NCLEX-RN | QB1 | Practice Exam #14 (50 questions)

 

1. Situation: Mr. Punsalan is 36 years old, was admitted to the hospital with complaints of a burning sensation in the epigastric area after eating and inability to sleep at night. He was placed on bed rest and schedule for diagnostic studies. A diagnosis of Peptic Ulcer was made.Q. Mr. Punsalan with gastric pain is advised to take any one of the following antacids, except:

• Aluminum hydroxide
• Calcium bicarbonate
• Magnesium carbonate
• Sodium bicarbonate

2. Situation: You are a nurse working in the medical ward.Q. A mother who is pregnant and has ovarian cancer has to undergo surgery to treat the cancer In the process the fetus died. The doctrine that justifies the death of the fetus is:

• justice
• anatomy
• exception to the role
• double effect

3. The physician has ordered aerosol treatments chest percussion and postural drainage for a client with cystic fibrosis. The nurse recognizes that the combination of therapies is to:

• Decrease respiratory effort and mucous production
• Increase efficiency of the diaphragm and gas exchange
• Dilate the bronchioles and help remove secretions
• Stimulate coughing and oxygen consumption

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4. The physician has ordered Cortisporin ear drops for a two-year-old. To administer the ear drops the nurse should:

• Pull the ear down and back.
• Pull the ear straight out.
• Pull the ear up and back.
• Leave the ear undisturbed.

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5. A 23 year old client is having her menstrual period every 2 weeks that last for 1 week. This type of menstrual pattern is bets defined by:

• Menorrhagia
• Metrorrhagia
• Dyspareunia
• Amenorrhea

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6. Which of the following is the correct practice of self breast examination in a menopausal woman?

• She should do it at the usual time that she experiences her menstrual period in the past to ensure that her hormones are not at its peak
• Any day of the month as long it is regularly observed on the same day every month
• Anytime she feels like doing it ideally every day
• Menopausal women do not need regular self breast exam as long as they do it at least once every 6 months

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7. Nurse Claire is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is?

• Encourage to avoid foods
• Identify anxiety causing situations
• Eat only three meals a day
• Avoid shopping plenty of groceries

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8. The client has an allergy to Iodine-based dye. Where should you put this vital information in the clients chart?

• In the first page of the client's chart
• At the last page of the client's chart
• At the front metal plate of the chart
• In the Kardex

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9. Mr Snyder is admitted to your unit with a brain tumor The type of tumor he has is currently unknown. You begin to think about the way brain tumors are classified. Q. Postop er atively Mr Snyder needs vigilant nursing care including all of the following except:

• Keeping his head flat
• Assessments q 1/2 hour of LOC, VS, pupillary responses, and mental status
• Helping him avoid straining at stool, vomiting, or coughing
• Providing a caring, supportive atmosphere for him and his family

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10. The doctor is preparing to remove chest tubes from the clients left chest. In preparation for the removal the nurse should instruct the client to:

• Breathe normally
• Hold his breath and bear down
• Take a deep breath
• Sneeze on command

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11. Which of the following best describes thrombophlebitis?

• Inflammation and clot formation that result when blood components combine to form an aggregate body.
• Inflammation and blood clots that eventually become lodged within the pulmonary blood vessels.
• Inflammation and blood clots that eventually become lodged within the femoral vein.
• Inflammation of the vascular endothelium with clot formation on the vessel wall.

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12. Which of the following should the nurse AVOID doing in preventing spread of infection?

• Recapping the needle before disposal to prevent injuries
• Never pointing a needle towards a body part
• Using only Standard precaution to AIDS Patients
• Do not give fresh and uncooked fruits and vegetables to Mr. Gatchie, with Neutropenia

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13. In terms of cognitive development a two-year-old would be expected to:

• Think abstractly
• Use magical thinking
• Understand conservation of matter
• See things from the perspective of others

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14. Situation: Pharmacological treatment was not effective for Johnny's hyperthyroidism and now he is scheduled for Thyroid ectomy. Q, You are caring for Johnny who is scheduled to undergo total thyroidectomy because of a diagnosis of thyroid cancer Prior to total thyroidectomy, you should instruct Johnny to:

• Disinfected
• Apply gentle pressure against the incision when swallowing
• Cough and deep breathe every hours
• Support head with the hands when changing position

15. The parent of a child with chronic asthma is hesitant to discipline because the child often doesn't feel well The nurse should encourage the patient to:

• Set consistent behavior limits
• Be more lenient during times of illness
• Cherish the limited time the child has to live
• Avoid upsetting the child with limit setting

16. Before giving a repeat dose of magnesium sulfate to a pre-eclamptic patient, the nurse should assess the patient's condition. Which of the following conditions will require the nurse to temporarily suspend a repeat dose of magnesium sulfate?

• 100cc urine output in 4 hours
• Knee jerk reflex is (+)2
• Serum magnesium level is 10mEg/L
• Respiratory rate of 16/min

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17. Miguelito, An OFW presents at the admission with an A:P Diameter ratio of 2:1, Which of the following associated finding should the nurse expect?

