NCLEX-RN | QB1 | Practice Exam #9 (50 questions)

 

1. At the time of diagnosis of Hodgkin's lymphoma, which of the following areas is often involved?

• Back
• Chest
• Groin
• Neck

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2. Which of the following drugs may be abused because of tolerance and physiologic dependence.

• lithium (Lithobid) and divalproex (Depakote).
• verapamil (Calan) and chlorpromazine (Thorazine)
• alprazolam (Xanax) and phenobarbital (Luminal)
• clozapine (Clozaril) and amitriptyline (Elavil)

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3. Situation: The question with regards to the OPERATING ROOM.Q, What OR attires are worn in the restricted area?

• Scrub suit OR shoes, head cap
• Head cap, scrub suit, mask, OR shoes
• Mask, OR shoes, scrub suit
• Cap, mask, gloves, shoes

4. A student nurse is observing a neurological nurse perform an assessment When the nurse asks the client to stick out his tongue 8 the nurse is assessing the function of which cranial nerve?

• II optic
• I olfactory
• X vagus
• XII hypoglossal

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5. The nurse is caring for a client who suffered an inhalation injury from a wood stove. The carbon monoxide blood report reveals a level of 12%. Based on this level, the nurse would anticipate noting which sign in the client?

• Coma
• Flushing
• Dizziness
• Tachycardia

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6. Karen has been diagnosed with aplastic anemia. The nurse monitors for changes in which of the following physiologic functions?

• Bowel function
• Peripheral sensation
• Bleeding tendencies
• Intake and out put

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7. Situation: Rose seeks psychiatric consultation because of intense fear of flying in an airplane which has greatly affected her chances of success in her job.Q. Based on the presence of symptom. The appropriate nursing diagnosis is:

• Self esteem disturbance
• Activity intolerance
• Impaired adjustment
• Ineffective individual coping

8. Which of the following discharge instructions would be most accurate to provide to a female client who has suffered a spinal cord injury at the C4 level?

• After a spinal cord injury women usually are unable to conceive a child.
• Sexual intercourse shouldn't be different for you.
• After a spinal cord injury menstruation usually stops.
• After a spinal cord injury women usually remain fertile; therefore, you may consider contraception if you don't want to become pregnant.

9. Theophylline ethylenediamide is administered to a client with COPD to:

• Reduce bronchial secretions
• Relax bronchial smooth muscle
• Strengthen myocardial contractions
• Decrease alveolar elasticity

10. The physician has ordered a low-purine diet for a client with gout Which protein source is high in purine?

• Dried beans
• Nuts
• Cheese
• Eggs

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11. The nurse is caring for a bedridden, elderly adult To prevent pressure ulcers, which intervention should the nurse include in the plan of care?

• Turn and reposition the client a minimum of every 8 hours.
• Vigorously massage lotion into bony prominences.
• Post a turning schedule at the client's bedside.
• Slide the client, rather than lifting when turning.

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12. Which of the following characterizes peer group relationships in eight- and nine-year-olds?

• Activities organized around competitive games
• Loyalty and strong same-sex friendships
• Informal socialization between boys and girls
• Shared activities with one best friend

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13. When preparing a client for magnetic resonance imaging the nurse should implement which of the following?

• Obtain informed consent and administer atropine 0.4mg.
• Scrub the injection site for 15 minutes.
• Remove any jewelry and inquire about metal implants.
• Administer Benadryl 50mg/mL IV.

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14. A home care nurse visits a patient diagnose with diabetes mellitus whose current glucose level ranges from 150mg/dl to 200mg/dl. The patient has not been able to self-administer prescribed insulin and complains of blurred vision and an inability to read the marking on the syringe for proper insulin dosage. Which of the following referrals would be MOST beneficial to the patient?

• A dietician
• An endocrinologist
• An ophthalmologist
• A physical therapist

15. Situation: Organ donation is a new form of treatment that provides multiple complication such as rejection. Q.Which of the following is a sign that the transplanted kidney is being rejected?

• Fever and Weight Gain
• Fever and Weight Loss
• Chills, Fever, Polyuria
• Anuria, Fever, Weight Gain and Hematuria

16. The nurse is performing an assessment on a 10- year-old child suspected to have Hodgkin's disease. Which assessment findings are specifically characteristic of this disease? Select all that apply. 1. Abdominal pain 2. Fever and malaise 3. Anorexia and weight loss 4. Painful, enlarged inguinal lymph nodes 5. Painless, firm, and movable adenopathy in the cervical area

• 1,3,5
• 1,2,4,5
• 2,4
• 1,5

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17. A client is transferred to the intensive care unit following a coronary artery bypass graft. Which one of the post-surgical assessments should be reported to the physician?

• Urine output of 50ml in the past hour
• Temperature of 99°F
• Strong pedal pulses bilaterally
• Central venous pressure 15mm H2O

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18. The nurse is monitoring a client newly diagnosed with diabetes mellitus for signs of complications. Which sign or symptom, if exhibited in the client, indicates that the client is at risk for chronic complications of diabetes if the blood glucose is not adequately managed?

