NCLEX-RN | QB1 | Practice Exam #5 (50 questions)

 

1. Which statement describes the contagious stage of varicella?

• The contagious stage is one day before the onset of the rash until the appearance of vesicles.
• The contagious stage lasts during the vesicular and crusting stages of the lesions.
• The contagious stage is from the onset of the rash until the rash disappears.
• The contagious stage is one day before the onset of the rash until all the lesions are crusted.

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2. Which of the following is a characteristic of crisis?

• Lasts for an unlimited period of time
• There is a triggering event
• Situation is not dangerous to the person
• Person totality is not involved

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3. Situation: Consider the following hypothesis: "The Job turnover rate and job dissatisfaction levels of graduate nurses who have worked less than 2 years is higher than for those graduate nurses who have worked for more than 2 years 'Q. The final product of review of related literature is:

• Pool of related literature
• Organized relevant literature
• Analyzed potential literature
• Written review of literature

4. A pulsating abdominal mass usually indicates which of the following conditions?

• Abdominal aortic aneurysm
• Enlarged spleen
• Gastic distention
• Gastritis

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5. A home health nurse is visiting a client who is receiving diuretic therapy for congestive heart failure. Which medication places the client at risk for the development of hypokalemia?

• Aldactone (spironolactone)
• Demadex (torsemide)
• Dyrenium (triamterene)
• Midamor (amiloride hydrochloride)

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6. The nurse is caring for the client who has been in a coma for two months. He has signed a donor card but the wife is opposed to the idea of organ donation. How should the nurse handle the topic of organ donation with the wife?

• Tell the wife that the hospital will honor her wishes regarding organ donation but contact the organ-retrieval staff.
• Tell her that because her husband signed a donor card the hospital has the right to take the organs upon the death of her husband.
• Explain that it is necessary for her to donate her husbands organs because he signed the permit.
• Refrain from talking about the subject until after the death of her husband.

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7. The nurse provides feeding instructions to a parent of an infant diagnosed with gastroesophageal reflux disease. Which instruction should the nurse give to the parent to assist in reducing the episodes of emesis?

• Provide less frequent, larger feedings.
• Burp the infant less frequently during feedings.
• Thin the feedings by adding water to the formula.
• Thicken the feedings by adding rice cereal to the formula.

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8. A client experiences post partum hemorrhage eight hours after the birth of twins. Following administration of IV fluids and 500 ml of whole blood, her hemoglobin and hematocrit are within normal limits. She asks the nurse whether she should continue to breast feed the infants. Which of thefollowing is based on sound rationale?

• "Nursing will help contract the uterus and reduce your risk of bleeding."
• "Breastfeeding twins will take too much energy after the hemorrhage."
• "The blood transfusion may increase the risks to you and the babies."
• "Lactation should be delayed until the "real milk" is secreted."

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9. While caring for a client with hypertension the nurse notes the following vital signs: BP of 140/20 pulse 120 respirations 36 temperature 100.8AT. The nurses initial action should be to:

• Call the doctor.
• Recheck the vital signs.
• Obtain arterial blood gases.
• Obtain an ECG.

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10. Which of the following is true about autoclaving or steam under pressure?

• All kinds of microorganism and their spores are destroyed by autoclave machine
• The autoclaved instruments can be used for 1 month considering the bags are still intact
• The instruments are put into unlocked position, on their hinge, during the autoclave
• Autoclaving different kinds of metals at one time is advisable

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11. Situation: Cancer of the prostate is the leading cancer in Men other than skin cancer The following questions will assess your knowledge and theoretical foundation in dealing with clients with prostate cancer.Q. Among the following population group, who has a higher risk in the development of prostate cancer?

• African-American
• Caucasian
• Asian
• Hispanics

12. Situation: Consider the following hypothesis: "The Job turnover rate and job dissatisfaction levels of graduate nurses who have worked less than 2 years is higher than for those graduate nurses who have worked for more than 2 years 'Q. In the above number, your dependent variable is:

• Terminally ill patients
• Feelings of wellbeing
• Timing of psychological support
• Time

13. The nurse is caring for a client with meningitis and implements which transmission-based precautions for this client?

• Private room or cohort client
• Personal respiratory protection device
• Private room with negative airflow pressure
• Mask worn by staff when the client needs to leave the room

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14. A patient with Parkinson's disease has a nursing diagnosis of Impaired Physical Mobility related to neuromuscular impairment. You observe a nursing assistant performing all of these actions. For which action must you intervene?

• The NA assists the patient to ambulate to the bathroom and back to bed.
• The NA reminds the patient not to look at his feet when he is walking.
• The NA performs the patient's complete bath and oral care.
• The NA sets up the patient's tray and encourages patient to feed himself.

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15. Situation: Sexually Transmitted Diseases are important to identify during pregnancy because of their potential effect on the pregnancy, fetus, or newborn. The following questions pertain to STD's.A pregnant woman is in the clinic for consultation with regards to STD's. She inquires about Venereal warts and asks you about its specific lesion appearance. Which of the following is your correct response to the client?

