NCLEX-RN | QB1 | Practice Exam #26 (50 questions)
1. He proposed the theory of morality based on PRINCIPLES
- Freud
- Erikson
- Kohlberg
- Peters
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2. An elderly patient with severe degenerative joint comes to the clinic for routine follow up of management. The patient reports that over the month, the pain has begun to increase in severity patient requests an increase in dosage of the medication. The nurse recognizes that this is most likely due to?
- Drug addiction
- Drug tolerance
- An improvement in condition
- Lack of efficacy of the current medication
3. Situation: An entry level nurse should be able to apply theoretical knowledge in the performance of the basic nursing skills.Q. To obtain specimen for sputum culture and sensitivity, which of the following instruction is best?
- Upon waking up, cough deeply and expectorate into container
- Cough after pursed lip breathing
- Save sputum for two days in covered container
- After respiratory treatment, expectorate into a container
4. Situation: You are the nurse in the Out-Patient-Department and during your shift you encountered multiple children's condition. The following questions apply.Which of the following statements about immunization is NOT true:
- A child with diarrhea who is due for OPV should receive the OPV and make extra dose on the next visit
- There is no contraindication to immunization if the child is well enough to go home
- There is no contraindication to immunization if the child is weii enough to go home and a child should be immunized in the health center before referrals are both correct
- A child should be immunized in the center before referral
5. What nursing observations indicate that the cuff on an endotracheal tube is leaking?
- An increase in peak pressure on the ventilator
- Client is able to speak
- Increased swallowing efforts by client
- Increased crackles (rales) over left lung field
6. A client is a Vietnam War veteran with a diagnosis of posttraumatic stress disorder. He has a history of nightmares, depression, hopelessness, and alcohol abuse. Which option offers the client the most lasting relief of his symptoms?
- The opportunity to verbalize memories of trauma to a sympathetic listener
- Family support
- Prescribed medications taken as ordered
- Alcoholics Anonymous (AA) meetings
7. Situation: You are going to participate in a Cancer Consciousness Week. You are assigned to take charge of the women to make them aware of cervical cancer. You reviewed its manifestations and management^. The primary modalities of treatment for Stage 1 and IIA cervical cancer include the following:
- surgery, radiation therapy and hormone therapy
- surgery
- radiation therapy
- surgery and radiation therapy
8. Hyperpyrexia is a condition in which the temperature is greater than
- 40 degree Celsius
- 39 degree Celsius
- 100 degree Fahrenheit
- 105.8 degree Fahrenheit
9. Situation: Nurse Michelle works with a Family Nursing Team in Calbayog Province specifically handling a UNICEF project for children. The following conditions pertain, to CARE OP THE FAMILIES PRESCHOOLERS.Q. Ronnie's parents want to know how to react to him when he begins to masturbate while watching television. What would you suggest?
- They refuse to allow him to watch television
- They schedule a health check-up for sex-related disease
- They remind him that some activities are private
- They give him "timeout" when this begins
10. Which of the following intervention is inappropriate for clients with anxiety?
- Offer choices
- Provide a quiet and calm environment
- Provide detailed explanation on each and every procedures and equipments
- Bring anxiety down to a controllable level
11. A patient is one day post operative repair of a large umbilical hernia. The patient complains of abdominal pain and described feeling the sutures give way. Upon assessment of the abdomen the nurse observes an evisceration. The nurse's IMMEDIATE response should be to:
- Medicate the patient for pain
- Instruct the patient to cough hard
- Have the patient perform the valsalvas maneuver
- Cover the abdomen with asterile soaked dressing
12. Which of the following patients is at greatest risk for developing pressure ulcers?
- An alert, chronic arthritic patient treated with steroids and aspirin
- An 88-year old incontinent patient with gastric cancer who is confined to his bed at home
- An apathetic 63-year old COPD patient receiving nasal oxygen via cannula
- A confused 78-year old patient with congestive heart failure (CHF) who requires assistance to get out of bed.
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13. The physician orders a dose of IV phenytoin to a child client. In preparing in the administration of the drug, which nursing action is not correct?