• Polyuria
• Diaphoresis
• Pedal edema
• Decreased respiratory rate

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19. Considered as the WEAKEST LINK in the chain of infection that nurses can manipulate to prevent spread of infection and diseases

• Etiologic/lnfectious agent
• Portal of Entry
• Susceptible host
• Mode of transmission

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20. Nursing preparation for a client undergoing electroconvulsive therapy (ECT) resemble those used for:

• General anesthesia
• Cardiac stress testing
• Neurologic examination
• Physical therapy

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21. The nurse discusses plans for future treatment options with a client with symptomatic polycystic kidney disease. Which treatment should be included in this discussion? Select all that apply. 1. Hemodialysis 2. Peritoneal dialysis 3. Kidney transplant 4. Bilateral nephrectomy 5. Intense immunosuppression therapy

• 1,3,4
• 1,2,3
• 2,3,4,5
• 1,3,5

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22. The nurse is caring for a client who is on a mechanical ventilator. Blood gas results indicate a pH of 7.50 and a PaCO2 of 30mmHg(30mmHg). The nurse has determined that the client is experiencing respiratory alkalosis. Which laboratory value would most likely be noted in this condition?

• Sodium level of 145mEq/L(145mmol/L)
• Potassium level of 3.0 mEq/L (3.0 mmol/L)
• Magnesium level of 1.3 mEq/L (0.65 mmol/L)
• Phosphorus level of 3.0 mg/dL (0.97 mmol/L)

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23. The community health nurse is conducting an educational session with community members regarding the signs and symptoms associated with tuberculosis. The nurse informs the participants that tuberculosis is considered as a diagnosis if which signs and symptoms are present? Select all that apply. 1. Dyspnea 2. Headache 3. Night sweats 4. A bloody, productive cough 5. A cough with the expectoration of mucoid sputum

• 1,3,4,5
• 1,2,3
• 1,2,3,4
• 2,3,4,5

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24. Three weeks post amputation of the leg the patient is instructed to massage the residual limb. The MOST likely rationale for this to:

• Provide counter-irritation for pain control
• Prepare for a prosthesis
• Promote wound healing
• Promote acceptance of the limb's appearance

25. A client is admitted to the emergency room with multiple injuries. What is the proper sequence for managing the client?

• Assess for head injuries control hemorrhage establish an airway prevent hypovolemic shock
• Control hemorrhage prevent hypovolemic shock establish an airway assess for head injuries
• Establish an airway control hemorrhage prevent hypovolemic shock assess for head injuries
• Prevent hypovolemic shock assess for head injuries establish an airway control hemorrhage

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26. The type of pulse that is strong and doesn't disappear with moderate pressure is known as:

• Absent pulse
• Thready pulse
• Weak pulse
• Bounding pulse

27. A 68 year-old male patient has a chest tube and properly fixed following cardiac surgery. The chest tube is patent and functioning. When the nurse removes the dressing the tube falls out of the chest. Which is the most appropriate initial intervention the nurse should take?

• Reinsert the chest tube and notify the surgeon
• Apply an occlusive dressing to the insertion site.
• Place the open end of the tube in 20 cm of water

28. An asthmatic patient presents with wheezing and coughing. Oxygen saturation is 88% on room air. Which of the following nursing diagnosis would take priority?

• Imbalanced nutrition related to decreased food intake
• Activity intolerance related to inefficient breathing.
• Anxiety related dyspnea and concern of illness.
• Ineffective gas exchange related to bronchospam

29. A client has experienced pulmonary embolism. The nurse should assess for which symptom, which is most commonly reported?

• Hot, flushed feeling
• Sudden chills and fever
• Chest pain that occurs suddenly
• Dyspnea when deep breaths are taken

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30. In a client with enteritis and frequent diarrhea, the nurse should anticipate an acid-base imbalance of:

• respiratory acidosis
• respiratory alkalosis
• metabolic acidosis
• metabolic alkalosis

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31. Nurse Benjie is communicating with a male client with substance-induced persisting dementia; the client cannot remember facts and fills in the gaps with imaginary information. Nurse Benjie is aware that this is typical of?

• Flight of ideas
• Associative looseness
• Confabulation
• Concretism

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32. Jestoni with chronic renal failure (CRF) is admitted to the urology unit The nurse is aware that the diagnostic test are consistent with CRF if the result is:

• Increased pH with decreased hydrogen ions.
• Increased serum levels of potassium, magnesium, and calcium.
• Blood urea nitrogen (BUN) 100 mg/dl and serum creatinine 6.5 mg/ dL
• Uric acid analysis 3.5 mg/dl and phenolsulfonphthalein (PSP) excretion 75%.

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33. Which of the following tests in performed on a client with leukemia before initiation of therapy to evaluate the child's ability to metabolize chemotherapeutic agents?