• Why are you asking about it? You might be a prostitute woman.
• The lesions appear as cauliflower like lesions.
• It appears as pinpoint vesicles surrounded by erythema.
• The lesions can possibly obstruct the birth canal.

16. The clinic nurse reviews the record of a child just seen by a health care provider and diagnosed with suspected aortic stenosis. The nurse expects to note documentation of which clinical manifestation specifically found in this disorder?

• Pallor
• Hyperactivity
• Exercise intolerance
• Gastrointestinal disturbances

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17. 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. An occult blood examination was ordered. The specific specimen needed from Mr. Punsalan is:

• Stool
• Blood
• Sputum
• Gastric juice

18. Situation: Understanding different models of care is a necessary part of the nurse patient relationship.Q: An 18 year old client is admitted with the diagnosis of anorexia nervosa. A cognitive behavioural approach is used as part of her treatment plan. The nurse understands that the purpose of this approach is to:

• Help the client identify and examine dysfunctional thoughts and beliefs.
• Emphasize social interaction with clients who withdraw
• Provide a supportive environment and a therapeutic community
• Examine intrapsychic conflicts and past events in life

19. The nurse is performing an assessment on a client who has returned from the dialysis unit following hemodialysis. The client is complaining of headache and nausea and is extremely restless. Which is the priority nursing action?

• Monitor the client.
• Elevate the head of the bed.
• Assess the fistula site and dressing.
• Notify the health care provider (HCP).

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20. 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. Who of the following is at greatest risk of developing sensory problem?

• Hospital report
• Adolescent
• Transplant patient
• Unresponsive patient

21. A resident who is incontinent of urine has an increased risk of developing

• dementia.
• urinary tract infections.
• pressuresores.
• dehydration.

22. Which of the following is the most common cause of dementia among elderly persons?

• Parkinson's disease
• Multiple sclerosis
• Amyotrophic lateral sclerosis (Lou Gehrig's disease)
• Alzheimer's disease

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23. Situation:As a nurse you need to anticipate the occurrence of complications of stroke so that life threatening situations can be prevented.Q. Knowing that for a comatose patient hearing is the best last sense to be lost, as Judy's nurse, what should you do?

• Tell her family that probably she can't hear them
• Talk loudly so that Wendy can hear you
• Tell her family who are in the room not to talk
• Speak softly then hold her hands gently

24. A 52 yr-old female tells the nurse that she has found a painless lump in her right breast during her monthly self-examination. Which assessment finding would strongly suggest that this clients lump is cancerous?

• eversion of the right nipple and a mobile mass
• nonmobile mass with irregular edges
• mobile mass that is oft and easily delineated
• nonpalpable right axillary lymph nodes

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25. Situation:At the medical-surgical ward, the nurse must also be concerned about drug interactions^. In insulin administration, it should be understood that our body normally releases insulin according to our blood glucose level. When is insulin and glucose level highest?

• After excitement
• After a good night's rest
• After an exercise
• After ingestion of food

26. A client with hypothyroidism frequently complains of feeling cold. The nurse should tell the client that she will be more comfortable if she:

• Uses an electric blanket at night
• Dresses in extra layers of clothing
• Applies a heating pad to her feet
• Takes a hot bath morning and evening

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27. Situation: - There are other important basic knowledge in the performance of our task as Community Health Nurse in relation to IMMUNIZATION these include:Q, Which of the following vaccines is not done by intramuscular (IM) injection?

• Measles vaccine
• DPT
• Hepatitis B vaccines
• none of the above

28. The most common injury among elderly persons is:

• Atheroscleotic changes in the blood vessels
• Increased incidence of gallbladder disease
• Urinary Tract Infection
• Hip fracture

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29. The physician has ordered Eskalith (lithium carbonate) 500mg three times a day and Risperdal (risperidone) 2mg twice daily for a client admitted with bipolar disorder acute manic episodes. The best explanation for the clients medication regimen is:

• The clients symptoms of acute mania are typical of undiagnosed schizophrenia.
• Antipsychotic medication is used to manage behavioral excitement until mood stabilization occurs.
• The client will be more compliant with a medication that allows some feelings of hypomania.
• Antipsychotic medication prevents psychotic symptoms commonly associated with the use of mood stabilizers.

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30. Situation: MR. Bond, a 79 year old man who is brought to the Surgical Unit from PACU after a transurethral resection. You are assigned to receive him. You noted that he has a 3- way indwelling catheter for continuous fast dip bladder irrigation which is connected to a straight drainage.Q. You decided to check on MR. Bond's IV fluid infusion. You noted in flow rate, pallor and coldness around the insertion site. What is your assessment finding?

