The NCLEX tests are required to receive professional licensure in the field of nursing and are created by the

National Council of State Boards of Nursing (NCSBN). The NCLEX means National Council Licensure Examination. Both the NCLEX-RN and NCLEX-PN cover a lot of overlapping material; however, the scoring and number of questions vary between the exams.

NCLEX Test Information

You should answer NCLEX questions using “book” knowledge and not practical experience. On the NCLEX hospitals operate on massive budgets and no expense is spared to provide proper care. NCLEX test writers are covering all their bases and focus on patient care that is sometimes unrealistic in today’s healthcare world. Generally, The correct answer is the anThe NCLEX tests are designed to be one swer that identifies the safest approach. It may of the final hurdles in your nursing career. not be the fastest or the best, but it is the safest. Consequently, the questions focus on your The old medical slogan of “Do No Harm” applies ability to make decisions in various patient to NCLEX test takers. NCLEX test writers are care scenarios under critical conditions. The trying to make sure that you are competent and NCLEX test requires that you understand the recognize that safety is the key. basic principles of nursing and apply this to different elements of patient safety manage- NCLEX Test Information ment.

NCLEX Introduction
Many stare at limited funding and the overwhelming task of studying to pass the NCLEX. This website has been created to help students overcome the challenge of the NCLEX test. The key NCLEX testing tips are stated as follows: 1. Assess, Assess, Assess: In almost all cases something can be done before contacting the MD. 2. Prioritize: Delegate to the appropriate support personal and prioritize your tasks. 3. Review Medical Terminology: Understand the definition of all medical abbreviations and terminology used in the NCLEX questions. The hours of studying and the class work are finally worth it when you are free to practice nursing after passing the NCLEX, and you have highly sought after job skills. Please take your time to review all of the course notes and links put together on this site about the NCLEX test and the pitfalls that some students fall into with the NCLEX test. Hopefully you can avoid mistakes others have made when preparing for the NCLEX and will find the following information to be helpful and informative on dealing with the NCLEX test.

Another key point on reviewing for the NCLEX, is know your normal laboratory data ranges. Lab test results on the NCLEX will not be flagged with an asterisk if the number is outside of normal ranges. NCLEX test takers must memorize the basic lab values. Focus on the blood gas values. These values in particular can be complicated. If you do not remember the normal ranges you will have no chance of answering lab value questions on the NCLEX. Many times these abnormal values will require further assessment. It is also important to note that notifying the physician or contacting other health care workers is not The correct answer in many cases on the NCLEX. Remember the guidelines: Assess, Assess, Assess. Choose answers that require further assessment before contacting someone else on the NCLEX questions. Basically, collect more data and factual information before calling in other healthcare professionals. Finally, think safety with all types of patient care on the NCLEX. If equipment breaks down and the patient is in trouble, work on solving the patient’s problems before getting someone else to fix the equipment. Let maintenance deal with the equipment mess and focus on getting the patient in a safe environment. The NCLEX is attempting to determine competencies related to all of the above situations.

Collected by :DeepaRajesh [ 1 ]
rajesh.ks21@gmail.com Kuwait

NCLEX Format

Question3: What is the maximum amount of time that I could spend on each Questionon the NCLEX? Answer: If you take the maximum number of questions a safe time would be around 1 minute per Questionon The NCLEX CAT testing format stands the NCLEX. for a computer adaptive testing format. The computer during the NCLEX test Question4: What study aides have you will give you harder questions if you found that help you understand the answer a Questioncorrectly or easier format better? questions if you answer a Question- Answer: The link on the right of this page offers valuable help with the NCLEX format. incorrectly. The first Questionon the NCLEX will be below the baseline re- Question5: What if the CAT format ofquired passing score. Consequently, fers questions beyond the minimum a graph could be constructed using number required to pass? questions as points on the graph. The Answer: Keep taking the test and don’t get nervpoints above and below the passing ous. You still have the opportunity to do well and baseline contribute to your overall test- pass. ing score. The NCLEX test attempts to match you with questions that are at Learn How to Quickly Solve Difficult your level of nursing knowledge and NCLEX Test Questions NCLEX Flashcard Study System Free Online understanding. Sample Practice Test Questions
Note: The NCLEX Exam is offered by Pearson VUE. The National Council of State Boards of Nursing has partnered with Pearson VUE to deliver the NCLEX exam. Pearson VUE offers both the NCLEX-RN and NCLEX-PN exams.

The NCLEX does not time each Questionpresented in the CAT format. You are allowed to answer each Questionwithout time constraints. However, the NCLEX does have a test taking time of 5 hours.

Click here to see free sample flashcards. Dear Friend, Here’s a little “secret” about the NCLEX Examination: the NCLEX is what we in the test preparation field call a “content driven” test.

Question1: What is the maximum While some tests are looking to see what you are amount of time allowed to take the ABLE to learn, the purpose of the National Council Licensure Examination for Registered Nurses NCLEX?
Answer: 5 hours

(NCLEX-RN) and National Council Licensure Examination for Practical Nurses (NCLEX-PN), Question2: How do I prepare for the offered by the National Council of State Boards of Nursing (NCSBN), is to test your understandCAT format on the NCLEX? ing of what you have already learned. The goal Answer: Allow each Questiona reason- of the NCLEX is to make sure you have a miniable amount of time and thought. Treat mum competency level to protect the integrity of each Questionwith the same level of the testing process.

difficulty. Don’t be scared if questions are getting “easier,” and you think that you are falling below the passing baseline of difficulty.

In other words, it’s more about what you know than your ability to solve clever puzzles. This is good news for those who are serious about being prepared, because it boils down to a very
Collected by :DeepaRajesh [ 2 ]
rajesh.ks21@gmail.com Kuwait

simple strategy: You can succeed on the NCLEX and become a Registered Nurse (RN) or Practical Nurse (PN) by learning critical concepts on the test so that you are prepared for as many questions as possible. Repetition and thorough preparation is a process that rewards those who are serious about being prepared, which means that succeeding on the NCLEX is within the reach of virtually anyone interested in learning the material. This is great news! It means that if you’ve been worried about your upcoming NCLEX, you can rest easy IF you have a good strategy for knowing what to study and how to effectively use repetition to your advantage. But it also creates another set of problems. If you tried to memorize every single possible thing you can for the NCLEX, the field of possible things to review would be so huge that you could not hope to cover everything in a reasonable time. That’s why I created the NCLEX Flashcard Study System: I have taken all of the possible topics and reduced them down to the hundreds of concepts you must know and provided an easy-touse learning method to guarantee success on the NCLEX. I wanted this system to be simple, effective, and fast so that you can succeed on your NCLEX with a minimum amount of time spent preparing for it. Note: This product will also work for the HESI exit exam and help you graduate from your nursing program. Here Are Some of the Features of Our NCLEX Flashcard Study System * Study after study has shown that repetition is the most effective form of learning- and nothing beats flashcards when it comes to making repetitive learning fun and fast * Flashcards engage more of your senses in the learning process- you “compete” with yourself to see if you know the answers to the

questions, and the flipping action gets you actively involved in the learning process * Our cards are printed on heavy, bright white 67 lb. cover stock, and are laser printed at 1200 dpi on our industrial printers- these are professional-quality cards that will not smear or wear out with heavy usage * We cover all of the major categories of the NCLEX test (see the list below) * Our flashcards include an edge that is microperforated, which means that you are much less likely to have a painful papercut on your fingers when moving quickly through the cards * Our cards are portable, making it easy for you to grab a few and study while waiting for the bus or the doctor, or anywhere where you have a spare moment that would otherwise be wasted * Our cards are written in an easy to understand, straightforward style - we don’t include any more technical jargon than what you need to pass the test * The cards are a generous size- 3.67 x 4.25 inches- they fit perfectly in your hands and they aren’t so small that you have to use a magnifying glass to read tiny type- all questions and answers are in a normal-size print for easy studying * Our cards include in-depth explanationsyou won’t see any “one word” answers on our cards that require you to go get a textbook to understand why your answer was wrong- all of our cards include generous, thorough explanations so you not only get it right or wrongbut you also know why! * We use a font created by Microsoft to make reading easier- this will enable you to absorb more information painlessly during late night study sessions * Our system enables you to study in small, digestible bits of information- unlike using boring textbooks, flashcards turn learning into a “game” you can play until you’ve mastered the material * It’s easy for a friend to help you study- they don’t even have to know anything about the NCLEX- if they can read, then they can quiz you with our flashcards! Now, let me explain what the NCLEX Flashcard Study System is not. It is not a comprehensive review of your education. There’s no way we
Collected by :DeepaRajesh [ 3 ]
rajesh.ks21@gmail.com Kuwait

could fit that onto flashcards- if we claimed to, it would be an insult to what you know. Don’t get us wrong: we’re not saying that memorization alone will automatically result in a passing NCLEX score- you have to have the ability to apply it as well. However, without the foundation of the core concepts, you cannot possibly hope to apply the information. After all, you can’t apply what you don’t know. NCLEX Flashcard Study System is a compilation of the 615+ critical concepts you must understand to pass the NCLEX. Nothing more, nothing less. Here’s Exactly What You Get With the NCLEX Flashcard Study System When you order the NCLEX Flashcard Study System, you’ll get our set of over 615 flashcards specially selected to give you the most NCLEX performance improvement for the least time. This is just a small sampling of the topics covered:

NCLEX Exam Topics:

* Types of Nosocomial Infections * Principles of Surgical Asepsis * Medical Testing and Labs * TURP Procedure * Romberg’s Test * Lithotripsy Procedure * Levels of Consciousness * Mental Exam Basics * Grading of Deep Tendon Reflexes * Glascow Coma Scale * Normative Values * Methods of Oxygen Delivery * Dementia and Delirium * Types of Injections * Ethical Duties of Nurses * Patient Rights * Bioethical Principles * Changes Associated with Aging * Drip Rate Calculations * Barriers to Communication * Nutrition and TPN * Attributes of Nutrients * Methods of Absorption * Metabolism and Nutrition * Medical Nutrition Therapy * Cultural Aspects of Diets * Placenta Previa * Stages of Labor

* Assessing Fetal Lung Maturity * Pathology of Eclampsia * PMS and Menopause * Attributes of Battered Women * Apgar Scores * Types of Cardiomyopathies * Opportunistic Infections * Classifications of Cancer * Medical Nutritional Therapy * Staging of Pressure Ulcers * Disease Pathology * Types of Shock * Lipid Profile Labs * Coagulation Studies * CBC Components * Acne Treatment Medications * Phases of Adolescence * Three Types of Jaundice * Pain Assessment * Lymphoma Characteristics * Sexually Transmitted Diseases * Tanner Staging * Vaccinations and Immunizations * Symptoms of Child Abuse * Performing Newborn Assessments * Motor Development * Development of Language * Pharmacology * Types of Adrenergic Receptors * Properties of Decongestants * Classifications of Drugs * Antipsychotic Classifications * Drug Interactions * Major Injection Sites * Calcium Channel Blockers * Phases of Burn Management * Types of Burns * Wound Healing Phases Click here to see 3 free NCLEX Flashcard Study System sample cards. Remember, this is just a small sampling of the topics covered in our system. Overall, you get over 615 premium-quality flashcards covering everything you’ll need to succeed on the NCLEX. The price for this package is only $39.95. Receive the Following Bonus Since I know it’s 100% to your benefit to use our flashcards, I want to sweeten the pot and give you every possible reason to say YES! With your order, you’ll also receive the following:
Collected by :DeepaRajesh [ 4 ]
rajesh.ks21@gmail.com Kuwait

study them.ASD atrial septal defect ter Business Bureau of Southeast Texas. no asterisks. so act now to lock in your copy. Note: we cannot guarantee that this free report will be available indefinitely.our free report shows you exactly how to use his method in plain.CA cancer self to try them out. If you are unable to understand the medical terminology used on the NCLEX then you will have poor chance of picking The correct answer. If you don’t think they are helping you prepare for your NCLEX exam . nitrogen If you think there’s even the smallest chance that Ca calcium these flashcards will help you. Take time to review the following abbreviations on the NCLEX test as well as a more thorough list as found in the NCLEX study guide linked to the right hand side of this page. but incredibly effective. no questions asked.Hg mercury Collected by :DeepaRajesh [ 5 ] rajesh. Period.ks21@gmail. if you don’t save money. don’t decide now if these DOE dyspnea on exertion flashcards are for you. Depending on your clinical rotations you may also be more familiar with certain medical terms in a specific area of nursing. ADH antidieuretic hormone AML acute myelogenous leukemia I think that speaks volumes about our confidence APC atrial premature contraction in our products. My belief is simple: either this product helps you or you don’t pay. and profit from them. time and frustra. antee.The “Leitner Method” for Maximizing Flashcard Learning. CRP C-reactive protein DIFF differential blood count What I’m saying is. with the help of a few items you probably have around your home. FUO fever of undetermined origin if they don’t work for you.you can return them for an immediate 100% refund of your purchase price. easy-to-understand language. Medical terms can sometimes be confusing due to the use of medical abbreviations. So go ahead and order your copy of the NCLEX Flashcard Study System today. nurses that have the broadest experience with medical terminology will have a better understanding to answer questions that contain complex medical terminology on the NCLEX test. So you have nothing to lose and everything to gain. Generally. Just get them and try D/W dextrose in water them out.in the 1970’s a German psychologist developed a learning system that turned the humble flashcard into an advanced learning technology. Don’t let fear or doubt stand CAPD continuous ambulatory peritoneal dialysis in the way of what could be your best opportunity CC chief complaint to achieve the test score you need to fulfill the CPK creatine phosphokinase dream you deserve. No gimmicks.com Kuwait . If they don’t do everything I say and ECT electroconvulsive therapy more. you have nothing to GH growth hormone worry about because you can get every dime of GSC glascow coma scale your money back under our no-loopholes guar.Special Report. Simple to learn. BPH benign prostatic hypertrophy BUN blood. Read them. We are also members of the Bet.ESRD end stage renal disease tion. you owe it to your. His method teaches you to learn faster by playing a simple game with your flashcards. this bonus is yours to keep even in the unlikely event you decide to take advantage of our ironclad money-back guarantee: You Cannot Lose With My No-Questions-Asked 1-Year Money-Back Guarantee We stand behind our offer with a no-questionsasked 1-year guarantee on our products. NCLEX Medical Terminology Review Understanding the medical terminology used on the NCLEX should be a top priority when preparing for the NCLEX. urea. if they aren’t what you thought they were. By the way.

In addition. you will not be able to use a medical dictionary for reference purposes. Collected by :DeepaRajesh [ 6 ] rajesh. However. Do not begin to rush through the questions. NCLEX test. Begin your preparation by sending in your application to the board of licensure. the NCLEX Preparation NCLEX is using a more difficult Questionformat that requires multiple right The most important thing that you can do preanswers to be selected. If you are recently married with a name change. Please review the following chart: Minimum Number of Questions 75 Maximum Number of Questions 265 NCLEX-RN NCLEX-PN Practicing nurses have the luxury of being able to look up medial abbreviations and definitions before making patient care decisions. NCLEX-PN One of the primary differences between the . Obviously. NCLEX-RN vs. 3. If you are confused by the medical terminology on the NCLEX. Anticipate going the of identification to allow you to take the NCLEX distance and concentrating on each test. question. NCLEX-PN On the NCLEX-RN nursing students are required to concentrate for a longer period of time due to the higher number of questions. continue to answer each Questionin a reasonable amount of time. bring a drink and some snack food for your testing break and wear layered clothing. However. 2. The NCLEX-RN questions and the NCLEX-PN questions are presented with four multiple choice answer scenarios. the NCLEX test does not allow that option. You will also have to be thumb printed to take the NCLEX. some of the questions related to delegation of responsibility are different between these exams.com Kuwait NCLEX-RN vs. Then schedule with the Chauncey Group for the exam. because you may have to answer the maximum number of ques**The testing center will require at least 2 forms tions on the exam. Many of the study guides on the market have questions that help understand the delegation of responsibility task with nursing. the paring for the NCLEX is not stress out. Don’t make the mistake of altering hair color or facial hair prior to the exam. You only have to show a minimum level of competency in the field of nursing. 1. A score in the 90th percentile is not required to pass the material that is covered is the same. bring your marriage license. Your picture has to match the application picture. you will be sent authorization to test (ATT).HLA Hz ICS IPG JRA human leukocyte antigen hertz intercostal space impedance plethysmogram juvenile rheumatoid arthritis NCLEX-RN and NCLEX-PN is the different number of questions.ks21@gmail. 85 205 Both of these tests require the same basic understanding of nursing practice and knowledge. In some cases. Registered nurses will be asked to assign tasks to practical nurses and nursing assistants while prioritizing their patients. Students that take the NCLEX in shorts and a tee shirt may find the testing center unbearable cold and be unable to concentrate. If the computer doesn’t turn off at the minimum number of questions. Next set-up a time that works for you and show up with all the required documents at the testing center for the NCLEX. You may not need it. Finally. but if you did it could cause you to miss your testing time. Likewise practical nurses will be asked questions that require assigning tasks to nursing assistants and requesting more assistance from registered nurses.

which of the following patient’s medication does not cause urine discoloration? A: Sulfasalazine B: Levodopa C: Phenolphthalein D: Aspirin 4. 8. Get a good night’s sleep before the NCLEX. 10. If you found the following drug in the refrigerator it should be removed from the refrigerator’s contents? A: Corgard B: Humulin (injection) C: Urokinase D: Epogen (injection) 5. A patient tells you that her urine is starting to 8. always and not in all NCLEX questions. Study for each material section of the NCLEX individually. Which of the following is the most important action that nursing student should take? A: Immediately see a social worker B: Start prophylactic AZT treatment C: Start prophylactic Pentamide treatment D: Seek counseling 7. Which of the following drugs has not been associated with photosensitive reactions? Note: More than one answer may be correct. A nurse is reviewing a patient’s medication during shift change. 2. The history indicates photosensitive reactions to medications. A: Coumadin B: Finasteride C: Celebrex D: Catapress E: Habitrol F: Clofazimine 2. 4. If you believe this change is due to medication. 12.ks21@gmail. Double check that you have the appropriate ID prior to the NCLEX test. 3. Which of the following medication would be contraindicated if the patient were pregnant? Note: More than one answer may be correct. 11. A: Cipro B: Sulfonamide C: Noroxin D: Bactrim E: Accutane F: Nitrodur look discolored. A nurse is reviewing a patient’s PMH. You are responsible for reviewing the nursing unit’s refrigerator. Which of the following would you most likely suspect? A: Atherosclerosis B: Diabetic nephropathy C: Autonomic neuropathy D: Somatic neuropathy 3. Read over a good practice study guide at least one week in advance. A thirty five year old male has been an insulindependent diabetic for five years and now is unable to urinate. 9. Answer each question. Work through several practice tests prior to the exam. A second year nursing student has just suffered a needlestick while working with a patient that is positive for AIDS.NCLEX Testing Recommendations 1. 1. You are taking the history of a 14 year old girl Collected by :DeepaRajesh [ 7 ] rajesh. Wear layered clothing to the exam. She has also recently discovered that she is pregnant. 5. A 34 year old female has recently been diagnosed with an autoimmune disease. 6. Know the route to the testing center. 7. You are not penalized for taking an educated guess.com Kuwait . Which of the following is the only immunoglobulin that will provide protection to the fetus in the womb? A: IgA B: IgD C: IgE D: IgG 6. Watch out for the words: except. If you extremely weak in one area of content focus on that area. Don’t cram for the NCLEX. Practice with a watch and bring a watch to the test. Stay away from negative talk about the NCLEX with other students.

D: Provide a secure environment for the patient. D: The effects of PKU are reversible.ks21@gmail. Which of the following clinical signs would most likely be present? Collected by :DeepaRajesh [ 8 ] rajesh. 3. (C) Rho gam prevents the production of antiRH antibodies in the mother that has a Rh positive fetus. A patient is getting discharged from a SNF facility. Which of the following should a nurse most closely monitor for during acute management of this patient? A: Onset of pulmonary edema B: Metabolic alkalosis C: Respiratory alkalosis D: Parkinson’s disease type symptoms 13. 4.who has a (BMI) of 18. RH positive B: RH positive. RH negative 11. A: RH positive. B: The urine has a high concentration of phenylpyruvic acid C: Mental deficits are often present with PKU. (B) All of the clinical signs and systems point to a condition of anorexia nervosa. C: Cough following bronchodilator utilization D: Decrease CO2 levels by increase oxygen take output during meals.com Kuwait Answer Key 1. (F) All of the others have can cause photosensitivity reactions. A patient has taken an overdose of aspirin. . Rho gam is most often used to treat____ mothers that have a ____ infant. 14. A 24 year old female is admitted to the ER for confusion. Which of the following would you most likely suspect? A: Multiple sclerosis B: Anorexia nervosa C: Bulimia D: Systemic sclerosis 9. (B) Hypercalcaemia can cause polyuria. (A) Corgard could be removed from the refigerator. Which of the following statements made by a nurse is not correct regarding PKU? A: A Guthrie test can check the necessary lab values. RH negative C: RH negative. As the charge nurse your primary responsibility for this patient is? A: Let others know about the patient’s deficits. 7. The girl reports inability to eat. B: Communicate with your supervisor your patient safety concerns. constipation. The patient is primarily concerned about their ability to breath easily. 9. 2. 12. (D) All of the others can cause urine discoloration. intense abdominal pain. A nurse is caring for an infant that has recently been diagnosed with a congenital heart defect. 8. Which of the following would you most likely suspect? A: Diverticulosis B: Hypercalcaemia C: Hypocalcaemia D: Irritable bowel syndrome 10. 6. A new mother has some questions about (PKU). (A) and (B) are both contraindicated with pregnancy. and polyuria. 15. 10. The patient has a history of severe COPD and PVD. (B) AZT treatment is the most critical innervention. Which of the following would be the best instruction for this patient? A: Deep breathing techniques to increase O2 levels. A fifty-year-old blind and deaf patient has been admitted to your floor. C: Continuously update the patient on the social environment. (D) IgG is the only immunoglobulin that can cross the placental barrier. severe abdominal pain. induced vomiting and severe constipation. RH positive D: RH negative. and confusion. B: Cough regularly and deeply to clear airway passages. (C) Autonomic neuropathy can cause inability to urinate. 5. This patient has a history of a myeloma diagnosis.

A patient asks a nurse. influenza C: N. 13. D: The life span of RBC is 120 days. guilt C: Autonomy vs. (D) Cl. meningitis D: Cl. difficile has not been linked to meningitis. 11. pneumonia B: H. A nurse is putting together a presentation on meningitis. isolation Collected by :DeepaRajesh [ 9 ] rajesh. (A) Streptokinase is a clot busting drug and the best choice in this situation. A child is 5 years old and has been recently admitted into the hospital. C: The life span of RBC is 90 days. Which of the following medications would most like be administered? A: Streptokinase B: Atropine C: Acetaminophen D: Coumadin 18. A toddler is 16 months old and has been recently admitted into the hospital. guilt C: Autonomy vs. A: The life span of RBC is 45 days. The patient asks how long to RBC’s last in my body? The correct response is. 12. You will be assigned to care for the child at shift change. A mother has recently been informed that her child has Down’s syndrome. When does the discharge training and planning begin for this patient? A: Following surgery B: Upon admit C: Within 48 hours of discharge D: Preoperative discussion 22. Which of the following microorganisms has noted been linked to meningitis in humans? A: S. According to Erickson which of the following stages is the toddler in? A: Trust vs. 21. 20. 15. (A) Green vegetables and liver are a great source of folic acid. 16. difficile 20. 14. Answer Key 11-20. mistrust B: Initiative vs. shame D: Intimacy vs. mistrust B: Initiative vs. (B) Weight gain is associated with CHF and congenital heart deficits. A patient has recently experienced a (MI) within the last 4 hours. isolation 23. (C) The skin would be dry and not oily. A 65 year old man has been admitted to the hospital for spinal stenosis surgery. (D) RBC’s last for 120 days in the body. (D) Aspirin overdose can lead to metabolic acidosis and cause pulmonary edema development. B: The life span of RBC is 60 days. According to Erickson which of the following stages is the child in? A: Trust vs. (D) The effects of PKU stay with the infant throughout their life. shame D: Intimacy vs. 18.com Kuwait . A nurse is administering blood to a patient who has a low hemoglobin count. 19. What type of foods contain the highest concentration of folic acids?” A: Green vegetables and liver B: Yellow vegetables and red meat C: Carrots D: Milk 19.ks21@gmail. (D) This patient’s safety is your primary concern. “My doctor recommended I increase my intake of folic acid. Which of the following characteristics is not associated with Down’s syndrome? A: Simian crease B: Brachycephaly C: Oily skin D: Hypotonicity 17.A: Slow pulse rate B: Weight gain C: Decreased systolic pressure D: Irregular WBC lab values 16. 17. (C) The bronchodilator will allow a more productive cough.

A patient’s chart indicates a history of ke. A young adult is 20 years old and has been expect to see with this patient if this condition recently admitted into the hospital. (D) Intimacy vs. (B) HR and Respirations are slightly increased. 28. 27. (A) Elavil is a tricyclic antidepressant. 30. (A) Trust vs. 100/70 mm Hg B: 13 year old female – 105 b. 90/65 mm Hg D: 6 year old female. Which of the following would you not 24.3-6 years old 23. . Which of the following conditions would a nurse not administer erythromycin? A: Campylobacterial infection B: Legionnaire’s disease C: Pneumonia D: Multiple Sclerosis A: Increased appetite B: Vomiting C: Fever D: Poor tolerance of light Answer Key 21-30. 26. 26 resp/min. 105/60 mm Hg C: 5 year old male. 22 resp/min. A nurse if reviewing a patient’s chart and notices that the patient suffers from conjunctivitis.18-35 years old 25.m. A nurse is making rounds taking vital signs. Which of the following would you not D: Hemophilus aegyptius expect to see with this patient if this condition were acute? 32.toacidosis... guilt D: Acetone breath smell C: Autonomy vs.100 b. 22 resp/min. A nurse if reviewing a patient’s chart and notices that the patient suffers from Lyme disease.p. Which of the following would you not ex25. (A) Loss of appetite would be expected.C: Bacilus anthracis Collected by :DeepaRajesh [ 10 ] rajesh. isolation 30.102 b.m..m.. (B) Initiative vs.p. 31. mistrust C: Weight gain B: Initiative vs. (B) Discharge education begins upon admit. 21.com Kuwait . 24 resp/min. Which of the following medications would the patient most likely be taking? A: Elavil B: Calcitonin C: Pergolide D: Verapamil 27. Which of the following microorganisms is related to this condition? A: Yersinia pestis B: Helicobacter pyroli 28. (D) Erythromycin is used to treat conditions A-C. 90/70mm Hg 26. A patient’s chart indicates a history of meningitis.. shame D: Intimacy vs. According were acute? to Erickson which of the following stages is the adult in? A: Vomiting B: Extreme Thirst A: Trust vs.p. isolation. Mistrust. (C) Weight loss would be expected.C: Vibrio cholera kalemia. When you are taking a patient’s history. A patient’s chart indicates a history of hyper.12-18 months old 24. A: Decreased HR Which of the following microorganisms is related B: Paresthesias to this condition? C: Muscle weakness of the extremities D: Migranes A: Borrelia burgdorferi B: Streptococcus pyrogens 29.m.ks21@gmail. 22. pect to see with this patient if this condition were Which of the following vital signs is abnormal? acute? A: 11 year old male – 90 b. 29.p. she tells you she has been depressed and is dealing with an anxiety disorder. BP is down. guilt. (D) Answer choices A-C were symptoms of acute hyperkalemia.

The male is Answer Key 31-40. A nurse is administering a shot of Vitamin K to a 30 day-old infant. Which of the following tests is most likely to be performed? A: FBC (full blood count) B: ECG (electrocardiogram) C: Thyroid function tests D: CT scan D: Frequent attempts with positive reinforcement. Choice B is linked to peptic ulcers. (C) Blood cultures would be performed to inB: The child ability to understand instruction. D: Arterial blood gases D: Ask the father who is in the room the child’s name. A 20 year-old female attending college is medication. A 84 year-old male has been loosing mobility and gaining weight over the last 2 months. (A) With a history of diabetes. She has a year-old boy who is non-verbal. Which of the following nurse do? tests is most likely to be performed first? A: Contact the provider A: Blood sugar check B: Ask the child to write their name on paper. A parent calls the pediatric clinic and is frantic about the bottle of cleaning fluid her child drank 20 minutes. 36. Which of the following target areas is the most appropriate? A: Gluteus maximus B: Gluteus minimus C: Vastus lateralis D: Vastus medialis 40. The patient also has the heater running in his house 24 hours a day. sponse should be to check blood sugar levels. Which of the following tests is most likely to be performed first? 31. A fragile 87 year-old female has recently been admitted to the hospital with increased confusion and falls over last 2 weeks. A 28 year old male has been found wandering around in a confused pattern. even on warm days. Collected by :DeepaRajesh [ 11 ] rajesh. She is also noted to have a mild left hemiparesis. C: Blood cultures Choice C is linked to Anthrax. A nurse has just started her rounds delivering 35. A mother is inquiring about her child’s ability investigation of the hemiparesis.D: Enterococcus faecalis 33. (A) Choice B is linked to Rheumatic fever.ks21@gmail. Choice C is linked to A: Blood sugar check Cholera. A new patient on her rounds is a 4 found unconscious in her dorm room. (D) Choice A is linked to Plague. (D) A CT scan would be performed for further 37. 33. B: CT scan 32. (C) Weight gain and poor temperature tolermost important aspect of toilet training? ance indicate something may be wrong with the thyroid function. Which of the following factors is the 34. What should the admitted to the hospital. Which of the following is the most important instruction the nurse can give the parent? A: This too shall pass. This child does fever and a noticeable rash. vestigate the fever and rash symptoms.com Kuwait . Choice D is linked D: Arterial blood gases to Endocarditis. B: Take the child immediately to the ER C: Contact the Poison Control Center quickly D: Give the child syrup of ipecac 39. Which of the following tests is most likely to be performed? A: FBC (full blood count) B: ECG (electrocardiogram) C: Thyroid function tests D: CT scan 34. 38. to potty train. sweaty and pale. C: The overall mental and physical abilities of the 36. the first rechild. B: CT scan C: Ask a co-worker about the identification of the C: Blood cultures child. A: The age of the child 35. She has just been not have on any identification.

Three definite units are commonly referred to: 6. Epithelial Tissue: Epithelial tissue covers the external surfaces of the body and lines the internal tubes and cavities. cells and fibers. (C) The poison control center will have an exact plan of action for this child. Primary examples are human spermatozoa. A muscle has two extremipacking and supporting material of the body tisties. NCLEX Skeletal Muscle Review 2. the muscle must attach to either bone or cartilage Stereocilia—are actually very elongated Mior. 38. You should not withhold the medication from the child following identification. The overall mental and physical abilities of the child is the most important factor. 3.com Kuwait Flagella—similar to cilia. Muscle Attachment and Function For coordinated movement to take place. (D) In this case you are able to determine the name of the child by the father’s statement. It develops from mesoderm (mesenchyme). epimysium—connective tissue layer envelluman consisting of specifically arranged microoping the entire muscle tubules. involuntary Heart Collected by :DeepaRajesh [ 12 ] rajesh. perimysium—connective tissue layer enveloping a bundle of fibers.basal lamina. Characteristics of epithelial tissue (epithelium) are that it 1. nary bladder * Fibers. has cells that form sheets and are polarsue that gives functional integrity to the system. voluntary Skeletal musas a transparent and homogenous gel. has limited intercellular spaces and subintricate movements that must be performed. involuntary W a l l s to and from the cells within or adjacent to the of digestive tract and blood vessels. shapes. This tissue thus induces a response of distant muscles or glands. (C) Age is not the greatest factor in potty training. is avascular (no blood vessels).ks21@gmail. In order for the human being to carry out the many 2. sion. It forms an amorphous Type Characteristics Location intercellar material. and digestion. In the fresh state. Cilia—motile organelles extending into the 3. membranes. approximately 650 skeletal muscles of various stance. It also forms the glands of the body. lengths. as in the case of the muscles of facial exprescrovilli. is located between the cells and fibers. The fiber components of conCardiac Striated. endomysium—connective tissue layer enMicrovilli—fingerlike projections of plasma veloping a single fiber. both of which are embedded in it. It acts as cles of the body a route for the passage of nutrients and wastes Smooth Non-striated. (C) Vastus lateralis is the most appropriate location. ized. Muscle Tissue: Muscle tissue is contractile in nature and functions to move the skeletal system * Ground substance. 1. to skin. uriconnective tissue. 2.37. 39. Nervous Tissue: Nervous tissue is composed of cells (neurons) that respond to external and internal stimuli and have the capability to transmit a message (impulse) from one area of the body to another. uterus. lies on a connective tissue layer—the muscle consists of many muscle cells or fibers held together and surrounded by connective tis. The portion of a muscle attaching 4. 3. 40. is derived from all three germ layers. it appears Skeletal Striated. All connective tissues consist of NCLEX Four Basic Tissues three distinct components: ground substance. 1. Ground substance and body viscera. Each 4. has compactly aggregated cells. Connective Tissue: Connective tissue is the to bone is the tendon. and strength play a part. its origin and its insertion. 5. as well as regulating body processes such as respiration. sues and organs. circulation. .

1 second. Parinaud’s syndrome Internal capsule Hemisensory loss. cardiac muscle) Superficial parietal lobe Receptive dysphasia Epicardium (external coat or visceral layer of pericardium. generalized seizures. Stimulation of the parasympathetic (vagus nerve) reduces the rate and force of the heartbeat and constricts the coronary circulation. epithelium and mostly connective tissue) Impulse conducting system Cardiac Nerves: Modification of the intrinsic rhythmicity of the heart muscle is produced by cardiac nerves of the sympathetic and parasympathetic nervous system. ConThe heart is a highly specialized blood vessel Basal ganglia which pumps 72 times per minute and propels tralateral choreoathetosis about 4. linked to specific genetic mutations Secondary Tumors * Metastatic carcinomas Scale –degree of anaplasia: differentiation of mature (good) vs. papillary abnormalities.nective tissue add support and strength. It is composed of: hemiparesis loss. so in spite of its activity. epithelium) Precentral gyrus Jacksonian seizures. elastic tralateral hemisensory loss and reticular. Three Thalamus Contralateral thalamus pain.3 second. Direct compression/necrosis 2. Stimulation of the sympathetic system increases the rate and force of the heartbeat and dilates the coronary arteries. usually benign and slow growing * Glioblastoma Multiform-50% of all primary tumors. Headaches 2. Herniation of brain tissue Collected by :DeepaRajesh [ 13 ] rajesh. homonyNCLEX Cardiac Review mous hemianopsia.8 second.80-90% of brain tumors. contralateral hemisensory and daily to the tissues. named for what part of nerve cell affected. c) diastole: 0.4 second The actual period of rest for each chamber is 0. internal strabismus. the heart is at rest longer than at work.5 second for the ventricles. contypes of fibers are present: collagenous. Pineal gland Early hydrocephalus.outside of arachnoidal tissue.com Kuwait Occipital Lobe Homonymous hemianopsia. hemiparesis Myocardium (middle coat. immature cells (bad) Grade I: up to 25% anaplasia Grade II: 26-50% anaplasia Grade III: 51-75% anaplasia Grade IV: 76-100% anaplasia Primary Tumor Effect: 1. Cardiac Cycle: Alternating contraction and relaxation is repeated about 75 times per minute. Vomiting NCLEX Lesion Review Secondary Tumor Effect: 1.000 liters) of blood Pons Diplopia. b) ventricular systole: 0.7 second for the atria and 0.000 gallons (about 15. VI and VII involvement. the duration of one cycle is about 0. contralateral hemiplegia Contralateral dystonia. Three phases succeed one another during the cycle: a) atrial systole: 0.ks21@gmail. * Meningiomas. Visceral afferent (sensory) fibers from the heart end almost wholly in the first four segments of the thoracic spinal cord. partial seizures with limited visual phenomena . issilateral cerebellar ataxia Broca’s area Motor dysphasia Endocardium (lining coat. NCLEX Tumor Review Primary Tumors * Neuromas.

A median nerve injury negates this action.ks21@gmail. These enzymes are enclosed by a membrane and are released when needed into the cell or into phagocytic vesicles.3. The endoplasmic reticular membranes are unit membranes (triminar). most often ventrally to decrease the angle between two parts of the body. Extension is straightening. blood cell. extension. All eukaryotic cells. In supination the palm of duction. so that the sole is pointing and directed toward the midline of the body and is parallel with the median plane. It is an extensive network of interconnecting channels. When ribosomes line the outer surface it is designated as rough endoplasmic reticulum ( RER). When the foot (plantar surface) is turned inward. PSA Opposition is one of the most critical movements in humans. Abduction is a movement away from the midsagittal plane (midline). Lysosomal enzymes have the capacity to hydrolyze all classes of macromolecules. we speak of inversion. or increasing the angle between two parts of the body. which gives us the great dexterity of our hands. Pronation refers to the palm of the hand being oriented posteriorly. Alkaline phosphatase 3. In this movement the thumb pad is brought to a finger pad. CA-125 5. and The Golgi Complex adduction. The RER is the synthetic machinery of the cell. biogenesis. possess a Golgi apparatus.Lysosomes contain acid phosphatase and other hydrolytic enzymes.. abduction. membrane back is in the supine position. The amount of each depends on the cell type and the cellular activity. The body on its link the Golgi complex to: secretion. Inversion refers only to the lower extremity. membrane recycling. b-hCG 4. Increase ICP Noteworthy Tumor Markers 1. NCLEX Cell Structure Review Endoplasmic Reticulum ( ER) This cellular organelle was first described using phase microscopy by Porter. NCLEX Movement Terms Flexion is bending. a stretching out or making the flexed part straight. A generalized list of substrates acted upon by respective enzymes is given below: Collected by :DeepaRajesh [ 14 ] rajesh. Circumduction is a circular movement at a ball and socket (shoulder or hip) joint. concentration packaging. Its opposite is eversion. except for the red around its long axis. and transporthe hand is oriented anteriorly. Generally speaking the Golgi complex is prominent in glanSupination refers only to the movement of the dular cells and is thought to function in the proradius around the ulna. utilizing the movements of flexion. specifically the ankle joint. AFP 2. turning the palm tation of secretory material. Lysosomes are described as containing proteolytic enzymes (hydrolases).com Kuwait . It is mainly concerned with protein synthesis. IN summary one can dorsally puts it into pronation. This structure was discovered by Camillo Golgi Rotation is a movement of a part of the body in 1898. it allows us to have pulp-to-pulp opposition. lysosome formation. it is usually an action at an articulation or joint. The primary form of this organelle is the rough variety. The body on its belly is the Lysosome prone position. Claude and Fallam in 1945. to adduct is to move medially and bring a part back to the mid-axis. Eversion refers to the foot (plantar surface) being turned outward so that the sole is pointing laterally. The smooth is derived from the rough due to loss of ribosomes. hormone modulation.

Strength of trapezius and Sternocleidomastoid muscles XII-Hypoglossal – Motor function of the tongue NCLEX Definitions Pachyderma-increased thickness of the skin Paroxysm-sudden attack Pathogenic-disease causing Pathologist-individual who studies pathology Pediculosis-condition of lice Percutaneous. wrinkle forehead. Methacholine (PROVOCHOLINE) – test hyperactivity of airways D. MIOSTAT. B. and to increase tone in bladCollected by :DeepaRajesh [ 15 ] rajesh. chewing VI-Abducens – Eye function VII-Facial – Facial expression. balance and postural responses IX-Glossopharyngeal – Taste on posterior 33% of the scale X-Vagus – Cardiac. Neostigmine (PROSTIGMIN) – synthetic form of Pysostigmine (Anticholinesterases) – used for Myasthenia gravis. NCLEX Cranial Nerve Review I-Olfactory-Smell II-Optic-Vision acuity III-Oculomotor – Eye function IV-Trochlear – Eye function V-Trigeminal – Sensory of the face.com Kuwait .penetrating the skin Pleuritis-inflammation of the pleura Pneumonia-disease of the lung related to infection Pneumoconiosis-dust in the lung’s condition Pneumothorax-air in the chest resulting in the collapse of a lung Pneumatocele-hernia associated with the lung Posterior-related to the rear/back position Prognosis-opinion of an individual about outcomes Pruritus-uncontrollable itching Pyelolithotomy-incision to remove a stone from the renal pelvis Pyeloplasty-repair of the renal pelvis Pyosalpinx-pus in the fallopian tube Pyuria-pus in the urine NCLEX Cholinomimetrics 1. Phosphates ( organic-linked) by phosphatases. glaucoma.Lipids by lipases and phospholipases. Muscarinic Agonists A. CARBACHOL) – various types of glaucoma C. crosses BBB.ks21@gmail. reverse anticholinergic toxicity. Sulphates (organic-linked) by sulfatases. respiratory reflexes XI-Spinal Accessory . Polysaccharides by glycosidases. Proteins by proteases or peptidases. Pysostigmine (ANTILIRIUM) – treat glaucoma. Nucleic acids by nucleases. taste anterior tongue VIII-Vestibulocochlear – Auditory acuity. Pilocarpine – used for glaucoma 2. Bethanecol (URECHOLINE) – increase GI motility B. Carbachol (ISOPTO. Anticholinesterases A.

Movement occurs by: 2. Miosis 2. passive diffusion 3. Some drugs may exert their effect by increasing or decreasing transport proteins. Lipid permeability 2. Very few drugs move this way Membrane Review: 1.com Kuwait Passive Diffusion Review: 1. brochoconstriction 6. Requires energy and requires a transport protein 2. H20. Binding to plasma proteins 4. 4. Rhinitis 3. Bradycardia 4. 2. Does not require energy 3. active transport 4.der Symptoms of Anticholinesterase toxicity: 1. 3. Binding to subcellular components Volume of Distribution (Vd) . -if Vd = total amount of body (approx. Collected by :DeepaRajesh [ 16 ] rajesh. involuntary voiding of urine the water by “bulk flow” 2. The drug’s binding to plasma proteins and intracellular component Facilitated Diffusion Review: 1. Active Transport Review: 1. Regulation of distribution determined by: 1. Very few drugs move this way and only in certain cells. Weak acids and bases need to be in nonionized form (no net charge). endocytosis Endocytosis: 1. 3. The drug’s ability to cross membranes 3. 1. Route of administration 2. Vd = amount of drug given (mg) concentration in plasma (mg/ml) Calculate the Vd and compare to the total amount of body H20 in a person. Glucose.is a calculation of where the drug is distributed. Can carry substances against a gradient 4. No energy expended. A drug dissolved in H2O will move with . 5.ks21@gmail. electrolytes can’t pass on their own. 4. 5. Drug gets engulfed by cell via invagination 2. 42) is uniformly distributed -if Vd is less than 42 – retained in plasma and probably bound to plasma proteins -if Vd is more than 42 – concentrated in tissues This is not a “real value” but tells you where the drug is being distributed. BBB is exception. Blood flow 3. The ability of membranes to act as barriers is related to its structure 3. Lipid Soluable compounds (many drugs) pass through by becoming dissolved in the lipid bylayer. the pores open and close. Usually limited to movement through gap junctions because size too large for pores. Drugs must be similar to some endogenous substance. Osmosis is a special case of diffusion 1. Membranes separate the body in components 2. They use pores. Requires transport protein 2. Must be lipid soluable to pass through pores. GI spasms 5. facilitated diffusion 5. Drugs can also move between cell junctions. In excitable tissues. NCLEX Drug Distribution Review Bioavailability dependant on several things: 1.

Each state board is different with score reporting. NCLEX Score Review NCLEX Study Guide Recommendation The NCLEX test takers should be aware of If you do not pass the NCLEX don’t lose hope. Did I feel like I was guessing on the NCLEX best. NCLEX scores are sent out 2-6 weeks after the NCLEX test. The right ing score by a few questions. The NCLEX is just another hurdle in a series of qualifying requirements to become a nurse. Collected by :DeepaRajesh [ 17 ] rajesh. Obviously. it is foolish to take the NCLEX without any review of potential questions and NCLEX content. Hundreds if not thousands of nursing students have never gone back to take the NCLEX test the second time. Cross placenta by simple diffusion 3.com Kuwait . some students may be able pass without reviewing any reference materials.ks21@gmail. You will NCLEX test takers should be aware of the many be required to wait 3 months to retest for the pitfalls of NCLEX preparation. Must be polar or lipid-insoluable Not to Enter 4. A concise review 2. Did I know the material on the NCLEX? and not focus on the concepts. Don’t call the state boards for a score report. If you don’t pass the NCLEX ask yourself the folIf you memorize facts piled upon facts about palowing questions. The NCLEX will be the most important test nursing students take NCLEX. precision. Did I give each Questionmy best effort? 6. and no fluff. the fact that sometimes too much information Thousands of good nurses have missed a pass.Placental Transfer of Drugs 1.on the NCLEX can lead to “overkill”. Some drugs cause congenital anomalies 2. Was there something else going on in my life of the NCLEX that helps you recall details without giving you all the minute details will work the that was a distracter? 4. Don’t lose hope and become a better nurse by pursing knowledge that will help you pass the NCLEX. good student can make a few mistakes. There is no magic formula that students can get plugged into to pass the NCLEX test . NCLEX Study Guide Recommendation The amount of effort required to pass the NCLEX varies between students. Consequently. NCLEX Score Review Usually. The application fee and a failing score simply add up to frustration. you will most likely be distracted by the details 1. because you will be able to think on test day and not be attempting to regurgitate data. Must assume the fetus is subjected to all drugs taken by the mother to some extent. Did I focus on the practical and not book knowledge regarding patient care? 7. Any given day a study guide offers brevity. Did I prepare for the minimum number of questions and not the maximum on the NCLEX test? Use the above questions to improve your focus for your NCLEX preparation. test? 5. and other will buy 5-7 reference guides and attend NCLEX review courses that are extremely expensive. tient care in a cram course before the NCLEX. in the process of becoming a nurse. Did I feel comfortable with testing format? 3.

com Kuwait .Free NCLEX-RN Sample Test Questions Collected by :DeepaRajesh [ 18 ] rajesh.ks21@gmail.

1. The correct answer is B.

Question: What are the needs of the patient with Needed Info: Mask, eye protection, face shield acute lymphocytic leukemia and thrombocytope- protect mucous membrane exposure; used if activities are likely to generate splash or sprays. nia? Gowns used if activities are likely to generate Needed Info: Lymphocytic leukemia, disease splashes or sprays. characterized by proliferation of immature WBCs. Immature cells unable to fight infection as com- (A) Gloves, gown, goggles, and surgical cap — petently as mature white cells. Treatment: chem- surgical caps offer protection to hair but aren>t otherapy, antibiotics, blood transfusions, bone required. marrow transplantation. Nursing responsibilities: (B) Sterile gloves, mask, plastic bags, and gown private room, no raw fruits or vegs, small fre- — plastic bags provide no direct protection and aren>t part of universal precautions quent meals, O2, good skin care. (C) Gloves, gown, mask, and goggles — COR(A) to a private room so she will not infect other RECT: must use universal precautions on ALL patients and health care workers — poses little patients; prevent skin and mucous membrane exposure when contact with blood or other body or no threat (B) to a private room so she will not be infected by fluids is anticipated other patients and health care workers — COR- (D) Double gloves, goggles, mask, and surgical RECT: protects patient from exogenous bacteria, cap — surgical cap not required; unnecessary to risk for developing infection from others due to double glove depressed WBC count, alters ability to fight in- 4. The correct answer is B. fection Question: What is the best position after tonsillec(C) to a semiprivate room so she will have stim- tomy to help with drainage of oral secretions? ulation during her hospitalization — should be placed in a room alone Strategy: Picture the patient as described. (D) to a semiprivate room so she will have the opportunity to express her feelings about her ill- (A) Sims> — on side with top knee flexed and ness — ensure that patient is provided with op- thigh drawn up to chest and lower knee less portunities to express feelings about illness sharply flexed: used for vaginal or rectal examination (B) Side-lying — CORRECT: most effective to 2. The correct answer is A. Question: What is the BEST way to prevent ac- facilitate drainage of secretions from the mouth and pharynx; reduces possibility of airway obcidental poisoning in children? struction. (C) Supine — increased risk for aspiration, would Strategy: Picture toddlers at play. not facilitate drainage of oral secretions (A) Lock all medications in a cabinet — COR- (D) Prone — risk for airway obstruction and asRECT: improper storage most common cause of piration, unable to observe the child for signs of bleeding such as increased swallowing poisoning; highest incidence in two-year-olds (B) Child proof all the caps to medication bottles 5. The correct answer is A. — children can open Question: Which patient is an appropriate as(C) Store medications on the highest shelf in a signment for the LPN/LVN? cupboard — toddlers climb (D) Place medications in different containers — Strategy: Think about the skill level involved in keep in original container each patient>s care.

3. The correct answer is C.

Question: What is the correct universal precaution? Strategy: Think about each answer choice. How is each measure protecting the nurse?

Needed Info: LPN/LVN: assists with implementation of care; performs procedures; differentiates normal from abnormal; cares for stable patients with predictable conditions; has knowledge of asepsis and dressing changes; administers medications (varies with educational background and
Collected by :DeepaRajesh [ 19 ]
rajesh.ks21@gmail.com Kuwait

state nurse practice act). (A) A 72-year-old patient with diabetes who requires a dressing change for a stasis ulcer — CORRECT: stable patient with an expected outcome (B) A 42-year-old patient with cancer of the bone complaining of pain — requires assessment; RN is the appropriate caregiver (C) A 55-year-old patient with terminal cancer being transferred to hospice home care — requires nursing judgement; RN is the appropriate caregiver (D) A 23-year-old patient with a fracture of the right leg who asks to use the urinal — standard unchanging procedure; assign to the nursing assistant

(C) Above the umbilicus, on the mother>s left side — found in breech presentation (D) Above the umbilicus, on the mother>s right side — found in breech presentation

2. The correct answer is B.

Question: What is a contraindication to receiving flu vaccine? Strategy: Think about what each answer choice means. Needed Info: Influenza vaccine: given yearly, preferably Oct.-Nov.; recommended for people age 65 or older; people under 65 with heart disease, lung disease, diabetes, immuno-suppression, chronic care facility residents. (A) A 45-year-old male who is allergic to shellfish — allergy to eggs is a contraindication (B) A 60-year-old female who says she has a sore throat — CORRECT: vaccine deferred in presence of acute respiratory disease (C) A 66-year-old female who lives in a group home — vaccine deferred only if patient has an active immunization (D) A 70-year-old female with congestive heart failure — no contraindication

Health Promotion and Maintenance
1. The answer is B.
Question: The fetus is ROA. Where should the nurse listen for the FHT? Strategy: Picture the situation described. It may be helpful for you to draw this out so that you can imagine where the heartbeat would be found. Needed Info: Describing fetal position: practice of defining position of baby relative to mother>s pelvis. The point of maximum intensity (PMI) of the fetus: point on the mother>s abdomen where the FHT is the loudest, usually over the fetal back. Divide the mother>s pelvis into 4 parts or quadrants: right and left anterior, which is the front, and right and left posterior, which is the back. Abbreviated: R and L for right and left, and A and P for anterior and posterior. The head, particularly the occiput, is the most common presenting part, and is abbreviated O. LOA is most common fetal position and FHT heard on left side. In a vertex presentation, FHT is heard below the umbilicus. In a breech presentation, FHT is heard above the umbilicus.

3. The correct answer is D.

Question: What is the treatment for thrush? Strategy: Determine the outcome of each answer choice. Needed Info: Thrush (oral candidiasis): white plaque on oral mucous membranes, gums, or tongue; treatment includes good handwashing, nystatin (Mycostatin).

(A) Determine the baby>s blood glucose level — thrush in newborns caused by poor handwashing or exposure to an infected vagina during birth (B) Suggest that the newborn>s formula be changed — not related to thrush (C) Remind the caretaker not to let the infant sleep with the bottle — not related to thrush (D) Explain that the newborn will need to receive some medication — CORRECT: thrush most of(A) Below the umbilicus, on the mother>s left ten treated with nystatin (Mycostatin) side — found on right not left side 4. The correct answer is C. (B) Below the umbilicus, on the mother>s right Question: What will you see with congenital hip side — CORRECT: occiput and back are press- dislocation? ing against right side of mother>s abdomen; FHT would be heard below umbilicus on right side Strategy: Form a mental image of the deformity.
Collected by :DeepaRajesh [ 20 ]
rajesh.ks21@gmail.com Kuwait

Needed Info: Subluxation: most common type of congenital hip dislocation. Head of femur remains in contact with acetabulum but is partially displaced. Diagnosed in infant less than 4 weeks old S/S: unlevel gluteal folds, limited abduction of hip, shortened femur affected side, Ortolani>s sign (click). Treatment: abduction splint, hip spica cast, Bryant>s traction, open reduction. (A) lengthening of the limb on the affected side — inaccurate (B) deformities of the foot and ankle — inaccurate (C) asymmetry of the gluteal and thigh folds — CORRECT: restricted movement on affected side (D) plantar flexion of the foot — seen with clubfoot

2. The correct answer is B.

Question: What is your responsibility concerning informed consent? Needed Info: Physician>s responsibility to obtain informed consent. (A) The nurse should explain the procedure to the patient and ask her to sign the consent form — Physician should get patient to sign consent (B) The nurse should verify that the consent form has been signed by the patient and that it is attached to her chart — CORRECT (C) The nurse should tell the physician that the patient agrees to have the examination — Physician should explain procedure and get consent form signed (D) The nurse should verify that the patient or a family member has signed the consent form — must be signed by patient unless unable to do

5. The correct answer is D.

Question: How do you determine the frequency of uterine contractions? Needed Info: There must be at least 3 contractions to establish frequency. (A) from the beginning of one contraction to the end of the next contraction — not accurate (B) from the beginning of one contraction to the end of the same contraction — defines duration (C) by the strength of the contraction at its peak — describes intensity (D) by the number of contractions that occur within a given period of time — CORRECT

3. The correct answer is C.

Question: What should you do to communicate with a person with a moderate hearing loss? Needed Info: Presbycusis: age-related hearing loss due to inner ear changes. Decreased ability to hear high sounds.

(A) Raise your voice until the patient is able to hear you — would result in high tones patient unable to hear (B) Face the patient and speak quickly using a high voice — usually unable to hear high tones (C) Face the patient and speak slowly using a slightly lowered voice — CORRECT: also decrease background noise; speak at a slow pace, 1. The correct answer is C. use nonverbal cues (D) Use facial expressions and speak as you Question: What is the goal of family therapy? would normally — nonverbal cues help, but need Needed Info: Symptoms of depression: a low low tones self-esteem, obsessive thoughts, regressive be- 4. The correct answer is C. havior, unkempt appearance, a lack of energy, weight loss, decreased concentration, withdrawn Question: What is the reason for the wife>s bebehavior. havior? (A) trust the nurse who will solve his problem — not realistic (B) learn to live with anxiety and tension — minimizes concerns (C) accept responsibility for his actions and choices — CORRECT (D) use the members of the therapeutic milieu to solve his problems — must do it himself Needed Info: Stages of grief: 1) shock and disbelief, 2) awareness of pain and loss, 3) restitution. Acute period: 4-8 weeks, usual resolution: 1 year. (A) She has already moved through the stages of the grieving process — takes one year (B) She is repressing anger related to her
Collected by :DeepaRajesh [ 21 ]
rajesh.ks21@gmail.com Kuwait

husband>s death — not accurate; second stage: crying, regression (C) She is experiencing shock and disbelief related to her husband>s death — CORRECT: denial first stage; inability to comprehend reality of situation (D) She is demonstrating resolution of her husband>s death — too soon

acute lymphocytic leukemia and thromocytopenia?

Needed Info: Thromocytopenia: decreased platelet count increases the patient>s risk for injury, normal count: 200,000-400,000 per mm3. Leukemia: group of malignant disorders involving overproduction of immature leukocytes in bone marrow. This shuts down normal bone mar5. The correct answer is C. row production of erythrocytes, platelets, normal Question: Is the depression normal, or some- leukocytes. Causes anemia, leukopenia, and thrombocytopenia leading to infection and hemthing to be concerned about? orrhage. Symptoms: pallor of nail beds and con(A) The treatment plan is not effective; the patient junctiva, petechiae (small hemorrhagic spot on requires a larger dose of lithium — not accurate skin), tachycardia, dyspnea, weight loss, fatigue. (B) This is a normal response to lithium therapy; Treatment: chemotherapy, antibiotics, blood the patient should continue with the current treat- transfusions, bone marrow transplantation. Nursing responsibilities: private room, no raw fruits or ment plan — does not address safety needs (C) This is a normal response to lithium therapy; vegs, small frequent meals, O2, good skin care. the patient should be monitored for suicidal behavior — CORRECT: delay of 1-3 weeks before (A) Potential for injury — CORRECT: low platelet increases risk of bleeding from even minor med benefits seen (D) The treatment plan is not effective; the patient injuries. Safety measures: shave with an elecrequires an antidepressant — normal response tric razor, use soft tooth brush, avoid SQ or IM meds and invasive procedures (urinary drainage catheter or a nasogastric tube), side-rails up, remove sharp objects, frequently assess for signs Physiological Integrity of bleeding, bruising, hemorrhage. 1. The correct answer is B. (B) Self-care deficit — may feel weak, doesn>t Question: Which lab values should you monitor address condition for a patient receiving Gentamicin? (C) Potential for self-harm — implies risk for purposeful self-injury, not given any info, assumpNeeded Info: Gentamicin: broad spectrum an- tion tibiotic. Side effects: neuromuscular blockage, (D) Alteration in comfort — patient is not comototoxic to eighth cranial nerve (tinnitus, vertigo, fortable, and comfort measures would address ataxia, nystagmus, hearing loss), nephrotoxic. problem Nursing responsibilities: monitor renal function, 3. The correct answer is C. force fluids, monitor hearing acuity. Draw blood Question: What is the best site for nitroglycerine for peak levels 1 hr. after IM and 30 min - 1 hr. afointment? ter IV infusion, draw blood for trough just before next dose. Strategy: Think about each site. (A) Hemoglobin and hematocrit — can cause anemia; less common (B) BUN and creatinine — CORRECT: nephrotoxic; will see proteinuria, oliguria, hematuria, thirst, increased BUN, decreased creatine clearance (C) Platelet count and clotting time — do not usually change (D) Sodium and potassium — hypokalemia infrequent problem Needed Info: Nitroglycerine: used in treatment of angina pectoris to reduce ischemia and relieve pain by decreasing myocardial oxygen consumption; dilates veins and arteries. Side effects: throbbing headache, flushing, hypotension, tachycardia. Nursing responsibilities: teach appropriate administration, storage, expected pain relief, side effects. Ointment applied to skin; sites rotated to avoid skin irritaion. Prolonged effect up to 24 hours.
Collected by :DeepaRajesh [ 22 ]
rajesh.ks21@gmail.com Kuwait

2. The correct answer is A.

Question: What nursing diagnosis is seen with

Question: How should you regulate the IV flow rate? Strategy: Use formula and avoid making math errors. The client who returned from surgery 2 hours ago is at risk for life threatening hemorrhage and should be seen first. The correct answer is B. Question2 Question: Why is a patient defibrillated? Strategy: Think about each answer choice.com Kuwait Question1 A client has been hospitalized after an automobile accident. 4. Look for the client who has the most imminent risks and acute vulnerability. The 75 year-old is potentially vulnerable to agerelated physical and cognitive consequences in Collected by :DeepaRajesh [ 23 ] rajesh. The correct answer is C. then urinate into container D) Void continuously and catch some of the urine Review Information: The correct answer is A: Clean the meatus. once the client begins voiding it>>s best to just slip the container into the stream. The 16 year-old should be seen next because it is still the first post-op day. (A) increase cardiac contractility and cardiac output — inaccurate (B) cause asystole so the normal pacemaker can recapture — CORRECT: allows SA node to resume as pacer of heart activity (C) reduce cardiac ischemia and acidosis — inaccurate (D) provide energy for depleted myocardial cells — inaccurate The nurse is reviewing with a client how to collect a clean catch urine specimen. A clean catch urine is difficult to obtain and requires clear directions. (A) 21 — inaccurate (B) 28 — inaccurate (C) 31 — CORRECT: 3. Review Information: The correct answer is C: 72 year-old recovering from surgery after a hip replacement 2 hours ago. then catch urine stream. What is the appropriate sequence to teach the client? A) Clean the meatus. which client should the nurse see first? A) 16 year-old who had an open reduction of a fractured wrist 10 hours ago B) 20 year-old in skeletal traction for 2 weeks since a motor cycle accident C) 72 year-old recovering from surgery after a hip replacement 2 hours ago D) 75 year-old who is in skin traction prior to planned hip pinning surgery. The most important reason for the nurse to elevate the casted leg is to A) Promote the client>s comfort B) Reduce the drying time C) Decrease irritation to the skin D) Improve venous return .(A) muscular — not most important (B) near the heart — not most important (C) non-hairy — CORRECT: skin site free of hair will increase absorption. Other responses do not reflect correct technique. Elevating the leg both improves venous return and reduces swelling. As starting and stopping flow can be difficult. then void naturally with a steady stream prevents surface bacteria from contaminating the urine specimen.000 x 15 divided by 24 x 60 (D) 42 — inaccurate Question3 Following change-of-shift report on an orthopedic unit. Instructing the client to carefully clean the meatus.ks21@gmail. begin voiding. Client comfort will be improved as well. avoid distal part of extremities due to less than maximal absorption (D) over a bony prominence — most important is that the site be non-hairy Review Information: The correct answer is D: Improve venous return. clean the meatus. then collect specimen C) Clean the meatus. A full leg cast was applied in the emergency room. Needed Info: total volume x the drop factor divided by the total time in minutes. Needed Info: Defibrillation: produces asystole of heart to provide opportunity for natural pacemaker (SA node) to resume as pacer of heart activity. begin voiding. 5. then catch urine stream B) Void a little.

C) Appears to be sleeping.The client’s urine output was 1500 cc in 5 hours. Any score less than 13 indicates hours a neurological impairment. Which would be essential for the nurse to Review Information: The correct answer is include at the change of shift report? B: Glascow Coma Scale 8. no ventilator re. vital signs stable D) Glascow Coma Scale 13. A) The client lost 2 pounds in 24 hours The Glascow Coma Scale provides a standard B) The client’s potassium level is 4 mEq/liter. What should the nurse document severe persistent asthma to determine the seto most accurately describe the client>s condi. Eye drops or ointment may be needed. Using the term coma.D) The client is to receive another dose of Lasix tose provides too much room for interpretation at 10 PM and is not very precise. B) a comment by the client «I just can>t sit This test evaluates the adequacy of the extrinsic still. breathing unlabored condition and a short-acting beta-agonist must B) Glascow Coma Scale 8. It can result in corneal abrasions with severe eye pain or damage when the eyelid is unable to blink down over the protruding eyeball. D) Repeat the peak flow reading in 30 minutes Review Information: The correct answer is B: Administer the prn dose of albuterol. Question9 The nurse has performed the initial assessments Collected by :DeepaRajesh [ 24 ] rajesh.Question7 quired A client had 20 mg of Lasix (furosemide) PO at 10 AM. The client who can safely be seen last is the 20 year-old who is 2 weeks post-injury. The peak flow has dropped to 200 liters/minute.skin traction should be seen next. Post-operatively the client is complaining of chest tightness. Coumadin affects the Vitamin K depend.» system and common pathway in the clotting cas.verity of the exacerbation and to guide the treatment. which lab test would the nurse Although all of these may be correct information monitor to determine therapeutic response to the to include in report. Review Information: The correct answer is C: Question5 When caring for a client receiving warfarin so. drug? A) Bleeding time Question8 B) Coagulation time A client has been tentatively diagnosed with C) Prothrombin time Graves> disease (hyperthyroidism).«pop» out of the client>s eye sockets ent clotting factors. Coumadin is ordered daily.C) the appearance of eyeballs that appear to cade. D) a report of the sudden onset of irritability in the past 2 weeks Question6 A client with moderate persistent asthma is admitted for a minor surgical procedure. respirations regular. the essential piece would be the urine output. What should the nurse do first? A) Notify both the surgeon and provider B) Administer the prn dose of albuterol C) Apply oxygen at 2 liters per nasal cannula Review Information: The correct answer is C: the appearance of eyeballs that appear to «pop» out of the client>>s eye sockets. Exophthalmos or protruding eyeballs is a distinctive characteristic of Graves>> Disease. dium (Coumadin). yet vital signs are stable and breathing is is recommended for clients with moderate-toindependent. Peak Question4 A client with Guillain Barre is in a nonresponsive flow monitoring during exacerbations of asthma state.com Kuwait . On admission the peak flow meter is measured at 480 liters/minute. respirations regular be taken immediately. month based on the client>>s prothrombin time (PT).ks21@gmail. reference for assessing or monitoring level of C) The client’s urine output was 1500 cc in 5 consciousness. Which of D) Partial thromboplastin time these findings noted on the initial nursing assessment requires quick intervention by the nurse? Review Information: The correct answer is A) a report of 10 pounds weight loss in the last C: Prothrombin time. A peak flow reading of less than 50% of tion? the client>>s baseline reading is a medical alert A) Comatose.

Clients may complain of a chill from the wet cast and therefore can simply be covered lightly with a sheet or blanket.» D) «I think I remember that my child should not stand until after 72 hours. Which assessment finding should the nurse report immediately to the provider? A) Slurred speech Which blood serum finding in a client with diabetic ketoacidosis alerts the nurse that immediate action is required? A) pH below 7. especially in a long leg cast which is thicker than an arm cast.of 4 clients admitted with an acute episode of asthma. sudden cessation of wheezing is an ominous or bad sign that indicates an emergency -. Clients often associate wheezes with the feeling of tightness in the chest. However. Which of these interventions would be most helpful at this time? A) leave a book about relaxation techniques B) write out a daily exercise routine for them to assist the client to do C) list actions to improve the client>s daily nutritional intake D) suggest communication strategies Review Information: The correct answer is D: suggest communication strategies. The nurse has also noted increased lethargy. greatly challenges caregivers.0 C) HCT of 60 D) Pa O2 of 79% Review Information: The correct answer is C: HCT of 60. Synthetic casts will typically set up in 30 minutes and dry in a few hours. Further diagnostic testing may be indicated. Acute asthma is characterized by expiratory wheezes caused by obstruction of the airways. Alzheimer>>s disease. Changes in speech patterns and level of conscious can be indicators of continued intracranial bleeding or extension of the stroke.» B) «I can apply an ice pack over the area to relieve itching inside the cast.» C) «The cast should be propped on at least 2 pillows when my child is lying down. Without sufficient hydration. the client may stand within the initial 24 hours. Thus. During the initial home visit.». Which statement from the parent indicates that teaching has been inadequate? A) «I will keep the cast uncovered for the next day to prevent burning of the skin.com Kuwait . Both types of casts give off a lot of heat when drying and it is preferable to keep the cast uncovered for the first 24 hours. Question13 Question11 An 80 year-old client admitted with a diagnosis of possible cerebral vascular accident has had a blood pressure from 160/100 to 180/110 over the past 2 hours. This high hematocrit is indicative of severe dehydration which requires priority attention in diabetic ketoacidosis. Applying ice is a safe method of relieving the itching.» Review Information: The correct answer is D: «I think I remember that my child should not stand until after 72 hours. the set up and drying time. Question12 Question10 A school-aged child has had a long leg (hip to ankle) synthetic cast applied 4 hours ago. B) Incontinence C) Muscle weakness D) Rapid pulse Review Information: The correct answer is A: Slurred speech. a progressive chronic illness. The nurse can be of greatest assistance in helping the family to use communication strategies to enhance their ability to relate to the client. Wheezes are a high pitched musical sounds produced by air moving through narrowed airways. Which assessment finding would cause the nurse to call the provider immediately? A) prolonged inspiration with each breath B) expiratory wheezes that are suddenly absent in 1 lobe C) expectoration of large amounts of purulent mucous D) appearance of the use of abdominal muscles for breathing Review Information: The correct answer is B: expiratory wheezes that are suddenly absent in 1 lobe. a nurse is discussing the care of a client newly diagnosed with Alzheimer>s disease with family members. all systems of the body are at risk Collected by :DeepaRajesh [ 25 ] rajesh. By use of select verbal and nonverbal communication strategies the family can best support the client’s strengths and cope with any aberrant behavior. With plaster casts.the small airways are now collapsed.ks21@gmail. can take up to 72 hours.3 B) Potassium of 5.

Which of the following assessments would be expected by the nurse? A) Diffuse expiratory wheezing B) Loose.».for hypoxia from a lack of or sluggish circulation.» B) a pig. soft. Compartment syndrome is a serious complication of fractures. Question17 Question14 The nurse is preparing a client with a deep vein thrombosis (DVT) for a Venous Doppler evaluation. These emboli produce findings of cardiac murmur. malaise and neurologic sequelae of emboli. «I will receive tissue from A) a tissue bank. The potassium and PaO2 levels are near normal. Which finding would alert the nurse to a complication of this condition? A) dyspnea B) heart murmur C) macular rash D) hemorrhage Review Information: The correct answer is B: heart murmur.» C) my thigh. The nurse knows the client understands the procedure when the client says. and obstruct blood flow. the body breaks down fats and proteins to supply energy ketones.» The nurse is assigned to care for a client who had a myocardial infarction (MI) 2 days ago. causing emboli and leaving ulcerations on the valve leaflets. coronary artery. Autografts are done with tissue transplanted from the client>>s own skin. The most important activity for the nurse is to assess neurovascular status. Furthermore.com Kuwait . The client has many questions about this condition. Question19 Question16 The nurse explains an autograft to a client scheduled for excision of a skin tumor. a by-product of fat metabolism. Which of the following would be necessary for preparing the client for this test? A) Client should be NPO after midnight B) Client should receive a sedative medication prior to the test C) Discontinue anti-coagulant therapy prior to the test D) No special preparation is necessary Review Information: The correct answer is D: No special preparation is necessary. They have a tendency to break off. anorexia. A client is admitted to the emergency room following an acute asthma attack. A wheezing sound results. the airways are narrowed. Question18 Question15 A client is admitted with infective endocarditis (IE). kidney.ks21@gmail. Which of the following nursing interventions should receive priority? A) Maintaining proper body alignment B) Frequent neurovascular assessments of the affected leg C) Inspection of pin sites for evidence of drainage or inflammation D) Applying an over-bed trapeze to assist the client with movement in bed Review Information: The correct answer is B: Frequent neurovascular assessments of the affected leg. These accumulate causing metabolic acidosis (pH < 7. productive cough C) No relief from inhalant D) Fever and chills Review Information: The correct answer is A: Diffuse expiratory wheezing. A client has been admitted with a fractured femur and has been placed in skeletal traction. This is a non-invasive procedure and does not require preparation other than client education. the vegetations may travel to various organs such as spleen. What area is a priority for the nurse to discuss at this time? A) Daily needs and concerns B) The overview cardiac rehabilitation C) Medication and diet guideline D) Activity and rest guidelines Review Information: The correct answer is A: Collected by :DeepaRajesh [ 26 ] rajesh. which would be the second concern for this client.3). creating difficulty getting air in. fever.» Review Information: The correct answer is C: my thigh. brain and lungs. In asthma. D) synthetic skin. Prompt recognition of this neurovascular problem and early intervention may prevent permanent limb damage. Large. which facilitates the transport of glucose into the cell. rapidly developing vegetations attach to the heart valves. In the absence of insulin.

com Kuwait . Question20 A 3 year-old child is brought to the clinic by his milk. milk client’s education should be focused on the immediate needs and concerns for the day.A) formula or breast milk Collected by :DeepaRajesh [ 27 ] rajesh. Thus. Prolonged vomiting can reThe presence of the mite leads to intense itching sult in excess loss of acid and lead to metabolic in the area of its burrows. In addition to oral C) Chicken nuggets. wheat roll. apples.rehydration fluids. then rehydrate with open airway. rice and toast as toleror primary bronchus by a short fistula at or near ated the bifurcation. peas. alkalosis. wheat roll. a priority is maintaining an D) Place NPO for 24 hours. preventing aspiration. legumes. macaroni. Which dinner menu would mild to moderate diarrhea are to maintain a normal diet with fluids to rehydrate. Other nurs. green leafy vegetables.Metabolic alkalosis. This dinthese complaints. lima beans. be best? A) Fish sticks. The most common 24 hours form of TEF is one in which the proximal esopha. Iron rich foods include red meat.milk and water ing diagnoses are then addressed. Findings include irritability. the es.and elevated pulse. from the stomach.B) Continue with the regular diet and include oral geal segment terminates in a blind pouch and rehydration fluids the distal segment is connected to the trachea C) Give bananas. cookies. increased activity.priate diet for a 4 month-old infant with gastrosins. whole tom and wetting the bed at night. Which nursing diagno. Vomiting causes loss of acid legged burrowing mite called Sarcoptes scabiei . Current recommendations for a child with anemia. and dried fruits such as raisins. the nurse would initially as. Options C and D are correct cheoesophageal fistula.ner is the best choice: It is high in iron and is appropriate for a toddler. rai. sis is a priority? A) Risk for dehydration Question24 B) Ineffective airway clearance A two year-old child is brought to the provider>s C) Altered nutrition office with a chief complaint of mild diarrhea for D) Risk for injury two days.answers but not the best answers since they are too general.» Based on grains. banana. Nutritional counseling by the nurse should include which statement? Review Information: The correct answer is B: A) Place the child on clear liquids and gelatin for Ineffective airway clearance. egg grandmother to be seen for «scratching his bot. muscle twitching Question21 The nurse is caring for a newborn with tra. poor sleep patterns. apple slic. milk enteritis and mild dehydration. At 2 days post-MI. restlessness. hyperactive reflexes. Signs of pinworm infection include C) Some increase in the serum hemoglobin intense perianal itching.yolks.ks21@gmail. milk D) Peanut butter and jelly sandwich. lima beans. eight. Review Information: The correct answer is B: Question22 The nurse is developing a meal plan that would Continue with the regular diet and include oral provide the maximum possible amount of iron for rehydration fluids. Scabies Review Information: The correct answer is B: is an itchy skin condition caused by a tiny. raisins. canta. the diet should include loupe. bed-wetting. french fries. sess for which problem? A) allergies Question23 B) scabies The nurse admitting a 5 month-old who vomited C) regression 9 times in the past 6 hours should observe for D) pinworms signs of which overall imbalance? A) Metabolic acidosis Review Information: The correct answer is B) Metabolic alkalosis D: pinworms. Review Information: The correct answer is B: Ground beef patty. Question25 milk The nurse is teaching parents about the approB) Ground beef patty. distractibility and short attention span. D) A little decrease in the serum potassium general irritability. fish.Daily needs and concerns.

