Practice Tests: NCSBN Practice Exam #6 - 50 questions

All 50 questions are randomized each time you take the test, and do not appear in the same order here.

 

 1. The nurse is caring for a client with systemic lupus erythematosis (SLE). The major complication associated with systemic lupus erythematosis is:
❍ A. Nephritis
❍ B. Cardiomegaly
❍ C. Desquamation
❍ D. Meningitis

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2. A client with benign prostatic hypertrophy has been started on Proscar (finasteride). The nurse’s discharge teaching should include:
❍ A. Telling the client’s wife not to touch the tablets
❍ B. Explaining that the medication should be taken with meals
❍ C. Telling the client that symptoms will improve in 1–2 weeks
❍ D. Instructing the client to take the medication at bedtime, to prevent nocturia

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3. A 5-year-old child is hospitalized for correction of congenital hip dysplasia. During the assessment of the child, the nurse can expect to find the presence of:
❍ A. Scarf sign
❍ B. Harlequin sign
❍ C. Cullen’s sign
❍ D. Trendelenburg sign

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4. Which diet is associated with an increased risk of colorectal cancer?
❍ A. Low protein, complex carbohydrates
❍ B. High protein, simple carbohydrates
❍ C. High fat, refined carbohydrates
❍ D. Low carbohydrates, complex proteins

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5. The nurse is caring for an infant following a cleft lip repair. While comforting the infant, the nurse should avoid:
❍ A. Holding the infant
❍ B. Offering a pacifier
❍ C. Providing a mobile
❍ D. Offering sterile water

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6. The physician has diagnosed a client with cirrhosis characterized by asterixis. If the nurse assesses the client with asterixis, he can expect to find:
❍ A. Irregular movement of the wrist
❍ B. Enlargement of the breasts
❍ C. Dilated veins around the umbilicus
❍ D. Redness of the palmar surfaces

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7. The physician has ordered Amoxil (amoxicillin) 500mg capsules for a client with esophageal varices. The nurse can best care for the client’s needs by:
❍ A. Giving the medication as ordered
❍ B. Providing extra water with the medication
❍ C. Giving the medication with an antacid
❍ D. Requesting an alternate form of the medication

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8. A client with an inguinal hernia asks the nurse why he should have surgery when he has had a hernia for years. The nurse understands that surgery is recommended to:
❍ A. Prevent strangulation of the bowel
❍ B. Prevent malabsorptive disorders
❍ C. Decrease secretion of bile salts
❍ D. Increase intestinal motility

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9. The nurse is providing dietary instructions for a client with iron-deficiency anemia. Which food is a poor source of iron?
❍ A. Tomatoes
❍ B. Legumes
❍ C. Dried fruits
❍ D. Nuts

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10. A client is admitted with suspected acute pancreatitis. Which lab finding confirms the diagnosis?
❍ A. Blood glucose of 260mg/dL
❍ B. White cell count of 21,000cu/mm
❍ C. Platelet count of 250,000cu/mm
❍ D. Serum amylase level of 600 units/dL

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11. The nurse is teaching a client with Parkinson’s disease ways to prevent curvatures of the spine associated with the disease. To prevent spinal flexion, the nurse should tell the client to:
❍ A. Periodically lie prone without a neck pillow
❍ B. Sleep only in dorsal recumbent position
❍ C. Rest in supine position with his head elevated
❍ D. Sleep on either side, but keep his back straight

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12. The physician has ordered Dilantin (phenytoin) 100mg intravenously for a client with generalized tonic clonic seizures. The nurse should administer the medication:
❍ A. Rapidly with an IV push
❍ B. With IV dextrose
❍ C. Slowly over 2–3 minutes
❍ D. Through a small vein

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13. The nurse is planning dietary changes for a client following an episode of acute pancreatitis. Which diet is suitable for the client?
❍ A. Low calorie, low carbohydrate
❍ B. High calorie, low fat
❍ C. High protein, high fat
❍ D. Low protein, high carbohydrate

