QB1 | Practice Exam #23 -> answers with explanation - Free NCLEX Exam Practice

NCLEX-RN | QB1 | Practice Exam #23 (50 questions)

 

1. Which vitamin deficiency is most likely to be a long-term consequence of a full-thickness burn injury?

• Vitamin A
• Vitamin B
• Vitamin C
• Vitamin D

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2. Nurse Ron is observing a male client using a walker. The nurse determines that the client is using the walker correctly if the client:

• Puts all the four points of the walker flat on the floor, puts weight on the hand pieces, and then walks into it.
• Puts weight on the hand pieces, moves the walker forward, and then walks into it.
• Puts weight on the hand pieces, slides the walker forward, and then walks into it.
• Walks into the walker, puts weight on the hand pieces, and then puts all four points of the walker flat on the floor.

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3. The obligation to maintain efficient ethical standards in the practice of nursing belong to this body:

• BON
• ANSAP
• PNA
• RN

4. When completing the history and physical examination of a client diagnosed with osteoarthritis, which of the following would the nurse assess?

• Anemia
• Osteoporosis
• Weight loss
• Local joint pain

5. If a vial of Gentamycin contains 80 mg in 2 ml, the physician order is 16 mg every 8 hr., the nurse should give every time:

• 0.1 ml
• 0.2 ml
• 0.3 ml
• 0.4 ml

6. A nurse is giving discharge planning instruction to the parents of a 1-years old child with acute otitis media. Which of the following discharge instruction take FIRST priority?

• Administer antibiotics as prescribed
• Breastfeed as long as possible
• Administer influenza vaccination
• Avoid smoking around the child

7. SITUATION : Knowledge of the drug prophantheline bromide [Probanthine] Is necessary in treatment of various disorders.Q. What is the action of this drug?

• Increases glandular secretion for clients affected with cystic fibrosis
• Dissolve blockage of the urinary tract due to obstruction of cystine stones
• Reduces secretion of the glandular organ of the body
• Stimulate peristalsis for treatment of constipation and obstruction

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8. Example of health promotion:

• Immunization.
• Direct care (give medication).
• Stop cigarette smoking.
• All of the above is correct.

9. A female client is receiving IV Mannitol. An assessment specific to safe administration of the said drug is:

• Vital signs q4h
• Weighing daily
• Urine output hourly
• Level of consciousness q4h

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10. Situation: You are the nurse in the Out-Patient-Department and during your shift you encountered multiple children's condition. The following questions apply.A child with visible severe wasting or severe palmar pallor may be classified as:

• moderate malnutrition/anemia
• severe malnutrition/anemia
• not very tow weight no anemia
• anemia/very low weight

11. A child is treated for bacterial meningitis with an intravenous antimicrobial agent. Which of the following BEST indicates effectiveness of the treatment?

• Increased appetite
• Temperature 37.2 C(99 F)
• Episodes of apnoea
• Increased intra cranial pressure

12. Which of the following conclusions of Ms. Caputo about leadership characteristics is TRUE?

• There is a high correlation between the communication skills of a leader and the ability to get the job done.
• A manager is effective when he has the ability to plan well.
• Assessment of personal traits is a reliable tool for predicting a manager's potential.
• There is good evidence that certain personal qualities favor success in managerial role.

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13. Situation: Cancer of the prostate is the leading cancer in Men other than skin cancer. The following questions will assess your knowledge and theoretical foundation in dealing with clients with prostate cancer.Q. PSA is used not for the detection but to know if the cancer is responding to treatment or advancing. The nurse knows that the abbreviation PSA stands for:

• Prostate specified antibody
• Prostate specific antigen
• Prostate specific antibody
• Prostate specified antigen

14. Situation: Burn is cause by transfer of heat source to the body, it can be thermal, electrical radiation or chemical.Q. A burn characterized by pale, white appearance, charred or with exposed and painlessness:

• Superficial partial thickness burn
• Deep partial thickness burn
• Full thickness burn
• Deep full thickness burn

15. Which of the following would the nurse need to keep in mind as a predisposing factor when formulating a teaching plan for child with a urinary tract infection?

• A shorter urethra in females
• Frequent emptying of the bladder
• Increased fluid intake
• Ingestion of acidic juices

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16. According to Maslow, which of the following is NOT TRUE about a self actualized person?

• Understands poetry, music, philosophy, science etc.
• Desires privacy, autonomous
• Follows the decision of the majority, uphold justice and truth
• Problem centered

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17. What is the priority nursing diagnosis for a patient experiencing a migraine headache?

• Acute pain related to biologic and chemical factors
• Anxiety related to change in or threat to health status
• Hopelessness related to deteriorating physiological condition
• Risk for Side effects related to medical therapy

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18. The nurse is reviewing the medication of a patient who is scheduled for a coronary artery bypass graft (CABG) in three days. Which of the following medications MUST be discontinued at least a week prior to surgery?