• Pancytopenia
• Anemia
• Fingers are Club-like
• Hematocrit of client is decreased

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18. Situation: - Please continue responding as a professional nurse in varied health situations through the following questions.Which of the following conditions would cause an insulin­ dependent diabetic client the most difficulty during her pregnancy?

• Rh incompatibility
• Placenta previa
• Hyperemesis gravidarum
• Abruptio placentae

19. The nurse is performing an assessment on a client who suspects that she is pregnant and is checking the client for probable signs of pregnancy. The nurse should assess for which probable signs of pregnancy? Select all that apply. 1.Ballottement. 2.Chadwick's sign. 3.Uterine enlargement. 4.Positive pregnancy test. 5.Fetal heart rate detected by a nonelectronic device. 6.Outline of fetus via radiography or ultrasonography

• 1,2,3,4
• 3,4,5
• 2,4,5
• 1,3,5

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20. She finds out that some managers have benevolent-authoritative style of management Which of the following behaviors will she exhibit most likely?

• Have condescending trust and confidence in their subordinates
• Gives economic or ego awards
• Communicates downward to the staff
• Allows decision making among subordinates

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21. A client with Alzheimers disease is awaiting placement in a skilled nursing facility. Which long-term plans would be most therapeutic for the client?

• Placing mirrors in several locations in the home
• Placing a picture of herself in her bedroom
• Placing simple signs to indicate the location of the bedroom bathroom and so on
• Alternating healthcare workers to prevent boredom

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22. The termination phase of the NPR is best described one of the following:

• Review progress of therapy and attainment of goals
• Exploring the clients thoughts, feelings and concerns
• Identifying and solving patients problem
• Establishing rapport

23. Situation: The following questions refer to common clinical encounters experienced by an entry level nurse.The extent of burns in children are normally assessed and expressed in terms of:

• The amount of body surface that is unburned
• Percentages of total body surface area (TBSA)
• How deep the deepest burns are
• The severity of the burns on a 1 to 5 burn scale

24. Kris with a history of chronic infection of the urinary system complains of urinary frequency and burning sensation. To figure out whether the current problem is in renal origin, the nurse should assess whether the client has discomfort or pain in the:

• Urinary meatus
• Pain in the Labium
• Suprapubic area
• Right or left costovertebral angle

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25. Nurse Monette is aware that extremely depressed clients seem to do best in settings where they have:

• Multiple stimuli
• Routine Activities
• Minimal decision making
• Varied Activities

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26. An autograft is taken from the clients left leg. The nurse should care for the donor site by:

• Covering it with an occlusive dry dressing
• Keeping the site clean and dry
• Applying a pressure dressing
• Wrapping the extremity with an elastic bandage

27. The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be:

• Hypoglycemic small for gestational age
• Hyperglycemic large for gestational age
• Hypoglycemic large for gestational age
• Hyperglycemic small for gestational age

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28. SITUATION : Mr. Smith was diagnosed with Acute Close Angle Glaucoma. He is being seen by Nurse Ellen. If Mr. Smith is receiving pilocarpine, what drug should always be available in any case systemic toxicity occurs?

• Atropine Sulfate
• Pindolol [Visken]
• Naloxone Hydrochloride [Narcan]
• Mesoridazine Besylate [Serentil]

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29. Which statement reflects a new mother's understanding of the teaching about the prevention of newborn abduction?

• "I will place my baby's crib close to the door."
• "Some health care personnel won't have name badges"
• "I will ask the nurse to attend to my infant if I am napping and my husband is not here"
• "It's okay to allow the nurse assistant to carry my newborn to the nursery"

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30. The nurse is assessing the respiratory status of a client who has suffered a fractured rib. The nurse should expect to note which finding?

• Slow, deep respirations
• Rapid, deep respirations
• Paradoxical respirations
• Pain, especially with inspiration

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31. When doing perineal care in preparation for delivery the nurse should observe the following EXCEPT

• Use up-down technique with one stroke
• Clean from the mons veneris to the anus
• Use mild soap and warm water
• Paint the inner thighs going towards the perineal area

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32. Situation: Mr Reyes suffered head injuries in a motor vehicle accidentQ. Mr. Reyes complains of hearing ringing noises. The nurse recognizes that this assessment suggests injury of the

• Frontal lobe
• Occipital lobe
• Six cranial nerve (abducent)
• Eight Cranial Nerve (Vestibulocochlear)

33. A male patient is to receive a percutaneously inserted central catheter (PICC). He asks the nurse whether the insertion will hurt. How will the nurse reply?

• "You will have general anesthesia so you won't feel anything"
• "It will be inserted rapidly, and any discomfort is fleeting.”
• "The insertion site will be anesthetized. Threading the catheter through the vein is not painful."
• "You will receive sedation prior to the procedure.”

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34. The nurse has provided dietary counseling to a woman who is 12 weeks pregnant with her first child. She is concerned about her nutrition as she is vegetarian. She was advised by a friend to eat a variety of foods that contain proteins and asks the nurse which food might be best included in a meal plan.Which combination would be most appropriate?