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14. A client is admitted with a diagnosis of polycythemia vera. The nurse should closely monitor the client for:
❍ A. Increased blood pressure
❍ B. Decreased respirations
❍ C. Increased urinary output
❍ D. Decreased oxygen saturation

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15. A client with hypothyroidism frequently complains of feeling cold. The nurse should tell the client that she will be more comfortable if she:
❍ A. Uses an electric blanket at night
❍ B. Dresses in extra layers of clothing
❍ C. Applies a heating pad to her feet
❍ D. Takes a hot bath morning and evening

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16. The nurse caring for a client with a closed head injury obtains an intracranial pressure (ICP) reading of 17mmHg. The nurse recognizes that:
❍ A. The ICP is elevated and the doctor should be notified.
❍ B. The ICP is normal; therefore, no further action is needed.
❍ C. The ICP is low and the client needs additional IV fluids.
❍ D. The ICP reading is not as reliable as the Glascow coma scale.

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17. A client has been hospitalized with a diagnosis of laryngeal cancer. Which factor is most significant in the development of laryngeal cancer?
❍ A. A family history of laryngeal cancer
❍ B. Chronic inhalation of noxious fumes
❍ C. Frequent straining of the vocal cords
❍ D. A history of frequent alcohol and tobacco use

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18. The nurse is completing an assessment history of a client with pernicious anemia. Which complaint differentiates pernicious anemia from other types of anemia?
❍ A. Difficulty in breathing after exertion
❍ B. Numbness and tingling in the extremities
❍ C. A faster than usual heart rate
❍ D. Feelings of lightheadedness

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19. A client with rheumatoid arthritis is beginning to develop flexion contractures of the knees. The nurse should tell the client to:
❍ A. Lie prone and let her feet hang over the mattress edge
❍ B. Lie supine, with her feet rotated inward
❍ C. Lie on her right side and point her toes downward
❍ D. Lie on her left side and allow her feet to remain in a neutral position

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20. The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to:
❍ A. Speak using words that rhyme
❍ B. Repeat words or phrases used by others
❍ C. Include irrelevant details in conversation
❍ D. Make up new words with new meanings

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21. The mother of a 1-year-old with sickle cell anemia wants to know why the condition didn’t show up in the nursery. The nurse’s response is based on the knowledge that:
❍ A. There is no test to measure abnormal hemoglobin in newborns.
❍ B. Infants do not have insensible fluid loss before a year of age.
❍ C. Infants rarely have infections that would cause them to have a sickling crises.
❍ D. The presence of fetal hemoglobin protects the infant.

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22. Which early morning activity helps to reduce the symptoms associated with rheumatoid arthritis?
❍ A. Brushing the teeth
❍ B. Drinking a glass of juice
❍ C. Holding a cup of coffee
❍ D. Brushing the hair

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23. A client with B negative blood requires a blood transfusion during surgery. If no B negative blood is available, the client should be transfused with:
❍ A. A positive blood
❍ B. B positive blood
❍ C. O negative blood
❍ D. AB negative blood

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24. The nurse notes that a post-operative client’s respirations have dropped from 14 to 6 breaths per minute. The nurse administers Narcan (naloxone) per standing order. Following administration of the medication, the nurse should assess the client for:
❍ A. Pupillary changes
❍ B. Projectile vomiting
❍ C. Wheezing respirations
❍ D. Sudden, intense pain

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25. A newborn weighed 7 pounds at birth. At 6 months of age, the infant could be expected to weigh:
❍ A. 14 pounds
❍ B. 18 pounds
❍ C. 25 pounds
❍ D. 30 pounds

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26. A client with nontropical sprue has an exacerbation of symptoms. Which meal selection is responsible for the recurrence of the client’s symptoms?
❍ A. Tossed salad with oil and vinegar dressing
❍ B. Baked potato with sour cream and chives
❍ C. Cream of tomato soup and crackers
❍ D. Mixed fruit and yogurt

