QB1 | Practice Exam #16 -> answers with explanation - Free NCLEX Exam Practice

NCLEX-RN | QB1 | Practice Exam #16 (50 questions)

 

1. A client is being treated for alcoholism. After a family meeting, the client's spouse asks the nurse about ways to help the family deal with the effects of alcoholism. The nurse should suggest that the family join which organization?

• Al-Anon
• Make Today Count
• Emotions Anonymous
• Alcoholics Anonymous

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2. Situation: - Nurse Anna is a new BSEN graduate and has just passed her Licensure Examination for Nurses in the Philippines. She has likewise been hired as a new Community Health Nurse in one of the Rural Health Units in their City, which of the following conditions may be acceptable TRUTHS applied to Community Health Nursing Practice.Q.. A very important part of the Community Health Nursing Assessment Process includes:

• the application of professional judgment in estimating importance of facts to family and community.
• evaluation structures arid qualifications of health center team.
• coordination with other sectors in relation to health concerns.
• carrying out nursing procedures as per plan of action.

3. Nurse Sarah expects to note an elevated serum glucose level In a client with hyperosmolar hyperglycemic nonketotic syndrome (HHNS). Which other laboratory finding should the nurse anticipate?

• Elevated serum acetone level
• Serum ketone bodies
• Serum alkalosis
• Below-normal serum potassium level

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4. Situation: As a nurse in the Oncology Unit, you have to be prepared to provide efficient and effective care to your patients.Q. What is the purpose of wearing a film badge while caring for the patient who is radioactive?

• Identify the nurse who is assigned to care for such a patient
• Prevent radiation-induced sterility
• Protect the nurse from radiation effects
• Measure the amount of exposure to radiation

5. Which of the following action is an accurate tracheal suctioning technique?

• 25 seconds of continuous suction during catheter insertion.
• 20 seconds of continuous suction during catheter insertion.
• 10 seconds of intermittent suction during catheter withdrawal.
• 15 seconds of intermittent suction during catheter withdrawal.

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6. How long will nurse John obtain an accurate reading of temperature via oral route?

• 3 minutes
• 1 minute
• 8 minutes
• 15 minutes

7. While the nurse aide tries to dress a resident who is confused, the resident keeps trying to grab a hairbrush. The nurse aide should

• put the hairbrush away and out of sight.
• give the resident the hairbrush to hold.
• try to dress the resident more quickly.
• restrain the resident's hand.

8. A patient with a pulmonary embolus and a nursing diagnosis of impaired gas exchange has an order to obtain arterial blood gases. The FIRST intervention by the nurse is to:

• Perform an Allens test
• Explain the procedure
• Gather the equipment
• Document the procedure

9. A male client has the following arterial blood gas values: pH 7.30; Pao2 89 mmHg; Paco2 50 mmHg; and HCO3 26 mEq/L. Based on these values, Nurse Patricia should expect which condition?

• Respiratory acidosis
• Respiratory alkalosis
• Metabolic acidosis
• Metabolic alkalosis

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10. 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.As a nurse. You reviewed infant safety procedures with Bryan's mother. What are two of the most common types of accidents among infants?

• Aspiration and falls
• Falls and auto accidents
• Poisoning and burns
• Drowning and homicide

11. Situation: After an abdominal surgery, the circulating and scrub nurses have critical responsibility about sponge and Instrument countQ. When is the first sponge/instrument count reported?

• Before closing the subcutaneous layer
• Before peritoneum is closed
• Before dosing the skin
• Before the fascia is sutured

12. What event occurring in the second trimester helps the expectant mother to accept the pregnancy?

• Lightening
• Ballotment
• Pseud ocyesis
• Quickening

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13. A patient has exacerbation of congestive heart failure, with one of the nursing diagnosis being excess fluid (Lasix). The nurse closely monitors fluid intake and output and administers furosemide (Lasix). Which of the following indicates the efficacy of the nursing intervention?