• Soya beans with carrots
• chickpeas with whole grain bread
• Nuts with a glass of cow's milk
• Avocado with a slice of cheese

35. In the Philippines, if a nurse performs abortion on the mother who wants it done and she gets paid for doing it, she will be held liable because

• Abortion is immoral and is prohibited by the church
• Abortion is both immoral and illegal in our country
• Abortion is considered illegal because you got paid for doing it
• Abortion is illegal because majority in our country are catholics and it is prohibited by the church

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36. Warning signs and symptoms of lung cancer include persistent cough, bloody sputum, dyspnea, and which of the other following symptoms?

• Dizziness
• Generalized weakness
• Hypotension
• Recurrent pleural effusion

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37. The nurse should evaluate that defibrillation of a client was most successful if which observation was made?

• Arousable, sinus rhythm, blood pressure (BP) 116/72 mm Hg
• Nonarousable, sinus rhythm, BP 88/60 mm Hg
• Arousable, marked bradycardia, BP 86/54 mm Hg
• Nonarousable, supraventricular tachycardia, BP 122/60 mm Hg

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38. A new nursing graduate indicates in charting entries that he is a licensed registered nurse although he has not yet received the results of the licensing exam. The graduates action can result in a charge of:

• Fraud
• Tort
• Malpractice
• Negligence

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39. Situation: - Nurse Lorena is a Family Planning and Infertility Nurse Specialist and is currently attending to a meeting. The following conditions pertain to meeting the nursing of this particular population group.Lilia is scheduled to have a hysterosalpingogram. Which of the following, instructions would you give her regarding this procedure?

• She will not be able to conceive for 3 months after the procedure
• The sonogram of the uterus will reveal any tumors present
• Many women experience mild bleeding as an after effect
• She may feel some cramping when the dye is inserted

40. Patient with diagnosis of Dilated cardiomyopathy. (700] The Medication order:Glucophage 850mg po. qd Imdur 60mg. po .qd Lasix 80mg. po. qd Zocor 40mg. po. QdPast medical history: Heart failure, DM type 2, Peripheral vascular disease (pvd) & primary hyperlipidemiaBased on the patient's history which of the following medication orders should the nurse verify?

• Glucophage
• Zocor
• Lasix
• Imdur

41. A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:

• Altered nutrition
• Impaired communication
• Risk for injury/aspiration
• Altered urinary elimination

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42. Situation: Mr. Smith, Age 73, is a widower with moderate Alzheimer's disease. Was brought to the home for the Aged by his married daughter. On admission, she says to the nurse, "I never thought this would happen to us. I really feel guilty about bringing him here, I can't bear to part with him."Q. Tacrine was given to the client and the nurse knows that which of the following enzyme is periodically checked?

• Creatinine
• AST
• BUN
• ALT

43. A 64 year-old woman with hepatitis B has significant scarring on the liver and present to the clinic with swelling around the eyes. She is disoriented to time and place and seems confused. Her responses are slow and she has difficulty staying awake. A neurological assessment reveals hypoactive reflexes.Blood pressure: 164/96 mmHgHeart rate: 58/ minRespiratory rate: 22/min shallowTemperature: 37.0°C tympanicWhich of the following nursing interventions is most appropriate?

• Prevent aspiration
• Encourage small meals
• Administer fluid bolus
• Inject

44. Which of the following statement is not true with regards to anxiety?

• It has physiologic component
• It has psychologic component
• The source of dread or uneasiness is from an unrecognized entity
• The source of dread or uneasiness is from a recognized entity

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45. Situation: - You are actively practicing nurse who just finished your Graduate Studies. You earned the value of Research and would like to utilize the knowledge and skills gained in the application of research to Nursing service. The following questions apply to research.Which type of research Inquiry investigates the issue of human complexity (e.g. understanding the human expertise)

• Logical position
• Naturalistic inquiry
• Positivism
• Quantitative Research

46. When teaching Mario with a typical depression about foods to avoid whiie taking phenelzine (Nardil), which of the following would the nurse in charge include?

• Roasted chicken
• Fresh fish
• Salami
• Hamburger

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

• Dependant
• Correlational
• Independent
• Demographic

48. A client is admitted complaining of chest pain. Which of the following drug orders should the nurse question?

• Nitroglycerin
• Propranolol
• Verapamil

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49. Anastacia Giron-Tupas was the first Filipino nurse to occupy the position of chief nurse in this hospital

• St. Paul Hospital
• Iloilo Mission Hospital
• Philippine General Hospital
• St. Luke's Hospital

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50. A 52 year-old man with congestive heart failure presents to the Emergency Department with rapid and irregular heartbeats, and feeling dizzy and light- headed. The attending physician verbally calls out an order to the nurse to administer digoxin 0.25 milligrams by intravenous injection. How will the nurse complete the paperwork for this order?

• Write, sign and repeat order back to the physician
• Ask the physician to write and sign the order
• Write the order and ask the physician to sign
• Verbally repeat the order and administer drug

 

NCLEX-RN | QB1 | Practice Exam #14 (50 questions)