- Infuse the phenytoin into a smaller vein to prevent purple glove syndrome.
- Check the phenytoin solution to be sure it is clear or light yellow in color, never cloudy
- Plan to give phenytoin over 30-60 minutes, using an in-line filter.
- Flush the IV tubing with normal saline before starting phenytoin.
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14. Timothy's arterial blood gas (ABG) results are as follows; pH 7.16; Paco2 80 mm Hg; Pao2 46 mm Hg; HCO3- 24 mEq/L; Sao2 81 This ABG result represents which of the following conditions?
- Metabolic acidosis
- Metabolic alkalosis
- Respiratory acidosis
- Respiratory alkalosis
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15. A 26 year-old woman is receiving an intravenous infusion of 5% dextrose in 0.45% sodium chloride. The intravenous had been started one day prior and now the patient complains of tenderness at the site. On examination, the site is pink-coloured, swollen and tender to the touch what is the most appropriate initial action?
- Decrease the rate of infusion
- Notify the doctor
- Discontinue the infusion
- Aspirate the injection port
16. The nurse is caring for a client with schizophrenia. Which of the following outcomes is the least desirable?
- The client spends more time by himself.
- The client doesn't engage in delusional thinking.
- The client doesn't harm himself or others.
- The client demonstrates the ability to meet his own self-care needs.
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17. Joey a client with antisocial personality disorder belches loudly. A staff member asks Joey, "Do you know why people find you repulsive?" this statement most likely would elicit which of the following client reaction?
- Defensiveness
- Embarrassment
- Shame
- Remorsefulness
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18. A child presents to the emergency department with difficulty breathing. The child'sParents report that child has a history of bronchial asthma and has recently had an lipper respiratory tract infection (URI). Upon auscultation, the nurse decreased Breath sounds in the left-lower lung field. The nurse should NEXT assess the child's:
- Oral temperature
- O2 saturation
- Apical pulse
- Level of comfort
19. SITUATION : A 45 year old male construction worker was admitted to a tertiary hospital for incessant vomiting. Assessment disclosed: weak rapid pulse, acute weight loss of 0.5kg, furrows in his tongue, slow flattening of the skin was d when the nurse released her pinch. Temperature: 35.8 C, BUN Creatinine ratio: 10:1. He also complains for postural hypotension. There was no infection.Q. After nursing intervention, you will expect the patient to have l.Maintain body temperature at 36.5C. 2.Exhibit return of BP and Pulse to normal. 3.Manifest normal skin turgor of skin and tongue. 4.Drinks fluids as prescribed
- 1,3
- 2,4
- 2,3,4
- 1,3,4
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20. The nurse would teach the client taking tranylcypromine sulfate (Parnate) to avoid which food because of its high tyramine content?
- Nuts.
- Aged cheeses.
- Grain cereals.
- Reconstituted milk.
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21. Sally Baker, a 40-year-old woman, is admitted to the hospital with an established diagnosis of mitral stenosis. She is scheduled for surgery to repair her mitral valve. Q.The most common lethal cancer in males between their fifth and seventh decades is:
- cancer of the prostate
- cancer of the lung
- cancer of the pancreas
- cancer of the bowel
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22. The mother of a child with chickenpox wants to know if there is a medication that will shorten the course of the illness. Which medication is sometimes used to speed healing of the lesions and shorten the duration of fever and itching?
- Zovirax (acyclovir)
- Varivax (varicella vaccine)
- VZIG (varicella-zoster immune globulin)
- Periactin (cyproheptadine)
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23. The Nurse is assessing the clients casted extremity for signs of infection. Which of the following findings is indicative of infection?
- Edema
- Weak distal pulse
- Coolness of the skin
- Presence of "hot spot" on the cast
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24. A client is admitted to the emergency room with partial-thickness burns to his right arm and full-thickness burns to his trunk. According to the Rule of Nines the nurse calculates that the total body surface area (TBSA) involved is:
- "20%"
- "35%"
- "45%"
- "60%"
25. The nurse is assessing a client upon arrival to the emergency department Partial airway obstruction is suspected. Which clinical manifestation is a late sign of airway obstruction?
