia, and appendectomy. She's admitted to the hospital and undergoes mitral valve replacement surgery. After discharge, the client is scheduled for a tooth extraction. Which history finding is a major risk factor for infective endocarditis?

• appendectomy
• pernicious anemia
• diabetes meliitus
• valve replacement

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38. SITUATION: A 65 year old woman was admitted for Parkinson's Disease. The charge nurse is going to make an initial assessment.Q. The onset of Parkinson's disease is between 50-60 years old. This disorder is caused by:

• Injurious chemical substances
• Hereditary factors
• Death of brain cells due to old age
• Impairment of dopamine producing cells in the brain

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39. Which of the following classes of drugs is most widely used in the treatment of cardiomyopathy?

• Antihypertensive
• Beta-adrenergic blockers
• Calcium channel blockers
• Nitrates

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40. Permethrin is prescribed for a child with a diagnosis of scabies. The nurse should give which instruction to the parents regarding the use of this treatment?

• Apply the lotion to areas of the rash only.
• Apply the lotion and leave it on for 6 hours.
• Avoid putting clothes on the child over the lotion.
• Apply the lotion to cool, dry skin at least 30 minutes after bathing.

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41. A 23-year-old client is diagnosed with human immunodeficiency virus (HIV). After recovering from the initial shock of the diagnosis, the client expresses a desire to learn as much as possible about HIV and acquired immunodeficiency syndrome (AIDS). When teaching the client about the immune system, the nurse states that adaptive immunity is provided by which type of white blood cell?

• Neutrophil
• Basophil
• Monocyte
• Lymphocyte

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42. Which of the following is not a PERCEIVED BARRIER in preventive action?

• Difficulty adhering to the lifestyle
• Economic factors
• Accessibility of health care facilities
• Increase adherence to medical therapies

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43. Mrs. Hogan, a 43-year-old woman, is admitted to your unit for cholecystectomy.Q. If breath sounds are only heard on the right side after intubation:

• Extubate, ventilate for 30 seconds then try again.
• The patient probably only has one lung, the right.
• You have intubated the stomach.
• Pull the tube back and listen again.

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44. The nursing assistant reports to you, the RN, that the patient with myasthenia gravis (MG) has an elevated temperature (102.20 F), heart rate of 120/minute, rise in blood pressure (158/94), and was incontinent off urine and stool. What is your best first action at this time?

• Administer an acetaminophen suppository.
• Notify the physician immediately
• Recheck vital signs in 1 hour.
• Reschedule patients physical therapy.

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45. The nurse is monitoring a child with burns during treatment for burn shock. Which assessment provides the most accurate guide to determine the adequacy of fluid resuscitation?

• Skin turgor
• Level of edema at burn site
• Amount of fluid tolerated in 24 hours
• Adequacy of capillary filling

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46. The nurse is performing discharge instruction to a client with an implantable defibrillator What discharge instruction is essential?

• You cannot eat food prepared in a microwave.
• You should avoid moving the shoulder on the side of the pacemaker site for six weeks.
• You should use your cell phone on your right side.
• You will not be able to fly on a commercial airliner with the defibrillator in place.

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47. A female patients central venous access device (CVAD) becomes infected Why would the physician order antibiotics to be given through the line rather than through a peripheral IV line?

• To prevent infiltration of the peripheral line
• To reduce the pain and discomfort associated with antibiotic administration in a small vein
• To lessen the chance of an allergic reaction to the antibiotic
• To attempt to sterilize the catheter and prevent having to remove it

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48. Richard with agoraphobia has been symptom-free for 4 months. Classic signs and symptoms of phobias include:

• Insomnia and an inability to concentrate.
• Severe anxiety and fear.
• Depression and weight loss.
• Withdrawal and failure to distinguish reality from fantasy.

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49. The nurse is caring for a client having respiratory distress related to an anxiety attack. Recent arterial blood gas values are pH 1/4 7.53, PaO2 1/427 mm Hg (72 mm Hg), PaCO2 1/432 mm Hg (32mmHg),and HCO3 1/428 mEq/L{28mmol/L). Which conclusion about the client should the nurse make?

• The client is probably overreacting.
• The client has acidotic blood.
• The client is fluid volume overloaded.
• The client is probably hyperventilating.

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50. Nurse Hazel knows that Myrna understands her condition well when she remarks that urinary frequency is caused by:

• Pressure caused by the ascending uterus
• Water intake of 3L a day
• Effect of cold weather
• Increase intake of fruits and vegetables

 

NCLEX-RN | QB1 | Practice Exam #27 (50 questions)