• Digoxin (Lanoxin)
• Furosemide (Lasix)
• Propranolol hydrochloride(lnderal)
• Warfarin sodium(Coumadin)

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19. Which of the following IS NOT true about preparing medication:

• Prepare medication under well-lighted area.
• Work alone without interruptions.
• Do not use medication with a missing label.
• Check the label of the drug two times.

20. Situation: You are working as a Pediatric Nurse in your own Child Health Nursing Clinic, the following cases pertain to ASSESSMENT AND CARE OF THE NEWBORN AT RISK conditions.Theresa, a mother with a 2 year old daughter asks, "At what are can I be able to take the blood pressure of my daughter as a routine procedure since hypertension is common in the family?" Your answer to this is:

• At 2 years you may
• As early as 1 year old
• When she's 3 years old
• When she's 6 years old

21. Following an abdominal cholecystectomy, the nurse should assess for signs of respiratory complications because the:

• Incision is in close proximity to the diaphragm
• Length of time required for surgery is prolonged
• Client's resistance is lowered because of bile in the blood
• Bloodstream is invaded by microorganisms from the biliary tract

22. The intentional wound is:

• Occur during therapy.
• Occur accidentally.
• The mucous membrane or skin surface is broken.
• The tissue is traumatized without a break in the skin.

23. A patient required long-term antibiotic has a central line catheter inserted into the right subclavian vein by the physician .Which of the following must be verified prior to the first use of the catheter?

• Blood return
• X-ray
• Catheter potency
• Length of catheter

24. To decrease the symptoms of gastroesophageal reflux disease (GERD), the physician orders dietary and medication management. Nurse Helen should teach the client that the meal alteration that would be most appropriate would be:

• Ingest foods while they are hot
• Divide food into four to six meals a day
• at the last of three meals daily by 8pm
• Suck a peppermint candy after each meal

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25. Situation: As a nurse researcher you must have a very good understanding of the common terms of concept used in research. Q.The device or techniques an investigator employs to collect data is called?

• Sample
• Instrument
• Hypothesis
• Concept

26. Which nursing intervention takes highest priority when caring for a newly admitted client who's receiving a blood transfusion?

• Instructing the client to report any itching, swelling, or dyspnea.
• Informing the client that the transfusion usually take 1 and 1/2 to 2 hours.
• Documenting blood administration in the client care record.
• Assessing the clients vital signs when the transfusion ends.

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27. What is the term that refers to menopausal stage of women?

• cessation of menstruation
• onset of menstruation
• excessive menstruation
• intermittent menstruation

28. The doctor has prescribed Claritin (loratidine) for a client with seasonal allergies. The feature that separates Claritin from other antihistamines such as Benadryl (diphenhydramine) is that the medication:

• Is nonsedating
• Stimulates appetite
• Is used for motion sickness
• Is less expensive

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29. A client is admitted to the inpatient unit of the mental health center with a diagnosis of paranoid schizophrenia. He's shouting that the government of France is trying to assassinate him. Which of the following responses is most appropriate?

• "I think you're wrong. France is a friendly country and an ally of the United States. Their government wouldn't try to kill you.”
• "I find it hard to believe that a foreign government or anyone else is trying to hurt you. You must feel frightened by this”
• "You're wrong. Nobody is trying to kill you."
• "A foreign government is trying to kill you? Please tell me more about it."

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30. Karlita asked you, How long should she boil her glass baby bottle in water? You correctly answered her by saying

• The minimum time for boiling articles is 5 minutes
• Boil the glass baby bottler and other articles for at least 10 minutes
• For boiling to be effective, a minimum of 15 minutes is required
• It doesn't matter how long you boil the articles, as long as the water reached 100 degree Celsius

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31. An obstetrical client with diabetes has an amniocentesis at 28 weeks gestation. Which test indicates the degree of fetal lung maturity?

• Alpha-fetoprotein
• Estriol level
• Indirect Coombs
• Lecithin sphingomyelin ratio

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32. The nurse has a preop order to administer Valium (diazepam) lOmg and Phenergan (promethazine) 25mg. The correct method of administering these medications is to:

• Administer the medications together in one syringe
• Administer the medication separately
• Administer the Valium wait five minutes and then inject the Phenergan
• Question the order because they cannot be given at the same time

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33. A patient who underwent a right knee arthroplasty 2 days ago has a nursing diagnosis of impaired mobility. The patient refuses to get out of bed and ambulate due to chest pain. Which of the following action would the nurse MOST LIKELY implemented?

• Medicate the patient prior to ambulation
• Add a nursing diagnosis of non-compliance
• Let the patient rest now and then try to ambulate later
• Assess to determine the course of the chest pain

34. Ten hours after the client with 50% burns is admitted, her blood glucose level is 90 mg/dL What is the nurse's best action?

• Notify the emergency team.
• Document the finding as the only action.
• Ask the client if anyone in her family has diabetes mellitus.
• Slow the intravenous infusion of dextrose 5% in Ringer's lactate.

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35. Which of the following actions is the first priority of care for a client exhibiting signs and symptoms of coronary artery disease?