In addition. another may be added A) call for emergency transport to the hospital B) immobilize the limb and joints above and be.in a week. assessment is the first step in providing care.ks21@gmail. it contains little iron and cre. Solid foods should be added the school nurse should take is one at a time between 4-6 months. paresthesia. hard curd is difficult to is B: Use minimal physical contact. In a 12 year-old child.Question31 ing materials? What finding signifies that children have attained the stage of concrete operations (Piaget)? A) Solid foods are introduced one at a time beCollected by :DeepaRajesh [ 28 ] rajesh. explanations just prior to the action. D) Passive range of motion exercise Question27 The mother of a 3 month-old infant tells the nurse that she wants to change from formula to whole Review Information: The correct answer is B: milk and add cereal and meats to the diet. months Question30 B) Whole milk is difficult for a young infant to di. pulse. Which notation should be included in the teach.B) broth and tea C) rice cereal and apple juice D) gelatin and ginger ale ginning with cereal B) Finely ground meat should be started early to provide iron C) Egg white is added early to increase protein Review Information: The correct answer is A: intake formula or breast milk. Which of the following actions C) Fluoridated tap water should be used to dilute should be the first? milk D) Supplemental apple juice can be used be.com Kuwait . The nurse digest. imal physical contact initially so as to gain the toddler>>s cooperation. Management of a should be emphasized as the nurse teaches sickle cell crisis is directed towards supportive and symptomatic treatment. low the injury Question29 C) assess the child and the extent of the injury The nurse planning care for a 12 year-old child D) apply cold compresses to the injured area with sickle cell disease in a vaso-occlusive crisis Review Information: The correct answer is of the elbow should include which one of the folC: assess the child and the extent of the injury. lowing as a priority? When applying the nursing process. Cow>>s milk is not given to infants younger than Review Information: The correct answer 1 year because the tough.A) Perform traumatic procedures tween feedings B) Use minimal physical contact C) Proceed from head to toe Review Information: The correct answer is B: D) Explain the exam in detail Whole milk is difficult for a young infant to digest. Be flexible in the seQuestion28 The nurse is preparing a handout on infant feed. What Client controlled analgesia. The usual diet for a young D) Solid foods should be mixed with formula in infant should be followed. a bottle Question26 A child is injured on the school playground and Review Information: The correct answer is A: appears to have a fractured leg.quence of the exam. pallor. client controlA) Solid foods should be introduced at 3-4 led analgesia promotes maximum comfort. paralysis).The nurse is performing a physical assessment gest on a toddler. If the infant is able to tolerate the food. The first action Solid foods are introduced one at a time beginning with cereal. and give only brief simple ing to be distributed to families visiting the clinic.should approach the toddler slowly and use minates a high renal solute load. The priority of care about infant nutrition? is pain relief. The «5 Ps» A) Limit fluids of vascular impairment can be used as a guide B) Client controlled analgesia C) Cold compresses to elbow (pain. Iron fortified cereal is the recommended first food.

». it is most important for the nurse to teach them about which of the following actions? A) Maintain good oral hygiene and dental care B) Omit medication if the child is seizure free C) Administer acetaminophen to promote sleep D) Serve a diet that is high in iron Review Information: The correct answer is A: Maintain good oral hygiene and dental care. There is evidence that increased amounts of folic acid prevents neural tube defects. Question32 The mother of a child with a neural tube defect asks the nurse what she can do to decrease the chances of having another baby with a neural tube defect. The American Academy of Pediatrics recommends that all childbearing women increase folic acid from dietary sources and/or supplements. The stage of concrete operations is depicted by logical thinking and moral judgments. Which of these foods would the nurse reinforce for the client to eat at least daily? A) Spaghetti B) Watermelon C) Chicken D) Tomatoes Review Information: The correct answer is B: Watermelon. Question34 While teaching the family of a child who will take phenytoin (Dilantin) regularly for seizure control. Question35 The nurse is offering safety instructions to a parent with a four month-old infant and a four yearold child.A) Explores the environment with the use of sight and movement B) Thinks in mental images or word pictures C) Makes the moral judgment that «stealing is wrong» D) Reasons that homework is time-consuming yet necessary Review Information: The correct answer is C: Makes the moral judgment that «stealing is wrong».» B) «I place my infant in the middle of the living room floor on a blanket to play with my four yearold while I make supper in the kitchen.» Review Information: The correct answer is D: «I have the four year-old hold and help feed the four month-old a bottle in the kitchen while I make supper.125 mg PO and furosemide 40 mg every day. Question36 The nurse admits a 7 year-old to the emergency room after a leg injury.» C) «A well balanced diet promotes normal fetal development. What is the best response by the nurse? A) «Folic acid should be taken before and after conception. Swollen and tender gums occur often with use of phenytoin.» Review Information: The correct answer is A: «Folic acid should be taken before and after conception.» C) «My sleeping baby lies so cute in the crib with the little buttocks stuck up in the air while the four year-old naps on the sofa. The appropriate response by the nurse should be which of these Collected by :DeepaRajesh [ 29 ] rajesh. Infants are Question33 The provider orders Lanoxin (digoxin) 0.» B) «Multivitamin supplements are recommended during pregnancy. Watermelon is high in potassium and will replace potassium lost by the diuretic. Which statement by the parent indicates understanding of appropriate precautions to take with the children? A) «I strap the infant car seat on the front seat to face backwards. The infant seat is to be placed on the rear seat. The parents ask what will be the outcome of this injury. The other foods are not high in potassium.» D) «Increased dietary iron improves the health of mother and fetus. Good oral hygiene and regular visits to the dentist should be emphasized.». The x-rays show a femur fracture near the epiphysis.com Kuwait .» D) «I have the four year-old hold and help feed the four month-old a bottle in the kitchen while I make supper. Small children and infants are not to be left unsupervised.ks21@gmail.

» B) «In about 2 hours. they will be here. An epiphyseal (growth) plate fracture D) Buy bottled water labeled «lead free» to mix in a 7 year-old often results in retarded bone the formula growth. and meticulous combing and removal of all nits. Thus.». The nurse would emphasize that pancreatic enzymes should be taken A) once each day B) 3 times daily after meals C) with each meal or snack D) each time carbohydrates are eaten Review Information: The correct answer is C: with each meal or snack.» D) «When the clock hands are on 6 and 12.com Kuwait . it is most important to assess the child>s environment for what factor? A) Household pets Collected by :DeepaRajesh [ 30 ] rajesh.” A few hours later the child asks the in sealing water pipes.» C) «Bone growth is stimulated in the affected leg. Review Information: The correct answer is C: Let tap water run for 2 minutes before adding to concentrate. Letting tap water run for nurse when the parents will come again. Question40 Which of the following manifestations observed by the school nurse confirms the presence of pediculosis capitis in students? A) Scratching the head more than usual B) Flakes evident on a student>s shoulders C) Oval pattern occipital hair loss D) Whitish oval specks sticking to the hair Review Information: The correct answer is D: Whitish oval specks sticking to the hair. Time is not completely understood by a 4 year-old. Use of lead-contaminated water to prepare formula is a major source of poisoning Question37 The parents of a 4 year-old hospitalized child tell in infants. Question41 When interviewing the parents of a child with asthma. it is best to explain time in relationship to a known.ks21@gmail.» C) «After you play awhile. What is several minutes will diminish the lead contamination. The leg often will be different in length than the uninjured leg.» Review Information: The correct answer is A: «They will be back right after supper. Preschoolers interpret time with their own frame of reference. common event.statements? A) «The injury is expected to heal quickly because of thin periosteum. which of the following is most important to prevent lead poisoning? A) Use ready-to-feed commercial infant formula B) Boil the tap water for 10 minutes prior to preparing the formula Review Information: The correct answer is B: C) Let tap water run for 2 minutes before adding «In some instances the result is a retarded bone to concentrate growth. Pancreatic enzymes should be taken with each meal and every snack to allow for digestion of all foods that are eaten. Question38 The nurse is giving instructions to the parents of a child with cystic fibrosis.». Drinking water may be contaminated the nurse. In discussing formula preparation. “We are leaving now and will be back by lead from old lead pipes or lead solder used at 6 PM. the best response by the nurse? A) «They will be back right after supper.» Question39 A nurse is providing a parenting class to individuals living in a community of older homes. Diagnosis of pediculosis capitis is made by observation of the white eggs (nits) firmly attached to the hair shafts.» B) «In some instances the result is a retarded bone growth. you will see them. Treatment can include application of a medicated shampoo with lindane for children over 2 years of age.» D) «This type of injury shows more rapid union than that of younger children.

Question45 The nurse is performing a pre-kindergarten physical on a 5 year-old.B) New furniture C) Lead based paint D) Plants such as cactus «Keep in mind that for the age this is a normal response to being in the hospital. In planning for discharge. cries inconsolably for as long as 3 hours. The last series of vaccines will be administered. that behavior will stop in a few days.» A 7 month pregnant woman is admitted with comD) «You might want to «sneak out» of the room plaints of painless vaginal bleeding over several once the child falls asleep.» hours. In toddlers. She reports that the baby feels very warm. seek family. Influenza Review Information: The correct answer is A: DTaP. The protest phase of separation anxiety is a normal response for a child this age. the nurse should document the reaction on the baby>s record and expect which immunization to be most associated with the findings the infant is displaying? A) DTaP B) Hepatitis B C) Polio D) H. The majority of reactions occur with the administration of the DTaP vaccination.com Kuwait . ages 1 to 3. is the preferred site. Hepatitis B and HIB immunizations. Other triggers may include pollens. To communicate in a therapeutic manner. Contradictions to giving repeat DTaP immunizations include the occurrence of severe side effects after a previous dose as well as signs of encephalopathy within 7 days of the immunization.ks21@gmail. Animal dander is a very common allergen affecting persons with asthma. a large and well developed muscle. In addition to referring her to the emergency room. A couple experienced the loss of a 7 month-old fetus. what should the nurse emphasize? Question42 The mother of a 2 month-old baby calls the nurse 2 days after the first DTaP.» B) «Oh. The nurse should prepare the client for an immediate Review Information: The correct answer is C: Collected by :DeepaRajesh [ 31 ] rajesh. the nurse>>s goal is to help the couple begin the grief process by suggesting they talk to each other. What is the best response by the Review Information: The correct answer is C: nurse? vastus lateralis. friends and support groups to listen to their feelings.» C) «Keep in mind that for the age this is a normal Question46 response to being in the hospital. the child while in the hospital. sepaReview Information: The correct answer is A: ration anxiety is at its peak Household pets. carpeting Question44 and household dust. A) To discuss feelings with each other and use support persons B) To focus on the other healthy children and move through the loss C) To seek causes for the fetal death and come to some safe conclusion D) To plan for another pregnancy within 2 years and maintain physical health Review Information: The correct answer is A: To discuss feelings with each other and use support persons. IPV. since it is A) «I think you or your partner needs to stay with removed from major nerves and blood vessels.». Vastus lateralis. and has had several shaking spells. What is the preferred site for injection by the nurse? A) vastus intermedius B) gluteus maximus C) vastus lateralis D) dorsogluteaI Question43 The mother of a 2 year-old hospitalized child asks the nurse>s advice about the child>s screaming every time the mother gets ready to leave the hospital room.

The mother states «This is not my baby. open ended response facilitates dialogue between the client and nurse. Question47 A nurse entering the room of a postpartum mother observes the baby lying at the edge of the bed while the woman sits in a chair. tell me what the pregnancy and birth were like for you. Examples of this phenomena include a drop in circulating blood volume as in a cardiac arrest state or in low cardiac perfusion states such as congestive heart failure associated with a cardiomyopathy. Pre-renal failure occurs when the effective arterial blood volume falls. An upright position facilitates proper chewing and swallowing. This is caused by any abnormal decline in kidney perfusion that reduces glomerular perfusion. A child>>s temperature may have rapid fluctuations. Parental caretakers are often quite sensitive to variations in their children>>s condition that may not be immediately evident to others. and I do not want it.com Kuwait .» C) «What a beautiful baby! Her eyes are just like yours. The first action by the nurse should be to A) reassure the parent that this is normal B) offer the child cold oral fluids C) reassess the child>s temperature D) administer the prescribed acetaminophen Review Information: The correct answer is C: reassess the child>>s temperature. which is suggested in the client>>s history of painless bleeding. is abdominal ultrasound.2 degrees Fahrenheit at 8:00 AM. The most appropriate intervention for this client is to A) position client in upright position while eating B) place client on a clear liquid diet C) tilt head back to facilitate swallowing reflex D) offer finger foods such as crackers or pretzels Review Information: The correct answer is A: position client in upright position while eating. Clients who have had an episode of decreased glomerular perfusion are at risk for pre-renal failure.» B) «Many women have postpartum blues and need some time to love the baby.ks21@gmail. The standard for diagnosis of placenta previa. Question50 Question48 The nurse notes that a 2 year-old child recovering from a tonsillectomy has an temperature of 98.». Which of the following assessments is critical for the nurse to include in the plan of care? A) hourly urine output B) white blood count C) blood glucose every 4 hours D) temperature every 2 hours Review Information: The correct answer is A: hourly urine output. A non-judgmental. the nurse>s best response is A) «This is a common occurrence after birth. The nurse should listen to and show respect for what A client is admitted to the rehabilitation unit following a cerebral vascular accident (CVA) and mild dysphagia. Question51 A 72 year-old client with osteomyelitis requires a Collected by :DeepaRajesh [ 32 ] rajesh. parents say.» Review Information: The correct answer is D: «You seem upset. Close observation of hourly urinary output is necessary for early detection of this condition. but you will come to accept the baby. tell me what the pregnancy and birth were like for you. Question49 The nurse is caring for a client who was successfully resuscitated from a pulseless dysrhythmia.» D) «You seem upset.» After repositioning the child safely.A) Non stress test B) Abdominal ultrasound C) Pelvic exam D) X-ray of abdomen Review Information: The correct answer is B: Abdominal ultrasound. At 10:00 AM the child>s parent reports that the child «feels very warm» to touch.

and edema Review Information: The correct answer is C: Rash. All the answers are correct given the circumstances. blood dyscrasias. blood dyscrasias. Rash and blood dyscrasias are side effects of anti-psychotic drugs. Within 15 minutes after the immunization was given. In the early stages of anaphylaxis. The physiological basis for this instruction is that the A) Complete the entire course of the medication Collected by :DeepaRajesh [ 33 ] rajesh. weight gain.6 week course of intravenous antibiotics. but the priority is to administer the epinephrine. The prevention of a severe crisis is maintained by using diphenhydramine. and inactivity B) Dry mouth. Question55 Which of the following findings contraindicate the use of haloperidol (Haldol) and warrant withholding the dose? A) Drowsiness. Question54 Question52 A client receiving chlorpromazine HCL (Thorazine) is in psychiatric home care. then maintain the airway. are later responses.ks21@gmail. severe depression. and difficulty breathing. During a home visit the nurse observes the client smacking her lips alternately with grinding her teeth. which may cause gastrointestinal ulcers. and watching for hypotension and shock. and blurred vision C) Rash. grinding of teeth and «fly catching» tongue movements. administering the epinephrine is first. what is the most important action by the nurse? A) Investigating the client>s insurance coverage for home IV antibiotic therapy B) Determining if there are adequate hand washing facilities in the home C) Assessing the client>s ability to participate in self care and/or the reliability of a caregiver D) Selecting the appropriate venous access device Review Information: The correct answer is C: Assessing the client>>s ability to participate in self care and/or the reliability of a caregiver. increased anxiety. The cognitive ability of the client as well as the availability and reliability of a caregiver must be assessed to determine if home care is a feasible option. Question56 Question53 The nurse instructs the client taking dexamethasone (Decadron) to take it with food or milk. when the patient has not lost consciousness and is normotensive. A nurse administers the influenza vaccine to a client in a clinic. Decadron increases the production of hydrochloric acid. Which of these instructions should the nurse give the client? . The nurse expects that the first action in the sequence of care for this client will be to A) Maintain the airway B) Administer epinephrine 1:1000 as ordered C) Monitor for hypotension with shock D) Administer diphenhydramine as ordered Review Information: The correct answer is B: Administer epinephrine 1:1000 as ordered. the client complains of itchy and watery eyes. lethargy. nasal congestion. medication A) retards pepsin production B) stimulates hydrochloric acid production C) slows stomach emptying time D) decreases production of hydrochloric acid Review Information: The correct answer is B: stimulates hydrochloric acid production. and applying the oxygen. Signs of tardive dyskinesia include smacking lips.com Kuwait The nurse is reinforcing teaching to a 24 year-old woman receiving acyclovir (Zovirax) for a Herpes Simplex Virus type 2 infection. A history of severe depression is a contraindication to the use of neuroleptics. severe depression D) Hyperglycemia. The nurse recognizes this assessment finding as what? A) Dystonia B) Akathisia C) Brady dyskinesia D) Tardive dyskinesia Review Information: The correct answer is D: Tardive dyskinesia. In planning for home care. These findings are often described as Parkinsonian.

» Review Information: The correct answer is C: «I have diminished sexual function.ks21@gmail. When the client is aware of early symptoms. Inderal. they simply decrease the level of symptoms.» C) «I have diminished sexual function. The most common cause of evaluate the effectiveness of this treatment? digitalis toxicity is a low potassium level.B) Decreased gastrointestinal mobility related to thrombin formation and lowers platelet levels. Clients must be taught that it is important to have ad. a beta-blocking agent used in hypertension. treatment is very effective. mucosal irritation With an overdose. such as pain. A large dose of aspirin inhibits pro. C) Ineffective breathing patterns related to central nervous system depression D) Altered nutrition related to inability to control nausea and vomiting Question58 An 80 year-old client on digitalis (Lanoxin) reports nausea. Which nursing C) Dyspnea diagnosis is a priority at this time? D) Epistaxis A) Risk for fluid volume deficit related to morReview Information: The correct answer is phine overdose D: Epistaxis. this may result in hypotension which results in decreased libido and impotence. prohibits the release of epinephrine into the cells.» D) «I often feel jittery. Question59 A 42 year-old male client refuses to take propranolol hydrochloride (Inderal) as prescribed. Which of the following laboratory re.for an effective cure B) Begin treatment with acyclovir at the onset of symptoms of recurrence C) Stop treatment if she thinks she may be pregnant to prevent birth defects D) Continue to take prophylactic doses for at least 5 years after the diagnosis Review Information: The correct answer is B: Begin treatment with acyclovir at the onset of symptoms of recurrence. itching or tingling.B) A decrease in fluid retention retics that enhance the loss of potassium while C) A decrease in lethargy they are taking digitalis. Which of the following would the Question60 nurse expect to see in the child? The nurse caring for a 9 year-old child with a fractured femur is told that a medication error A) Hypothermia occurred. Which client statement from the assessment data is likely to explain his noncompliance? A) «I have problems with diarrhea.» B) «I have difficulty falling asleep.Ineffective breathing patterns related to central nervous system depression. A) Potassium levels B) Blood pH C) Magnesium levels Question61 D) Blood urea nitrogen Lactulose (Chronulac) has been prescribed for a client with advanced liver disease. Medications for herpes simplex do not cure the disease. D) A reduction in jaundice Review Information: The correct answer is Collected by :DeepaRajesh [ 34 ] rajesh. Which of the Review Information: The correct answer is A: following assessments would the nurse use to Potassium levels.com Kuwait .». abdominal cramps and Review Information: The correct answer is C: halo vision. The child received twice the ordered B) Edema dose of morphine an hour ago. Question57 A 14 month-old child ingested half a bottle of aspirin tablets. Respiratory depressults should the nurse analyze first? sion is a life-threatening risk in this overdose. vomiting.A) An increase in appetite equate potassium intake especially if taking diu. clotting time is prolonged.

asks the nurse.com Kuwait Question64 A young adult seeks treatment in an outpatient mental health center.» D) «Let’s talk about possible options you have when you recognize relapse triggers in yourself. This option encourages the process of self evaluaCollected by :DeepaRajesh [ 35 ] rajesh.C: A decrease in lethargy. It is important for the nurse to A) ask the client what she is feeling B) assess the client for auditory hallucinations C) recognize the behavior as a side effect of medication D) re-focus the discussion on a less anxiety provoking topic Review Information: The correct answer is A: ask the client what she is feeling. The most therapeutic response is to listen but avoid being incorporated into the client’s delusional system. The client>>s comments demonstrate grandiose ideas. the client may simply need to use the restroom but be reluctant to communicate her need! Question66 A client.». What is the most therapeutic approach by the nurse? A) Listen quietly without comment B) Ask for further information on the spies C) Confront the client’s delusion D) Contact the government agency Review Information: The correct answer is A: Listen quietly without comment. In bulimia.» C) «It is important to exercise daily and get involved in activities that will cause you not to think about drug use. identifying. The nurse should seek client validation of the accuracy of nursing assessments and avoid drawing conclusions based on limited data. Question62 The nurse is teaching a class on HIV prevention. unprotected intercourse and shared drug paraphernalia remain the highest risks for infection. The initial step in anxiety intervention is observing. the laxative effect then aids in removing the ammonia from the body. Lactulose produces an acid environment in the bowel and traps ammonia in the gut. Because HIV is spread through exposure to bodily fluids. Which of the following laboratory reports would the nurse anticipate? A) Increased serum glucose B) Decreased albumin C) Decreased potassium D) Increased sodium retention Review Information: The correct answer is C: Decreased potassium. loss of electrolytes can occur in addition to other findings of starvation and dehydration. he reveals that . contact a sober friend and talk with him. wringing her hands. his warnings must be heeded to prevent nuclear war. Which of the following should be emphasized as increasing risk? A) Donating blood B) Using public bathrooms C) Unprotected sex D) Touching a person with AIDS Review Information: The correct answer is C: Unprotected sex. The client tells the nurse he is a government official being followed by spies. the nurse notices that the client is shifting positions. including lethargy and confusion.» Review Information: The correct answer is D: «Let’s talk about possible options you have when you recognize relapse triggers in yourself. «What can I do when I start recognizing relapse triggers within myself?» How might the nurse best respond? A) «When you have the impulse to stop in a bar. This decreases the effects of hepatic encephalopathy.ks21@gmail.» B) «Go to an AA meeting when you feel the urge to drink. recovering from alcoholism. On further questioning. Question65 The nurse is assessing a 17 year-old female client with bulimia. and assessing anxiety. and avoiding eye contact. Question63 While interviewing a new admission. In the situation above.

tion and problem solving.».«You seem angry right now.stage ships.» in helping a withdrawn client to develop relationReview Information: The correct answer is D: ship skills? A) Offer the client frequent opportunities to inter. Which nursing action is the best with 1 person.in response to the client’s attire? able in social interaction. Question70 A client with paranoid delusions stares at the nurse over a period of several days. The nurse recognizes the underlying emotion with a matter of fact act with 1 person B) Provide the client with frequent opportunities attitude. but avoids telling the clients how they feel. to interact with other clients C) Assist the client to analyze the meaning of the withdrawn behavior D) Discuss with the client the focus that other Question71 clients have similar problems A client who is a former actress enters the day room wearing a sheer nightgown. Interpretation. Encouraging the client to brainstorm about response options validates the nurse’s belief in the client’s personal competency and reinforces a coping strategy that will be needed when the nurse may not be available to offer solutions.com Kuwait .» An appropriate response for the nurse is A) «Is that why you’ve been staring at me?» B) «You seem to be in a really bad mood. The withdrawn client is uncomfort. and advising are non-therapeutic/barriers to communication. giving approval.D) Tactfully explain appropriate clothing for the hospital peutic inpatient milieu is to Collected by :DeepaRajesh [ 36 ] rajesh.ks21@gmail. A therapeutic milieu is purposeful and planned to provide safety and a testing ground for new patterns of behavior.» C) «Perfect? I don’t quite understand. nuReview Information: The correct answer is A: merous bracelets. B) Directly assist client to her room for appropriate apparel C) Quietly point out to her the dress of other clients on the unit Question69 An important goal in the development of a thera.» Question68 Which nursing intervention will be most effective D) «You seem angry right now. The client suddenly walks up to the nurse and shouts «You think you’re so perfect and pure and good. changing the focus/subject. regulations. bright red lipstick and heavily Offer the client frequent opportunities to interact rouged cheeks. high heels. while avoiding telling the client what to do. Question67 A) provide a businesslike atmosphere where clients can work on individual goals B) provide a group forum in which clients decide on unit rules. The nurse-client relationship is a corrective relationship in which the A) Gently remind her that she is no longer on client learns both tolerance and skills for relation. Therapeutic nurse-client interaction occurs when the nurse A) assists the client to clarify the meaning of what the client has said B) interprets the client’s covert communication C) praises the client for appropriate feelings and behavior D) advises the client on ways to resolve problems Review Information: The correct answer is A: assists the client to clarify the meaning of what the client has said. and policies C) provide a testing ground for new patterns of behavior while the client takes responsibility for his or her own actions D) discourage expressions of anger because they can be disruptive to other clients Review Information: The correct answer is C: provide a testing ground for new patterns of behavior while the client takes responsibility for his or her own actions. Clarification is a facilitating/ therapeutic communication strategy.

Wait until my partner hears about this. tion to sexual advances Collected by :DeepaRajesh [ 37 ] rajesh. Have you seen them?». Have you seen them?» D) «I>m fine. lanugo. nausea. tachycardia. A neologism is a new word self invented by a person and not readily understood by another. or contact used with clients to handshaking because NCSBN sure is another top choice for review course because the contents are very close to A) some clients misconstrue hugs as an invita. If you are going to prepare for taking the NCLEX exam and still don>t know what to do i would like to share some effective advices for you. When teaching suicide prevention to the parents of a 15 year-old who recently attempted suicide. What time is it?» C) «I can>t find my <mesmer> shoes. Touch denotes positive feelings for another person.the actual exam itself. Question72 B) handshaking keeps the gesture on a professional level C) refusal to touch a client denotes lack of concern D) inappropriate touch often results in charges of assault and battery Review Information: The correct answer is A: some clients misconstrue hugs as an invitation to sexual advances. lanugo. amenorrhea B) diarrhea. the nurse describes the following behavioral cue as indicating a need for intervention.» B) «I>m a little confused. amenorrhea. the nurse limits touch teaches you to land with The correct answer.Review Information: The correct answer is B: Directly assist client to her room for appropriate apparel. NCLEX Study Tips Jul31.» Review Information: The correct answer is C: «I can>>t find my <>mesmer>> shoes. Kaplan teaches effective techniques on Question74 how to answer exam questions with ease and In a psychiatric setting. These clues might lead one to suspect that a client is having suicidal thoughts or is developing a plan. It assists the client to maintain self-esteem while modifying behavior. Question73 Which statement made by a client indicates to the nurse that the client may have a thought disorder? A) «I>m so angry about this. It>s my daughter who has the problem. Question75 A client with anorexia is hospitalized on a medical unit due to electrolyte imbalance and cardiac dysrhythmias. Eighty percent of all potential suicide victims give some type of indication that self-destructiveness should be addressed. A) Angry outbursts at significant others B) Fear of being left alone C) Giving away valued personal items D) Experiencing the loss of a boyfriend Review Information: The correct answer is C: Giving away valued personal items. Using neologisms is often associated with a thought disorder. increased metabolic rate D) excessive anxiety about symptoms Review Information: The correct answer is A: brittle hair. Physical findings associated with anorexia also include reduced metabolic rate and lower vital signs. Additional assessment findings that the nurse would expect to observe are A) brittle hair.com Kuwait . The client may interpret hugging and holding hands as sexual advances.ks21@gmail. dental erosion C) hyperthermia. Picking review courses: the best choice for review courses is Kaplan or NCSBN (National Council State Boards of Nursing). vomiting.

NCLEX Testing in the US: In order to receive a US nursing license. complete the application and meet their requirements and if they find you eligible. 0 comments Labels: how to apply for nclex-rn. fered year-round.ks21@gmail. before you can work as an RN in the USA. Some naysayers say that the NCLEX structured questions are based on lipincott.com Kuwait . Arkansas State Board of Nursing California Board of Registered Nursing *California Board of Vocational Nursing and Psychiatric Technicians The Board will supply you with an NCLEX appliColorado Board of Nursing cation which could be downlowded in their webConnecticut Board of Examiners for Nursing pages. Give yourself at least 3 months to study vary from state to state from (4-16 weeks) for the exam. nclex testing guidelines US Boards Of Nursing For NCLEX Application Here are the list of US Nursing Boards state by Each State Nursing Board has its own fee sched. You must have an ATT before you can to take the exam.state. Just relax you will do fine. Alabama Board of Nursing Alaska Board of Nursing Arizona State Board of Nursing All nurses must pass NCLEX . been approved by the Board and applied for NCLEX you References will be issued an ATT (Authorization to Test) and Lipincott is known to be the best review book for can schedule your NCLEX exam at your convinience.Processing times NCLEX. Do alot of practice testing and never sleep late before the exam day. The NCLEX exam can be scheduled anywhere NCLEX could be re-taken after 91 days from tak. to state. 0 comments Labels: nclex review. At some testing centers the appointments go Here are the guidelines on how to apply for very quickly so plan to schedule your appointment early. you will have to undergo testing also commonly known as NCLEX. preparing yourself for the exam. CGFNS. and other countries like the Philippines and Hong Kong and is ofing the first exam. state board webpage and check the guidelines on how you could apply for examination (NCLEX) CES.g. Click on them and it will link you to each ule and specific requirements (e.Never Cram The current fee to register with NCLEX is $200 and you must indicate at the time of application Cramming is never effective in preparing for the which Board you>ve chosen. After you have met the requirements. TSE) The time it takes to approve your credentials or reciprocity to practice as a registered nurse in and process your application varies from state your choice of state. TOEFL. nclex study tips How To Apply For NCLEX Testing You do not have to take the NCLEX exam in the State where you applied. Delaware Board of Nursing Collected by :DeepaRajesh [ 38 ] rajesh.in the US or it>s territories. you must pick a state.

the poison control center and emergency response team should be called. A staff member interrupts the examinations to ask for assistance. A nurse is assigned to perform well-child assessments at a day care center. withhold the drug. Two unlabeled open bottles lie nearby. The apical pulse should be taken with a stethoscope so that there will be no mistake about what the heart rate actually is.District of Columbia Board of Nursing Florida Board of Nursing Georgia Board of Nursing *Georgia State Board of Licensed Practical Nurses Hawaii Board of Nursing Idaho Board of Nursing Illinois Division of Professional Regulation Indiana State Board of Nursing Iowa Board of Nursing Kansas State Board of Nursing Kentucky Board of Nursing Louisiana State Board of Nursing *Louisiana State Board of Practical Nurse Examiners Maine State Board of Nursing Maryland Board of Nursing Massachusetts Board of Registration in Nursing Michigan CIS/Bureau of Health Professions Minnesota Board of Nursing Mississippi Board of Nursing Missouri Division of Professional Registration Montana State Board of Nursing Nebraska Department of Health and Human Services Regulation and Licensure. Nursing and Nursing Support Nevada State Board of Nursing New Hampshire Board of Nursing New Jersey Board of Nursing New Mexico Board of Nursing New York State Board of Nursing North Carolina Board of Nursing North Dakota Board of Nursing Ohio Board of Nursing Oklahoma Board of Nursing Oregon State Board of Nursing Pennsylvania State Board of Nursing Rhode Island Board of Nurse Registration and Nursing Education South Carolina Board of Nursing South Dakota Board of Nursing Tennessee State Board of Nursing Texas Board of Nurse Examiners Utah State Board of Nursing Vermont State Board of Nursing Virginia Board of Nursing Washington State Nursing Care Quality Assurance Commission West Virginia Board of Examiners for Registered Professional Nurses *West Virginia State Board of Examiners for Licensed Practical Nurses Wisconsin Department of Regulation and Licens- ing Wyoming State Board of Nursing *Some states have separate Web sites for boards of licensed practical or vocational nursing (LPN/ LVN) Free NCLEX-RN Sample Test Questions For Nursing Review (Pharmacology Set 2) Jul31.com Kuwait . Once the substance is identified. then 911 B) administer syrup of Ipecac to induce vomiting C) give the child milk to coat her stomach D) ask the staff about the contents of the bottles Review Information: The correct answer is D: ask the staff about the contents of the bottles The nurse needs to assess what the child ingested before determining the next action. If the apical heart rate is less than 60 beats/minute. They find a crying 3 year-old child on the floor with mouth wide open and gums bleeding. Collected by :DeepaRajesh [ 39 ] rajesh. Which of these assessments is most important for the nurse to perform? A) Monitor blood pressure every 4 hours B) Measure apical pulse prior to administration C) Maintain accurate intake and output records D) Record an EKG strip after administration Review Information: The correct answer is B: Measure apical pulse prior to administration Digitoxin decreases conduction velocity through the AV node and prolongs the refractory period.ks21@gmail. The nurse>s first action should be A) call the poison control center. Question2 A client with atrial fibrillation is receiving digoxin (Lanoxin).

Review Information: The correct answer is A: Buffalo hump With high doses of glucocorticoid.Question3 The nurse is administering an intravenous vesicant chemotherapeutic agent to a client. dizziness. Which of the following findings would the nurse expect? A) Buffalo hump B) Increased muscle mass C) Peripheral edema D) Jaundice A client is receiving digitalis.0 mg every 3 to 4 hours. leaving less in circulation. dry skin D) Hunger. with or without inflammation. diaphoresis Collected by :DeepaRajesh [ 40 ] rajesh. Which physiological effect should the nurse monitor for? A) Elevate blood pressure B) Drying up of secretions C) Reduce heart rate D) Enhance sedation Review Information: The correct answer is B: Drying up of secretions Atropine dries secretions which may get in the way during the operative procedure. Question6 Question4 The health care provider has written «Morphine sulfate 2 mgs IV every 3-4 hours prn for pain» on the chart of a child weighing 22 lb. Increased body fat results in greater amounts of fat-soluble drugs being absorbed. What is the nurse>s initial action? A) Check with the pharmacist B) Hold the medication and contact the provider C) Administer the prescribed dose as ordered D) Give the dose every 6-8 hours Review Information: The correct answer is B: Hold the medication and contact the provider The usual pediatric dose of morphine is 0. fatigue B) Rash. dyspnea. vomiting.com Kuwait . Question5 Question8 The nurse is assessing a client who is on long term glucocorticoid therapy. (10 kg). a intrascapular pad on the neck (buffalo hump) and truncal obesity with slender limbs. At 10 kg. The nurse should instruct the client to report which of the following side effects? A) Nausea. These agents are irritants which cause pain along the vein wall.1 mg/ kg every 3 to 4 hours. The nurse practicing in a long term care facility recognizes that elderly clients are at greater risk for drug toxicity than younger adults because of which of the following physiological changes of advancing age? A) Drugs are absorbed more readily from the GI tract B) Elders have less body water and more fat C) The elderly have more rapid hepatic metabolism D) Older people are often malnourished and anemic Review Information: The correct answer is B: Elders have less body water and more fat Because elderly persons have decreased lean body tissue/water in which to distribute medications. this child typically should receive 1. thirst.ks21@gmail. more drug remains in the circulatory system with potential for drug toxicity. edema C) Polyuria. The exaggerated physiological action causes abnormal fat distribution which results in a moon-shaped face. Which assessment would require the nurse>s immediate action? A) Stomatitis lesion in the mouth B) Severe nausea and vomiting C) Complaints of pain at site of infusion D) A rash on the client>s extremities Review Information: The correct answer is C: Complaints of pain at site of infusion A vesicant is a chemotherapeutic agent capable of causing blistering of tissues and possible tissue necrosis if there is extravasation. iatrogenic Cushing>>s syndrome develops. thus increasing the duration of action of the drug Question7 A client is ordered atropine to be administered preoperatively.

What should the nurse plan to monitor in this client? A) Urine output every 4 hours B) Blood glucose levels every 12 hours C) Neurological signs every 2 hours D) Oxygen saturation every 8 hours Review Information: The correct answer is B: Blood glucose levels every 12 hours The drug Decadron increases glycogenesis.ks21@gmail. nausea. which makes more calcium available for contractile proteins. resulting in increased cardiac output. vomiting. It is characterized by muscular rigidity. as no antidote is available Review Information: The correct answer is B: Hepatic problems may occur and may be lifethreatening Clinical manifestations associated with acetaminophen poisoning occurs in 4 stages. Question9 the parents. fatigue Side effects of digitalis toxicity include fatigue. Which of the following assessments would indicate that the treatment is effective? A) A positive Babinski>s reflex B) Increased response to motor stimuli C) A widening pulse pressure D) Temperature of 37 degrees Celsius Review Information: The correct answer is B: Increased response to motor stimuli Decadron is a corticosteroid that acts on the cell membrane to decrease inflammatory responses as well as stabilize the blood-brain barrier. Question13 Question11 A child presents to the Emergency Department with documented acetaminophen poisoning. and bradycardia. sweating. Once Decadron reaches a therapeutic level. C) Mental confusion and general weakness.Review Information: The correct answer is A: Nausea. Digitalis inhibits the sodium potassium ATPase. Question12 Question10 The nurse is caring for a client with schizophrenia who has been treated with quetiapine (Seroquel) for 1 month. In order to provide counseling and education for The provider has ordered transdermal nitroglycerin patches for a client. Today the client is increasingly agitated and complains of muscle stiffness. A client is receiving dexamethasone (Decadron) therapy. autonomic dysfunction. D) Muscle spasms and seizures. B) Decreased pulse and blood pressure. Clients who do not die in the hepatic stage gradually recover. Which of these instructions should be included when teaching a client about how to use the patches? A) Remove the patch when swimming or bathing B) Apply the patch to any non-hairy area of the body C) Apply a second patch with chest pain D) Remove the patch if ankle edema occurs Collected by :DeepaRajesh [ 41 ] rajesh. Review Information: The correct answer is A: Elevated temperature and sweating.com Kuwait . hyperthermia. Which of these findings should be reported to the health care provider? A) Elevated temperature and sweating. Neuroleptic malignant syndrome (NMS) is a rare disorder that can occur as a side effect of antipsychotic medications. which principle must the nurse understand? A) The problem occurs in stages with recovery within 12-24 hours B) Hepatic problems may occur and may be lifethreatening C) Full and rapid recovery can be expected in most children D) This poisoning is usually fatal. tachycardia. A client has been receiving dexamethasone (Decadron) for control of cerebral edema. there should be a decrease in symptomology with improvement in motor skills. and increase in CPK. altered consciousness. Therefore the blood sugar level and acetone production must be monitored. The third stage is hepatic involvement which may last up to 7 days and be permanent. This is a life-threatening complication. vomiting. anorexia. This may lead to hyperglycemia.

and the tricyclic antidepressants. and agitation. and then send a blood samdrug combinations associated with serotonin ple to the lab. nomedications that increase CNS serotonin levels tify the health care provider.Review Information: The correct answer is B: Apply the patch to any non-hairy area of the body The patch application sites should be rotated. in 1985 ferrous sulfate. she began to Question17 take her partner>s Parnate. The most common and other changes. A client with bi-polar disorder is taking lithium Wellbutrin.» C) Reduce fluid intake to minimize diuresis B) «Omit the next doses until you talk with the D) Use antacids to prevent heartburn doctor.» Review Information: The correct answer is B: D) «Your health care provider knows the best Maintain adequate daily salt intake drug for your condition. Serotonin syndrome is ministration of blood products.com Kuwait . the client reactions? A) Pulmonary edema begins to wheeze.» Question16 A client with anemia has a new prescription for Wellbutrin was introduced in the U. which can affect lithium (Lithane) levels. The size that absorption of iron is enhanced if taken drug was reintroduced in 1989 with specific recCollected by :DeepaRajesh [ 42 ] rajesh.of seizures in some patients taking the drug. taking Zoloft a few days ago because it was not helping her depression.» C) «There were problems. In teaching the client about diet and then withdrawn because of the occurrence and iron supplements. Question18 A client confides in the RN that a friend has told Question15 her the medication she takes for depression. therefore. pal. The nurse should A client with an aplastic sickle cell crisis is receivimmediately assess for which of these adverse ing a blood transfusion and begins to complain of «feeling hot.S. What is an appropriate rewhen teaching about this medication? sponse by the nurse? A) Take the medication before meals A) «Ask your friend about the source of this inB) Maintain adequate daily salt intake formation. syndrome involve the MAOIs. SSRIs. Review Information: The correct answer is C: «There were problems. What should the nurse emphasize it caused seizures.ks21@gmail. but the recommended dose is changed.» Salt intake affects fluid volume. nausea.Stop the blood infusion pitations. was taken off the market because (Lithane). increased muscle tone with twitching If a reaction of any type is suspected during admuscles. and states she stopped Ascorbic acid enhances the absorption of iron. but the recommended dose is changed.» Almost immediately. the nurse should empha. keep the line open with saline.Review Information: The correct answer is B: pression. Question14 with which substance? A) Acetaminophen B) Orange juice C) Low fat milk D) An antacid A newly admitted client has a diagnosis of de. maintaining adequate salt intake is advised. monitor vital signs by different mechanisms. stop the infusion most often reported in patients taking 2 or more immediately. She complains of “twitching muscles” Orange juice and a “racing heart”. Instead. What is the nurse>s first acB) Atrial fibrillation tion? C) Mental status changes A) Stop the blood infusion D) Muscle weakness B) Notify the health care provider C) Take/record vital signs Review Information: The correct answer is C: D) Send blood samples to lab Mental status changes Use of serotonergic agents may result in Se.Review Information: The correct answer is A: rotonin Syndrome with confusion.

The nurse is caring for a client who is receiving procainamide (Pronestyl) intravenously.ks21@gmail. alteplase (Activase tissue plasminogen activator).ommendations regarding dose ranges to limit tests. even if no cations? longer experiencing symptoms. Which statement C) Cardiac enzymes are within normal limits should be included in the information that is giv. Warn individuals with asthma about signs and symptoms resulting from complications due to aspirin ingestion. as well as renal function changes with sulfa crystals production and kernicterus. What outcome indicates the client is receiving adequate therapy within the first hours of treatment? A) Absence of a dysrhythmia (or arrhythmia) Question21 The nurse is providing education for a client with B) Blood pressure reduction newly diagnosed tuberculosis. Aspirin can also cause nasal polyps and rhinitis. the nurse will warn against the use The most important piece of information the tuof which of the following over-the-counter medi. The B) Aspirin products for pain relief numbers of acid-fast bacilli are greatly reduced C) Cough medications containing guaifenesin as early as 2 weeks after therapy begins. When applied to extensive areas.berculosis client needs is to understand the importance of medication compliance. it must be accompanied by continuous cardiac monitoring by ECG. It is important for the nurse to monitor which of the following parameters? A) Hourly urinary output B) Serum potassium levels * C) Continuous EKG readings D) Neurological signs Review Information: The correct answer is C: Continuous EKG readings Procainamide (Pronestyl) is used to suppress cardiac arrhythmias. especially effective against pseudomonas. D) Histamine blockers for gastric distress Review Information: The correct answer is B: Aspirin products for pain relief Aspirin is known to induce asthma attacks.» B) «Follow up with your primary care provider in Return of ST segment to baseline on ECG Improved perfusion should result from this medi3 months. when you are feeling fine. The nurse is monitoring a client receiving a thrombolytic agent.» with asthma.D) Return of ST segment to baseline on ECG en to the client? A) «Isolate yourself from others until you are finReview Information: The correct answer is D: ished taking your medication.com Kuwait Question23 . along with the reduction of ST segment elevation. however. Question22 Question20 The nurse is applying silver sulfadiazine (Silvadene) to a child with severe burns to arms and legs. When administered intravenously. Review Information: The correct answer is C: «Continue to take your medications even when Question19 When providing discharge teaching to a client you are feeling fine. it may cause a transient neutropenia. Which side effect should the nurse be monitoring for? A) Skin discoloration B) Hardened eschar C) Increased neutrophils D) Urine sulfa crystals Review Information: The correct answer is D: Urine sulfa crystals Silver sulfadiazine is a broad spectrum antimicrobial.» the occurrence of seizures. Clients are most A) Cortisone ointments for skin rashes infectious early in the course of therapy. for treatment of a myocardial infarction. The risk of seizure appears to be strongly associated with dose.» D) «Continue to get yearly tuberculin skin Collected by :DeepaRajesh [ 43 ] rajesh.» C) «Continue to take your medications even cation.

Philadelphia: Saunders. The nurse understands that this medication is used mainly for what purpose? A) Maintain normal blood pressure B) Prevent convulsive seizures C) Decrease the respiratory rate D) Increase uterine blood flow Review Information: The correct answer is B: Prevent convulsive seizures Magnesium sulfate is a central nervous system depressant.com Kuwait . Shannon. (2003). a nursing process approach. A. (2004).ks21@gmail.L. and Vallerand.A. She is receiving magnesium sulfate intravenously. (7th edition). Which of the following assessment findings would indicate to the nurse that the client may be having an adverse reaction to the medication? A) Headache B) Mood changes C) Hyperkalemia D) Palpitations Review Information: The correct answer is B: Mood changes The nurse should assess the client for alterations in mental status such as mood changes.L. Nurse’s drug guide.. Question27 The use of atropine for treatment of symptomatic bradycardia is contraindicated for a client with which of the following conditions? A) Urinary incontinence B) Glaucoma C) Increased intracranial pressure D) Right sided heart failure Review Information: The correct answer is B: Glaucoma Atropine is contraindicated in clients with angleclosure glaucoma because it can cause pupillary dilation with an increase in aqueous humor. Wilson. M. Pharmacology. Question26 The nurse is teaching a child and the family about the medication phenytoin (Dilantin) prescribed for seizure control. (2001). Davis Company. Deglin. and Vallerand. A) Vertigo B) Drowsiness C) Gingival hyperplasia D) Vomiting Review Information: The correct answer is C: Gingival hyperplasia Swollen and tender gums occur often with use of phenytoin. (2001). Davis Company. Davis’ drug guide for nurses.D. J. Question28 A pregnant woman is hospitalized for treatment of pregnancy induced hypertension (PIH) in the third trimester. The nurse instructs the client to discontinue the medication and contact the provider if which of the following symptoms occur? A) Infection of the gums B) Diarrhea for more than one day C) Numbness in the lower extremities D) Ringing in the ears Review Information: The correct answer is D: Ringing in the ears Aspirin stimulates the central nervous system which may result in ringing in the ears. C. and Stang. Philadelphia: F. B. (7th edition).H.Question24 The provider has ordered daily high doses of aspirin for a client with rheumatoid arthritis. Good oral hygiene and regular visits to the dentist should be emphasized. Question25 A nurse is caring for a client who is receiving methyldopa hydrochloride (Aldomet) intravenously. Deglin. Upper Saddle River. Davis’ drug guide for nurses.R..A. Philadelphia: F. J. J.T. New Jersey: Pearson Prentice Hall.A. These symptoms should be reported promptly. Key. and Hayes. While it has many systemic effects. leading to a resultant increase in optic pressure. E.D. (4th edition).H. A. Which of the following side effects is most likely to occur? Question29 The nurse is teaching a group of women in a comCollected by :DeepaRajesh [ 44 ] rajesh. it is used in the client with pregnancy induced hypertension (PIH) to prevent seizures.

X = 30. 30. Question32 A post-operative client has a prescription for acetaminophen with codeine.000 = 500 X.com Kuwait . The pharmacy sends a 1. Which of the following over-the-counter medications should the nurse recognize as having the most elemental calcium per tablet? A) Calcium chloride B) Calcium citrate C) Calcium gluconate D) Calcium carbonate Review Information: The correct answer is D: Calcium carbonate Calcium carbonate contains 400mg of elemental calcium in 1 gram of calcium carbonate. Question34 Question31 The nurse is instructing a client with moderate persistent asthma on the proper method for using MDIs (multi-dose inhalers).000 = 500 x X (or cancel). Review Information: The correct answer is B: Nausea and vomiting Nausea is a common side-effect of erythromycin in both oral and intravenous forms. The health care provider orders an IV aminophylline infusion at 30 mg/hr. Solve for X by cross-multiplying: 30 x 1. Prior to administration. These drugs should be taken first so that other medications can reach the lungs.000/500. What should the nurse recognizes as a primary effect of this com- Question35 The nurse is assessing a 7 year-old after several days of treatment for a documented strep throat. In order to administer 30 mg per hour. A client is receiving erythromycin 500mg IV every 6 hours to treat a pneumonia. Which of the The nurse is administering diltiazem (Cardizem) following is the most common side effect of the to a client.000 ml bag of D5W containing 500 mg of aminophylline. Collected by :DeepaRajesh [ 45 ] rajesh. the RN will set the infusion rate at: A) 20 ml per hour B) 30 ml per hour C) 50 ml per hour D) 60 ml per hour Review Information: The correct answer is D: 60 ml per hour Using the ratio method to calculate infusion rate: mg to be given (30) : ml to be infused (X) :: mg available (500) : ml of solution (1.000). X = 60ml per hour. bination? A) Enhanced pain relief B) Minimized side effects C) Prevention of drug tolerance D) Increased onset of action Review Information: The correct answer is A: Enhanced pain relief Combination of analgesics with different mechanisms of action can afford greater pain relief.munity clinic about prevention of osteoporosis. it is important medication? for the nurse to assess which parameter? A) Blurred vision A) Temperature B) Nausea and vomiting B) Blood pressure C) Severe headache C) Vision D) Insomnia D) Bowel sounds Question33 Question30 Review Information: The correct answer is B: Blood pressure Diltiazem (Cardizem) is a calcium channel blocker that causes systemic vasodilation resulting in decreased blood pressure. Which medication should be administered first? A) Steroid B) Anticholinergic C) Mast cell stabilizer D) Beta agonist Review Information: The correct answer is D: Beta agonist The beta-agonist drugs help to relieve bronchospasm by relaxing the smooth muscle of the airway.ks21@gmail.

» C) «Sometimes I take the pills in the morning and other times at night. Question37 In providing care for a client with pain from a sickle cell crisis. may rise in the second stage (1-3 days) after a significant overdose. tremors. The nurse would suggest a spacer to A) enhance the administration of the medication B) increase client compliance C) improve aerosol delivery in clients who are not able to coordinate the MDI D) prevent exacerbation of COPD Review Information: The correct answer is C: improve aerosol delivery in clients who are not able to coordinate the MDI Spacers improve the medication delivery in clients who are unable to coordinate the movements of administering a dose with an MDI. Normeperidine. Which assessment is critical for the nurse to make before initiating therapy A) Vital signs B) Weight C) Lung sounds D) Skin turgor Review Information: The correct answer is B: Weight Check the client>>s weight because dosage is calculated on the basis of weight. indicating cellular necrosis and liver dysfunction. through a straw and generalized seizures when it accumulates C) Add the medicine to a bottle of formula with repetitive dosing. a metabolite green of meperidine. Review Information: The correct answer is A: Which of the following interventions should be Demerol included in the teaching? Meperidine is not recommended in clients with A) Stop the medication if the stools become tarry sickle cell disease.Which of the following statements suggests that further teaching is needed? A) «Sometimes I take my medicine with fruit juice. is a central nervous system stim.ks21@gmail. Question39 An elderly client is on an anticholinergic metered dose inhaler (MDI) for chronic obstructive pulmonary disease. Question36 The nurse is caring for a 10 year-old client who will be placed on heparin therapy.» B) «My mother makes me take my medicine right after school.» Review Information: The correct answer is C: «Sometimes I take the pills in the morning and other times at night. induced seizures.D) Administer the iron with your child>s meals ease are particularly at risk for normeperidineCollected by :DeepaRajesh [ 46 ] rajesh. Question38 A 5 year-old has been rushed to the emergency room several hours after acetaminophen poisoning. Clients with sickle cell dis. Which laboratory result should receive attention by the nurse? A) Sedimentation rate B) Profile 2 C) Bilirubin D) Neutrophils Review Information: The correct answer is C: Bilirubin Bilirubin. myoclonus.» Inconsistency in taking the prescribed medication indicates more teaching is needed.» D) «I am feeling much better than I did last week. which one of the following medication orders for pain control should be questioned by the nurse? A) Demerol B) Morphine C) Methadone D) Codeine The nurse is teaching a parent how to administer oral iron supplements to a 2 year-old child. A prolonged prothrombin time may also be found.B) Give the medicine with orange juice and ulant that produces anxiety. along with liver enzymes ALT and AST.com Kuwait Question40 .

Question5 A 4 year-old child is admitted with burns on his legs and lower abdomen. a straw is preferred.» Review Information: The correct answer is C: «Erections will be possible.» Because they are a reflex reaction. When findings subside. The client asks the nurse how the injury is going to affect his sexual function. To improve bowel function. When assessing the child’s hydration status. The nurse knows that older adults are particularly at risk for dehydration because they have A) an increased need for extravascular fluid B) a decreased sensation of thirst C) an increase in diaphoresis D) higher metabolic demands Review Information: The correct answer is B: a decreased sensation of thirst The elderly have a reduction in thirst sensation causing them to consume less fluid. Question3 Free NCLEX-RN Sample Test Questions For Nursing Review (Pharmacology Set 1) Jul31.Review Information: The correct answer is B: Give the medicine with orange juice and through a straw Absorption of iron is facilitated in an environment rich in Vitamin C. Question2 A 72 year-old client is admitted for possible dehydration. the client must compete the entire course of prescribed therapy. Which of the following should the nurse emphasize? A) Scheduling follow-up blood cultures B) Completing the full course of medications C) Visiting the provider in a few weeks D) Monitoring for signs of recurrent infection Review Information: The correct answer is B: Completing the full course of medications In order for antibiotic therapy to be effective in eradicating an infection. Question4 An 82 year-old client complains of chronic constipation. erections can be stimulated by stroking the genitalia. which of the following indicates a less than adequate fluid replacement? A) Decreasing hematocrit and increasing urine volume B) Rising hematocrit and decreasing urine volume C) Falling hematocrit and decreasing urine volume D) Stable hematocrit and increasing urine volume Collected by :DeepaRajesh [ 47 ] rajesh.ks21@gmail. inability to drink fluids independently and lack of motivation. Since liquid iron preparation will stain teeth. the nurse should first suggest A) Increasing fiber intake to 20-30 grams daily B) Daily use of laxatives C) Avoidance of binding foods such as cheese and chocolate D) Monitoring a balance between activity and rest Review Information: The correct answer is A: Increasing fiber intake to 20-30 grams daily The incorporation of high fiber into the diet is an effective way to promote bowel elimination in the elderly. Other risk factors may include fear of incontinence.com Kuwait . Question1 A client has an order for antibiotic therapy after hospital treatment of a staph infection. stopping the medication early may lead to recurrence or subsequent drug resistance.» D) «Ejaculation will be normal. A male client is admitted with a spinal cord injury at level C4.» C) «Erections will be possible.» B) «Sexual functioning will not be impaired at all. The nurse would respond A) «Normal sexual function is not possible.

Question6 A client receiving chemotherapy has developed sores in his mouth. you would anticipate The unlicensed assistive personnel (UAP) reA) maintaining the current heparin dose B) increasing the heparin as it does not appear ports to the nurse that a client with cirrhosis who had a paracentesis yesterday has become more therapeutic.» B) «You need to have better oral hygiene. D) 20-50 beats/minute Review Information: The correct answer is C: 40-70 beats/minute The intrinsic rate of the AV node is within the range of 40-70 beats per minute.Review Information: The correct answer is B: Rising hematocrit and decreasing urine volume A rising hematocrit indicates a decreased total blood volume.» Question9 Review Information: The correct answer is C: «The cells in the mouth are sensitive to the chemotherapy. A) monitor the client>s clotting status B) assess upper abdomen for bruits Review Information: The correct answer is A: C) assess for flap-like tremors of the hands D) measure abdominal girth changes maintaining the current heparin dose The range for a therapeutic APTT is 1. A critiC) giving protamine sulfate as an antidote. What is the nurse’s best response? A) «It is a sign that the medication is working. If the laboratory normal range is 16-24 Question10 seconds. D) repeating the blood test 1 hour after giving cal assessment for increasing encephalopathy is heparin.» D) «This always happens with chemotherapy. after adequate urine output (>20cc/hour for 2 consecutive hours) has been established.ks21@gmail.advanced signs of encephalopathy.Review Information: The correct answer is D: tive to chemotherapy due to their high rate of cell Urine output Potassium chloride should only be administered turnover. Therefore the client is receiving a Review Information: The correct answer is C: therapeutic dose of Heparin. a finding consistent with dehydration. bosis who is on Heparin IV.» The epithelial cells in the mouth are very sensi. The nurse knows that the atrioven.com Kuwait A client is to receive 3 doses of potassium chloride 10 mEq in 100cc normal saline to infuse over 30 minutes each. Which of the following is a priority assessment to perform before giving this medication? A) Oral fluid intake B) Bowel sounds C) Grip strength D) Urine output .» C) «The cells in the mouth are sensitive to the chemotherapy. tricular (AV) node has an intrinsic rate of A) 60-100 beats/minute Question11 B) 10-30 beats/minute A client is scheduled for an intravenous pyeloC) 40-70 beats/minute Collected by :DeepaRajesh [ 48 ] rajesh.neys can result in hyperkalemia. He asks the nurse why this happened. assess for flap-like tremors of the hands A client with cirrhosis of the liver who develops subtle changes in mental status and has a musty Question8 A client is admitted with a diagnosis of nodal odor to the breath is at risk for developing more bigeminy. lethargic and has musty smelling breath.5-2 times the control. The latest APTT is 50 seconds. Impaired ability to excrete potassium via the kidQuestion7 You are caring for a client with deep vein throm.

. and bicarbonate level is low. which of the following client reactions should be reported immediately? A) Feeling warm B) Face flushing C) Salty taste D) Hives Review Information: The correct answer is D: Hives This is a sign of anaphylaxis and should be reported immediately. The nurse knows that due to age-related changes. Question15 A client in respiratory distress is admitted with arterial blood gas results of: PH 7. Question13 The nurse is caring for clients over the age of 70. The other reactions are considered normal and the client should be informed that they may occur. Question16 A client is diagnosed with gastroesophageal reflux disease (GERD). A woman with a 28 week pregnancy is on the way to the emergency department by ambulance with a tentative diagnosis of abruptio placenta.ks21@gmail. How should the nurse instruct the client to breathe in the medication? A) As quickly as possible B) As slowly as possible C) Deeply for 3-4 seconds D) Until hearing whistling by the spacer Review Information: The correct answer is C: Deeply for 3-4 seconds The client should be instructed to breath in the medication for 3-4 seconds in order to receive the correct dosage of medication. PCO2 34. After the contrast material is injected. This action will minimize complications. the diet of the elderly should include a lower quantity and higher quality of food. Other agents which should also be decreased or avoided are: cigarette smoking. The nurse>s instruction to the client regarding diet should be to A) avoid all raw fruits and vegetables B) increase intake of milk products C) decrease intake of fatty foods D) focus on 3 average size meals a day Review Information: The correct answer is C: decrease intake of fatty foods GERD may be aggravated by a fatty diet. Fewer carbohydrates and fats are required in their diets. The nurse determines that the client is in A) metabolic acidosis B) metabolic alkalosis C) respiratory acidosis D) respiratory alkalosis Review Information: The correct answer is A: metabolic acidosis These lab values indicate metabolic acidosis: the PH is low.gram (IVP). PCO2 is normal.30. and HCO3 19. PO2 58. alcoCollected by :DeepaRajesh [ 49 ] rajesh. the elderly clients tolerate diets that are A) high protein B) high carbohydrates C) low fat D) high calories Review Information: The correct answer is C: low fat Due to age related changes. Question12 A client is prescribed an inhaler. A diet low in fat would decrease the symptoms of GERD.com Kuwait Question14 . caffeine. Which should the nurse do first when the woman arrives? A) administer oxygen by mask at 100% B) start a second IV with an 18 gauge cannula C) check fetal heart rate every 15 minutes D) insert urethral catheter with hourly urine outputs Review Information: The correct answer is A: administer oxygen by mask at 100% Administering oxygen in this situation would increase the circulating oxygen in the mother’s circulation to the fetus’s circulation.

hol, chocolate, and meperidine (Demerol).

months D) The client>s risk for cardiac complications Review Information: The correct answer is C: The average blood glucose for the past 2-3 months By testing the portion of the hemoglobin that absorbs glucose, it is possible to determine the average blood glucose over the life span of the red cell, 120 days.

Question17

After surgery, a client with a nasogastric tube complains of nausea. What action would the nurse take? A) Call the health care provider B) Administer an antiemetic C) Put the bed in Fowler’s position D) Check the patency of the tube Review Information: The correct answer is D: Check the patency of the tube An indication that the nasogastric tube is obstructed is a client’s complaint of nausea. Nasogastric tubes may become obstructed with mucus or sediment.

Question20

Question18

A client is admitted for a possible pacemaker insertion. What is the intrinsic rate of the heart>s own pacemaker? A) 30-50 beats/minute B) 60-100 beats/minute C) 20-60 beats/minute D) 90-100 beats/minute Review Information: The correct answer is B: 60-100 beats/minute This is the intrinsic rate of the SA node.

A client with testicular cancer has had an orchiectomy. Prior to discharge the client expresses his fears related to his prognosis. Which principle should the nurse base the response on? A) Testicular cancer has a cure rate of 90% with early diagnosis B) Testicular cancer has a cure rate of 50% with early diagnosis C) Intensive chemotherapy is the treatment of choice D) Testicular cancer is usually fatal Review Information: The correct answer is A: Testicular cancer has a cure rate of 90% with early diagnosis With aggressive treatment and early detection/ diagnosis the cure rate is 90%.

Question21

The nurse discusses nutrition with a pregnant woman who is iron deficient and follows a vegetarian diet. The selection of which foods indicates the woman has learned sources of iron? A) Cereal and dried fruits B) Whole grains and yellow vegetables C) Leafy green vegetables and oranges D) Fish and dairy products Review Information: The correct answer is A: Cereal and dried fruits Both of these foods would be a good source of iron.

Question19

A client newly diagnosed with Type I Diabetes Mellitus asks the purpose of the test measuring glycosylated hemoglobin. The nurse should explain that the purpose of this test is to determine: A) The presence of anemia often associated with Diabetes B) The oxygen carrying capacity of the client>s red cells C) The average blood glucose for the past 2-3

Question22

Prior to administering Alteplase (TPA) to a client admitted for a cerebral vascular accident (CVA), it is critical that the nurse assess: A) Neuro signs B) Mental status C) Blood pressure D) PT/PTT Review Information: The correct answer is D:
Collected by :DeepaRajesh [ 50 ]
rajesh.ks21@gmail.com Kuwait

PT/PTT TPA is a potent thrombolytic enzyme. Because bleeding is the most common side effect, it is most essential to evaluate clotting studies including PT, PTT, APTT, platelets, and hematocrit before beginning therapy.

of your decision.»

Review Information: The correct answer is C: «You have the right to change your mind. You seem anxious. Can we talk about it?» This response indicates acknowledgment of the client’s rights and the opportunity for the client Question23 The nurse enters the room of a client diagnosed to clarify and ventilate concerns. After this, if the with COPD. The client’s skin is pink, and respi- client continues to refuse, the provider should be rations are 8 per minute. The client’s oxygen is notified. running at 6 liters per minute. What should be the nurse’s first action? Question26 A) Call the health care provider A nurse who has been named in a lawsuit can B) Put the client in Fowler’s position use which of these factors for the best protection C) Lower the oxygen rate in a court of law? D) Take the vital signs A) Clinical specialty certification in the associated area of practice Review Information: The correct answer is C: B) Documentation on the specific client record Lower the oxygen rate with a focus on the nursing process In client’s diagnosed with COPD, the drive to C) Yearly evaluations and proficiency reports breathe is hypoxia. If oxygen is delivered at too prepared by nurse’s manager high of a concentration, this drive will be elimi- D) Verification of provider>s orders for the plan nated and the client’s depth and rate of respi- of care with identification of outcomes rations will decrease. Therefore the first action should be to lower the oxygen rate. Review Information: The correct answer is B: Documentation on the specific client record with Question24 The client with goiter is treated with potassium a focus on the nursing process iodide preoperatively. What should the nurse Documentation is the key to protect nurses when a lawsuit is filed. The thorough documentation recognize as the purpose of this medication? should include all steps of the nursing process – A) Reduce vascularity of the thyroid assessment, analysis, plan, intervention, evaluB) Correct chronic hyperthyroidism ation. In addition, it should include pertinent data C) Destroy the thyroid gland function such as times, dosages and sites of actions, D) Balance enzymes and electrolytes assessment data, the nurse’s response to a Review Information: The correct answer is A: change in the client’s condition, specific actions taken, if and when the notification occurred to Reduce vascularity of the thyroid Potassium iodide solution, or Lugol>>s solution the provider or other health care team members, may be used preoperatively to reduce the size and what was prescribed along with the client’s outcomes. and vascularity of the thyroid gland. The nurse is caring for clients over the age of 70. One hour before the first treatment is scheduled, The nurse is aware that when giving medications the client becomes anxious and states he does to older clients, it is best to not wish to go through with electroconvulsive A) start low, go slow therapy. Which response by the nurse is most B) avoid stopping a medication entirely C) avoid drugs with side effects that impact cogappropriate? A) «I’ll go with you and will be there with you dur- nition D) review the drug regimen yearly ing the treatment.» B) «You’ll be asleep and won’t remember anyReview Information: The correct answer is A: thing.» C) «You have the right to change your mind. You start low, go slow Due to physiological changes in the elderly, as seem anxious. Can we talk about it?» D) «I’ll call the health care provider to notify them well as conditions such as dehydration, hyper-

Question25

Question27

Collected by :DeepaRajesh [ 51 ]
rajesh.ks21@gmail.com Kuwait

thermia, immobility and liver disease, the effective metabolism of drugs may decrease. As a result, drugs can accumulate to toxic levels and cause serious adverse reactions.

Question31

Question28

You are caring for a hypertensive client with a new order for captopril (Capoten). Which information should the nurse include in client teaching? A) Avoid green leafy vegetables B) Restrict fluids to 1000cc/day C) Avoid the use of salt substitutes D) Take the medication with meals Review Information: The correct answer is C: Avoid the use of salt substitutes Captopril can cause an accumulation of potassium or hyperkalemia. Clients should avoid the use of salt substitutes, which are generally potassium-based.

Which of these clients should the charge nurse assign to the registered nurse (RN)? A) A 56 year-old with atrial fibrillation receiving digoxin B) A 60 year-old client with COPD on oxygen at 2 L/min C) A 24 year-old post-op client with type 1 diabetes in the process of discharge D) An 80 year-old client recovering 24 hours post right hip replacement Review Information: The correct answer is C: A 24 year-old post-op client with type 1 diabetes in the process of discharge Discharge teaching must be done by an RN. Practical nurses (PNs) or unlicensed assistive personnel (UAPs) can reinforce education after the RN does the initial teaching.

Question29

Question32

A client has bilateral knee pain from osteoarthritis. In addition to taking the prescribed non-steroidal anti-inflammatory drug (NSAID), the nurse should instruct the client to A) start a regular exercise program B) rest the knees as much as possible to decrease inflammation C) avoid foods high in citric acid D) keep the legs elevated when sitting

A hypertensive client is started on atenolol (Tenormin). The nurse instructs the client to immediately report which of these findings? A) Rapid breathing B) Slow, bounding pulse C) Jaundiced sclera D) Weight gain

Review Information: The correct answer is B: Slow, bounding pulse Atenolol (Tenormin) is a beta-blocker that can Review Information: The correct answer is A: cause side effects including bradycardia and hypotension. start a regular exercise program A regular exercise program is beneficial in treat- Question33 ing osteoarthritis. It can restore self-esteem and An 80 year-old client is admitted with a diagnosis improve physical functioning. of malnutrition. In addition to physical assessments, which of the following lab tests should be Question30 An arterial blood gases test (ABG) is ordered closely monitored? for a confused client. The respiratory therapist A) Urine protein draws the blood and then asks the nurse to apply B) Urine creatinine pressure to the area so the therapist can take the C) Serum calcium specimen to the lab. How long should the nurse D) Serum albumin apply pressure to the area? Review Information: The correct answer is D: A) 3 minutes Serum albumin B) 5 minutes Serum albumin is a valuable indicator of protein C) 8 minutes deficiency and, later, nutritional status in adults. D) 10 minutes A normal reading for an elder’s serum albumin is Review Information: The correct answer is B: between 3.0-5.0 g/dl. 5 minutes Question34 It is necessary to apply pressure to the area for Upon admission to an intensive care unit, a client 5 minutes to prevent bleeding and the formation diagnosed with an acute myocardial infarction is of hematomas. ordered oxygen. The nurse knows that the major
Collected by :DeepaRajesh [ 52 ]
rajesh.ks21@gmail.com Kuwait

reason that oxygen is administered in this situation is to A) saturate the red blood cells B) relieve dyspnea C) decrease cyanosis D) increase oxygen level in the myocardium Review Information: The correct answer is D: increase oxygen level in the myocardium Anoxia of the myocardium occurs in myocardial infarction. Oxygen administration will help relieve dyspnea and cyanosis associated with the condition but the major purpose is to increase the oxygen concentration in the damaged myocardial tissue.