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27. A client with congestive heart failure has been receiving digoxia (Laxoxin). Which finding indicates that the medication is having a desired effect?
❍ A. Increased urinary output
❍ B. Stabilized weight
❍ C. Improved appetite
❍ D. Increased pedal edema

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28. Which play activity is best suited to the gross motor skills of the toddler?
❍ A. Coloring book and crayons
❍ B. Ball
❍ C. Building cubes
❍ D. Swing set

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29. A client in labor admits to using alcohol throughout the pregnancy. The most recent use was the day before. Based on the client’s history, the nurse should give priority to assessing the newborn for:
❍ A. Respiratory depression
❍ B. Wide-set eyes
❍ C. Jitteriness
❍ D. Low-set ears

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30. The physician has ordered Basalgel (aluminum carbonate gel) for a client with recurrent indigestion. The nurse should teach the client common side effects of the medication, which include:
❍ A. Constipation
❍ B. Urinary retention
❍ C. Diarrhea
❍ D. Confusion

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31. A client is admitted with suspected abdominal aortic aneurysm (AAA). A common complaint of the client with an abdominal aortic aneurysm is:
❍ A. Loss of sensation in the lower extremities
❍ B. Back pain that lessens when standing
❍ C. Decreased urinary output
❍ D. Pulsations in the periumbilical area

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32. The nurse is caring for a client hospitalized with nephotic syndrome. Based on the client’s treatment, the nurse should:
❍ A. Limit the number of visitors
❍ B. Provide a low-protein diet
❍ C. Discuss the possibility of dialysis
❍ D. Offer the client additional fluids

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33. A client is admitted with acute adrenal crisis. During the intake assessment, the nurse can expect to find that the client has:
❍ A. Low blood pressure
❍ B. A slow, regular pulse
❍ C. Warm, flushed skin
❍ D. Increased urination

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34. A 5-month-old infant is admitted to the ER with a temperature of 103.6°F and irritability. The mother states that the child has been listless for the past several hours and that he had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for:
❍ A. Periorbital edema
❍ B. Tenseness of the anterior fontanel
❍ C. Positive Babinski reflex
❍ D. Negative scarf sign

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35. A client with AIDS is admitted with a diagnosis of pneumocystis carinii pneumonia. Shortly after his admission, he becomes confused and disoriented. He attempts to pull out his IV and refuses to wear an O 2 mask. Based upon his mental status, the priority nursing diagnosis is:
❍ A. Social isolation
❍ B. Risk for injury
❍ C. Ineffective coping
❍ D. Anxiety

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36. The doctor has ordered Ampicillin 100mg every 6 hours IV push for an infant weighing 7kg. The suggested dose for infants is 25–50 mg/kg/day in equally divided doses. The nurse should:
❍ A. Give the medication as ordered
❍ B. Give half the amount ordered
❍ C. Give the ordered amount q 12 hrs.
❍ D. Check the order with the doctor

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37. An elderly client is hospitalized for a transurethral prostatectomy. Which finding should be reported to the doctor immediately?
❍ A. Hourly urinary output of 40–50cc
❍ B. Bright red urine with many clots
❍ C. Dark red urine with few clots
❍ D. Requests for pain med q 4 hrs.

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38. Which statement by the parent of a child with sickle cell anemia indicates an understanding of the disease?
❍ A. “The pain he has is due to the presence of too many red blood cells.”
❍ B. “He will be able to go snow-skiing with his friends as long as he stays warm.”
❍ C. “He will need extra fluids in summer to prevent dehydration.”
❍ D. “There is very little chance that his brother will have sickle cell.”

