NCLEX-RN | QB1 | Practice Exam #8 (50 questions)
1. A 21-year-old female is being discharged after a 2-day admission for pelvic inflammatory disease (PID). Which statement BEST identifies the patients understanding of follow-up care for PID?
- "My sexual partner needs to be treated with antibiotics"
- "It's OK to resume sexual relation now"
- "I need to inform any sexual partners I have had in the past 30 days that I had PID"
- "In order to prevent getting PID I need to continue to take birth control pills"
2. The nurse is providing dietary teaching for a client with a diagnosis of chronic gastritis. The nurse instructs the client to include which foods rich in vitamin B12 in the diet? Select all that apply. 1.Nuts. 2.Corn. 3.Liver. 4.Apples. 5.Lentils. 6.Bananas
- 1,3,4
- 1,2,3
- 2,3,4
- 1,3,5
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3. To ensure that medications are prepared and administered correctly, the nurse should:
- Give the medication without question
- Use the patient's rights
- Give the medication only when requested
- Use the FIVE rights
4. Situation: In the hospital, you are aware that we are helped by the .use of a variety of equipment/devices to enhance quality patient care delivery;Q. What will you do to ensure that Kyle, who is febrile, will have a liberal oral fluid intake?
- Provide a glass of fruit every meal
- Regulate his IV to 30 drops per minute
- Provide a calibrated pitcher of drinking water and juice at the bedside and monitor intake and output
- Provide a writing pad to record his intake
5. Situation: - Camila, 25 years old, was reported to be gradually withdrawing and isolating herself from friends and family members. She became neglectful of her personal hygiene. She was observed to be talking irrelevantly and incoherently. She was diagnosed as schizophreniaQ. Schizophrenia is a/an:
- anxiety disorder
- neurosis
- psychosis
- personality/disorder
6. All of the followings are etiologies of self-care deficit EXCEPT:
- scar and abrasions.
- Activity intolerance or weakness.
- Mental impairment.
- Visual impairment.
7. Nurse Marie is caring for a 32-year-old client admitted with pernicious anemia. Which set o findings should the nurse expect when assessing the client?
- Pallor, bradycardia, and reduced pulse pressure
- Pallor, tachycardia, and a sore tongue
- Sore tongue, dyspnea, and weight gain
- Angina, double vision, and anorexia
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8. A client has ear surgery. An early response that may be associated with possible damage to the motor branch of the facial nerve is:
- A bitter metallic state
- Dryness of the lips and mouth
- A sensation of pain behind the ear
- An inability to wrinkle the forehead
9. Situation: Two children were brought to you. One with chest indrawing and the other had diarrhea. The following questions apply:Being a community health nurse, you have the responsibility of participating in protecting the health of people. Consider this situation: Vendors selling bread with their bare hands. They receive money with these hands. You do not see them washing their hands. What should you say or do?
- "Miss, may I get the bread myself because you have not washed your hands"
- "Miss, your hands are dirty. Wash your hands first before getting the bread"
- "Miss, it is better to use a pick up forceps/ bread tong"
- All of these
10. A 7-years-old child is brought to the physician office due to sudden onset of bright redness on the cheeks. The nurse observes that the child has a temperature of 380 C (100.40 F) With chilis the nurse suspects that the MOST like diagnosis would be:
- Fifth disease
- Rotavirus
- Roseola infantum
- None.
11. The doctor has prescribed a diet high in vitamin B12 for a client with pernicious anemia. Which foods are good sources of B12?
- Meat eggs dairy products
- Peanut butter raisins molasses
- Broccoli cauliflower cabbage
- Shrimp legumes bran cereals
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12. When giving a backrub, the nurse aide should
- apply lotion to the back directly from the bottle.
- keep the resident covered as much as possible.
- leave extra lotion on the skin when completing the procedure,
- expect the resident to lie on his/her stomach.