• The patient has leg edema
• The patient has shortness of breath
• The patient has decreased in weight
• The patient has jugular vein distention

14. The nurse is caring for a client with suspected AIDS dementia complex. The first sign of dementia in the client with AIDS is:

• Changes in gait
• Loss of concentration
• Problems with speech
• Seizures

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15. The pregnant woman visits the clinic for check-up. Which assessment findings will help the nurse determine that the client is in 8-week gestation?

• Leopold maneuvers.
• Fundal height.
• Positive radioimmunoassay test (RIA test).
• Auscultation of fetal heart tones.

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16. Jennifer, an adolescent who is depressed and reported by his parents as having difficulty in school is brought to the community mental health center to be evaluated. Which of the following other health problems would the nurse suspect?

• Anxiety disorder
• Behavioral difficulties
• Cognitive impairment
• Labile moods

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17. Pain control is an important nursing goal for the client with pancreatitis. Which of the following medications would the nurse plan to administer in this situation?

• Meperidine hydrochloride (Demerol)
• Cimetidine (Tagamet)
• Morphine sulfate
• Codeine sulfate

18. Situation: Rene is a 3 y/o boy brought to the health center for fever and cough. You noted grayish pinpoint dots located at the buccal mucosa. A maculopapular rash was noted on his face.Q. The nurse knows that the most common complication of Measles is:

• neumonia and laryngotracheitis
• Encephalitis
• Otitis Media
• Bronchiectasis

19. An 87 year old widow was hospitalized for treatment of chronic renal disease. She lives with her daughter and son-in- law and their family, who are very supportive. She is now ready for discharge. The doctor has ordered high carbohydrates, low-protein, low sodium diet for her and the family has asked for assistance in planning low-sodium diet meals. Which of the following choices best reflects the pre-discharge information the nurse should provide for the client's family regarding low-sodium diet?

• Avoid canned and processed foods, do not use salt replacements substitute herbs and replaces for salt in cooking and when seasoning foods, call a dietitian for help.
• Use potassium salts in place of table salt when cooking and seasoning foods, read the labels on packaged foods to determine sodium content, and avoid snacks food
• Limit milk and dairy products, cook separate meals that are low in sodium and encourage increased fluid intake
• Avoid eating in a restaurant, soak vegetables well before cooking to remove sodium, omit all canned foods, and remove salt shakes from table.

20. Situation: As a nurse you are expected to participate in initiating or participating in the conduct of research students to improve nursing practice. You to be updated on the latest trends and issues affected the profession and the best practices arrived at by the profession.Q. You are interested to study the effects of medication and relaxation on the pain experienced by the cancer patients. What type of variable is pain?

• Dependent
• Correlational
• Independent
• Demographic

21. Situation: Melamine contamination in milk has brought world wide crisis both in the milk production sector as well as the health and economy. Being aware of the current events is one quality that a nurse should possess to prove that nursing is a dynamic profession that will adapt depending on the patient's needs.Q. Which government agency is responsible for testing the melamine content of foods and food products?

• DOH
• MMDA
• NBI
• BFAD

22. The nurse is checking the clients central venous pressure. The nurse should place the zero of the manometer at the:

• Phlebostatic axis
• PMI
• Erbs point
• Tail of Spence

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23. A client with chronic kidney disease returns to the nursing unit following a hemodialysis treatment. On assessment, the nurse notes that the client s temperature is 38.5 °C (101.2 °F). Which nursing action is most appropriate?

• Encourage fluid intake.
• Notify the health care provider.
• Continue to monitor vital signs.
• Monitor the site of the shunt for infection.

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24. Situation: At the medical-surgical ward, the nurse must also be concerned about drug interactions^. The RN should also know that some drugs have increased absorption when infused in PVC container. How will you administer drugs such as insulin, nitroglycerine hydralazine to promote better therapeutic drug effects?