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39. A toddler with otitis media has just completed antibiotic therapy. A recheck appointment should be made to:
❍ A. Determine whether the ear infection has affected her hearing
❍ B. Make sure that she has taken all the antibiotic
❍ C. Document that the infection has completely cleared
❍ D. Obtain a new prescription, in case the infection recurs

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40. A 9-year-old is admitted with suspected rheumatic fever. Which finding is suggestive of Sydenham’s chorea?
❍ A. Irregular movements of the extremities and facial grimacing
❍ B. Painless swellings over the extensor surfaces of the joints
❍ C. Faint areas of red demarcation over the back and abdomen
❍ D. Swelling, inflammation, and effusion of the joints

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41. A child with croup is placed in a cool, high-humidity tent connected to room air. The primary purpose of the tent is to:
❍ A. Prevent insensible water loss
❍ B. Provide a moist environment with oxygen at 30%
❍ C. Prevent dehydration and reduce fever
❍ D. Liquefy secretions and relieve laryngeal spasm

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42. The nurse is suctioning the tracheostomy of an adult client. The recommended pressure setting for performing tracheostomy suctioning on the adult client is:
❍ A. 40–60mmHg
❍ B. 60–80mmHg
❍ C. 80–120mmHg
❍ D. 120–140mmHg

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43. A client is admitted with a diagnosis of myxedema. An initial assessment of the client would reveal the symptoms of:
❍ A. Slow pulse rate, weight loss, diarrhea, and cardiac failure
❍ B. Weight gain, lethargy, slowed speech, and decreased respiratory rate
❍ C. Rapid pulse, constipation, and bulging eyes
❍ D. Decreased body temperature, weight loss, and increased respirations

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44. Which statement describes the contagious stage of varicella?
❍ A. The contagious stage is 1 day before the onset of the rash until the appearance of vesicles.
❍ B. The contagious stage lasts during the vesicular and crusting stages of the lesions.
❍ C. The contagious stage is from the onset of the rash until the rash disappears.
❍ D. The contagious stage is 1 day before the onset of the rash until all the lesions are crusted.

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45. The nurse is reviewing the results of a sweat test taken from a child with cystic fibrosis. Which finding supports the client’s diagnosis?
❍ A. A sweat potassium concentration less than 40mEq/L
❍ B. A sweat chloride concentration greater than 60mEq/L
❍ C. A sweat potassium concentration greater than 40mEq/L
❍ D. A sweat chloride concentration less than 40mEq/L

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46. A client in labor has an order for Demerol (meperidine) 75 mg. IM to be administered 10 minutes before delivery. The nurse should:
❍ A. Wait until the client is placed on the delivery table and administer the medication
❍ B. Question the order
❍ C. Give the medication IM during the delivery to prevent pain from the episiotomy
❍ D. Give the medication as ordered

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47. Which of the following statements describes Piaget’s stage of concrete operations?
❍ A. Reflex activity proceeds to imitative behavior.
❍ B. The ability to see another’s point of view increases.
❍ C. Thought processes become more logical and coherent.
❍ D. The ability to think abstractly leads to logical conclusion.

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48. A client admitted to the psychiatric unit claims to be the Pope and insists that he will not be kept away from his subjects. The most likely explanation for the client’s delusion is:
❍ A. A reaction formation
❍ B. A stressful event
❍ C. Low self-esteem
❍ D. Overwhelming anxiety

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49. Which of the following statements reflects Kohlberg’s theory of the moral development of the preschool-age child?
❍ A. Obeying adults is seen as correct behavior.
❍ B. Showing respect for parents is seen as important.
❍ C. Pleasing others is viewed as good behavior.
❍ D. Behavior is determined by consequences.

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50. The nurse is caring for an 8-year-old following a routine tonsillectomy. Which finding should be reported immediately?
❍ A. Reluctance to swallow
❍ B. Drooling of blood-tinged saliva
❍ C. An axillary temperature of 99°F
❍ D. Respiratory stridor

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NCSBN Practice Exam #6 - 50 questions