13. A patient who is preparing for hip surgery has an order for external pneumatic compression devices. The nurse teaches the patient that pneumatic compression can help prevent:
- Upper respiratory infection
- Decreased breath sounds
- Deep vein thrombosis
- Bleeding at the surgical site
14. An adolescent client with type 1 diabetes mellitus is admitted to the emergency department for treatment of diabetic ketoacidosis. Which assessment findings should the nurse expect to note?
- Sweating and tremors
- Hunger and hypertension
- Cold, clammy skin and irritability
- Fruity breath odor and decreasing level of consciousness
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15. The nurse is teaching exercises that are good for pregnant women increasing tone and fitness and decreasing lower backache. Which of the following should the nurse exclude in the exercise program?
- Stand with legs apart and touch hands to floor three times per day.
- Ten minutes of walking per day with an emphasis on good posture.
- Ten minutes of swimming or leg kicking in pool per day.
- Pelvic rock exercise and squats three times a day.
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16. 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.Client names Lilia is diagnosed as having endometriosis. This condition interferes with the fertility because:
- endometrial implants can block the fallopian tubes
- the uterine cervix becomes inflamed and swollen
- ovaries stop producing adequate estrogen
- pressure on the pituitary leads to decreased FSH levels
17. The nurse has made an error in a narrative documentation of an assessment finding on a client and obtains the client's record to correct the error. The nurse should take which actions to correct the error? Select all that apply. 1. Document a late entry in the client's record. 2. Draw 1 line through the error, initialing and dating it.3. Try to erase the error for space to write in the correct data.4. Use whiteout to delete the error to write in the correct data.5. Write a concise statement to explain why the correction was needed.6. Document the correct information and end with the nurse's signature and title.
- 1,6
- 1.3,5,6
- 2,6
- 3,5
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18. Nurse Trisha teaches a client with heart failure to take oral Furosemide in the morning. The reason for this is to help
- Retard rapid drug absorption
- Excrete excessive fluids accumulated at night
- Prevents sleep disturbances during night
- Prevention of electrolyte imbalance
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19. Situation: - One important toot a community health nurse uses in the conduct of his/her activities is the CHN Bag. Which of the following BEST DESCRIBES the use of this vital facility for our practice?This is an important procedure of the nurse during home visits?
- protection of the CHN bag
- arrangement of the contents of the CHM bag
- cleaning of the CHN bag
- proper hand washing
20. Graciel has been injected TT5, her last dosed for tetanus toxoid immunization. Graciel asked you, what type of immunity is TT Injections? You correctly answer her by saying Tetanus toxoid immunization is a/an
- Natural active immunity
- Natural passive immunity
- Artificial active immunity
- Artificial passive immunity
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21. Situation: The national objective for maintaining the health of all Filipinos is a primary responsibility of the DOH.A 4-month-old child was brought to your clinic because of cough and colds. Which of the following is your primary action?
- Teach the mother how to count her child's breathing?
- Refer to the doctor
- Assess the patient using the chart on management of children with cough
- Give cotrimoxazole tablet or syrup
22. A nurse is assessing a 4-month-old formula-fed infant. The parent reports the infant has been irritable, crying excessively, not sleeping well, and vomiting. Gastro-esophageal reflux is expected. What nursing intervention should the nurse expect to teach the parent?
- Place the infant in an infant seat after eating
- Give large frequent feedings
- Position the child in a swing
- Thin formula with water
23. When caring for child with spina bifida, the nurse knows that the child has an increased ris of allergy to:
- Peanuts
- Strawberries
- Eggs
- Latex
24. 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. Acoustic neuromas produce symptoms of progressive nerve deafness, tinnitus, and vertigo due to pressure and eventual destruction of:
- CN5
- CN7
- CN8
- The ossicles
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25. Situation: Nurse Nico is caring to a 38-year-old female, G3P3 client who has been diagnosed with hemorrhoids.Q. Which position would be ideal for the client in the early postoperative period after hemorrhoidectomy?