Question35

During nursing rounds which of these assessments would require immediate corrective action and further instruction to the practical nurse (PN) about proper care? A) The weights of the skin traction of a client are hanging about 2 inches from the floor B) A client with a hip prosthesis 1 day post operatively is lying in bed with internal rotation and adduction of the affected leg C) The nurse observes that the PN moves the extremity of a client with an external fixation device by picking up the frame D) A client with skeletal traction states «The other nurse said that the clear, yellow and crusty drainage around the pin site is a good sign» Review Information: The correct answer is B: A client with a hip prosthesis 1 day post operatively is lying in bed with internal rotation and adduction of the affected leg This position should be prevented in order to prevent dislodgment of the hip prosthesis, especially in the first 48 to 72 hours post-op. The other assessments are not of concern.

The nurse is teaching a client with chronic renal failure (CRF) about medications. The client questions the purpose of aluminum hydroxide (Amphojel) in her medication regimen. What is the best explanation for the nurse to give the client about the therapeutic effects of this medication? A) It decreases serum phosphate B) It will reduce serum calcium C) Amphojel increases urine output D) The drug is taken to control gastric acid secretion Review Information: The correct answer is A: It decreases serum phosphate Aluminum binds phosphates that tend to accumulate in the patient with chronic renal failure due to decreased filtration capacity of the kidney. Antacids such as Amphojel are commonly used to accomplish this.

Question38

A client diagnosed with gouty arthritis is admitted with severe pain and edema in the right foot. When the nurse develops a plan of care, which intervention should be included? A) high protein diet B) salicylates C) hot compresses to affected joints D) intake of at least 3000cc/day Review Information: The correct answer is D: intake of at least 3000cc/day Fluid intake should be increased to prevent precipitation of urate in the kidneys.

Question36

A 66 year-old client is admitted for mitral valve replacement surgery. The client has a history of mitral valve regurgitation and mitral stenosis since her teenage years. During the admission assessment, the nurse should ask the client if as a child she had A) measles B) rheumatic fever C) hay fever D) encephalitis

Question39

Review Information: The correct answer is B: rheumatic fever Clients that present with mitral stenosis often Review Information: The correct answer is C: have a history of rheumatic fever or bacterial en- Test her stools for occult blood docarditis. Both Prednisone and ASA can lead to GI bleeding, therefore monitoring for occult blood would Question37
Collected by :DeepaRajesh [ 53 ]
rajesh.ks21@gmail.com Kuwait

A 55 year-old woman is taking Prednisone and aspirin (ASA) as part of her treatment for rheumatoid arthritis. Which of the following would be an appropriate intervention for the nurse? A) Assess the pulse rate q 4 hours B) Monitor her level of consciousness q shift C) Test her stools for occult blood D) Discuss fiber in the diet to prevent constipation

In the event that this restricted movement could cause more harm. Which action is a D) Administer opioid narcotics as ordered nursing priority? Review Information: The correct answer is B: A) Protect the eyes of the neonate from the heat Ensure that the stump is elevated the first day lamp B) Monitor the neonate’s temperature post-op This priority intervention prevents pressure C) Warm all medications and liquids before givcaused by pooling of blood. The use of heat lamps is not safe as there is no way to regulate their temperature. below the knee amputation. These right orchiectomy. then a sitter should be requested.D) Avoid touching the neonate with cold hands age. opioid narcotics. Opioid narcotics are given for severe pain.com Kuwait . such as asQuestion40 A client with testicular cancer is scheduled for a piration. How can the nurse prevent aspiration? A) Suction the client frequently while restrained B) Secure all 4 restraints to 1 side of bed C) Obtain a sitter for the client while restrained D) Request an order for a cough suppressant Review Information: The correct answer is C: Obtain a sitter for the client while restrained The plan to use safety devices (restraints) should be rethought. Without this measure. but is confused. The nurse knows that an or. D) partial surgical removal of the penis Review Information: The correct answer is B: surgical removal of a testicle The affected testicle is surgically removed along with its tunica and spermatic cord. While touching with cold hands can startle the infant it does not pose a safety risk. B) surgical removal of a testicle Cough suppressants should be avoided for this C) dissection of related lymph nodes client. thus minimizing the ing pain. Safety protective devices (restraints) have been ordered for this client. getting out of bed. A) Conduct guided imagery or distraction B) Ensure that the stump is elevated the first day Question4 A newborn is having difficulty maintaining a tempost-op C) Wrap the stump snugly in an elastic bandage perature above 98 degrees Fahrenheit and has been placed in an incubator. The woman reports a regular 32 day cycle. Review Information: The correct answer is D: Days 17-19 Question1 Ovulation occurs 14 days prior to menses. Which action by the subtracting 14 from 32 suggests ovulation is at nurse is most appropriate initially? about the 18th day. Warming medications and fluids is not indicated. Question3 Question2 A 78 year-old client with pneumonia has a productive cough.are to be provided by the facility in the event the family cannot do so.B) Days 10-13 C) Days 14-16 tions For Nursing Review (Part 5) D) Days 17-19 Jul31. SuctionA) surgical removal of the entire scrotum ing will not prevent aspiration in this situation. ConA client complains of some discomfort after a sidering that the woman>>s cycle is 32 days.be appropriate. This client needs to cough chiectomy is the and be watched rather than restricted.ks21@gmail. Restraints are used to protect the client from harm caused by removing tubes or Question5 Which oxygen delivery system would the nurse apply that would provide the highest concentrations of oxygen to the client? A) Venturi mask B) Partial rebreather mask C) Non-rebreather mask Collected by :DeepaRajesh [ 54 ] rajesh. or guided imagery will have little effect. Review Information: The correct answer is B: Monitor the neonate’s temperature When using a warming device the neonate’s temperature should be continuously monitored for undesired elevations. Which response by the nurse is correct? A) Days 7-10 Free NCLEX-RN Sample Test Ques. A couple trying to conceive asks the nurse when ovulation occurs. a firm elastic band.

ks21@gmail.ly weeping.» The nurse is caring for a 1 year-old child who has 6 teeth. When a tight seal is achieved around the mask up to 100% of the oxygen is available. Clients who do not D) 3 year-old with scarlet fever feel pressure and/or pain are at high risk for skin impairment.Prolonged rupture of membranes ing over a period of time.com Kuwait Question9 .» B) «Sometimes when I put my shoes on I don>t know where my toes are.C) 45 year-old with pneumonia tion in the lower extremities. a nurse should implement contact precautions for which Review Information: The correct answer is B: client? «Sometimes when I put my shoes on I don>>t A) 60 year-old with herpes simplex know where my toes are. The bleeding should also be documented in the nurse’s notes.D) Simple face mask Review Information: The correct answer is C: Non-rebreather mask The non-rebreather mask has a one-way valve that prevents exhales air from entering the reservoir bag and one or more valves covering the air holes on the face mask itself to prevent inhalation of room air but to allow exhalation of air. Which statement by the client during the conversation is most predictive of a potential for impaired skin integrity? A) «I give my insulin to myself in my thighs. There is a small blood. expected with this type of surgery. including hand or skin-to-skin contact. potentialstain on the cast. A) Call the health care provider B) Access the site by cutting a window in the cast Question10 C) Simply record the findings in the nurse>s Which of the following situations is most likely to notes only produce sepsis in the neonate? D) Outline the spot with a pencil and note the A) Maternal diabetes time and date on the cast B) Prolonged rupture of membranes C) Cesarean delivery Review Information: The correct answer is D: D) Precipitous vaginal birth Outline the spot with a pencil and note the time and date on the cast Review Information: The correct answer is B: This is a good way to assess the amount of bleed. The bleeding does not Premature rupture of the membranes (PROM) is appear to be excessive and some bleeding is a leading cause of newborn sepsis. Four hours later. After 12-24 Collected by :DeepaRajesh [ 55 ] rajesh. Review Information: The correct answer is A: 60 year-old with herpes simplex Clients who have herpes simplex infections must Question7 A client returns from surgery after an open reduc. Contact precautions are serves that the stain has doubled in size.» D) «If I bathe more than once a week my skin feels too dry. What is the best way for the nurse to give mouth care to this child? A) Using a moist soft brush or cloth to clean teeth and gums B) Swabbing teeth and gums with flavored mouthwash C) Offering a bottle of water for the child to drink D) Brushing with toothpaste and flossing each tooth Review Information: The correct answer is A: Using a moist soft brush or cloth to clean teeth and gums The nurse should use a soft cloth or soft brush to do mouth care so that the child can adjust to the routine of cleaning the mouth and teeth. skin lesions.» B) 6 year-old with mononucleosis Peripheral neuropathy can lead to lack of sensa.precautions because of the associated. the nurse ob. What is used for clients who are infected by microorganisms that are transmitted by direct contact with the best action for the nurse to take? the client. In addition to standard precautions.have contact precautions in addition to standard tion of a femur fracture.» C) «Here are my up and down glucose readings that I wrote on my calendar. Question8 Question6 At a senior citizens meeting a nurse talks with a client who has Type 1 diabetes mellitus.

8 degrees Fahrenheit following DPT immunization. During the procedure. There is no reason to withhold feedings. measures are taken to reduce the risk to mother and the fetus/newborn. supine position Review Information: The correct answer is C: fastening clean tracheostomy ties before removing old ties Fastening clean tracheostomy ties before removing old ones will ensure that the tracheostomy is secured during the entire cleaning procedure.Remove the child>>s toys from the immediate area therapy lights Nursing care for a child having a seizure includes. The neonate’s skin is exposed to the light and the temperature is monitored. B) Administer IV medication to slow down the Which safety measure is most important during seizure C) Place a padded tongue blade in the child>s this process? A) Regulate the neonate’s temperature using a mouth D) Remove the child>s toys from the immediate radiant heater B) Withhold feedings while under the photother. Question14 Question12 The nurse is at the community center speaking with retired people about glaucoma. temperature over 104. but since the blanket is used. This negative outcome could have avoided by A) placing an obturator at the client’s bedside B) having another nurse assist with the procedure C) fastening clean tracheostomy ties before removing old ties D) placing the client in a flat.A) Place the child in the nearest bed dergoing phototherapy with a fiberoptic blanket. and tender.ks21@gmail.» Review Information: The correct answer is D: «I take extra fiber and drink lots of water to avoid getting constipated. Question11 The nurse is teaching a parent about side effects of routine immunizations.» B) «I take half of the usual dose for my sinuses to maintain my blood pressure. It is recommended that the neonate remain under the lights for extended periods. swollen. which one should the nurse do first? Question13 A newborn has hyperbilirubinemia and is un. Review Information: The correct answer is C: maintaining airway patency. extra protection of the eyes is unnecessary. but a heater may not be necessary. Changing the position may not prevent a dislodged tracheostomy.com Kuwait Question15 .» C) «I have to sit at the side of the pool with the grandchildren since I can>t swim with this eye problem. Of the following nursing actions.» D) «I take extra fiber and drink lots of water to avoid getting constipated.hours of leaking fluid. The obturator is useful to keep the airway open only after the tracheostomy outer tube is coughed out. the client coughs and displaces the tracheostomy tube. ensuring safety.» Any activity that involves straining should be avoided in clients with glaucoma. adCollected by :DeepaRajesh [ 56 ] rajesh. Frequent water or feedings are given to help with the excretion of the bilirubin in the stool. Provide water feedings at least every 2 hours Protecting the eyes of the neonates is very important to prevent damage when under the ultraviolet lights. reddened areas. Which comment by one of the retirees would the nurse support to reinforce correct information? A) «I usually avoid driving at night since lights sometimes seem to make things blur. Which of the following must be reported immediately? A) Irritability B) Slight edema at site C) Local tenderness D) Seizure activity Review Information: The correct answer is D: Seizure activity Other reactions that should be reported include crying for >3 hours. A second nurse is not needed. A 4 year-old hospitalized child begins to have a seizure while playing with hard plastic toys in the hallway.area apy C) Provide water feedings at least every 2 hours Review Information: The correct answer is D: D) Protect the eyes of neonate from the photo. Such activities would increase intraocular pressure. A nurse is performing the routine daily cleaning of a tracheostomy.

In this situait. and easily removed evaluated. D) Peripheral glucose stick Review Information: The correct answer is C: Pulse oximetry A sudden change in mental status in any postop client should trigger a nursing intervention directed toward respiratory evaluation. and loss of consciousness.com Kuwait . Review Information: The correct answer is C: agitation. The nurse the risk of rebleeding. Question20 Which contraindication should the nurse assess Question18 A client who is 12 hour post-op becomes con.” Which assessment is nec.out then significant changes in glucose would be cretions thin. Adequate systemic hydra. irritability. confusion.ks21@gmail. the client should not be disturbed. When family vis. To minimize tion. Of the choices given. The most able. arterial blood gases would be better. topics of a general nature are better to increase its temperature to at least 97 degrees choices for discussion than topics that result in Fahrenheit (36 degrees Celsius). and providing emotional support.B) Chronic asthma essary to adequately identify the source of this C) Depressed immune system D) Allergy to eggs client>s behavior? A) Cardiac rhythm strip Review Information: The correct answer is C: B) Pupillary response Depressed immune system C) Pulse oximetry Collected by :DeepaRajesh [ 57 ] rajesh. nothing should be forced into the child>>s mouth and the child should not be moved. dyspnea. humidified air and increased oral fluids The most important aspects of home care for a While there may be other factors influencing the child with acute spasmodic croup are humidified client>>s behavior. If the client tion.Once respiratory or oxygenation issues are ruled tion aids is mucociliary clearance and keeps se. emotional or physiological stimulation.stances needs careful monitoring. Since the seizure has already started. disorientation. Question19 A newborn delivered at home without a birth atQuestion17 The nurse is assigned to care for a client who tendant is admitted to the hospital for observahas a leaking intracranial aneurysm. Moisture soothes be directed toward maintaining oxygenation. Clinical findings of hypoxemia inC) humidified air and increased oral fluids D) antihistamines to decrease allergic response clude these finding which are listed in order of initial to later findings: restlessness. Acute respiratory failure is the sudden inability of the important aspects of this care is/are respiratory system to maintain adequate gas A) sedation as needed to prevent exhaustion exchange which may result in hypercapnia and/ B) antibiotic therapy for 10 to 14 days or hypoxemia. delirium. the first nursing action should air and increased oral fluids. hallucinations. If availof a child with acute spasmodic croup.ministering medications. Pulse Question16 The nurse is teaching home care to the parents oximetry would be the initial assessment. the first priority would be to provide a safe environment.for prior to giving a child immunizations? fused and says: “Giant sharks are swimming A) Mild cold symptoms across the ceiling. the newborn must be warmed immediately is awake. watery. The baby delivered in such circumminimizing cerebral rebleeding. white. inflamed membranes. The initial temperature is 95 degrees Fahrenheit (35 degrees Celsius) axillary. the nurse should plan to recognizes that cold stress may lead to what A) restrict visitors to immediate family B) avoid arousal of the client except for family complication? A) Lowered BMR visits C) keep client>s hips flexed at no less than 90 B) Reduced PaO2 C) Lethargy degrees D) apply a warming blanket for temperatures of D) Metabolic alkalosis 98 degrees Fahrenheit or less Review Information: The correct answer is B: Review Information: The correct answer is A: Reduced PaO2 Cold stress causes increased risk for respirarestrict visitors to immediate family Maintaining a quiet environment will assist in tory distress. with minimal coughing.

and not eating before bedtime. dizziness. Which finding requires the nurse>s immediate action? A) Periorbital edema B) Dizzy spells C) Lethargy D) Shortness of breath Review Information: The correct answer is B: Dizzy spells Cardiac dysrhythmias may cause a transient drop in cardiac output and decreased blood flow to the brain. A new nurse manager is responsible for interviewing applicants for a staff nurse position. Question23 Which interview strategy would be the best apIncluded in teaching the client with tuberculo. Question24 A woman in her third trimester complains of severe heartburn. Such «spells» may indicate runs of ventricular tachycardia or periods of asystole and should be reported immediately.Obtain an interview guide from human resources Collected by :DeepaRajesh [ 58 ] rajesh.Question26 ties. eating small meals. This side effect is age-related and can be derelated to HIV or chemotherapy should not be tected with regular assessment of liver enzymes. Decentralized staffing takes into consideration specific client needs and staff interests and abili. the nurse should emphasize that a labora. given routine immunizations.com Kuwait . In discussing his care with the parents. Near syncope refers to lightheartedness. It is best relieved by sleeping position. Question21 The nurse is caring for a client with a myocardial infarction. A chief advantage of this management strategy is that it: A) considers client and staff needs B) conserves time spent on planning C) frees the nurse manager to handle other priorities D) allows requests for special privileges A 16 year-old boy is admitted for Ewing>s sarcoma of the tibia. the nurse understands that the initial treatment most often includes A) amputation just above the tumor B) surgical excision of the mass C) bone marrow graft in the affected leg D) radiation and chemotherapy Review Information: The correct answer is D: radiation and chemotherapy The initial treatment of choice for Ewing>>s sarReview Information: The correct answer is A: coma is a combination of radiation and chemoconsiders client and staff needs therapy.learn different techniques tory appointment for which of the following lab B) Use simple questions requiring «yes» and tests is critical? «no» answers to gain definitive information A) Liver function C) Obtain an interview guide from human resources for consistency in interviewing each B) Kidney function candidate C) Blood sugar D) Cardiac enzymes D) Ask personal information of each applicant to assure he/she can meet job demands Review Information: The correct answer is A: Liver function Review Information: The correct answer is C: INH can cause hepatocellular injury and hepati. temporary confusion. Question25 Question22 Decentralized scheduling is used on a nursing unit.Children who have a depressed immune system tis.ks21@gmail. which are released into the blood from damaged liver cells. What is appropriate teaching by the nurse to help the woman alleviate these symptoms? A) Drink small amounts of liquids frequently B) Eat the evening meal just before retiring C) Take sodium bicarbonate after each meal D) Sleep with head propped on several pillows Review Information: The correct answer is D: Sleep with head propped on several pillows Heartburn is a burning sensation caused by regurgitation of gastric contents.proach? sis taking isoniazid (INH) about follow-up home A) Vary the interview style for each candidate to care.

When oral feedings Nephrotoxicity begin. and HR can identify these for novice managers. The what they are told. which of these items should the nurse idenA) Set good examples themselves tify as related to the client’s greatest risk factors B) Protect their child from outside influences for osteoporosis? C) Make sure their child understands all the A) History of menopause at age 50 safety rules B) Taking high doses of steroids for arthritis for D) Discuss the consequences of not wearing many years protective devices C) Maintaining an inactive lifestyle for the past 10 years Review Information: The correct answer is A: D) Drinking 2 glasses of red wine each day for Set good examples themselves the past 30 years The preschool years are the time for parents to begin emphasizing safety principles as well as Review Information: The correct answer is providing protection.factor. as do low bone mass. the high glucose levels which D) Ototoxicity crossed the placenta to the fetus are suddenly stopped. The nurse should be D) Reduced glycogen reserves alert for which of the following side effects? A) Neurotoxicity Review Information: The correct answer is A: B) Hepatomegaly Disruption of fetal glucose supply C) Nephrotoxicity After delivery. C) oliguria D) neck veins are distended Review Information: The correct answer is C: oliguria Kidneys maintain fluid volume through adjustments in urine volume.for consistency in interviewing each candidate An interview guide used for each candidate enables the nurse manager to be more objective in the decision making. for lead poisoning. calcium disodium C) Maternal insulin dependency edetate. increases the risk for osteoporosis. The nurse should use resources available in the agency before attempts to develop one from scratch. What is the nurse’s best response to the parents? A) «Your child must use a care seat until he Collected by :DeepaRajesh [ 59 ] rajesh.Review Information: The correct answer is C: lin in anticipation of glucose. LongQuestion28 A nurse assessing the newborn of a mother with term steroid treatment is the most significant risk diabetes understands that hypoglycemia is re. the newborn will adjust insulin production Nephrotoxicity is a common side effect of calciwithin a day or two.The use of steroids. however. other options also predispose to osteoporosis. Setting a good example B: Taking high doses of steroids for arthritis for themselves is crucial because of the imitative many years behaviors of pre-schoolers. um disodium edetate. especially at high doses over tice discrepancies between what they see and time. Question30 Question29 The nurse is caring for a client with extracellular fluid volume deficit.com Kuwait . Certain personal questions are prohibited. Question27 A 70 year-old woman is evaluated in the emerWhat is the best way that parents of pre-school. poor calcium absorption and moderate to high alcohol ingestion. During the process of taking client hisprevention? tory.gency department for a wrist fracture of unknown ers can begin teaching their child about injury causes. in addition to lead poisoning in general.ks21@gmail. they are quick to no. Which of the following assessments would the nurse anticipate finding? A) bounding pulse B) rapid respirations Question32 The parents of a toddler ask the nurse how long their child will have to sit in a car seat while in the automobile. The newborn continues to secrete insu. lated to what pathophysiological process? Question31 A) Disruption of fetal glucose supply The nurse is caring for a 2 year-old who is being B) Pancreatic insufficiency treated with chelation therapy.

» C) «Your child must reach a height of 50 inches to sit in a seat belt.C) Client reports prickling sensation in the right tion hand D) Slight swelling of fingers of right hand Information: The correct answer is D: Perform a neurovascular check for circulation Review Information: The correct answer is While each of these is an important assessment. sell’s traction for 24 hours. The nurse is performing a gestational age assessment on a newborn delivered 2 hours ago. Question35 When suctioning a client>s tracheostomy. Other physical characteristics that estimate gestational age.weighs at least 40 pounds. The D) remove a mucus plug nurse would anticipate the provider ordering A) pulmonary embolectomy B) vena caval interruption Collected by :DeepaRajesh [ 60 ] rajesh. C: Client reports prickling sensation in the right the neurovascular integrity check is most associ.» B) «The child must be 5 years of age to use a regular seat belt.ks21@gmail. such as amount of lanugo. ment syndrome and requires immediate action by the nurse. the Question38 nurse should instill saline in order to A client is admitted with the diagnosis of pulmoA) decrease the client>s discomfort nary embolism.hand ated with this type of traction. When coming to a conclusion using the Ballard scale.» Review Information: The correct answer is A: «Your child must use a care seat until he weighs at least 40 pounds. Russell’s traction A prickling sensation is an indication of compartis Buck’s traction with a sling under the knee.» Children should use car seats until they weigh 40 pounds. A nurse is caring for a client who had a closed Question34 reduction of a fractured right wrist followed by A client with a fractured femur has been in Rus. Question36 Question33 A client asks the nurse to explain the basic ideas of homeopathic medicine.com Kuwait Question37 . sole creases and ear cartilage are unaffected by the other factors. mineral or animal substances which provide a gentle stimulus to the body>>s own defenses.» D) «The child can use a regular seat belt when he can sit still. The other findings are normal for a client in this situation. The response that best explains this approach is that such remedies A) destroy organisms causing disease B) maintain fluid balance C) boost the immune system D) increase bodily energy Review Information: The correct answer is C: boost the immune system The practitioner treats with minute doses of plant. saline may thin and loosen viscous secretions that are very difficult to move. the client B) reduce viscosity of secretions tells the nurse he was admitted for the same thing C) prevent client aspiration twice before. While taking a history. perhaps making them easier to suction. Which nursing action Which finding requires the nurse’s immediate atis associated with this therapy? tention? A) Check the skin on the sacrum for breakdown A) Capillary refill of fingers on right hand is 3 secB) Inspect the pin site for signs of infection onds C) Auscultate the lungs for atelectasis B) Skin warm to touch and normally colored D) Perform a neurovascular check for circula. Review Information: The correct answer is D: remove a mucus plug While no longer recommended for routine suctioning. the last time just 3 months ago.the application of a fiberglass cast 12 hours ago. which of these factors may affect the score? A) Birth weight B) Racial differences C) Fetal distress in labor D) Birth trauma Review Information: The correct answer is C: Fetal distress in labor The effects of earlier distress may alter the findings of reflex responses as measured on the Ballard tool.

C) increasing the Coumadin therapy to an INR of 3-4 D) thrombolytic therapy Review Information: The correct answer is B: vena caval interruption Clients with contraindications to Heparin. decreased immune response. Social service referrals are indicated. increased age. who is unable to walk without assistance C) 75 year-old with left sided paresthesia who is incontinent of urine and stool D) 30 year-old who is comatose following a ruptured aneurysm Review Information: The correct answer is C: 75 year-old with left sided paresthesia who is incontinent of urine and stool Risk factors for pressure ulcers include: immobility. To minimize the side effects. I feed him. The nurse is teaching the mother of a 5 monthold about nutrition for her baby. Question1 The clinic nurse is counseling a substance-abusing post partum client on the risks of continued cocaine use. recurrent PE or those with complications related to the medical therapy may require vena caval interruption by the placement of a filter device in the inferior vena cava. which nursing diagnosis is a priority? A) Social isolation B) Ineffective coping C) Altered parenting D) Sexual dysfunction Review Information: The correct answer is C: Altered parenting The cocaine abusing mother puts her newborn and other children at risk for neglect and abuse. the nurse should emphasize which of the following actions? A) Reporting joint stiffness in the morning B) Taking the medication 1 hour before or 2 hours after meals C) Using alcohol in moderation unless driving D) Continuing to take aspirin for short term relief Review Information: The correct answer is B: Taking the medication 1 hour before or 2 hours after meals Taking the medication 1 hour before or 2 hours after meals will result in a more rapid effect.» Honey has been associated with infant botulism and should be avoided. incontinence. Older children and adults have digestive enzymes that kill the botulism spores.» D) «I keep formula in the refrigerator for 24 hours. To accurately assess for a gastrostomy tube placement. Which statement by the mother indicates the need for further teaching? A) «I>m going to try feeding my baby some rice cereal. A filter can be placed transvenously to trap clots before they travel to the pulmonary circulation. the priority is to A) auscultate the abdomen while instilling 10 cc of air into the tube B) place the end of the tube in water to check for air bubbles C) retract the tube several inches to check for resistance D) measure the length of tubing from nose to epiCollected by :DeepaRajesh [ 61 ] rajesh.» C) «I dip his pacifier in honey so he>ll take it.ks21@gmail. This client has the greatest number of risk factors. Question3 The nurse is preparing to administer a tube feeding to a postoperative client.com Kuwait . Continuing to use drugs has the potential to impact parenting behaviors.» Review Information: The correct answer is C: «I dip his pacifier in honey so he>>ll take it. In order to provide continuity of care. skin moisture.» B) «When he wakes at night for a bottle. poor nutrition and hydration. Free NCLEX-RN Sample Test Questions For Nursing Review (Part 4) Jul31. absence of sensation. Question39 Which client is at highest risk for developing a pressure ulcer? A) 23 year-old in traction for fractured femur B) 72 year-old with peripheral vascular disease. decreased LOC. Question2 Question40 The nurse is teaching about nonsteroidal antiinflammatory drugs (NSAIDs) to a group of arthritic clients.

I. When assessing the client one-half hour after admission. as a result of the radiation therapy.en at any time nant women where oral anticoagulation agents D) The risk of vaccine side effects precludes givare contraindicated. this indicates that it is accurately placed in the stomach.5 times the control value Several studies have been conducted in preg. mumps. Warfarin (Coumadin) is ing the vaccine Collected by :DeepaRajesh [ 62 ] rajesh.5 times the control value D) Heparin by subcutaneous injection to maintain the PTT at 1. Which finding would require the nurse>s immediate attention? A) increased restlessness B) tachycardia C) tracheal deviation D) tachypnea Review Information: The correct answer is C: tracheal deviation The deviated trachea is a sign that a mediastinal shift has occurred. When the nurse obtains the child>s health history. The nurse understands that which of the following is true in regards to giving immunizations to this child? A) Live vaccines are withheld in children with renal chronic illness Review Information: The correct answer is D: B) The MMR vaccine should be given now. The nurse recognizes that. The nurse is caring for a client with Hodgkin>s disease who will be receiving radiation therapy. The feeding can begin after further assessing the client for bowel sounds. Question6 A pregnant client who is at 34 weeks gestation is diagnosed with a pulmonary embolism (PE). Which action by the nurse should take priority? A) Check that the catheter tip is intact B) Apply a pressure dressing to the site C) Monitor respiratory status D) Assess for mental status changes A client is brought to the emergency room following a motor vehicle accident. the nurse notes several physical changes. Question8 Question5 A client is receiving Total Parenteral Nutrition (TPN) via a Hickman catheter. the nurse should know that the apical heart rate is preferred until the radial pulse can be accurately assessed at about what age? A) 1 year of age B) 2 years of age C) 3 years of age D) 4 years of age Review Information: The correct answer is B: 2 years of age A child should be at least 2 years of age to use the radial pulse to assess heart rate.com Kuwait Question9 .D. Which of these medications would the nurse anticipate the provider ordering? A) Oral Coumadin therapy B) Heparin 5000 units subcutaneously B. Question7 Question4 While assessing the vital signs in children.ks21@gmail. the mother indicates that the child has not had the first measles.gastrium Review Information: The correct answer is A: auscultate the abdomen while instilling 10 cc of air into the tube If a swoosh of air is heard over the abdominal cavity while instilling air into the gastric tube. the nausea is especially troubling. prior Heparin by subcutaneous injection to maintain to the transplant C) An inactivated form of the vaccine can be givthe PTT at 1.5 times the control value An 18 month-old child is on peritoneal dialysis in preparation for a renal transplant in the near future.52. the client is most likely to experience A) high fever B) nausea C) face and neck edema D) night sweats Review Information: The correct answer is B: nausea Because the client with Hodgkin>>s disease is usually healthy when therapy begins. C) Heparin infusion to maintain the PTT at 1. known to cross the placenta and is therefore reported to be teratogenic. The catheter accidentally becomes dislodged from the site. rubella (MMR) immunization. This is a medical emergency.

Awareness of these will prevent negative consequences for interactions with clients and families across cultures.Review Information: The correct answer is B: The MMR vaccine should be given now. Question11 Which statement made by a nurse about the goal of total quality management or continuous quality improvement in a health care setting is correct? A) It is to observe reactive service and product problem solving B) Improvement of the processes in a proactive. Post-transplant. prior to the transplant MMR is a live virus vaccine. Question15 Question12 Which of the following drugs should the nurse anticipate administering to a client before they A client has gastroesophageal reflux. Which one of the following findings by the nurse would require immediate intervention? A) Decreased blood pressure and respirations B) Flushing and headache C) Restlessness and palpitations D) Increased heart rate and blood pressure Review Information: The correct answer is C: Restlessness and palpitations Side effects of Aminophylline include restlessness and palpitations. 25mg/hour. Detailed explanations are not helpful. Question10 The nurse is preparing to take a toddler>s blood pressure for the first time. prejudices and biases specific to different cultures. are to receive electroconvulsive therapy? A) Benzodiazepines B) Chlorpromazine (Thorazine) C) Succinylcholine (Anectine) D) Thiopental sodium (Pentothal Sodium) Review Information: The correct answer is C: Succinylcholine (Anectine) Succinylcholine is given intravenously to promote skeletal muscle relaxation. Question14 A client with chronic obstructive pulmonary disease (COPD) and a history of coronary artery disease is receiving aminophylline. Question13 Which approach is a priority for the nurse who works with clients from many different cultures? A) Speak at least 2 other languages of clients in the neighborhood B) Learn about the cultures of clients who are most often encountered C) Have a list of persons for referral when interaction with these clients occur D) Recognize personal attitudes about cultural differences and real or expected biases Review Information: The correct answer is D: Recognize personal attitudes about cultural differences and real or expected biases The nurse must discover personal attitudes. immunosuppressive drugs will be given and the administration of the live vaccine at that time would be contraindicated because of the compromised immune system. preventive mode is paramount Total quality management and continuous quality improvement have a major goal of identifying ways to do the right thing at the right time in the right way by proactive problem-solving. preventive mode is paramount C) A chart audits to finds common errors in practice and outcomes associated with goals D) A flow chart to organize daily tasks is critical to the initial stages Review Information: The correct answer is B: Improvement of the processes in a proactive.com Kuwait . and should be given at this time. Which of the following actions should the nurse perform first? A) Explain that the procedure will help him to get well B) Show a cartoon character with a blood pressure cuff C) Explain that the blood pressure checks the heart pump D) Permit handling the equipment before putting the cuff in place Review Information: The correct answer is D: Permit handling the equipment before putting the cuff in place The best way to gain the toddler>>s cooperation is to encourage handling the equipment.ks21@gmail. Which recommendation made by the nurse would be most helpful to the client? A) Avoid liquids unless a thickening agent is used B) Sit upright for at least 1 hour after eating C) Maintain a diet of soft foods and cooked vegCollected by :DeepaRajesh [ 63 ] rajesh.

and will reduce the risk of another MI or C) A middle-aged client admitted with diverticusudden death. What is an appropriate response by the D) Metoprolol (Toprol XL) charge nurse? A) «Most people develop hypertension following Review Information: The correct answer is A: Digoxin (Lanoxin) an MI. An upright posture C) talk with the client>s family about the situashould be maintained for about 2 hours after eat. which B) The medication acts as a stimulant are symbolic designations and do not necessarC) Dosage will be increased as tolerated ily indicate temperature or spiciness. The client states.etables D) Avoid eating 2 hours before going to sleep descent is diagnosed with ovarian cancer. “I refuse both radiation and chemotherapy because they are <hot. Most foods.com Kuwait . and other Hispanicof the following should the nurse emphasize? Latinos. and A) Short-term relief can be expected medicines are categorized as hot or cold.>” The next acReview Information: The correct answer is D: tion for the nurse to take is to Avoid eating 2 hours before going to sleep A) document the situation in the notes Eating before sleeping enhances the regurgita. Care and D) Initial side effects often continue treatment regimens can be negotiated with cliReview Information: The correct answer is A: ents within this framework.health care provider if the client received which down unit following a myocardial infarction (MI). heart. beverages. oversion.tion ing to allow for the stomach emptying.«hot» treatments ing difficulties.» D) «Beta-blockers increase the strength of heart Question20 contractions. «My awful pain heart.ask the client to talk about concerns regarding tion for Xanax (alprazolam). would the nurse Review Information: The correct answer is suggest that the provider examine first? C: «This drug will decrease the workload on his A) An elderly client who stated. medication during the preceding 24 hours? is given a prescription for a beta-blocking drug. The nurse should notify the Question17 A client being discharged from the cardiac step. Options A D) ask the client to talk about concerns regarding and C are interventions for clients with swallow.» C) «This drug will decrease the workload on his ing cardioversion. Puerto Ricans.B) report the situation to the health care providtion of stomach contents. Short-term relief can be expected Question19 Xanax is a short-acting benzodiazepine useful in A 72 year-old client is scheduled to have a cardicontrolling panic symptoms quickly. litis who has taken only clear liquids for the past week Question18 A 35-year-old client of Puerto Rican-American D) A teenager with a history of falling off a bicycle Collected by :DeepaRajesh [ 64 ] rajesh. into the esophagus. The other medications do not increase ventricular irritability. B) A pregnant woman of 8 weeks newly diagThis is useful for the client with coronary artery nosed with an ectopic pregnancy disease.ago.Digoxin increases ventricular irritability and increases the risk of ventricular fibrillation followtension. Review Information: The correct answer is D: Question16 A client with a panic disorder has a new prescrip. herbs.ks21@gmail.» Which of these clients. which The «hot-cold» system is found among MexicanAmericans.C) Nitroglycerine ointment tensive.» temic vascular resistance by dilating arterioles. all of whom have the findings of a board-like abdomen.» B) «A beta-Blocker will prevent orthostatic hypo. A A) Digoxin (Lanoxin) nursing student asks the charge nurse why this B) Diltiazem (Cardizem) drug would be used by a client who is not hyper. In teaching the client «hot» treatments about the drug>s actions and side effects.» in my right side suddenly stopped about 3 hours One action of beta-blockers is to decrease sys. A nurse reviews the client’s medication administration record. which have increased er acidity.

how.» B) Aspiration of a residual of 100cc of formula This client has the highest risk for hypovolemic C) Decrease in bowel sounds and septic shock since the appendix has most D) Urine output of 250 cc in past 8 hours likely ruptured. seizures. Which focus is about adding table foods. dry mouth. anorexia B) Orthostatic hypotension. reactions to tyramine-rich foods C) Diarrhea. hypotension. dry mouth. the nurse is aware that which of the following is a characteristic of the typical treatment plan to eliminate the tuberculosis bacilli? A) An anti-inflammatory agent B) High doses of B complex vitamins C) Aminoglycoside antibiotics D) Administering two anti-tuberculosis drugs Review Information: The correct answer is D: Administering two anti-tuberculosis drugs Resistance of the tubercle bacilli often occurs to a single antimicrobial agent. based on the history of the pain suddenly stopping over three hours ago.without hitting the handle bars The nurse is assessing a comatose client receiving gastric tube feedings. edema. which of the following will the nurse include? A) Tachycardia blurred vision. reduced libido Commonly reported side effects for fluoxetine (Prozac) are diarrhea.monitor for signs of aspiration. weight loss and reduced libido.ks21@gmail. The others are at risk for shock also. Elderly Review Information: The correct answer is A: clients have less functional reserve for the body Decreased breath sounds in right lower lobe to cope with shock and infection over long peri. weight loss. resulting in ing. reduced libido D) Photosensitivity. Therefore. degrees of head elevation during feedings and they would more likely be able to tolerate an im. Maintain client at 30 ever given that they fall in younger age groups. Which of the following critical to be included in the nurse’s discharge is an appropriate finger food? instruction? A) Hot dog pieces A) Maintain a consistent intake of green leafy B) Sliced bananas foods C) Whole grapes B) Report any nose or gum bleeds D) Popcorn C) Take Tylenol for minor pains D) Use a soft toothbrush Review Information: The correct answer is B: Sliced bananas Review Information: The correct answer is B: Finger foods should be bite-size pieces of soft Report any nose or gum bleeds food such as bananas. or any other the airway. Question22 Question25 To prevent drug resistance from developing. a ruptured spleen.com Kuwait Question23 . vertigo. weight loss. Question24 Question21 A client is prescribed warfarin sodium (CoumaThe nurse is teaching parents of a 7 month-old din) to be continued at home. Check for tube balance in circulation. When teaching a client about the side effects of fluoxetine (Prozac). Collected by :DeepaRajesh [ 65 ] rajesh.The most common problem associated with enods.teral feedings is atelectasis. hyperglycemia Review Information: The correct answer is C: Diarrhea. A common complication of placement prior to each feeding or every 4 to 8 falling off a bicycle is hitting the handle bars in hours if the client is receiving continuous feedthe upper abdomen often on the left. «My awful pain in from the nurse? my right side suddenly stopped about 3 hours A) Decreased breath sounds in right lower lobe ago. Hot dogs and grapes can The client should notify the health care provider accidentally be swallowed whole and can occlude if blood is noted in stools or urine. Which of the following Review Information: The correct answer is A: assessments requires an immediate response An elderly client who stated. age and can irritate the airway if swallowed. Popcorn is too difficult to chew at this signs of bleeding occur. therapy with multiple drugs over a long period of time helps to ensure eradication of the organism. dry mouth.

All staff are invited to participate in the study if they wish. vomiting and abdominal distention. Collected by :DeepaRajesh [ 66 ] rajesh. The client should be assessed immediately and findings reported to the provider. While the parents focus on the D) Regular high protein diet needs of this child. The nurse is planning care for an 8 year-old child. Question30 The nurse is assigned to care for 4 clients. Which of the following should be assessed immediately after hearing the report? A) The client with asthma who is now ready for discharge B) The client with a peptic ulcer who has been vomiting all night C) The client with chronic renal failure returning from dialysis D) The client with pancreatitis who was admitted yesterday Review Information: The correct answer is B: The client with a peptic ulcer who has been vomiting all night A perforated peptic ulcer could cause nausea. This affirms the ethical principle of A) Anonymity B) Beneficence C) Justice D) Autonomy Review Information: The correct answer is D: Autonomy Individuals must be free to make independent decisions about participation in research without coercion from others. A priority in communicating with the parents is A) Discuss the need for genetic counseling B) Inform them that combined therapy is seldom effective C) Prepare for the child>s permanent disfigurement D) Suggest that total blindness may follow surgery During a routine check-up. To help them achieve industry. Which of the following should be included in the plan of care? A) Encourage child to engage in activities in the playroom B) Promote independence in activities of daily living C) Talk with the child and allow him to express his opinions D) Provide frequent reassurance and cuddling Review Information: The correct answer is A: Encourage child to engage in activities in the playroom According to Erikson. The results indicate a level of 11%. the school age child is in the stage of industry versus inferiority. Question27 The nurse manager informs the nursing staff at morning report that the clinical nurse specialist will be conducting a research study on staff attitudes toward client care.Question26 Question29 A newborn weighed 7 pounds 2 ounces at birth. Question28 The nurse is talking with the family of an 18 months-old newly diagnosed with retinoblastoma. the nurse should encourage them to carry out tasks and activities in their room or in the playroom. an insulin-dependent diabetic has his glycosylated hemoglobin checked. Based on this result. they should be aware that Review Information: The correct answer is C: the risk is high for future offspring. What should the nurse tell the parents about this weight loss? A) The newborn needs additional assessments B) The mother should breast feed more often C) A change to formula is indicated D) The loss is within normal limits Review Information: The correct answer is D: The loss is within normal limits A newborn is expected to lose 5-10% of the birth weight in the first few days post-partum because of changes in elimination and feeding.ks21@gmail.com Kuwait Question31 . The nurse assesses the newborn at home 2 days later and finds the weight to be 6 pounds 7 ounces. and may be a life threatening situation. what teaching should the nurse emphasize? Review Information: The correct answer is A: A) Rotation of injection sties B) Insulin mixing and preparation Discuss the need for genetic counseling The hereditary aspects of this disease are well C) Daily blood sugar monitoring documented.

are primary targets for C.D) «He seems to be going to the bathroom more frequently.Daily blood sugar monitoring Normal hemoglobin A1C (glycosylated hemoglobin) level is 7 to 9%. especially those receiving Question35 A nurse admits a client transferred from the emer. Question33 Question36 Question34 The nurse is performing an assessment of the motor function in a client with a head injury.a seizure. diffiCollected by :DeepaRajesh [ 67 ] rajesh.» take?» B) «Describe your usual exercise and activity B) «He has had an ear infection for the past 2 days. fatigue.» tory. especially those 2 years).com Kuwait . As long as pain is present there is danger in extending the infarcted area. The client. Morphine will decrease the oxygen demands of the heart and act as a mild diuretic as well. diagnosed with a myocardial infarction. Elevation indicates elevated glucose levels over time. not eating properly and excessive fluid intake or fluid retention.ks21@gmail. The client should be instructed to immediately report which of these? A) Double vision and visual halos B) Extremity tingling and numbness C) Confusion and lightheadedness D) Sensitivity of sunlight Review Information: The correct answer is B: Extremity tingling and numbness Peripheral neuropathy is the most common side effect of INH and should be reported to the provider. Question32 A client taking isoniazid (INH) for tuberculosis asks the nurse about side effects of the medication. infections (late infancy and early childthat contain cold preparations can increase the hood).» C) «He has been eating more red meat lately. diaphoresis and nausea. blood pressure to the point of hypertension. is complaining of substernal chest pain. The nurse admits a 2 year-old child who has had Which of these questions is priority when as. It is probable that an EKG and IV insertion were performed in the ER.» C) «Tell me about your usual diet.» A: «What over-the-counter medications do you Contributing factors to seizures in children include those such as age (more common in first take?» Over-the-counter medications.» Review Information: The correct answer is B: «He has had an ear infection for the past 2 Review Information: The correct answer is days. It can be reversed. Question37 Which of these clients would the nurse monitor for the complication of C. The first action by the nurse should be to A) order an EKG B) administer morphine sulfate C) start an IV D) measure vital signs Review Information: The correct answer is B: administer morphine sulfate Decreasing the clients pain is the most important priority at this time.» D) «Describe your family>s cardiovascular his. Which of the following statement by the child>s parent would be important in detersessing a client with hypertension? A) «What over-the-counter medications do you mining the etiology of the seizure? A) «He has been taking long naps for a week.antibiotic therapy. gency room (ER). The best technique is A) touching the trapezius muscle or arm firmly B) pinching any body part C) shaking a limb vigorously D) rubbing the sternum Review Information: The correct answer is D: rubbing the sternum The purpose is to assess the non-responsive client’s reaction to a painful stimulus after less noxious methods have been tried. difficile diarrhea? A) An adolescent taking medications for acne B) An elderly client living in a retirement center taking prednisone C) A young adult at home taking a prescribed aminoglycoside D) A hospitalized middle aged client receiving clindamycin Review Information: The correct answer is D: A hospitalized middle aged client receiving clindamycin Hospitalized patients.» patterns.

sour cream and beef steak Review Information: The correct answer is A: Wine.e. liver and chocolate B) Wine. The serum glucose reading is 45 mg/dl. beer. An important nursing intervention is to teach the client to avoid which of the following foods? A) Wine. The other statements are correct but not the most important considerations. liver and chocolate These foods are tyramine rich and ingestion of these foods while taking monoamine oxidase inhibitors (MAOIs) can precipitate a life-threatening hypertensive crisis.0 mmol/L. Because of the increased birth weight which A) Additional potassium will be given IV can be associated with diabetes mellitus. and cephalosporins. yogurt and broccoli C) Beer. Free NCLEX-RN Sample Test Questions For Nursing Review (Part 3) Jul31.30-60 mg/dl or 1. clavulanic acid. Infant: 40-90 mg/ tein level is reported as 4. C. cheese. difficile. difficile causes 15 to 20% of the cases. aminoglycosides.This blood sugar is within the normal range for a ent who is cachectic and has developed an en. amoxicillin. cheese. Neonate: a small bowel obstruction. sulbactam. ampicillin. tazobactam) and intravenous agents that achieve substantial colonic intraluminal concentrations (i. The client>s total pro. The nurse is working in a high risk antepartum clinic.e.. the nurse performs a dextro-stick at 1 hour post birth. Critical values are: Infant: <40 mg/dl and in a Newborn: <30 and >300 mg/ following would the nurse anticipate? dl. vancomycin. and trimethoprim are seldom associated with C. oxacillin).) TPN will promote a positive nitrogen balance in this client who is unable to digest and absorb nutrients adequately.ks21@gmail. Also.2-5. apples. beef and carrots D) Wine.com Kuwait Question2 .. Pain is a complex phenomenon that is perceived differently by each individual. such as clindamycin. cheese. C. citrus fruits. difficile. Fluoroquinolones. are the most frequent sources of C.ed blood sugars will be drawn ed D) Serum lipase levels will be evaluated Review Information: The correct answer is C: Total parenteral nutrition (TPN) will be started The client is not absorbing nutrients adequately as evidenced by the cachexia and low protein levels. Question1 Question39 During a situation of pain management. Several antibiotic agents have been associated with C.08. A 40 year-old woman in the first trimesReview Information: The correct answer is A: ter gives a thorough health history. Question40 As a part of a 9 pound full-term newborn>s assessment. which statement is a priority to consider for the ethical guidelines of the nurse? A) The client>s self-report is the most important consideration B) Cultural sensitivity is fundamental to pain management C) Clients have the right to have their pain relieved D) Nurses should not prejudge a client>s pain using their own values A client diagnosed with chronic depression is maintained on tranylcypromine (Parnate).cile. Which of the dl or 2.3 mmol/L. Of clients receiving antibiotics.1-3. difficile infection or pseudomembranous colitis. Pain is whatever the client says it is.3 mmol/L.0 g/dl. What action by the nurse is appropriate at this time? A) Give oral glucose water B) Notify the pediatrician C) Repeat the test in 2 hours D) Check the pulse oximetry reading Review Information: The correct answer is C: Repeat the test in 2 hours Question38 The nurse is performing an assessment on a cli.7-3. Broad-spectrum agents.5 g/dl.full-term newborn. nafcillin. ceftriaxone. Normal values are: Premature terocutaneous fistula following surgery to relieve infant: 20-60 mg/dl or 1. difficile infection has been caused by the administration of agents containing beta-lactamase inhibitors (i. repeatB) Blood for coagulation studies will be drawn C) Total parenteral nutrition (TPN) will be start. Which inforThe client>>s self-report is the most important mation should receive priority attention by the consideration nurse? Collected by :DeepaRajesh [ 68 ] rajesh. (A normal total serum protein level is 6. beer. 5-38% experience antibiotic-associated diarrhea.

of acute alcohol intoxication. The person feels compelled to binge.A) Her father and brother are insulin dependent diabetics B) She has taken 800 mcg of folic acid daily for the past year C) Her husband was treated for tuberculosis as a child D) She reports recent use of over-the counter sinus remedies Review Information: The correct answer is D: She reports recent use of over-the counter sinus remedies Over-the-counter drugs are a possible danger in early pregnancy. feelings of self-disgust ocFamily understanding of client needs cur. Which clinical finding would the nurse expect to assess first in a newborn with spastic cerebral palsy? A) cognitive impairment B) hypotonic muscular activity C) seizures D) criss-crossing leg movement Review Information: The correct answer is D: criss-crossing leg movement Cerebral palsy is a neuromuscular impairment resulting in muscular and reflexive hypertonicity and the criss-crossing. or scissoring leg movements. Functional communication patterns between Question8 family members are fundamental to meeting the The nurse is assessing a woman in early labor. purge and fast. the nurse recognizes that developmental differences have implications for processing and understanding information. Reports of alcohol consumption are notoriously inaccurate. individuals with bulimia are troubled by their behavioral characteristics and become depressed. Question6 Question3 What must be the priority consideration for nurses when communicating with children? A) Present environment B) Physical condition C) Nonverbal cues D) Developmental level Review Information: The correct answer is D: Developmental level While each of the factors affect communication. a child’s developmental level must be considered when selecting communication approaches. it is important for What should be the initial nursing action? the nurse initially to obtain data regarding which A) Call the health care provider of the following? B) Encourage deep breathing A) What and how much the client drinks. B) The blood alcohol level of the client C) The blood pressure level of the client D) The blood glucose level of the client Review Information: The correct answer is B: The blood alcohol level of the client Blood alcohol levels are generally obtained to determine the level of intoxication. A report by the client that she has taken medications should be followed up immediately. Question7 Question4 The nurse is assessing a client>s home in preparation for discharge.com Kuwait . The amount of alcohol consumed determines how much medication the client needs for detoxification and treatment. Which of the following should be given priority consideration? A) Family understanding of client needs B) Financial status C) Location of bathrooms D) Proximity to emergency services Which medication is more helpful in treating bulimia than anorexia? A) Amphetamines B) Sedatives C) Anticholinergics D) Narcotics Review Information: The correct answer is C: Anticholinergics In contrast to anorexics. accord. Consequently. Feeling helpless Review Information: The correct answer is A: to stop the behavior. Her blood pressure has dropped slightly. she comQuestion5 plains of dizziness and nausea and appears As a general guide for emergency management pale. While positioning for a vaginal exam. needs of the client and family.C) Elevate the foot of the bed ing to family and friends D) Turn her to her left side Collected by :DeepaRajesh [ 69 ] rajesh.ks21@gmail.

Question12 After assessing a 70 year-old male client>s laboratory results during a routine clinic visit.» Collected by :DeepaRajesh [ 70 ] rajesh.» B) «The pain came on after dinner. Breathing into a paper bag will prevent further reduction in PaCO2. Which should be the nurse>s first action? Question14 A client is discharged on warfarin sulfate (Coumadin).2 mEq/l.» D) «I will eat foods high in potassium.» C) «I will stop taking the medication for 1 week every month. Question11 A nurse is caring for a client who has just been admitted with an overdose of aspirin.5 g/dl Serum albumin level is low (normal 3.5 g/dl B) LDL Cholesterol 140 mg/dl C) Serum glucose 90 mg/dl D) RBC 5. it stabs like a knife.» B) «I will take medication with food. K 3. PaCO2 30.» B) «I will keep all laboratory appointments.» Emphatically warn against discontinuing steroid dosage abruptly because that may produce a fatal adrenal crisis. The following lab data is available: PaO2 95. That soup seemed very spicy. pH 7.com Kuwait . Which statement by the client would require the most immediate action by the nurse? A) «When I take in a deep breath. Turning the woman to the side reduces this pressure and relieves postural hypotension. Socioeconomic factors may need to be addressed to help the client comply with the recommendation. Which of the following comments by the client indicate the need for further teaching? A) «I will keep a weekly weight record.» Review Information: The correct answer is C: «I will stop taking the medication for 1week every month. Question9 A client has been started on a long term corticosteroid therapy. Question10 A male client calls for a nurse because of chest pain.0 million/mm3 Review Information: The correct answer is A: Serum albumin 2.» Review Information: The correct answer is D: «I feel pressure in the middle of my chest. which can result in respiratory alkalosis in the initial stages. indicating nutritional counseling to increase dietary protein is needed. my chest hurts.0 – 5.» C) «When I turn in bed to reach the remote for the TV. Action is needed to relieve the pressure on the vena cava and aorta.Review Information: The correct answer is D: Turn her to her left side The weight of the uterus can put pressure on the vena cava and aorta when a pregnant woman is flat on her back causing supine hypotension.0 g/dl in elders). A) Monitor respiratory rate B) Monitor intake and output every hour C) Assist the client to breathe into a paper bag D) Prepare to administer oxygen by mask Review Information: The correct answer is C: Assist the client to breathe into a paper bag Side effects of aspirin toxicity include hyperventilation. like an elephant is sitting on my chest. diarrhea or excessive perspiration. like an elephant is sitting on my chest. Which statement by the client indicated a need for further teaching? A) «I know I must avoid crowds.ks21@gmail.5. tolerance to the drug may be altered and symptoms may return. Women experience vague feelings of fatigue and back and jaw pain. Question13 When teaching a client with a new prescription for lithium (Lithane) for treatment of a bi-polar disorder which of these should the nurse emphasize? A) Maintaining a salt restricted diet B) Reporting vomiting or diarrhea C) Taking other medication as usual D) Substituting generic form if desired Review Information: The correct answer is B: Reporting vomiting or diarrhea If dehydration results from vomiting.» This is a classic description of chest pain in men caused by myocardial ischemia.» D) «I feel pressure in the middle of my chest. which one of the following findings would indicate an area in which teaching is needed: A) Serum albumin 2.

when your breasts are less tender» C) «Do the exam at the same time every month» D) «Ovulation. General instructions for any cardiac surgical client include limiting exposure to infection. fries. when the breasts shortness of breath. Which of the following assessment findings requires the nurse>s immediate action? A) Central venous pressure reading of 11 B) Respiratory rate of 22 C) Pulse rate of 48 BPM D) Blood pressure of 144/92 Review Information: The correct answer is C: Pulse rate of 48 BPM One of the side effects of lidocaine is bradycardia. A woman asks for the best time to perform the monthly exam.The best time for a breast self exam (BSE) is a tial assessment. Fava beans contain other vasopressors that can interact with MAOIs also causing malignant hypertension. cardiovascular collapse and cardiac arrest (this drug should never be administered without continuous EKG monitoring). ham salad. aged cheese Review Information: The correct answer is D: Red wine. pulse rate 110. vanilla pudding B) Apple juice. fresh pineapple C) Hamburger. the client complains of sudden week after a menstrual cycle.» There are no specific reasons for the client on Coumadin to avoid crowds. What is the best reply by the nurse? A) «The first of every month. highly suggestive of a pulmonary embolism. aged cheese Red wine and cheese contain tyramine (as do chicken liver and ripe bananas) and so are contraindicated when taking MAOIs. Question15 A client is taking tranylcypromine (Parnate) and has received dietary instruction. The initial nursing intervention would be to A) begin intravenous therapy B) initiate continuous blood pressure monitoring C) administer oxygen therapy D) institute cardiac monitoring Review Information: The correct answer is C: administer oxygen therapy Early findings of shock reveal hypoxia with rapid heart rate and rapid respirations. Question19 The nurse is teaching a group of college students about breast self-examination. The SaO2 is 87. strawberry shake D) Red wine.C) «I plan to use an electric razor for shaving. heart block. fava beans.less tender» nosis of deep vein thrombosis. fava beans. when your breasts are Question17 A client is admitted to the hospital with a diag.ks21@gmail. The nurse should be alert to crackles or a pleural friction rub. Question16 A client is admitted with severe injuries from an auto accident. The priority are no longer swollen and tender due to hormone elevation. During the ini. B) heart rate C) peripheral pulses D) lung sounds Review Information: The correct answer is D: lung sounds Lung sounds are critical assessments at this point. or mid-cycle is the best time to detect changes» Review Information: The correct answer is B: «Right after the period.» Review Information: The correct answer is A: «I know I must avoid crowds. because it is easiest to remember» B) «Right after the period. carrots.» D) «I will report any bruises for bleeding. nursing assessment at this time is A) bowel sounds Collected by :DeepaRajesh [ 71 ] rajesh. Which of the following food selections would be contraindicated for this client? A) Fresh juice. and respiratory rate of 28. Question18 The nurse is administering lidocaine (Xylocaine) to a client with a myocardial infarction. and oxygen is the most critical initial intervention.com Kuwait . The other interventions are secondary to oxygen therapy. The client>s vital signs are BP 120/50.

and national Alzheimer>>s chapters. Question22 Question25 Clients taking lithium must be particularly sure to maintain adequate intake of which of these elements? A) Potassium B) Sodium C) Chloride D) Calcium Review Information: The correct answer is B: Sodium Clients taking lithium need to maintain an adequate intake of sodium.I. diarrhea and lethargy nursing intervention should be to C) Pruritus. The nurse is teaching a client about the difference between tardive dyskinesia (TD) and neuroleptic malignant syndrome (NMS). room by which action? A) Repeatedly remind the client of the time and location Question21 The spouse of a client with Alzheimer>s disease B) Explain the risks of walking with no purpose expresses concern about the burden of caregiv. diarrhea and lethargy Review Information: The correct answer is C: These are early signs of lithium toxicity. rash and photosensitivity A) medicate the client for pain D) Electrolyte imbalance and cardiac arrhythB) call the provider mias C) cover the wound with sterile saline dressing D) place the bed in a flat position Review Information: The correct answer is B: Vomiting. the wound should first Question24 be quickly covered by sterile dressings soaked in The nurse can best ensure the safety of a client sterile saline. This prevents tissue damage until suffering from dementia who wanders from the a repair can be effected. Serum lithium concentrations may increase in the presence of conditions that cause sodium loss. tivity is inappropriate for any client unless they Health education is also available through local are potentially harmful to themselves or others. Restriction of acand learn about services such as respite care. Which of these inThe nurse is caring for a post-operative client dicate early signs of toxicity? who develops a wound evisceration.com Kuwait Question23 A client is receiving lithium carbonate 600 mg . The first A) Ataxia and course hand tremors B) Vomiting. Which statement is true with regards to tardive dyskinesia? A) TD develops within hours or years of continued antipsychotic drug use in people under 20 and over 30 B) It can occur in clients taking antipsychotic drugs longer than 2 years C) Tardive dyskinesia occurs within minutes of the first dose of antipsychotic drugs and is reversible D) TD can easily be treated with anticholinergic drugs Review Information: The correct answer is B: It can occur in clients taking antipsychotic drugs Collected by :DeepaRajesh [ 72 ] rajesh. Which of the following actions by the nurse the bed or chair in the room D) Attach a wander-guard sensor band to the should be a priority? client>s wrist A) Link the caregiver with a support group B) Ask friends to visit regularly C) Schedule a home visit each week Review Information: The correct answer is D) Request anti-anxiety prescriptions D: Attach a wander-guard sensor band to the Review Information: The correct answer is A: client>>s wrist This type of identification band easily tracks the Link the caregiver with a support group Assisting caregivers to locate and join support client>>s movements and ensures safety while groups is most helpful. cover the wound with sterile saline dressing When evisceration occurs. to treat bipolar disorder.C) Use protective devices to keep the client in ing.Question20 T. Families share feelings the client wanders on the unit.ks21@gmail.D.

What is the D) altered peripheral resistance most important assessment during treatment? A) Heart rate Review Information: The correct answer is B: B) Neurologic status decreased gastrointestinal motility C) Urine output Together with shrinkage of the gastric mucosa. A prolapsed umbilical cord is a biologic marker on which pregnancy tests are medical emergency. The exposed cord is covered with Review Information: The correct answer is B: saline soaked gauze. Question27 In response to a call for assistance by a client in The client>>s blood pressure must be evaluated labor. The nurse should be aware that the danger of the client committing suicide is greatest A) during the night shift when staffing is limited B) when the client’s mood improves with an inCollected by :DeepaRajesh [ 73 ] rajesh. The nurse D) turn the client to the side understands that the presence of which hormone strongly suggests a woman is pregnant? Review Information: The correct answer is C: A) Estrogen put the client in knee-chest position B) HCG Immediate action is needed to relieve pressure C) Alpha-fetoprotein on the cord. D) Blood pressure and changes in the levels of hydrochloric acid. Question28 The nurse is caring for a 2 month-old infant with a congenital heart defect. Infants with congestive heart failure have an increased metabolic rate and require additional calories to grow. however. year-old client>s A) poor nutritional status Question29 B) decreased gastrointestinal motility The nurse is caring for a client receiving intraveC) increased splanchnic blood flow nous nitroglycerin for acute angina. is placed on suicidal precautions. Blood pressure The vasodilatation that occurs as a result of this medication can cause profound hypotension. Early symptoms of tardive dyskinesia are fasciculations of the tongue or constant smacking of the lips. The fe. Reliability is about 98%. priority nursing action? Question30 A) call the health care provider B) check fetal heart beat A client telephones the clinic to ask about a home C) put the client in knee-chest position pregnancy test she used this morning. At the same time.tant. The Trendelenburg position accomplishes this.ks21@gmail. the nurse notes that a loop on the umbili.every 15 minutes until stable and then every 30 cal cord protrudes from the vagina. not reinserted. this will decrease absorption of medications and Review Information: The correct answer is D: interfere with their actions. Which of the following is a priority nursing action? A) Provide small feedings every 3 hours B) Maintain intravenous fluids C) Add strained cereal to the diet D) Change to reduced calorie formula Question31 A client. which puts the fetus at risk due to D) Progesterone hypoxia. but the test does not conclusively confirm pregnancy.HCG tal heart rate also should be checked.Review Information: The correct answer is A: Provide small feedings every 3 hours Infants with congenital heart defects are at increased risk for developing congestive heart failure. based. rest and conservation of energy for eating is imporQuestion26 The nurse is aware that the effect of antihyper. admitted to the unit because of severe depression and suicidal threats.com Kuwait . and the Human chorionic gonadotropin (HCG) is the provider called. Feedings should be smaller and every 3 tensive drug therapy may be affected by a 75 hours rather than the usual 4 hour schedule. longer than 2 years Tardive dyskinesia is a extrapyramidal side effect that appears after prolonged treatment with antipsychotic medication. What is the minutes to every hour.

there is increased B) taking the medication at specified times risk initially of cord prolapse.priority? crease in energy level A) Evaluating SaO2 levels frequently Suicide potential is often increased when there B) Observing skin color changes is an improvement in mood and energy level. gin of the injuries Afterwards. Review Information: The correct answer is A: Question32 Evaluating SaO2 levels frequently After 4 electroconvulsive treatments over 2 The best method to evaluate a client>>s oxygenweeks. Fetal heart rate pat.fective as an arterial blood gas reading to evaluber telephone numbers.» a married female client.crease in energy level C) at the time of the client>s greatest despair D) after a visit from the client>s estranged partner exchange. This is just as efconfused. I just can’t remem. Upon arrival.nursing intervention would be to sion is upsetting to you.» ronment Communicating caring and empathy with the ac.» merous bruises on her arms and legs. which cose require immediate nursing action to promote gas D) distinguishing hypoglycemia from hyperglycCollected by :DeepaRajesh [ 74 ] rajesh. The nurse is assessing a client with chronic obstructive pulmonary disease receiving oxygen for Review Information: The correct answer is low PaO2 levels.» A) call the police to report indications of domestic violence Review Information: The correct answer is D: B) confront the husband about abusing his wife «I can hear your concern and that your confusion C) leave the home because of the unsafe enviis upsetting to you. The confusion will clear up The visiting nurse makes a postpartum visit to in a day or two. The initial D) «I can hear your concern and that your confu. response for the nurse to make is A) «You were seriously ill and needed the treatments. Separate the susthat fetal monitoring must now assess for what pected victim from the partner until battering has complication? been ruled out. Review Information: The correct answer is D: Question33 interview the client alone to determine the origin A woman in labor calls the nurse to assist her in of the injuries the bathroom. At C) Assessing for clubbing fingers this time ambivalence is often decreased and a D) Identifying tactile fremitus decision is made to commit suicide. The nurse knows without further assessment.D) interview the client alone to determine the oriknowledgement of feelings is the initial response. The nurse notices a large amount It would be wrong to assume domestic violence of clear fluid on the bed linens. A) Early decelerations B) Late accelerations C) Variable decelerations Question36 D) Periodic accelerations When teaching a client about an oral hypoglycemic medication.com Kuwait Question34 .” The most therapeutic ate oxygenation status. teaching about the expected short term effects would be discussed. the nurse C) «It is to be expected since most clients have observes that the client has a black eye and nuthe same results.C) increasing the dosage based on blood gluterns may show variable decelerations.ks21@gmail. Which assessment is a nursing B: when the client’s mood improves with an in. and is less traumatic and expensive.» Question35 B) «Don>t get upset. a client is very upset and states “I am so ation is to evaluate the SaO2. the nurse should place primary Review Information: The correct answer is C: emphasis on Variable decelerations A) recognizing findings of toxicity When the membranes rupture. I lose my money.

Free NCLEX-RN Sample Test Questions For Nursing Review (Part 2) Jul31. the nurse performs a focused assessment who has had a pyloromyotomy would initially in. uninterrupted teaching session with both the client and his wife Question2 Collected by :DeepaRajesh [ 75 ] rajesh.D/L. the initial feedings are clear liq. He asks the B) Demeanor and sincerity nurse about his sexual activity once he is home. faith and caring. In assessing the client.com Kuwait Question1 . occurring at 4 A) Serum calcium weeks of pregnancy. Review of this lab finding suggests the nurse has knowledge of this problem.to gather additional data prior to planning and implementing nursing interventions. honesty. consistency.A) Reliability and kindness ing an acute myocardial infarction. the nurse>s Review Information: The correct answer is A: review of which of the following tests suggests Bluish coloration of the cervix and vaginal walls Chadwick>>s sign is a bluish-purple coloration an understanding of this health problem? of the cervix and vaginal walls. D) Assess the client>s knowledge about his health problems Review Information: The correct answer is D: Assess the client>>s knowledge about his health problems The nursing process is continuous and cyclical in nature. C) Serum creatinine D) Serum potassium Review Information: The correct answer is D: Serum potassium Potassium is lost in diabetic ketoacidosis during rehydration and insulin administration. clude A) bland diet appropriate for age B) intravenous fluids for 3-4 days Question40 C) NPO then glucose and electrolyte solutions The client asks the nurse how the health care D) formula or breast milk as tolerated provider could tell she was pregnant “just by looking inside.ks21@gmail. C) Clot of very thick mucous that obstructs the cervical canal D) Slight rotation of the uterus to the right Question38 A client is treated in the emergency room for diabetic ketoacidosis and a glucose level of 650mg.walls uids in small quantities to provide calories and B) Pronounced softening of the cervix electrolytes. C) Honesty and consistency What would be the nurse>s initial response? D) Sympathy and appreciativeness A) Give him written material from the American Heart Association about sexual activity with heart Review Information: The correct answer is C: disease Honesty and consistency B) Answer his questions accurately in a private Characteristics of a trusting relationship include environment respect. C) Schedule a private. that is caused by vasoconB) Serum magnesium gestion. The feeling of trust can best be established by the nurse during the process of the development of a nurse-client relationship by which of these Question39 characteristics? A male client is preparing for discharge follow. When a client expresses a specific conQuestion37 Initial postoperative nursing care for an infant cern.emia Review Information: The correct answer is B: taking the medication at specified times A regular interval between doses should be maintained since oral hypoglycemics stimulate the islets of Langerhans to produce insulin.” What is the best explanation by Review Information: The correct answer is C: the nurse? NPO then glucose and electrolyte solutions A) Bluish coloration of the cervix and vaginal Post-operatively.

com Kuwait A client is receiving and IV antibiotic infusion and is scheduled to have blood drawn at 1:00 pm for a «peak» antibiotic level measurement.A client has had a positive reaction to purified esis without enlarging the spleen.ks21@gmail.B) been exposed to mycobacterium tuberculoenced by the hospitalized adolescent? sis A) Pain management C) never had tuberculosis D) never been infected with mycobacterium tuB) Restricted physical activity C) Altered body image berculosis D) Separation from family Review Information: The correct answer is B: Review Information: The correct answer is C: been exposed to mycobacterium tuberculosis The PPD skin test is used to determine the presAltered body image The hospitalized adolescent may see each of ence of tuberculosis antibodies and a positive rethese as a threat.Review Information: The correct answer is C: press his emotions privately. The nurse should indiQuestion3 cate that the client has The nurse is providing care to a newly a hospital. The nurse notes that the IV infusion is running behind schedule and will not be competed by 1:00. Additional tests image. What is the major threat experi. Hemoglobin should be in a therapeutic range of approximately 10 g/dl (100gL). The client asks the nurse what this means. Question5 In discharge teaching. but the major threat that they sult indicates that the person has been exposed feel when hospitalized is the fear of altered body to mycobacterium tuberculosis. because of the emphasis on physical ap. What lab value should the nurse monitor closely during this therapy? A) Hemoglobin B) Red Blood Cell Indices C) Platelet count D) Neutrophil percent of clozapine (Clozaril) therapy? A) Dry mouth B) Rhinitis C) Dry skin D) Extreme salivation Review Information: The correct answer is D: Extreme salivation A significant number of clients receiving ClozapReview Information: The correct answer is A: ine (Clozaril) therapy experience extreme salivaHemoglobin tion.» protein derivative (PPD). The nurse should: A) Notify the client>s health care provider B) Stop the infusion at 1:00 pm C) Reschedule the laboratory test D) Increase the infusion rate . the nurse should empha. Reschedule the laboratory test If the antibiotic infusion will not be completed at the time the peak blood level is due to be drawn. «This level is low Question6 enough to foster the patient>>s own erythropoi. The nurse finds him crying and unwilling to talk.are needed to determine if active tuberculosis is present.A) active tuberculosis ized adolescent.A nurse has administered several blood transfusions over 3 days to a 12 year-old client with Thalassemia. What is the most appropriate response by the nurse? A) Give him privacy B) Tell him he will get through the surgery with no problem C) Try to distract him D) Make arrangements for his friends to visit Question7 Review Information: The correct answer is A: Give him privacy A 12 year-old child needs the opportunity to ex.the nurse should ask that the blood sampling size that which of these is a common side effect time be adjusted Collected by :DeepaRajesh [ 76 ] rajesh. Question4 A 12 year-old child is admitted with a broken arm and is told surgery is required. pearance during this developmental stage.