• Lumbar puncture
• Liver function studies
• Complete blood count (CBC)
• Peripheral blood smear

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34. A 20 yr-old woman has just been diagnosed with Crohn's disease. She has lost 10 lb (4.5 kg) and has cramps and occasional diarrhea. The nurse should include which of the following when doing a nutritional assessment?

• Let the client eat as desired during the hospitalization.
• Weight the client daily.
• Ask the client to list what she eats during a typical day.
• Place the client on I & O status and draw blood for electrolyte levels.

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35. Which symptom is not associated with glaucoma?

• Veil-like loss of vision
• Foggy loss of vision
• Seeing halos around lights
• Complaints of eye pain

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36. A nurse who explains that a clients psychotic behavior is unconsciously motivated understands that the clients disordered behavior arises from which of the following?

• Abnormal thinking
• Altered neurotransmitters
• Internal needs
• Response to stimuli

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37. Situation: Anesthesia is used even during the Ancient times. In its evolution, modern marvels in the use of anesthesia enables the nurses to develop a more competitive approach in patient care.Q. After spinal anesthesia, 30% of the patient develops spinal headache. This is due to:

• Severe hypotension associated with Vasodilation due to the anaesthetics.
• Increase volume of the cerebrospinal fluid due to anesthesia induction.
• Cerebral edema due to rapid absorption of the anaesthetics.
• CSF leakage due to the puncture created by the spinal needle in the membrane that surrounds the spinal cord.

38. On 2nd postpartum day, which height would you expect to find the fundus in a woman who has had a caesarian birth?

• 1 finger above umbilicus
• 2 fingers above umbilicus
• 2 fingers below umbilicus
• 1 finger below umbilicus

39. An opioid analgesic is administered to a client in labor. The nurse assigned to care for the client ensures that which medication is readily accessible should respiratory depression occur?

• Naloxone
• Morphine sulfate
• Betamethasone
• Hydromorphone hydrochloride

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40. Using the principles of standard precautions, the nurse would wear gloves in what nursing interventions?

• Providing a back massage
• Feeding a client
• Providing hair care
• Providing oral hygiene

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41. A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurses response is based on the knowledge that:

• There is no need to take thyroid medication because the fetus thyroid produces a thyroid-stimulating hormone.
• Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy.
• It is more difficult to maintain thyroid regulation during pregnancy due to a slowing of metabolism. D
• Fetal growth is arrested if thyroid medication is continued during pregnancy.

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42. He is hopeful that his unit will make a big turnaround in the succeeding months. Which of the following actions of Henry demonstrates that he has reached the third stage of change?

• Wonders why things are not what it used to be
• Finds solutions to the problems
• Integrate the solutions to his day-to-day activities
• Selects the best change strategy

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43. The nurse is teaching about irritable bowel syndrome (IBS). Which of the following would be most important?

• Reinforcing the need for a balanced diet
• Encouraging the client to drink 16 ounces of fluid with each meal
• Telling the client to eat a diet low in fiber
• Instructing the client to limit his intake of fruits and vegetables

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44. Nurse Tina prepares a client for peritoneal dialysis. Which of the following actions should the nurse take first?

• Assess for a bruit and a thrill.
• Warm the dialysate solution.
• Position the client on the left side.
• Insert a Foley catheter

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45. The vaccine should be given on:

• 1 month
• 6 months
• 3 months
• 9 months

46. Situation: Based on studies of nurses working in special units like the intensive care unit and coronary care unit it is important for nurses to gather as much information to be able to address their needs for nursing care.Q. Critically ill patient frequently complain about which of the following when hospitalized?

• Soft food that are easily digested and absorbed by my large intestines.
• Lack of blankets
• Lack of privacy
• Inadequate nursing staff

47. All of the following are good sources of vitamin A except

• White potatoes
• Carrots
• Apricots
• Egg yolks

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48. The nurse educator asks a student to list the 5 main categories of complementary and alternative medicine (CAM), developed by the National Center for Complementary and Alternative Medicine. Which statement, if made by the nursing student, indicates a need for further teaching regarding CAM categories?

• "CAM includes biologically based practices"
• "Whole medical systems are a component of CAM."
• "Mind-body medicine is part of the CAM approach"
• "Magnetic therapy and massage therapy are a focus of CAM."

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49. During the initial postoperative period of the client's stoma. The nurse evaluates which of the following observations should be reported immediately to the physician?

• Stoma is dark red to purple
• Stoma is oozes a small amount of blood
• Stoma is slightly edematous
• Stoma does not expel stool

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50. The nurse has conducted discharge teaching with a client diagnosed with tuberculosis who has been receiving medication f or 2 weeks. The nurse determines that the client has understood the information if the client makes which statement?

• "I need to continue medication therapy for 1 month"
• "I can't shop at the mall for the next 6 months"
• "I can return to work if a sputum culture comes back negative"
• "I should not be contagious after 2 to 3 weeks of medication therapy."

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NCLEX-RN | QB1 | Practice Exam #9 (50 questions)