- Rales in lungs
- Restless behavior
- Cyanotic ear lobes
- Inspiratory stridor
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26. The patient is receiving mechanical ventilation set at fraction of inspired oxygen (FIO2) 100%. The nurse should understand that which of the following can improve this patients oxygenation?
- Adding positive end expiratory pressure (PEEP)
- Placing the patient in Trendelenburg position
- Increasing the FIO2
- Suctioning the patient hourly
27. Situation: Agnes, a client with Leukemia is in the clinic for her routine check up.Q. Which of the following complications are the three main consequence of leukemia?
- Bone deformities, Infection and Anemia
- Anemia, Infection and Bleeding tendencies
- Leukopenia, Thrombocytopenia and Anemia
- Leukocytosis, Thrombocytosis and Polycythemia
28. If the client is female, and the doctor is a male and the patient is about to undergo a vaginal and cervical examination, why is it necessary to have a female nurse in attendance?
- To ensure that the doctor performs the procedure safely
- To assist the doctor
- To assess the client's response to examination
- To ensure that the procedure is done in an ethical manner
29. The burned client on admission is drooling and having difficulty swallowing. What is the nurse's best first action?
- Assess level of consciousness and pupillary reactions.
- Ask the client at what time food or liquid was last consumed.
- Auscultate breath sounds over the trachea and mainstem bronchi.
- Measure abdominal girth and auscultate bowel sounds in all four quadrants.
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30. A business firm must employ an occupational health nurse when it has at least how many employees.
- 101
- 201
- 301
- 21
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31. The physician has ordered a minimal-bacteria diet for a client with neutropenia. The client should be taught to avoid eating:
- Fruits
- Salt
- Pepper
- Ketchup
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32. Situation: Patricia Zeno is a client with history myasthenia gravis. Q. Myasthenia gravis most frequently affect:
- Males ages 15 to 3 5 years
- Children ages 5 to 15 years
- Female ages 10 to 30 years old
- Both sexes ages 20 to 40 years
33. A client is receiving NPH insulin 20 units subq at 7:00 AM daily at 3 PM how would the nurse finds if the client were having a hypoglycemic reaction?
- Feel the client and bed for dampness
- Observe client kussmaul respirations
- Smell clients breathe for acetone odor
- Check client's pupils for dilation
34. This quality is being demonstrated by Nurse Ron who raises the side rails of a confused and disoriented patient?
- Responsibility
- Resourcefulness
- Autonomy
- Prudence
35. Which of the following will probably result in a break in sterile technique for respiratory isolation?
- Opening the patient's window to the outside environment
- Turning on the patient's room ventilator
- Opening the door of the patient's room leading into the hospital corridor
- Failing to wear gloves when administering a bed bath
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36. Nursing staff members are sitting in the lounge taking their morning break. An unlicensed assistive personnel (UAP) tells the group that she thinks that the unit secretary has acquired immunodeficiency syndrome (AIDS) and proceeds to tell the nursing staff that the secretary probably contracted the disease from her husband, who is supposedly a drug addict. The registered nurse should inform the UAP that making this accusation has violated which legal tort?
- Libel
- Slander
- Assault
- Negligence
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37. A pediatric client with ventricular septal defect repair is placed on a maintenance dosage of digoxin. The dosage is 8 mcg/kg/day, and the client's weight is 7.2 kg. The health care provider (HCP) prescribes the digoxin to be given twice daily. The nurse prepares how many mcg of digoxin to administer to the client at each dose?
- 12.6 mcg
- 21.4mcg
- 28.8mcg
- 32.2mcg
38. The nurse is caring for a client who begins to experience seizure activity while in bed. Which actions should the nurse take? Select all that apply. 1.Loosening restrictive clothing. 2.Restraining the client's Iimbs. 3.Removing the pillow and raising padded side rails 4.Positioning the client to the side, if possible, with the head flexed forward. 5. Keeping the curtain around the client and the room door open so when help arrives they can quickly enter to assist
- 1,2,3
- 1,3,4
- 2,4,5
- 2,3,4,5
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39. A client is admitted to the health care facility with active tuberculosis. The nurse should include which intervention in the plan of care?