» The link between aspirin use and Reye>>s Syndrome has not been confirmed. it may take up to four weeks for results.» Review Information: The correct answer is A: on an empty stomach. A client is to begin taking Fosamax. A mother is concerned about Reye>s Syndrome. Which of these demonstrates appropriate teaching? A) «Immunize your child against this disease.» B) «Seek medical attention for serious injuries. The order reads “Wellbutrin 175 mg.» Review Information: The correct answer is D: «Avoid use of aspirin for viral infections. but evidence suggests that the risk is sufficiently grave to include the warning on aspirin products.» C) «Report exposure to this illness. When used for depression. The nurse must emphasize which of these instructions to the client when taking this medication? «Take Fosamax A) on an empty stomach. What diagnostic finding indicates the client may have difficult excreting the medication? A) High gastric pH B) High serum creatinine Collected by :DeepaRajesh [ 77 ] rajesh.» C) with calcium.» D) with milk 2 hours after meals. Question10 A post-operative client is admitted to the post-anesthesia recovery room (PACU).» B) after meals. gentamicin. headache.Question8 The nurse is caring for a client with a new order for bupropion (Wellbutrin) for treatment of depression.” What is the appropriate action? A) Give the medication as ordered Review Information: The correct answer is C: A genetic predisposition Malignant hyperthermia is a rare. There is a genetic predisposition to this disorder. the risk of seizures. Common side Review Information: The correct answer is C: effects are dry mouth. BID x 4 days. Question11 Question9 Question12 The clinic nurse is discussing health promotion with a group of parents. potentially fatal adverse reaction to inhaled anesthetics. B) Questionthis medication dose C) Observe the client for mood swings D) Monitor neuro signs frequently A 9 year-old is taken to the emergency room with right lower quadrant pain and vomiting. The nurse recognizes that this complication is related to what factor? A) Allergy to general anesthesia B) Pre-existing bacterial infection C) A genetic predisposition D) Selected surgical procedures Question13 An older adult client is to receive and antibiotic. what must the nurse expect to be the child>s greatest fear? swer is B: Questionthis medication A) Change in body image dose B) An unfamiliar environment Bupropion (Wellbutrin) should be started at C) Perceived loss of control 100mg BID for three days then increased to D) Guilt over being hospitalized 150mg BID.dectomy.» D) «Avoid use of aspirin for viral infections. and asks about prevention. When preparing the child for an emergency appenReview Information: The correct an. The client must also be instructed to remain in the upright position for 30 minutes following the dose to facilitate passage into the stomach and minimize irritation of the esophagus. The anesthetist reports that malignant hyperthermia occurred during surgery.com Kuwait . Perceived loss of control Doses should be administered in equally spaced For school age children. and agitation.ks21@gmail. Food and fluids (other than water) greatly decrease the absorption of Fosamax. major fears are loss of time increments throughout the day to minimize control and separation from friends/peers.» Fosamax should be taken first thing in the morning with 6-8 ounces of plain water at least 30 minutes before other medication or food.

ks21@gmail.» Infants under 6 months of age should be kept out of the sun or shielded from it.com Kuwait Question18 .» B) «Applications of sunscreen should be repeatReview Information: The correct answer is B: ed every few hours. the RN can determine whether the PN has the requisite experience to care for the assigned clients.mum strength sunscreen. the infant can be sunburned while near water. Question14 A nurse is assigned to care for a comatose diabetic on IV insulin therapy.» Question15 Which of the following laboratory results would suggest to the emergency room nurse that a client admitted after a severe motor vehicle crash is in acidosis? A) Hemoglobin 15 gm/dl B) Chloride 100 mEq/L C) Sodium 130 mEq/L D) Carbon dioxide 20 mEq/L Review Information: The correct answer is D: Carbon dioxide 20 mEq/L Serum carbon dioxide is an indicator of acid-base status. Which parameter may be affected by this drug.many other medications. which are routine tasks. Review Information: The correct answer is D: «Sunscreens are not recommended in children younger than 6 months. High serum creatinine The first step in delegation is to determine the An elevated serum creatinine indicates reduced qualifications of the person to whom one is delrenal function.C) Low serum albumin D) Low serum blood urea nitrogen D) Review the specific procedures unique to the assignment Review Information: The correct answer is C: Review Information: The correct answer is B: Ask about prior experience with similar clients. perience with similar clients/tasks. Even on a cloudy day. The first C) Mental status thing the RN should do before the delegation of D) Hemoglobin care is A) Provide a time-frame for the completion of the Review Information: The correct answer is C: Mental status client care B) Assure the PN that the RN will be available for The elderly are at risk for developing confusion when taking cimetidine. a drug that interacts with assistance C) Ask about prior experience with similar cli. This finding would indicate acidosis.» ings. Reduced renal function will delay egating. A hat and light protective clothing should be worn. Which task would be Question17 most appropriate to delegate to an unlicensed The mother of a 4 month-old infant asks the assistive personnel (UAP)? nurse about the dangers of sunburn while they A) Check the client>s level of consciousness are on vacation at the beach. and should be closely monitored by the nurse? Question16 The nurse has just received report on a group A) Blood pressure of clients and plans to delegate care of several B) Liver function of the clients to a practical nurse (PN). ents Collected by :DeepaRajesh [ 78 ] rajesh. Which of the folB) Obtain the regular blood glucose readings lowing is the best advice about sun protection for C) Determine if special skin care is needed this child? D) Answer questions from the client>s spouse A) «Use a sunscreen with a minimum sun proabout the plan of care tective factor of 15. The nurse administers cimetidine (Tagamet) to a 79 year-old male with a gastric ulcer. D) «Sunscreens are not recommended in children younger than 6 months. By asking about the PN>>s prior exthe excretion of many mediations.» Obtain the regular blood glucose readings C) «An infant should be protected by the maxiThe UAP can safely obtain blood glucose read.

assimilation.» Most adult learners obtain skills by participating in the activities.Potassium 2. regression B) Magnesium 2. The client should show the nurse how the pouch is emptied. and every year from age 50. What would be an appropriate nursing diagnosis for this client? A) Alteration in body image B) High risk for infection C) Altered growth and development D) Impaired physical mobility Question24 A 3 year-old child has tympanostomy tubes in place. (2003). What is the nurse>s best response? A) «Your doctor will advise you about your risks. regression A client on telemetry begins having premature C) Intellectualization. Clients receiving cyclosporin are at risk serious injuries. she should have a mammogram yearly. Anxiety about discharge can be causing the client to forget that they have mastered the skill of emptying the pouch.» C) «What have you learned about emptying your pouch?» D) «Show me what you have learned about emptying your pouch. repression ventricular beats (PVBs) at 12 per minute. If there are family or personal health risks.5 mEq/L call that denial is the initial step in the process of The patient is at risk for ventricular dysrhythmias working through any loss. projection. Question21 The nurse is planning care for a client who is taking cyclosporin (Neoral).High risk for infection nisms by an adolescent 1 week after the client Cyclosporin (Neoral) inhibits normal immune rehad a motor vehicle accident resulting in multiple sponses.» Review Information: The correct answer is C: «Once a woman reaches 50. rationalization. dependent behavior which often D) PTT 70 seconds occurs at any age with hospitalization. other assessments may be recommended.» C) «Once a woman reaches 50.com Kuwait . The child>s parent asks the nurse if he can swim in the family pool. Question23 The nurse is caring for a client who is 4 days post-op for a transverse colostomy. withdrawal viewing the most recent laboratory results. dependence. Daniels. which would require immediate action by the nurse? Review Information: The correct answer is B: A) Calcium 9 mg/dl Denial.5 mg/dl Helplessness and hopelessness may contribute C) Potassium 2.» The American Cancer Society recommends a screening mammogram by age 40. Re. Which of these characteristics for infection. are most likely to be displayed? A) Ambivalence. The best response from the nurse is Collected by :DeepaRajesh [ 79 ] rajesh.ks21@gmail. What is the best response by the nurse? A) «You should be emptying the pouch yourself. In reD) Identification. The client is ready for discharge and asks the nurse to empty his colostomy pouch. when the potassium level is low. demanding Question22 B) Denial.2 years for women 40-49.» D) «Yearly mammograms are advised for all women over 35. projection.5 mEq/L to regressive.» B) «Unless you had previous problems. Denying or minimizing the seriousness of the illness Review Information: The correct answer is C: is used to avoid facing the worst situation. every 1 . every 2 years is best. she should have a mammogram yearly. Question20 A 52 year-old post menopausal woman asks the nurse how frequently she should have a mammogram.» B) «Let me demonstrate to you how to empty the pouch.Question19 Review Information: The correct answer is B: The nurse assesses the use of coping mecha. R.» Review Information: The correct answer is D: «Show me what you have learned about emptying your pouch.

Which of the following medications pre. behaviors Question27 The nurse is caring for a 10 year-old child who has just been diagnosed with diabetes insipidus. the D) Breast feeding promotes positive parenting client must be monitored for hypotension. has developed gastroesophageal reflux disease (GERD).Question28 scribed for the client may aggravate GERD? A client diagnosed with cirrhosis is started on A) Anticholinergics lactulose (Cephulac).» C) «Your child may swim if he wears ear plugs. A What is priority in teaching the child and family about this drug? A) The child should carry a nasal spray for emergency use Review Information: The correct answer is A: Cocaine use can cause fetal growth retardation Cocaine is vasoconstrictive.» D) «Your child may swim anywhere.ks21@gmail. and should have the nasal spray form of the medication readily available.abuse to a pregnant client. and this effect in the placental vessels causes fetal hypoxia and diminished growth. Which of the followcation? ing must the nurse understand as a basis for A) Blood pressure teaching? A) Cocaine use can cause fetal growth retardaB) Cardiac enzymes tion C) ECG analysis D) Respiratory rate B) The drug has been linked to neural tube defects Review Information: The correct answer is A: C) Newborn withdrawal generally occurs immediately after birth Blood pressure Since an effect of this drug is vasodilation. altered brain deCollected by :DeepaRajesh [ 80 ] rajesh. The parents ask about the treatment prescribed. Question26 A client is receiving a nitroglycerin infusion for Question29 unstable angina.Review Information: The correct answer is B: tric emptying and the pressure on the lower es. vasopressin.» B) The family must observe the child for dehydration C) Parents should administer the daily intramuscular injections D) The client needs to take daily injections in the short-term Review Information: The correct answer is A: The child should carry a nasal spray for emergency use Water should not enter the ears. The child will need to administer daily injections of vasopressin.A) «Your child should not swim at all while the tubes are in place. Other risks of continued cocaine use during pregnancy include preterm labor. Lactulose blocks the absorption of ammonia from the GI tract and secondarily stimulates bowel elimination. Children should Diabetes insipidus results from reduced secreuse ear plugs when bathing or swimming and tion of the antidiuretic hormone.com Kuwait .» B) «Your child may swim in your own pool but not in a lake or ocean. A mediQuestion25 The nurse is caring for a client with asthma who cal alert tag should be worn. should not put their heads under the water. congenital abnormalities.» Review Information: The correct answer is C: «Your child may swim if he wears ear plugs. vasopressin. The main purpose of the B) Corticosteroids drug for this client is to C) Histamine blocker A) add dietary fiber D) Antibiotics B) reduce ammonia levels C) stimulate peristalsis Review Information: The correct answer is A: D) control portal hypertension Anticholinergics An anticholinergic medication will decrease gas.reduce ammonia levels ophageal sphincter. What assessment would be a The nurse is explaining the effects of cocaine priority when monitoring the effects of this medi.

then to engage in problem solving.» Question34 This response does not challenge the client’s A client tells the RN she has decided to stop takdelusional system and thus forms an alliance by ing sertraline (Zoloft) because she doesn’t like providing reassurance of desire to help the cli. able disease.» B) «None of the laboratory reports show that you have any physical disease. I’m dying week.» Reassurance is ineffective when a client is actively delusional. The nurse enters the room and the client tells the nurse that she is stupid. When the client’s condition has improved.» C) «Try to eat a little bit. and obsessions ent.» cine cup to drink it to show you that it is OK.» appropriate statement at this time for the nurse B) «Side effects and benefits should be discussed with your health care provider.» The appropriate re.» important meal of the day.C) «This medication should be continued despite unpleasant symptoms. gentle negation of the Review Information: The correct answer is A: delusional premise can be employed.» to say is A) «Here. It is a harmless response to the drug. This option avoids both arguing with the client and agreeing with the delusional premise.» A client has just been diagnosed with breast cancer.» regain your weight.Discoloration of the urine and other body fluids may occur.» Collected by :DeepaRajesh [ 81 ] rajesh.» and is not poisoned.» the client prepare for breakfast the client com.» B) «The food has been prepared in our kitchen D) «Many medications have potential side effects. Explore what is going on with the client Exploring feelings with the verbally aggressive Question33 client helps to put angry feelings into words and A client with tuberculosis is started on Rifampin. What is an appropriate response by the nurse? Question32 A client with paranoid thoughts refuses to eat be.» sponse would be A) «You need some nutritious food to help you D) if you take the medication with food.the nightmares.ks21@gmail. I will have to suggest for you to be tube fed. Which one of the following statements by the nurse would be appropriate to include in teaching? «You may notice: Question31 A client has many delusions.B) your appetite may increase for the first ments «Don’t waste good food on me.» D) «I know you believe that you have an incur.C) it is common to experience occasional sleep disturbances. sex dreams.velopment and subsequent behavioral problems in the infant. What is the most therapeutic response by the nurse? A) Explore what is going on with the client B) Accept the client’s statement without comment C) Tell the client that the comment is inappropriate D) Leave the client>s room Review Information: The correct answer is C: «Let>>s see if your partner could bring food from home. Option D offers a logical response to a primarily affective concern. you may have nausea.» D) «If you don>t eat. she’s experiencing since starting on the medication. Question30 C) «Let>s see if your partner could bring food from home.» but the patient needs to be aware it may hapReview Information: The correct answer is D: pen. As the nurse helps A) an orange-red color to your urine. breakfast is the most Review Information: The correct answer is A: an orange-red color to your urine.com Kuwait .” from this disease I have. «I know you believe that you have an incurable disease. The scribed medication.A) «It is unsafe to abruptly stop taking any precause of the belief that the food is poisoned. I will pour a little of the juice in a medi.

Question35 A client is admitted to the hospital with findings of liver failure with ascites. vomiting. the client continues to withdraw from the other clients. Question40 Collected by :DeepaRajesh [ 82 ] rajesh.» Slow heart rate is related to increased cardiac output and an intended effect of digoxin. After several days.» B) «It is important for you to participate in group activities. The client needs further teaching. A slow withdrawal may be prescribed with sertraline to avoid dizziness.» D) «Come play Chinese Checkers with Gloria and me.com Kuwait . The ideal heart rate is above 60 BPM with digoxin.» Abrupt withdrawal may occasionally cause serotonin syndrome.ks21@gmail. It had no effect on am. The appearance of jaundice may indicate that the client has liver damage. headache.» excretion while sparing potassium and decreas.» ing aldosterone levels. The statement is an example of a positive behavioral expectation. if used correctly. D) «I must report a bounding pulse of 62 immediately. focusing on an activity is less anxiety-provoking than unstructured discussion. sweating and chills.» Review Information: The correct answer is D: «Come play Chinese Checkers with Gloria and me. nausea.» monia levels. The health care provider orders spironolactone (Aldactone). What is the pharmacological effect of this medication? A) Promotes sodium and chloride excretion B) Increases aldosterone levels C) Depletes potassium reserves D) Combines safely with antihypertensives The nurse is teaching a client about the toxicity of digoxin. Review Information: The correct answer is D: «I must report a bounding pulse of 62 immediately. fever.Review Information: The correct answer is A: «It is unsafe to abruptly stop taking any prescribed medication. Question39 Which of the following assessments by the nurse would indicate that the client is having a possible adverse response to the isoniazid (INH)? A) Severe headache B) Appearance of jaundice C) Tachycardia D) Decreased hearing Review Information: The correct answer is B: Appearance of jaundice Clients receiving INH therapy are at risk for developing drug induced hepatitis.» C) «Come with me so you can paint a picture to help you feel better.C) «Nausea and vomiting may last a few days. Which of these statements by the nurse would be the most appropriate to promote interaction with other clients? A) «Your team here thinks it>s good for you to spend time with others. Question37 The nurse is teaching a school-aged child and family about the use of inhalers prescribed for asthma.B) «I can expect occasional double vision.» Question38 Question36 A client was admitted to the psychiatric unit for severe depression. and diarrhea. consisting of lethargy. nausea. Which one of the following statements Review Information: The correct answer is A: made by the client to the nurse indicates more Promotes sodium and chloride excretion teaching is needed? Spironolactone promotes sodium and chloride A) «I may experience a loss of appetite. shows effectiveness of inhalants. What is the best way to evaluate effectiveness of the treatments? A) Rely on child>s self-report B) Use a peak-flow meter C) Note skin color changes D) Monitor pulse rate Review Information: The correct answer is B: Use a peak-flow meter The peak flowmeter. In addition.» This gradually engages the client in interactions with others in small groups rather than large groups.

The nurse is beginning nutritional counseling/ B) Void a little. which client should the nurse see first? A) 16 year-old who had an open reduction of a fractured wrist 10 hours ago B) 20 year-old in skeletal traction for 2 weeks since a motor cycle accident C) 72 year-old recovering from surgery after a hip replacement 2 hours ago D) 75 year-old who is in skin traction prior to planned hip pinning surgery. Following change-of-shift report on an orthopedic unit. A clean catch urine is difficult to obtain and requires clear directions. Other responseating routines. breathing unlabored B) Glascow Coma Scale 8. respirations regular C) Appears to be sleeping. The 16 year-old should be seen next because it is still the first post-op day. Elevating the leg both improves venous return and reduces swelling. then catch C) Questionher understanding and use urine stream. Instructing of the food pyramid D) Conduct a diet history to determine her nor. Review Information: The correct answer is D: As starting and stopping flow can be difficult.specimen tial step in this interaction? C) Clean the meatus.ks21@gmail. A full leg cast was applied in the emergency room. then collect teaching with a pregnant woman. Assessment is always the first step in planning teaching for any client. Client comfort will be improved as well. A thorough and accurate history is essential for gathering the needed information. then urinate into container D) Void continuously and catch some of the A) Teach her how to meet the needs of self and urine her family B) Explain the changes in diet necessary for Review Information: The correct answer is pregnant women A: Clean the meatus. Conduct a diet history to determine her normal once the client begins voiding it>>s best to just slip the container into the stream. What is the appropriate sequence to teach the client? A) Clean the meatus. The client who can safely be seen last is the 20 year-old who is 2 weeks post-injury. What should the nurse document to most accurately describe the client>s condition? A) Comatose. The client who returned from surgery 2 hours ago is at risk for life threatening hemorrhage and should be seen first. These are sample nursing review questions and not actual test questions made for educational and practice test purposes only. Question4 Question2 The nurse is reviewing with a client how to collect a clean catch urine specimen. 75 questions have been posted here with answer keys. Question1 A client has been hospitalized after an automobile accident. Look for the client who has the most imminent risks and acute vulnerability. The most important reason for the nurse to elevate the casted leg is to A) Promote the client>s comfort B) Reduce the drying time C) Decrease irritation to the skin D) Improve venous return Review Information: The correct answer is D: Improve venous return. The 75 year-old is potentially vulnerable to agerelated physical and cognitive consequences in skin traction should be seen next. Review Information: The correct answer is C: 72 year-old recovering from surgery after a hip replacement 2 hours ago.com Kuwait .the client to carefully clean the meatus. vital signs stable Collected by :DeepaRajesh [ 83 ] rajesh. begin voiding. What is the ini. yet vital signs are stable and breathing is independent. begin voiding. clean the meatus. then catch urine stream A client with Guillain Barre is in a nonresponsive state. es do not reflect correct technique. Question3 Free NCLEX-RN Sample Test Questions For Nursing Review (Part 1) Jul31. then void naturally with a steady stream prevents surface mal eating routines bacteria from contaminating the urine specimen.

Which assessment finding would cause the nurse to call the provider immediately? A) prolonged inspiration with each breath B) expiratory wheezes that are suddenly absent in 1 lobe C) expectoration of large amounts of purulent mucous D) appearance of the use of abdominal muscles Collected by :DeepaRajesh [ 84 ] rajesh.D) Glascow Coma Scale 13. A peak flow reading of less than 50% of the client>>s baseline reading is a medical alert condition and a short-acting beta-agonist must be taken immediately. What should the tic of Graves>> Disease. Which of these findings noted on the initial nursing assessReview Information: The correct answer is ment requires quick intervention by the nurse? C: Prothrombin time. It can result in corneal abrasions with severe eye pain or damage when nurse do first? the eyelid is unable to blink down over the proA) Notify both the surgeon and provider truding eyeball. Coumadin affects the Vitamin K depend. C) Apply oxygen at 2 liters per nasal cannula D) Repeat the peak flow reading in 30 minutes Review Information: The correct answer is B: Administer the prn dose of albuterol. Any score less than 13 indicates a neurological impairment.C) the appearance of eyeballs that appear to ent clotting factors. The Glascow Coma Scale provides a standard reference for assessing or monitoring level of consciousness.ks21@gmail. Question8 Question9 The nurse has performed the initial assessments of 4 clients admitted with an acute episode of asthma. «pop» out of the client>s eye sockets D) a report of the sudden onset of irritability in the past 2 weeks Question6 A client with moderate persistent asthma is admitted for a minor surgical procedure. A) a report of 10 pounds weight loss in the last based on the client>>s prothrombin time (PT). no ventilator required Review Information: The correct answer is B: Glascow Coma Scale 8.still. respirations regular. Although all of these may be correct information to include in report. The peak flow has or protruding eyeballs is a distinctive characterisdropped to 200 liters/minute. Eye drops or ointment may be B) Administer the prn dose of albuterol needed. which lab test would the nurse monitor to determine therapeutic response to the drug? A) Bleeding time B) Coagulation time C) Prothrombin time D) Partial thromboplastin time A client has been tentatively diagnosed with Graves> disease (hyperthyroidism).Review Information: The correct answer is C: mission the peak flow meter is measured at 480 the appearance of eyeballs that appear to «pop» liters/minute. the essential piece would be the urine output. Peak flow monitoring during exacerbations of asthma is recommended for clients with moderate-tosevere persistent asthma to determine the severity of the exacerbation and to guide the treatment. Coumadin is ordered daily. Exophthalmos plaining of chest tightness. C) The client’s urine output was 1500 cc in 5 hours D) The client is to receive another dose of Lasix at 10 PM Review Information: The correct answer is C: The client’s urine output was 1500 cc in 5 hours.com Kuwait . Question7 A client had 20 mg of Lasix (furosemide) PO at 10 AM. On ad.out of the client>>s eye sockets. Which would be essential for the nurse to include at the change of shift report? A) The client lost 2 pounds in 24 hours B) The client’s potassium level is 4 mEq/liter. month This test evaluates the adequacy of the extrinsic B) a comment by the client «I just can>t sit system and common pathway in the clotting cas. Question5 When caring for a client receiving warfarin sodium (Coumadin). Post-operatively the client is com.» cade. Using the term comatose provides too much room for interpretation and is not very precise.

a progressive chronic illness. Thus.». Wheezes are a high pitched musical sounds produced by air moving through narrowed airways. Synthetic casts will typically set up in 30 minutes and dry in a few hours. With plaster casts.the small airways are now collapsed. the client may stand within the initial 24 hours.» D) «I think I remember that my child should not stand until after 72 hours. Further diagnostic testing may be indicated. In the absence of insulin. Applychallenges caregivers.ks21@gmail. However. Which of these interventions would be most helpful at this time? A) leave a book about relaxation techniques B) write out a daily exercise routine for them to assist the client to do C) list actions to improve the client>s daily nutritional intake D) suggest communication strategies A school-aged child has had a long leg (hip to ankle) synthetic cast applied 4 hours ago.» C) «The cast should be propped on at least 2 pillows when my child is lying down. The nurse has also noted increased HCT of 60. Clients may complain of a suggest communication strategies. greatly be covered lightly with a sheet or blanket. Changes in speech patterns and accumulate causing metabolic acidosis (pH < level of conscious can be indicators of continued 7. Question12 Question10 During the initial home visit. a by-product of fat metabolism. This high hematocrit is indicative of lethargy. Clients often associate wheezes with the feeling of tightness in the chest. which would be the second concern for this Collected by :DeepaRajesh [ 85 ] rajesh.» B) «I can apply an ice pack over the area to relieve itching inside the cast. especially in a long leg cast which is thicker than an arm cast. all systems of the body are at risk A) Slurred speech for hypoxia from a lack of or sluggish circulaB) Incontinence tion. the set up and drying time.for breathing Review Information: The correct answer is B: expiratory wheezes that are suddenly absent in 1 lobe. intracranial bleeding or extension of the stroke. which facilitates C) Muscle weakness the transport of glucose into the cell. greatest assistance in helping the family to use communication strategies to enhance their ability Question13 to relate to the client.0 C) HCT of 60 Question11 An 80 year-old client admitted with a diagnosis D) Pa O2 of 79% of possible cerebral vascular accident has had a blood pressure from 160/100 to 180/110 over the Review Information: The correct answer is C: past 2 hours. These Slurred speech. By use of select verbal and Which blood serum finding in a client with dianonverbal communication strategies the family betic ketoacidosis alerts the nurse that immedican best support the client’s strengths and cope ate action is required? with any aberrant behavior. the body D) Rapid pulse breaks down fats and proteins to supply energy Review Information: The correct answer is A: ketones. sudden cessation of wheezing is an ominous or bad sign that indicates an emergency -.3 B) Potassium of 5.» Review Information: The correct answer is D: «I think I remember that my child should not stand until after 72 hours.3). The nurse can be of ing ice is a safe method of relieving the itching. can take up to 72 hours. Which statement from the parent indicates that teaching has been inadequate? A) «I will keep the cast uncovered for the next day to prevent burning of the skin. Both types of casts give off a lot of heat when drying and it is preferable to keep the cast uncovered Review Information: The correct answer is D: for the first 24 hours. Which assessment finding should the severe dehydration which requires priority attention in diabetic ketoacidosis. Alzheimer>>s chill from the wet cast and therefore can simply disease. A) pH below 7. a nurse is discussing the care of a client newly diagnosed with Alzheimer>s disease with family members.com Kuwait . Without sufficient nurse report immediately to the provider? hydration. Acute asthma is characterized by expiratory wheezes caused by obstruction of the airways.

A wheezing sound results. This is a non-invasive procedure and does not require preparation other than client education. Prompt recognition of this neurovascular problem and early intervention may prevent permanent limb damage.». Question16 Question19 The nurse explains an autograft to a client scheduled for excision of a skin tumor.» D) synthetic skin. Compartment syndrome is a serious complication of fractures. Question14 Question17 The nurse is preparing a client with a deep vein thrombosis (DVT) for a Venous Doppler evaluation.ks21@gmail. Autografts are done with tissue trans- The nurse is assigned to care for a client who had a myocardial infarction (MI) 2 days ago. malaise and neurologic sequelae of emboli.» Review Information: The correct answer is C: my thigh. the vegetations may travel to various organs such as spleen. and obstruct blood flow. Which finding would alert the nurse to a complication of this condition? A) dyspnea B) heart murmur C) macular rash D) hemorrhage Review Information: The correct answer is B: heart murmur. The potassium and PaO2 levels are near normal. «I will receive tissue from A) a tissue bank.» B) a pig. Large. What area is a priority for the nurse to discuss at this time? A) Daily needs and concerns B) The overview cardiac rehabilitation C) Medication and diet guideline D) Activity and rest guidelines Review Information: The correct answer is A: Daily needs and concerns. coronary artery. A client has been admitted with a fractured femur and has been placed in skeletal traction.client. Furthermore. kidney. In asthma. anorexia. fever. The nurse knows the client understands the procedure when the client says. Which of the following assessments would be expected by the nurse? A) Diffuse expiratory wheezing B) Loose. the airways are narrowed.» C) my thigh. planted from the client>>s own skin. the Collected by :DeepaRajesh [ 86 ] rajesh. soft. A client is admitted to the emergency room following an acute asthma attack. Which of the following would be necessary for preparing the client for this test? A) Client should be NPO after midnight B) Client should receive a sedative medication prior to the test C) Discontinue anti-coagulant therapy prior to the test D) No special preparation is necessary Review Information: The correct answer is D: No special preparation is necessary. They have a tendency to break off. creating difficulty getting air in. The client has many questions about this condition. These emboli produce findings of cardiac murmur. rapidly developing vegetations attach to the heart valves. brain and lungs. Question18 Question15 A client is admitted with infective endocarditis (IE). Which of the following nursing interventions should receive priority? A) Maintaining proper body alignment B) Frequent neurovascular assessments of the affected leg C) Inspection of pin sites for evidence of drainage or inflammation D) Applying an over-bed trapeze to assist the client with movement in bed Review Information: The correct answer is B: Frequent neurovascular assessments of the affected leg.com Kuwait . At 2 days post-MI. productive cough C) No relief from inhalant D) Fever and chills Review Information: The correct answer is A: Diffuse expiratory wheezing. The most important activity for the nurse is to assess neurovascular status. causing emboli and leaving ulcerations on the valve leaflets.

cookies. muscle twitching and elevated pulse. and dried fruits such as raisins. whole grains. Iron rich foods include red meat.Question25 Collected by :DeepaRajesh [ 87 ] rajesh. hyperactive reflexes. B) Ineffective airway clearance C) Altered nutrition D) Risk for injury Question24 A two year-old child is brought to the provider>s Review Information: The correct answer is B: office with a chief complaint of mild diarrhea for Ineffective airway clearance. A) Metabolic acidosis general irritability. The nurse admitting a 5 month-old who vomited Review Information: The correct answer is 9 times in the past 6 hours should observe for D: pinworms. Current recommendations for be best? A) Fish sticks. french fries. Signs of pinworm infection include signs of which overall imbalance? intense perianal itching. milk mediate needs and concerns for the day. lima beans.alkalosis. preventing aspiration. Prolonged vomiting can result in excess loss of acid and lead to metabolic Question21 The nurse is caring for a newborn with tra. Options C and D are correct sis is a priority? answers but not the best answers since they are A) Risk for dehydration too general. milk. raisins. apples. The presence of the mite leads to intense itching Review Information: The correct answer is B: in the area of its burrows. increased cheoesophageal fistula. mild to moderate diarrhea are to maintain a normal diet with fluids to rehydrate. canta. D) Peanut butter and jelly sandwich. Nutritional counseling by the nurse form of TEF is one in which the proximal esopha.client’s education should be focused on the im. Findings include irritability.loupe.com Kuwait Question23 . Which dinner menu would Continue with the regular diet and include oral rehydration fluids. then rehydrate with milk and water Question22 The nurse is developing a meal plan that would provide the maximum possible amount of iron for Review Information: The correct answer is B: a child with anemia. eight. restlessness. Which nursing diagno.should include which statement? geal segment terminates in a blind pouch and A) Place the child on clear liquids and gelatin for the distal segment is connected to the trachea 24 hours or primary bronchus by a short fistula at or near B) Continue with the regular diet and include oral the bifurcation. milk C) Chicken nuggets.C) Give bananas. B) Metabolic alkalosis distractibility and short attention span. milk Question20 A 3 year-old child is brought to the clinic by his grandmother to be seen for «scratching his bottom and wetting the bed at night. green leafy vegetables. Other nurs. Vomiting causes loss of acid from the stomach. banana. the nurse would initially assess for which problem? A) allergies B) scabies C) regression D) pinworms Review Information: The correct answer is B: Ground beef patty. Metabolic alkalosis. wheat roll. Scabies C) Some increase in the serum hemoglobin is an itchy skin condition caused by a tiny.D) A little decrease in the serum potassium legged burrowing mite called Sarcoptes scabiei . a priority is maintaining an rehydration fluids open airway. fish. macaroni.activity. bed-wetting. egg yolks. Thus. raisins. poor sleep patterns. apple slices. This dinner is the best choice: It is high in iron and is appropriate for a toddler. peas. lima beans. wheat roll. legumes. milk B) Ground beef patty. rice and toast as tolering diagnoses are then addressed. The most common two days.ks21@gmail. ated D) Place NPO for 24 hours.» Based on these complaints.

client controlB) Whole milk is difficult for a young infant to di.com Kuwait . Which of the following actions tween feedings should be the first? Review Information: The correct answer is B: Whole milk is difficult for a young infant to digest. In addition. Cow>>s milk is not given to infants younger than 1 year because the tough. priate diet for a 4 month-old infant with gastroenteritis and mild dehydration. pallor.one at a time between 4-6 months. What should be emphasized as the nurse teaches Review Information: The correct answer is B: about infant nutrition? Client controlled analgesia. In addition to oral Question28 rehydration fluids. hard curd is difficult to digest. The usual diet for a young provide iron infant should be followed. If the infant is able to tolerate the food. D) apply cold compresses to the injured area Review Information: The correct answer is C: assess the child and the extent of the injury. paralysis). C) Egg white is added early to increase protein intake D) Solid foods should be mixed with formula in Question26 A child is injured on the school playground and a bottle appears to have a fractured leg. When applying the nursing process. Solid foods should be added A) call for emergency transport to the hospital B) immobilize the limb and joints above and be. The priority of care months is pain relief. it contains little iron and creA) Perform traumatic procedures B) Use minimal physical contact C) Proceed from head to toe D) Explain the exam in detail Collected by :DeepaRajesh [ 88 ] rajesh.on a toddler. Management of a sickle cell crisis is directed towards supportive A) Solid foods should be introduced at 3-4 and symptomatic treatment. A) formula or breast milk Which notation should be included in the teachB) broth and tea ing materials? C) rice cereal and apple juice D) gelatin and ginger ale A) Solid foods are introduced one at a time beginning with cereal Review Information: The correct answer is A: B) Finely ground meat should be started early to formula or breast milk. another may be added low the injury in a week.ates a high renal solute load. Question29 The nurse planning care for a 12 year-old child with sickle cell disease in a vaso-occlusive crisis of the elbow should include which one of the following as a priority? A) Limit fluids Question27 B) Client controlled analgesia The mother of a 3 month-old infant tells the nurse C) Cold compresses to elbow that she wants to change from formula to whole D) Passive range of motion exercise milk and add cereal and meats to the diet. The first action Review Information: The correct answer is A: the school nurse should take is Solid foods are introduced one at a time beginning with cereal. the diet should include The nurse is preparing a handout on infant feeding to be distributed to families visiting the clinic.ks21@gmail. Iron fortified cereal is the recommendC) assess the child and the extent of the injury ed first food.The nurse is teaching parents about the appro.led analgesia promotes maximum comfort. paresthesia. The «5 Ps» of vascular impairment can be used as a guide (pain. assessment is the first step in providing care. gest C) Fluoridated tap water should be used to dilute Question30 milk The nurse is performing a physical assessment D) Supplemental apple juice can be used be. pulse. In a 12 year-old child.

com Kuwait .the little buttocks stuck up in the air while the four atrics recommends that all childbearing women year-old naps on the sofa.» to take with the children? C) «A well balanced diet promotes normal fetal development.». Watermelon is high in potassium and will replace potassium lost by the diuretic.125 mg the four month-old a bottle in the kitchen while I PO and furosemide 40 mg every day. Review Information: The correct answer is A: Maintain good oral hygiene and dental care. Which of make supper. Be flexible in the sequence of the exam.» increase folic acid from dietary sources and/or D) «I have the four year-old hold and help feed supplements.» old child.D) Serve a diet that is high in iron picted by logical thinking and moral judgments. Good oral hygiene and regular visits chances of having another baby with a neural to the dentist should be emphasized. The infant seat is to be placed Question31 Collected by :DeepaRajesh [ 89 ] rajesh. A) Explores the environment with the use of sight and movement Question34 B) Thinks in mental images or word pictures While teaching the family of a child who will take C) Makes the moral judgment that «stealing is phenytoin (Dilantin) regularly for seizure control.» mother and fetus. wrong» it is most important for the nurse to teach them D) Reasons that homework is time-consuming about which of the following actions? yet necessary A) Maintain good oral hygiene and dental care Review Information: The correct answer is B) Omit medication if the child is seizure free C: Makes the moral judgment that «stealing is C) Administer acetaminophen to promote sleep wrong».Review Information: The correct answer is B: Use minimal physical contact.» A: «Folic acid should be taken before and after C) «My sleeping baby lies so cute in the crib with conception. and give only brief simple explanations just prior to the action. The nurse should approach the toddler slowly and use minimal physical contact initially so as to gain the toddler>>s cooperation. Question32 The mother of a child with a neural tube defect Swollen and tender gums occur often with use of asks the nurse what she can do to decrease the phenytoin. Which statement by the parent indiB) «Multivitamin supplements are recommended cates understanding of appropriate precautions during pregnancy. What is the best response by the nurse? Question35 The nurse is offering safety instructions to a parA) «Folic acid should be taken before and after ent with a four month-old infant and a four yearconception.ks21@gmail. The stage of concrete operations is de. There is evidence that increased the four month-old a bottle in the kitchen while I amounts of folic acid prevents neural tube de. The American Academy of Pedi.» fects.» A) «I strap the infant car seat on the front seat to D) «Increased dietary iron improves the health of face backwards.make supper.» B) «I place my infant in the middle of the living room floor on a blanket to play with my four yearReview Information: The correct answer is old while I make supper in the kitchen. Review Information: The correct answer is D: «I have the four year-old hold and help feed Question33 The provider orders Lanoxin (digoxin) 0. tube defect. these foods would the nurse reinforce for the client to eat at least daily? A) Spaghetti B) Watermelon C) Chicken D) Tomatoes Review Information: The correct answer is B: What finding signifies that children have attained Watermelon.». the stage of concrete operations (Piaget)? The other foods are not high in potassium.

will be the outcome of this injury. Diagnosis of pediculosis capitis is made by observation of the white eggs (nits) firmly attached to the hair shafts. Preschoolers interpret time with their own frame of reference. The parents ask what to allow for digestion of all foods that are eaten.» C) Let tap water run for 2 minutes before adding to concentrate Review Information: The correct answer is B: D) Buy bottled water labeled «lead free» to mix «In some instances the result is a retarded bone the formula growth. Pancreatic enzymes room after a leg injury. concentrate.» C) «Bone growth is stimulated in the affected A) Use ready-to-feed commercial infant formula leg.» B) Boil the tap water for 10 minutes prior to preD) «This type of injury shows more rapid union paring the formula than that of younger children. The leg often will be different in length Let tap water run for 2 minutes before adding to than the uninjured leg. The x-rays show a femur should be taken with each meal and every snack fracture near the epiphysis. “We are leaving now and will be back in sealing water pipes. Small children and infants are not to be left unsupervised.” A few hours later the child asks the several minutes will diminish the lead contaminurse when the parents will come again.» Review Information: The correct answer is A: «They will be back right after supper. it is best to explain time in relationship to a known. which of the followB) «In some instances the result is a retarded ing is most important to prevent lead poisoning? bone growth.» C) «After you play awhile. Drinking water may be contaminated Question37 The parents of a 4 year-old hospitalized child tell by lead from old lead pipes or lead solder used the nurse. and meticulous combing and removal of all nits. they will be here.» B) «In about 2 hours. common event.ks21@gmail. An epiphyseal (growth) plate fracture in a 7 year-old often results in retarded bone Review Information: The correct answer is C: growth. Question38 The nurse is giving instructions to the parents of a child with cystic fibrosis.on the rear seat.» cussing formula preparation. the best response by the nurse? Question36 A) «They will be back right after supper. Infants are C) with each meal or snack D) each time carbohydrates are eaten Review Information: The correct answer is C: The nurse admits a 7 year-old to the emergency with each meal or snack. Thus.».» D) «When the clock hands are on 6 and 12.als living in a community of older homes. you will see them. Time is not completely understood by a 4 year-old. Letting tap water run for at 6 PM. The appropriate response by the nurse should be which of these statements? Question39 A nurse is providing a parenting class to individuA) «The injury is expected to heal quickly be. The nurse would emphasize that pancreatic enzymes should be taken A) once each day B) 3 times daily after meals Collected by :DeepaRajesh [ 90 ] rajesh. What is nation. Question40 Which of the following manifestations observed by the school nurse confirms the presence of pediculosis capitis in students? A) Scratching the head more than usual B) Flakes evident on a student>s shoulders C) Oval pattern occipital hair loss D) Whitish oval specks sticking to the hair Review Information: The correct answer is D: Whitish oval specks sticking to the hair. Treatment can include application of a medicated shampoo with lindane for children over 2 years of age.com Kuwait .». In discause of thin periosteum. Use of lead-contaminated water to prepare formula is a major source of poisoning in infants.

She reports that the baby feels very warm. that behavior will stop in a few days. and has had several shaking spells. The majority of reactions occur with the administration of the DTaP vaccination. ages 1 to 3. Question42 The mother of a 2 month-old baby calls the nurse 2 days after the first DTaP. Animal dander is a very common allergen affecting persons with asthma.» Question46 C) «Keep in mind that for the age this is a normal A 7 month pregnant woman is admitted with comCollected by :DeepaRajesh [ 91 ] rajesh. since it is nurse? removed from major nerves and blood vessels. friends and support groups to listen to their feelings. Question45 The nurse is performing a pre-kindergarten physical on a 5 year-old. Vastus lateralis. is the preferred site. The protest phase of separation anxiety is a normal response for a child this age. carpeting and household dust.Question41 When interviewing the parents of a child with asthma. To communicate in a therapeutic manner. In planning for discharge. What is the best response by the vastus lateralis. The last series of vaccines will be administered. the nurse>>s goal is to help the couple begin the grief process by suggesting they talk to each other. Influenza Review Information: The correct answer is A: DTaP.» Review Information: The correct answer is C: «Keep in mind that for the age this is a normal response to being in the hospital. it is most important to assess the child>s environment for what factor? A) Household pets B) New furniture C) Lead based paint D) Plants such as cactus Review Information: The correct answer is A: Household pets. Other triggers may include pollens.ks21@gmail. In addition to referring her to the emergency room. In toddlers.com Kuwait . Contradictions to giving repeat DTaP immunizations include the occurrence of severe side effects after a previous dose as well as signs of encephalopathy within 7 days of the immunization. cries inconsolably for as long as 3 hours.» B) «Oh. a large and well developed muscle. Hepatitis B and HIB immunizations. response to being in the hospital. the nurse should document the reaction on the baby>s record and expect which immunization to be most associated with the findings the infant is displaying? A) DTaP B) Hepatitis B C) Polio D) H. seek family. IPV. what should the nurse emphasize? A) To discuss feelings with each other and use support persons B) To focus on the other healthy children and move through the loss C) To seek causes for the fetal death and come to some safe conclusion D) To plan for another pregnancy within 2 years and maintain physical health Review Information: The correct answer is A: To discuss feelings with each other and use support persons. separation anxiety is at its peak Question44 A couple experienced the loss of a 7 month-old fetus.».» D) «You might want to «sneak out» of the room once the child falls asleep. What is the preferred site for injection by the nurse? A) vastus intermedius B) gluteus maximus C) vastus lateralis D) dorsogluteaI Question43 The mother of a 2 year-old hospitalized child asks the nurse>s advice about the child>s screaming every time the mother gets ready to leave the Review Information: The correct answer is C: hospital room. A) «I think you or your partner needs to stay with the child while in the hospital.

This is caused by any abnormal decline in kidney perfusion that reduces glomerular perfusion. The standard for diagnosis of placenta previa. tell me what the pregnancy and birth were like for you. An upright position facilitates proper chewing and swallowing.». Collected by :DeepaRajesh [ 92 ] rajesh. the nurse>s best response is A) «This is a common occurrence after birth. and I do not want it.» B) «Many women have postpartum blues and need some time to love the baby.plaints of painless vaginal bleeding over several hours.» D) «You seem upset. Which of the following assessments is critical for the nurse to include in the plan of care? A) hourly urine output B) white blood count C) blood glucose every 4 hours D) temperature every 2 hours Review Information: The correct answer is A: hourly urine output. Question50 Question48 The nurse notes that a 2 year-old child recovering from a tonsillectomy has an temperature of 98. tell me what the pregnancy and birth were like for you. The nurse should listen to and show respect for what parents say. The first action by the nurse should be to A) reassure the parent that this is normal B) offer the child cold oral fluids C) reassess the child>s temperature D) administer the prescribed acetaminophen A client is admitted to the rehabilitation unit following a cerebral vascular accident (CVA) and mild dysphagia.» After repositioning the child safely. A non-judgmental. Clients who have had an episode of decreased glomerular perfusion are at risk for pre-renal failure. At 10:00 AM the child>s parent reports that the child «feels very warm» to touch. The nurse should prepare the client for an immediate A) Non stress test B) Abdominal ultrasound C) Pelvic exam D) X-ray of abdomen Review Information: The correct answer is B: Abdominal ultrasound.» C) «What a beautiful baby! Her eyes are just like yours. but you will come to accept the baby. Review Information: The correct answer is C: reassess the child>>s temperature.2 degrees Fahrenheit at 8:00 AM. The mother states «This is not my baby. A child>>s temperature may have rapid fluctuations. The most appropriate intervention for this client is to A) position client in upright position while eating B) place client on a clear liquid diet C) tilt head back to facilitate swallowing reflex D) offer finger foods such as crackers or pretzels Review Information: The correct answer is A: position client in upright position while eating.» Review Information: The correct answer is D: «You seem upset. Parental caretakers are often quite sensitive to variations in their children>>s condition that may not be immediately evident to others. Close observation of hourly urinary output is necessary for early detection of this condition. is abdominal ultrasound. Question47 A nurse entering the room of a postpartum mother observes the baby lying at the edge of the bed while the woman sits in a chair. open ended response facilitates dialogue between the client and nurse. Pre-renal failure occurs when the effective arterial blood volume falls.com Kuwait . Examples of this phenomena include a drop in circulating blood volume as in a cardiac arrest state or in low cardiac perfusion states such as congestive heart failure associated with a cardiomyopathy. Question49 The nurse is caring for a client who was successfully resuscitated from a pulseless dysrhythmia. which is suggested in the client>>s history of painless bleeding.ks21@gmail.

The nurse instructs the client taking dexamethasone (Decadron) to take it with food or milk. sciousness and is normotensive. and blurred viReview Information: The correct answer is B: sion Administer epinephrine 1:1000 as ordered. In planning for home care. what is the most important action by the nurse? A) Investigating the client>s insurance coverage for home IV antibiotic therapy B) Determining if there are adequate hand washing facilities in the home C) Assessing the client>s ability to participate in self care and/or the reliability of a caregiver D) Selecting the appropriate venous access device Review Information: The correct answer is C: Assessing the client>>s ability to participate in self care and/or the reliability of a caregiver. Decadron increases the production of hydrochloric acid. The physiological basis for this instruction is that the medication A) retards pepsin production B) stimulates hydrochloric acid production C) slows stomach emptying time D) decreases production of hydrochloric acid Review Information: The correct answer is B: stimulates hydrochloric acid production. D) Hyperglycemia. and edema but the priority is to administer the epinephrine. nasal congestion. In the early stages of Review Information: The correct answer is anaphylaxis.sion is a contraindication to the use of neuroleper responses. is maintained by using diphenhydramine. lethargy. Question54 Question52 A client receiving chlorpromazine HCL (Thorazine) is in psychiatric home care. and applying the oxygen. The nurse recognizes this assessment finding as what? A) Dystonia B) Akathisia C) Brady dyskinesia D) Tardive dyskinesia Review Information: The correct answer is D: Tardive dyskinesia. the client complains of itchy and watery eyes. severe depression the answers are correct given the circumstances. severe depression. grinding of teeth and «fly catching» tongue movements. The nurse expects that the first action in the sequence of care for this client will be to A) Maintain the airway B) Administer epinephrine 1:1000 as ordered C) Monitor for hypotension with shock D) Administer diphenhydramine as ordered Which of the following findings contraindicate the use of haloperidol (Haldol) and warrant withholding the dose? A) Drowsiness. blood dyscrasias. which may cause gastrointestinal ulcers. The prevention of a severe crisis tics.com Kuwait . Question55 Collected by :DeepaRajesh [ 93 ] rajesh. then maintain the airway.ks21@gmail. and difficulty breathing. During a home visit the nurse observes the client smacking her lips alternately with grinding her teeth. Within 15 minutes after the immunization was given. blood dyscrasias. A history of severe depresand watching for hypotension and shock.Question53 Question51 A 72 year-old client with osteomyelitis requires a 6 week course of intravenous antibiotics. All C) Rash. anti-psychotic drugs. and inactivity B) Dry mouth. A nurse administers the influenza vaccine to a client in a clinic. weight gain. are lat. The cognitive ability of the client as well as the availability and reliability of a caregiver must be assessed to determine if home care is a feasible option.C: Rash. administering Rash and blood dyscrasias are side effects of the epinephrine is first. These findings are often described as Parkinsonian. increased anxiety. when the patient has not lost con. Signs of tardive dyskinesia include smacking lips.

Inderal. Which of the following laboratory re. Which of the Review Information: The correct answer is A: following assessments would the nurse use to Potassium levels. treatment is very effective. A large dose of aspirin inhibits pro. Which client statement from the assessment data is likely to explain his noncompliance? A) «I have problems with diarrhea. Which nursing C) Dyspnea diagnosis is a priority at this time? D) Epistaxis A) Risk for fluid volume deficit related to morReview Information: The correct answer is phine overdose D: Epistaxis. itching or tingling. Clients The nurse is reinforcing teaching to a 24 year-old must be taught that it is important to have adwoman receiving acyclovir (Zovirax) for a Herpes equate potassium intake especially if taking diuSimplex Virus type 2 infection. Which of these in.» C) «I have diminished sexual function.» Review Information: The correct answer is C: «I have diminished sexual function. When the client is aware of early symptoms. prohibits the release of epinephrine into the cells.retics that enhance the loss of potassium while they are taking digitalis. Respiratory depressults should the nurse analyze first? sion is a life-threatening risk in this overdose.ks21@gmail. Which of the following would the Question60 nurse expect to see in the child? The nurse caring for a 9 year-old child with a fractured femur is told that a medication error A) Hypothermia occurred.» D) «I often feel jittery. C) Ineffective breathing patterns related to central nervous system depression D) Altered nutrition related to inability to control nausea and vomiting Question58 An 80 year-old client on digitalis (Lanoxin) reports nausea. such as pain. The child received twice the ordered B) Edema dose of morphine an hour ago. A) Potassium levels B) Blood pH C) Magnesium levels Question61 D) Blood urea nitrogen Lactulose (Chronulac) has been prescribed for a client with advanced liver disease.». this may result in hypotension which results in decreased libido and impotence. Medications for herpes simplex do not cure the disease.B) Decreased gastrointestinal mobility related to thrombin formation and lowers platelet levels. The most common cause of evaluate the effectiveness of this treatment? Collected by :DeepaRajesh [ 94 ] rajesh. Question59 A 42 year-old male client refuses to take propranolol hydrochloride (Inderal) as prescribed. abdominal cramps and Review Information: The correct answer is C: halo vision. structions should the nurse give the client? A) Complete the entire course of the medication for an effective cure B) Begin treatment with acyclovir at the onset of symptoms of recurrence C) Stop treatment if she thinks she may be pregnant to prevent birth defects D) Continue to take prophylactic doses for at least 5 years after the diagnosis Review Information: The correct answer is B: Begin treatment with acyclovir at the onset of symptoms of recurrence. clotting time is prolonged. a beta-blocking agent used in hypertension. they simply decrease the level of symptoms.com Kuwait . mucosal irritation With an overdose.» B) «I have difficulty falling asleep. Question57 A 14 month-old child ingested half a bottle of aspirin tablets.Question56 digitalis toxicity is a low potassium level. vomiting.Ineffective breathing patterns related to central nervous system depression.

he reveals that his warnings must be heeded to prevent nuclear war. the nurse notices that the client is shifting positions. Question62 The nurse is teaching a class on HIV prevention. Question63 While interviewing a new admission.» B) «Go to an AA meeting when you feel the urge to drink. contact a sober friend and talk with him. recovering from alcoholism.ks21@gmail. It is important for the nurse to A) ask the client what she is feeling B) assess the client for auditory hallucinations C) recognize the behavior as a side effect of medication D) re-focus the discussion on a less anxiety provoking topic Review Information: The correct answer is A: ask the client what she is feeling. asks the nurse. The most therapeutic response is to listen but avoid being incorporated into the client’s delusional system. unprotected intercourse and shared drug paraphernalia remain the highest risks for infection. Which of the following laboratory reports would the nurse anticipate? A) Increased serum glucose B) Decreased albumin C) Decreased potassium D) Increased sodium retention Review Information: The correct answer is C: Decreased potassium. Because HIV is spread through exposure to bodily fluids.» C) «It is important to exercise daily and get involved in activities that will cause you not to think about drug use. and assessing anxiety. The client>>s comments demonstrate grandiose ideas. Lactulose produces an acid environment in the bowel and traps ammonia in the gut.A) An increase in appetite B) A decrease in fluid retention C) A decrease in lethargy D) A reduction in jaundice Review Information: The correct answer is C: A decrease in lethargy. What is the most therapeutic approach by the nurse? A) Listen quietly without comment B) Ask for further information on the spies C) Confront the client’s delusion D) Contact the government agency Review Information: The correct answer is A: Listen quietly without comment. The nurse should seek client validation of the accuracy of nursing assessments and avoid drawing conclusions based on limited data. identifying. loss of electrolytes can occur in addition to other findings of starvation and dehydration. including lethargy and confusion. Which of the following should be emphasized as increasing risk? A) Donating blood B) Using public bathrooms C) Unprotected sex D) Touching a person with AIDS Review Information: The correct answer is C: Unprotected sex. Question64 A young adult seeks treatment in an outpatient mental health center. the client may simply need to use the restroom but be reluctant to communicate her need! Question66 A client. This decreases the effects of hepatic encephalopathy. The initial step in anxiety intervention is observing. On further questioning. In bulimia. The client tells the nurse he is a government official being followed by spies. wringing her hands. and avoiding eye contact. Question65 The nurse is assessing a 17 year-old female client with bulimia.» D) «Let’s talk about possible options you have Collected by :DeepaRajesh [ 95 ] rajesh. the laxative effect then aids in removing the ammonia from the body. «What can I do when I start recognizing relapse triggers within myself?» How might the nurse best respond? A) «When you have the impulse to stop in a bar.com Kuwait . In the situation above.

A therapeutic milieu is purposeful and planned to provide safety and a testing ground for new patterns of behavior.» An appropriate response for the nurse is A) «Is that why you’ve been staring at me?» B) «You seem to be in a really bad mood.» Question68 Which nursing intervention will be most effective D) «You seem angry right now. and policies C) provide a testing ground for new patterns of behavior while the client takes responsibility for his or her own actions D) discourage expressions of anger because they can be disruptive to other clients Review Information: The correct answer is C: provide a testing ground for new patterns of behavior while the client takes responsibility for his or her own actions.«You seem angry right now.» in helping a withdrawn client to develop relationReview Information: The correct answer is D: ship skills? A) Offer the client frequent opportunities to inter. The client suddenly walks up to the nurse and shouts «You think you’re so perfect and pure and good.». high heels.ks21@gmail. Clarification is a facilitating/ therapeutic communication strategy. Question67 Therapeutic nurse-client interaction occurs when the nurse A) assists the client to clarify the meaning of what the client has said B) interprets the client’s covert communication C) praises the client for appropriate feelings and behavior D) advises the client on ways to resolve problems Review Information: The correct answer is A: assists the client to clarify the meaning of what the client has said.». The nurse-client relationship is a corrective relationship in which the A) Gently remind her that she is no longer on Collected by :DeepaRajesh [ 96 ] rajesh.when you recognize relapse triggers in yourself. changing the focus/subject.» C) «Perfect? I don’t quite understand. regulations. Which nursing action is the best with 1 person. bright red lipstick and heavily Offer the client frequent opportunities to interact rouged cheeks. to interact with other clients C) Assist the client to analyze the meaning of the withdrawn behavior D) Discuss with the client the focus that other Question71 clients have similar problems A client who is a former actress enters the day room wearing a sheer nightgown. but avoids telling the clients how they feel. Interpretation. while avoiding telling the client what to do.» Review Information: The correct answer is D: «Let’s talk about possible options you have when you recognize relapse triggers in yourself. and advising are non-therapeutic/barriers to communication. Question70 A client with paranoid delusions stares at the nurse over a period of several days. client learns both tolerance and skills for relationships. Question69 An important goal in the development of a therapeutic inpatient milieu is to A) provide a businesslike atmosphere where clients can work on individual goals B) provide a group forum in which clients decide on unit rules.in response to the client’s attire? able in social interaction. This option encourages the process of self evaluation and problem solving. The withdrawn client is uncomfort. giving approval. The nurse recognizes the underlying emotion with a matter of fact act with 1 person B) Provide the client with frequent opportunities attitude. Encouraging the client to brainstorm about response options validates the nurse’s belief in the client’s personal competency and reinforces a coping strategy that will be needed when the nurse may not be available to offer solutions. nuReview Information: The correct answer is A: merous bracelets.com Kuwait .

the nurse describes the following behavioral cue as indicating a need for intervention. vomiting. Question72 When teaching suicide prevention to the parents of a 15 year-old who recently attempted suicide.stage B) Directly assist client to her room for appropriate apparel C) Quietly point out to her the dress of other clients on the unit D) Tactfully explain appropriate clothing for the hospital Review Information: The correct answer is B: Directly assist client to her room for appropriate apparel. Question73 Which statement made by a client indicates to the nurse that the client may have a thought disorder? A) «I>m so angry about this. Eighty percent of all potential suicide victims give some type of indication that self-destructiveness should be addressed. Question74 In a psychiatric setting. Have you seen them?» D) «I>m fine.» Review Information: The correct answer is C: «I can>>t find my <>mesmer>> shoes. A staff member interrupts the examinations to ask for assistance.» B) «I>m a little confused. the nurse limits touch or contact used with clients to handshaking because A) some clients misconstrue hugs as an invitation to sexual advances B) handshaking keeps the gesture on a professional level C) refusal to touch a client denotes lack of concern D) inappropriate touch often results in charges of assault and battery Review Information: The correct answer is A: some clients misconstrue hugs as an invitation to sexual advances. It assists the client to maintain self-esteem while modifying behavior. Free NCLEX-RN Sample Test Questions For Nursing Review (Pharmacology Set 2) Jul31. A nurse is assigned to perform well-child assessments at a day care center. lanugo. increased metabolic rate D) excessive anxiety about symptoms Review Information: The correct answer is A: brittle hair. amenorrhea. amenorrhea B) diarrhea. These clues might lead one to suspect that a client is having suicidal thoughts or is developing a plan. A) Angry outbursts at significant others B) Fear of being left alone C) Giving away valued personal items D) Experiencing the loss of a boyfriend Review Information: The correct answer is C: Giving away valued personal items. dental erosion C) hyperthermia. Two unlabeled open bottles lie nearby.com Kuwait . The client may interpret hugging and holding hands as sexual advances. Have you seen them?». nausea. A neologism is a new word self invented by a person and not readily understood by another. Using neologisms is often associated with a thought disorder. Wait until my partner hears about this. lanugo. It>s my daughter who has the problem. They find a crying 3 year-old child on the floor with mouth wide open and gums bleeding. The nurse’s first action should be Collected by :DeepaRajesh [ 97 ] rajesh.ks21@gmail. tachycardia. Question75 A client with anorexia is hospitalized on a medical unit due to electrolyte imbalance and cardiac dysrhythmias. Additional assessment findings that the nurse would expect to observe are A) brittle hair. What time is it?» C) «I can>t find my <mesmer> shoes. Touch denotes positive feelings for another person. Physical findings associated with anorexia also include reduced metabolic rate and lower vital signs.

with or without inflammation. Review Information: The correct answer is B: A client with atrial fibrillation is receiving digoxin Elders have less body water and more fat (Lanoxin). If the apical heart rate is less than 60 beats/minute.ks21@gmail. The apical pulse should be taken with a stethoscope so that there will be no mistake about what the heart rate actually is. thus D) Record an EKG strip after administration increasing the duration of action of the drug Question2 Review Information: The correct answer is B: Measure apical pulse prior to administration Digitoxin decreases conduction velocity through the AV node and prolongs the refractory period. Question3 The nurse is administering an intravenous vesicant chemotherapeutic agent to a client. a intrascapular pad on the neck (buffalo hump) and truncal obesity with slender limbs. Which of the following findings would the nurse expect? A) Buffalo hump B) Increased muscle mass C) Peripheral edema D) Jaundice Review Information: The correct answer is A: Buffalo hump With high doses of glucocorticoid. (10 kg).C) The elderly have more rapid hepatic metabogested before determining the next action. Which of these assessments is most Because elderly persons have decreased lean body tissue/water in which to distribute medicaimportant for the nurse to perform? tions. Question5 The nurse is assessing a client who is on long term glucocorticoid therapy.com Kuwait .A) call the poison control center. Question6 Question4 The health care provider has written “Morphine sulfate 2 mgs IV every 3-4 hours prn for pain” on the chart of a child weighing 22 lb. iatrogenic Cushing’’s syndrome develops. Once lism the substance is identified. then 911 B) administer syrup of Ipecac to induce vomiting C) give the child milk to coat her stomach D) ask the staff about the contents of the bottles The nurse practicing in a long term care facility recognizes that elderly clients are at greater risk for drug toxicity than younger adults because of which of the following physiological changes of advancing age? A) Drugs are absorbed more readily from the GI Review Information: The correct answer is D: tract ask the staff about the contents of the bottles B) Elders have less body water and more fat The nurse needs to assess what the child in. more drug remains in the circulatory system A) Monitor blood pressure every 4 hours with potential for drug toxicity. withhold the drug. the poison control D) Older people are often malnourished and center and emergency response team should be anemic called. Increased body fat B) Measure apical pulse prior to administration results in greater amounts of fat-soluble drugs C) Maintain accurate intake and output records being absorbed. leaving less in circulation. Which assessment would require the nurse’s immediate action? A) Stomatitis lesion in the mouth B) Severe nausea and vomiting C) Complaints of pain at site of infusion D) A rash on the client’s extremities Review Information: The correct answer is C: Complaints of pain at site of infusion A vesicant is a chemotherapeutic agent capable of causing blistering of tissues and possible tissue necrosis if there is extravasation. These agents are irritants which cause pain along the vein wall. What is the nurse’s initial action? A) Check with the pharmacist B) Hold the medication and contact the provider C) Administer the prescribed dose as ordered D) Give the dose every 6-8 hours Collected by :DeepaRajesh [ 98 ] rajesh. The exaggerated physiological action causes abnormal fat distribution which results in a moon-shaped face.

com Kuwait . within 12-24 hours nausea. vomiting. and bradycardia. B) Decreased pulse and blood pressure. sweating. Question8 A client is receiving digitalis. vomiting. What should the nurse plan to monitor in this client? A) Urine output every 4 hours B) Blood glucose levels every 12 hours C) Neurological signs every 2 hours D) Oxygen saturation every 8 hours Review Information: The correct answer is B: Blood glucose levels every 12 hours Review Information: The correct answer is B: Hepatic problems may occur and may be lifethreatening Clinical manifestations associated with acetaminophen poisoning occurs in 4 stages. dizziness. altered consciousness. The nurse should instruct the client to report which of the following side effects? A) Nausea.C) Full and rapid recovery can be expected in tile proteins. D) Muscle spasms and seizures.most children put. tachycardia. Collected by :DeepaRajesh [ 99 ] rajesh.0 mg every 3 to 4 hours. The drug Decadron increases glycogenesis. anorexia. Review Information: The correct answer is A: Elevated temperature and sweating. Neuroleptic malignant syndrome (NMS) is a rare disorder that can occur as a side effect of antipsychotic medications. Clients who do not die in the hepatic stage gradually recover. D) This poisoning is usually fatal. Which physiological effect should the nurse monitor for? A) Elevate blood pressure B) Drying up of secretions C) Reduce heart rate D) Enhance sedation Review Information: The correct answer is B: Drying up of secretions Atropine dries secretions which may get in the way during the operative procedure. resulting in increased cardiac out. vomiting. dyspnea.ks21@gmail. diaphoresis A child presents to the Emergency Department with documented acetaminophen poisoning. fatigue A) The problem occurs in stages with recovery Side effects of digitalis toxicity include fatigue. This may lead to hyperglycemia. The third stage is hepatic involvement which may last up to 7 days and be permanent. Today the client is increasingly agitated and complains of muscle stiffness. The nurse is caring for a client with schizophrenia who has been treated with quetiapine (Seroquel) for 1 month. fatigue B) Rash. It is characterized by muscular rigidity. In order to provide counseling and education for the parents.Review Information: The correct answer is B: Hold the medication and contact the provider The usual pediatric dose of morphine is 0. Which of these findings should be reported to the health care provider? A) Elevated temperature and sweating. hyperthermia. Question10 Question7 A client is ordered atropine to be administered preoperatively. B) Hepatic problems may occur and may be lifeDigitalis inhibits the sodium potassium ATPase. This is a life-threatening complication. edema C) Polyuria. this child typically should receive 1. C) Mental confusion and general weakness. dry skin D) Hunger. threatening which makes more calcium available for contrac. which principle must the nurse unReview Information: The correct answer is A: derstand? Nausea. autonomic dysfunction. At 10 kg. thirst. as no antidote is available Question11 Question9 A client is receiving dexamethasone (Decadron) therapy. Therefore the blood sugar level and acetone production must be monitored.1 mg/ kg every 3 to 4 hours. and increase in CPK.

The nurse should immediately assess for which of these adverse reactions? A) Pulmonary edema B) Atrial fibrillation C) Mental status changes D) Muscle weakness Question17 A client with an aplastic sickle cell crisis is receiving a blood transfusion and begins to complain of “feeling hot. In teaching the client about diet and iron supplements. SSRIs. and agitation. and the tricyclic antidepressants. Question16 Question14 A client with anemia has a new prescription for ferrous sulfate. C) Reduce fluid intake to minimize diuresis D) Use antacids to prevent heartburn Question13 The provider has ordered transdermal nitroglycerin patches for a client. Which of these instructions should be included when teaching a client about how to use the patches? A) Remove the patch when swimming or bathing B) Apply the patch to any non-hairy area of the body C) Apply a second patch with chest pain D) Remove the patch if ankle edema occurs Review Information: The correct answer is B: Apply the patch to any non-hairy area of the body The patch application sites should be rotated. increased muscle tone with twitching the treatment is effective? muscles. and states she stopped taking Zoloft a few days ago because it was not helping her depression.com Kuwait . the client begins to wheeze. A newly admitted client has a diagnosis of depression. therefore.Question12 Review Information: The correct answer is C: A client has been receiving dexamethasone Mental status changes (Decadron) for control of cerebral edema. the nurse should emphasize that absorption of iron is enhanced if taken with which substance? A) Acetaminophen B) Orange juice C) Low fat milk D) An antacid Review Information: The correct answer is B: Orange juice Ascorbic acid enhances the absorption of iron.” Almost immediately. nausea. What should the nurse emphasize as well as stabilize the blood-brain barrier. Review Information: The correct answer is B: Increased response to motor stimuli Question15 Decadron is a corticosteroid that acts on the cell A client with bi-polar disorder is taking lithium membrane to decrease inflammatory responses (Lithane). Review Information: The correct answer is B: Maintain adequate daily salt intake Salt intake affects fluid volume.ks21@gmail. maintaining adequate salt intake is advised. What is the nurse’s first action? A) Stop the blood infusion B) Notify the health care provider C) Take/record vital signs D) Send blood samples to lab Collected by :DeepaRajesh [ 100 ] rajesh. Serotonin syndrome is A) A positive Babinski’s reflex most often reported in patients taking 2 or more B) Increased response to motor stimuli medications that increase CNS serotonin levels C) A widening pulse pressure by different mechanisms. she began to take her partner’s Parnate. there A) Take the medication before meals should be a decrease in symptomology with im. The most common D) Temperature of 37 degrees Celsius drug combinations associated with serotonin syndrome involve the MAOIs. She complains of “twitching muscles” and a “racing heart”.B) Maintain adequate daily salt intake provement in motor skills. palpitations. Instead. Which Use of serotonergic agents may result in Seof the following assessments would indicate that rotonin Syndrome with confusion. Once when teaching about this medication? Decadron reaches a therapeutic level. which can affect lithium (Lithane) levels.

” D) “Continue to get yearly tuberculin skin tests.” D) “Your health care provider knows the best drug for your condition. Warn individuals with asthma about signs and The nurse is applying silver sulfadiazine (Silvadene) to a child with severe burns to arms and legs.com Kuwait . keep the line open with saline. symptoms resulting from complications due to aspirin ingestion. even if no longer experiencing symptoms. the nurse will warn against the use berculosis client needs is to understand the imof which of the following over-the-counter medi. notify the health care provider. but the recommended dose is changed.” Review Information: The correct answer is C: “Continue to take your medications even when you are feeling fine.” B) “Follow up with your primary care provider in 3 months. C) Cough medications containing guaifenesin D) Histamine blockers for gastric distress Question22 Review Information: The correct answer is B: Aspirin products for pain relief Aspirin is known to induce asthma attacks. The A) Cortisone ointments for skin rashes numbers of acid-fast bacilli are greatly reduced B) Aspirin products for pain relief as early as 2 weeks after therapy begins.” C) “There were problems. Clients are most cations? infectious early in the course of therapy. Question21 The nurse is providing education for a client with newly diagnosed tuberculosis. and then send a blood sample to the lab. When administered intravenously.portance of medication compliance. it must be accompanied by continuous cardiac monitoring by ECG. What is an appropriate response by the nurse? A) “Ask your friend about the source of this information.” Review Information: The correct answer is C: “There were problems. was taken off the market because it caused seizures. Question20 Question18 A client confides in the RN that a friend has told her the medication she takes for depression.” Wellbutrin was introduced in the U.Review Information: The correct answer is A: Stop the blood infusion If a reaction of any type is suspected during administration of blood products. The risk of seizure appears to be strongly associated with dose. in 1985 and then withdrawn because of the occurrence of seizures in some patients taking the drug. Which side effect should the nurse be monitoring for? A) Skin discoloration B) Hardened eschar Collected by :DeepaRajesh [ 101 ] rajesh.ks21@gmail. Aspirin can also cause nasal polyps and rhinitis.” C) “Continue to take your medications even when you are feeling fine.” Question19 When providing discharge teaching to a client The most important piece of information the tuwith asthma. The nurse is caring for a client who is receiving procainamide (Pronestyl) intravenously. stop the infusion immediately. Wellbutrin.S. monitor vital signs and other changes. It is important for the nurse to monitor which of the following parameters? A) Hourly urinary output B) Serum potassium levels * C) Continuous EKG readings D) Neurological signs Review Information: The correct answer is C: Continuous EKG readings Procainamide (Pronestyl) is used to suppress cardiac arrhythmias. Which statement should be included in the information that is given to the client? A) “Isolate yourself from others until you are finished taking your medication. but the recommended dose is changed. The drug was reintroduced in 1989 with specific recommendations regarding dose ranges to limit the occurrence of seizures.” B) “Omit the next doses until you talk with the doctor.

L.A. B. along with the reduction of ST segment elevation. Davis Company. Key. The nurse is teaching a child and the family about the medication phenytoin (Dilantin) prescribed for seizure control. Which of the following side effects is most likely to occur? A) Vertigo B) Drowsiness C) Gingival hyperplasia D) Vomiting Review Information: The correct answer is C: Gingival hyperplasia Swollen and tender gums occur often with use of phenytoin. (2004). Pharmacology.D. as well as renal function changes with sulfa crystals production and kernicterus. Nurse’s drug guide. Deglin. (4th edition). (7th edition). J.com Kuwait . Wilson..L. Philadelphia: Saunders. The nurse instructs the client to discontinue the medication and contact the provider if which of the following symptoms occur? A) Infection of the gums B) Diarrhea for more than one day C) Numbness in the lower extremities D) Ringing in the ears Review Information: The correct answer is D: Ringing in the ears Aspirin stimulates the central nervous system which may result in ringing in the ears. These symptoms should be reported promptly. A. Davis’ drug guide for nurses. it may cause a transient neutropenia. and Stang. alteplase (Activase tissue plasminogen activator).C) Increased neutrophils D) Urine sulfa crystals Review Information: The correct answer is D: Urine sulfa crystals Silver sulfadiazine is a broad spectrum antimicrobial. especially effective against pseudomonas. (7th edition). Question27 The use of atropine for treatment of symptomatic bradycardia is contraindicated for a client with which of the following conditions? A) Urinary incontinence B) Glaucoma C) Increased intracranial pressure D) Right sided heart failure Collected by :DeepaRajesh [ 102 ] rajesh.A. Good oral hygiene and regular visits to the dentist should be emphasized. Question26 Question24 The provider has ordered daily high doses of aspirin for a client with rheumatoid arthritis. New Jersey: Pearson Prentice Hall.T. for treatment of a myocardial infarction. M.D. and Vallerand. E. The nurse is monitoring a client receiving a thrombolytic agent.H. A. Davis Company. Shannon. J.A. a nursing process approach. Philadelphia: F. and Hayes. (2001). Question25 Question23 A nurse is caring for a client who is receiving methyldopa hydrochloride (Aldomet) intravenously. Philadelphia: F. What outcome indicates the client is receiving adequate therapy within the first hours of treatment? A) Absence of a dysrhythmia (or arrhythmia) B) Blood pressure reduction C) Cardiac enzymes are within normal limits D) Return of ST segment to baseline on ECG Review Information: The correct answer is D: Return of ST segment to baseline on ECG Improved perfusion should result from this medication.ks21@gmail. C. (2003). Deglin.R.H. (2001). Which of the following assessment findings would indicate to the nurse that the client may be having an adverse reaction to the medication? A) Headache B) Mood changes C) Hyperkalemia D) Palpitations Review Information: The correct answer is B: Mood changes The nurse should assess the client for alterations in mental status such as mood changes. When applied to extensive areas.. and Vallerand. Upper Saddle River. J. however. Davis’ drug guide for nurses.

