NCLEX-RN | QB1 | Practice Exam #7 (50 questions)

 

1. A client has an as needed prescription for ondansetron. For which condition(s) should the nurse administer this medication?

• Paralytic ileus
• Incisional pain
• Urinary retention
• Nausea and vomiting

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2. A nurse educates a patient diagnosed with diabetes, on the importance of exercise and a well-balanced, low-carbohydrate diet The patient takes metforin(Glucophage) 500 mg once a day. Which following indicates the patients plan of Care needs to be re-evaluated?

• Blood glucose level is 90mg/dl
• HbA1C (glycosylated hemoglobin)level is 9.0%
• Total H DL level is 60mg/dl
• Low density Lipoprotien is 130 mg/dl

3. The nurse is completing an assessment on a client who is being admitted for a diagnostic workup for primary hyperparathyroidism. Which client complaint would be characteristic of this disorder? Select all that apply. 1.Polyuria 2.Headache 3.Bonepain 4.Nervousness 5.Weight gain

• 1,3
• 1,2,4
• 4,5
• 1,3,5

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4. A client whose husband recently left her is admitted to the hospital with severe depression. The nurse suspects that the client is at risk for suicide. Which of the following questions would be most appropriate and helpful for the nurse to ask during an assessment for suicide risk?

• "Are you sure you want to kill yourself?"
• "I know if my husband left me. I'd want to kill myself Is that what you think?"
• "How do you think you would kill yourself?"
• "Why don't you just look at the positives in your life?"

5. A client with chronic kidney disease is receiving epoetin alfa. Which laboratory result would indicate a therapeutic effect of the medication?

• Hematocrit of 33% (0.33)
• Platelet count of 400,000mm3
• White blood cell count of 6000mm3
• Blood urea nitrogen level of 15 mg/dL (5.25 mmol/L)

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6. During the postoperative period, a nurse is assigned to care for a morbidly obese patient with an abdominal incision. The nurse knows that this patient’s weight increases the risk of:

• Left-sided heart failure
• Pressure sores of the coccyx
• Constipation and ileus
• Wound dehiscence

7. The adolescent's inability to develop a sense of who he is and what he can become results in a sense of which of the following?

• Shame
• Guilt
• Inferiority
• Role diffusion

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8. The nurse is giving the client with a left cast crutch walking instructions using the three point gait The client is allowed touchdown of the affected leg. The nurse tells the client to advance the:

• Left leg and right crutch then right leg and left crutch
• Crutches and then both legs simultaneously
• Crutches and the right leg then advance the left leg
• Crutches and the left leg then advance the right leg

9. Following an open-cholecystectomy, the nurse would instruct the patient to expect to resume normal activities in:

• 1 to 2 weeks
• 2 to 3 weeks
• 4 to 6 weeks
• 6 to 8 weeks

10. Situation: Mang Jose, 39 year old farmer, unmarried, had been confined in the National Center for Mental Health for three years with a diagnosis of schizophrenia.Q. During mealtime, Jose refused to eat telling that the food was poisoned. The nurse considers the following except:

• Ignore his remark
• Offer him food in his own container
• Show him how irrational his thinking is
• Respect his refusal to eat.

11. Tonny has undergoes a left thoracotomy and a partial pneumonectomy. Chest tubes are inserted, and one-bottle water-seal drainage is instituted in the operating room. In the postanesthesia care unit Tonny is placed in Fowler's position on either his right side or on his back. The nurse is aware that this position:

• Reduce incisional pain.
• Facilitate ventilation of the left lung.
• Equalize pressure in the pleural space.
• Increase venous return

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12. Adult patient suffers from hoarseness of voice, and difficulty in speech may be suffering from an injury of which of the following cranial nerves:

• IX
• X
• XI
• XII

13. The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with:

• Diabetes
• HIV
• Hypertension
• Thyroid disease

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14. While performing a physical assessment of a male client with gout of the great toe, Nurse Vivian should assess for additional tophi (urate deposits) on the:

• Buttocks
• Ears
• Face
• Abdomen

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15. Which of the following is considered as subjective data?

• Anxiety
• Skin color
• Height
• Temperature

16. You are assessing a patient who has sustained a cat bite to the left hand. The cat is up-to- date immunizations. The date of the patients last tetanus shot is unknown. Which of the following is the priority nursing diagnosis?

• Risk for Infection related to organisms specific to cat bites
• Impaired Skin Integrity related to puncture wounds
• Ineffective Health Maintenance related to immunization status
• Risk for Impaired Mobility related to potential tendon damage

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17. A nurse administers albuterol nebulizer to a child with asthma exacerbation. The nurse measures pulse oximetry and auscultates the lungs to determine whether the goal of clear respiratory status has been met The step of nursing is called:

• Assessment
• Diagnosis
• Implementation
• Evaluation

18. The nurse notes that a clients arterial blood gas (ABG) results reveal a pH of 7.50 and a PaCO2 of 30 mm Hg (30 mm Hg). The nurse monitors the client for which clinical manifestations associated with these ABG results? Select all that apply. 1.Nausea 2.Confusion 3.Bradypnea 4.Tachycardia 5.Hyperkalemia 6.Lightheadedness

• 1, 2, 4, 6
• 1,2,3,4,5
• 3,4,5,6
• 2,3,5,6

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19. The nurse is planning care for a client during the acute phase of a sickle cell vaso-occlusive crisis. Which of the following actions would be most appropriate?