- High Fowler's
- Supine
- Side - lying
- Trendelenburg's
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26. Before Jacob undergoes arthroscopy the nurse reviews the assessment findings for contraindications for this procedure. Which finding is a contraindication?
- Joint pain
- Joint deformity
- Joint flexion of less than 50%
- Joint stiffness
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27. The following are natural childbirth procedures EXCEPT:
- Lamaze method
- Dick-Read method
- Ritgen's maneuver
- Psychoprophylactic method
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28. The nurse is caring for a client with a venous stasis ulcer. Which nursing intervention would be most effective in promoting healing?
- Apply dressing using sterile technique
- Improve the client's nutrition status
- Initiate limb compression therapy
- Begin proteolytic debridement
29. Situation: Miss Matias, found out that Mr. Carding, newly admitted patient, has terminal cancer and that his nurse has not yet informed him of the diagnosis.Q. In caring of a dying client during post mortem, the most important thing that the nurse should remember is:
- Treat the body with utmost dignity
- Close the eyes immediately before the onset of rigor mortis
- Verify that the client is really dead by checking the ABC and double checking the death notice
- Close the mouth, straighten the body, elbows and knees before the onset of rigor mortis
30. A Child is diagnosed with asthma exacerbation. Which of the following nursing diagnoses should be the FIRST priority?
- In effective airway clearance related to broncho spasm and mucosal edema
- Fatigue related to hypoxia
- Anxiety related to illness and loss of control
- Deficient knowledge related to potential side effect of the medication
31. Which of the following is considered the best indicator of nutritional status of an individual?
- Height
- Weight
- Arm muscle circumference
- BMI
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32. Nurse John is talking with a client who has been diagnosed with antisocial personality about how to socialize during activities without being seductive. Nurse John would focus the discussion on which of the following areas?
- Discussing his relationship with his mother
- Asking him to explain reasons for his seductive behavior
- Suggesting to apologize to others for his behavior
- Explaining the negative reactions of others toward his behavior
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33. Situation: John Mark is a 21 year old male client who was rushed following an automobile accident He is very anxious, dyspneic and in severe pain.Q. The right chest wall of Peter moves in during inspiration and balloons out when he exhales. He is very dyspneic. The nurse understands that this symptom is indicative of:
- Hemothorax
- Flail Chest
- Atelectasis
- Pleural effusion
34. Which of the following arteries primarily feeds the anterior wall of the heart?
- Circumflex artery
- Internal mammary artery
- Left anterior descending artery
- Right coronary artery
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35. When a woman is 10 weeks pregnant which of the following hematology test results would need further Investigation?
- Hemoglobin level of 9 mg/dL
- white blood cell count of 15,000/cu mm
- platelet count of 200,000/cu mm
- red blood cell count of 4,200,000/ cu mm
36. In children suspected to have a diagnosis of diabetes, which one of the following complaints would be most likely to prompt parents to take their school age child for evaluation?
- Polyphagia
- Dehydration
- Bed wetting
- Weight loss
37. Miss Kate Is a bread vendor and you are buying a bread from her. You noticed that she receives and changes money and then hold the bread without washing her hand. As a nurse, What will you say to Miss Kate?
- Miss, don't touch the bread I’ll be the one to pick it up
- Miss, please wash your hands before you pick up those breads
- Miss, use a pick up forceps when picking up those breads
- Miss, your hands are dirty I guess I’ll try another bread shop
38. The nurse hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. The nurse performs an assessment, assists the client back to bed, notifies the health care provider of the incident, and completes an incident report Which statement should the nurse document on the incident report?
- The client fell out of bed.
- The client climbed over the side rails.
- The client was found lying on the floor.
- The client became restless and tried to get out of bed.
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39. The nurse determines that the wife of an alcoholic client is benefiting from attending an Al- Anon group if the nurse hears the wife make which statement?