Question28 Question31 A pregnant woman is hospitalized for treatment of pregnancy induced hypertension (PIH) in the third trimester. A client is receiving erythromycin 500mg IV every 6 hours to treat a pneumonia. The nurse understands that this medication is used mainly for what purpose? A) Maintain normal blood pressure B) Prevent convulsive seizures C) Decrease the respiratory rate D) Increase uterine blood flow Review Information: The correct answer is B: Prevent convulsive seizures Magnesium sulfate is a central nervous system depressant. Prior to administration. A post-operative client has a prescription for acetaminophen with codeine. These drugs should be taken first so that other medications can reach the lungs. Question32 Question29 The nurse is teaching a group of women in a community clinic about prevention of osteoporosis. Which of the following is the most common side effect of the Question30 medication? The nurse is administering diltiazem (Cardizem) A) Blurred vision to a client. Which medication should be administered first? A) Steroid B) Anticholinergic C) Mast cell stabilizer D) Beta agonist Review Information: The correct answer is D: Beta agonist The beta-agonist drugs help to relieve bronchospasm by relaxing the smooth muscle of the airway. it is important B) Nausea and vomiting for the nurse to assess which parameter? C) Severe headache A) Temperature D) Insomnia B) Blood pressure C) Vision D) Bowel sounds Review Information: The correct answer is B: Collected by :DeepaRajesh [ 103 ] rajesh.ks21@gmail. The nurse is instructing a client with moderate persistent asthma on the proper method for using MDIs (multi-dose inhalers).com Kuwait Question33 . While it has many systemic effects.Review Information: The correct answer is B: Glaucoma Atropine is contraindicated in clients with angleclosure glaucoma because it can cause pupillary dilation with an increase in aqueous humor. Which of the following over-the-counter medications should the nurse recognize as having the most elemental calcium per tablet? A) Calcium chloride B) Calcium citrate C) Calcium gluconate D) Calcium carbonate Review Information: The correct answer is D: Calcium carbonate Calcium carbonate contains 400mg of elemental calcium in 1 gram of calcium carbonate. leading to a resultant increase in optic pressure. Review Information: The correct answer is B: Blood pressure Diltiazem (Cardizem) is a calcium channel blocker that causes systemic vasodilation resulting in decreased blood pressure. She is receiving magnesium sulfate intravenously. it is used in the client with pregnancy induced hypertension (PIH) to prevent seizures. What should the nurse recognizes as a primary effect of this combination? A) Enhanced pain relief B) Minimized side effects C) Prevention of drug tolerance D) Increased onset of action Review Information: The correct answer is A: Enhanced pain relief Combination of analgesics with different mechanisms of action can afford greater pain relief.

A prolonged prothrombin time may also be found.000 = 500 x X (or Meperidine is not recommended in clients with cancel). In order to administer 30 mg per hour. The pharmacy sends a Check the client’’s weight because dosage is 1. a metabolite 60ml per hour. Solve for Demerol X by cross-multiplying: 30 x 1. Question39 An elderly client is on an anticholinergic metered dose inhaler (MDI) for chronic obstructive pulmonary disease.calculated on the basis of weight.Weight line infusion at 30 mg/hr.000 = 500 X. tremors. The nurse would suggest a spacer Collected by :DeepaRajesh [ 104 ] rajesh.com Kuwait . the RN will set the infusion rate at: Question37 A) 20 ml per hour In providing care for a client with pain from a sickB) 30 ml per hour le cell crisis. Which assessment is critical for the nurse to make before initiating therapy A) Vital signs B) Weight Review Information: The correct answer is C: Bilirubin Bilirubin.” A) Sedimentation rate D) “I am feeling much better than I did last B) Profile 2 week. Which laboratory result should receive attenC) “Sometimes I take the pills in the morning and tion by the nurse? other times at night. and generalized seizures when it accumulates Question35 The nurse is assessing a 7 year-old after several with repetitive dosing. Question36 The nurse is caring for a 10 year-old client who will be placed on heparin therapy. may rise in the second stage (1-3 days) after a significant overdose. further teaching is needed? A) “Sometimes I take my medicine with fruit Question38 juice. myoclonus. Normeperidine.Nausea and vomiting Nausea is a common side-effect of erythromycin in both oral and intravenous forms.ks21@gmail. indicating cellular necrosis and liver dysfunction.” ing.000). is a central nervous system stimulant that produces anxiety. X = sickle cell disease. X = 30. 30. Clients with sickle cell disdays of treatment for a documented strep throat. C) Lung sounds D) Skin turgor Review Information: The correct answer is B: The health care provider orders an IV aminophyl. ease are particularly at risk for normeperidineWhich of the following statements suggests that induced seizures.” Inconsistency in taking the prescribed medication indicates more teaching is needed.000 ml bag of D5W containing 500 mg of ami. nophylline. along with liver enzymes ALT and AST.000/500. of meperidine. which one of the following medicaC) 50 ml per hour tion orders for pain control should be questioned D) 60 ml per hour by the nurse? A) Demerol B) Morphine Review Information: The correct answer is D: C) Methadone 60 ml per hour D) Codeine Using the ratio method to calculate infusion rate: mg to be given (30) : ml to be infused (X) :: mg Review Information: The correct answer is A: available (500) : ml of solution (1.” C) Bilirubin D) Neutrophils Question34 Review Information: The correct answer is C: “Sometimes I take the pills in the morning and other times at night.” A 5 year-old has been rushed to the emergency B) “My mother makes me take my medicine right room several hours after acetaminophen poisonafter school.

inability to drink fluids independently and lack of motivaReview Information: The correct answer is B: tion. A 72 year-old client is admitted for possible dehydration. The nurse knows that older adults are particularly at risk for dehydration because they Question40 have The nurse is teaching a parent how to adminis.A) an increased need for extravascular fluid ter oral iron supplements to a 2 year-old child. When findings subside. Question4 Collected by :DeepaRajesh [ 105 ] rajesh. The 0 comments nurse would respond A) “Normal sexual function is not possible. stopping the medication early may lead to recurrence or subsequent drug resistance. The client asks the nurse how the injury is going to affect his sexual function.” Labels: free nclex-rn sample review questions. erections can be stimulated by stroking the genitalia. a straw is preferred. Give the medicine with orange juice and through a straw Absorption of iron is facilitated in an environment Question3 rich in Vitamin C. Which of the following should the nurse emphasize? A) Scheduling follow-up blood cultures B) Completing the full course of medications C) Visiting the provider in a few weeks D) Monitoring for signs of recurrent infection Review Information: The correct answer is C: “Erections will be possible. B) “Sexual functioning will not be impaired at nclex-rn practice test questions. nursing review all.” C) “Erections will be possible. the client must compete the entire course of prescribed therapy.” Question2 tions For Nursing Review (Pharmacology Set 1) Question1 A client has an order for antibiotic therapy after hospital treatment of a staph infection.to A) enhance the administration of the medication B) increase client compliance C) improve aerosol delivery in clients who are not able to coordinate the MDI D) prevent exacerbation of COPD Review Information: The correct answer is C: improve aerosol delivery in clients who are not able to coordinate the MDI Spacers improve the medication delivery in clients who are unable to coordinate the movements of administering a dose with an MDI. Since liquid iron preparation A male client is admitted with a spinal cord injury will stain teeth. at level C4.ks21@gmail.” Because they are a reflex reaction.” Free NCLEX-RN Sample Test Ques.com Kuwait . Review Information: The correct answer is B: Completing the full course of medications In order for antibiotic therapy to be effective in eradicating an infection. Other risk D) Administer the iron with your child’s meals factors may include fear of incontinence.D) “Ejaculation will be normal. B) a decreased sensation of thirst Which of the following interventions should be C) an increase in diaphoresis included in the teaching? D) higher metabolic demands A) Stop the medication if the stools become tarry green B) Give the medicine with orange juice and Review Information: The correct answer is B: a decreased sensation of thirst through a straw The elderly have a reduction in thirst sensation C) Add the medicine to a bottle of formula causing them to consume less fluid.

Increasing fiber intake to 20-30 grams daily D) repeating the blood test 1 hour after giving The incorporation of high fiber into the diet is an heparin.ks21@gmail.” D) “This always happens with chemotherapy. To improve bowel function.therapeutic dose of Heparin. If the laboratory normal range is 16-24 seconds. dicates a less than adequate fluid replacement? A) Decreasing hematocrit and increasing urine volume Question8 B) Rising hematocrit and decreasing urine vol. you would anticipate A) maintaining the current heparin dose B) increasing the heparin as it does not appear therapeutic.B) 10-30 beats/minute ume C) 40-70 beats/minute D) 20-50 beats/minute Review Information: The correct answer is B: Rising hematocrit and decreasing urine volume A rising hematocrit indicates a decreased total blood volume. Question7 Question6 A client receiving chemotherapy has developed sores in his mouth. Review Information: The correct answer is A: maintaining the current heparin dose Question5 A 4 year-old child is admitted with burns on his The range for a therapeutic APTT is 1. the nurse should first suggest A) Increasing fiber intake to 20-30 grams daily B) Daily use of laxatives C) Avoidance of binding foods such as cheese and chocolate D) Monitoring a balance between activity and rest turnover. The nurse knows that the atriovenC) Falling hematocrit and decreasing urine vol. The latest APTT is 50 seconds.” B) “You need to have better oral hygiene. Review Information: The correct answer is A: C) giving protamine sulfate as an antidote. When assessing the the control. Which of the following is a priority assessment to perform before giving this medication? A) Oral fluid intake B) Bowel sounds C) Grip strength D) Urine output Review Information: The correct answer is D: Urine output Potassium chloride should only be administered after adequate urine output (>20cc/hour for 2 Collected by :DeepaRajesh [ 106 ] rajesh.” The epithelial cells in the mouth are very sensitive to chemotherapy due to their high rate of cell Question9 A client is to receive 3 doses of potassium chloride 10 mEq in 100cc normal saline to infuse over 30 minutes each.5-2 times legs and lower abdomen. Review Information: The correct answer is C: 40-70 beats/minute The intrinsic rate of the AV node is within the range of 40-70 beats per minute.com Kuwait . He asks the nurse why this happened. effective way to promote bowel elimination in the elderly. Therefore the client is receiving a child’s hydration status.A client is admitted with a diagnosis of nodal ume bigeminy. You are caring for a client with deep vein thrombosis who is on Heparin IV.tricular (AV) node has an intrinsic rate of ume A) 60-100 beats/minute D) Stable hematocrit and increasing urine vol. a finding consistent with dehydration. What is the nurse’s best response? A) “It is a sign that the medication is working.” C) “The cells in the mouth are sensitive to the chemotherapy.An 82 year-old client complains of chronic constipation.” Review Information: The correct answer is C: “The cells in the mouth are sensitive to the chemotherapy. which of the following in.

30. PCO2 34. After the contrast material is injected. Review Information: The correct answer is C: low fat Due to age related changes.ks21@gmail. Question12 A client is prescribed an inhaler. the diet of the elderly should include a lower quantity and higher quality of food. Review Information: The correct answer is C: Deeply for 3-4 seconds The client should be instructed to breath in the medication for 3-4 seconds in order to receive Question10 The unlicensed assistive personnel (UAP) re.Question13 cal assessment for increasing encephalopathy The nurse is caring for clients over the age of 70. The other reactions are considered normal and the client should be informed that they may occur. Impaired ability to excrete potassium via the kidneys can result in hyperkalemia.com Kuwait . the elderly clients tolerate diets that are B) assess upper abdomen for bruits A) high protein C) assess for flap-like tremors of the hands B) high carbohydrates D) measure abdominal girth changes C) low fat D) high calories Review Information: The correct answer is C: assess for flap-like tremors of the hands A client with cirrhosis of the liver who develops subtle changes in mental status and has a musty odor to the breath is at risk for developing more advanced signs of encephalopathy. A criti.the correct dosage of medication. which of the following client reactions should be reported immediately? A) Feeling warm B) Face flushing C) Salty taste D) Hives Review Information: The correct answer is D: Hives This is a sign of anaphylaxis and should be reported immediately. Question14 A woman with a 28 week pregnancy is on the way to the emergency department by ambulance with a tentative diagnosis of abruptio placenta. Which should the nurse do first when the woman arrives? A) administer oxygen by mask at 100% B) start a second IV with an 18 gauge cannula C) check fetal heart rate every 15 minutes D) insert urethral catheter with hourly urine outputs Review Information: The correct answer is A: administer oxygen by mask at 100% Administering oxygen in this situation would increase the circulating oxygen in the mother’s circulation to the fetus’s circulation. Question11 A client is scheduled for an intravenous pyelogram (IVP). is The nurse knows that due to age-related changA) monitor the client’s clotting status es. Fewer carbohydrates and fats are required in their diets. This action will minimize complications. How should the nurse instruct the client to breathe in the medication? A) As quickly as possible B) As slowly as possible C) Deeply for 3-4 seconds D) Until hearing whistling by the spacer Question15 A client in respiratory distress is admitted with arterial blood gas results of: PH 7. ports to the nurse that a client with cirrhosis who had a paracentesis yesterday has become more lethargic and has musty smelling breath.consecutive hours) has been established. and HCO3 19. PO2 58. . The nurse determines that the client is in Collected by :DeepaRajesh [ 107 ] rajesh.

With aggressive treatment and early detection/ flux disease (GERD). Collected by :DeepaRajesh [ 108 ] rajesh. red cells Other agents which should also be decreased or C) The average blood glucose for the past 2-3 avoided are: cigarette smoking. PCO2 is normal.ks21@gmail.com Kuwait Question18 A client with testicular cancer has had an orchiectomy. What action would the nurse take? A) Call the health care provider B) Administer an antiemetic C) Put the bed in Fowler’s position D) Check the patency of the tube Review Information: The correct answer is D: Check the patency of the tube An indication that the nasogastric tube is obstructed is a client’s complaint of nausea. 120 days. caffeine. and meperidine (Demerol). chocolate. The nurse should explain that the purpose of this test is to determine: Review Information: The correct answer is C: A) The presence of anemia often associated with decrease intake of fatty foods Diabetes GERD may be aggravated by a fatty diet. Which principle . Question20 A client is admitted for a possible pacemaker insertion. What is the intrinsic rate of the heart’s own pacemaker? A) 30-50 beats/minute B) 60-100 beats/minute C) 20-60 beats/minute D) 90-100 beats/minute Review Information: The correct answer is B: 60-100 beats/minute This is the intrinsic rate of the SA node. Prior to discharge the client expresses his fears related to his prognosis.A) metabolic acidosis B) metabolic alkalosis C) respiratory acidosis D) respiratory alkalosis should the nurse base the response on? A) Testicular cancer has a cure rate of 90% with early diagnosis B) Testicular cancer has a cure rate of 50% with early diagnosis C) Intensive chemotherapy is the treatment of Review Information: The correct answer is A: choice metabolic acidosis D) Testicular cancer is usually fatal These lab values indicate metabolic acidosis: the PH is low. A diet B) The oxygen carrying capacity of the client’s low in fat would decrease the symptoms of GERD. the client regarding diet should be to A) avoid all raw fruits and vegetables Question19 B) increase intake of milk products A client newly diagnosed with Type I Diabetes C) decrease intake of fatty foods Mellitus asks the purpose of the test measurD) focus on 3 average size meals a day ing glycosylated hemoglobin.months hol. Review Information: The correct answer is C: The average blood glucose for the past 2-3 months By testing the portion of the hemoglobin that absorbs glucose. The nurse’s instruction to diagnosis the cure rate is 90%. Review Information: The correct answer is A: Testicular cancer has a cure rate of 90% with early diagnosis Question16 A client is diagnosed with gastroesophageal re. and bicarbonate level is low. D) The client’s risk for cardiac complications Question17 After surgery. it is possible to determine the average blood glucose over the life span of the red cell. alco. a client with a nasogastric tube complains of nausea. Nasogastric tubes may become obstructed with mucus or sediment.

PTT.C) “You have the right to change your mind. Which response by the nurse is most appropriate? Review Information: The correct answer is D: A) “I’ll go with you and will be there with you durPT/PTT ing the treatment. it is thing. Can we talk about it?” before beginning therapy. You cluding PT. The client’s skin is pink. Can we talk about it?” This response indicates acknowledgment of the client’s rights and the opportunity for the client to clarify and ventilate concerns. The client’s oxygen is running at 6 liters per minute. APTT. the drive to breathe is hypoxia. this drive will be elimi- Review Information: The correct answer is C: “You have the right to change your mind.Question21 The nurse discusses nutrition with a pregnant woman who is iron deficient and follows a vegetarian diet. and respirations are 8 per minute. After this. or Lugol’’s solution may be used preoperatively to reduce the size Question22 Prior to administering Alteplase (TPA) to a client and vascularity of the thyroid gland. What should the nurse recognize as the purpose of this medication? A) Reduce vascularity of the thyroid B) Correct chronic hyperthyroidism Review Information: The correct answer is A: C) Destroy the thyroid gland function Cereal and dried fruits D) Balance enzymes and electrolytes Both of these foods would be a good source of iron.” most essential to evaluate clotting studies in. The client with goiter is treated with potassium iodide preoperatively. Because B) “You’ll be asleep and won’t remember anybleeding is the most common side effect. the provider should be notified. admitted for a cerebral vascular accident (CVA). it is critical that the nurse assess: A) Neuro signs Question25 B) Mental status One hour before the first treatment is scheduled.” TPA is a potent thrombolytic enzyme. and hematocrit seem anxious. The selection of which foods indicates the woman has learned sources of iron? A) Cereal and dried fruits B) Whole grains and yellow vegetables C) Leafy green vegetables and oranges D) Fish and dairy products nated and the client’s depth and rate of respirations will decrease. if the client continues to refuse. What should be the nurse’s first action? A) Call the health care provider B) Put the client in Fowler’s position C) Lower the oxygen rate D) Take the vital signs Review Information: The correct answer is C: Lower the oxygen rate In client’s diagnosed with COPD.ks21@gmail. C) Blood pressure the client becomes anxious and states he does D) PT/PTT not wish to go through with electroconvulsive therapy. You seem anxious. Therefore the first action should be to lower the oxygen rate.com Kuwait . D) “I’ll call the health care provider to notify them of your decision. If oxygen is delivered at too high of a concentration. Question26 A nurse who has been named in a lawsuit can use which of these factors for the best protection in a court of law? A) Clinical specialty certification in the associated area of practice Collected by :DeepaRajesh [ 109 ] rajesh. platelets.” Question24 Question23 The nurse enters the room of a client diagnosed with COPD. Review Information: The correct answer is A: Reduce vascularity of the thyroid Potassium iodide solution.

analysis.of hematomas. it should include pertinent data such as times. The respiratory therapist draws the blood and then asks the nurse to apply pressure to the area so the therapist can take the Review Information: The correct answer is A: specimen to the lab. mation should the nurse include in client teaching? A) Avoid green leafy vegetables Question31 B) Restrict fluids to 1000cc/day Which of these clients should the charge nurse Collected by :DeepaRajesh [ 110 ] rajesh. In addition to taking the prescribed non-steroidal anti-inflammatory drug (NSAID). the effec. if and when the notification occurred to the provider or other health care team members.C) 8 minutes tive metabolism of drugs may decrease. evaluation. Question27 The nurse is caring for clients over the age of 70. It can restore self-esteem and improve physical functioning. Clients should avoid the use of salt substitutes. plan.B) Documentation on the specific client record with a focus on the nursing process C) Yearly evaluations and proficiency reports prepared by nurse’s manager D) Verification of provider’s orders for the plan of care with identification of outcomes Review Information: The correct answer is B: Documentation on the specific client record with a focus on the nursing process Documentation is the key to protect nurses when a lawsuit is filed. the nurse’s response to a change in the client’s condition. assessment data.ks21@gmail. Review Information: The correct answer is B: 5 minutes Question28 It is necessary to apply pressure to the area for You are caring for a hypertensive client with a 5 minutes to prevent bleeding and the formation new order for captopril (Capoten).com Kuwait Question30 . the nurse should instruct the client to A) start a regular exercise program B) rest the knees as much as possible to decrease inflammation C) avoid foods high in citric acid D) keep the legs elevated when sitting Review Information: The correct answer is A: start a regular exercise program A regular exercise program is beneficial in treating osteoarthritis. As a D) 10 minutes result.B) 5 minutes thermia. How long should the nurse start low. immobility and liver disease. and what was prescribed along with the client’s outcomes. The nurse is aware that when giving medications to older clients. as A) 3 minutes well as conditions such as dehydration. C) Avoid the use of salt substitutes D) Take the medication with meals Review Information: The correct answer is C: Avoid the use of salt substitutes Captopril can cause an accumulation of potassium or hyperkalemia. go slow apply pressure to the area? Due to physiological changes in the elderly. intervention. go slow B) avoid stopping a medication entirely C) avoid drugs with side effects that impact cognition D) review the drug regimen yearly An arterial blood gases test (ABG) is ordered for a confused client. The thorough documentation should include all steps of the nursing process – assessment. Which infor. which are generally potassium-based. drugs can accumulate to toxic levels and cause serious adverse reactions. In addition. dosages and sites of actions. hyper. specific actions taken. it is best to A) start low. Question29 A client has bilateral knee pain from osteoarthritis.

A normal reading for an elder’s serum albumin is between 3. Oxygen administration will help reDischarge teaching must be done by an RN.com Kuwait . What is the best explanation for the nurse to give the client about the therapeutic effects of this medication? A) It decreases serum phosphate B) It will reduce serum calcium C) Amphojel increases urine output D) The drug is taken to control gastric acid secretion Review Information: The correct answer is A: It decreases serum phosphate Aluminum binds phosphates that tend to accumulate in the patient with chronic renal failure due to decreased filtration capacity of the kidney. The nurse knows that the major reason that oxygen is administered in this situation is to A) saturate the red blood cells B) relieve dyspnea C) decrease cyanosis D) increase oxygen level in the myocardium Review Information: The correct answer is D: Review Information: The correct answer is C: increase oxygen level in the myocardium A 24 year-old post-op client with type 1 diabetes Anoxia of the myocardium occurs in myocardial in the process of discharge infarction. Antacids such as Amphojel are commonly used to accomplish this.assign to the registered nurse (RN)? A) A 56 year-old with atrial fibrillation receiving digoxin B) A 60 year-old client with COPD on oxygen at 2 L/min C) A 24 year-old post-op client with type 1 diabetes in the process of discharge D) An 80 year-old client recovering 24 hours post right hip replacement ordered oxygen. bounding pulse Atenolol (Tenormin) is a beta-blocker that can cause side effects including bradycardia and hypotension. Question33 An 80 year-old client is admitted with a diagnosis of malnutrition.ks21@gmail. Question36 Question34 Upon admission to an intensive care unit. a client diagnosed with an acute myocardial infarction is A 66 year-old client is admitted for mitral valve replacement surgery. lieve dyspnea and cyanosis associated with the Practical nurses (PNs) or unlicensed assistive condition but the major purpose is to increase personnel (UAPs) can reinforce education after the oxygen concentration in the damaged myothe RN does the initial teaching. During the admission assessment. Question35 The nurse is teaching a client with chronic renal failure (CRF) about medications. later. The client has a history of mitral valve regurgitation and mitral stenosis since her teenage years. nutritional status in adults. Question32 A hypertensive client is started on atenolol (Tenormin). the nurse should ask the client if as a child she had A) measles B) rheumatic fever C) hay fever D) encephalitis Collected by :DeepaRajesh [ 111 ] rajesh.0 g/dl. . In addition to physical assessments. bounding pulse C) Jaundiced sclera D) Weight gain Review Information: The correct answer is B: Slow. The nurse instructs the client to immediately report which of these findings? A) Rapid breathing B) Slow. The client questions the purpose of aluminum hydroxide (Amphojel) in her medication regimen. which of the following lab tests should be closely monitored? A) Urine protein B) Urine creatinine C) Serum calcium D) Serum albumin Review Information: The correct answer is D: Serum albumin Serum albumin is a valuable indicator of protein deficiency and. cardial tissue.0-5.

yellow and crusty drainage around the pin site is a good sign” Review Information: The correct answer is B: A client with a hip prosthesis 1 day post operatively is lying in bed with internal rotation and adduction of the affected leg This position should be prevented in order to prevent dislodgment of the hip prosthesis. opioid narcotics. Opioid narcotics are given for Collected by :DeepaRajesh [ 112 ] rajesh. nclex-rn practice test questions. or guided imagery will have little effect. When the nurse develops a plan of care. A client complains of some discomfort after a below the knee amputation. nursing review Question38 Free NCLEX-RN Sample Test QuesA client diagnosed with gouty arthritis is admit.ks21@gmail. 0 comments Labels: free nclex-rn sample review questions. Without this measure. thus minimizing the pain. therefore monitoring for occult blood would be appropriate. Question40 A client with testicular cancer is scheduled for a right orchiectomy.com Kuwait Question39 A 55 year-old woman is taking Prednisone and aspirin (ASA) as part of her treatment for rheumatoid arthritis. which intervention should be included? A) high protein diet B) salicylates C) hot compresses to affected joints D) intake of at least 3000cc/day Question1 Review Information: The correct answer is D: intake of at least 3000cc/day Fluid intake should be increased to prevent precipitation of urate in the kidneys. Which action by the nurse is most appropriate initially? A) Conduct guided imagery or distraction B) Ensure that the stump is elevated the first day post-op C) Wrap the stump snugly in an elastic bandage D) Administer opioid narcotics as ordered Review Information: The correct answer is B: Ensure that the stump is elevated the first day post-op This priority intervention prevents pressure caused by pooling of blood.Review Information: The correct answer is B: rheumatic fever Clients that present with mitral stenosis often have a history of rheumatic fever or bacterial endocarditis. a firm elastic bandage.tions For Nursing Review (Part 5) ted with severe pain and edema in the right foot. Which of the following would be an appropriate intervention for the nurse? . The other assessments are not of concern. A) Assess the pulse rate q 4 hours B) Monitor her level of consciousness q shift C) Test her stools for occult blood D) Discuss fiber in the diet to prevent constipation Review Information: The correct answer is C: Test her stools for occult blood Both Prednisone and ASA can lead to GI bleeding. Question37 During nursing rounds which of these assessments would require immediate corrective action and further instruction to the practical nurse (PN) about proper care? A) The weights of the skin traction of a client are hanging about 2 inches from the floor B) A client with a hip prosthesis 1 day post operatively is lying in bed with internal rotation and adduction of the affected leg C) The nurse observes that the PN moves the extremity of a client with an external fixation device by picking up the frame D) A client with skeletal traction states “The other nurse said that the clear. especially in the first 48 to 72 hours post-op. The nurse knows that an orchiectomy is the A) surgical removal of the entire scrotum B) surgical removal of a testicle C) dissection of related lymph nodes D) partial surgical removal of the penis Review Information: The correct answer is B: surgical removal of a testicle The affected testicle is surgically removed along with its tunica and spermatic cord.

ovulation occurs. In the event that this restricted movement could cause more harm. Question5 Which oxygen delivery system would the nurse apply that would provide the highest concentrations of oxygen to the client? A) Venturi mask B) Partial rebreather mask C) Non-rebreather mask D) Simple face mask Review Information: The correct answer is C: Non-rebreather mask The non-rebreather mask has a one-way valve that prevents exhales air from entering the reservoir bag and one or more valves covering the air holes on the face mask itself to prevent inhaQuestion3 A couple trying to conceive asks the nurse when lation of room air but to allow exhalation of air. The use of heat lamps is not safe as there is no way to regulate their temperature. The woman reports a regular When a tight seal is achieved around the mask 32 day cycle. Which action is a B: “Sometimes when I put my shoes on I don’’t know where my toes are. but is confused. Con. Suctioning will not prevent aspiration in this situation.” Ovulation occurs 14 days prior to menses.know where my toes are. This client needs to cough and be watched rather than restricted. Collected by :DeepaRajesh [ 113 ] rajesh. These are to be provided by the facility in the event the family cannot do so. While touching with cold hands can startle the infant it does not pose a safety risk.” D) “If I bathe more than once a week my skin feels too dry.B) “Sometimes when I put my shoes on I don’t sidering that the woman’’s cycle is 32 days.” tracting 14 from 32 suggests ovulation is at about C) “Here are my up and down glucose readings the 18th day. then a sitter should be requested.impairment. Warming medications and fluids is not indicated. Safety protective devices (restraints) have been ordered for this client.” Question4 A newborn is having difficulty maintaining a temperature above 98 degrees Fahrenheit and has Review Information: The correct answer is been placed in an incubator.com Kuwait . Question2 ing D) Avoid touching the neonate with cold hands Review Information: The correct answer is B: Monitor the neonate’s temperature When using a warming device the neonate’s temperature should be continuously monitored for undesired elevations. Which C) Days 14-16 D) Days 17-19 statement by the client during the conversation is most predictive of a potential for impaired skin Review Information: The correct answer is D: integrity? Days 17-19 A) “I give my insulin to myself in my thighs. How can the nurse prevent aspiration? A) Suction the client frequently while restrained B) Secure all 4 restraints to 1 side of bed C) Obtain a sitter for the client while restrained D) Request an order for a cough suppressant Review Information: The correct answer is C: Obtain a sitter for the client while restrained The plan to use safety devices (restraints) should be rethought. Clients who do not lamp feel pressure and/or pain are at high risk for skin B) Monitor the neonate’s temperature C) Warm all medications and liquids before giv.ks21@gmail. Which response by the nurse is up to 100% of the oxygen is available. Cough suppressants should be avoided for this client.severe pain. Restraints are used to protect the client from harm caused by removing tubes or getting out of bed. that I wrote on my calendar. correct? A) Days 7-10 Question6 B) Days 10-13 At a senior citizens meeting a nurse talks with a client who has Type 1 diabetes mellitus. A 78 year-old client with pneumonia has a productive cough. such as aspiration.” nursing priority? A) Protect the eyes of the neonate from the heat Peripheral neuropathy can lead to lack of sensation in the lower extremities. sub.

reddened areas. What is ly weeping. swollen. skin lesions. including hand or skin-to-skin contact. the nurse ob. There is a small blood. a nurse port to reinforce correct information? should implement contact precautions for which A) “I usually avoid driving at night since lights client? sometimes seem to make things blur.8 deUsing a moist soft brush or cloth to clean teeth grees Fahrenheit following DPT immunization. Which comQuestion9 ment by one of the retirees would the nurse supIn addition to standard precautions.” Review Information: The correct answer is A: D) “I take extra fiber and drink lots of water to Collected by :DeepaRajesh [ 114 ] rajesh.have contact precautions in addition to standard stain on the cast.Prolonged rupture of membranes ing over a period of time. Which of the following must be reported immediately? A) Irritability B) Slight edema at site C) Local tenderness D) Seizure activity Review Information: The correct answer is D: Seizure activity Other reactions that should be reported include Review Information: The correct answer is A: crying for >3 hours. After 12-24 expected with this type of surgery.Question7 60 year-old with herpes simplex A client returns from surgery after an open reduc. measures are taken to reing should also be documented in the nurse’s duce the risk to mother and the fetus/newborn.Clients who have herpes simplex infections must tion of a femur fracture.hours of leaking fluid. Four hours later. The nurse should use a soft cloth or soft brush to do mouth care so that the child can adjust to the Question12 routine of cleaning the mouth and teeth. The nurse is at the community center speaking with retired people about glaucoma. cast C) Simply record the findings in the nurse’s notes Question10 only Which of the following situations is most likely to D) Outline the spot with a pencil and note the produce sepsis in the neonate? time and date on the cast A) Maternal diabetes B) Prolonged rupture of membranes C) Cesarean delivery Review Information: The correct answer is D: D) Precipitous vaginal birth Outline the spot with a pencil and note the time and date on the cast Review Information: The correct answer is B: This is a good way to assess the amount of bleed.precautions because of the associated.” A) 60 year-old with herpes simplex B) “I take half of the usual dose for my sinuses to B) 6 year-old with mononucleosis maintain my blood pressure. and gums and tender. potentialserves that the stain has doubled in size.” C) 45 year-old with pneumonia C) “I have to sit at the side of the pool with the D) 3 year-old with scarlet fever grandchildren since I can’t swim with this eye problem. notes. What is the best way for the nurse to give mouth care to this child? A) Using a moist soft brush or cloth to clean teeth and gums B) Swabbing teeth and gums with flavored mouthwash C) Offering a bottle of water for the child to drink D) Brushing with toothpaste and flossing each tooth Question11 The nurse is teaching a parent about side effects of routine immunizations. The bleed. Contact precautions are used for clients who are infected by microorganthe best action for the nurse to take? isms that are transmitted by direct contact with A) Call the health care provider B) Access the site by cutting a window in the the client. Question8 The nurse is caring for a 1 year-old child who has 6 teeth. temperature over 104. The bleeding does not Premature rupture of the membranes (PROM) is appear to be excessive and some bleeding is a leading cause of newborn sepsis.com Kuwait .ks21@gmail.

and providing emotional support. ensuring safety. Question16 Question14 A nurse is performing the routine daily cleaning of a tracheostomy. A 4 year-old hospitalized child begins to have a seizure while playing with hard plastic toys in the hallway. and easily removed with minimal coughing.ks21@gmail. Review Information: The correct answer is D: The obturator is useful to keep the airway open “I take extra fiber and drink lots of water to avoid only after the tracheostomy outer tube is coughed getting constipated. Which safety measure is most important during this process? A) Regulate the neonate’s temperature using a radiant heater B) Withhold feedings while under the phototherapy C) Provide water feedings at least every 2 hours D) Protect the eyes of neonate from the phototherapy lights Review Information: The correct answer is C: Provide water feedings at least every 2 hours Protecting the eyes of the neonates is very important to prevent damage when under the ultraviolet lights. the first priority would be to provide a safe environment. Collected by :DeepaRajesh [ 115 ] rajesh. Question13 Question15 A newborn has hyperbilirubinemia and is undergoing phototherapy with a fiberoptic blanket. administering medications. Frequent water or feedings are given to help with the excretion of the bilirubin in the stool. During the procedure. which one should the nurse do first? A) Place the child in the nearest bed B) Administer IV medication to slow down the seizure C) Place a padded tongue blade in the child’s mouth D) Remove the child’s toys from the immediate area Review Information: The correct answer is D: Remove the child’’s toys from the immediate area Nursing care for a child having a seizure includes. It is recommended that the neonate remain under the lights for extended periods. This negative outcome could have avoided by A) placing an obturator at the client’s bedside B) having another nurse assist with the procedure C) fastening clean tracheostomy ties before removing old ties D) placing the client in a flat. A second nurse is not needed. but a heater may not be necessary. nothing should be forced into the child’’s mouth and the child should not be moved. watery. Of the following nursing actions. extra protection of the eyes is unnecessary. . Changing the Any activity that involves straining should be position may not prevent a dislodged tracheosavoided in clients with glaucoma. Since the seizure has already started. the client coughs and displaces the tracheostomy tube.” out. Moisture soothes inflamed membranes.com Kuwait . supine position Review Information: The correct answer is C: fastening clean tracheostomy ties before removing old ties Fastening clean tracheostomy ties before remov- The nurse is teaching home care to the parents of a child with acute spasmodic croup.” ing old ones will ensure that the tracheostomy is secured during the entire cleaning procedure. Such activities tomy. but since the blanket is used.avoid getting constipated. white. The most important aspects of this care is/are A) sedation as needed to prevent exhaustion B) antibiotic therapy for 10 to 14 days C) humidified air and increased oral fluids D) antihistamines to decrease allergic response Review Information: The correct answer is C: humidified air and increased oral fluids The most important aspects of home care for a child with acute spasmodic croup are humidified air and increased oral fluids. would increase intraocular pressure. Of the choices given. Adequate systemic hydration aids is mucociliary clearance and keeps secretions thin. There is no reason to withhold feedings. maintaining airway patency. The neonate’s skin is exposed to the light and the temperature is monitored.

the nurse should plan to A) restrict visitors to immediate family B) avoid arousal of the client except for family visits C) keep client’s hips flexed at no less than 90 degrees D) apply a warming blanket for temperatures of 98 degrees Fahrenheit or less A newborn delivered at home without a birth attendant is admitted to the hospital for observation. While there may be other factors influencing the client’’s behavior. confusion. Once respiratory or oxygenation issues are ruled out then significant changes in glucose would be evaluated.Reduced PaO2 it.Question17 The nurse is assigned to care for a client who has a leaking intracranial aneurysm. When family vis. Pulse oximetry would be the initial assessment. Question18 A client who is 12 hour post-op becomes confused and says: “Giant sharks are swimming across the ceiling. The nurse recognizes that cold stress may lead to what complication? A) Lowered BMR B) Reduced PaO2 C) Lethargy Review Information: The correct answer is A: D) Metabolic alkalosis restrict visitors to immediate family Maintaining a quiet environment will assist in Review Information: The correct answer is B: minimizing cerebral rebleeding. If available. Near syncope refers to lightheartedness. The baby delivered in such circumchoices for discussion than topics that result in stances needs careful monitoring. Which finding requires the nurse’s immediate action? A) Periorbital edema B) Dizzy spells C) Lethargy D) Shortness of breath Review Information: The correct answer is B: Dizzy spells Cardiac dysrhythmias may cause a transient drop in cardiac output and decreased blood flow to the brain. the client should not be disturbed. tion. dizziness. disorientation. the first nursing action should be directed toward maintaining oxygenation. temporary confusion. If the client Cold stress causes increased risk for respirais awake. hallucinations. Review Information: The correct answer is C: Pulse oximetry A sudden change in mental status in any postop client should trigger a nursing intervention directed toward respiratory evaluation. irritability. Such “spells” may indicate runs of ventricular tachyCollected by :DeepaRajesh [ 116 ] rajesh. the newborn must be warmed immediately to increase its temperature to at least 97 degrees Fahrenheit (36 degrees Celsius). Question21 The nurse is caring for a client with a myocardial infarction. and loss of consciousness. dyspnea. arterial blood gases would be better. topics of a general nature are better tory distress.” Which assessment is necessary to adequately identify the source of this client’s behavior? A) Cardiac rhythm strip B) Pupillary response C) Pulse oximetry D) Peripheral glucose stick Question19 Question20 Which contraindication should the nurse assess for prior to giving a child immunizations? A) Mild cold symptoms B) Chronic asthma C) Depressed immune system D) Allergy to eggs Review Information: The correct answer is C: Depressed immune system Children who have a depressed immune system related to HIV or chemotherapy should not be given routine immunizations. agitation. Acute respiratory failure is the sudden inability of the respiratory system to maintain adequate gas exchange which may result in hypercapnia and/ or hypoxemia.ks21@gmail.com Kuwait . In this situaemotional or physiological stimulation. delirium. Clinical findings of hypoxemia include these finding which are listed in order of initial to later findings: restlessness. The initial temperature is 95 degrees Fahrenheit (35 degrees Celsius) axillary. To minimize the risk of rebleeding.

A chief advantage of this management strategy is that it: A) considers client and staff needs B) conserves time spent on planning C) frees the nurse manager to handle other priorities D) allows requests for special privileges A 16 year-old boy is admitted for Ewing’s sarcoma of the tibia. The nurse should use revere heartburn. for consistency in interviewing each candidate An interview guide used for each candidate enables the nurse manager to be more objective in Question24 A woman in her third trimester complains of se. and not eating before bedtime. A) Drink small amounts of liquids frequently B) Eat the evening meal just before retiring C) Take sodium bicarbonate after each meal D) Sleep with head propped on several pillows Question27 Review Information: The correct answer is D: Sleep with head propped on several pillows Heartburn is a burning sensation caused by regurgitation of gastric contents.viewing applicants for a staff nurse position. the nurse understands that the initial treatment most often includes A) amputation just above the tumor B) surgical excision of the mass C) bone marrow graft in the affected leg D) radiation and chemotherapy Review Information: The correct answer is D: radiation and chemotherapy Review Information: The correct answer is A: The initial treatment of choice for Ewing’’s sarconsiders client and staff needs coma is a combination of radiation and chemoDecentralized staffing takes into consideration therapy. eating small meals. Certain personal questions are prohibited. It is best relieved by sleeping position.proach? tory appointment for which of the following lab A) Vary the interview style for each candidate to tests is critical? learn different techniques A) Liver function B) Use simple questions requiring “yes” and “no” B) Kidney function answers to gain definitive information C) Blood sugar C) Obtain an interview guide from human reD) Cardiac enzymes sources for consistency in interviewing each candidate Review Information: The correct answer is A: D) Ask personal information of each applicant to Liver function assure he/she can meet job demands INH can cause hepatocellular injury and hepatitis.cardia or periods of asystole and should be reported immediately. the nurse should emphasize that a labora. and HR can identify symptoms? these for novice managers.ks21@gmail. sis taking isoniazid (INH) about follow-up home Which interview strategy would be the best apcare. specific client needs and staff interests and abilities. Question25 Question22 Decentralized scheduling is used on a nursing unit.com Kuwait . Review Information: The correct answer is C: which are released into the blood from damaged Obtain an interview guide from human resources liver cells. What is appropriate teaching sources available in the agency before attempts by the nurse to help the woman alleviate these to develop one from scratch.the decision making. Question26 Question23 A new nurse manager is responsible for interIncluded in teaching the client with tuberculo. What is the best way that parents of pre-schoolers can begin teaching their child about injury prevention? A) Set good examples themselves B) Protect their child from outside influences C) Make sure their child understands all the safety rules D) Discuss the consequences of not wearing Collected by :DeepaRajesh [ 117 ] rajesh. This side effect is age-related and can be detected with regular assessment of liver enzymes. In discussing his care with the parents.

the newborn will adjust insulin production edetate. calcium disodium begin.com Kuwait . poor calcium absorption C) Maternal insulin dependency and moderate to high alcohol ingestion.” C) “Your child must reach a height of 50 inches Collected by :DeepaRajesh [ 118 ] rajesh. the high glucose levels which crossed the placenta to the fetus are suddenly Question31 stopped. Review Information: The correct answer is A nurse assessing the newborn of a mother with B: Taking high doses of steroids for arthritis for diabetes understands that hypoglycemia is re. The nurse should be alert for which of the following side effects? within a day or two. Question28 Review Information: The correct answer is C: oliguria Kidneys maintain fluid volume through adjustments in urine volume. During the process of taking client history. which of these items should the nurse identify as related to the client’s greatest risk factors Review Information: The correct answer is A: for osteoporosis? Set good examples themselves A) History of menopause at age 50 The preschool years are the time for parents to B) Taking high doses of steroids for arthritis for begin emphasizing safety principles as well as many years providing protection. What is the nurse’s best response to the parents? A) “Your child must use a care seat until he weighs at least 40 pounds. however. for lead poisoning.many years The use of steroids. A) Neurotoxicity B) Hepatomegaly C) Nephrotoxicity Question29 D) Ototoxicity The nurse is caring for a client with extracellular fluid volume deficit. When oral feedings treated with chelation therapy.The nurse is caring for a 2 year-old who is being lin in anticipation of glucose.ks21@gmail. Question32 Question30 A 70 year-old woman is evaluated in the emergency department for a wrist fracture of unknown The parents of a toddler ask the nurse how long their child will have to sit in a car seat while in the automobile. Which of the following assessments would the nurse anticipate finding? Review Information: The correct answer is C: A) bounding pulse Nephrotoxicity B) rapid respirations Nephrotoxicity is a common side effect of calciC) oliguria um disodium edetate. they are quick to no. The A) Disruption of fetal glucose supply other options also predispose to osteoporosis. in addition to lead poisonD) neck veins are distended ing in general.protective devices causes. Review Information: The correct answer is A: Disruption of fetal glucose supply After delivery.” B) “The child must be 5 years of age to use a regular seat belt. increases the risk for osteoporosis. LongD) Reduced glycogen reserves term steroid treatment is the most significant risk factor. The newborn continues to secrete insu.D) Drinking 2 glasses of red wine each day for tice discrepancies between what they see and the past 30 years what they are told. Setting a good example C) Maintaining an inactive lifestyle for the past themselves is crucial because of the imitative 10 years behaviors of pre-schoolers. B) Pancreatic insufficiency as do low bone mass. especially at high doses over lated to what pathophysiological process? time.

Russell’s traction C) Client reports prickling sensation in the right hand is Buck’s traction with a sling under the knee. perhaps making them easier to suction. Other physical characteristics that estiQuestion34 A client with a fractured femur has been in Rus. Which finding requires the nurse’s immediate atReview Information: The correct answer is D: tention? A) Capillary refill of fingers on right hand is 3 secPerform a neurovascular check for circulation While each of these is an important assessment. Which nursing action sole creases and ear cartilage are unaffected by the other factors. When coming to a conclusion using the Ballard scale.” A) decrease the client’s discomfort B) reduce viscosity of secretions C) prevent client aspiration D) remove a mucus plug Review Information: The correct answer is D: remove a mucus plug While no longer recommended for routine suctioning.” D) “The child can use a regular seat belt when he can sit still.to sit in a seat belt. such as amount of lanugo. sell’s traction for 24 hours. Review Information: The correct answer is C: Fetal distress in labor The effects of earlier distress may alter the findings of reflex responses as measured on the Ballard tool.B) Skin warm to touch and normally colored ated with this type of traction. the nurse should instill saline in order to Review Information: The correct answer is C: Client reports prickling sensation in the right Collected by :DeepaRajesh [ 119 ] rajesh.com Kuwait . mineral or animal substances which provide a gentle stimulus to the body’’s own defenses. onds the neurovascular integrity check is most associ. The response that best explains this approach is that such remedies A) destroy organisms causing disease B) maintain fluid balance C) boost the immune system D) increase bodily energy Question36 The nurse is performing a gestational age assessment on a newborn delivered 2 hours ago.mate gestational age. Review Information: The correct answer is A: “Your child must use a care seat until he weighs at least 40 pounds. which of these factors may affect the score? A) Birth weight B) Racial differences C) Fetal distress in labor D) Birth trauma Review Information: The correct answer is C: boost the immune system The practitioner treats with minute doses of plant. Question33 A client asks the nurse to explain the basic ideas of homeopathic medicine. is associated with this therapy? A) Check the skin on the sacrum for breakdown B) Inspect the pin site for signs of infection C) Auscultate the lungs for atelectasis D) Perform a neurovascular check for circulation A nurse is caring for a client who had a closed reduction of a fractured right wrist followed by the application of a fiberglass cast 12 hours ago.ks21@gmail. D) Slight swelling of fingers of right hand Question37 Question35 When suctioning a client’s tracheostomy.” Children should use car seats until they weigh 40 pounds. saline may thin and loosen viscous secretions that are very difficult to move.

hand A prickling sensation is an indication of compartment syndrome and requires immediate action by the nurse. The other findings are normal for a client in this situation.

Question40

Question38

A client is admitted with the diagnosis of pulmonary embolism. While taking a history, the client tells the nurse he was admitted for the same thing twice before, the last time just 3 months ago. The nurse would anticipate the provider ordering A) pulmonary embolectomy B) vena caval interruption C) increasing the Coumadin therapy to an INR of 3-4 D) thrombolytic therapy Review Information: The correct answer is B: vena caval interruption Clients with contraindications to Heparin, recurrent PE or those with complications related to the medical therapy may require vena caval interruption by the placement of a filter device in the inferior vena cava. A filter can be placed transvenously to trap clots before they travel to the pulmonary circulation.

The nurse is teaching the mother of a 5 monthold about nutrition for her baby. Which statement by the mother indicates the need for further teaching? A) “I’m going to try feeding my baby some rice cereal.” B) “When he wakes at night for a bottle, I feed him.” C) “I dip his pacifier in honey so he’ll take it.” D) “I keep formula in the refrigerator for 24 hours.” Review Information: The correct answer is C: “I dip his pacifier in honey so he’’ll take it.” Honey has been associated with infant botulism and should be avoided. Older children and adults have digestive enzymes that kill the botulism spores. 0 comments Labels: free nclex-rn sample review questions, nclex-rn practice test questions, nursing review

Free NCLEX-RN Sample Test Questions For Nursing Review (Part 4) Question1
The clinic nurse is counseling a substance-abusing post partum client on the risks of continued cocaine use. In order to provide continuity of care, which nursing diagnosis is a priority? A) Social isolation B) Ineffective coping C) Altered parenting D) Sexual dysfunction Review Information: The correct answer is C: Altered parenting The cocaine abusing mother puts her newborn and other children at risk for neglect and abuse. Continuing to use drugs has the potential to impact parenting behaviors. Social service referrals are indicated.

Question39

Which client is at highest risk for developing a pressure ulcer? A) 23 year-old in traction for fractured femur B) 72 year-old with peripheral vascular disease, who is unable to walk without assistance C) 75 year-old with left sided paresthesia who is incontinent of urine and stool D) 30 year-old who is comatose following a ruptured aneurysm

Review Information: The correct answer is C: 75 year-old with left sided paresthesia who is incontinent of urine and stool Risk factors for pressure ulcers include: immobility, absence of sensation, decreased LOC, poor nutrition and hydration, skin moisture, incontinence, increased age, decreased immune response. This client has the greatest number of Question2 risk factors. The nurse is teaching about nonsteroidal antiinflammatory drugs (NSAIDs) to a group of arCollected by :DeepaRajesh [ 120 ]
rajesh.ks21@gmail.com Kuwait

thritic clients. To minimize the side effects, the nurse should emphasize which of the following actions? A) Reporting joint stiffness in the morning B) Taking the medication 1 hour before or 2 hours after meals C) Using alcohol in moderation unless driving D) Continuing to take aspirin for short term relief

A) 1 year of age B) 2 years of age C) 3 years of age D) 4 years of age Review Information: The correct answer is B: 2 years of age A child should be at least 2 years of age to use the radial pulse to assess heart rate.

Question5
Review Information: The correct answer is B: Taking the medication 1 hour before or 2 hours after meals Taking the medication 1 hour before or 2 hours after meals will result in a more rapid effect.

Question3

A client is receiving Total Parenteral Nutrition (TPN) via a Hickman catheter. The catheter accidentally becomes dislodged from the site. Which action by the nurse should take priority? A) Check that the catheter tip is intact B) Apply a pressure dressing to the site C) Monitor respiratory status D) Assess for mental status changes

The nurse is preparing to administer a tube feeding to a postoperative client. To accurately assess for a gastrostomy tube placement, the priority is to A) auscultate the abdomen while instilling 10 cc of air into the tube B) place the end of the tube in water to check for air bubbles C) retract the tube several inches to check for resistance D) measure the length of tubing from nose to epigastrium

Question6

A pregnant client who is at 34 weeks gestation is diagnosed with a pulmonary embolism (PE). Which of these medications would the nurse anticipate the provider ordering? A) Oral Coumadin therapy B) Heparin 5000 units subcutaneously B.I.D. C) Heparin infusion to maintain the PTT at 1.52.5 times the control value D) Heparin by subcutaneous injection to maintain the PTT at 1.5 times the control value

Review Information: The correct answer is A: auscultate the abdomen while instilling 10 cc of air into the tube If a swoosh of air is heard over the abdominal cavity while instilling air into the gastric tube, this indicates that it is accurately placed in the stomach. The feeding can begin after further assessing the client for bowel sounds.

Review Information: The correct answer is D: Heparin by subcutaneous injection to maintain the PTT at 1.5 times the control value Several studies have been conducted in pregnant women where oral anticoagulation agents are contraindicated. Warfarin (Coumadin) is known to cross the placenta and is therefore reported to be teratogenic.

Question4

While assessing the vital signs in children, the nurse should know that the apical heart rate is preferred until the radial pulse can be accurately assessed at about what age?

Question7

The nurse is caring for a client with Hodgkin’s disease who will be receiving radiation therapy. The nurse recognizes that, as a result of the radiation therapy, the client is most likely to experiCollected by :DeepaRajesh [ 121 ]
rajesh.ks21@gmail.com Kuwait

ence A) high fever B) nausea C) face and neck edema D) night sweats Review Information: The correct answer is B: nausea Because the client with Hodgkin’’s disease is usually healthy when therapy begins, the nausea is especially troubling. .

Review Information: The correct answer is B: The MMR vaccine should be given now, prior to the transplant MMR is a live virus vaccine, and should be given at this time. Post-transplant, immunosuppressive drugs will be given and the administration of the live vaccine at that time would be contraindicated because of the compromised immune system.

Question8

Question10

A client is brought to the emergency room following a motor vehicle accident. When assessing the client one-half hour after admission, the nurse notes several physical changes. Which finding would require the nurse’s immediate attention? A) increased restlessness B) tachycardia C) tracheal deviation D) tachypnea

The nurse is preparing to take a toddler’s blood pressure for the first time. Which of the following actions should the nurse perform first? A) Explain that the procedure will help him to get well B) Show a cartoon character with a blood pressure cuff C) Explain that the blood pressure checks the heart pump D) Permit handling the equipment before putting the cuff in place Review Information: The correct answer is D: Permit handling the equipment before putting the cuff in place The best way to gain the toddler’’s cooperation is to encourage handling the equipment. Detailed explanations are not helpful.

Review Information: The correct answer is C: tracheal deviation The deviated trachea is a sign that a mediastinal shift has occurred. This is a medical emergency.

Question9

An 18 month-old child is on peritoneal dialysis in preparation for a renal transplant in the near future. When the nurse obtains the child’s health history, the mother indicates that the child has not had the first measles, mumps, rubella (MMR) immunization. The nurse understands that which of the following is true in regards to giving immunizations to this child? A) Live vaccines are withheld in children with renal chronic illness B) The MMR vaccine should be given now, prior to the transplant C) An inactivated form of the vaccine can be given at any time D) The risk of vaccine side effects precludes giving the vaccine

Question11

Which statement made by a nurse about the goal of total quality management or continuous quality improvement in a health care setting is correct? A) It is to observe reactive service and product problem solving B) Improvement of the processes in a proactive, preventive mode is paramount C) A chart audits to finds common errors in practice and outcomes associated with goals D) A flow chart to organize daily tasks is critical to the initial stages

Review Information: The correct answer is
Collected by :DeepaRajesh [ 122 ]
rajesh.ks21@gmail.com Kuwait

B: Improvement of the processes in a proactive, preventive mode is paramount Total quality management and continuous quality improvement have a major goal of identifying ways to do the right thing at the right time in the right way by proactive problem-solving.

Question12

ease (COPD) and a history of coronary artery disease is receiving aminophylline, 25mg/hour. Which one of the following findings by the nurse would require immediate intervention? A) Decreased blood pressure and respirations B) Flushing and headache C) Restlessness and palpitations D) Increased heart rate and blood pressure

Which of the following drugs should the nurse anticipate administering to a client before they are to receive electroconvulsive therapy? A) Benzodiazepines B) Chlorpromazine (Thorazine) C) Succinylcholine (Anectine) D) Thiopental sodium (Pentothal Sodium)

Review Information: The correct answer is C: Restlessness and palpitations Side effects of Aminophylline include restlessness and palpitations.

Question15
Review Information: The correct answer is C: Succinylcholine (Anectine) Succinylcholine is given intravenously to promote skeletal muscle relaxation.

Question13

Which approach is a priority for the nurse who works with clients from many different cultures? A) Speak at least 2 other languages of clients in the neighborhood B) Learn about the cultures of clients who are most often encountered C) Have a list of persons for referral when interaction with these clients occur D) Recognize personal attitudes about cultural differences and real or expected biases

A client has gastroesophageal reflux. Which recommendation made by the nurse would be most helpful to the client? A) Avoid liquids unless a thickening agent is used B) Sit upright for at least 1 hour after eating C) Maintain a diet of soft foods and cooked vegetables D) Avoid eating 2 hours before going to sleep

Review Information: The correct answer is D: Recognize personal attitudes about cultural differences and real or expected biases The nurse must discover personal attitudes, prejudices and biases specific to different cultures. Awareness of these will prevent negative consequences for interactions with clients and families across cultures.

Review Information: The correct answer is D: Avoid eating 2 hours before going to sleep Eating before sleeping enhances the regurgitation of stomach contents, which have increased acidity, into the esophagus. An upright posture should be maintained for about 2 hours after eating to allow for the stomach emptying. Options A and C are interventions for clients with swallowing difficulties. .

Question16

Question14

A client with a panic disorder has a new prescription for Xanax (alprazolam). In teaching the client about the drug’s actions and side effects, which of the following should the nurse emphasize? A) Short-term relief can be expected B) The medication acts as a stimulant C) Dosage will be increased as tolerated D) Initial side effects often continue
Collected by :DeepaRajesh [ 123 ]
rajesh.ks21@gmail.com Kuwait

A client with chronic obstructive pulmonary dis-

” B) A pregnant woman of 8 weeks newly diagnosed with an ectopic pregnancy C) A middle-aged client admitted with diverticulitis who has taken only clear liquids for the past week D) A teenager with a history of falling off a bicycle without hitting the handle bars Collected by :DeepaRajesh [ 124 ] rajesh.ks21@gmail. which are symbolic designations and do not necessarQuestion17 A client being discharged from the cardiac step. A ents within this framework. nursing student asks the charge nurse why this drug would be used by a client who is not hypertensive. treatment regimens can be negotiated with cliis given a prescription for a beta-blocking drug. “I refuse both radiation and chemotherapy because they are ‘hot. Question20 Question18 A 35-year-old client of Puerto Rican-American descent is diagnosed with ovarian cancer. This is useful for the client with coronary artery disease.” One action of beta-blockers is to decrease systemic vascular resistance by dilating arterioles.’” The next action for the nurse to take is to A) document the situation in the notes B) report the situation to the health care provider C) talk with the client’s family about the situation D) ask the client to talk about concerns regarding “hot” treatments Which of these clients. and medicines are categorized as hot or cold. What is an appropriate response by the Question19 A 72 year-old client is scheduled to have a cardicharge nurse? A) “Most people develop hypertension following oversion. Puerto Ricans. and other Hispanic-Latinos.ily indicate temperature or spiciness. “My awful pain in my right side suddenly stopped about 3 hours ago. all of whom have the findings of a board-like abdomen. The other medications do not increase ventricular irritability. Most foods. would the nurse suggest that the provider examine first? A) An elderly client who stated.com Kuwait . The nurse should notify the an MI.” C) “This drug will decrease the workload on his A) Digoxin (Lanoxin) B) Diltiazem (Cardizem) heart.” D) “Beta-blockers increase the strength of heart C) Nitroglycerine ointment D) Metoprolol (Toprol XL) contractions.Review Information: The correct answer is D: ask the client to talk about concerns regarding “hot” treatments The “hot-cold” system is found among MexicanAmericans. beverages.health care provider if the client received which medication during the preceding 24 hours? tension. Review Information: The correct answer is A: Digoxin (Lanoxin) Digoxin increases ventricular irritability and increases the risk of ventricular fibrillation following cardioversion. Review Information: The correct answer is C: “This drug will decrease the workload on his heart. The client states. herbs.” B) “A beta-Blocker will prevent orthostatic hypo. and will reduce the risk of another MI or sudden death. A nurse reviews the client’s medication administration record. Care and down unit following a myocardial infarction (MI).” Review Information: The correct answer is A: Short-term relief can be expected Xanax is a short-acting benzodiazepine useful in controlling panic symptoms quickly.

Collected by :DeepaRajesh [ 125 ] rajesh. however given that they fall in younger age groups.Review Information: The correct answer is A: An elderly client who stated.ks21@gmail. Popcorn is too difficult to chew at this age and can irritate the airway if swallowed. they would more likely be able to tolerate an imbalance in circulation. Check for tube placement prior to each feeding or every 4 to 8 hours if the client is receiving continuous feeding. therapy with multiple drugs over a long period of time helps to ensure eradication of the organism. Question23 The nurse is assessing a comatose client receiving gastric tube feedings. The others are at risk for shock also. Which of the following assessments requires an immediate response from the nurse? A) Decreased breath sounds in right lower lobe B) Aspiration of a residual of 100cc of formula C) Decrease in bowel sounds D) Urine output of 250 cc in past 8 hours Question21 The nurse is teaching parents of a 7 month-old about adding table foods. “My awful pain in my right side suddenly stopped about 3 hours ago. the nurse is aware that which of the following is a characteristic of the typical treatment plan to eliminate the tuberculosis bacilli? A) An anti-inflammatory agent B) High doses of B complex vitamins C) Aminoglycoside antibiotics D) Administering two anti-tuberculosis drugs A client is prescribed warfarin sodium (Coumadin) to be continued at home. based on the history of the pain suddenly stopping over three hours ago. resulting in a ruptured spleen.” This client has the highest risk for hypovolemic and septic shock since the appendix has most likely ruptured.com Kuwait . Question24 Question22 To prevent drug resistance from developing. A common complication of falling off a bicycle is hitting the handle bars in the upper abdomen often on the left. Elderly clients have less functional reserve for the body to cope with shock and infection over long periods. Maintain client at 30 degrees of head elevation during feedings and monitor for signs of aspiration. Therefore. Which of the following is an appropriate finger food? A) Hot dog pieces B) Sliced bananas C) Whole grapes D) Popcorn Review Information: The correct answer is A: Decreased breath sounds in right lower lobe The most common problem associated with enteral feedings is atelectasis. Hot dogs and grapes can accidentally be swallowed whole and can occlude the airway. Which focus is critical to be included in the nurse’s discharge instruction? A) Maintain a consistent intake of green leafy foods B) Report any nose or gum bleeds C) Take Tylenol for minor pains D) Use a soft toothbrush Review Information: The correct answer is B: Report any nose or gum bleeds The client should notify the health care provider if blood is noted in stools or urine. Review Information: The correct answer is D: Administering two anti-tuberculosis drugs Resistance of the tubercle bacilli often occurs to a single antimicrobial agent. or any other signs of bleeding occur. Review Information: The correct answer is B: Sliced bananas Finger foods should be bite-size pieces of soft food such as bananas.

While the parents focus on the B) The mother should breast feed more often needs of this child.ks21@gmail.Question25 When teaching a client about the side effects of fluoxetine (Prozac). the school age child is in the stage of industry versus inferiority. dry mouth. Question27 The nurse manager informs the nursing staff at morning report that the clinical nurse specialist will be conducting a research study on staff attitudes toward client care. weight loss. dry mouth. reduced libido D) Photosensitivity.com Kuwait . hypotension. The nurse is talking with the family of an 18 months-old newly diagnosed with retinoblastoReview Information: The correct answer is C: ma. seizures. they should be aware that C) A change to formula is indicated the risk is high for future offspring. dry mouth. which of the following will the nurse include? A) Tachycardia blurred vision. anorexia B) Orthostatic hypotension. edema. effective C) Prepare for the child’s permanent disfigurement D) Suggest that total blindness may follow surQuestion26 A newborn weighed 7 pounds 2 ounces at birth. vertigo. hyperglycemia Review Information: The correct answer is D: Autonomy Individuals must be free to make independent decisions about participation in research without coercion from others. Which of the following should be included in the plan of care? A) Encourage child to engage in activities in the playroom B) Promote independence in activities of daily living C) Talk with the child and allow him to express his opinions D) Provide frequent reassurance and cuddling Review Information: The correct answer is A: Encourage child to engage in activities in the playroom According to Erikson. A priority in communicating with the parents Diarrhea. All staff are invited to participate in the study if they wish. weight loss B) Inform them that combined therapy is seldom and reduced libido. This affirms the ethical principle of A) Anonymity B) Beneficence C) Justice D) Autonomy The nurse is planning care for an 8 year-old child. What should the nurse tell the parents Review Information: The correct answer is A: Discuss the need for genetic counseling about this weight loss? The hereditary aspects of this disease are well A) The newborn needs additional assessments documented. reduced libido is Commonly reported side effects for fluoxetine A) Discuss the need for genetic counseling (Prozac) are diarrhea. weight loss. reactions to tyramine-rich foods C) Diarrhea. D) The loss is within normal limits Question28 Question29 Review Information: The correct answer is D: The loss is within normal limits A newborn is expected to lose 5-10% of the birth weight in the first few days post-partum because of changes in elimination and feeding. To help Collected by :DeepaRajesh [ 126 ] rajesh. gery The nurse assesses the newborn at home 2 days later and finds the weight to be 6 pounds 7 ounces.

Question33 Review Information: The correct answer is B: The client with a peptic ulcer who has been vomiting all night A perforated peptic ulcer could cause nausea. an insulin-dependent diabetic has his glycosylated hemoglobin checked. vomiting and abdominal distention. The results indicate a level of 11%. what teaching should the nurse emphasize? A) Rotation of injection sties B) Insulin mixing and preparation C) Daily blood sugar monitoring D) Regular high protein diet Review Information: The correct answer is A: “What over-the-counter medications do you take?” Over-the-counter medications. Which of these questions is priority when assessing a client with hypertension? A) “What over-the-counter medications do you take?” B) “Describe your usual exercise and activity patterns. Question30 The nurse is assigned to care for 4 clients. .” C) “Tell me about your usual diet.” D) “Describe your family’s cardiovascular history. The nurse is performing an assessment of the motor function in a client with a head injury.” Question31 During a routine check-up. and may be a life threatening situation. The best technique is A) touching the trapezius muscle or arm firmly B) pinching any body part C) shaking a limb vigorously D) rubbing the sternum Question32 Review Information: The correct answer is D: rubbing the sternum Collected by :DeepaRajesh [ 127 ] rajesh. Which of the following should be assessed immediately after hearing the report? A) The client with asthma who is now ready for discharge B) The client with a peptic ulcer who has been vomiting all night C) The client with chronic renal failure returning from dialysis D) The client with pancreatitis who was admitted yesterday A client taking isoniazid (INH) for tuberculosis asks the nurse about side effects of the medication. The client should be assessed immediately and findings reported to the provider.them achieve industry. Based on this result. The client should be instructed to immediately report which of these? A) Double vision and visual halos B) Extremity tingling and numbness C) Confusion and lightheadedness D) Sensitivity of sunlight Review Information: The correct answer is B: Extremity tingling and numbness Peripheral neuropathy is the most common side effect of INH and should be reported to the provider. Elevation indicates elevated glucose levels over time. Question34 Review Information: The correct answer is C: Daily blood sugar monitoring Normal hemoglobin A1C (glycosylated hemoglobin) level is 7 to 9%. especially those that contain cold preparations can increase the blood pressure to the point of hypertension. the nurse should encourage them to carry out tasks and activities in their room or in the playroom. It can be reversed.com Kuwait .ks21@gmail.

The first aminoglycoside action by the nurse should be to D) A hospitalized middle aged client receiving clindamycin A) order an EKG B) administer morphine sulfate C) start an IV D) measure vital signs Review Information: The correct answer is D: A hospitalized middle aged client receiving clindamycin Hospitalized patients.e. diaphoresis and nausea. It is probable that an EKG and IV insertion were performed in the ER. difficile infection or pseudomembranous colitis. Of clients receiving antibiotics.D) Serum lipase levels will be evaluated hood). Fluoroquinolones. difficile. ampicillin.” B) “He has had an ear infection for the past 2 days.” C) “He has been eating more red meat lately. such as clindamycin. are the most frequent sources of C. amoxicillin. C.C) A young adult at home taking a prescribed nal chest pain.” The nurse is performing an assessment on a client who is cachectic and has developed an enterocutaneous fistula following surgery to relieve a small bowel obstruction. nafcillin. sulbactam. difficile diarrhea? Question35 A) An adolescent taking medications for acne A nurse admits a client transferred from the emer. The client’s total protein level is reported as 4. Also. Several antibiotic agents have been associated with C. 5-38% experience antibiotic-associated diarrhea.The purpose is to assess the non-responsive client’s reaction to a painful stimulus after less noxious methods have been tried. clavulanic acid.. Question37 Review Information: The correct answer is B: administer morphine sulfate Decreasing the clients pain is the most important priority at this time. and cephalosporins. especially those receiving antibiotic therapy. oxacillin). Which of these clients would the nurse monitor for the complication of C. Broad-spectrum agents. and trimethoprim are seldom associated with C. ceftriaxone. difficile causes 15 to 20% of the cases.C) Total parenteral nutrition (TPN) will be startclude those such as age (more common in first ed 2 years). aminoglycosides. vancomycin. Morphine will decrease the oxygen demands of the heart and act as a mild diuretic as well.com Kuwait Question38 .B) An elderly client living in a retirement center gency room (ER). is complaining of subster. fatigue.5 g/dl.” D) “He seems to be going to the bathroom more frequently. difficile. diagnosed with a taking prednisone myocardial infarction. Which of the following statement by the child’s parent would be important in determining the etiology of the seizure? A) “He has been taking long naps for a week.ks21@gmail. Which of the followReview Information: The correct answer is ing would the nurse anticipate? B: “He has had an ear infection for the past 2 A) Additional potassium will be given IV days. difficile infection has been caused by the administration of agents containing beta-lactamase inhibitors (i. The client. difficile. Question36 The nurse admits a 2 year-old child who has had a seizure. not eating properly and excessive fluid intake or fluid retention. tazobactam) and intravenous agents that achieve substantial colonic intraluminal concentrations (i.e. Collected by :DeepaRajesh [ 128 ] rajesh.. As long as pain is present there is danger in extending the infarcted area. C. are primary targets for C. infections (late infancy and early child.” B) Blood for coagulation studies will be drawn Contributing factors to seizures in children in.

cheese.ks21@gmail. beer. the nurse performs a dextro-stick at 1 nurse? hour post birth. nclex-rn practice test questions. Labels: free nclex-rn sample review questions. Normal values are: Premature Review Information: The correct answer is D: She reports recent use of over-the counter sinus remedies Collected by :DeepaRajesh [ 129 ] rajesh.2-5. Review Information: The correct answer is A: The client’’s self-report is the most important consideration Pain is a complex phenomenon that is perceived differently by each individual. which statement is a priority to consider for the ethical guidelines of the nurse? A) The client’s self-report is the most important consideration B) Cultural sensitivity is fundamental to pain management C) Clients have the right to have their pain relieved D) Nurses should not prejudge a client’s pain using their own values Free NCLEX-RN Sample Test Questions For Nursing Review (Part 3) Question1 A client diagnosed with chronic depression is maintained on tranylcypromine (Parnate).com Kuwait Question2 .7-3. Pain is whatever the client says it is. The other statements are correct but not the most important considerations. liver and chocolate B) Wine. The serum glucose reading is 45 A) Her father and brother are insulin dependent mg/dl. nursing review Question39 During a situation of pain management. yogurt and broccoli C) Beer. Infant: 40-90 mg/ Review Information: The correct answer is C: dl or 2.0 mmol/L.3 mmol/L.mation should receive priority attention by the sessment. beef and carrots D) Wine. citrus fruits.0 g/dl. sour cream and beef steak Review Information: The correct answer is A: Wine. Which inforAs a part of a 9 pound full-term newborn’s as.1-3. beer. Because of the increased birth weight which as evidenced by the cachexia and low protein can be associated with diabetes mellitus. apples.) TPN will promote a positive nitrogen balance in this client who is unable to digest and 0 comments absorb nutrients adequately. What action by the nurse is appropriate at diabetics this time? B) She has taken 800 mcg of folic acid daily for A) Give oral glucose water the past year B) Notify the pediatrician C) Her husband was treated for tuberculosis as C) Repeat the test in 2 hours a child D) Check the pulse oximetry reading D) She reports recent use of over-the counter sinus remedies Review Information: The correct answer is C: Repeat the test in 2 hours This blood sugar is within the normal range for a full-term newborn. An important nursing intervention is to teach the client to avoid which of the following foods? A) Wine.3 mmol/L.0. Neonate: 30-60 mg/dl or 1. repeatlevels. liver and chocolate These foods are tyramine rich and ingestion of these foods while taking monoamine oxidase inhibitors (MAOIs) can precipitate a life-threatening hypertensive crisis. The nurse is working in a high risk antepartum clinic. (A normal total serum protein level is 6. cheese.ed blood sugars will be drawn 8. cheese. A 40 year-old woman in the first trimesQuestion40 ter gives a thorough health history. Critical values are: Infant: Total parenteral nutrition (TPN) will be started <40 mg/dl and in a Newborn: <30 and >300 mg/ The client is not absorbing nutrients adequately dl.infant: 20-60 mg/dl or 1.

according to family and friends B) The blood alcohol level of the client C) The blood pressure level of the client D) The blood glucose level of the client Review Information: The correct answer is B: The blood alcohol level of the client Question8 The nurse is assessing a woman in early labor. she complains of dizziness and nausea and appears pale. While positioning for a vaginal exam. a child’s developmental level must be considered when selecting communication approaches. the nurse recognizes that developmental differences have implications for processing and understanding information. What should be the initial nursing action? A) Call the health care provider B) Encourage deep breathing C) Elevate the foot of the bed D) Turn her to her left side Review Information: The correct answer is D: Collected by :DeepaRajesh [ 130 ] rajesh. Feeling helpless to stop the behavior.com Kuwait . Question3 Blood alcohol levels are generally obtained to determine the level of intoxication. Question4 The nurse is assessing a client’s home in preparation for discharge. or scissoring leg movements.ks21@gmail. What must be the priority consideration for nurses when communicating with children? A) Present environment B) Physical condition C) Nonverbal cues D) Developmental level Review Information: The correct answer is D: Developmental level While each of the factors affect communication. it is important for the nurse initially to obtain data regarding which of the following? A) What and how much the client drinks. The amount of alcohol consumed determines how much medication the client needs for detoxification and treatment. Which of the following should be given priority consideration? A) Family understanding of client needs B) Financial status C) Location of bathrooms D) Proximity to emergency services Review Information: The correct answer is A: Family understanding of client needs Functional communication patterns between family members are fundamental to meeting the needs of the client and family. Her blood pressure has dropped slightly.Over-the-counter drugs are a possible danger in early pregnancy. Question7 Which medication is more helpful in treating bulimia than anorexia? A) Amphetamines B) Sedatives C) Anticholinergics D) Narcotics Review Information: The correct answer is C: Anticholinergics In contrast to anorexics. A report by the client that she has taken medications should be followed up immediately. Question5 As a general guide for emergency management of acute alcohol intoxication. Reports of alcohol consumption are notoriously inaccurate. Consequently. The person feels compelled to binge. purge and fast. feelings of self-disgust occur. individuals with bulimia are troubled by their behavioral characteristics and become depressed. Question6 Which clinical finding would the nurse expect to assess first in a newborn with spastic cerebral palsy? A) cognitive impairment B) hypotonic muscular activity C) seizures D) criss-crossing leg movement Review Information: The correct answer is D: criss-crossing leg movement Cerebral palsy is a neuromuscular impairment resulting in muscular and reflexive hypertonicity and the criss-crossing.