• Fluid restriction 1000cc per day
• Ambulate in hallway 4 times a day
• Administer analgesic therapy as ordered
• Encourage increased caloric intake

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20. The relationship between the pulse and respiratory rate is represented by Which of the following ratios:

• One respiration to 2 or 3 heartbeat.
• One respiration to 3 or 4 heartbeat.
• One respiration to 4 or 5 heartbeat.
• One respiration to 5 or 6 heartbeat.

21. A nurse is caring for a patient who is 6-hours post-left lobectomy. On assessment the nurse observes that the patient has become very restless and the nail beds are blue. The vital signs reveal tachycardia, tachypnoea and the blood pressure is rising. Which of the following complications is most likely?

• Pneumonia
• Hypoxia
• Postoperative bleeding
• Bronchopleural fistula

22. The client with confusion says to the nurse I havent had anything to eat all day long. When are they going to bring breakfast?^ The nurse saw the client in the day room eating breakfast with other clients 30 minutes before this conversation. Which response would be best for the nurse to make?

• You know you had breakfast 30 minutes ago.
• I am so sorry that they d id nt get you breakfast. I will report it to the charge nurse.
• I will get you some juice and toast. Would you like something else?
• You will have to wait a while; lunch will be here in a little while.

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23. In what level of prevention according to Leaved and Clark does the nurse support the client in obtaining OPTIMAL HEALTH STATUS after a disease or injury?

• Primary
• Secondary
• Tertiary
• None of the above

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24. While caring for a patient prior to surgery to amputate the leg. What is the MOST affective measure to prevent phantom limb sensation after the amputation?

• Control pain prior to the surgery
• Make sure the patient understands the procedure
• Elevate the limb on two pillows
• Help the patient grieve for the limb

25. Situation: Mariah is a 31 year old lawyer who has been married for 6 moths. She is now pregnantShe consults you for guidance.Which of the following interventions will likely ensure compliance of Mariah?

• Incorporate her food preferences that are adequately nutritious in her meal plan.
• Consistently counsel toward optimum nutritional intake
• Respect her right to reject dietary information if she chooses
• Information of the adverse effects of inadequate nutrition to her fetus

26. Situation: A patient was admitted in the Medical Floor at St Luke's Hospital He was asymptomatic. The doctor suspects diverticulosis.Q. To improve Mr. Trinidad's condition, your best nursing intervention and teaching is:

• Reduce fluid intake
• Increase fiber in the diet
• Administration of antibiotics
• Exercise to increase intra abdominal pressure

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27. A 32 year-old female has an adrenocortical hormone disorder. The nurse notes the patient has thin scalp hair, a large trunk and thin extremities. Blood pressure: 152/84 mmHg Heart rate: 64/mmRespiratory rate: 16/mm Temperature: 37.2’C Oxygen Saturation: 98% on room air. Which clinical findings are most likely?

• Decreased bowel sounds and muscle soreness
• Cardiac arrhythmias and abdominal cramping
• Headache, confusion and muscle twitching
• Hunger, trembling and nervousness

28. Roger has been seen agitated, shouting and running. As Nurse Aida approaches, he shouts and swear, calling Aida names. Nurse Aida told Roger "That is an unacceptable behavior Roger, Stop and go to your room now.” The situation is most likely in what phase of NPR?

• Pre Orientation
• Orientation
• Working
• Termination

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29. Situation: Blood transfusion was ordered for Andre after an episode of severe bleeding.Q. Solutions that are said to be compatible with the osmolarity of the body are called:

• Isotonic
• Hypotonic
• Normosol
• Hypertonic

30. 500 mg of a drug is order. It is supplied in tablets of 1 gm per tablet. How many tablets should be administered?

• 0.5 tablet
• 1 tablet
• 1.5 tablet
• 2 tablet

31. Which assessment finding indicates dehydration?

• Tenting of chest skin when pinched.
• Rapid filling of hand veins.
• A pulse that isn't easily obliterated.
• Neck vein distention

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32. A client admitted to the hospital with chest pain and a history of type 2 diabetes mellitus is scheduled for cardiac catheterization. Which medication would need to be withheld for 24 hours before the procedure and for 48 hours after the procedure?

• Glipizide
• Metformin
• Repaglinide
• Regular insulin

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33. A 21-year-old male with Hodgkins lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?