- "I no longer feel that I deserve the beatings my husband inflicts on me.”
- "My attendance at the meetings has helped me to see that I provoke my husband's violence.”
- "I can tolerate my husband's destructive behaviors now that I know they are common among alcoholics."
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40. The nurse caring for a client who has been receiving intravenous (IV) diuretics suspects that the client is experiencing a fluid volume deficit. Which assessment finding would the nurse note in a client with this condition?
- Weight loss and poor skin turgor
- Lung congestion and increased heart rate
- Decreased hematocrit and increased urine output
- Increased respirations and increased blood pressure
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41. SITUATION: Mr. Roxas, an obese 35 year old MS Professor Is admitted due to pain in his weight bearing joint The diagnosis was Osteoarthritis.Q. You also told Mr. Roxas to hold the cane
- one (1) inches in front of the foot.
- three (3) inches at the lateral side of the foot.
- six (6) inches at the lateral side of the foot.
- twelve (12) inches at the lateral side of the foot.
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42. The nurse formulates a nursing diagnosis of Impaired verbal communication for a client with schizotypal personality disorder. Based on this nursing diagnosis, which nursing intervention is most appropriate?
- Helping the client to participate in social interactions
- Establishing a one-on-one relationship with the client
- Establishing alternative forms of communication
- Allowing the client to decide when he wants to participate in verbal communication with the nurse
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43. During surgery requiring general anesthesia, the patient heart's stops and a carotid pulse is not palpated. How many compressions per minute should be administered?
- 50
- 60
- 80
- 100
44. The mother of a 3-year-old asks a clinic nurse about appropriate and safe toys for the child. The nurse should tell the mother that the most appropriate toy for a 3-year-old is which?
- A wagon
- A golfset
- A farmset
- A jack set with marbles
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45. A school nurse refers a child who failed the school vision screening for eye doctor. The child returns with glasses to be worn at all times. The nurse should monitor this child for:
- Redness of the eye
- Episodes of seizures
- Improved vision with glasses
- Lazy eye
46. Situation: Michelle is a 6 year old preschooler. She was reported by her sister to have measles but she is at home because of fever, upper respiratory problem and white sports in her mouth.Rubeola is an Arabic term meaning Red, the rash appears on the skin in invasive stage prior to eruption behind the ears. As a nurse, your physical examination must determine complication especially:
- Otitis media
- Bronchial pneumonia
- Inflammatory conjunctiva
- Membranous laryngitis
47. Situation: Elvira is a 26 year old woman you admit to a birthing room. She's been having contractions 45 seconds long and 3 minutes apart for the last 6 hours. She tells you she wants to have her baby "naturally" without any analgesia or anesthesia. Her husband is in the Army and assigned overseas, so he is not with her. Although her sister lives only two blocks from the hospital, Elvira doesn't want her called. She asks if she can talk to her mother on the telephone instead.Elvira didn't recognize for over an hour that she was in labor. A sign of true labor is:
- Sudden increase energy from epinephrine release
- Nagging but constant pain in the lower back.
- Urinary urgency from increased bladder pressure.
- "Show" or release of the cervical mucus plug.
48. When planning care for a client at 30-weeks gestation, admitted to the hospital after vaginal bleeding secondary to placenta previa, the nurse's primary objective would be:
- Provide a calm, quiet environment
- Prepare the client for an immediate cesarean birth
- Prevent situations that may stimulate the cervix or uterus
- Ensure that the client has regular cervical examinations assess for labor
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49. The nurse is caring for the client receiving Amphotericin B. Which of the following indicate that the client has experienced toxicity to this drug?
- Changes in vision
- Nausea
- Urinary frequency
- Changes in skin color
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50. Situation: Understanding different models of care is a necessary part of the nurse patient relationship.Q. The nurse knows that in group therapy, the maximum number of members to include is:
- 7
- 8
- 10
- 16
NCLEX-RN | QB1 | Practice Exam #8 (50 questions)