• Decrease anxiety
• Enhance myocardial oxygenation
• Administer sublingual nitroglycerin
• Educate the client about his symptoms

36. The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:

• Replenish his supply every three months.
• Take one every 15 minutes if pain occurs.
• Leave the medication in the brown bottle.
• Crush the medication and take with water.

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37. The nurse is providing instructions to a client who will be self-administering eye drops. To minimize systemic absorption of the eye drops, the nurse should instruct the client to take which action?

• Eat before instilling the drops
• Swallow several times after instilling the drops.
• Blink vigorously to encourage tearing after instilling the drops.
• Occlude the nasolacrimal duct with a finger after instilling the drops.

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38. Kennedy with acute asthma showing inspiratory and expiratory wheezes and a decreased forced expiratory volume should be treated with which of the following classes of medication right away?

• Beta-adrenergic blockers
• Bronchodilators
• Inhaled steroids
• Oral steroids

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39. Nurse Angela diagnosed Mrs. Delgado, who have undergone a BKA. Her diagnosis is SELF ESTEEM DISTURBANCE R/T CHANGE IN BODY IMAGE. Although the client has not yet seen her lost leg, Angela already anticipated the diagnosis. This is what type of Diagnosis?

• Actual
• Probable
• Possible
• Risk

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40. The nurse is caring for a client with a head injury who has increased ICR The physician plans to reduce the cerebral edema by constricting cerebral blood vessels. Which physician order would serve this purpose?

• Hyperventilation per mechanical ventilation
• I nsertion of a ventricular shunt
• Furosemide (Lasix)
• Solu medrol

41. Transmission occurs when an infected person sneezes, coughs or laugh that is usually projected at a distance of 3 feet.

• Droplet transmission
• Airborne transmission
• Vehicle transmission
• Vector borne transmission

42. Situation: Respiration is one of the most important vital sign. This is usually the first Vital sign to be assessed more than anything for it is easily altered by the patient's consciousness. The nurse should be aware of the different changes and alteration in respiration. Q.If the nurse will auscultate the base of the lungs, it is expected that she will hear:

• Bronchovesicular
• Tubular
• Vesicular
• Crackles

43. Situation: Dennis 40 y/o married man, an electrical engineer was admitted with the diagnosis of paranoid disorders. He has became suspicious and distrustful 2 months before admission. Upon admission, he kept on saying, "my wife has been planning to kill me."Q. When he says, "these voices are telling me my wife is going to kill me." A therapeutic communication of the nurse is which one of the following:

• "I do not hear the voices you say you hear."
• "Are you really sure you heard those voices?"
• "I do not think you heard those voices?"
• "Whose voices are those?"

44. A client with hyperthyroidism is taking lithium carbonate to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the clients medication?

• The client complains of blurred vision.
• The client complains of increased thirst and increased urination.
• The client complains of increased weight gain over the past year.
• The client complains of rhinorrhea.

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45. A brick-layer has been diagnosed with multiple sclera. The nurse knows that construction work places has increased risk of aggravated symptoms because exposure to.

• Dust
• Sunlight
• Heat
• Heights

46. You are assigned to telephone triage. A patient who was stung by a common honey bee calls for advice, reports pain and localized swelling, but denies any respiratory distress or other systemic signs of anaphylaxis. What is the action that you should direct the caller to perform?

• Call 911.
• Remove the stinger by scraping.
• Take an oral antihistamine.
• Apply a cool compress.

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47. A 7 year old child is brought to the emergency room with complaints of feeling sick for 3 weeks with sore throat, cough, and muscle pain. Upon examination, the nurse s a low grade fever, shortness of breath, and a wheeze on auscultation. The child lives with parents, 6 siblings, and grandfather in a 3 bedroom house. Based on these findings, which of the following diagnosis MOST likely?

• Staphylococcal pneumonia
• Pneumocystis carinii pneumonia
• Bronchiolitis
• Mycoplasma pneumonia

48. The nurse is performing an assessment of a client who is scheduled for a cesarean delivery at 39 weeks of gestation. Which assessment finding indicates the need to contact the health care provider (HCP)?

• Hemoglobin of 11 g/dL (110 mmol/L)
• Fetal heart rate of 180 beats/minute
• Maternal pulse rate of 85 beats/minute
• White blood cell count of 12,000 mm3 (12.0A109/L)

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49. A neuromuscular blocking agent is administered to a client before ECT therapy. The Nurse should carefully observe the client for?

• Respiratory difficulties
• Nausea and vomiting
• Dizziness
• Seizures

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50. A nurse is teaching a prenatal class to a group of the first time mothers, each at different points in their gestation, which of the statement is TRUE regarding the management of fatigue?

• Rest flat on back, especially during the third trimester
• Exercise programs should focus on their training
• Frequent 15 minute to 30 minute rest periods are important
• Six hours of sleep a night is adequate

 

NCLEX-RN | QB1 | Practice Exam #23 (50 questions)