” This is a classic description of chest pain in men caused by myocardial ischemia.5 g/dl “I will stop taking the medication for 1week every B) LDL Cholesterol 140 mg/dl month. PaCO2 30.Turn her to her left side The weight of the uterus can put pressure on the vena cava and aorta when a pregnant woman is flat on her back causing supine hypotension. which one of the following findings would indicate an area in which teaching is needed: Review Information: The correct answer is C: A) Serum albumin 2. Which should be the nurse’s first action? A) Monitor respiratory rate B) Monitor intake and output every hour C) Assist the client to breathe into a paper bag D) Prepare to administer oxygen by mask Review Information: The correct answer is C: A client has been started on a long term corticos. knife. Action is needed to relieve the pressure on the vena cava and aorta.” ratory results during a routine clinic visit. Turning the woman to the side reduces this pressure and relieves postural hypotension.” size? A) Maintaining a salt restricted diet B) Reporting vomiting or diarrhea Review Information: The correct answer is D: C) Taking other medication as usual “I feel pressure in the middle of my chest. which can result in respiratory alkalosis in the initial stages. Women experi.Assist the client to breathe into a paper bag teroid therapy.5.” After assessing a 70 year-old male client’s laboD) “I will eat foods high in potassium.5 g/dl Question10 A male client calls for a nurse because of chest Serum albumin level is low (normal 3.0 – 5.” for lithium (Lithane) for treatment of a bi-polar D) “I feel pressure in the middle of my chest.0 million/mm3 dosage abruptly because that may produce a fatal adrenal crisis. Question11 A nurse is caring for a client who has just been admitted with an overdose of aspirin.” C) “I will stop taking the medication for 1 week Question12 every month.com Kuwait . it stabs like a factors may need to be addressed to help the client comply with the recommendation.ks21@gmail. Which of the following comments Side effects of aspirin toxicity include hyperventiby the client indicate the need for further teach.lation.” B) “I will take medication with food. indicating nutritional counseling to increase dietary protein is needed.” B) “The pain came on after dinner.0 g/dl pain. Breathing into a paper bag will ing? prevent further reduction in PaCO2. If dehydration results from vomiting. pH 7.” Question13 C) “When I turn in bed to reach the remote for the When teaching a client with a new prescription TV. A) “I will keep a weekly weight record. Socioeconomic the most immediate action by the nurse? A) “When I take in a deep breath.” C) Serum glucose 90 mg/dl Emphatically warn against discontinuing steroid D) RBC 5. like disorder which of these should the nurse emphaan elephant is sitting on my chest. That soup seemed very spicy. like an D) Substituting generic form if desired elephant is sitting on my chest. The follow- Question9 Collected by :DeepaRajesh [ 131 ] rajesh. tolerance to the drug may be altered and symptoms may return. Which statement by the client would require in elders).2 mEq/l. K 3. ing lab data is available: PaO2 95. diarrhea or excessive perspiration.Review Information: The correct answer is B: ence vague feelings of fatigue and back and jaw Reporting vomiting or diarrhea pain. Review Information: The correct answer is A: Serum albumin 2. my chest hurts.

fava beans. or mid-cycle is the best time to detect changes” Review Information: The correct answer is B: Collected by :DeepaRajesh [ 132 ] rajesh. heart block. The priority nursing assessment at this time is A) bowel sounds B) heart rate C) peripheral pulses D) lung sounds Review Information: The correct answer is D: lung sounds Lung sounds are critical assessments at this point.Question14 A client is discharged on warfarin sulfate (Coumadin). A client is admitted to the hospital with a diagnosis of deep vein thrombosis.” D) “I will report any bruises for bleeding. The client’s vital signs are BP 120/50. Question18 The nurse is administering lidocaine (Xylocaine) to a client with a myocardial infarction. vanilla pudding B) Apple juice. ham salad. aged cheese Review Information: The correct answer is D: Red wine. A woman asks for the best time to perform the monthly exam. Which of the following food selections would be contraindicated for this client? A) Fresh juice. cardiovascular collapse and cardiac arrest (this drug should never be administered without continuous EKG monitoring).” B) “I will keep all laboratory appointments. Question16 A client is admitted with severe injuries from an auto accident. The SaO2 is 87. aged cheese Red wine and cheese contain tyramine (as do chicken liver and ripe bananas) and so are contraindicated when taking MAOIs. Question15 A client is taking tranylcypromine (Parnate) and has received dietary instruction. carrots. and oxygen is the most critical initial intervention. The initial nursing intervention would be to A) begin intravenous therapy B) initiate continuous blood pressure monitoring C) administer oxygen therapy D) institute cardiac monitoring Review Information: The correct answer is C: administer oxygen therapy Early findings of shock reveal hypoxia with rapid heart rate and rapid respirations. General instructions for any cardiac surgical client include limiting exposure to infection. During the initial assessment. fries.” There are no specific reasons for the client on Coumadin to avoid crowds. and respiratory rate of 28. Fava beans contain other vasopressors that can interact with MAOIs also causing malignant hypertension. when your breasts are less tender” C) “Do the exam at the same time every month” D) “Ovulation. the client complains of sudden shortness of breath. Which statement by the client indicated a need for further teaching? A) “I know I must avoid crowds. pulse rate 110.” Question17 Review Information: The correct answer is A: “I know I must avoid crowds. Which of the following assessment findings requires the nurse’s immediate action? A) Central venous pressure reading of 11 B) Respiratory rate of 22 C) Pulse rate of 48 BPM D) Blood pressure of 144/92 Review Information: The correct answer is C: Pulse rate of 48 BPM One of the side effects of lidocaine is bradycardia. fresh pineapple C) Hamburger. What is the best reply by the nurse? A) “The first of every month. highly suggestive of a pulmonary embolism. Question19 The nurse is teaching a group of college students about breast self-examination.” C) “I plan to use an electric razor for shaving. strawberry shake D) Red wine. because it is easiest to remember” B) “Right after the period.ks21@gmail.com Kuwait . The nurse should be alert to crackles or a pleural friction rub. The other interventions are secondary to oxygen therapy. fava beans.

Question22 Clients taking lithium must be particularly sure to maintain adequate intake of which of these elements? A) Potassium B) Sodium C) Chloride D) Calcium Question25 The nurse is teaching a client about the difference between tardive dyskinesia (TD) and neuroleptic malignant syndrome (NMS).“Right after the period.com Kuwait . diarrhea and lethargy C) Pruritus. Question23 A client is receiving lithium carbonate 600 mg T. diarrhea and lethargy These are early signs of lithium toxicity. client wanders on the unit. Which of these indicate early signs of toxicity? A) Ataxia and course hand tremors B) Vomiting. Serum lithium concentrations may increase in the presence of conditions that cause sodium loss.ks21@gmail.D. when your breasts are less tender” The best time for a breast self exam (BSE) is a week after a menstrual cycle. Families share feelings client’’s movements and ensures safety while the and learn about services such as respite care. rash and photosensitivity D) Electrolyte imbalance and cardiac arrhythmias Review Information: The correct answer is B: Vomiting. Which of the following actions by the nurse should be a priority? A) Link the caregiver with a support group B) Ask friends to visit regularly C) Schedule a home visit each week D) Request anti-anxiety prescriptions The nurse can best ensure the safety of a client suffering from dementia who wanders from the room by which action? A) Repeatedly remind the client of the time and location B) Explain the risks of walking with no purpose C) Use protective devices to keep the client in the bed or chair in the room D) Attach a wander-guard sensor band to the client’s wrist Review Information: The correct answer is D: Review Information: The correct answer is A: Attach a wander-guard sensor band to the cliLink the caregiver with a support group ent’’s wrist Assisting caregivers to locate and join support This type of identification band easily tracks the groups is most helpful. tentially harmful to themselves or others. This prevents tissue damage until a repair can be effected. Which statement is true with regards to tardive dyskinesia? A) TD develops within hours or years of continued antipsychotic drug use in people under 20 and over 30 B) It can occur in clients taking antipsychotic drugs longer than 2 years Collected by :DeepaRajesh [ 133 ] rajesh.I. when the breasts are no longer swollen and tender due to hormone elevation. Question20 The nurse is caring for a post-operative client who develops a wound evisceration. the wound should first be quickly covered by sterile dressings soaked in sterile saline. The first nursing intervention should be to A) medicate the client for pain B) call the provider C) cover the wound with sterile saline dressing D) place the bed in a flat position Review Information: The correct answer is C: cover the wound with sterile saline dressing When evisceration occurs. to treat bipolar disorder. Review Information: The correct answer is B: Sodium Clients taking lithium need to maintain an adequate intake of sodium. Restriction of activity Health education is also available through local is inappropriate for any client unless they are poand national Alzheimer’’s chapters. Question24 Question21 The spouse of a client with Alzheimer’s disease expresses concern about the burden of caregiving.

rest tensive drug therapy may be affected by a 75 and conservation of energy for eating is important. Review Information: The correct answer is D: Question27 Blood pressure In response to a call for assistance by a client in The vasodilatation that occurs as a result of this labor. and the HCG provider called. not reinserted. D) Blood pressure this will decrease absorption of medications and interfere with their actions. The nurse understands that the presence of which hormone Review Information: The correct answer is C: strongly suggests a woman is pregnant? put the client in knee-chest position A) Estrogen Immediate action is needed to relieve pressure B) HCG on the cord. The exposed cord is covered with saline soaked gauze. medical emergency.ks21@gmail. the nurse notes that a loop on the umbili.C) Tardive dyskinesia occurs within minutes of the first dose of antipsychotic drugs and is reversible D) TD can easily be treated with anticholinergic drugs Review Information: The correct answer is B: It can occur in clients taking antipsychotic drugs longer than 2 years Tardive dyskinesia is a extrapyramidal side effect that appears after prolonged treatment with antipsychotic medication.D) Progesterone plishes this. A prolapsed umbilical cord is a Human chorionic gonadotropin (HCG) is the Collected by :DeepaRajesh [ 134 ] rajesh. A) poor nutritional status B) decreased gastrointestinal motility C) increased splanchnic blood flow Question29 D) altered peripheral resistance The nurse is caring for a client receiving intravenous nitroglycerin for acute angina. which puts the fetus at risk due to C) Alpha-fetoprotein hypoxia. Feedings should be smaller and every 3 year-old client’s hours rather than the usual 4 hour schedule. The fe.medication can cause profound hypotension.com Kuwait . Early symptoms of tardive dyskinesia are fasciculations of the tongue or constant smacking of the lips. The Trendelenburg position accom. Question28 The nurse is caring for a 2 month-old infant with a congenital heart defect. Infants with congestive heart failure have an increased metabolic rate and require additional Question26 The nurse is aware that the effect of antihyper. cal cord protrudes from the vagina. At the same time. What is the The client’’s blood pressure must be evaluated every 15 minutes until stable and then every 30 priority nursing action? minutes to every hour. What is the most important assessment during treatment? Review Information: The correct answer is B: A) Heart rate decreased gastrointestinal motility B) Neurologic status Together with shrinkage of the gastric mucosa. C) Urine output and changes in the levels of hydrochloric acid. Which of the following is a priority nursing action? A) Provide small feedings every 3 hours B) Maintain intravenous fluids C) Add strained cereal to the diet D) Change to reduced calorie formula Review Information: The correct answer is A: Provide small feedings every 3 hours Infants with congenital heart defects are at increased risk for developing congestive heart failure. however. A) call the health care provider B) check fetal heart beat C) put the client in knee-chest position Question30 D) turn the client to the side A client telephones the clinic to ask about a home pregnancy test she used this morning.calories to grow.Review Information: The correct answer is B: tal heart rate also should be checked.

admitted to the unit because of severe B) Late accelerations depression and suicidal threats.” D) “I can hear your concern and that your confusion is upsetting to you.com Kuwait Question33 A woman in labor calls the nurse to assist her in . is placed on sui. there is increased crease in energy level risk initially of cord prolapse.” C) “It is to be expected since most clients have the same results.” Review Information: The correct answer is D: “I can hear your concern and that your confusion is upsetting to you.ks21@gmail.” B) “Don’t get upset. Reliability is about 98%. The nurse should be aware D) Periodic accelerations that the danger of the client committing suicide is greatest Review Information: The correct answer is C: A) during the night shift when staffing is limited B) when the client’s mood improves with an in. Review Information: The correct answer is B: when the client’s mood improves with an increase in energy level Suicide potential is often increased when there is an improvement in mood and energy level. Afterwards. After 4 electroconvulsive treatments over 2 weeks. a client is very upset and states “I am so confused. At this time ambivalence is often decreased and a decision is made to commit suicide. but the test does of clear fluid on the bed linens.terns may show variable decelerations. Fetal heart rate patC) at the time of the client’s greatest despair D) after a visit from the client’s estranged part.biologic marker on which pregnancy tests are the bathroom. and is less traumatic and expensive. This is just as effective as an arterial blood gas reading to evaluate oxygenation status. teaching about the expected short term effects would be discussed. Upon arrival. The nurse knows not conclusively confirm pregnancy. the nurse observes that the client has a black eye and numerous bruises on her arms and legs. which require immediate nursing action to promote gas ner exchange. that fetal monitoring must now assess for what complication? A) Early decelerations Question31 A client. The confusion will clear up in a day or two. I just can’t remember telephone numbers. The nurse notices a large amount based.Variable decelerations When the membranes rupture. Question34 Question32 The nurse is assessing a client with chronic obstructive pulmonary disease receiving oxygen for low PaO2 levels. I lose my money. Question35 The visiting nurse makes a postpartum visit to a married female client. The initial nursing intervention would be to A) call the police to report indications of domestic violence B) confront the husband about abusing his wife C) leave the home because of the unsafe environment D) interview the client alone to determine the origin of the injuries Review Information: The correct answer is D: interview the client alone to determine the origin Collected by :DeepaRajesh [ 135 ] rajesh.” The most therapeutic response for the nurse to make is A) “You were seriously ill and needed the treatments. Which assessment is a nursing priority? A) Evaluating SaO2 levels frequently B) Observing skin color changes C) Assessing for clubbing fingers D) Identifying tactile fremitus Review Information: The correct answer is A: Evaluating SaO2 levels frequently The best method to evaluate a client’’s oxygenation is to evaluate the SaO2.C) Variable decelerations cidal precautions.” Communicating caring and empathy with the acknowledgement of feelings is the initial response.

the nurse performs a focused assessment to gather additional data prior to planning and implementing nursing interventions.of the injuries It would be wrong to assume domestic violence without further assessment. In assessing the client.” What is the best explanation by the nurse? A) Bluish coloration of the cervix and vaginal walls B) Pronounced softening of the cervix C) Clot of very thick mucous that obstructs the cervical canal D) Slight rotation of the uterus to the right Review Information: The correct answer is A: Bluish coloration of the cervix and vaginal walls Chadwick’’s sign is a bluish-purple coloration of the cervix and vaginal walls. uninterrupted teaching session with both the client and his wife D) Assess the client’s knowledge about his health problems Review Information: The correct answer is D: Assess the client’’s knowledge about his health problems The nursing process is continuous and cyclical in nature. Review of this lab finding suggests the nurse has knowledge of this problem. the initial feedings are clear liquids in small quantities to provide calories and electrolytes.com Kuwait . Question37 Initial postoperative nursing care for an infant who has had a pyloromyotomy would initially include A) bland diet appropriate for age B) intravenous fluids for 3-4 days C) NPO then glucose and electrolyte solutions D) formula or breast milk as tolerated Review Information: The correct answer is C: NPO then glucose and electrolyte solutions Post-operatively. the nurse should place primary emphasis on A) recognizing findings of toxicity B) taking the medication at specified times C) increasing the dosage based on blood glucose D) distinguishing hypoglycemia from hyperglycemia Review Information: The correct answer is B: taking the medication at specified times A regular interval between doses should be maintained since oral hypoglycemics stimulate the islets of Langerhans to produce insulin. Separate the suspected victim from the partner until battering has been ruled out. 0 comments Labels: free nclex-rn sample review questions. Serum potassium Potassium is lost in diabetic ketoacidosis during rehydration and insulin administration. the nurse’s review of which of the following tests suggests an understanding of this health problem? A) Serum calcium B) Serum magnesium C) Serum creatinine D) Serum potassium Review Information: The correct answer is D: The client asks the nurse how the health care provider could tell she was pregnant “just by looking inside. that is caused by vasocongestion.D/L. He asks the nurse about his sexual activity once he is home.ks21@gmail. Question40 Question38 A client is treated in the emergency room for diabetic ketoacidosis and a glucose level of 650mg. Question36 Question39 When teaching a client about an oral hypoglycemic medication. When a client expresses a specific concern. What would be the nurse’s initial response? A) Give him written material from the American Heart Association about sexual activity with heart disease B) Answer his questions accurately in a private environment C) Schedule a private. Collected by :DeepaRajesh [ 136 ] rajesh. occurring at 4 weeks of pregnancy. A male client is preparing for discharge following an acute myocardial infarction.

Question5 Question2 A nurse has administered several blood transfusions over 3 days to a 12 year-old client with Thalassemia. What is the most appropriate response by the nurse? Question1 The feeling of trust can best be established by A) Give him privacy the nurse during the process of the development B) Tell him he will get through the surgery with of a nurse-client relationship by which of these no problem C) Try to distract him characteristics? D) Make arrangements for his friends to visit A) Reliability and kindness B) Demeanor and sincerity C) Honesty and consistency D) Sympathy and appreciativeness Review Information: The correct answer is C: Honesty and consistency Characteristics of a trusting relationship include respect. Review Information: The correct answer is B: been exposed to mycobacterium tuberculosis The PPD skin test is used to determine the presence of tuberculosis antibodies and a positive result indicates that the person has been exposed to mycobacterium tuberculosis. the nurse should emphasize that which of these is a common side effect of clozapine (Clozaril) therapy? A) Dry mouth B) Rhinitis C) Dry skin D) Extreme salivation Review Information: The correct answer is D: Extreme salivation A significant number of clients receiving ClozapReview Information: The correct answer is A: ine (Clozaril) therapy experience extreme salivation.A) active tuberculosis ized adolescent.” nurse what this means. The nurse should indicate that the client has Question3 The nurse is providing care to a newly a hospital. Additional tests are needed to determine if active tuberculosis is present.com Kuwait .B) been exposed to mycobacterium tuberculosis enced by the hospitalized adolescent? C) never had tuberculosis A) Pain management D) never been infected with mycobacterium tuB) Restricted physical activity berculosis C) Altered body image D) Separation from family Review Information: The correct answer is C: Altered body image The hospitalized adolescent may see each of these as a threat. Hemoglobin Hemoglobin should be in a therapeutic range of approximately 10 g/dl (100gL). The nurse finds tions For Nursing Review (Part 2) him crying and unwilling to talk. Review Information: The correct answer is A: Give him privacy A 12 year-old child needs the opportunity to express his emotions privately. What lab value should the nurse monitor closely during this therapy? A) Hemoglobin B) Red Blood Cell Indices C) Platelet count D) Neutrophil percent In discharge teaching.ks21@gmail. Collected by :DeepaRajesh [ 137 ] rajesh.nclex-rn practice test questions. What is the major threat experi. “This level is low Question6 enough to foster the patient’’s own erythropoiesis A client has had a positive reaction to purified protein derivative (PPD). but the major threat that they feel when hospitalized is the fear of altered body image. nursing review Question4 Free NCLEX-RN Sample Test Ques. because of the emphasis on physical appearance during this developmental stage. honesty. The client asks the without enlarging the spleen. faith and caring. consistency.A 12 year-old child is admitted with a broken arm and is told surgery is required.

BID x 4 days.” Question12 A client is to begin taking Fosamax. it may D) Guilt over being hospitalized take up to four weeks for results. potentially fatal adverse reaction to inhaled anesthetics.Question7 B) “Seek medical attention for serious injuries. Question11 Question9 The clinic nurse is discussing health promotion with a group of parents.” C) “Report exposure to this illness. The nurse is caring for a client with a new order for bupropion (Wellbutrin) for treatment of depression. A mother is concerned about Reye’s Syndrome.ks21@gmail. The nurse must emphasize which of these instructions to the client when taking this medication? “Take Fosamax A) on an empty stomach.” D) “Avoid use of aspirin for viral infections.com Kuwait . A client is receiving and IV antibiotic infusion and is scheduled to have blood drawn at 1:00 pm for a “peak” antibiotic level measurement.” Review Information: The correct answer is D: “Avoid use of aspirin for viral infections. Which of these demonstrates appropriate teaching? A) “Immunize your child against this disease. and agitation. and asks about prevention. The anesthetist reports that malignant hyperthermia occurred during surgery. the nurse should ask that the blood sampling time be adjusted Question10 Question8 A post-operative client is admitted to the post-anesthesia recovery room (PACU). headache. When used for depression. There is a genetic predisposition to this disorder. The order reads “Wellbutrin 175 mg. Review Information: The correct answer is C: Doses should be administered in equally spaced Perceived loss of control time increments throughout the day to minimize For school age children. The nurse should: A) Notify the client’s health care provider B) Stop the infusion at 1:00 pm C) Reschedule the laboratory test D) Increase the infusion rate Review Information: The correct answer is C: Reschedule the laboratory test If the antibiotic infusion will not be completed at the time the peak blood level is due to be drawn. but evidence suggests that the risk is sufficiently grave to include the warning on aspirin products. When Review Information: The correct an.” What is the appropriate action? A) Give the medication as ordered B) Questionthis medication dose C) Observe the client for mood swings D) Monitor neuro signs frequently A 9 year-old is taken to the emergency room with right lower quadrant pain and vomiting.preparing the child for an emergency appendectomy. The nurse notes that the IV infusion is running behind schedule and will not be competed by 1:00.” Collected by :DeepaRajesh [ 138 ] rajesh. The nurse recognizes that this complication is related to what factor? A) Allergy to general anesthesia B) Pre-existing bacterial infection C) A genetic predisposition D) Selected surgical procedures Review Information: The correct answer is C: A genetic predisposition Malignant hyperthermia is a rare. major fears are loss of the risk of seizures.” The link between aspirin use and Reye’’s Syndrome has not been confirmed. Common side effects are dry mouth. what must the nurse expect to be the swer is B: Questionthis medication child’s greatest fear? dose A) Change in body image Bupropion (Wellbutrin) should be started at B) An unfamiliar environment 100mg BID for three days then increased to C) Perceived loss of control 150mg BID.” B) after meals. control and separation from friends/peers.

C) with calcium.” D) with milk 2 hours after meals.”

ent admitted after a severe motor vehicle crash is in acidosis? A) Hemoglobin 15 gm/dl B) Chloride 100 mEq/L Review Information: The correct answer is A: C) Sodium 130 mEq/L on an empty stomach.” D) Carbon dioxide 20 mEq/L Fosamax should be taken first thing in the morning with 6-8 ounces of plain water at least 30 minutes before other medication or food. Food Review Information: The correct answer is D: and fluids (other than water) greatly decrease Carbon dioxide 20 mEq/L the absorption of Fosamax. The client must also Serum carbon dioxide is an indicator of acid-base be instructed to remain in the upright position for status. This finding would indicate acidosis. 30 minutes following the dose to facilitate passage into the stomach and minimize irritation of Question16 the esophagus. The nurse has just received report on a group of clients and plans to delegate care of several of the clients to a practical nurse (PN). The first Question13 An older adult client is to receive and antibiotic, thing the RN should do before the delegation of gentamicin. What diagnostic finding indicates care is the client may have difficult excreting the medi- A) Provide a time-frame for the completion of the client care cation? B) Assure the PN that the RN will be available for A) High gastric pH assistance B) High serum creatinine C) Low serum albumin C) Ask about prior experience with similar clients D) Low serum blood urea nitrogen D) Review the specific procedures unique to the assignment Review Information: The correct answer is B: Review Information: The correct answer is C: High serum creatinine An elevated serum creatinine indicates reduced Ask about prior experience with similar clients. renal function. Reduced renal function will delay The first step in delegation is to determine the qualifications of the person to whom one is delethe excretion of many mediations. gating. By asking about the PN’’s prior experience with similar clients/tasks, the RN can determine Question14 A nurse is assigned to care for a comatose dia- whether the PN has the requisite experience to betic on IV insulin therapy. Which task would be care for the assigned clients. most appropriate to delegate to an unlicensed assistive personnel (UAP)? Question17 A) Check the client’s level of consciousness B) Obtain the regular blood glucose readings The mother of a 4 month-old infant asks the C) Determine if special skin care is needed nurse about the dangers of sunburn while they D) Answer questions from the client’s spouse are on vacation at the beach. Which of the following is the best advice about sun protection for about the plan of care this child? A) “Use a sunscreen with a minimum sun protecReview Information: The correct answer is B: tive factor of 15.” Obtain the regular blood glucose readings B) “Applications of sunscreen should be repeatThe UAP can safely obtain blood glucose read- ed every few hours.” ings, which are routine tasks. C) “An infant should be protected by the maximum strength sunscreen.” D) “Sunscreens are not recommended in chilQuestion15 Which of the following laboratory results would dren younger than 6 months.” suggest to the emergency room nurse that a cliCollected by :DeepaRajesh [ 139 ]
rajesh.ks21@gmail.com Kuwait

Review Information: The correct answer is D: “Sunscreens are not recommended in children younger than 6 months.” Infants under 6 months of age should be kept out of the sun or shielded from it. Even on a cloudy day, the infant can be sunburned while near water. A hat and light protective clothing should be worn.

B) “Unless you had previous problems, every 2 years is best.” C) “Once a woman reaches 50, she should have a mammogram yearly.” D) “Yearly mammograms are advised for all women over 35.” Review Information: The correct answer is C: “Once a woman reaches 50, she should have a mammogram yearly.” The American Cancer Society recommends a screening mammogram by age 40, every 1 - 2 years for women 40-49, and every year from age 50. If there are family or personal health risks, other assessments may be recommended.

Question18

The nurse administers cimetidine (Tagamet) to a 79 year-old male with a gastric ulcer. Which parameter may be affected by this drug, and should be closely monitored by the nurse? A) Blood pressure B) Liver function C) Mental status D) Hemoglobin Review Information: The correct answer is C: Mental status The elderly are at risk for developing confusion when taking cimetidine, a drug that interacts with many other medications.

Question21

The nurse is planning care for a client who is taking cyclosporin (Neoral). What would be an appropriate nursing diagnosis for this client? A) Alteration in body image B) High risk for infection C) Altered growth and development D) Impaired physical mobility Review Information: The correct answer is B: High risk for infection Cyclosporin (Neoral) inhibits normal immune responses. Clients receiving cyclosporin are at risk for infection.

Question19

The nurse assesses the use of coping mechanisms by an adolescent 1 week after the client had a motor vehicle accident resulting in multiple serious injuries. Which of these characteristics are most likely to be displayed? A) Ambivalence, dependence, demanding B) Denial, projection, regression C) Intellectualization, rationalization, repression D) Identification, assimilation, withdrawal

A client on telemetry begins having premature ventricular beats (PVBs) at 12 per minute. In reviewing the most recent laboratory results, which Review Information: The correct answer is B: would require immediate action by the nurse? Denial, projection, regression A) Calcium 9 mg/dl Helplessness and hopelessness may contribute B) Magnesium 2.5 mg/dl to regressive, dependent behavior which often C) Potassium 2.5 mEq/L occurs at any age with hospitalization. Deny- D) PTT 70 seconds ing or minimizing the seriousness of the illness is used to avoid facing the worst situation. Recall that denial is the initial step in the process of Review Information: The correct answer is C: working through any loss. Potassium 2.5 mEq/L The patient is at risk for ventricular dysrhythmias when the potassium level is low. Question20 A 52 year-old post menopausal woman asks the Daniels, R. (2003). nurse how frequently she should have a mammogram. What is the nurse’s best response? Question23 A) “Your doctor will advise you about your The nurse is caring for a client who is 4 days risks.” post-op for a transverse colostomy. The client is
Collected by :DeepaRajesh [ 140 ]
rajesh.ks21@gmail.com Kuwait

Question22

ready for discharge and asks the nurse to empty his colostomy pouch. What is the best response by the nurse? A) “You should be emptying the pouch yourself.” B) “Let me demonstrate to you how to empty the pouch.” C) “What have you learned about emptying your pouch?” D) “Show me what you have learned about emptying your pouch.”

Anticholinergics An anticholinergic medication will decrease gastric emptying and the pressure on the lower esophageal sphincter.

A client is receiving a nitroglycerin infusion for unstable angina. What assessment would be a priority when monitoring the effects of this medication? A) Blood pressure B) Cardiac enzymes Review Information: The correct answer is D: C) ECG analysis “Show me what you have learned about empty- D) Respiratory rate ing your pouch.” Most adult learners obtain skills by participating in the activities. Anxiety about discharge can be Review Information: The correct answer is A: causing the client to forget that they have mas- Blood pressure tered the skill of emptying the pouch. The client Since an effect of this drug is vasodilation, the should show the nurse how the pouch is emp- client must be monitored for hypotension. tied.

Question26

Question24

Question27

A 3 year-old child has tympanostomy tubes in place. The child’s parent asks the nurse if he can swim in the family pool. The best response from the nurse is A) “Your child should not swim at all while the tubes are in place.” B) “Your child may swim in your own pool but not in a lake or ocean.” C) “Your child may swim if he wears ear plugs.” D) “Your child may swim anywhere.” Review Information: The correct answer is C: “Your child may swim if he wears ear plugs.” Water should not enter the ears. Children should use ear plugs when bathing or swimming and should not put their heads under the water.

The nurse is caring for a 10 year-old child who has just been diagnosed with diabetes insipidus. The parents ask about the treatment prescribed, vasopressin. A What is priority in teaching the child and family about this drug? A) The child should carry a nasal spray for emergency use B) The family must observe the child for dehydration C) Parents should administer the daily intramuscular injections D) The client needs to take daily injections in the short-term

Review Information: The correct answer is A: The child should carry a nasal spray for emergency use Diabetes insipidus results from reduced secretion of the antidiuretic hormone, vasopressin. The child will need to administer daily injections Question25 The nurse is caring for a client with asthma who of vasopressin, and should have the nasal spray has developed gastroesophageal reflux disease form of the medication readily available. A medi(GERD). Which of the following medications pre- cal alert tag should be worn. scribed for the client may aggravate GERD? A) Anticholinergics Question28 B) Corticosteroids A client diagnosed with cirrhosis is started on C) Histamine blocker lactulose (Cephulac). The main purpose of the D) Antibiotics drug for this client is to A) add dietary fiber Review Information: The correct answer is A: B) reduce ammonia levels
Collected by :DeepaRajesh [ 141 ]
rajesh.ks21@gmail.com Kuwait

C) stimulate peristalsis D) control portal hypertension

A client has many delusions. As the nurse helps the client prepare for breakfast the client comReview Information: The correct answer is B: ments “Don’t waste good food on me. I’m dying reduce ammonia levels from this disease I have.” The appropriate reLactulose blocks the absorption of ammonia from sponse would be the GI tract and secondarily stimulates bowel A) “You need some nutritious food to help you elimination. regain your weight.” B) “None of the laboratory reports show that you have any physical disease.” Question29 The nurse is explaining the effects of cocaine C) “Try to eat a little bit, breakfast is the most abuse to a pregnant client. Which of the follow- important meal of the day.” ing must the nurse understand as a basis for D) “I know you believe that you have an incurable disease.” teaching? A) Cocaine use can cause fetal growth retardation B) The drug has been linked to neural tube de- Review Information: The correct answer is D: “I know you believe that you have an incurable fects C) Newborn withdrawal generally occurs imme- disease.” This response does not challenge the client’s diately after birth D) Breast feeding promotes positive parenting delusional system and thus forms an alliance by providing reassurance of desire to help the clibehaviors ent. Review Information: The correct answer is A: Cocaine use can cause fetal growth retardation Cocaine is vasoconstrictive, and this effect in the placental vessels causes fetal hypoxia and diminished growth. Other risks of continued cocaine use during pregnancy include preterm labor, congenital abnormalities, altered brain development and subsequent behavioral problems in the infant. A client with paranoid thoughts refuses to eat because of the belief that the food is poisoned. The appropriate statement at this time for the nurse to say is A) “Here, I will pour a little of the juice in a medicine cup to drink it to show you that it is OK.” B) “The food has been prepared in our kitchen and is not poisoned.” C) “Let’s see if your partner could bring food from Question30 home.” A client has just been diagnosed with breast D) “If you don’t eat, I will have to suggest for you cancer. The nurse enters the room and the cli- to be tube fed.” ent tells the nurse that she is stupid. What is the most therapeutic response by the nurse? A) Explore what is going on with the client Review Information: The correct answer is C: B) Accept the client’s statement without com- “Let’’s see if your partner could bring food from home.” ment C) Tell the client that the comment is inappropri- Reassurance is ineffective when a client is acate tively delusional. This option avoids both arguing with the client and agreeing with the delusional D) Leave the client’s room premise. Option D offers a logical response to a primarily affective concern. When the client’s Review Information: The correct answer is A: condition has improved, gentle negation of the delusional premise can be employed. Explore what is going on with the client Exploring feelings with the verbally aggressive client helps to put angry feelings into words and Question33 then to engage in problem solving. A client with tuberculosis is started on Rifampin.
Collected by :DeepaRajesh [ 142 ]
rajesh.ks21@gmail.com Kuwait

Question31

Question32

” D) if you take the medication with food.Review Information: The correct answer is D: “Come play Chinese Checkers with Gloria and scribed medication.D) “Come play Chinese Checkers with Gloria cation.” ing sertraline (Zoloft) because she doesn’t like C) “Come with me so you can paint a picture to the nightmares.” nurse? A) “It is unsafe to abruptly stop taking any pre. In addition.” B) “Side effects and benefits should be discussed me. Question36 Question37 The nurse is teaching a school-aged child and family about the use of inhalers prescribed for asthma.com Kuwait Question35 A client is admitted to the hospital with findings of liver failure with ascites. What is an appropriate response by the and me.” Discoloration of the urine and other body fluids may occur. What is the best way to evaluate effectiveness of the treatments? A) Rely on child’s self-report B) Use a peak-flow meter C) Note skin color changes D) Monitor pulse rate Review Information: The correct answer is B: Use a peak-flow meter The peak flowmeter. if used correctly.” B) your appetite may increase for the first week.” she’s experiencing since starting on the medi. but the patient needs to be aware it may happen. A slow withdrawal may be prescribed with sertraline to avoid dizziness.” C) it is common to experience occasional sleep disturbances. Collected by :DeepaRajesh [ 143 ] rajesh.” Review Information: The correct answer is A: an orange-red color to your urine.” This gradually engages the client in interactions with your health care provider.” havioral expectation. vomiting. focusing on an activity is less unpleasant symptoms. A client was admitted to the psychiatric unit for severe depression. shows effectiveness of inhalants. After several days. It had no effect on ammonia levels. D) Combines safely with antihypertensives Review Information: The correct answer is A: Promotes sodium and chloride excretion Spironolactone promotes sodium and chloride excretion while sparing potassium and decreasing aldosterone levels. and diarrhea. consisting of lethargy.activities.ks21@gmail. The statement is an example of a positive befects. fever. Review Information: The correct answer is A: “It is unsafe to abruptly stop taking any prescribed medication.anxiety-provoking than unstructured discussion. Which of these statements by the nurse would be the most appropriate to promote interaction with other clients? A) “Your team here thinks it’s good for you to spend time with others. headache. the client continues to withdraw from the other clients. you may have nausea.” C) “This medication should be continued despite with others in small groups rather than large groups. nausea. and obsessions help you feel better. nausea. sweating and chills. It is a harmless response to the drug.Which one of the following statements by the nurse would be appropriate to include in teaching? “You may notice: A) an orange-red color to your urine. The health care provider orders spironolactone (Aldactone).” D) “Many medications have potential side ef. sex dreams. What is the pharmacological effect of this medication? A) Promotes sodium and chloride excretion B) Increases aldosterone levels C) Depletes potassium reserves .” Abrupt withdrawal may occasionally cause serotonin syndrome.” B) “It is important for you to participate in group Question34 A client tells the RN she has decided to stop tak.

Question38 The nurse is teaching a client about the toxicity of digoxin. Client comfort will be improved as well.” C) “Nausea and vomiting may last a few days. Elevating the leg both improves venous return and reduces swelling. Question40 The nurse is beginning nutritional counseling/ teaching with a pregnant woman. The ideal heart rate is above 60 BPM with digoxin. Which one of the following statements made by the client to the nurse indicates more teaching is needed? A) “I may experience a loss of appetite. clean the meatus. A full leg cast was applied in the emergency room. then collect specimen C) Questionher understanding and use C) Clean the meatus. The appearance of jaundice may indicate that the client has liver damage. then catch Review Information: The correct answer is D: urine stream.” Review Information: The correct answer is D: “I must report a bounding pulse of 62 immediately. 0 comments Labels: free nclex-rn sample review questions. 75 questions have been posted here with answer keys. Assessment is always the first step in planning teaching for any client.” D) “I must report a bounding pulse of 62 immediately. The most important reason for the nurse to elevate the casted leg is to A) Promote the client’s comfort B) Reduce the drying time C) Decrease irritation to the skin D) Improve venous return Review Information: The correct answer is D: Improve venous return. then catch urine stream B) Void a little. The client needs further teaching. What is the initial step in this interaction? A) Teach her how to meet the needs of self and her family B) Explain the changes in diet necessary for pregnant women Question2 The nurse is reviewing with a client how to collect a clean catch urine specimen. Question1 A client has been hospitalized after an automobile accident. Conduct a diet history to determine her normal eating routines. A thorough and accurate history is essential for gathering the needed information. A clean catch urine is difficult to Collected by :DeepaRajesh [ 144 ] rajesh.com Kuwait . nursing review Free NCLEX-RN Sample Test Questions For Nursing Review (Part 1) These are sample nursing review questions and not actual test questions made for educational and practice test purposes only.ks21@gmail. nclex-rn practice test questions. Question39 Which of the following assessments by the nurse would indicate that the client is having a possible adverse response to the isoniazid (INH)? A) Severe headache B) Appearance of jaundice C) Tachycardia D) Decreased hearing Review Information: The correct answer is B: Appearance of jaundice Clients receiving INH therapy are at risk for developing drug induced hepatitis. begin voiding.” B) “I can expect occasional double vision. begin voiding. then urinate into container D) Void continuously and catch some of the of the food pyramid D) Conduct a diet history to determine her nor.” Slow heart rate is related to increased cardiac output and an intended effect of digoxin. What is the appropriate sequence to teach the client? A) Clean the meatus.urine mal eating routines Review Information: The correct answer is A: Clean the meatus.

which client should the nurse see first? A) 16 year-old who had an open reduction of a fractured wrist 10 hours ago B) 20 year-old in skeletal traction for 2 weeks since a motor cycle accident C) 72 year-old recovering from surgery after a hip replacement 2 hours ago D) 75 year-old who is in skin traction prior to planned hip pinning surgery. respirations regular C) Appears to be sleeping. yet vital signs are stable and breathing is independent. consciousness. This test evaluates the adequacy of the extrinsic system and common pathway in the clotting cascade. Question5 Question3 Following change-of-shift report on an orthopedic unit. When caring for a client receiving warfarin sodium (Coumadin). then void naturally with a steady stream prevents surface bacteria from contaminating the urine specimen. What should the nurse do first? A) Notify both the surgeon and provider B) Administer the prn dose of albuterol C) Apply oxygen at 2 liters per nasal cannula D) Repeat the peak flow reading in 30 minutes Review Information: The correct answer is B: Administer the prn dose of albuterol. Which would be essential for the nurse to Collected by :DeepaRajesh [ 145 ] rajesh. no ventilator required Review Information: The correct answer is B: Glascow Coma Scale 8. which lab test would the nurse monitor to determine therapeutic response to the drug? A) Bleeding time B) Coagulation time C) Prothrombin time D) Partial thromboplastin time Review Information: The correct answer is C: Prothrombin time. What should the nurse document to most accurately describe the client’s condition? A) Comatose. Using the term comatose provides too much room for interpretation and is not very precise. The 75 year-old is potentially vulnerable to agerelated physical and cognitive consequences in skin traction should be seen next. The client who can safely be seen last is the 20 year-old who is 2 weeks post-injury. A client with Guillain Barre is in a nonresponsive state. based on the client’’s prothrombin time (PT). A peak flow reading of less than 50% of the client’’s baseline reading is a medical alert condition and a short-acting beta-agonist must be taken immediately. vital signs stable D) Glascow Coma Scale 13. Other responses do not reflect correct technique.com Kuwait . The 16 year-old should be seen next because it is still the first post-op day. The peak flow has dropped to 200 liters/minute. Instructing the client to carefully clean the meatus. On admission the peak flow meter is measured at 480 liters/minute.obtain and requires clear directions. Review Information: The correct answer is C: 72 year-old recovering from surgery after a hip replacement 2 hours ago. Question7 The Glascow Coma Scale provides a standard A client had 20 mg of Lasix (furosemide) PO at reference for assessing or monitoring level of 10 AM. As starting and stopping flow can be difficult. Any score less than 13 indicates a neurological impairment. Coumadin is ordered daily. Look for the client who has the most imminent risks and acute vulnerability. Post-operatively the client is complaining of chest tightness. respirations regular. once the client begins voiding it’’s best to just slip the container into the stream. Coumadin affects the Vitamin K dependent clotting factors. The client who returned from surgery 2 hours ago is at risk for life threatening hemorrhage and should be seen first.ks21@gmail. breathing unlabored B) Glascow Coma Scale 8. Peak flow monitoring during exacerbations of asthma is recommended for clients with moderate-to-severe persistent asthma to determine the severity of the exacerbation and to guide the treatment. Question6 Question4 A client with moderate persistent asthma is admitted for a minor surgical procedure.

Question10 Question8 A client has been tentatively diagnosed with Graves’ disease (hyperthyroidism). The nurse has also noted increased lethargy. expiratory wheezes that are suddenly absent in 1 Further diagnostic testing may be indicated.can best support the client’s strengths and cope sions with severe eye pain or damage when the with any aberrant behavior. Alzheimer’’s the past 2 weeks disease. The nurse can be of Review Information: The correct answer is C: greatest assistance in helping the family to use the appearance of eyeballs that appear to “pop” communication strategies to enhance their ability out of the client’’s eye sockets. Eye drops or ointment may be needed. Which of these interventions would be most helpful at this time? A) leave a book about relaxation techniques B) write out a daily exercise routine for them to assist the client to do C) list actions to improve the client’s daily nutritional intake D) suggest communication strategies Question11 Question9 The nurse has performed the initial assessments of 4 clients admitted with an acute episode of asthma.” C) the appearance of eyeballs that appear to “pop” out of the client’s eye sockets Review Information: The correct answer is D: D) a report of the sudden onset of irritability in suggest communication strategies. Exophthalmos or to relate to the client.com Kuwait An 80 year-old client admitted with a diagnosis of possible cerebral vascular accident has had a blood pressure from 160/100 to 180/110 over the past 2 hours. Clients often associate wheezes with the feeling of tightness in the chest. Although all of these may be correct information to include in report. Which of these findings noted on the initial nursing assessment requires quick intervention by the nurse? A) a report of 10 pounds weight loss in the last month B) a comment by the client “I just can’t sit still. lobe. eyelid is unable to blink down over the protruding eyeball. However. C) The client’s urine output was 1500 cc in 5 hours D) The client is to receive another dose of Lasix at 10 PM Review Information: The correct answer is C: The client’s urine output was 1500 cc in 5 hours. the essential piece would be the urine output. sudden cessation of wheezing is an ominous or bad sign that indicates an emergency -.ks21@gmail. Which assessment finding should the nurse report immediately to the provider? A) Slurred speech B) Incontinence C) Muscle weakness D) Rapid pulse . By use of select verbal and protruding eyeballs is a distinctive characteristic nonverbal communication strategies the family of Graves’’ Disease. greatly challenges caregivers.include at the change of shift report? A) The client lost 2 pounds in 24 hours B) The client’s potassium level is 4 mEq/liter. During the initial home visit. Which assessment finding would cause the nurse to call the provider immediately? A) prolonged inspiration with each breath B) expiratory wheezes that are suddenly absent in 1 lobe C) expectoration of large amounts of purulent mucous D) appearance of the use of abdominal muscles Review Information: The correct answer is A: for breathing Slurred speech. It can result in corneal abra. Acute asthma is characterized by expiratory wheezes caused by obstruction of the airways. Collected by :DeepaRajesh [ 146 ] rajesh. a nurse is discussing the care of a client newly diagnosed with Alzheimer’s disease with family members.the small airways are now collapsed. Changes in speech patterns and level of conscious can be indicators of continued Review Information: The correct answer is B: intracranial bleeding or extension of the stroke. Wheezes are a high pitched musical sounds produced by air moving through narrowed airways. a progressive chronic illness.

Both types of casts give off a lot of heat when drying and it is preferable to keep the cast uncovered for the first 24 hours. These accumulate causing metabolic acidosis (pH < 7. the client may stand within the initial 24 hours.” C) “The cast should be propped on at least 2 pillows when my child is lying down.” C) my thigh. fever.Question12 client. Furthermore. can take up to 72 hours. malaise and neurologic sequelae of emboli. Which of the following would be necessary for preparing the client for this test? A) Client should be NPO after midnight B) Client should receive a sedative medication prior to the test C) Discontinue anti-coagulant therapy prior to the test D) No special preparation is necessary Review Information: The correct answer is D: No special preparation is necessary. This is a non-invasive procedure and does not require preparation other than client education. “I will receive tissue from A) a tissue bank. A school-aged child has had a long leg (hip to ankle) synthetic cast applied 4 hours ago. Thus. The nurse knows the client understands the procedure when the client says. kidney. They have a tendency to break off. the vegetations may travel to various organs such as spleen. Question13 Which blood serum finding in a client with diabetic ketoacidosis alerts the nurse that immediate action is required? A) pH below 7. The potassium and PaO2 levels are near normal. With plaster casts. anorexia.” D) synthetic skin.” Review Information: The correct answer is D: “I think I remember that my child should not stand until after 72 hours. soft. Question14 The nurse is preparing a client with a deep vein thrombosis (DVT) for a Venous Doppler evaluation. Without sufficient hydration. In the absence of insulin. which would be the second concern for this Question16 The nurse explains an autograft to a client scheduled for excision of a skin tumor. Question15 A client is admitted with infective endocarditis (IE). This high hematocrit is indicative of severe dehydration which requires priority attention in diabetic ketoacidosis. These emboli produce findings of cardiac murmur. all systems of the body are at risk for hypoxia from a lack of or sluggish circulation. coronary artery. the body breaks down fats and proteins to supply energy ketones.0 C) HCT of 60 D) Pa O2 of 79% Review Information: The correct answer is C: HCT of 60.” B) “I can apply an ice pack over the area to relieve itching inside the cast. the set up and drying time. Applying ice is a safe method of relieving the itching. a by-product of fat metabolism. Large. causing emboli and leaving ulcerations on the valve leaflets. Which finding would alert the nurse to a complication of this condition? A) dyspnea B) heart murmur C) macular rash D) hemorrhage Review Information: The correct answer is B: heart murmur. and obstruct blood flow.ks21@gmail. rapidly developing vegetations attach to the heart valves.” Collected by :DeepaRajesh [ 147 ] rajesh. Which statement from the parent indicates that teaching has been inadequate? A) “I will keep the cast uncovered for the next day to prevent burning of the skin.” B) a pig.com Kuwait .” D) “I think I remember that my child should not stand until after 72 hours. especially in a long leg cast which is thicker than an arm cast.”. brain and lungs. which facilitates the transport of glucose into the cell.3). Clients may complain of a chill from the wet cast and therefore can simply be covered lightly with a sheet or blanket. Synthetic casts will typically set up in 30 minutes and dry in a few hours.3 B) Potassium of 5.

Autografts are done with tissue transplanted from the client’’s own skin. creating difficulty getting air D) pinworms in.The nurse is caring for a newborn with traent with movement in bed cheoesophageal fistula.C) regression ways are narrowed. Question18 A client has been admitted with a fractured femur general irritability. eightlegged burrowing mite called Sarcoptes scabiei . ceive priority? The presence of the mite leads to intense itching A) Maintaining proper body alignment B) Frequent neurovascular assessments of the in the area of its burrows. the client’s education should be focused on the immediate needs and concerns for the day. Scabies of the following nursing interventions should re. the air. B) The overview cardiac rehabilitation C) Medication and diet guideline D) Activity and rest guidelines Review Information: The correct answer is A: Daily needs and concerns. At 2 days post-MI. the nurse would initially assess for D) Fever and chills which problem? A) allergies Review Information: The correct answer is A: B) scabies Diffuse expiratory wheezing. Which distractibility and short attention span.”.” Based on these C) No relief from inhalant complaints.is an itchy skin condition caused by a tiny. ing diagnoses are then addressed. and has been placed in skeletal traction. Other nursclient has many questions about this condition. In asthma. a priority is maintaining an had a myocardial infarction (MI) 2 days ago. Which nursing diagnosis is a priority? Review Information: The correct answer is A) Risk for dehydration B: Frequent neurovascular assessments of the B) Ineffective airway clearance affected leg. preventing aspiration. Review Information: The correct answer is D: pinworms. Prompt recognition of this neurovascu.com Kuwait . Signs of pinworm infection include intense perianal itching. Com. A wheezing sound results.Review Information: The correct answer is C: my thigh. What area is a priority for the nurse to discuss at this time? A) Daily needs and concerns Question22 Collected by :DeepaRajesh [ 148 ] rajesh.Review Information: The correct answer is B: lar problem and early intervention may prevent Ineffective airway clearance.D) Risk for injury partment syndrome is a serious complication of fractures. Which of the following assessments would be expected by the Question20 nurse? A 3 year-old child is brought to the clinic by his A) Diffuse expiratory wheezing grandmother to be seen for “scratching his botB) Loose. The most common permanent limb damage. Question17 A client is admitted to the emergency room following an acute asthma attack. restlessness. poor sleep patterns. affected leg C) Inspection of pin sites for evidence of drainage or inflammation Question21 D) Applying an over-bed trapeze to assist the cli. The open airway. bed-wetting. The most important activity for the C) Altered nutrition nurse is to assess neurovascular status. Thus. form of TEF is one in which the proximal esophageal segment terminates in a blind pouch and the distal segment is connected to the trachea or primary bronchus by a short fistula at or near Question19 The nurse is assigned to care for a client who the bifurcation. productive cough tom and wetting the bed at night.ks21@gmail.

pallor. milk Review Information: The correct answer is B: Ground beef patty. wheat roll. The first action the school nurse should take is A) call for emergency transport to the hospital B) immobilize the limb and joints above and below the injury C) assess the child and the extent of the injury D) apply cold compresses to the injured area Review Information: The correct answer is C: assess the child and the extent of the injury. This dinner is the best choice: It is high in iron and is appropriate for a toddler.ks21@gmail. When applying the nursing process. apple slices. milk. Options C and D are correct answers but not the best answers since they are too general. peas. cantaloupe. wheat roll. and dried fruits such as raisins. In addition to oral rehydration fluids. milk C) Chicken nuggets. Iron rich foods include red meat. increased activity. Question26 A child is injured on the school playground and appears to have a fractured leg. paresthesia. Question23 The nurse admitting a 5 month-old who vomited 9 times in the past 6 hours should observe for signs of which overall imbalance? A) Metabolic acidosis B) Metabolic alkalosis C) Some increase in the serum hemoglobin D) A little decrease in the serum potassium Review Information: The correct answer is B: Metabolic alkalosis. macaroni. lima beans. raisins. cookies. raisins.com Kuwait . The “5 Ps” of vascular impairment can be used as a guide (pain. hyperactive reflexes. banana. Vomiting causes loss of acid from the stomach. D) Place NPO for 24 hours. Question24 A two year-old child is brought to the provider’s office with a chief complaint of mild diarrhea for two days. then rehydrate with milk and water Review Information: The correct answer is B: Continue with the regular diet and include oral rehydration fluids. green leafy vegetables. the diet should include A) formula or breast milk B) broth and tea C) rice cereal and apple juice D) gelatin and ginger ale Review Information: The correct answer is A: formula or breast milk. What should be emphasized as the nurse teaches about infant nutrition? A) Solid foods should be introduced at 3-4 Collected by :DeepaRajesh [ 149 ] rajesh. whole grains. lima beans. apples. paralysis). pulse. french fries. Which dinner menu would be best? A) Fish sticks. assessment is the first step in providing care. Current recommendations for mild to moderate diarrhea are to maintain a normal diet with fluids to rehydrate. Prolonged vomiting can result in excess loss of acid and lead to metabolic alkalosis. muscle twitching and elevated pulse. The usual diet for a young infant should be followed. milk D) Peanut butter and jelly sandwich. legumes. Nutritional counseling by the nurse should include which statement? A) Place the child on clear liquids and gelatin for 24 hours B) Continue with the regular diet and include oral rehydration fluids C) Give bananas. egg yolks. milk B) Ground beef patty. Question25 The nurse is teaching parents about the appropriate diet for a 4 month-old infant with gastroenteritis and mild dehydration. Findings include irritability. rice and toast as tolerated Question27 The mother of a 3 month-old infant tells the nurse that she wants to change from formula to whole milk and add cereal and meats to the diet. fish.The nurse is developing a meal plan that would provide the maximum possible amount of iron for a child with anemia.

Iron fortified cereal is the recommended first food. it contains little iron and creates a high renal solute load. Which notation should be included in the teaching materials? A) Solid foods are introduced one at a time beginning with cereal B) Finely ground meat should be started early to provide iron C) Egg white is added early to increase protein intake D) Solid foods should be mixed with formula in a bottle Question31 What finding signifies that children have attained the stage of concrete operations (Piaget)? A) Explores the environment with the use of sight and movement Review Information: The correct answer is A: B) Thinks in mental images or word pictures Solid foods are introduced one at a time begin.” Collected by :DeepaRajesh [ 150 ] rajesh. Be flexible in the sequence of the exam. Review Information: The correct answer is C: Makes the moral judgment that “stealing is wrong”. The stage of concrete operations is depicted by logical thinking and moral judgments. Question29 The nurse planning care for a 12 year-old child with sickle cell disease in a vaso-occlusive crisis of the elbow should include which one of the fol. Question30 The nurse is performing a physical assessment on a toddler.ks21@gmail. The priority of care is pain relief. What is the best response by the C) Cold compresses to elbow nurse? D) Passive range of motion exercise A) “Folic acid should be taken before and after Review Information: The correct answer is B: conception. another may be added yet necessary in a week. In a 12 year-old child. Question28 The nurse is preparing a handout on infant feeding to be distributed to families visiting the clinic.months B) Whole milk is difficult for a young infant to digest C) Fluoridated tap water should be used to dilute milk D) Supplemental apple juice can be used between feedings Review Information: The correct answer is B: Whole milk is difficult for a young infant to digest. Management of a B) “Multivitamin supplements are recommended sickle cell crisis is directed towards supportive during pregnancy.com Kuwait . In addition. and symptomatic treatment.” Client controlled analgesia. The nurse should approach the toddler slowly and use minimal physical contact initially so as to gain the toddler’’s cooperation. If the infant is D) Reasons that homework is time-consuming able to tolerate the food. client controlled analgesia promotes maximum comfort. and give only brief simple explanations just prior to the action. hard curd is difficult to digest. Solid foods should be added wrong” one at a time between 4-6 months.C) Makes the moral judgment that “stealing is ning with cereal. Which of the following actions should be the first? A) Perform traumatic procedures B) Use minimal physical contact C) Proceed from head to toe D) Explain the exam in detail Review Information: The correct answer is B: Use minimal physical contact.Question32 lowing as a priority? The mother of a child with a neural tube defect asks the nurse what she can do to decrease the A) Limit fluids chances of having another baby with a neural B) Client controlled analgesia tube defect. Cow’’s milk is not given to infants younger than 1 year because the tough.

Good oral hygiene and regular visits than the uninjured leg. D) “I have the four year-old hold and help feed the four month-old a bottle in the kitchen while I make supper.” Question33 The provider orders Lanoxin (digoxin) 0.” cates understanding of appropriate precautions D) “Increased dietary iron improves the health of to take with the children? mother and fetus. The parents ask what will be the outcome of this injury. “We are leaving now and will be back at 6 PM.” A) “I strap the infant car seat on the front seat to Review Information: The correct answer is face backwards.” A few hours later the child asks the Collected by :DeepaRajesh [ 151 ] rajesh. in a 7 year-old often results in retarded bone Swollen and tender gums occur often with use of growth.” D) “This type of injury shows more rapid union A) Maintain good oral hygiene and dental care than that of younger children.”. to the dentist should be emphasized. Which statement by the parent indidevelopment.com Kuwait . Review Information: The correct answer is D: “I have the four year-old hold and help feed the four month-old a bottle in the kitchen while I make supper. The leg often will be different in length phenytoin.” B) Omit medication if the child is seizure free C) Administer acetaminophen to promote sleep Review Information: The correct answer is B: D) Serve a diet that is high in iron “In some instances the result is a retarded bone Review Information: The correct answer is growth.” fects. Question34 Question35 Question37 The nurse is offering safety instructions to a parent with a four month-old infant and a four year- The parents of a 4 year-old hospitalized child tell the nurse. The x-rays show a femur fracture near the epiphysis.”.year-old naps on the sofa.” C) “Bone growth is stimulated in the affected about which of the following actions? leg. The appropriate response by the nurse should be which of these statements? A) “The injury is expected to heal quickly beWhile teaching the family of a child who will take cause of thin periosteum.” phenytoin (Dilantin) regularly for seizure control. B) “In some instances the result is a retarded it is most important for the nurse to teach them bone growth.ks21@gmail. The infant seat is to be placed on the rear seat. An epiphyseal (growth) plate fracture A: Maintain good oral hygiene and dental care. Small children and infants are not to be left unsupervised.room floor on a blanket to play with my four yearatrics recommends that all childbearing women old while I make supper in the kitchen. Which of these foods would the nurse reinforce for the client to eat at least daily? A) Spaghetti B) Watermelon C) Chicken D) Tomatoes Review Information: The correct answer is B: Watermelon.125 mg PO and furosemide 40 mg every day.”.C) “A well balanced diet promotes normal fetal old child. The other foods are not high in potassium. There is evidence that increased the little buttocks stuck up in the air while the four amounts of folic acid prevents neural tube de.” A: “Folic acid should be taken before and after B) “I place my infant in the middle of the living conception. Infants are Question36 The nurse admits a 7 year-old to the emergency room after a leg injury.” increase folic acid from dietary sources and/or C) “My sleeping baby lies so cute in the crib with supplements. Watermelon is high in potassium and will replace potassium lost by the diuretic. The American Academy of Pedi.

Time is not completely understood by a 4 year-old. IPV. it is best to explain time in relationship to a known. the nurse should document the reaction on the baby’s record and expect which immunization to be most associated with the findings the infant is displaying? Collected by :DeepaRajesh [ 152 ] rajesh.com Kuwait . Question41 When interviewing the parents of a child with asthma. Thus. Drinking water may be contaminated by lead from old lead pipes or lead solder used in sealing water pipes. and meticulous combing and removal of all nits. Question40 Which of the following manifestations observed by the school nurse confirms the presence of pediculosis capitis in students? A) Scratching the head more than usual B) Flakes evident on a student’s shoulders C) Oval pattern occipital hair loss D) Whitish oval specks sticking to the hair Review Information: The correct answer is D: Whitish oval specks sticking to the hair. you will see them.” Review Information: The correct answer is A: “They will be back right after supper. and has had several shaking spells.” C) “After you play awhile.” B) “In about 2 hours. Preschoolers interpret time with their own frame of reference. carpeting and household dust. Treatment can include application of a medicated shampoo with lindane for children over 2 years of age. Pancreatic enzymes should be taken with each meal and every snack to allow for digestion of all foods that are eaten. The nurse would emphasize that pancreatic enzymes should be taken A) once each day B) 3 times daily after meals C) with each meal or snack D) each time carbohydrates are eaten Review Information: The correct answer is C: with each meal or snack.” D) “When the clock hands are on 6 and 12.”. Other triggers may include pollens. Letting tap water run for Question42 The mother of a 2 month-old baby calls the nurse 2 days after the first DTaP.nurse when the parents will come again. several minutes will diminish the lead contamination. which of the following is most important to prevent lead poisoning? A) Use ready-to-feed commercial infant formula B) Boil the tap water for 10 minutes prior to preparing the formula C) Let tap water run for 2 minutes before adding to concentrate D) Buy bottled water labeled “lead free” to mix the formula Review Information: The correct answer is C: Let tap water run for 2 minutes before adding to concentrate. Animal dander is a very common allergen affecting persons with asthma. common event. What is the best response by the nurse? A) “They will be back right after supper. Question38 The nurse is giving instructions to the parents of a child with cystic fibrosis. Diagnosis of pediculosis capitis is made by observation of the white eggs (nits) firmly attached to the hair shafts. Hepatitis B and HIB immunizations. it is most important to assess the child’s environment for what factor? A) Household pets B) New furniture C) Lead based paint D) Plants such as cactus Review Information: The correct answer is A: Household pets.ks21@gmail. they will be here. Question39 A nurse is providing a parenting class to individuals living in a community of older homes. She reports that the baby feels very warm. In discussing formula preparation. In addition to referring her to the emergency room. Use of lead-contaminated water to prepare formula is a major source of poisoning in infants. cries inconsolably for as long as 3 hours.

friends and support groups to listen to their feelings.” After repositioning the child safely. nurse emphasize? A) To discuss feelings with each other and use support persons B) To focus on the other healthy children and move through the loss C) To seek causes for the fetal death and come to some safe conclusion D) To plan for another pregnancy within 2 years and maintain physical health Question47 A nurse entering the room of a postpartum mother observes the baby lying at the edge of the bed while the woman sits in a chair.” B) “Oh. What is the best response by the Review Information: The correct answer is C: vastus lateralis. In planning for discharge. The nurse should prepare the client for an immediate Review Information: The correct answer is C: “Keep in mind that for the age this is a normal A) Non stress test response to being in the hospital. the child while in the hospital. seek family. The majority of reactions occur with the administration of the DTaP vaccination. What is the preferred site for injection by the nurse? A) vastus intermedius B) gluteus maximus C) vastus lateralis D) dorsogluteaI Question43 The mother of a 2 year-old hospitalized child asks the nurse’s advice about the child’s screaming every time the mother gets ready to leave the hospital room. port persons.ks21@gmail. ages 1 to 3. which is suggested in the Question44 A couple experienced the loss of a 7 month-old client’’s history of painless bleeding.” C) “Keep in mind that for the age this is a normal Question46 response to being in the hospital. the nurse’s best response is A) “This is a common occurrence after birth. but Review Information: The correct answer is A: you will come to accept the baby. In toddlers. Contradictions to giving repeat DTaP immunizations include the occurrence of severe side effects after a previous dose as well as signs of encephalopathy within 7 days of the immunization. that behavior will stop in a few days. The protest B) Abdominal ultrasound phase of separation anxiety is a normal response C) Pelvic exam for a child this age. The mother states “This is not my baby. the nurse’’s goal is to help the couple begin the grief process by suggesting they talk to each other. To communicate in a therapeutic manner.” hours.” A 7 month pregnant woman is admitted with comD) “You might want to “sneak out” of the room plaints of painless vaginal bleeding over several once the child falls asleep. Vastus lateralis. Influenza Review Information: The correct answer is A: DTaP.”.” To discuss feelings with each other and use sup.com Kuwait . and I do not want it.D) X-ray of abdomen ration anxiety is at its peak Review Information: The correct answer is B: Abdominal ultrasound. The standard for diagnosis of placenta previa. a large and well nurse? developed muscle. is the preferred site. sepa. is abdomifetus. since it is A) “I think you or your partner needs to stay with removed from major nerves and blood vessels. what should the nal ultrasound.A) DTaP B) Hepatitis B C) Polio D) H. Question45 The nurse is performing a pre-kindergarten physical on a 5 year-old. The last series of vaccines will be administered.B) “Many women have postpartum blues and Collected by :DeepaRajesh [ 153 ] rajesh.

The most appropriate intervenThe nurse notes that a 2 year-old child recov. A) Investigating the client’s insurance coverage for home IV antibiotic therapy Question49 B) Determining if there are adequate hand washThe nurse is caring for a client who was success. C) Assessing the client’s ability to participate in Which of the following assessments is critical for self care and/or the reliability of a caregiver the nurse to include in the plan of care? D) Selecting the appropriate venous access device A) hourly urine output Review Information: The correct answer is C: B) white blood count C) blood glucose every 4 hours Assessing the client’’s ability to participate in self D) temperature every 2 hours care and/or the reliability of a caregiver.tion for this client is to ering from a tonsillectomy has an temperature of 98. Examples of this phenomena include a drop in circulating blood volume as in a cardiac arrest state or in low cardiac perfusion states such as congestive heart failure associated with a cardiomyopathy. Review Information: The correct answer is C: reassess the child’’s temperature. Pre-renal failure occurs A nurse administers the influenza vaccine to a Collected by :DeepaRajesh [ 154 ] rajesh. The cognitive ability of the client as well as the availability Review Information: The correct answer is A: and reliability of a caregiver must be assessed to hourly urine output.Question52 es glomerular perfusion.2 degrees Fahrenheit at 8:00 AM. At 10:00 A) position client in upright position while eating AM the child’s parent reports that the child “feels B) place client on a clear liquid diet very warm” to touch. open ended response facilitates dialogue between the client and nurse. The Question51 nurse should listen to and show respect for what A 72 year-old client with osteomyelitis requires a parents say.determine if home care is a feasible option.”.” D) “You seem upset. birth were like for you. In plansensitive to variations in their children’’s condi. This is caused by any abnormal decline in kidney perfusion that reduc. sode of decreased glomerular perfusion are at risk for pre-renal failure. An D) administer the prescribed acetaminophen upright position facilitates proper chewing and swallowing.” when the effective arterial blood volume falls.action by the nurse? ers. The first action by the nurse C) tilt head back to facilitate swallowing reflex should be to D) offer finger foods such as crackers or pretzels A) reassure the parent that this is normal B) offer the child cold oral fluids Review Information: The correct answer is A: C) reassess the child’s temperature position client in upright position while eating.ning for home care.need some time to love the baby. tell me what the pregnancy and condition. Close observation of hourly urinary Review Information: The correct answer is D: output is necessary for early detection of this “You seem upset. Clients who have had an epi. A child’’s temperature may have rapid fluctuations. Question50 A client is admitted to the rehabilitation unit following a cerebral vascular accident (CVA) and Question48 mild dysphagia.ks21@gmail. tell me what the pregnancy and birth were like for you.ing facilities in the home fully resuscitated from a pulseless dysrhythmia. what is the most important tion that may not be immediately evident to oth. Parental caretakers are often quite 6 week course of intravenous antibiotics.com Kuwait .” C) “What a beautiful baby! Her eyes are just like yours. A non-judgmental.

nasal congestion. During a home visit the nurse observes the client smacking her lips alternately with grinding her teeth. The nurse recognizes this assessment finding as what? A) Dystonia B) Akathisia C) Brady dyskinesia D) Tardive dyskinesia Review Information: The correct answer is D: Question57 A 14 month-old child ingested half a bottle of aspirin tablets. Signs of tardive dyskinesia include smacking lips. when the patient has not lost con. D) Hyperglycemia. weight gain. administering Rash and blood dyscrasias are side effects of the epinephrine is first. Which of the following findings contraindicate the use of haloperidol (Haldol) and warrant withholding the dose? A) Drowsiness. is maintained by using diphenhydramine. the client complains of itchy and watery eyes.sion is a contraindication to the use of neuroleper responses. such as pain. These findings are often described as Parkinsonian. severe depression. they simply decrease the level of symptoms.C: Rash. and applying the oxygen. are lat. then maintain the airway. Question54 A client receiving chlorpromazine HCL (Thorazine) is in psychiatric home care. sciousness and is normotensive.com Kuwait . and edema but the priority is to administer the epinephrine. Which of these instructions should the nurse give the client? A) Complete the entire course of the medication for an effective cure B) Begin treatment with acyclovir at the onset of symptoms of recurrence C) Stop treatment if she thinks she may be pregnant to prevent birth defects D) Continue to take prophylactic doses for at least 5 years after the diagnosis Review Information: The correct answer is B: Begin treatment with acyclovir at the onset of symptoms of recurrence. severe depression the answers are correct given the circumstances. In the early stages of Review Information: The correct answer is anaphylaxis. All C) Rash. Which of the following would the nurse expect to see in the child? Collected by :DeepaRajesh [ 155 ] rajesh. blood dyscrasias. Medications for herpes simplex do not cure the disease. and blurred viReview Information: The correct answer is B: sion Administer epinephrine 1:1000 as ordered. Decadron increases the production of hydrochloric acid. increased anxiety. When the client is aware of early symptoms. The nurse is reinforcing teaching to a 24 year-old woman receiving acyclovir (Zovirax) for a Herpes Simplex Virus type 2 infection. anti-psychotic drugs. A history of severe depresand watching for hypotension and shock. The physiological basis for this instruction is that the medication A) retards pepsin production B) stimulates hydrochloric acid production C) slows stomach emptying time D) decreases production of hydrochloric acid Review Information: The correct answer is B: stimulates hydrochloric acid production. Within 15 minutes after the immunization was given. itching or tingling. and difficulty breathing.ks21@gmail. The prevention of a severe crisis tics. grinding of teeth and “fly catching” tongue movements. lethargy.client in a clinic. which may cause gastrointestinal ulcers. Question55 Question53 Question56 The nurse instructs the client taking dexamethasone (Decadron) to take it with food or milk. The nurse expects that the first action in the sequence of care for this client will be to A) Maintain the airway B) Administer epinephrine 1:1000 as ordered C) Monitor for hypotension with shock D) Administer diphenhydramine as ordered Tardive dyskinesia. blood dyscrasias. treatment is very effective. and inactivity B) Dry mouth.

a beta-blocking agent used in hypertension.B) A decrease in fluid retention retics that enhance the loss of potassium while C) A decrease in lethargy D) A reduction in jaundice they are taking digitalis. The child received twice the ordered dose of morphine an hour ago. Which nursing diagnosis is a priority at this time? A) Risk for fluid volume deficit related to morphine overdose B) Decreased gastrointestinal mobility related to mucosal irritation C) Ineffective breathing patterns related to central nervous system depression D) Altered nutrition related to inability to control nausea and vomiting Review Information: The correct answer is C: Ineffective breathing patterns related to central nervous system depression. The most common cause of evaluate the effectiveness of this treatment? digitalis toxicity is a low potassium level.A) Hypothermia B) Edema C) Dyspnea D) Epistaxis Review Information: The correct answer is D: Epistaxis. Which client statement from the assessment data is likely to explain his noncompliance? A) “I have problems with diarrhea. the laxative effect then aids in removing the ammonia from the body. Lactulose produces an acid environment in the bowel and traps ammonia in the gut. Respiratory depression is a life-threatening risk in this overdose. A large dose of aspirin inhibits prothrombin formation and lowers platelet levels. occurred.com Kuwait .” D) “I often feel jittery. Because HIV is spread through Question60 The nurse caring for a 9 year-old child with a exposure to bodily fluids. vomiting. including lethargy and confusion.”. Clients must be taught that it is important to have ad. Review Information: The correct answer is C: A decrease in lethargy. This decreases the effects of hepatic encephalopathy. With an overdose. unprotected intercourse fractured femur is told that a medication error and shared drug paraphernalia remain the highCollected by :DeepaRajesh [ 156 ] rajesh. prohibits the release of epinephrine into the cells.A) An increase in appetite equate potassium intake especially if taking diu. Which of the following laboratory results should the nurse analyze first? A) Potassium levels B) Blood pH C) Magnesium levels D) Blood urea nitrogen Lactulose (Chronulac) has been prescribed for a client with advanced liver disease. this may result in hypotension which results in decreased libido and impotence.” C) “I have diminished sexual function. Question61 Question59 A 42 year-old male client refuses to take propranolol hydrochloride (Inderal) as prescribed. abdominal cramps and halo vision. Question62 The nurse is teaching a class on HIV prevention. clotting time is prolonged. Question58 An 80 year-old client on digitalis (Lanoxin) reports nausea. Inderal. Which of the following should be emphasized as increasing risk? A) Donating blood B) Using public bathrooms C) Unprotected sex D) Touching a person with AIDS Review Information: The correct answer is C: Unprotected sex.” Review Information: The correct answer is C: “I have diminished sexual function.ks21@gmail. Which of the Review Information: The correct answer is A: following assessments would the nurse use to Potassium levels.” B) “I have difficulty falling asleep.