• Phlebitis
• Infiltration to subcutaneous tissue
• Pyrogenic reaction
• Air embolism

31. Randy has undergone kidney transplant, what assessment would prompt Nurse Katrina to suspect organ rejection?

• Sudden weight loss
• Polyuria
• Hypertension
• Shock

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32. On the second day of hospitalization for ventriculoperitoneal shunt revision, a child with spina bifida developed hives, itching and wheezing. The nurse should determine if the patient has been exposed to:

• Peanuts
• Strawberries
• Eggs
• Latex

33. Situation:Concerted work efforts among members of the surgical team is essential to the success of the surgical procedure.Q. The OR team performs distinct roles for one surgical procedure to be accomplished within a prescribed time frame and deliver a standard patient outcome. White the surgeon performs the surgical procedure, who monitors the status of the client like urine output, blood loss?

• Scrub nurse
• Surgeon
• Anesthesiologist
• Circulating nurse

34. The nurse has started intravenous fluid therapy on a child. Which of the followingaction is appropriate?

• Using a padded arm board only if the child is active
• Checking the site at leastonce every two hours
• Determining the total volumeinfused every four hours
• Using an infusion pump to provide controlled rate of infusion

35. What is the priority nursing assessment in the first 24 hours after admission of the client with thrombotic CVA?

• Pupil size and papillary response
• cholesterol level
• Echocardiogram
• Bowel sounds

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36. A patient has peripheral vascular disease.The nursing diagnosis is ineffective tissue perfusion: peripheral.Which of the following is an appropriate goal?

• The patient will identify three factors to improve peripheral circulation
• The patient will have palpable peripheral pulses in 1 week
• The patients feet will be warm to touch
• The patient will ambulate the length of the hall way

37. The body part that would most likely display jaundice in the dark-skinned individual is the:

• Conjunctiva of the eye
• Soles of the feet
• Roof of the mouth
• Shins

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38. A nurse is assessing a client to determine the distress experienced after binge eating. Which of the following symptoms are typical after bingeing?

• Ageusia
• Headache
• Pain
• Sore throat

39. The nurse creates a plan of care for a woman with human immunodeficiency virus (HIV) infection and her newborn. The nurse should include which intervention in the plan of care?

• Monitoring the newborn's vital signs routinely
• Maintaining standard precautions at all times while caring for the newborn
• Initiating referral to evaluate for blindness, deafness, learning problems, or behavioral problems
• Instructing the breast-feeding mother regarding the treatment of the nipples with nystatin ointment

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40. The statement, "The Holy Spirit Medical Center aims to provide patient-centered care in a total healing environment" refers to which of the following?

• Vision
• Goal
• Philosophy
• Mission

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41. Carbidopa-levodopa is prescribed for a client with Parkinson's disease. The nurse monitors the client for side and adverse effects of the medication. Which finding indicates that the client is experiencing an adverse effect?

• Pruritus
• Tachycardia
• Hypertension
• Impaired voluntary movements

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42. Which nursing actions apply to the care of a child who is having a seizure? Select all that apply. 1. Time the seizure. 2. Restrain the child. 3.Stay with the child. 4. insert an oral airway. 5. Loosen clothing around the child's neck. 6. Place the child in a lateral side-lying position.

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

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43. The nurse asked the client to read the Snellen chart. Which of the following is tested:

• Optic
• Olfactory
• Oculomotor
• Trochlear

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44. The nurse is caring for a patient who had an acute pulmonary edema. The nurse should understand that which of the following prescribed medications will help to reduce the increased pressure?

• Morphine sulfate
• Potassium chloride
• Warfarin sodium(coumadin)
• Bisacodyl (dulcolax)

45. Aira has taken amitriptyline HCL (Elavil) for 3 days, but now complains that it "doesn't help" and refuses to take it What should the nurse say or do?

• Withhold the drug.
• Record the client's response.
• Encourage the client to tell the doctor.
• Suggest that it takes awhile before seeing the results.

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46. A client with diabetes visits the prenatal clinic at 28 weeks gestation. Which statement is true regarding insulin needs during pregnancy?

• Insulin requirements moderate as the pregnancy progresses.
• A decreased need for insulin occurs during the second trimester.
• Elevations in human chorionic gonadotrophin decrease the need for insulin.
• Fetal development depends on adequate insulin regulation.

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47. A nurse is assigned to care for a patient with an ileostomy. The nurse would expect the ostomy discharge to be:

• Fluid mushy
• Mushy
• Liquid
• Solid

48. The nursing student is presenting a clinical conference and discusses the cause of p-thalassemia. The nursing student informs the group that a child at greatest risk of developing this disorder is which of these?

• A child of Mexican descent
• A child of Mediterranean descent
• A child whose intake of iron is extremely poor
• A breast-fed child of a mother with chronic anemia

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49. Which of the following conditions most commonly results in CAD?

• Atherosclerosis
• DM
• MI
• Renal failure

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50. Situation: Health education and Health Promotion is an important part of nursing responsibility in the community, immunization is a form of health promotion that aims at preventing the common childhood illnessesJf ever convulsion occurs after administering DPT, what should nurse best suggest to the mother?

• Do not continue DPT vaccination anymore
• Advise mother to come back aster 1 week
• Give DT instead of DPT
• Give pertussis of the DPT and remove DT

 

NCLEX-RN | QB1 | Practice Exam #5 (50 questions)