• Sexual dysfunction related to radiation therapy
• Anticipatory grieving related to terminal illness
• Tissue integrity related to prolonged bed rest
• Fatigue related to chemotherapy

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34. NMS is characterized by:

• hypertension, hyperthermia, flushed and dry skin.
• Hypotension, hypothermia, flushed and dry skin.
• Hypertension, hyperthermia, diaphoresis
• Hypertension, hypothermia, diaphoresis

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35. The nurse is assessing the colostomy of a client who has had an abdominal perineal resection for a bowel tumor Which assessment finding indicates that the colostomy is beginning to function?

• The passage of flatus
• Absent bowel sounds
• The clients ability to tolerate food
• Bloody drainage from the colostomy

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36. Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse?

• Continuity of patient care promotes efficient, cost-effective nursing care
• Autonomy and authority for planning are best delegated to a nurse who knows the patient well
• Accountability is clearest when one nurse is responsible for the overall plan and its implementation.
• The holistic approach provides for a therapeutic relationship, continuity, and efficient nursing care.

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37. Which of the following best reflects the frequency of reported postpartum "blues"?

• Between 10% and 40% of all new mothers report some form of postpartum blues.
• Between 30% and 50% of all new mothers report some form of postpartum blues.
• Between 50% and 80% of all new mothers report some form of postpartum blues.
• Between 25% and 70% of all new mothers report some form of postpartum blues.

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38. The nurse prepares to give a bath and change the bed linens of a client with cutaneous Kaposi's sarcoma lesions. The lesions are open and draining a scant amount of serous fluid. Which wouid the nurse incorporate into the plan during the bathing of this client?

• Wearing gloves
• Wearing a gown and gloves
• Wearing a gown, gloves, and a mask
• Wearing a gown and gloves to change the bed linens, and gloves only for the bath

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39. The nurse is caring for a client with lung cancer and bone metastasis. What signs and symptoms would the nurse recognize as indications of a possible oncological emergency? Select all that apply. 1. Facial edema in the morning2. Weight loss of 20 lb (9 kg) in 1 month3. Serum calcium Ievel of 12 mg/dL(3.0 mmol/L) 4. Serum sodium level of 136 mg/dL (136mmol/L)5. Serum potassium level of 3.4 mg/dL (3.4 mmol/L)6. Numbness and tingling of the lower extremities

• 1,2,3,4,5
• 2,3,5,6
• 1,3,6
• 2,4,6

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40. Heartburn and flatulence, common in the second trimester, are most likely the result of which of the following?

• Increased plasma HCG levels
• Decreased intestinal motility
• Decreased gastric acidity
• Elevated estrogen levels

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41. Nurse Fay is aware that isolation of a child with measles belongs to what level of prevention?

• Primary
• Secondary
• Intermediate
• Tertiary

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42. The nurse is planning activities for a client diagnosed with bipolar disorder with aggressive social behavior Which activity would be most appropriate for this client?

• Chess
• Writing
• Pingpong
• Basketball

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43. The nurse describes a client as anxious. Which of the following statement about anxiety is true?

• Anxiety is usually pathological
• Anxiety is directly observable
• Anxiety is usually harmful
• Anxiety is a response to a threat

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44. 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

45. While obtaining information about the clients current medication use the nurse learns that the client takes ginkgo to improve mental alertness. The nurse should tell the client to:

• Report signs of bruising or bleeding to the doctor.
• Avoid sun exposure while using the herbal supplement.
• Purchase only those brands with FDA approval.
• Increase daily intake of vitamin E.

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46. A client with full-thickness burns on the chest has a skin graft During the first 24 hours after a skin graft, care of the donor site includes immediately reporting.

• Small amount of yellowish green oozing
• A moderate area of serosanguinous oozing
• Epithelialization under the non-adherent dressing
• Separation of the edges of the non-adherent dressing

47. The nurse is teaching a patient about spironolactone (aldactone). Which of the following instructions should the nurse review with the patient?

• Increasing intake of foods that are high in potassium
• Taking the medication right before going to sleep
• Avoiding seasoning that are labeled as salt substitutes
• Scheduling the medication so that a multi vitamin is taken an hour later

48. The burned client relates the following history of previous health problems. Which one should alert the nurse to the need for alteration of the fluid resuscitation plan?

• Seasonal asthma
• Hepatitis B 10 years ago
• Myocardial infarction 1 year ago
• Kidney stones within the last 6 month

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49. Situation: Nurse Macarena is a Family Planning and infertility Nurse Specialist and currently attends to FAMILY PLANNING CLIENTS AND INFERTILE COUPLES. The following conditions pertain to meeting the nursing needs of this particular population group.Prioritization is important to test a nurse's good judgment towards different situations. Priorities when caring for the elderly trauma patient:

• circulation, airway breathing
• disability (neurologic), airway, breathing
• airway, breathing, disability (neurologic)
• airway, breathing, circulation

50. Situation: Mr Bond 36 years old patient complaints of fatigue, weight loss, and low-grade fever He also has pain his fingers, elbows, and ankles.Q. Mr Balao asks the nurse as to the source of this disease. The nurse is aware that this is a disease of:

• Joints
• Bones
• connective tissue
• purine metabolism

 

NCLEX-RN | QB1 | Practice Exam #7 (50 questions)