- Putting on a mask when entering the client's room.
- Instructing the client to wear a mask at all times
- Wearing a gown and gloves when providing direct care
- Keeping the door to the client's room open to observe the client
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40. Before feeding a resident, which of the following is the best reason to wash the residents hands?
- The resident may still touch his/her mouth or food.
- It reduces the risk of spreading airborne diseases.
- It improves resident morale and appetite.
- The resident needs to keep meal routines.
41. Mr. Duffy is admitted to the CCU with a diagnosis of R/O Ml. He presented in the ER with a typical description of pain associated with an Ml, and is now cold and clammy, pale and dyspneic. He has an IV of D5W running, and is complaining of chest pain. Oxygen therapy has not been started, and he is not on the monitor. He is frightened.Q. The nurse is aware of several important tasks that should all be done immediately in order to give Mr. Duffy the care he needs. Which of the following nursing interventions will relieve his current myocardial ischemia?
- stool softeners, rest
- O2 therapy, analgesia
- Reassurance, cardiac monitoring
- Adequate fluid intake, low-fat diet
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42. The natural family planning method called Standard Days (SDM), is the latest type and easy to use method. However, it is a method applicable only to women with regular menstrual cycles between _to_ days.
- 21-26 days
- 26-32 days
- 28-30 days
- 24- 36 days
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43. A patient is taught how to perform a breast self-exam by a nurse. Which statement is BEST described as understanding of the proper procedure for doing a breast self-exam?
- Use of the palm of the hand to feel for lumps
- Apply three different levels of pressure to feel breast tissue
- Stand when performing breast self-exam
- Perform self-exam annually
44. The nurse is assessing the functioning of a chest tube drainage system in a client who has just returned from the recovery room following a thoracotomy with wedge resection. Which are the expected assessment findings? Select all that apply. 1.Excessive bubbling in the water seal chamber. 2.Vigorous bubbling in the suction control chamber. 3.Drainage system maintained below the client's chest. 4. 50mL of drainage in the drainage collection chamber. 5.Occlusive dressing in place over the chest tube insertion site6. Fluctuation of water in the tube in the water seal chamber during inhalation and exhalation
- 1,2,3,4,5
- 3,4,5,6
- 1,3,5,6
- 2,3,4,5,6
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45. Which of the following drugs needs a WBC level checked regularly?
- Lithane
- Clozaril
- Tofranil
- Diazepam
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46. Mr. Liberatore, age 76, is admitted to your unit He has a past medical history of hypertension, DM, hyperlipidemia. Recently he has had several episodes where he stops talking mid sentence and stares into space. Today the episode lasted for 15 minutes. The admission diagnosis is impending CVA.Q. A thorough history reveals that hormonal changes associated with menstruation may have triggered Julie's migraine attack. In investigating Julie's history what factors would be least significant in migraine?
- seasonal allergies
- trigger foods such as alcohol, MSG, chocolate
- family history of migraine
- warning sign of onset, or aura
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47. A patient who underwent hand surgery requiring general anesthesia presents to the post anesthesia care unit (PACU) after extubation, The nurse should FIRST assess
- Circulatory status
- Wound status
- Respiratory status
- Hydration status
48. A client is being treated with procainamide for a cardiac dysrhythmia. Following intravenous administration of the medication, the client complains of dizziness. What intervention should the nurse take first?
- Measure the heart rate on the rhythm strip.
- Administer prescribed nitroglycerin tablets.
- Obtain a 12-lead electrocardiogram immediately
- Auscultate the clients apical pulse and obtain a blood pressure.
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49. The client with a dressing covering the neck is experiencing some respiratory difficulty. What is the nurse's best first action?
- Administer oxygen.
- Loosen the dressing.
- Notify the emergency team.
- Document the observation as the only action.
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50. When planning discharge teaching for the parent of an infant with respiratory problems , the nurse should EMPHASIZE
- Use of supplemental oxygen at night
- Frequent hand washing
- Sleeping in the supine position
- Rice-thickened formula during night-time feedings
NCLEX-RN | QB1 | Practice Exam #26 (50 questions)