Clarification is a facilitating/ Collected by :DeepaRajesh [ 157 ] rajesh. identifying.”. While interviewing a new admission. contact a sober friend and talk with him. while avoiding telling the client what to do. and assessing anxiety. The client’’s comments demonstrate grandiose ideas. This option encourages the process of self evaluation and problem solving. the nurse notices that the client is shifting positions.” B) “Go to an AA meeting when you feel the urge to drink. The initial step in anxiety intervention is observing.ks21@gmail.com Kuwait . Which of the following laboratory reports would the nurse anticipate? A) Increased serum glucose Therapeutic nurse-client interaction occurs when the nurse A) assists the client to clarify the meaning of what the client has said B) interprets the client’s covert communication C) praises the client for appropriate feelings and behavior D) advises the client on ways to resolve problems Review Information: The correct answer is A: assists the client to clarify the meaning of what the client has said. It is important for the nurse to A) ask the client what she is feeling B) assess the client for auditory hallucinations C) recognize the behavior as a side effect of medication D) re-focus the discussion on a less anxiety provoking topic Review Information: The correct answer is A: ask the client what she is feeling. wringing her hands.” C) “It is important to exercise daily and get involved in activities that will cause you not to think about drug use. loss of electrolytes can occur in addition to other findings of starvation and dehydration. In the situation above. In bulimia. he reveals that his warnings must be heeded to prevent nuclear war. recovering from alcoholism. Question67 Question65 The nurse is assessing a 17 year-old female client with bulimia. Question64 A young adult seeks treatment in an outpatient mental health center. Encouraging the client to brainstorm about response options validates the nurse’s belief in the client’s personal competency and reinforces a coping strategy that will be needed when the nurse may not be available to offer solutions. asks the nurse. “What can I do when I start recognizing relapse triggers within myself?” How might the nurse best respond? A) “When you have the impulse to stop in a bar. What is the most therapeutic approach by the nurse? A) Listen quietly without comment B) Ask for further information on the spies C) Confront the client’s delusion D) Contact the government agency Review Information: The correct answer is A: Listen quietly without comment. Question63 B) Decreased albumin C) Decreased potassium D) Increased sodium retention Review Information: The correct answer is C: Decreased potassium. The most therapeutic response is to listen but avoid being incorporated into the client’s delusional system. The client tells the nurse he is a government official being followed by spies. the client may simply need to use the restroom but be reluctant to communicate her need! Question66 A client. On further questioning. The nurse should seek client validation of the accuracy of nursing assessments and avoid drawing conclusions based on limited data. and avoiding eye contact.” D) “Let’s talk about possible options you have when you recognize relapse triggers in yourself.est risks for infection.” Review Information: The correct answer is D: “Let’s talk about possible options you have when you recognize relapse triggers in yourself.

Eighty percent of all potential suicide victims give some type of indication that self-destructiveness should be Collected by :DeepaRajesh [ 158 ] rajesh. A therapeutic milieu is purposeful and planned to provide safety and a testing ground for new patterns of behavior.stage ships. high heels. regulations. A) Angry outbursts at significant others B) Fear of being left alone C) Giving away valued personal items D) Experiencing the loss of a boyfriend Review Information: The correct answer is C: Giving away valued personal items.” An al. and advising are non-therapeutic/barriers to appropriate response for the nurse is communication.therapeutic communication strategy.ks21@gmail.”. Question72 When teaching suicide prevention to the parents of a 15 year-old who recently attempted suicide. Which nursing action is the best with 1 person.” Question68 Which nursing intervention will be most effective D) “You seem angry right now. and policies C) provide a testing ground for new patterns of behavior while the client takes responsibility for his or her own actions D) discourage expressions of anger because they can be disruptive to other clients Review Information: The correct answer is C: provide a testing ground for new patterns of behavior while the client takes responsibility for his or her own actions. Interpreta.“You seem angry right now.” C) “Perfect? I don’t quite understand.in response to the client’s attire? able in social interaction.” in helping a withdrawn client to develop relationReview Information: The correct answer is D: ship skills? A) Offer the client frequent opportunities to inter. to interact with other clients C) Assist the client to analyze the meaning of the withdrawn behavior D) Discuss with the client the focus that other Question71 clients have similar problems A client who is a former actress enters the day room wearing a sheer nightgown. giving approv. The nurse recognizes the underlying emotion with a matter of fact act with 1 person B) Provide the client with frequent opportunities attitude.think you’re so perfect and pure and good. A) “Is that why you’ve been staring at me?” B) “You seem to be in a really bad mood. changing the focus/subject. bright red lipstick and heavily Offer the client frequent opportunities to interact rouged cheeks. but avoids telling the clients how they feel. The withdrawn client is uncomfort.D) Tactfully explain appropriate clothing for the hospital peutic inpatient milieu is to A) provide a businesslike atmosphere where clients can work on individual goals B) provide a group forum in which clients decide on unit rules. nuReview Information: The correct answer is A: merous bracelets. It assists the client to maintain self-esteem while modifying behavior.suddenly walks up to the nurse and shouts “You tion. B) Directly assist client to her room for appropriate apparel C) Quietly point out to her the dress of other clients on the unit Question69 An important goal in the development of a thera.com Kuwait Question70 A client with paranoid delusions stares at the nurse over a period of several days. The client . the nurse describes the following behavioral cue as indicating a need for intervention. The nurse-client relationship is a corrective relationship in which the A) Gently remind her that she is no longer on client learns both tolerance and skills for relation. Review Information: The correct answer is B: Directly assist client to her room for appropriate apparel.

Once sional level the substance is identified. It’s my daughter who has the problem.center and emergency response team should be cern called. Wait until my partner hears about this.gested before determining the next action. Have you seen them?”. withhold the drug. What time is it?” C) “I can’t find my ‘mesmer’ shoes. lanugo. The nurse’s first action should be A) call the poison control center. Using neologisms is often associated with a thought disorder. nausea. Two unlabeled open bottles lie nearby.com Kuwait . then 911 B) administer syrup of Ipecac to induce vomiting Question74 C) give the child milk to coat her stomach In a psychiatric setting. Physical findings associated with anorexia also include reduced metabolic rate and lower vital signs. vomiting.addressed. Additional assessment findings that the nurse would expect to observe are Review Information: The correct answer is B: Measure apical pulse prior to administration Digitoxin decreases conduction velocity through the AV node and prolongs the refractory period.ask the staff about the contents of the bottles tion to sexual advances The nurse needs to assess what the child inB) handshaking keeps the gesture on a profes. tachycardia. the poison control C) refusal to touch a client denotes lack of con. A neologism is a new word self invented by a person and not readily understood by another. amenorrhea. Have you seen them?” D) “I’m fine. These clues might lead one to suspect that a client is having suicidal thoughts or is developing a plan. D) inappropriate touch often results in charges of assault and battery Question2 Review Information: The correct answer is A: some clients misconstrue hugs as an invitation to sexual advances. The apical pulse should be Collected by :DeepaRajesh [ 159 ] rajesh. Which of these assessments is most important for the nurse to perform? A) Monitor blood pressure every 4 hours B) Measure apical pulse prior to administration C) Maintain accurate intake and output records D) Record an EKG strip after administration Question75 A client with anorexia is hospitalized on a medical unit due to electrolyte imbalance and cardiac dysrhythmias.” B) “I’m a little confused. increased metabolic rate D) excessive anxiety about symptoms Review Information: The correct answer is A: brittle hair. amenorrhea B) diarrhea. A nurse is assigned to perform well-child assessments at a day care center.ks21@gmail. Question73 A) brittle hair. lanugo.” Review Information: The correct answer is C: “I can’’t find my ‘’mesmer’’ shoes. dental erosion C) hyperthermia. A client with atrial fibrillation is receiving digoxin (Lanoxin). The client may interpret hugging and holding hands as sexual advances. Free NCLEX-RN Sample Test Questions For Nursing Review (Pharmacology Set 2) Jul31. Touch denotes positive feelings for another person. Which statement made by a client indicates to the nurse that the client may have a thought disorder? A) “I’m so angry about this. A staff member interrupts the examinations to ask for assistance. the nurse limits touch D) ask the staff about the contents of the bottles or contact used with clients to handshaking because Review Information: The correct answer is D: A) some clients misconstrue hugs as an invita. They find a crying 3 year-old child on the floor with mouth wide open and gums bleeding. If the apical heart rate is less than 60 beats/minute.

com Kuwait . What is the nurse>s initial action? A) Check with the pharmacist B) Hold the medication and contact the provider C) Administer the prescribed dose as ordered D) Give the dose every 6-8 hours Review Information: The correct answer is B: Hold the medication and contact the provider The usual pediatric dose of morphine is 0. Which assessment would require the nurse’s immediate action? A) Stomatitis lesion in the mouth B) Severe nausea and vomiting C) Complaints of pain at site of infusion D) A rash on the client’s extremities Review Information: The correct answer is C: Complaints of pain at site of infusion A vesicant is a chemotherapeutic agent capable of causing blistering of tissues and possible tissue necrosis if there is extravasation. The exaggerated physiological action causes abnormal fat distribution which results in a moon-shaped face. C) Peripheral edema D) Jaundice Review Information: The correct answer is A: Buffalo hump With high doses of glucocorticoid. These agents are irritants which cause pain along the vein wall.taken with a stethoscope so that there will be no mistake about what the heart rate actually is. more drug remains in the circulatory system with potential for drug toxicity. The nurse should instruct the client to report which of the following side effects? A) Nausea. Which of the following findings would the nurse expect? A) Buffalo hump B) Increased muscle mass A client is receiving digitalis. leaving less in circulation. Question3 The nurse is administering an intravenous vesicant chemotherapeutic agent to a client. The nurse practicing in a long term care facility recognizes that elderly clients are at greater risk for drug toxicity than younger adults because of which of the following physiological changes of advancing age? A) Drugs are absorbed more readily from the GI tract B) Elders have less body water and more fat C) The elderly have more rapid hepatic metabolism D) Older people are often malnourished and anemic Review Information: The correct answer is B: Elders have less body water and more fat Because elderly persons have decreased lean body tissue/water in which to distribute medications. (10 kg). iatrogenic Cushing>>s syndrome develops. thus increasing the duration of action of the drug Question7 A client is ordered atropine to be administered preoperatively. Which physiological effect should the nurse monitor for? A) Elevate blood pressure B) Drying up of secretions C) Reduce heart rate D) Enhance sedation Review Information: The correct answer is B: Drying up of secretions Atropine dries secretions which may get in the way during the operative procedure.0 mg every 3 to 4 hours. dyspnea. At 10 kg. dry skin Collected by :DeepaRajesh [ 160 ] rajesh. Question6 Question4 The health care provider has written «Morphine sulfate 2 mgs IV every 3-4 hours prn for pain» on the chart of a child weighing 22 lb. Increased body fat results in greater amounts of fat-soluble drugs being absorbed. with or without inflammation. this child typically should receive 1. thirst. edema C) Polyuria. a intrascapular pad on the neck (buffalo hump) and truncal obesity with slender limbs.1 mg/ kg every 3 to 4 hours. vomiting. Question5 Question8 The nurse is assessing a client who is on long term glucocorticoid therapy. fatigue B) Rash.ks21@gmail.

Which of the following assessments would indicate that the treatment is effective? A) A positive Babinski>s reflex B) Increased response to motor stimuli C) A widening pulse pressure D) Temperature of 37 degrees Celsius Review Information: The correct answer is B: Increased response to motor stimuli Decadron is a corticosteroid that acts on the cell membrane to decrease inflammatory responses as well as stabilize the blood-brain barrier. diaphoresis with documented acetaminophen poisoning. erin patches for a client.com Kuwait . sweating. Elevated temperature and sweating. vomiting. Review Information: The correct answer is B: Hepatic problems may occur and may be lifethreatening Clinical manifestations associated with acetaminophen poisoning occurs in 4 stages. within 12-24 hours nausea. Therefore the blood sugar level and acetone production must be monitored. threatening which makes more calcium available for contrac. vomiting. and bradycardia. A) Remove the patch when swimming or bathing B) Apply the patch to any non-hairy area of the Question11 A child presents to the Emergency Department body Collected by :DeepaRajesh [ 161 ] rajesh.The provider has ordered transdermal nitroglyclar rigidity. dizziness. This is a life-threatening about how to use the patches? complication. The third stage is hepatic involvement which may last up to 7 days and be permanent. Which of these findings should be reported to the health care provider? A) Elevated temperature and sweating. Once Decadron reaches a therapeutic level. Neuroleptic malignant syndrome (NMS) is a rare disorder that can occur as a side effect of antipsy.most children put. resulting in increased cardiac out. In order to provide counseling and education for the parents. What should the nurse plan to monitor in this client? A) Urine output every 4 hours B) Blood glucose levels every 12 hours C) Neurological signs every 2 hours D) Oxygen saturation every 8 hours Review Information: The correct answer is B: Blood glucose levels every 12 hours The drug Decadron increases glycogenesis. autonomic dysfunction. tachycardia. Question12 Question10 The nurse is caring for a client with schizophrenia who has been treated with quetiapine (Seroquel) for 1 month. which principle must the nurse unReview Information: The correct answer is A: derstand? Nausea. C) Mental confusion and general weakness. B) Decreased pulse and blood pressure. hyperthermia. It is characterized by muscu. A client has been receiving dexamethasone (Decadron) for control of cerebral edema. Today the client is increasingly agitated and complains of muscle stiffness. as no antidote is available Question9 A client is receiving dexamethasone (Decadron) therapy.Question13 chotic medications. fatigue A) The problem occurs in stages with recovery Side effects of digitalis toxicity include fatigue.D) Hunger. B) Hepatic problems may occur and may be lifeDigitalis inhibits the sodium potassium ATPase.C) Full and rapid recovery can be expected in tile proteins. D) Muscle spasms and seizures. This may lead to hyperglycemia. Clients who do not die in the hepatic stage gradually recover. tions should be included when teaching a client and increase in CPK. D) This poisoning is usually fatal. there Review Information: The correct answer is A: should be a decrease in symptomology with improvement in motor skills. anorexia.ks21@gmail. Which of these instrucaltered consciousness.

ks21@gmail.» D) «Your health care provider knows the best drug for your condition. which can affect lithium (Lithane) levels. but the recommended Collected by :DeepaRajesh [ 162 ] rajesh. keep the line open with saline. The most common drug combinations associated with serotonin syndrome involve the MAOIs. What is an appropriate response by the nurse? A) «Ask your friend about the source of this information. notify the health care provider. was taken off the market because it caused seizures. What should the nurse emphasize when teaching about this medication? A) Take the medication before meals B) Maintain adequate daily salt intake C) Reduce fluid intake to minimize diuresis D) Use antacids to prevent heartburn Review Information: The correct answer is B: Maintain adequate daily salt intake Salt intake affects fluid volume. Instead.» Almost immediately. and the tricyclic antidepressants. Wellbutrin.com Kuwait . Serotonin syndrome is most often reported in patients taking 2 or more medications that increase CNS serotonin levels by different mechanisms. She complains of “twitching muscles” and a “racing heart”. A client confides in the RN that a friend has told her the medication she takes for depression. What is the nurse>s first action? A) Stop the blood infusion B) Notify the health care provider C) Take/record vital signs D) Send blood samples to lab Review Information: The correct answer is A: Stop the blood infusion If a reaction of any type is suspected during administration of blood products. nausea. the client begins to wheeze. and then send a blood sample to the lab. Question17 A client with an aplastic sickle cell crisis is receiving a blood transfusion and begins to complain of «feeling hot. In teaching the client about diet and iron supplements. Question18 Question15 A client with bi-polar disorder is taking lithium (Lithane). palpitations. increased muscle tone with twitching muscles. A client with anemia has a new prescription for ferrous sulfate. The nurse should immediately assess for which of these adverse reactions? A) Pulmonary edema B) Atrial fibrillation C) Mental status changes D) Muscle weakness Review Information: The correct answer is C: Mental status changes Use of serotonergic agents may result in Serotonin Syndrome with confusion.» C) «There were problems.» B) «Omit the next doses until you talk with the doctor. and states she stopped taking Zoloft a few days ago because it was not helping her depression. therefore. but the recommended dose is changed. monitor vital signs and other changes. the nurse should emphasize that absorption of iron is enhanced if taken with which substance? A) Acetaminophen B) Orange juice C) Low fat milk D) An antacid Review Information: The correct answer is B: Orange juice Ascorbic acid enhances the absorption of iron. stop the infusion immediately. and agitation. SSRIs.» Review Information: The correct answer is C: «There were problems. Question16 Question14 A newly admitted client has a diagnosis of depression. maintaining adequate salt intake is advised.C) Apply a second patch with chest pain D) Remove the patch if ankle edema occurs Review Information: The correct answer is B: Apply the patch to any non-hairy area of the body The patch application sites should be rotated. she began to take her partner>s Parnate.

alteplase (Activase tissue plasminogen activator). in 1985 and then withdrawn because of the occurrence of seizures in some patients taking the drug. it may cause a transient neutropenia.berculosis client needs is to understand the importance of medication compliance. When administered intravenously. Warn individuals with asthma about signs and symptoms resulting from complications due to aspirin ingestion. Which side effect should the nurse be monitoring for? A) Skin discoloration B) Hardened eschar C) Increased neutrophils D) Urine sulfa crystals Review Information: The correct answer is D: Urine sulfa crystals Silver sulfadiazine is a broad spectrum antimicrobial. The nurse is monitoring a client receiving a thrombolytic agent. the nurse will warn against the use The most important piece of information the tuof which of the following over-the-counter medi. for treatment of a myocardial infarction. The risk of seizure appears to be strongly associated with dose. however. especially effective against pseudomonas. Which statement C) Cardiac enzymes are within normal limits should be included in the information that is giv.» Wellbutrin was introduced in the U.ks21@gmail. as well as renal function changes with sulfa crystals production and kernicterus. It is important for the nurse to monitor which of the following parameters? A) Hourly urinary output B) Serum potassium levels * C) Continuous EKG readings D) Neurological signs Review Information: The correct answer is C: Continuous EKG readings Procainamide (Pronestyl) is used to suppress cardiac arrhythmias.» C) «Continue to take your medications even when you are feeling fine. When applied to extensive areas. Aspirin can also cause nasal polyps and rhinitis. The B) Aspirin products for pain relief numbers of acid-fast bacilli are greatly reduced C) Cough medications containing guaifenesin as early as 2 weeks after therapy begins.D) Return of ST segment to baseline on ECG en to the client? A) «Isolate yourself from others until you are finReview Information: The correct answer is D: ished taking your medication. The drug was reintroduced in 1989 with specific recommendations regarding dose ranges to limit the occurrence of seizures.dose is changed.» with asthma. B) «Follow up with your primary care provider in 3 months.» Review Information: The correct answer is C: «Continue to take your medications even when Question19 When providing discharge teaching to a client you are feeling fine. The nurse is caring for a client who is receiving procainamide (Pronestyl) intravenously.» D) «Continue to get yearly tuberculin skin tests. it must be accompanied by continuous cardiac monitoring by ECG. Clients are most A) Cortisone ointments for skin rashes infectious early in the course of therapy.com Kuwait Question23 .S. Question22 Question20 The nurse is applying silver sulfadiazine (Silvadene) to a child with severe burns to arms and legs. D) Histamine blockers for gastric distress Review Information: The correct answer is B: Aspirin products for pain relief Aspirin is known to induce asthma attacks.» Collected by :DeepaRajesh [ 163 ] rajesh. even if no cations? longer experiencing symptoms. What outcome indicates the client is receiving adequate therapy within the first hours of treatment? A) Absence of a dysrhythmia (or arrhythmia) Question21 The nurse is providing education for a client with B) Blood pressure reduction newly diagnosed tuberculosis.

Davis Company. J. (2003). M. E. Deglin.L. Which of the following assessment findings would indicate to the nurse that the client may be having an adverse reaction to the medication? A) Headache B) Mood changes C) Hyperkalemia D) Palpitations Review Information: The correct answer is B: Mood changes The nurse should assess the client for alterations in mental status such as mood changes. (2001). (7th edition). a nursing process approach. Pharmacology. (4th edition). Davis Company. Question27 The use of atropine for treatment of symptomatic bradycardia is contraindicated for a client with which of the following conditions? A) Urinary incontinence B) Glaucoma C) Increased intracranial pressure D) Right sided heart failure Review Information: The correct answer is B: Glaucoma Atropine is contraindicated in clients with angleclosure glaucoma because it can cause pupillary dilation with an increase in aqueous humor. While it has many systemic effects. it is used in the client with pregnancy induced Collected by :DeepaRajesh [ 164 ] rajesh. Key.T. Deglin.A.D.H. J. B. C. Philadelphia: Saunders. The nurse instructs the client to discontinue the medication and contact the provider if which of the following symptoms occur? A) Infection of the gums B) Diarrhea for more than one day C) Numbness in the lower extremities D) Ringing in the ears Review Information: The correct answer is D: Ringing in the ears Aspirin stimulates the central nervous system which may result in ringing in the ears. and Vallerand. and Vallerand.ks21@gmail. J.A. Question28 A pregnant woman is hospitalized for treatment of pregnancy induced hypertension (PIH) in the third trimester. New Jersey: Pearson Prentice Hall. Nurse’s drug guide. Philadelphia: F. A. (2001). along with the reduction of ST segment elevation. The nurse understands that this medication is used mainly for what purpose? A) Maintain normal blood pressure B) Prevent convulsive seizures C) Decrease the respiratory rate D) Increase uterine blood flow Review Information: The correct answer is B: Prevent convulsive seizures Magnesium sulfate is a central nervous system depressant. and Stang.D.L. (7th edition). The nurse is teaching a child and the family about the medication phenytoin (Dilantin) prescribed for seizure control. Good oral hygiene and regular visits to the dentist should be emphasized. Davis’ drug guide for nurses. She is receiving magnesium sulfate intravenously.A.. leading to a resultant increase in optic pressure.H. Upper Saddle River. Question25 A nurse is caring for a client who is receiving methyldopa hydrochloride (Aldomet) intravenously. A. Question26 Question24 The provider has ordered daily high doses of aspirin for a client with rheumatoid arthritis. (2004). Philadelphia: F.com Kuwait . Davis’ drug guide for nurses.Return of ST segment to baseline on ECG Improved perfusion should result from this medication. Shannon.. Wilson.R. and Hayes. Which of the following side effects is most likely to occur? A) Vertigo B) Drowsiness C) Gingival hyperplasia D) Vomiting Review Information: The correct answer is C: Gingival hyperplasia Swollen and tender gums occur often with use of phenytoin. These symptoms should be reported promptly.

bination? Which of the following over-the-counter medica. These drugs should be taken first so that other medications can reach the lungs. Solve for X by cross-multiplying: 30 x 1. Question33 A client is receiving erythromycin 500mg IV eveQuestion30 ry 6 hours to treat a pneumonia. 30. In order to administer 30 mg per hour.000 = 500 X.ks21@gmail.000 ml bag of D5W containing 500 mg of aminophylline. Which medication should be administered first? A) Steroid B) Anticholinergic C) Mast cell stabilizer D) Beta agonist Review Information: The correct answer is D: Beta agonist The beta-agonist drugs help to relieve bronchospasm by relaxing the smooth muscle of the airway. What should the The nurse is teaching a group of women in a com. it is important medication? for the nurse to assess which parameter? A) Blurred vision A) Temperature B) Nausea and vomiting B) Blood pressure C) Severe headache C) Vision D) Insomnia D) Bowel sounds Review Information: The correct answer is B: Blood pressure Diltiazem (Cardizem) is a calcium channel blocker that causes systemic vasodilation resulting in decreased blood pressure.000 = 500 x X (or cancel). Prior to administration. X = 30. The pharmacy sends a 1. the RN will set the infusion rate at: A) 20 ml per hour B) 30 ml per hour C) 50 ml per hour D) 60 ml per hour Review Information: The correct answer is D: 60 ml per hour Using the ratio method to calculate infusion rate: mg to be given (30) : ml to be infused (X) :: mg available (500) : ml of solution (1.com Kuwait . Question32 Question34 Question31 The nurse is instructing a client with moderate persistent asthma on the proper method for using MDIs (multi-dose inhalers). Which of the The nurse is administering diltiazem (Cardizem) following is the most common side effect of the to a client. X = Collected by :DeepaRajesh [ 165 ] rajesh. A post-operative client has a prescription for Question29 acetaminophen with codeine.nurse recognizes as a primary effect of this community clinic about prevention of osteoporosis.hypertension (PIH) to prevent seizures.A) Enhanced pain relief tions should the nurse recognize as having the B) Minimized side effects most elemental calcium per tablet? C) Prevention of drug tolerance A) Calcium chloride D) Increased onset of action B) Calcium citrate C) Calcium gluconate D) Calcium carbonate Review Information: The correct answer is A: Enhanced pain relief Combination of analgesics with different mechaReview Information: The correct answer is D: nisms of action can afford greater pain relief. Review Information: The correct answer is B: Nausea and vomiting Nausea is a common side-effect of erythromycin in both oral and intravenous forms. Calcium carbonate Calcium carbonate contains 400mg of elemental calcium in 1 gram of calcium carbonate.000/500.000). The health care provider orders an IV aminophylline infusion at 30 mg/hr.

may rise in the second stage (1-3 days) after a significant overdose.60ml per hour.» C) «Sometimes I take the pills in the morning tion by the nurse? A) Sedimentation rate and other times at night. Review Information: The correct answer is C: Bilirubin Bilirubin.» B) «My mother makes me take my medicine right room several hours after acetaminophen poisoning.com Kuwait Question40 . The nurse would suggest a spacer to A) enhance the administration of the medication B) increase client compliance C) improve aerosol delivery in clients who are not able to coordinate the MDI D) prevent exacerbation of COPD Review Information: The correct answer is C: improve aerosol delivery in clients who are not able to coordinate the MDI Spacers improve the medication delivery in clients who are unable to coordinate the movements of administering a dose with an MDI. a metabolite green Collected by :DeepaRajesh [ 166 ] rajesh.» D) «I am feeling much better than I did last B) Profile 2 C) Bilirubin week. Clients with sickle cell disdays of treatment for a documented strep throat. Which laboratory result should receive attenafter school. Which assessment is critical for the nurse to make before initiating therapy A) Vital signs B) Weight C) Lung sounds D) Skin turgor Review Information: The correct answer is B: Weight Check the client>>s weight because dosage is calculated on the basis of weight. A prolonged prothrombin time may also be found. and generalized seizures when it accumulates Question35 The nurse is assessing a 7 year-old after several with repetitive dosing. myoclonus.ks21@gmail. is a central nervous system stimulant that produces anxiety. along with liver enzymes ALT and AST. Review Information: The correct answer is A: Which of the following interventions should be included in the teaching? Demerol Meperidine is not recommended in clients with A) Stop the medication if the stools become tarry sickle cell disease. Question36 The nurse is caring for a 10 year-old client who will be placed on heparin therapy. further teaching is needed? A) «Sometimes I take my medicine with fruit Question38 A 5 year-old has been rushed to the emergency juice. of meperidine. indicating cellular necrosis and liver dysfunction. Normeperidine. which one of the following medication orders for pain control should be questioned by the nurse? A) Demerol B) Morphine C) Methadone D) Codeine The nurse is teaching a parent how to administer oral iron supplements to a 2 year-old child. Question37 In providing care for a client with pain from a sickle cell crisis. tremors.» D) Neutrophils Review Information: The correct answer is C: «Sometimes I take the pills in the morning and other times at night. ease are particularly at risk for normeperidineWhich of the following statements suggests that induced seizures.» Inconsistency in taking the prescribed medication indicates more teaching is needed. Question39 An elderly client is on an anticholinergic metered dose inhaler (MDI) for chronic obstructive pulmonary disease.

nursing review Review Information: The correct answer is B: a decreased sensation of thirst The elderly have a reduction in thirst sensation causing them to consume less fluid.» B) «Sexual functioning will not be impaired at all. Which of the following should the nurse emphasize? A) Scheduling follow-up blood cultures B) Completing the full course of medications C) Visiting the provider in a few weeks D) Monitoring for signs of recurrent infection Review Information: The correct answer is B: Completing the full course of medications In order for antibiotic therapy to be effective in eradicating an infection. To improve bowel function.ks21@gmail. inability to drink fluids independently and lack of motivation.» C) «Erections will be possible. Other risk factors may include fear of incontinence. erections can be stimulated by stroking the genitalia.» D) «Ejaculation will be normal. the client must compete the entire course of prescribed therapy. A male client is admitted with a spinal cord injury at level C4. Question2 A 72 year-old client is admitted for possible dehydration. The nurse would respond A) «Normal sexual function is not possible. When findings subside. The client asks the nurse how the injury is going to affect his sexual function. nclex-rn practice test questions. Question4 An 82 year-old client complains of chronic constipation.» Because they are a reflex reaction.com Kuwait . The nurse knows that older adults are particularly at risk for dehydration because they have A) an increased need for extravascular fluid Question5 B) a decreased sensation of thirst A 4 year-old child is admitted with burns on his C) an increase in diaphoresis legs and lower abdomen. When assessing the D) higher metabolic demands child’s hydration status.» Review Information: The correct answer is C: «Erections will be possible.B) Give the medicine with orange juice and through a straw C) Add the medicine to a bottle of formula D) Administer the iron with your child>s meals Review Information: The correct answer is B: Give the medicine with orange juice and through a straw Absorption of iron is facilitated in an environment rich in Vitamin C. which of the following indicates a less than adequate fluid replacement? Collected by :DeepaRajesh [ 167 ] rajesh. Since liquid iron preparation will stain teeth. Question3 Free NCLEX-RN Sample Test Questions For Nursing Review (Pharmacology Set 1) Question1 A client has an order for antibiotic therapy after hospital treatment of a staph infection. stopping the medication early may lead to recurrence or subsequent drug resistance. the nurse should first suggest A) Increasing fiber intake to 20-30 grams daily B) Daily use of laxatives C) Avoidance of binding foods such as cheese and chocolate D) Monitoring a balance between activity and rest Review Information: The correct answer is A: Increasing fiber intake to 20-30 grams daily The incorporation of high fiber into the diet is an effective way to promote bowel elimination in the elderly. a straw is preferred. 0 comments Labels: free nclex-rn sample review questions.

Which of the following is a D) «This always happens with chemotherapy. ume C) Falling hematocrit and decreasing urine volume Question8 D) Stable hematocrit and increasing urine vol. lethargic and has musty smelling breath.» Question9 B) «You need to have better oral hygiene.A) Decreasing hematocrit and increasing urine The range for a therapeutic APTT is 1.» A client is to receive 3 doses of potassium chloC) «The cells in the mouth are sensitive to the ride 10 mEq in 100cc normal saline to infuse chemotherapy. The latest APTT is 50 seconds.A client is admitted with a diagnosis of nodal ume bigeminy. What is the nurse’s best response? A) «It is a sign that the medication is working.Review Information: The correct answer is D: tive to chemotherapy due to their high rate of cell Urine output turnover. had a paracentesis yesterday has become more C) giving protamine sulfate as an antidote. A critiD) repeating the blood test 1 hour after giving cal assessment for increasing encephalopathy heparin. a finding consistent with dehydration. If the laboratory normal range is 16-24 seconds. is A) monitor the client>s clotting status B) assess upper abdomen for bruits Review Information: The correct answer is A: C) assess for flap-like tremors of the hands maintaining the current heparin dose D) measure abdominal girth changes Collected by :DeepaRajesh [ 168 ] rajesh. He asks the nurse why this happened. Potassium chloride should only be administered after adequate urine output (>20cc/hour for 2 consecutive hours) has been established. you would anticipate Question10 A) maintaining the current heparin dose The unlicensed assistive personnel (UAP) reB) increasing the heparin as it does not appear ports to the nurse that a client with cirrhosis who therapeutic. The nurse knows that the atrioventricular (AV) node has an intrinsic rate of A) 60-100 beats/minute Review Information: The correct answer is B: B) 10-30 beats/minute Rising hematocrit and decreasing urine volume C) 40-70 beats/minute A rising hematocrit indicates a decreased total D) 20-50 beats/minute blood volume.» over 30 minutes each. bosis who is on Heparin IV.» priority assessment to perform before giving this medication? A) Oral fluid intake B) Bowel sounds C) Grip strength Review Information: The correct answer is D) Urine output C: «The cells in the mouth are sensitive to the chemotherapy. Therefore the client is receiving a B) Rising hematocrit and decreasing urine vol.5-2 times volume the control. sores in his mouth. Review Information: The correct answer is C: 40-70 beats/minute The intrinsic rate of the AV node is within the Question6 A client receiving chemotherapy has developed range of 40-70 beats per minute.therapeutic dose of Heparin.ks21@gmail.» The epithelial cells in the mouth are very sensi.com Kuwait .neys can result in hyperkalemia. Impaired ability to excrete potassium via the kidQuestion7 You are caring for a client with deep vein throm.

This action will minimize complications. The other reactions are considered normal and the client should be informed that they may occur. After the contrast material is injected. which of the following client reactions should be reported immediately? A) Feeling warm B) Face flushing C) Salty taste D) Hives Review Information: The correct answer is D: Hives This is a sign of anaphylaxis and should be reported immediately. the elderly clients tolerate diets that are A) high protein B) high carbohydrates C) low fat Review Information: The correct answer is A: metabolic acidosis These lab values indicate metabolic acidosis: the PH is low. and HCO3 19. How should the nurse instruct the client to breathe in the medication? A) As quickly as possible B) As slowly as possible C) Deeply for 3-4 seconds D) Until hearing whistling by the spacer Review Information: The correct answer is C: Deeply for 3-4 seconds The client should be instructed to breath in the medication for 3-4 seconds in order to receive the correct dosage of medication. PO2 58. PCO2 34. The nurse determines that the client is in A) metabolic acidosis B) metabolic alkalosis C) respiratory acidosis D) respiratory alkalosis Question13 The nurse is caring for clients over the age of 70. Which should the nurse do first when the woman arrives? A) administer oxygen by mask at 100% B) start a second IV with an 18 gauge cannula C) check fetal heart rate every 15 minutes D) insert urethral catheter with hourly urine outputs Review Information: The correct answer is A: administer oxygen by mask at 100% Administering oxygen in this situation would increase the circulating oxygen in the mother’s circulation to the fetus’s circulation. PCO2 is normal. Question12 A client is prescribed an inhaler.30. and bicarbonate level is low.D) high calories Review Information: The correct answer is C: assess for flap-like tremors of the hands A client with cirrhosis of the liver who develops subtle changes in mental status and has a musty odor to the breath is at risk for developing more advanced signs of encephalopathy. Question14 A woman with a 28 week pregnancy is on the way to the emergency department by ambulance with a tentative diagnosis of abruptio placenta. . Question15 A client in respiratory distress is admitted with arterial blood gas results of: PH 7. Question11 A client is scheduled for an intravenous pyelogram (IVP).ks21@gmail. the diet of the elderly should include a lower quantity and higher quality of food. Question16 Collected by :DeepaRajesh [ 169 ] rajesh.com Kuwait . Review Information: The correct answer is C: low fat Due to age related changes. The nurse knows that due to age-related changes. Fewer carbohydrates and fats are required in their diets.

caffeine. A diet Diabetes low in fat would decrease the symptoms of GERD. Question20 Question18 A client with testicular cancer has had an orchiectomy.com Kuwait . The selection of which foods indicates the woman has learned sources of iron? A) Cereal and dried fruits B) Whole grains and yellow vegetables C) Leafy green vegetables and oranges Collected by :DeepaRajesh [ 170 ] rajesh. the client regarding diet should be to A) avoid all raw fruits and vegetables B) increase intake of milk products Question19 C) decrease intake of fatty foods A client newly diagnosed with Type I Diabetes D) focus on 3 average size meals a day Mellitus asks the purpose of the test measuring glycosylated hemoglobin. alco. What action would the nurse take? A) Call the health care provider B) Administer an antiemetic C) Put the bed in Fowler’s position D) Check the patency of the tube Review Information: The correct answer is D: Check the patency of the tube An indication that the nasogastric tube is obstructed is a client’s complaint of nausea. chocolate. and meperidine (Demerol).A client is diagnosed with gastroesophageal re. Review Information: The correct answer is C: The average blood glucose for the past 2-3 months By testing the portion of the hemoglobin that absorbs glucose. Which principle should the nurse base the response on? A) Testicular cancer has a cure rate of 90% with early diagnosis B) Testicular cancer has a cure rate of 50% with early diagnosis C) Intensive chemotherapy is the treatment of choice D) Testicular cancer is usually fatal Review Information: The correct answer is A: Testicular cancer has a cure rate of 90% with early diagnosis A client is admitted for a possible pacemaker insertion. months D) The client>s risk for cardiac complications Question17 After surgery. a client with a nasogastric tube complains of nausea.C) The average blood glucose for the past 2-3 hol. Question21 The nurse discusses nutrition with a pregnant woman who is iron deficient and follows a vegetarian diet. it is possible to determine the average blood glucose over the life span of the red cell. B) The oxygen carrying capacity of the client>s Other agents which should also be decreased or red cells avoided are: cigarette smoking. The nurse should explain that the purpose of this test is to deterReview Information: The correct answer is C: mine: decrease intake of fatty foods A) The presence of anemia often associated with GERD may be aggravated by a fatty diet.ks21@gmail. Prior to discharge the client expresses his fears related to his prognosis.With aggressive treatment and early detection/ flux disease (GERD). The nurse>s instruction to diagnosis the cure rate is 90%. 120 days. Nasogastric tubes may become obstructed with mucus or sediment. What is the intrinsic rate of the heart>s own pacemaker? A) 30-50 beats/minute B) 60-100 beats/minute C) 20-60 beats/minute D) 90-100 beats/minute Review Information: The correct answer is B: 60-100 beats/minute This is the intrinsic rate of the SA node.

Can we talk about it?» A) Call the health care provider This response indicates acknowledgment of the B) Put the client in Fowler’s position client’s rights and the opportunity for the client C) Lower the oxygen rate to clarify and ventilate concerns. You seem anxious. the client becomes anxious and states he does Review Information: The correct answer is D: not wish to go through with electroconvulsive PT/PTT therapy. and hematocrit B) «You’ll be asleep and won’t remember anybefore beginning therapy. thing.» with COPD. Potassium iodide solution. Which response by the nurse is most TPA is a potent thrombolytic enzyme.D) Fish and dairy products recognize as the purpose of this medication? A) Reduce vascularity of the thyroid B) Correct chronic hyperthyroidism Review Information: The correct answer is A: C) Destroy the thyroid gland function Cereal and dried fruits D) Balance enzymes and electrolytes Both of these foods would be a good source of iron. Can we talk about it?» D) «I’ll call the health care provider to notify them Question23 The nurse enters the room of a client diagnosed of your decision. Review Information: The correct answer is A: Prior to administering Alteplase (TPA) to a client Reduce vascularity of the thyroid admitted for a cerebral vascular accident (CVA). or Lugol>>s solution may be used preoperatively to reduce the size it is critical that the nurse assess: and vascularity of the thyroid gland. APTT. You the nurse’s first action? seem anxious. What should be Review Information: The correct answer is C: «You have the right to change your mind. Therefore the first action A) Clinical specialty certification in the associshould be to lower the oxygen rate. the provider should be notified. Review Information: The correct answer is C: Lower the oxygen rate In client’s diagnosed with COPD. and respirations are 8 per minute. the drive to Question26 breathe is hypoxia.ing the treatment.in a court of law? rations will decrease. The client’s oxygen is running at 6 liters per minute. if the D) Take the vital signs client continues to refuse. ated area of practice B) Documentation on the specific client record with a focus on the nursing process C) Yearly evaluations and proficiency reports Question24 The client with goiter is treated with potassium prepared by nurse’s manager iodide preoperatively.use which of these factors for the best protection nated and the client’s depth and rate of respi. A) Neuro signs B) Mental status C) Blood pressure D) PT/PTT Question25 One hour before the first treatment is scheduled. PTT. If oxygen is delivered at too A nurse who has been named in a lawsuit can high of a concentration.com Kuwait .» cluding PT. After this.ks21@gmail. The client’s skin is pink. platelets.» C) «You have the right to change your mind. this drive will be elimi. it is A) «I’ll go with you and will be there with you durmost essential to evaluate clotting studies in. Because appropriate? bleeding is the most common side effect. What should the nurse D) Verification of provider>s orders for the plan Question22 Collected by :DeepaRajesh [ 171 ] rajesh.

How long should the nurse start low. In addition to taking the prescribed non-steroidal anti-inflammatory drug (NSAID). the nurse’s response to a change in the client’s condition. hyper. Question27 The nurse is caring for clients over the age of 70.ks21@gmail. specific actions taken.C) 8 minutes tive metabolism of drugs may decrease. Avoid the use of salt substitutes Captopril can cause an accumulation of potassium or hyperkalemia. Review Information: The correct answer is B: 5 minutes Question28 It is necessary to apply pressure to the area for You are caring for a hypertensive client with a 5 minutes to prevent bleeding and the formation new order for captopril (Capoten).B) 5 minutes thermia. the nurse should instruct the client to A) start a regular exercise program B) rest the knees as much as possible to decrease inflammation C) avoid foods high in citric acid D) keep the legs elevated when sitting Review Information: The correct answer is A: start a regular exercise program A regular exercise program is beneficial in treating osteoarthritis. It can restore self-esteem and improve physical functioning. as A) 3 minutes well as conditions such as dehydration.of hematomas.of care with identification of outcomes Review Information: The correct answer is B: Documentation on the specific client record with a focus on the nursing process Documentation is the key to protect nurses when a lawsuit is filed. intervention. analysis. it should include pertinent data such as times. and what was prescribed along with the client’s outcomes. immobility and liver disease.com Kuwait Question30 . assessment data. Which infor. mation should the nurse include in client teaching? A) Avoid green leafy vegetables Question31 B) Restrict fluids to 1000cc/day Which of these clients should the charge nurse C) Avoid the use of salt substitutes assign to the registered nurse (RN)? D) Take the medication with meals A) A 56 year-old with atrial fibrillation receiving digoxin B) A 60 year-old client with COPD on oxygen at Review Information: The correct answer is C: 2 L/min Collected by :DeepaRajesh [ 172 ] rajesh. which are generally potassium-based. Clients should avoid the use of salt substitutes. go slow B) avoid stopping a medication entirely C) avoid drugs with side effects that impact cognition D) review the drug regimen yearly An arterial blood gases test (ABG) is ordered for a confused client. the effec. evaluation. Question29 A client has bilateral knee pain from osteoarthritis. go slow apply pressure to the area? Due to physiological changes in the elderly. As a D) 10 minutes result. The respiratory therapist draws the blood and then asks the nurse to apply pressure to the area so the therapist can take the Review Information: The correct answer is A: specimen to the lab. it is best to A) start low. The thorough documentation should include all steps of the nursing process – assessment. In addition. if and when the notification occurred to the provider or other health care team members. The nurse is aware that when giving medications to older clients. dosages and sites of actions. drugs can accumulate to toxic levels and cause serious adverse reactions. plan.

The client has a history of mitral valve regurgitation and mitral stenosis since her teenage years. ately report which of these findings? A) Rapid breathing B) Slow.com Kuwait .the oxygen concentration in the damaged myoormin). C) Serum calcium Antacids such as Amphojel are commonly used D) Serum albumin to accomplish this. Anoxia of the myocardium occurs in myocardial infarction. later.C) A 24 year-old post-op client with type 1 diabetes in the process of discharge D) An 80 year-old client recovering 24 hours post right hip replacement Question34 Review Information: The correct answer is C: A 24 year-old post-op client with type 1 diabetes in the process of discharge Discharge teaching must be done by an RN. Oxygen administration will help relieve dyspnea and cyanosis associated with the condition but the major purpose is to increase Question32 A hypertensive client is started on atenolol (Ten. Review Information: The correct answer is D: Serum albumin Serum albumin is a valuable indicator of protein deficiency and.cardial tissue. bounding pulse Question35 C) Jaundiced sclera The nurse is teaching a client with chronic reD) Weight gain nal failure (CRF) about medications. a client diagnosed with an acute myocardial infarction is ordered oxygen. B) It will reduce serum calcium C) Amphojel increases urine output D) The drug is taken to control gastric acid secretion Question33 An 80 year-old client is admitted with a diagnosis of malnutrition. Practical nurses (PNs) or unlicensed assistive Review Information: The correct answer is D: personnel (UAPs) can reinforce education after increase oxygen level in the myocardium the RN does the initial teaching.0-5. nutritional status in adults. Upon admission to an intensive care unit. During the admission assessment. In addition to physical assessments. which of the following lab tests should be Review Information: The correct answer is A: It decreases serum phosphate closely monitored? Aluminum binds phosphates that tend to accuA) Urine protein mulate in the patient with chronic renal failure B) Urine creatinine due to decreased filtration capacity of the kidney. The nurse instructs the client to immedi.ks21@gmail.0 g/dl. The nurse knows that the major reason that oxygen is administered in this situation is to A) saturate the red blood cells B) relieve dyspnea C) decrease cyanosis D) increase oxygen level in the myocardium Question36 A 66 year-old client is admitted for mitral valve replacement surgery. What is Review Information: The correct answer is B: the best explanation for the nurse to give the cliSlow. bounding pulse ent about the therapeutic effects of this medicaAtenolol (Tenormin) is a beta-blocker that can tion? cause side effects including bradycardia and hy. The client questions the purpose of aluminum hydroxide (Amphojel) in her medication regimen.A) It decreases serum phosphate potension. . the nurse should ask the client if as a child she had Collected by :DeepaRajesh [ 173 ] rajesh. A normal reading for an elder’s serum albumin is between 3.

A) measles B) rheumatic fever C) hay fever D) encephalitis Review Information: The correct answer is D: intake of at least 3000cc/day Fluid intake should be increased to prevent precipitation of urate in the kidneys. which intervention should be included? A) high protein diet B) salicylates C) hot compresses to affected joints D) intake of at least 3000cc/day Labels: free nclex-rn sample review questions. nursing review Free NCLEX-RN Sample Test Questions For Nursing Review (Part 5) Question1 A client complains of some discomfort after a below the knee amputation.ks21@gmail. The other assessments are not of concern. Question39 Question37 During nursing rounds which of these assessments would require immediate corrective action and further instruction to the practical nurse (PN) about proper care? A) The weights of the skin traction of a client are hanging about 2 inches from the floor B) A client with a hip prosthesis 1 day post operatively is lying in bed with internal rotation and adduction of the affected leg C) The nurse observes that the PN moves the extremity of a client with an external fixation device by picking up the frame D) A client with skeletal traction states «The other nurse said that the clear. therefore monitoring for occult blood would be appropriate. yellow and crusty drainage around the pin site is a good sign» Review Information: The correct answer is B: A client with a hip prosthesis 1 day post operatively is lying in bed with internal rotation and adduction of the affected leg This position should be prevented in order to prevent dislodgment of the hip prosthesis.com Kuwait . Which of the following would be an appropriate intervention for the nurse? A) Assess the pulse rate q 4 hours B) Monitor her level of consciousness q shift C) Test her stools for occult blood D) Discuss fiber in the diet to prevent constipation Review Information: The correct answer is C: Test her stools for occult blood Both Prednisone and ASA can lead to GI bleeding. The nurse knows that an orchiectomy is the A) surgical removal of the entire scrotum B) surgical removal of a testicle C) dissection of related lymph nodes D) partial surgical removal of the penis Review Information: The correct answer is B: surgical removal of a testicle The affected testicle is surgically removed along with its tunica and spermatic cord. especially in the first 48 to 72 hours post-op. Review Information: The correct answer is B: rheumatic fever Clients that present with mitral stenosis often have a history of rheumatic fever or bacterial endocarditis. A 55 year-old woman is taking Prednisone and aspirin (ASA) as part of her treatment for rheumatoid arthritis. Question40 A client with testicular cancer is scheduled for a right orchiectomy. nclex-rn practice test questions. When the nurse develops a plan of care. 0 comments Question38 A client diagnosed with gouty arthritis is admitted with severe pain and edema in the right foot. Which action by the nurse is most appropriate initially? Collected by :DeepaRajesh [ 174 ] rajesh.

In the event that this restricted movement could cause more harm. While touching with cold hands can startle the infant it does not pose a safety risk.com Kuwait . Without this measure.A) Conduct guided imagery or distraction B) Days 10-13 B) Ensure that the stump is elevated the first day C) Days 14-16 post-op D) Days 17-19 C) Wrap the stump snugly in an elastic bandage D) Administer opioid narcotics as ordered Review Information: The correct answer is D: Days 17-19 Review Information: The correct answer is B: Ovulation occurs 14 days prior to menses. Safety protective B) Monitor the neonate’s temperature devices (restraints) have been ordered for this C) Warm all medications and liquids before giving client. such as aspiration. ConEnsure that the stump is elevated the first day sidering that the woman>>s cycle is 32 days. Warming medications and fluids is not indicated. Review Information: The correct answer is B: Monitor the neonate’s temperature When using a warming device the neonate’s temperature should be continuously monitored for undesired elevations. Restraints are used to protect the client from harm caused by removing tubes or getting out of bed. but is confused. These are to be provided by the facility in the event the family cannot do so. Question5 Question3 A couple trying to conceive asks the nurse when ovulation occurs. The woman reports a regular 32 day cycle. caused by pooling of blood. Cough suppressants should be avoided for this client. How can the nurse prevent aspiration? A) Suction the client frequently while restrained D) Avoid touching the neonate with cold hands B) Secure all 4 restraints to 1 side of bed C) Obtain a sitter for the client while restrained D) Request an order for a cough suppressant Review Information: The correct answer is C: Obtain a sitter for the client while restrained The plan to use safety devices (restraints) should be rethought. a firm elastic bandage. or guided imagery will Question4 have little effect. This client needs to cough and be watched rather than restricted.ks21@gmail. perature above 98 degrees Fahrenheit and has been placed in an incubator. Opioid narcotics are given for A newborn is having difficulty maintaining a temsevere pain. Suctioning will not prevent aspiration in this situation. opioid narcotics. The use of heat lamps is not safe as there is no way to regulate their temperature. thus minimizing the pain.lamp ductive cough. then a sitter should be requested. post-op subtracting 14 from 32 suggests ovulation is at This priority intervention prevents pressure about the 18th day. Which action is a nursing priority? A) Protect the eyes of the neonate from the heat Question2 A 78 year-old client with pneumonia has a pro. Which response by the nurse is correct? A) Days 7-10 Which oxygen delivery system would the nurse apply that would provide the highest concentrations of oxygen to the client? A) Venturi mask B) Partial rebreather mask C) Non-rebreather mask D) Simple face mask Collected by :DeepaRajesh [ 175 ] rajesh.

the nurse ob. Contact precautions are Collected by :DeepaRajesh [ 176 ] rajesh.C) 45 year-old with pneumonia stain on the cast. The bleeding does not appear to be excessive and some bleeding is expected with this type of surgery. The bleeding should also be documented in the nurse’s notes.» C) «Here are my up and down glucose readings that I wrote on my calendar. Clients who do not feel pressure and/or pain are at high risk for skin Question9 impairment.com Kuwait Review Information: The correct answer is A: Using a moist soft brush or cloth to clean teeth and gums The nurse should use a soft cloth or soft brush to do mouth care so that the child can adjust to the routine of cleaning the mouth and teeth.» B) «Sometimes when I put my shoes on I don>t know where my toes are.ks21@gmail.Review Information: The correct answer is C: Non-rebreather mask The non-rebreather mask has a one-way valve that prevents exhales air from entering the reservoir bag and one or more valves covering the air holes on the face mask itself to prevent inhalation of room air but to allow exhalation of air.» D) «If I bathe more than once a week my skin feels too dry. When a tight seal is achieved around the mask up to 100% of the oxygen is available.» Question8 The nurse is caring for a 1 year-old child who has 6 teeth. skin lesions. In addition to standard precautions. There is a small blood.B) 6 year-old with mononucleosis tion of a femur fracture. a nurse should implement contact precautions for which client? Question7 A) 60 year-old with herpes simplex A client returns from surgery after an open reduc. Four hours later. What is the best action for the nurse to take? A) Call the health care provider B) Access the site by cutting a window in the cast Review Information: The correct answer is A: C) Simply record the findings in the nurse>s 60 year-old with herpes simplex notes only Clients who have herpes simplex infections must D) Outline the spot with a pencil and note the have contact precautions in addition to standard time and date on the cast precautions because of the associated. What is the best way for the nurse to give mouth care to this child? A) Using a moist soft brush or cloth to clean teeth and gums B) Swabbing teeth and gums with flavored mouthwash C) Offering a bottle of water for the child to drink D) Brushing with toothpaste and flossing each tooth Review Information: The correct answer is B: «Sometimes when I put my shoes on I don>>t know where my toes are. Question6 At a senior citizens meeting a nurse talks with a client who has Type 1 diabetes mellitus. potentially weeping.» Peripheral neuropathy can lead to lack of sensation in the lower extremities. Which statement by the client during the conversation is most predictive of a potential for impaired skin integrity? A) «I give my insulin to myself in my thighs.D) 3 year-old with scarlet fever serves that the stain has doubled in size. . Review Information: The correct answer is D: Outline the spot with a pencil and note the time and date on the cast This is a good way to assess the amount of bleeding over a period of time.

ter or feedings are given to help with the excretion of the bilirubin in the stool. Question12 The nurse is at the community center speaking with retired people about glaucoma.» the client. Which of the following C) Provide water feedings at least every 2 hours D) Protect the eyes of neonate from the photomust be reported immediately? therapy lights A) Irritability B) Slight edema at site C) Local tenderness Review Information: The correct answer is C: D) Seizure activity Provide water feedings at least every 2 hours Protecting the eyes of the neonates is very important to prevent damage when under the ultraviolet lights. It is recommended that the neonate remain under the Seizure activity Other reactions that should be reported include lights for extended periods. After 12-24 Question13 hours of leaking fluid. During the procedure. but a heater may not be necessary.» produce sepsis in the neonate? A) Maternal diabetes B) Prolonged rupture of membranes C) Cesarean delivery Review Information: The correct answer is D: D) Precipitous vaginal birth «I take extra fiber and drink lots of water to avoid getting constipated.exposed to the light and the temperature is monigrees Fahrenheit following DPT immunization. This negative outcome could have avoided by Collected by :DeepaRajesh [ 177 ] rajesh.B) «I take half of the usual dose for my sinuses isms that are transmitted by direct contact with to maintain my blood pressure.A newborn has hyperbilirubinemia and is unduce the risk to mother and the fetus/newborn.» D) «I take extra fiber and drink lots of water to Question10 Which of the following situations is most likely to avoid getting constipated.com Kuwait . reddened areas.ks21@gmail. the client coughs and displaces the tracheostomy tube. Prolonged rupture of membranes Premature rupture of the membranes (PROM) is a leading cause of newborn sepsis. swollen. The neonate’s skin is crying for >3 hours. including hand or skin-to-skin contact.8 de. Which comment by one of the retirees would the nurse support to reinforce correct information? A) «I usually avoid driving at night since lights sometimes seem to make things blur. dergoing phototherapy with a fiberoptic blanket.» Question14 A nurse is performing the routine daily cleaning of a tracheostomy. extra Review Information: The correct answer is D: protection of the eyes is unnecessary. Frequent waand tender. Such activities Review Information: The correct answer is B: would increase intraocular pressure. temperature over 104. but since the blanket is used. measures are taken to re. . Which safety measure is most important during this process? A) Regulate the neonate’s temperature using a radiant heater B) Withhold feedings while under the phototherQuestion11 The nurse is teaching a parent about side effects apy of routine immunizations. There is no reason to withhold feedings.» Any activity that involves straining should be avoided in clients with glaucoma. C) «I have to sit at the side of the pool with the grandchildren since I can>t swim with this eye problem. tored.used for clients who are infected by microorgan.

the first priority would be to provide a safe environment. supine position The nurse is teaching home care to the parents of a child with acute spasmodic croup. Adequate systemic hydration aids is mucociliary clearance and keeps secretions thin. the client should not be disturbed. The obturator is useful to keep the airway open only after the tracheostomy outer tube is coughed out. Since the seizure has already started. If the client is awake. Moisture soothes inflamed membranes. Changing the position may not prevent a dislodged tracheostomy.ks21@gmail. and providing emotional support. nothing should be forced into the child>>s mouth and the child should not be moved. topics of a general nature are better choices for discussion than topics that result in emotional or physiological stimulation. To minimize the risk of rebleeding. maintaining airway patency. Review Information: The correct answer is C: humidified air and increased oral fluids The most important aspects of home care for a child with acute spasmodic croup are humidified air and increased oral fluids. Question18 Question16 A client who is 12 hour post-op becomes confused and says: “Giant sharks are swimming across the ceiling. which one should the nurse do first? A) Place the child in the nearest bed B) Administer IV medication to slow down the seizure C) Place a padded tongue blade in the child>s mouth D) Remove the child>s toys from the immediate area The nurse is assigned to care for a client who has a leaking intracranial aneurysm. Of the choices given. white. ensuring safety.A) placing an obturator at the client’s bedside B) having another nurse assist with the procedure C) fastening clean tracheostomy ties before removing old ties D) placing the client in a flat. watery. Question15 Question17 A 4 year-old hospitalized child begins to have a seizure while playing with hard plastic toys in the hallway. and easily removed with minimal coughing. When family visit. Of the following nursing actions.” Which assessment is necessary to adequately identify the source of this client>s behavior? Collected by :DeepaRajesh [ 178 ] rajesh. Review Information: The correct answer is A: restrict visitors to immediate family Maintaining a quiet environment will assist in minimizing cerebral rebleeding.com Kuwait . The most important aspects of this care is/are A) sedation as needed to prevent exhaustion B) antibiotic therapy for 10 to 14 days C) humidified air and increased oral fluids D) antihistamines to decrease allergic response Review Information: The correct answer is C: fastening clean tracheostomy ties before removing old ties Fastening clean tracheostomy ties before removing old ones will ensure that the tracheostomy is secured during the entire cleaning procedure. administering medications. A second nurse is not needed. the nurse should plan to A) restrict visitors to immediate family B) avoid arousal of the client except for family visits C) keep client>s hips flexed at no less than 90 degrees D) apply a warming blanket for temperatures of 98 degrees Fahrenheit or less Review Information: The correct answer is D: Remove the child>>s toys from the immediate area Nursing care for a child having a seizure includes.

A chief advantage of this management strategy is that it: A) considers client and staff needs B) conserves time spent on planning C) frees the nurse manager to handle other priorities D) allows requests for special privileges Collected by :DeepaRajesh [ 179 ] rajesh. arterial blood gases would be better. Pulse oximetry would be the initial assessment. disorientation. the first nursing action should be directed toward maintaining oxygenation. temporary confusion.com Kuwait . hallucinations. and loss of consciousness. Such «spells» may indicate runs of ventricular tachycardia or periods of asystole and should be reported immediately. Question22 Review Information: The correct answer is B: Reduced PaO2 Cold stress causes increased risk for respiratory distress.ks21@gmail. Acute respiratory failure is the sudden inability of the respiratory system to maintain adequate gas exchange which may result in hypercapnia and/ or hypoxemia.A) Cardiac rhythm strip B) Pupillary response C) Pulse oximetry D) Peripheral glucose stick Fahrenheit (36 degrees Celsius). delirium. agitation. In this situation. dyspnea. Which finding requires the nurse>s immediate action? A) Periorbital edema B) Dizzy spells C) Lethargy D) Shortness of breath Question19 A newborn delivered at home without a birth attendant is admitted to the hospital for observation. the newborn must be warmed immediately to increase its temperature to at least 97 degrees Decentralized scheduling is used on a nursing unit. While there may be other factors influencing the client>>s behavior. The initial temperature is 95 degrees Fahrenheit (35 degrees Celsius) axillary. The nurse recognizes that cold stress may lead to what complication? A) Lowered BMR B) Reduced PaO2 C) Lethargy D) Metabolic alkalosis Review Information: The correct answer is B: Dizzy spells Cardiac dysrhythmias may cause a transient drop in cardiac output and decreased blood flow to the brain. If available. Clinical findings of hypoxemia include these finding which are listed in order of initial to later findings: restlessness. The baby delivered in such circumstances needs careful monitoring. Question20 Review Information: The correct answer is C: Pulse oximetry A sudden change in mental status in any postop client should trigger a nursing intervention directed toward respiratory evaluation. dizziness. irritability. confusion. Near syncope refers to lightheartedness. Question21 The nurse is caring for a client with a myocardial infarction. Which contraindication should the nurse assess for prior to giving a child immunizations? A) Mild cold symptoms B) Chronic asthma C) Depressed immune system D) Allergy to eggs Review Information: The correct answer is C: Depressed immune system Children who have a depressed immune system related to HIV or chemotherapy should not be given routine immunizations. Once respiratory or oxygenation issues are ruled out then significant changes in glucose would be evaluated.

ks21@gmail.A) Vary the interview style for each candidate to tis. What is appropriate teaching by the nurse to help the woman alleviate these symptoms? Review Information: The correct answer is C: Obtain an interview guide from human resources A) Drink small amounts of liquids frequently for consistency in interviewing each candidate B) Eat the evening meal just before retiring C) Take sodium bicarbonate after each meal An interview guide used for each candidate enables the nurse manager to be more objective in D) Sleep with head propped on several pillows the decision making. The nurse should use resources available in the agency before attempts to develop one from scratch. It is best relieved Question27 by sleeping position. ers can begin teaching their child about injury Collected by :DeepaRajesh [ 180 ] rajesh. the nurse understands that the initial treatment most often includes A) amputation just above the tumor B) surgical excision of the mass C) bone marrow graft in the affected leg D) radiation and chemotherapy Included in teaching the client with tuberculosis taking isoniazid (INH) about follow-up home care. In discussing his care with the parents. Certain personal questions are prohibited. C) Obtain an interview guide from human resources for consistency in interviewing each candidate Question24 D) Ask personal information of each applicant to A woman in her third trimester complains of se. This side effect is age-related and can be de. A new nurse manager is responsible for interviewing applicants for a staff nurse position.learn different techniques tected with regular assessment of liver enzymes.Question25 Review Information: The correct answer is A: considers client and staff needs Decentralized staffing takes into consideration specific client needs and staff interests and abilities. the nurse should emphasize that a laboratory appointment for which of the following lab tests is critical? A) Liver function B) Kidney function C) Blood sugar D) Cardiac enzymes Review Information: The correct answer is D: radiation and chemotherapy The initial treatment of choice for Ewing>>s sarcoma is a combination of radiation and chemotherapy. Sleep with head propped on several pillows Heartburn is a burning sensation caused by regurgitation of gastric contents.com Kuwait Question26 . and HR can identify Review Information: The correct answer is D: these for novice managers. Question23 A 16 year-old boy is admitted for Ewing>s sarcoma of the tibia. eating small meals. and not What is the best way that parents of pre-schooleating before bedtime. Review Information: The correct answer is A: Which interview strategy would be the best apLiver function proach? INH can cause hepatocellular injury and hepati. B) Use simple questions requiring «yes» and which are released into the blood from damaged «no» answers to gain definitive information liver cells.assure he/she can meet job demands vere heartburn.

especially at high doses over time. they are quick to no. the high glucose levels which crossed the placenta to the fetus are suddenly Question31 stopped. however. which of these items should the nurse idenSet good examples themselves tify as related to the client’s greatest risk factors The preschool years are the time for parents to for osteoporosis? begin emphasizing safety principles as well as A) History of menopause at age 50 providing protection. A 70 year-old woman is evaluated in the emergency department for a wrist fracture of unknown causes.ks21@gmail. D) Drinking 2 glasses of red wine each day for the past 30 years Question30 Question28 Review Information: The correct answer is B: Taking high doses of steroids for arthritis for many years The use of steroids.prevention? A) Set good examples themselves B) Protect their child from outside influences C) Make sure their child understands all the safety rules D) Discuss the consequences of not wearing protective devices oliguria Kidneys maintain fluid volume through adjustments in urine volume.The nurse is caring for a 2 year-old who is being lin in anticipation of glucose. as do low bone mass. The newborn continues to secrete insu. Longterm steroid treatment is the most significant risk Review Information: The correct answer is A: factor. Setting a good example B) Taking high doses of steroids for arthritis for themselves is crucial because of the imitative many years behaviors of pre-schoolers.C) Maintaining an inactive lifestyle for the past tice discrepancies between what they see and 10 years what they are told. increases the risk for osteoporosis. During the process of taking client hisReview Information: The correct answer is A: tory. A nurse assessing the newborn of a mother with diabetes understands that hypoglycemia is related to what pathophysiological process? A) Disruption of fetal glucose supply B) Pancreatic insufficiency C) Maternal insulin dependency D) Reduced glycogen reserves Review Information: The correct answer is C: Question32 The parents of a toddler ask the nurse how long Collected by :DeepaRajesh [ 181 ] rajesh. calcium disodium begin. The nurse should be within a day or two. the newborn will adjust insulin production edetate. poor calcium absorption and moderate to high alcohol ingestion. When oral feedings treated with chelation therapy. for lead poisoning. in addition to lead poisonD) neck veins are distended ing in general. Which of the following assessments would the nurse anticipate finding? Review Information: The correct answer is C: A) bounding pulse Nephrotoxicity B) rapid respirations Nephrotoxicity is a common side effect of calciC) oliguria um disodium edetate. Disruption of fetal glucose supply After delivery. The other options also predispose to osteoporosis.com Kuwait . alert for which of the following side effects? A) Neurotoxicity B) Hepatomegaly C) Nephrotoxicity Question29 The nurse is caring for a client with extracellular D) Ototoxicity fluid volume deficit.

perhaps making them easier to suction. the nurse should instill saline in order to A) decrease the client>s discomfort B) reduce viscosity of secretions C) prevent client aspiration D) remove a mucus plug Review Information: The correct answer is D: remove a mucus plug While no longer recommended for routine suctioning. When coming to a conclusion using the Ballard scale.com Kuwait . which of these factors may affect the score? A) Birth weight B) Racial differences C) Fetal distress in labor D) Birth trauma Review Information: The correct answer is C: Fetal distress in labor The effects of earlier distress may alter the findQuestion34 ings of reflex responses as measured on the BalA client with a fractured femur has been in Rus.» C) «Your child must reach a height of 50 inches to sit in a seat belt.» Children should use car seats until they weigh 40 pounds. What is the nurse’s best response to the parents? A) «Your child must use a care seat until he weighs at least 40 pounds.» D) «The child can use a regular seat belt when he can sit still. Review Information: The correct answer is A: «Your child must use a care seat until he weighs at least 40 pounds. The nurse is performing a gestational age assessment on a newborn delivered 2 hours ago. Review Information: The correct answer is D: Which finding requires the nurse’s immediate atCollected by :DeepaRajesh [ 182 ] rajesh.» Perform a neurovascular check for circulation While each of these is an important assessment. Question35 When suctioning a client>s tracheostomy. The response that best explains this approach is that such remedies A) destroy organisms causing disease B) maintain fluid balance C) boost the immune system D) increase bodily energy Question36 Review Information: The correct answer is C: boost the immune system The practitioner treats with minute doses of plant. Which nursing action mate gestational age. B) Inspect the pin site for signs of infection C) Auscultate the lungs for atelectasis D) Perform a neurovascular check for circula. Question33 A client asks the nurse to explain the basic ideas of homeopathic medicine. the neurovascular integrity check is most associated with this type of traction. saline may thin and loosen viscous secretions that are very difficult to move. mineral or animal substances which provide a gentle stimulus to the body>>s own defenses.Question37 tion A nurse is caring for a client who had a closed reduction of a fractured right wrist followed by the application of a fiberglass cast 12 hours ago. Russell’s traction is Buck’s traction with a sling under the knee.their child will have to sit in a car seat while in the automobile.ks21@gmail.lard tool.» B) «The child must be 5 years of age to use a regular seat belt. such as amount of lanugo. is associated with this therapy? sole creases and ear cartilage are unaffected by A) Check the skin on the sacrum for breakdown the other factors. Other physical characteristics that estisell’s traction for 24 hours.