• Administer by fast drip
• Inject the drugs as close to the IV injection site
• Incorporate to the IV solution
• Use volumetric chamber

25. A patient who is receiving total parenteral nutrition has an elevated blood glucose eve! and is to be administered intravenous insulin. Which of the following types of insulin should a nurse has available?

• Isophane insulin (NPH)
• Regular insulin (Humulin R)
• Insulin zinc suspension (Lente)
• Semi-Lente Insulin (Semiterd)

26. Which of the following actions is the first priority 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

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27. Nurse Patricia is aware that the average length of time from human immunodeficiency virus (HIV) infection to the development of acquired immunodeficiency syndrome (AIDS)?

• Less than 5 years
• 5 to 7 years
• 10 years
• More than 10 years

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28. The physician orders dextrose 5% in water, 1,000 ml to be infused over 8 hours. The I.V. tubing delivers 15 drops/ml. The nurse should run the l.V. infusion at a rate of:

• 15 drops/minute
• 21 drops/minute.
• 32 drops/minute.
• 125 drops/minute

29. Which of the following prenatal laboratory test values would the nurse consider as significant?

• Hematocrit 33.5%
• Rubella titer less than 1:8
• White blood cells 8,000/mm3
• One hour glucose challenge test 110 g/dL

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30. To improve compliance to treatment, what innovation is being implemented in DOTS?

• Having the health worker follow up the client at home
• Having the health worker or a responsible family member monitor drug intake
• Having the patient come to the health center every month to get his medications
• Having a target list to check on whether the patient has collected his monthly supply of drugs

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31. The patient should be fasts (NPO) before the surgery for:

• 24 hours.
• 16 hours.
• 6 to 8 hours.
• 12 hours.

32. The day care nurse is observing a 2-year-old child and suspects that the child may have strabismus. Which observation made by the nurse indicates the presence of this condition?

• The child has difficulty hearing.
• The child consistently tilts the head to see.
• The child does not respond when spoken to.
• The child consistently turns the head to hear

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33. Situation: Rosanna 20 y/o unmarried patient believes that the toilet for the female patient in contaminated with AIDS virus and refuses to use it unless she flushes it three times and wipes the toilet seat the same number of times with antiseptic solution.Q. The goal for treatment for Rosana must be directed toward helping her to:

• Walk freely about her past experience
• Develop trusting relationship with other
• Gain insight that her behaviour is due to feeling of anxiety
• Accept the environment unconditionally

34. Prior to initiating therapy with unfractionated heparin for a patient hospitalized with a deep vein thrombosis, this treatment requires:

• Bed rest
• Aspirin therapy
• Fluid restrictions
• A high protein diet

35. The spouse of a client admitted to the mental health unit for alcohol withdrawal says to the nurse, "I should get out of this bad situation? Which is the most helpful response by the nurse?

• "Why don't you tell your spouse about this?"
• "What do you find difficult about this situation?"
• "This is not the best time to make that decision"
• "I agree with you. You should get out of this situation."

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36. A woman she is on the 18 week gestation her physicaian will insert a fine needle in her abdomen for anlaysis the nurse is assistant in this procedure as nurse what is the color of liquid you expect to come out:

• White
• Yellow
• Browen
• Green browen

37. The health education nurse provides instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which instructions should the nurse provide? Select all that apply. 1. Sunscreen should be applied every 8 hours. 2. Use sunscreen when participating in out-door activities.3. Wear a hat, opaque clothing, and sunglasses when in the sun.4. Avoid sun exposure in the late afternoon and early evening hours.5. Examine your body monthly for any lesions that may be suspicious.

• 1,4,5
• 1,2,3
• 2,3,5
• 1,2,3,4

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38. The nurse is working in the trauma unit of the emergency room when a 24-year-old female is admitted after an MVA. The client is bleeding profusely and a blood transfusion is ordered. Which would the nurse be prepared to administer without a type and crossmatch?

• AB positive
• AB negative
• O positive
• O negative

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39. The nurse is caring for a client with a diagnosis of influenza who first began to experience symptoms yesterday. Antiviral therapy is prescribed and the nurse provides instructions to the client about the therapy. Which statement by the client indicates an understanding of the instructions?

• "I must take the medication exactly as prescribed."
• "Once I start the medication, I will no longer be contagious"
• "I will not get any colds or infections while taking this medication."
• "This medication has minimal side effects and I can return to normal activities"

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40. Situation: An entry level nurse should be able to apply theoretical knowledge in the performance of the basic nursing skills.Q. The best time for collecting the sputum specimen for culture:

• Before retiring at night
• Upon waking up in the morning
• Anytime of the day.
• Before meal

41. A female client with cancer is being evaluated for possible metastasis. Which of the following is one of the most common metastasis sites for cancer cells?

• Liver
• Colon
• Reproductive tract
• White blood cells (WBCs)

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42. Physicians orders for a client with acute pancreatitis include the following: strict NPO and nasogastric tube to low intermittent suction. The nurse recognizes that withholding oral intake will:

• Reduce the secretion of pancreatic enzymes
• Decrease the clients need for insulin
• Prevent the secretion of gastric acid
• Eliminate the need for pain medication

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43. Dyspnea, cough, expectoration, weakness, and edema are classic signs and symptoms of which of the following conditions?

• Pericarditis
• Hypertension
• Obliterative
• Restrictive

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44. A patient scheduled for an abdominal aneurysm repair. This is what type of surgical intervention?

• Diagnostic
• Transplant
• Curative
• Palliative

45. SITUATION: Mr. Dela Isla, a client with early Dementia exhibits thought process disturbances.Q. As the nurse talks to the daughter of Mr. Dela isla, which of the following statement of the daughter will require the nurse to give further teaching?

• I know the hallucinations are parts of the disease
• I told her she is wrong and I explained to her what is right
• I help her do some tasks he cannot do for himself
• Ill turn off the TV when we go to another room

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46. Glimepiride is prescribed for a client with diabetes meliitus. The nurse instructs the client that which food items are most acceptable to consume while taking this medication? Select all that apply. 1.Alcohol 2.Red meats. 3.Whole-grain cereals. 4.Low-calorie desserts. 5.Carbonated beverages

• 2,3,5
• 1,2,3,4
• 2,3,4,5
• 2,4,5

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47. Situation: Breast cancer is the 2nd most common type of cancer after lung cancer and 99% of which, occurs in women. Survival rate is 98% if this is detected early and treated promptly. Carmen is a 53 year old patient in the high risk group for breast cancer was recently diagnosed with Breast Cancer. Q. All of the following are factors that said to contribute to the development of breast cancer EXCEPT:

• Prolonged exposure to estrogen such as an early menarche or late menopause, nulliparity and children after age 30.
• Genetics
• Increasing age
• Prolonged intake of tamoxifen (Nolvadex)

48. A nurse is providing care to a patient with a new skin graft on the leg. The patient is upset and the nurse notes copious red drainage oozing around the dressing the nurse should immediately:

• Lift the dressing to assess the area
• Ask if the patient is having any pain
• Apply firm pressure for 10 to 15 minutes
• Assess the apical pulse

49. The correct method for determining the vastus lateralis site for I.M. injection is to:

• Locate the upper aspect of the upper outer quadrant of the buttock about 5 to 8 cm below the iliac crest
• Palpate the lower edge of the acromion process and the midpoint lateral aspect of the arm
• Palpate a 1" circular area anterior to the umbilicus
• Divide the area between the greater femoral trochanter and the lateral femoral condyle into thirds, and select the middle third on the anterior of the thigh

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50. Immobility impairs bladder elimination, resulting in such disorders as:

• Increased urine acidity and relaxation of the perineal muscles, causing incontinence
• Urine retention, bladder distention, and infection
• Diuresis, natriuresis, and decreased urine specific gravity
• Decreased calcium and phosphate levels in the urine

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NCLEX-RN | QB1 | Practice Exam #16 (50 questions)