The other findings are normal for a client in this situation. the last time just 3 months ago. which nursing diagnosis is a priority? A) Social isolation B) Ineffective coping C) Altered parenting D) Sexual dysfunction Review Information: The correct answer is C: Collected by :DeepaRajesh [ 183 ] rajesh. Review Information: The correct answer is C: 75 year-old with left sided paresthesia who is incontinent of urine and stool Risk factors for pressure ulcers include: immobility. The nurse is teaching the mother of a 5 monthold about nutrition for her baby.» Honey has been associated with infant botulism and should be avoided.» B) «When he wakes at night for a bottle. 0 comments Labels: free nclex-rn sample review questions.tention? A) Capillary refill of fingers on right hand is 3 seconds B) Skin warm to touch and normally colored C) Client reports prickling sensation in the right hand D) Slight swelling of fingers of right hand Review Information: The correct answer is C: Client reports prickling sensation in the right hand A prickling sensation is an indication of compartment syndrome and requires immediate action by the nurse. decreased immune response. incontinence.» Review Information: The correct answer is C: «I dip his pacifier in honey so he>>ll take it. Question40 Question38 A client is admitted with the diagnosis of pulmonary embolism.com Kuwait Question39 Which client is at highest risk for developing a pressure ulcer? A) 23 year-old in traction for fractured femur B) 72 year-old with peripheral vascular disease. nclex-rn practice test questions. A filter can be placed transvenously to trap clots before they travel to the pulmonary circulation. Which statement by the mother indicates the need for further teaching? A) «I>m going to try feeding my baby some rice cereal. In order to provide continuity of care. This client has the greatest number of risk factors. recurrent PE or those with complications related to the medical therapy may require vena caval interruption by the placement of a filter device in the inferior vena cava. While taking a history. increased age. The nurse would anticipate the provider ordering A) pulmonary embolectomy B) vena caval interruption C) increasing the Coumadin therapy to an INR of 3-4 D) thrombolytic therapy Review Information: The correct answer is B: vena caval interruption Clients with contraindications to Heparin. I feed him.» D) «I keep formula in the refrigerator for 24 hours.ks21@gmail. nursing review Free NCLEX-RN Sample Test Questions For Nursing Review (Part 4) Question1 The clinic nurse is counseling a substance-abusing post partum client on the risks of continued cocaine use. Older children and adults have digestive enzymes that kill the botulism spores. absence of sensation. who is unable to walk without assistance C) 75 year-old with left sided paresthesia who is incontinent of urine and stool D) 30 year-old who is comatose following a ruptured aneurysm . skin moisture. poor nutrition and hydration. decreased LOC.» C) «I dip his pacifier in honey so he>ll take it. the client tells the nurse he was admitted for the same thing twice before.

com Kuwait . Continuing to use drugs has the potential to impact parenting behaviors. the nurse should emphasize which of the following actions? A) Reporting joint stiffness in the morning B) Taking the medication 1 hour before or 2 hours after meals C) Using alcohol in moderation unless driving D) Continuing to take aspirin for short term relief While assessing the vital signs in children. Which action by the nurse should take priority? A) Check that the catheter tip is intact B) Apply a pressure dressing to the site C) Monitor respiratory status D) Assess for mental status changes The nurse is preparing to administer a tube feeding to a postoperative client. this indicates that it is accurately placed in the stomach.D.52. To accurately assess for a gastrostomy tube placement. the nurse should know that the apical heart rate is preferred until the radial pulse can be accurately assessed at about what age? A) 1 year of age B) 2 years of age C) 3 years of age D) 4 years of age Review Information: The correct answer is B: 2 years of age A child should be at least 2 years of age to use the radial pulse to assess heart rate.5 times the control value Review Information: The correct answer is A: auscultate the abdomen while instilling 10 cc of air into the tube If a swoosh of air is heard over the abdominal Review Information: The correct answer is D: Heparin by subcutaneous injection to maintain the PTT at 1. cavity while instilling air into the gastric tube. Question5 Review Information: The correct answer is B: Taking the medication 1 hour before or 2 hours after meals Taking the medication 1 hour before or 2 hours after meals will result in a more rapid effect.Altered parenting The cocaine abusing mother puts her newborn and other children at risk for neglect and abuse.5 times the control value Several studies have been conducted in pregCollected by :DeepaRajesh [ 184 ] rajesh.ks21@gmail. Social service referrals are indicated. Question4 Question2 The nurse is teaching about nonsteroidal antiinflammatory drugs (NSAIDs) to a group of arthritic clients. the priority is to A) auscultate the abdomen while instilling 10 cc of air into the tube B) place the end of the tube in water to check for air bubbles C) retract the tube several inches to check for resistance D) measure the length of tubing from nose to epigastrium Question6 A pregnant client who is at 34 weeks gestation is diagnosed with a pulmonary embolism (PE). To minimize the side effects.I. C) Heparin infusion to maintain the PTT at 1.5 times the control value D) Heparin by subcutaneous injection to maintain the PTT at 1. Question3 A client is receiving Total Parenteral Nutrition (TPN) via a Hickman catheter. Which of these medications would the nurse anticipate the provider ordering? A) Oral Coumadin therapy B) Heparin 5000 units subcutaneously B. The feeding can begin after further assessing the client for bowel sounds. The catheter accidentally becomes dislodged from the site.

and should be given at this time. Question7 The nurse is caring for a client with Hodgkin>s disease who will be receiving radiation therapy. of the following is true in regards to giving immunizations to this child? A) Live vaccines are withheld in children with renal chronic illness B) The MMR vaccine should be given now. Question9 An 18 month-old child is on peritoneal dialysis in preparation for a renal transplant in the near future. the client is most likely to experience A) high fever B) nausea C) face and neck edema D) night sweats Review Information: The correct answer is B: nausea Because the client with Hodgkin>>s disease is usually healthy when therapy begins. prior to the transplant C) An inactivated form of the vaccine can be given at any time D) The risk of vaccine side effects precludes giving the vaccine Review Information: The correct answer is B: The MMR vaccine should be given now. When assess. the A) Explain that the procedure will help him to get nurse notes several physical changes. Which well finding would require the nurse>s immediate at. Which of the following lowing a motor vehicle accident. Review Information: The correct answer is D: Permit handling the equipment before putting the cuff in place The best way to gain the toddler>>s cooperation is to encourage handling the equipment. The nurse is preparing to take a toddler>s blood A client is brought to the emergency room fol. Post-transplant. mumps. the mother indicates that the child has not had the first measles. . prior to the transplant MMR is a live virus vaccine. immunosuppressive drugs will be given and the administration of the live vaccine at that time would be contraindicated because of the compromised immune system. When the nurse obtains the child>s health history. rubella (MMR) immunization. Warfarin (Coumadin) is known to cross the placenta and is therefore reported to be teratogenic. The nurse understands that which Question11 Which statement made by a nurse about the goal of total quality management or continuous quality improvement in a health care setting is correct? A) It is to observe reactive service and product problem solving Collected by :DeepaRajesh [ 185 ] rajesh.actions should the nurse perform first? ing the client one-half hour after admission.com Kuwait . as a result of the radiation therapy.ks21@gmail. The nurse recognizes that. This is a medical emergency.pressure for the first time.B) Show a cartoon character with a blood pressure cuff tention? C) Explain that the blood pressure checks the A) increased restlessness heart pump B) tachycardia D) Permit handling the equipment before putting C) tracheal deviation the cuff in place D) tachypnea Question8 Question10 Review Information: The correct answer is C: tracheal deviation The deviated trachea is a sign that a mediastinal shift has occurred. Detailed explanations are not helpful. the nausea is especially troubling.nant women where oral anticoagulation agents are contraindicated.

Question13 Which approach is a priority for the nurse who works with clients from many different cultures? A) Speak at least 2 other languages of clients in the neighborhood B) Learn about the cultures of clients who are most often encountered C) Have a list of persons for referral when interaction with these clients occur D) Recognize personal attitudes about cultural differences and real or expected biases A client has gastroesophageal reflux. preventive mode is paramount Total quality management and continuous quality improvement have a major goal of identifying ways to do the right thing at the right time in the right way by proactive problem-solving. An upright posture should be maintained for about 2 hours after eating to allow for the stomach emptying. Which recommendation made by the nurse would be most helpful to the client? A) Avoid liquids unless a thickening agent is used B) Sit upright for at least 1 hour after eating C) Maintain a diet of soft foods and cooked vegetables D) Avoid eating 2 hours before going to sleep Review Information: The correct answer is D: Review Information: The correct answer is D: Avoid eating 2 hours before going to sleep Eating before sleeping enhances the regurgitation of stomach contents. Question15 Review Information: The correct answer is C: Succinylcholine (Anectine) Succinylcholine is given intravenously to promote skeletal muscle relaxation. into the esophagus.B) Improvement of the processes in a proactive.ks21@gmail. 25mg/hour. Question14 Question12 A client with chronic obstructive pulmonary disease (COPD) and a history of coronary artery disease is receiving aminophylline. Collected by :DeepaRajesh [ 186 ] rajesh.com Kuwait . Awareness of these will prevent negative consequences for interactions with clients and families across cultures. Options A and C are interventions for clients with swallowing difficulties. . prejudices and biases specific to different cultures. Which one of the following findings by the nurse would require immediate intervention? A) Decreased blood pressure and respirations B) Flushing and headache C) Restlessness and palpitations D) Increased heart rate and blood pressure Which of the following drugs should the nurse anticipate administering to a client before they are to receive electroconvulsive therapy? A) Benzodiazepines B) Chlorpromazine (Thorazine) C) Succinylcholine (Anectine) D) Thiopental sodium (Pentothal Sodium) Review Information: The correct answer is C: Restlessness and palpitations Side effects of Aminophylline include restlessness and palpitations. which have increased acidity. preventive mode is paramount C) A chart audits to finds common errors in practice and outcomes associated with goals D) A flow chart to organize daily tasks is critical to the initial stages Recognize personal attitudes about cultural differences and real or expected biases The nurse must discover personal attitudes. Review Information: The correct answer is B: Improvement of the processes in a proactive.

Question16 A client with a panic disorder has a new prescription for Xanax (alprazolam). and will reduce the risk of another MI or sudden death.» One action of beta-blockers is to decrease systemic vascular resistance by dilating arterioles. Question18 Question20 A 35-year-old client of Puerto Rican-American descent is diagnosed with ovarian cancer.>” The next action for the nurse to take is to A) document the situation in the notes B) report the situation to the health care provider C) talk with the client>s family about the situation D) ask the client to talk about concerns regarding «hot» treatments Review Information: The correct answer is A: Short-term relief can be expected Xanax is a short-acting benzodiazepine useful in controlling panic symptoms quickly. Question19 A 72 year-old client is scheduled to have a cardioversion. herbs. beverages. and other HispanicLatinos.com Kuwait .» Review Information: The correct answer is D: ask the client to talk about concerns regarding «hot» treatments The «hot-cold» system is found among MexicanAmericans. would the nurse suggest that the provider examine first? Collected by :DeepaRajesh [ 187 ] rajesh.» D) «Beta-blockers increase the strength of heart contractions.» B) «A beta-Blocker will prevent orthostatic hypotension. The other medications do not increase ventricular irritability. A nurse reviews the client’s medication administration record. Question17 A client being discharged from the cardiac stepdown unit following a myocardial infarction (MI). all of whom have the findings of a board-like abdomen. A nursing student asks the charge nurse why this drug would be used by a client who is not hypertensive. This is useful for the client with coronary artery disease. In teaching the client about the drug>s actions and side effects. What is an appropriate response by the charge nurse? A) «Most people develop hypertension following an MI.ks21@gmail. The Which of these clients. Most foods. which of the following should the nurse emphasize? A) Short-term relief can be expected B) The medication acts as a stimulant C) Dosage will be increased as tolerated D) Initial side effects often continue client states. “I refuse both radiation and chemotherapy because they are <hot. The nurse should notify the health care provider if the client received which medication during the preceding 24 hours? A) Digoxin (Lanoxin) B) Diltiazem (Cardizem) C) Nitroglycerine ointment D) Metoprolol (Toprol XL) Review Information: The correct answer is C: «This drug will decrease the workload on his heart. Puerto Ricans. is given a prescription for a beta-blocking drug.» C) «This drug will decrease the workload on his heart. which are symbolic designations and do not necessarily indicate temperature or spiciness. Care and treatment regimens can be negotiated with clients within this framework. Review Information: The correct answer is A: Digoxin (Lanoxin) Digoxin increases ventricular irritability and increases the risk of ventricular fibrillation following cardioversion. and medicines are categorized as hot or cold.

«My awful pain in my right side suddenly stopped about 3 hours ago. Popcorn is too difficult to chew at this age and can irritate the airway if swallowed. Review Information: The correct answer is B: Sliced bananas Finger foods should be bite-size pieces of soft food such as bananas. Question24 Question22 A client is prescribed warfarin sodium (Coumadin) to be continued at home. «My awful pain in my right side suddenly stopped about 3 hours ago. Which of the following assessments requires an immediate response from the nurse? A) Decreased breath sounds in right lower lobe B) Aspiration of a residual of 100cc of formula C) Decrease in bowel sounds D) Urine output of 250 cc in past 8 hours Question21 The nurse is teaching parents of a 7 month-old about adding table foods. however given that they fall in younger age groups. they would more likely be able to tolerate an imbalance in circulation. Therefore.» This client has the highest risk for hypovolemic and septic shock since the appendix has most likely ruptured. Which of the following is an appropriate finger food? A) Hot dog pieces B) Sliced bananas C) Whole grapes D) Popcorn Review Information: The correct answer is A: Decreased breath sounds in right lower lobe The most common problem associated with enteral feedings is atelectasis. Question23 The nurse is assessing a comatose client receiving gastric tube feedings. The others are at risk for shock also. Hot dogs and grapes can accidentally be swallowed whole and can occlude the airway. To prevent drug resistance from developing.com Kuwait . Which focus is critical to be included in the nurse’s discharge instruction? A) Maintain a consistent intake of green leafy foods B) Report any nose or gum bleeds C) Take Tylenol for minor pains Collected by :DeepaRajesh [ 188 ] rajesh.ks21@gmail.A) An elderly client who stated. therapy with multiple drugs over a long period of time helps to ensure eradication of the organism. Check for tube placement prior to each feeding or every 4 to 8 hours if the client is receiving continuous feeding. the nurse is aware that which of the following is a characteristic of the typical treatment plan to eliminate the tuberculosis bacilli? A) An anti-inflammatory agent B) High doses of B complex vitamins C) Aminoglycoside antibiotics D) Administering two anti-tuberculosis drugs Review Information: The correct answer is D: Administering two anti-tuberculosis drugs Resistance of the tubercle bacilli often occurs to a single antimicrobial agent. A common complication of falling off a bicycle is hitting the handle bars in the upper abdomen often on the left. Maintain client at 30 degrees of head elevation during feedings and monitor for signs of aspiration.» B) A pregnant woman of 8 weeks newly diagnosed with an ectopic pregnancy C) A middle-aged client admitted with diverticulitis who has taken only clear liquids for the past week D) A teenager with a history of falling off a bicycle without hitting the handle bars Review Information: The correct answer is A: An elderly client who stated. based on the history of the pain suddenly stopping over three hours ago. resulting in a ruptured spleen. Elderly clients have less functional reserve for the body to cope with shock and infection over long periods.

hyperglycemia Review Information: The correct answer is D: Autonomy Individuals must be free to make independent decisions about participation in research without coercion from others. The nurse is planning care for an 8 year-old child. reduced libido D) Photosensitivity. The nurse is talking with the family of an 18 months-old newly diagnosed with retinoblastoReview Information: The correct answer is C: ma. All staff are invited to participate in the study if they wish. hypotension. they should be aware that the risk is high for future offspring. This affirms the ethical principle of A) Anonymity B) Beneficence C) Justice D) Autonomy When teaching a client about the side effects of fluoxetine (Prozac). weight loss. Which of the following should be included in the plan of care? A) Encourage child to engage in activities in the playroom B) Promote independence in activities of daily living Collected by :DeepaRajesh [ 189 ] rajesh. While the parents focus on the C) A change to formula is indicated needs of this child.ks21@gmail. reduced libido is Commonly reported side effects for fluoxetine A) Discuss the need for genetic counseling (Prozac) are diarrhea. weight loss. seizures. weight loss B) Inform them that combined therapy is seldom and reduced libido. Question25 The nurse manager informs the nursing staff at morning report that the clinical nurse specialist will be conducting a research study on staff attitudes toward client care. reactions to tyramine-rich foods C) Diarrhea. effective C) Prepare for the child>s permanent disfigurement Question26 D) Suggest that total blindness may follow surA newborn weighed 7 pounds 2 ounces at birth. What should the nurse tell the parents Review Information: The correct answer is A: Discuss the need for genetic counseling about this weight loss? A) The newborn needs additional assessments The hereditary aspects of this disease are well B) The mother should breast feed more often documented. anorexia B) Orthostatic hypotension.com Kuwait . edema. D) The loss is within normal limits Question28 Question29 Review Information: The correct answer is D: The loss is within normal limits A newborn is expected to lose 5-10% of the birth weight in the first few days post-partum because of changes in elimination and feeding. which of the following will the nurse include? A) Tachycardia blurred vision. gery The nurse assesses the newborn at home 2 days later and finds the weight to be 6 pounds 7 ounces. dry mouth. A priority in communicating with the parents Diarrhea. dry mouth.D) Use a soft toothbrush Question27 Review Information: The correct answer is B: Report any nose or gum bleeds The client should notify the health care provider if blood is noted in stools or urine. or any other signs of bleeding occur. vertigo. dry mouth.

It can be reversed. The results indicate a level of 11%. what teaching should the nurse emphasize? A) Rotation of injection sties B) Insulin mixing and preparation C) Daily blood sugar monitoring D) Regular high protein diet Review Information: The correct answer is A: «What over-the-counter medications do you take?» Over-the-counter medications. . The client should be instructed to immediately report which of these? A) Double vision and visual halos B) Extremity tingling and numbness C) Confusion and lightheadedness D) Sensitivity of sunlight Review Information: The correct answer is B: Extremity tingling and numbness Peripheral neuropathy is the most common side effect of INH and should be reported to the provider. Review Information: The correct answer is A: Encourage child to engage in activities in the playroom According to Erikson.ks21@gmail.com Kuwait .» D) «Describe your family>s cardiovascular history. Which of these questions is priority when assessing a client with hypertension? A) «What over-the-counter medications do you take?» B) «Describe your usual exercise and activity patterns. an insulin-dependent diabetic has his glycosylated hemoglobin checked.C) Talk with the child and allow him to express his opinions D) Provide frequent reassurance and cuddling Review Information: The correct answer is C: Daily blood sugar monitoring Normal hemoglobin A1C (glycosylated hemoglobin) level is 7 to 9%.» Question31 During a routine check-up. Which of the following should be assessed immediately after hearing the report? A) The client with asthma who is now ready for discharge B) The client with a peptic ulcer who has been vomiting all night C) The client with chronic renal failure returning from dialysis D) The client with pancreatitis who was admitted yesterday A client taking isoniazid (INH) for tuberculosis asks the nurse about side effects of the medication. Question34 The nurse is performing an assessment of the Collected by :DeepaRajesh [ 190 ] rajesh. and may be a life threatening situation. especially those that contain cold preparations can increase the blood pressure to the point of hypertension. Question32 Question30 The nurse is assigned to care for 4 clients. vomiting and abdominal distention. Elevation indicates elevated glucose levels over time. Question33 Review Information: The correct answer is B: The client with a peptic ulcer who has been vomiting all night A perforated peptic ulcer could cause nausea. the school age child is in the stage of industry versus inferiority. Based on this result.» C) «Tell me about your usual diet. the nurse should encourage them to carry out tasks and activities in their room or in the playroom. To help them achieve industry. The client should be assessed immediately and findings reported to the provider.

are the most frequent sources of C. difficile infection or pseudomembranous colitis.» B) «He has had an ear infection for the past 2 days. Several antibiotic agents have been associated with C. Fluoroquinolones. It is probable that an EKG and IV insertion were performed in the ER. ceftriaxone. C.» C) «He has been eating more red meat lately.com Kuwait . Question37 Review Information: The correct answer is B: administer morphine sulfate Decreasing the clients pain is the most important priority at this time. Also.ks21@gmail. C. oxacillin). difficile diarrhea? Question35 A) An adolescent taking medications for acne A nurse admits a client transferred from the emer. such as clindamycin. ampicillin. tazobactam) and intravenous agents that achieve substantial colonic intraluminal concentrations (i. difficile.B) An elderly client living in a retirement center gency room (ER). difficile. especially those receiving antibiotic therapy. not eating properly and excessive fluid intake or fluid retention.C) A young adult at home taking a prescribed nal chest pain. difficile causes 15 to 20% of the cases. Question36 The nurse admits a 2 year-old child who has had a seizure.» D) «He seems to be going to the bathroom more frequently.» Contributing factors to seizures in children include those such as age (more common in first 2 years). aminoglycosides. clavulanic acid. sulbactam. Review Information: The correct answer is B: «He has had an ear infection for the past 2 days. amoxicillin.e. is complaining of subster. Which of the following statement by the child>s parent would be important in determining the etiology of the seizure? A) «He has been taking long naps for a week. 5-38% experience antibiotic-associated diarrhea.e. The best technique is A) touching the trapezius muscle or arm firmly B) pinching any body part C) shaking a limb vigorously D) rubbing the sternum Review Information: The correct answer is D: rubbing the sternum The purpose is to assess the non-responsive client’s reaction to a painful stimulus after less noxious methods have been tried.motor function in a client with a head injury. infections (late infancy and early childhood). nafcillin. fatigue. and trimethoprim are seldom associated with C. The first aminoglycoside action by the nurse should be to D) A hospitalized middle aged client receiving A) order an EKG clindamycin B) administer morphine sulfate C) start an IV D) measure vital signs Review Information: The correct answer is D: A hospitalized middle aged client receiving clindamycin Hospitalized patients. Which of these clients would the nurse monitor for the complication of C. Broad-spectrum agents. difficile. diaphoresis and nausea. and cephalosporins. As long as pain is present there is danger in extending the infarcted area.. difficile infection has been caused by the administration of agents containing beta-lactamase inhibitors (i. Morphine will decrease the oxygen demands of the heart and act as a mild diuretic as well.. The client. are primary targets for C. vancomycin. diagnosed with a taking prednisone myocardial infarction. Of clients receiving antibiotics.» Question38 The nurse is performing an assessment on a cliCollected by :DeepaRajesh [ 191 ] rajesh.

nclex-rn practice test questions.5 g/dl.1-3. The nurse is working in a high risk antepartum clinic. A 40 year-old woman in the first trimesQuestion40 ter gives a thorough health history.0. Infant: 40-90 mg/ Review Information: The correct answer is C: dl or 2. Which of the following would the nurse anticipate? A) Additional potassium will be given IV B) Blood for coagulation studies will be drawn C) Total parenteral nutrition (TPN) will be started D) Serum lipase levels will be evaluated mg/dl. beer.) TPN will promote a positive nitrogen balance in this client who is unable to digest and 0 comments absorb nutrients adequately. Critical values are: Infant: Total parenteral nutrition (TPN) will be started <40 mg/dl and in a Newborn: <30 and >300 mg/ The client is not absorbing nutrients adequately dl.ks21@gmail.2-5.3 mmol/L. repeatlevels. Which inforAs a part of a 9 pound full-term newborn>s as. nursing review Question39 During a situation of pain management. Labels: free nclex-rn sample review questions. The client>s total protein level is reported as 4. Neonate: 30-60 mg/dl or 1. the nurse performs a dextro-stick at 1 nurse? hour post birth. which statement is a priority to consider for the ethical guidelines of the nurse? A) The client>s self-report is the most important consideration B) Cultural sensitivity is fundamental to pain management C) Clients have the right to have their pain relieved D) Nurses should not prejudge a client>s pain using their own values Free NCLEX-RN Sample Test Questions For Nursing Review (Part 3) Question1 A client diagnosed with chronic depression is maintained on tranylcypromine (Parnate). cheese. beer. Review Information: The correct answer is A: The client>>s self-report is the most important consideration Pain is a complex phenomenon that is perceived differently by each individual. liver and chocolate B) Wine. What action by the nurse is appropriate at this time? A) Give oral glucose water B) Notify the pediatrician C) Repeat the test in 2 hours D) Check the pulse oximetry reading Review Information: The correct answer is C: Repeat the test in 2 hours This blood sugar is within the normal range for a full-term newborn. apples. Pain is whatever the client says it is. (A normal total serum protein level is 6. sour cream and beef steak Review Information: The correct answer is A: Wine.0 g/dl.3 mmol/L.7-3. An important nursing intervention is to teach the client to avoid which of the following foods? A) Wine. cheese. beef and carrots D) Wine. The serum glucose reading is 45 A) Her father and brother are insulin dependent Collected by :DeepaRajesh [ 192 ] rajesh.ent who is cachectic and has developed an enterocutaneous fistula following surgery to relieve a small bowel obstruction. liver and chocolate These foods are tyramine rich and ingestion of these foods while taking monoamine oxidase inhibitors (MAOIs) can precipitate a life-threatening hypertensive crisis. citrus fruits.0 mmol/L. Because of the increased birth weight which as evidenced by the cachexia and low protein can be associated with diabetes mellitus.com Kuwait Question2 . yogurt and broccoli C) Beer. The other statements are correct but not the most important considerations. cheese.ed blood sugars will be drawn 8. Normal values are: Premature infant: 20-60 mg/dl or 1.mation should receive priority attention by the sessment.

A report by the client that she has taken medications should be followed up immediately. Collected by :DeepaRajesh [ 193 ] rajesh. Question7 Which medication is more helpful in treating bulimia than anorexia? A) Amphetamines B) Sedatives C) Anticholinergics D) Narcotics Review Information: The correct answer is C: Anticholinergics In contrast to anorexics.diabetics B) She has taken 800 mcg of folic acid daily for the past year C) Her husband was treated for tuberculosis as a child D) She reports recent use of over-the counter sinus remedies Review Information: The correct answer is D: She reports recent use of over-the counter sinus remedies Over-the-counter drugs are a possible danger in early pregnancy. individuals with bulimia are troubled by their behavioral characteristics and become depressed. according to family and friends B) The blood alcohol level of the client C) The blood pressure level of the client D) The blood glucose level of the client Review Information: The correct answer is B: The blood alcohol level of the client Blood alcohol levels are generally obtained to determine the level of intoxication. of acute alcohol intoxication. a child’s developmental level must be considered when selecting communication approaches. Which of the following should be given priority consideration? A) Family understanding of client needs B) Financial status C) Location of bathrooms D) Proximity to emergency services Review Information: The correct answer is A: Family understanding of client needs Functional communication patterns between family members are fundamental to meeting the needs of the client and family. Reports of alcohol consumption are notoriously inaccurate. purge and fast. the nurse recognizes that developmental differences have implications for processing and understanding information. it is important for the nurse initially to obtain data regarding which of the following? A) What and how much the client drinks. The amount of alcohol consumed determines how much medication the client needs for detoxification and treatment.com Kuwait Question5 As a general guide for emergency management . Question6 Which clinical finding would the nurse expect to assess first in a newborn with spastic cerebral palsy? A) cognitive impairment B) hypotonic muscular activity C) seizures D) criss-crossing leg movement Review Information: The correct answer is D: criss-crossing leg movement Cerebral palsy is a neuromuscular impairment resulting in muscular and reflexive hypertonicity and the criss-crossing. or scissoring leg movements. Consequently. The person feels compelled to binge. Feeling helpless to stop the behavior. feelings of self-disgust occur. Question3 What must be the priority consideration for nurses when communicating with children? A) Present environment B) Physical condition C) Nonverbal cues D) Developmental level Review Information: The correct answer is D: Developmental level While each of the factors affect communication. Question4 The nurse is assessing a client>s home in preparation for discharge.ks21@gmail.

K 3. Her blood pressure has dropped slightly. That soup seemed very spicy. . indicating nutritional counseling to increase dietary protein is needed.0 – 5.» B) «I will take medication with food.» ratory results during a routine clinic visit. like disorder which of these should the nurse emphaan elephant is sitting on my chest. she com.» size? A) Maintaining a salt restricted diet Collected by :DeepaRajesh [ 194 ] rajesh.2 mEq/l. Breathing into a paper bag will prevent further reduction in PaCO2. Socioeconomic the most immediate action by the nurse? A) «When I take in a deep breath.ks21@gmail.5.0 g/dl pain.0 million/mm3 dosage abruptly because that may produce a fatal adrenal crisis. Turning the woman to the C) Assist the client to breathe into a paper bag side reduces this pressure and relieves postural D) Prepare to administer oxygen by mask hypotension. like an plains of dizziness and nausea and appears elephant is sitting on my chest. Review Information: The correct answer is A: Serum albumin 2. Which should be the vena cava and aorta when a pregnant woman nurse>s first action? is flat on her back causing supine hypotension. The folTurn her to her left side lowing lab data is available: PaO2 95. it stabs like a factors may need to be addressed to help the client comply with the recommendation. Question9 A client has been started on a long term corticosteroid therapy. knife. B) Encourage deep breathing C) Elevate the foot of the bed D) Turn her to her left side Question11 A nurse is caring for a client who has just been Review Information: The correct answer is D: admitted with an overdose of aspirin.» Question13 C) «When I turn in bed to reach the remote for When teaching a client with a new prescription the TV. pH 7.» C) «I will stop taking the medication for 1 week Question12 every month.» C) Serum glucose 90 mg/dl Emphatically warn against discontinuing steroid D) RBC 5. which can result in respiratory alkalosis in the initial stages. my chest hurts.5 g/dl Question10 A male client calls for a nurse because of chest Serum albumin level is low (normal 3.» B) «The pain came on after dinner. Review Information: The correct answer is D: While positioning for a vaginal exam. which one of the following findings would indicate an area in which teaching is needed: Review Information: The correct answer is C: A) Serum albumin 2. This is a classic description of chest pain in men caused by myocardial ischemia.5 g/dl «I will stop taking the medication for 1week every B) LDL Cholesterol 140 mg/dl month.» After assessing a 70 year-old male client>s laboD) «I will eat foods high in potassium.» pale. Women experiWhat should be the initial nursing action? ence vague feelings of fatigue and back and jaw A) Call the health care provider pain. Which statement by the client would require in elders). PaCO2 The weight of the uterus can put pressure on the 30.Question8 The nurse is assessing a woman in early labor. Which of the following comments by the client indicate the need for further teaching? A) «I will keep a weekly weight record.com Kuwait Review Information: The correct answer is C: Assist the client to breathe into a paper bag Side effects of aspirin toxicity include hyperventilation.» for lithium (Lithane) for treatment of a bi-polar D) «I feel pressure in the middle of my chest. A) Monitor respiratory rate Action is needed to relieve the pressure on the B) Monitor intake and output every hour vena cava and aorta.«I feel pressure in the middle of my chest.

strawberry shake D) Red wine. The SaO2 is 87. aged cheese Review Information: The correct answer is D: Red wine.» There are no specific reasons for the client on Coumadin to avoid crowds. During the initial assessment. The other interventions are secondary to oxygen therapy. Question14 A client is discharged on warfarin sulfate (Coumadin).» C) «I plan to use an electric razor for shaving. The nurse should be alert to crackles or a pleural friction rub. A client is admitted to the hospital with a diagnosis of deep vein thrombosis. carrots. General instructions for any cardiac surgical client include limiting exposure to infection. Which of the following food selections would be contraindicated for this client? A) Fresh juice. ham salad. A woman asks for Collected by :DeepaRajesh [ 195 ] rajesh. Question15 A client is taking tranylcypromine (Parnate) and has received dietary instruction.ks21@gmail. Question16 A client is admitted with severe injuries from an Question19 auto accident. pulse rate 110. and oxygen is the most critical initial intervention. cardiovascular collapse and cardiac arrest (this drug should never be administered without continuous EKG monitoring). fava beans. Which of the following assessment findings requires the nurse>s immediate action? A) Central venous pressure reading of 11 B) Respiratory rate of 22 C) Pulse rate of 48 BPM D) Blood pressure of 144/92 Review Information: The correct answer is C: Pulse rate of 48 BPM One of the side effects of lidocaine is bradycardia. Fava beans contain other vasopressors that can interact with MAOIs also causing malignant hypertension. vanilla pudding B) Apple juice. 28. fava beans.» D) «I will report any bruises for bleeding. fresh pineapple C) Hamburger. highly suggestive of a pulmonary embolism. fries. Question18 The nurse is administering lidocaine (Xylocaine) to a client with a myocardial infarction.» B) «I will keep all laboratory appointments.B) Reporting vomiting or diarrhea C) Taking other medication as usual D) Substituting generic form if desired Review Information: The correct answer is B: Reporting vomiting or diarrhea If dehydration results from vomiting. diarrhea or excessive perspiration. heart block.» Question17 Review Information: The correct answer is A: «I know I must avoid crowds. tolerance to the drug may be altered and symptoms may return. The initial nursing intervention would be to A) begin intravenous therapy B) initiate continuous blood pressure monitoring C) administer oxygen therapy D) institute cardiac monitoring Review Information: The correct answer is C: administer oxygen therapy Early findings of shock reveal hypoxia with rapid heart rate and rapid respirations. Which statement by the client indicated a need for further teaching? A) «I know I must avoid crowds.com Kuwait . The client>s vital signs are BP The nurse is teaching a group of college students 120/50. and respiratory rate of about breast self-examination. aged cheese Red wine and cheese contain tyramine (as do chicken liver and ripe bananas) and so are contraindicated when taking MAOIs. the client complains of sudden shortness of breath. The priority nursing assessment at this time is A) bowel sounds B) heart rate C) peripheral pulses D) lung sounds Review Information: The correct answer is D: lung sounds Lung sounds are critical assessments at this point.

What Health education is also available through local is the best reply by the nurse? and national Alzheimer>>s chapters.I.com Kuwait . The nurse can best ensure the safety of a client suffering from dementia who wanders from the room by which action? A) Repeatedly remind the client of the time and location B) Explain the risks of walking with no purpose C) Use protective devices to keep the client in the bed or chair in the room D) Attach a wander-guard sensor band to the client>s wrist Review Information: The correct answer is D: Attach a wander-guard sensor band to the client>>s wrist This type of identification band easily tracks the client>>s movements and ensures safety while the client wanders on the unit. Restriction of acCollected by :DeepaRajesh [ 196 ] rajesh. diarrhea and lethargy These are early signs of lithium toxicity. when your breasts are Clients taking lithium must be particularly sure to less tender» maintain adequate intake of which of these eleC) «Do the exam at the same time every ments? month» A) Potassium D) «Ovulation. the wound should first be quickly covered by sterile dressings soaked in sterile saline. Question20 The nurse is caring for a post-operative client who develops a wound evisceration. A) «The first of every month. Question24 Question21 The spouse of a client with Alzheimer>s disease expresses concern about the burden of caregiving.the best time to perform the monthly exam. diarrhea and lethargy C) Pruritus. or mid-cycle is the best time to B) Sodium detect changes» C) Chloride D) Calcium Review Information: The correct answer is B: «Right after the period. The first nursing intervention should be to A) medicate the client for pain B) call the provider C) cover the wound with sterile saline dressing D) place the bed in a flat position Review Information: The correct answer is C: cover the wound with sterile saline dressing When evisceration occurs. Which of these indicate early signs of toxicity? A) Ataxia and course hand tremors B) Vomiting. Which of the following actions by the nurse should be a priority? A) Link the caregiver with a support group B) Ask friends to visit regularly C) Schedule a home visit each week D) Request anti-anxiety prescriptions Review Information: The correct answer is A: Link the caregiver with a support group Assisting caregivers to locate and join support groups is most helpful. to treat bipolar disorder. This prevents tissue damage until a repair can be effected. because it is easiest to remember» Question22 B) «Right after the period. when the breasts are no longer swollen and tender due to hormone elevation. Serum lithium concentrations may increase in the presence of conditions that cause sodium loss. when your breasts are less tender» The best time for a breast self exam (BSE) is a week after a menstrual cycle. Review Information: The correct answer is B: Sodium Clients taking lithium need to maintain an adequate intake of sodium. Families share feelings and learn about services such as respite care. Question23 A client is receiving lithium carbonate 600 mg T.D. rash and photosensitivity D) Electrolyte imbalance and cardiac arrhythmias Review Information: The correct answer is B: Vomiting.ks21@gmail.

A prolapsed umbilical cord is a medical emergency. The Trendelenburg position accomplishes this. A) poor nutritional status B) decreased gastrointestinal motility C) increased splanchnic blood flow Question29 D) altered peripheral resistance The nurse is caring for a client receiving intravenous nitroglycerin for acute angina. The exposed cord is covered with saline soaked gauze. Review Information: The correct answer is D: Blood pressure Question27 In response to a call for assistance by a client in The vasodilatation that occurs as a result of this labor. At the same time.ks21@gmail. the nurse notes that a loop on the umbili. and the provider called.calories to grow. A) call the health care provider B) check fetal heart beat Collected by :DeepaRajesh [ 197 ] rajesh.com Kuwait . Which statement is true with regards to tardive dyskinesia? A) TD develops within hours or years of continued antipsychotic drug use in people under 20 and over 30 B) It can occur in clients taking antipsychotic drugs longer than 2 years C) Tardive dyskinesia occurs within minutes of the first dose of antipsychotic drugs and is reversible D) TD can easily be treated with anticholinergic drugs Review Information: The correct answer is B: It can occur in clients taking antipsychotic drugs longer than 2 years Tardive dyskinesia is a extrapyramidal side effect that appears after prolonged treatment with antipsychotic medication. cal cord protrudes from the vagina. C) Urine output and changes in the levels of hydrochloric acid. Question28 The nurse is caring for a 2 month-old infant with a congenital heart defect. Infants with congestive heart failure have an increased metabolic rate and require additional Question26 The nurse is aware that the effect of antihyper. What is the most important assessment during treatment? Review Information: The correct answer is B: A) Heart rate decreased gastrointestinal motility B) Neurologic status Together with shrinkage of the gastric mucosa. Which of the following is a priority nursing action? A) Provide small feedings every 3 hours B) Maintain intravenous fluids C) Add strained cereal to the diet D) Change to reduced calorie formula Review Information: The correct answer is A: Provide small feedings every 3 hours Infants with congenital heart defects are at increased risk for developing congestive heart failure. Early symptoms of tardive dyskinesia are fasciculations of the tongue or constant smacking of the lips. Review Information: The correct answer is C: put the client in knee-chest position Immediate action is needed to relieve pressure on the cord. D) Blood pressure this will decrease absorption of medications and interfere with their actions. D) turn the client to the side Question25 The nurse is teaching a client about the difference between tardive dyskinesia (TD) and neuroleptic malignant syndrome (NMS). What is the The client>>s blood pressure must be evaluated every 15 minutes until stable and then every 30 priority nursing action? minutes to every hour. which puts the fetus at risk due to hypoxia. rest tensive drug therapy may be affected by a 75 and conservation of energy for eating is important. not reinserted. however.medication can cause profound hypotension. Feedings should be smaller and every 3 year-old client>s hours rather than the usual 4 hour schedule.tivity is inappropriate for any client unless they C) put the client in knee-chest position are potentially harmful to themselves or others. The fetal heart rate also should be checked.

sion is upsetting to you. and is less traumatic and expensive. Reliability is about 98%. This is just as effective as an arterial blood gas reading to evaluate oxygenation status. The nurse understands that the presence of which hormone strongly suggests a woman is pregnant? A) Estrogen B) HCG C) Alpha-fetoprotein D) Progesterone Review Information: The correct answer is B: HCG Human chorionic gonadotropin (HCG) is the biologic marker on which pregnancy tests are based. which require immediate nursing action to promote gas exchange. Which assessment is a nursing priority? A) Evaluating SaO2 levels frequently B) Observing skin color changes C) Assessing for clubbing fingers D) Identifying tactile fremitus Review Information: The correct answer is A: Evaluating SaO2 levels frequently The best method to evaluate a client>>s oxygenation is to evaluate the SaO2.Question30 A client telephones the clinic to ask about a home pregnancy test she used this morning. Question33 Question31 A client. teaching about the expected short term effects would be discussed. Question34 Question32 The nurse is assessing a client with chronic obstructive pulmonary disease receiving oxygen for low PaO2 levels.» Review Information: The correct answer is D: «I can hear your concern and that your confusion is upsetting to you. After 4 electroconvulsive treatments over 2 weeks.» B) «Don>t get upset. is placed on suicidal precautions. Review Information: The correct answer is B: when the client’s mood improves with an increase in energy level Suicide potential is often increased when there is an improvement in mood and energy level.» Communicating caring and empathy with the acknowledgement of feelings is the initial response. The nurse notices a large amount of clear fluid on the bed linens.com Kuwait . The confusion will clear up in a day or two. but the test does not conclusively confirm pregnancy. The nurse should be aware that the danger of the client committing suicide is greatest A) during the night shift when staffing is limited B) when the client’s mood improves with an increase in energy level C) at the time of the client>s greatest despair D) after a visit from the client>s estranged partner A woman in labor calls the nurse to assist her in the bathroom. I lose my money. admitted to the unit because of severe depression and suicidal threats. Fetal heart rate patterns may show variable decelerations. At this time ambivalence is often decreased and a decision is made to commit suicide. Afterwards. a client is very upset and states “I am so confused.” The most therapeutic response for the nurse to make is A) «You were seriously ill and needed the treatments. there is increased risk initially of cord prolapse. the nurse observes that the client has a black eye and nuCollected by :DeepaRajesh [ 198 ] rajesh. I just can’t remember telephone numbers. Upon arrival.» D) «I can hear your concern and that your confu- Question35 The visiting nurse makes a postpartum visit to a married female client.» C) «It is to be expected since most clients have the same results. The nurse knows that fetal monitoring must now assess for what complication? A) Early decelerations B) Late accelerations C) Variable decelerations D) Periodic accelerations Review Information: The correct answer is C: Variable decelerations When the membranes rupture.ks21@gmail.

He asks the nurse about his sexual activity once he is home. Review of this lab finding suggests the nurse has knowledge of this problem. A male client is preparing for discharge following an acute myocardial infarction. What would be the nurse>s initial response? A) Give him written material from the American Heart Association about sexual activity with heart disease B) Answer his questions accurately in a private environment C) Schedule a private. When a client expresses a specific concern. Separate the suspected victim from the partner until battering has been ruled out. Question36 Question39 When teaching a client about an oral hypoglycemic medication. The initial nursing intervention would be to A) call the police to report indications of domestic violence B) confront the husband about abusing his wife C) leave the home because of the unsafe environment D) interview the client alone to determine the origin of the injuries Review Information: The correct answer is D: interview the client alone to determine the origin of the injuries It would be wrong to assume domestic violence without further assessment. the nurse performs a focused assessment to gather additional data prior to planning and implementing nursing interventions. In assessing the client. the initial feedings are clear liquids in small quantities to provide calories and electrolytes.merous bruises on her arms and legs. Question37 Initial postoperative nursing care for an infant who has had a pyloromyotomy would initially include A) bland diet appropriate for age B) intravenous fluids for 3-4 days C) NPO then glucose and electrolyte solutions D) formula or breast milk as tolerated Review Information: The correct answer is C: NPO then glucose and electrolyte solutions Post-operatively.ks21@gmail.” What is the best explanation by the nurse? A) Bluish coloration of the cervix and vaginal walls B) Pronounced softening of the cervix C) Clot of very thick mucous that obstructs the Collected by :DeepaRajesh [ 199 ] rajesh.D/L. the nurse>s review of which of the following tests suggests an understanding of this health problem? A) Serum calcium B) Serum magnesium C) Serum creatinine D) Serum potassium Review Information: The correct answer is D: Serum potassium Potassium is lost in diabetic ketoacidosis during rehydration and insulin administration. uninterrupted teaching session with both the client and his wife D) Assess the client>s knowledge about his health problems Review Information: The correct answer is D: Assess the client>>s knowledge about his health problems The nursing process is continuous and cyclical in nature. Question38 A client is treated in the emergency room for diabetic ketoacidosis and a glucose level of 650mg.com Kuwait . Question40 The client asks the nurse how the health care provider could tell she was pregnant “just by looking inside. the nurse should place primary emphasis on A) recognizing findings of toxicity B) taking the medication at specified times C) increasing the dosage based on blood glucose D) distinguishing hypoglycemia from hyperglycemia Review Information: The correct answer is B: taking the medication at specified times A regular interval between doses should be maintained since oral hypoglycemics stimulate the islets of Langerhans to produce insulin.

com Kuwait . because of the emphasis on physical apLabels: free nclex-rn sample review questions. consistency.A client has had a positive reaction to purified protein derivative (PPD). The hospitalized adolescent may see each of these as a threat.A 12 year-old child is admitted with a broken arm and is told surgery is required. Question5 Question2 A nurse has administered several blood transfusions over 3 days to a 12 year-old client with Thalassemia. faith and caring. What is the most appropriate response by the nurse? Question1 The feeling of trust can best be established by A) Give him privacy the nurse during the process of the development B) Tell him he will get through the surgery with of a nurse-client relationship by which of these no problem C) Try to distract him characteristics? D) Make arrangements for his friends to visit A) Reliability and kindness B) Demeanor and sincerity C) Honesty and consistency D) Sympathy and appreciativeness Question4 Review Information: The correct answer is C: Honesty and consistency Characteristics of a trusting relationship include respect. the nurse should emphasize that which of these is a common side effect of clozapine (Clozaril) therapy? A) Dry mouth B) Rhinitis C) Dry skin D) Extreme salivation Review Information: The correct answer is D: Extreme salivation A significant number of clients receiving ClozapReview Information: The correct answer is A: ine (Clozaril) therapy experience extreme salivation.ks21@gmail.A) active tuberculosis Collected by :DeepaRajesh [ 200 ] rajesh.Altered body image gestion. The client asks the esis without enlarging the spleen. What lab value should the nurse monitor closely during this therapy? A) Hemoglobin B) Red Blood Cell Indices C) Platelet count D) Neutrophil percent In discharge teaching. «This level is low Question6 enough to foster the patient>>s own erythropoi. The nurse should indicate that the client has Question3 The nurse is providing care to a newly a hospital.» nurse what this means. but the major threat that they 0 comments feel when hospitalized is the fear of altered body image. Review Information: The correct answer is A: Give him privacy A 12 year-old child needs the opportunity to express his emotions privately. Hemoglobin Hemoglobin should be in a therapeutic range of approximately 10 g/dl (100gL). nursing review Free NCLEX-RN Sample Test Ques. What is the major threat experienced by the hospitalized adolescent? A) Pain management B) Restricted physical activity Review Information: The correct answer is A: C) Altered body image Bluish coloration of the cervix and vaginal walls D) Separation from family Chadwick>>s sign is a bluish-purple coloration of the cervix and vaginal walls. nclex-rn practice test questions. The nurse finds tions For Nursing Review (Part 2) him crying and unwilling to talk. occurring at 4 Review Information: The correct answer is C: weeks of pregnancy.cervical canal D) Slight rotation of the uterus to the right ized adolescent. pearance during this developmental stage. that is caused by vasocon. honesty.

» Review Information: The correct answer is D: «Avoid use of aspirin for viral infections. Doses should be administered in equally spaced time increments throughout the day to minimize the risk of seizures.com Kuwait Question11 . The nurse notes that the IV infusion is running behind schedule and will not be competed by 1:00. Question10 Question8 A post-operative client is admitted to the post-anesthesia recovery room (PACU). it may take up to four weeks for results. The anesthetist reports that malignant hyperthermia occurred during surgery. the nurse should ask that the blood sampling time be adjusted The clinic nurse is discussing health promotion with a group of parents. and agitation. The nurse recognizes that this complication is related to what factor? A) Allergy to general anesthesia B) Pre-existing bacterial infection C) A genetic predisposition D) Selected surgical procedures Review Information: The correct answer is C: A genetic predisposition Malignant hyperthermia is a rare. Which of these demonstrates appropriate teaching? A) «Immunize your child against this disease.» D) «Avoid use of aspirin for viral infections. Additional tests are needed to determine if active tuberculosis is present. The nurse should: A) Notify the client>s health care provider B) Stop the infusion at 1:00 pm C) Reschedule the laboratory test D) Increase the infusion rate Review Information: The correct answer is C: Reschedule the laboratory test If the antibiotic infusion will not be completed at the time the peak blood level is due to be drawn.» B) «Seek medical attention for serious injuries. A mother is concerned about Reye>s Syndrome. The nurse is caring for a client with a new order for bupropion (Wellbutrin) for treatment of depression.» The link between aspirin use and Reye>>s Syndrome has not been confirmed.preparing the child for an emergency appenswer is B: Questionthis medication dectomy.” What is the appropriate action? A) Give the medication as ordered B) Questionthis medication dose C) Observe the client for mood swings D) Monitor neuro signs frequently A 9 year-old is taken to the emergency room with right lower quadrant pain and vomiting. Question9 Question7 A client is receiving and IV antibiotic infusion and is scheduled to have blood drawn at 1:00 pm for a «peak» antibiotic level measurement.B) been exposed to mycobacterium tuberculosis C) never had tuberculosis D) never been infected with mycobacterium tuberculosis Review Information: The correct answer is B: been exposed to mycobacterium tuberculosis The PPD skin test is used to determine the presence of tuberculosis antibodies and a positive result indicates that the person has been exposed to mycobacterium tuberculosis. potentially fatal adverse reaction to inhaled anesthetics. There is a genetic predisposition to this disorder. When Review Information: The correct an. and asks about prevention. 150mg BID. but evidence suggests that the risk is sufficiently grave to include the warning on aspirin products.ks21@gmail. Common side effects are dry mouth. When used for depression. The order reads “Wellbutrin 175 mg. headache. BID x 4 days.» C) «Report exposure to this illness. what must the nurse expect to be the child>s greatest fear? dose A) Change in body image Bupropion (Wellbutrin) should be started at B) An unfamiliar environment 100mg BID for three days then increased to C) Perceived loss of control Collected by :DeepaRajesh [ 201 ] rajesh.

renal function.» is in acidosis? A) Hemoglobin 15 gm/dl B) Chloride 100 mEq/L Review Information: The correct answer is A: C) Sodium 130 mEq/L on an empty stomach.» Which of the following laboratory results would B) after meals.» suggest to the emergency room nurse that a cliC) with calcium.com Kuwait . The client must also Serum carbon dioxide is an indicator of acid-base be instructed to remain in the upright position for status. most appropriate to delegate to an unlicensed assistive personnel (UAP)? A) Check the client>s level of consciousness Question17 Collected by :DeepaRajesh [ 202 ] rajesh.» ent admitted after a severe motor vehicle crash D) with milk 2 hours after meals. the RN can Question14 A nurse is assigned to care for a comatose dia. Reduced renal function will delay The first step in delegation is to determine the qualifications of the person to whom one is delthe excretion of many mediations. which are routine tasks. thing the RN should do before the delegation of gentamicin.determine whether the PN has the requisite exbetic on IV insulin therapy. What diagnostic finding indicates care is the client may have difficult excreting the medi. B) Obtain the regular blood glucose readings C) Determine if special skin care is needed D) Answer questions from the client>s spouse about the plan of care Review Information: The correct answer is B: Obtain the regular blood glucose readings Question12 A client is to begin taking Fosamax. The nurse has just received report on a group of clients and plans to delegate care of several Question13 of the clients to a practical nurse (PN). The first An older adult client is to receive and antibiotic.A) Provide a time-frame for the completion of the cation? client care A) High gastric pH B) Assure the PN that the RN will be available for B) High serum creatinine assistance C) Ask about prior experience with similar cliC) Low serum albumin ents D) Low serum blood urea nitrogen D) Review the specific procedures unique to the assignment Review Information: The correct answer is B: Review Information: The correct answer is C: High serum creatinine An elevated serum creatinine indicates reduced Ask about prior experience with similar clients.D) Guilt over being hospitalized Review Information: The correct answer is C: Perceived loss of control For school age children. This finding would indicate acidosis. Which task would be perience to care for the assigned clients. the client when taking this medication? «Take Fosamax Question15 A) on an empty stomach. Food Review Information: The correct answer is D: and fluids (other than water) greatly decrease Carbon dioxide 20 mEq/L the absorption of Fosamax. major fears are loss of control and separation from friends/peers.» D) Carbon dioxide 20 mEq/L Fosamax should be taken first thing in the morning with 6-8 ounces of plain water at least 30 minutes before other medication or food. The nurse The UAP can safely obtain blood glucose readmust emphasize which of these instructions to ings.ks21@gmail. 30 minutes following the dose to facilitate passage into the stomach and minimize irritation of Question16 the esophagus. By asking about the PN>>s prior experience with similar clients/tasks. egating.

Denying or minimizing the seriousness of the illness is used to avoid facing the worst situation. D) Impaired physical mobility Question20 Question19 The nurse assesses the use of coping mechanisms by an adolescent 1 week after the client had a motor vehicle accident resulting in multiple serious injuries. every 1 . repression D) Identification. and every year from age 50.» Infants under 6 months of age should be kept out D) «Yearly mammograms are advised for all of the sun or shielded from it.» «Sunscreens are not recommended in children C) «Once a woman reaches 50. demanding B) Denial. What is the nurse>s best response? A) «Your doctor will advise you about your risks. which would require immediate action by the nurse? A) Calcium 9 mg/dl Collected by :DeepaRajesh [ 203 ] rajesh. Review Information: The correct answer is C: «Once a woman reaches 50. withdrawal Review Information: The correct answer is B: Denial. projection. If there are family or personal health risks. Clients receiving cyclosporin are at risk for infection.» D) «Sunscreens are not recommended in children younger than 6 months. A hat and light protective clothing should be worn. dependent behavior which often occurs at any age with hospitalization. What would be an apReview Information: The correct answer is C: propriate nursing diagnosis for this client? Mental status A) Alteration in body image The elderly are at risk for developing confusion B) High risk for infection when taking cimetidine.» B) «Applications of sunscreen should be repeated every few hours. Which of these characteristics are most likely to be displayed? A) Ambivalence. dependence.» a mammogram yearly. A 52 year-old post menopausal woman asks the nurse how frequently she should have a mammogram.The mother of a 4 month-old infant asks the nurse about the dangers of sunburn while they are on vacation at the beach.screening mammogram by age 40.com Kuwait . assimilation. projection.2 rameter may be affected by this drug. In reviewing the most recent laboratory results. regression Review Information: The correct answer is B: High risk for infection Cyclosporin (Neoral) inhibits normal immune responses. she should have a mammogram yearly. she should have younger than 6 months.ks21@gmail.» day.» Question18 The nurse administers cimetidine (Tagamet) to a The American Cancer Society recommends a 79 year-old male with a gastric ulcer. Question22 A client on telemetry begins having premature ventricular beats (PVBs) at 12 per minute. every 2 Review Information: The correct answer is D: years is best.» Helplessness and hopelessness may contribute to regressive.» B) «Unless you had previous problems. and should years for women 40-49. rationalization. be closely monitored by the nurse? other assessments may be recommended. Even on a cloudy women over 35.» C) «An infant should be protected by the maximum strength sunscreen. Which pa. Which of the following is the best advice about sun protection for this child? A) «Use a sunscreen with a minimum sun protective factor of 15. Recall that denial is the initial step in the process of working through any loss. a drug that interacts with C) Altered growth and development many other medications. regression C) Intellectualization. A) Blood pressure B) Liver function C) Mental status Question21 D) Hemoglobin The nurse is planning care for a client who is taking cyclosporin (Neoral). the infant can be sunburned while near water.

» C) «Your child may swim if he wears ear plugs.» Review Information: The correct answer is C: «Your child may swim if he wears ear plugs. Which of the following medications prescribed for the client may aggravate GERD? A) Anticholinergics B) Corticosteroids C) Histamine blocker D) Antibiotics Review Information: The correct answer is A: Anticholinergics An anticholinergic medication will decrease gastric emptying and the pressure on the lower esophageal sphincter.» Most adult learners obtain skills by participating in the activities. The client is ready for discharge and asks the nurse to empty his colostomy pouch. Daniels. Anxiety about discharge can be causing the client to forget that they have mastered the skill of emptying the pouch.B) Magnesium 2. Question25 Question23 The nurse is caring for a client who is 4 days post-op for a transverse colostomy. What assessment would be a priority when monitoring the effects of this medication? A) Blood pressure B) Cardiac enzymes C) ECG analysis D) Respiratory rate Review Information: The correct answer is A: Blood pressure Since an effect of this drug is vasodilation.ks21@gmail. The parents ask about the treatment prescribed.» D) «Your child may swim anywhere. Children should use ear plugs when bathing or swimming and should not put their heads under the water.» The nurse is caring for a 10 year-old child who has just been diagnosed with diabetes insipidus. The nurse is caring for a client with asthma who has developed gastroesophageal reflux disease (GERD).» B) «Let me demonstrate to you how to empty the pouch.» C) «What have you learned about emptying your pouch?» D) «Show me what you have learned about emptying your pouch. Question24 Question27 A 3 year-old child has tympanostomy tubes in place. What is the best response by the nurse? A) «You should be emptying the pouch yourself. The child>s parent asks the nurse if he can swim in the family pool. The best response from the nurse is A) «Your child should not swim at all while the tubes are in place.5 mEq/L D) PTT 70 seconds Review Information: The correct answer is C: Potassium 2. vasopressin. R.» Review Information: The correct answer is D: «Show me what you have learned about emptying your pouch. the client must be monitored for hypotension.» B) «Your child may swim in your own pool but not in a lake or ocean.5 mEq/L The patient is at risk for ventricular dysrhythmias when the potassium level is low. The client should show the nurse how the pouch is emptied. Water should not enter the ears. A What is priority in teaching the child and family about this drug? A) The child should carry a nasal spray for emergency use B) The family must observe the child for dehydration C) Parents should administer the daily intramuscular injections D) The client needs to take daily injections in the short-term Review Information: The correct answer is A: Collected by :DeepaRajesh [ 204 ] rajesh.5 mg/dl C) Potassium 2. Question26 A client is receiving a nitroglycerin infusion for unstable angina. (2003).com Kuwait .

Review Information: The correct answer is D: «I know you believe that you have an incurable fects C) Newborn withdrawal generally occurs imme.important meal of the day. vasopressin.com Kuwait Question31 Question32 . Other risks of continued cocaine use during pregnancy include preterm labor.» ing must the nurse understand as a basis for D) «I know you believe that you have an incurable disease. I will pour a little of the juice in a medicine cup to drink it to show you that it is OK.» Question30 A client has just been diagnosed with breast D) «If you don>t eat. The appropriate statement at this time for the nurse to say is A) «Here. breakfast is the most abuse to a pregnant client. and this effect in the placental vessels causes fetal hypoxia and diminished growth. and should have the nasal spray form of the medication readily available.disease.» B) «None of the laboratory reports show that you have any physical disease. I will have to suggest for cancer.» The appropriate reLactulose blocks the absorption of ammonia from sponse would be the GI tract and secondarily stimulates bowel A) «You need some nutritious food to help you elimination. The child will need to administer daily injections of vasopressin. Review Information: The correct answer is A: Cocaine use can cause fetal growth retardation Cocaine is vasoconstrictive.» Collected by :DeepaRajesh [ 205 ] rajesh.you to be tube fed.The child should carry a nasal spray for emergency use Diabetes insipidus results from reduced secretion of the antidiuretic hormone. ent tells the nurse that she is stupid. A client with paranoid thoughts refuses to eat because of the belief that the food is poisoned.» This response does not challenge the client’s diately after birth D) Breast feeding promotes positive parenting delusional system and thus forms an alliance by providing reassurance of desire to help the clibehaviors ent. regain your weight. The nurse enters the room and the cli.» B) «The food has been prepared in our kitchen and is not poisoned.» Question29 The nurse is explaining the effects of cocaine C) «Try to eat a little bit. What is the most therapeutic response by the nurse? A) Explore what is going on with the client B) Accept the client’s statement without comment C) Tell the client that the comment is inappropriate D) Leave the client>s room Review Information: The correct answer is A: Explore what is going on with the client Exploring feelings with the verbally aggressive client helps to put angry feelings into words and then to engage in problem solving. altered brain development and subsequent behavioral problems in the infant. As the nurse helps the client prepare for breakfast the client comReview Information: The correct answer is B: ments «Don’t waste good food on me.» teaching? A) Cocaine use can cause fetal growth retardation B) The drug has been linked to neural tube de. congenital abnormalities. The main purpose of the drug for this client is to A) add dietary fiber B) reduce ammonia levels C) stimulate peristalsis D) control portal hypertension A client has many delusions.ks21@gmail. Question28 A client diagnosed with cirrhosis is started on lactulose (Cephulac). I’m dying reduce ammonia levels from this disease I have. Which of the follow. A medical alert tag should be worn.» C) «Let>s see if your partner could bring food from home.

com Kuwait . sweating and chills. vomiting.” C) it is common to experience occasional sleep disturbances. What is the pharmacological effect of this medication? A) Promotes sodium and chloride excretion B) Increases aldosterone levels C) Depletes potassium reserves D) Combines safely with antihypertensives Review Information: The correct answer is A: Promotes sodium and chloride excretion Spironolactone promotes sodium and chloride excretion while sparing potassium and decreasing aldosterone levels.» Review Information: The correct answer is A: an orange-red color to your urine. After several days. and diarrhea. The health care provider orders spironolactone (Aldactone).» ing sertraline (Zoloft) because she doesn’t like C) «Come with me so you can paint a picture to the nightmares. nausea.» Question34 B) «It is important for you to participate in group A client tells the RN she has decided to stop tak. but the patient needs to be aware it may happen. focusing on an activity is less D) «Many medications have potential side ef.» cussed with your health care provider. fects.ks21@gmail. fever. This option avoids both arguing with the client and agreeing with the delusional premise. scribed medication. Review Information: The correct answer is A: «It is unsafe to abruptly stop taking any pre- Question36 Question37 The nurse is teaching a school-aged child and Collected by :DeepaRajesh [ 206 ] rajesh.» nurse? A) «It is unsafe to abruptly stop taking any pre. the client continues to withdraw from the other clients.» she’s experiencing since starting on the medi. gentle negation of the delusional premise can be employed.» Reassurance is ineffective when a client is actively delusional.» Discoloration of the urine and other body fluids may occur. A slow withdrawal may be prescribed with sertraline to avoid dizziness.anxiety-provoking than unstructured discussion. Option D offers a logical response to a primarily affective concern. Which one of the following statements by the nurse would be appropriate to include in teaching? «You may notice: A) an orange-red color to your urine.me. Question35 Question33 A client with tuberculosis is started on Rifampin. It had no effect on ammonia levels. you may have nausea. consisting of lethargy. In addition. When the client’s condition has improved.» This gradually engages the client in interactions C) «This medication should be continued despite with others in small groups rather than large unpleasant symptoms. nausea. A client is admitted to the hospital with findings of liver failure with ascites.activities.Review Information: The correct answer is C: «Let>>s see if your partner could bring food from home.» groups. sex dreams.» D) if you take the medication with food. It is a harmless response to the drug. Which of these statements by the nurse would be the most appropriate to promote interaction with other clients? A) «Your team here thinks it>s good for you to spend time with others. What is an appropriate response by the and me.» The statement is an example of a positive behavioral expectation.» Abrupt withdrawal may occasionally cause serotonin syndrome.» B) your appetite may increase for the first week. A client was admitted to the psychiatric unit for severe depression.D) «Come play Chinese Checkers with Gloria cation.Review Information: The correct answer is D: «Come play Chinese Checkers with Gloria and scribed medication.» B) «Side effects and benefits should be dis. and obsessions help you feel better. headache.

Elevating the leg both improves venous return and reduces swelling. nursing review Free NCLEX-RN Sample Test Questions For Nursing Review (Part 1) These are sample nursing review questions and not actual test questions made for educational and practice test purposes only. Which one of the following statements made by the client to the nurse indicates more teaching is needed? A) «I may experience a loss of appetite. A) Teach her how to meet the needs of self and her family B) Explain the changes in diet necessary for pregnant women C) Questionher understanding and use of the food pyramid D) Conduct a diet history to determine her normal eating routines Question38 The nurse is teaching a client about the toxicity of digoxin.ks21@gmail.» D) «I must report a bounding pulse of 62 immediately.com Kuwait . The appearance of jaundice may indicate that the client has liver damage. The client needs further teaching. A full leg cast was applied in the emergency room. shows effectiveness of inhalants. Question39 Which of the following assessments by the nurse would indicate that the client is having a possible adverse response to the isoniazid (INH)? A) Severe headache B) Appearance of jaundice C) Tachycardia D) Decreased hearing Review Information: The correct answer is B: Appearance of jaundice Clients receiving INH therapy are at risk for developing drug induced hepatitis. 75 questions have been posted here with answer keys. The most important reason for the nurse to elevate the casted leg is to A) Promote the client>s comfort B) Reduce the drying time C) Decrease irritation to the skin D) Improve venous return Review Information: The correct answer is D: Improve venous return. The ideal heart rate is above 60 BPM with digoxin. Client comfort will be improved as well. Assessment is always the first step in planning teaching for any client. Question40 Collected by :DeepaRajesh [ 207 ] rajesh.» Slow heart rate is related to increased cardiac output and an intended effect of digoxin. A thorough and accurate history is essential for gathering the needed information.» Review Information: The correct answer is D: «I must report a bounding pulse of 62 immediately. Review Information: The correct answer is D: Conduct a diet history to determine her normal eating routines. nclex-rn practice test questions. What is the initiveness of the treatments? tial step in this interaction? A) Rely on child>s self-report B) Use a peak-flow meter C) Note skin color changes D) Monitor pulse rate Review Information: The correct answer is B: Use a peak-flow meter The peak flowmeter.family about the use of inhalers prescribed for The nurse is beginning nutritional counseling/ asthma. Question1 A client has been hospitalized after an automobile accident.» C) «Nausea and vomiting may last a few days.teaching with a pregnant woman. What is the best way to evaluate effec. if used correctly.» B) «I can expect occasional double vision. 0 comments Labels: free nclex-rn sample review questions.

Question5 es do not reflect correct technique. The 16 year-old should be mission the peak flow meter is measured at 480 seen next because it is still the first post-op day. B) Administer the prn dose of albuterol C) Apply oxygen at 2 liters per nasal cannula D) Repeat the peak flow reading in 30 minutes Collected by :DeepaRajesh [ 208 ] rajesh. Instructing the client to carefully clean the meatus. What should the skin traction should be seen next. The Glascow Coma Scale provides a standard reference for assessing or monitoring level of consciousness. Coumadin affects the Vitamin K dependReview Information: The correct answer is C: ent clotting factors. vital signs stable D) Glascow Coma Scale 13. Review Information: The correct answer is A: Clean the meatus. once the client begins voiding it>>s best to just slip the container into the stream. Look for the client who has the most imminent risks and acute vulnerabil. yet vital signs are stable and breathing is independent. liters/minute. Other respons. Any score less than 13 indicates a neurological impairment. respirations regular.com Kuwait . On adshould be seen first. A clean catch urine is difficult to obtain and requires clear directions. 72 year-old recovering from surgery after a hip replacement 2 hours ago.plaining of chest tightness. then catch urine stream B) Void a little. which client should the nurse see first? B) Coagulation time A) 16 year-old who had an open reduction of a C) Prothrombin time fractured wrist 10 hours ago D) Partial thromboplastin time B) 20 year-old in skeletal traction for 2 weeks since a motor cycle accident Review Information: The correct answer is C) 72 year-old recovering from surgery after a C: Prothrombin time. then collect specimen C) Clean the meatus. begin voiding. then void naturally with a steady stream prevents surface bacteria from contaminating the urine specimen. no ventilator required Review Information: The correct answer is B: Glascow Coma Scale 8. which lab test would the nurse monitor to determine therapeutic response to the Question3 drug? Following change-of-shift report on an orthoped. breathing unlabored B) Glascow Coma Scale 8. When caring for a client receiving warfarin sodium (Coumadin). What is the appropriate sequence to teach the client? A) Clean the meatus.Question2 The nurse is reviewing with a client how to collect a clean catch urine specimen. hip replacement 2 hours ago based on the client>>s prothrombin time (PT).ks21@gmail. As starting and stopping flow can be difficult.A) Bleeding time ic unit. then catch urine stream. The peak flow has related physical and cognitive consequences in dropped to 200 liters/minute. Using the term comatose provides too much room for interpretation and is not very precise. clean the meatus. D) 75 year-old who is in skin traction prior to This test evaluates the adequacy of the extrinsic planned hip pinning surgery. respirations regular C) Appears to be sleeping. Post-operatively the client is comThe 75 year-old is potentially vulnerable to age. What should the nurse document to most accurately describe the client>s condition? A) Comatose. then urinate into container D) Void continuously and catch some of the urine Question4 A client with Guillain Barre is in a nonresponsive state. The client who nurse do first? can safely be seen last is the 20 year-old who is A) Notify both the surgeon and provider 2 weeks post-injury. system and common pathway in the clotting cascade.Question6 ity. begin voiding. Coumadin is ordered daily. The client who returned from surgery 2 hours A client with moderate persistent asthma is adago is at risk for life threatening hemorrhage and mitted for a minor surgical procedure.

It can result in corneal nonverbal communication strategies the family abrasions with severe eye pain or damage when can best support the client’s strengths and cope the eyelid is unable to blink down over the pro.to relate to the client. Clients often associate wheezes with the feeling of tightness in the chest.Review Information: The correct answer is B: Administer the prn dose of albuterol.ks21@gmail. Acute asthma is characterized by expiratory wheezes caused by obstruction of the airways. C) The client’s urine output was 1500 cc in 5 hours D) The client is to receive another dose of Lasix at 10 PM Review Information: The correct answer is C: The client’s urine output was 1500 cc in 5 hours. the essential piece would be the urine output. Graves> disease (hyperthyroidism).com Kuwait .» C) the appearance of eyeballs that appear to D) suggest communication strategies «pop» out of the client>s eye sockets D) a report of the sudden onset of irritability in Review Information: The correct answer is D: suggest communication strategies. During the initial home visit. a nurse is discussing the care of a client newly diagnosed with A client has been tentatively diagnosed with Alzheimer>s disease with family members. greatly Review Information: The correct answer is C: challenges caregivers. The nurse has performed the initial assessments of 4 clients admitted with an acute episode of asthma. Question9 Question7 A client had 20 mg of Lasix (furosemide) PO at 10 AM. The nurse can be of the appearance of eyeballs that appear to «pop» greatest assistance in helping the family to use out of the client>>s eye sockets. A peak flow reading of less than 50% of the client>>s baseline reading is a medical alert condition and a short-acting beta-agonist must be taken immediately. Which would be essential for the nurse to include at the change of shift report? A) The client lost 2 pounds in 24 hours B) The client’s potassium level is 4 mEq/liter.with any aberrant behavior. needed.helpful at this time? A) leave a book about relaxation techniques ment requires quick intervention by the nurse? A) a report of 10 pounds weight loss in the last B) write out a daily exercise routine for them to assist the client to do month B) a comment by the client «I just can>t sit C) list actions to improve the client>s daily nutritional intake still. Which assessment finding would cause the nurse to call the provider immediately? A) prolonged inspiration with each breath B) expiratory wheezes that are suddenly absent in 1 lobe C) expectoration of large amounts of purulent mucous D) appearance of the use of abdominal muscles for breathing Review Information: The correct answer is B: expiratory wheezes that are suddenly absent in 1 lobe. Alzheimer>>s the past 2 weeks disease.the small airways are now collapsed. truding eyeball. Which of Which of these interventions would be most these findings noted on the initial nursing assess. a progressive chronic illness. Wheezes are a high pitched musical sounds produced by air moving through narrowed airways. Although all of these may be correct information to include in report. sudden cessation of wheezing is an ominous or bad sign that indicates an emergency -. Exophthalmos communication strategies to enhance their ability or protruding eyeballs is a distinctive characteris. By use of select verbal and tic of Graves>> Disease. However. Eye drops or ointment may be Question10 Question8 Collected by :DeepaRajesh [ 209 ] rajesh. Peak flow monitoring during exacerbations of asthma is recommended for clients with moderate-tosevere persistent asthma to determine the severity of the exacerbation and to guide the treatment.

ks21@gmail. which would be the second concern for this Further diagnostic testing may be indicated.3). especially in a long leg cast which is thicker than an arm cast. Which assessment finding should the nurse report immediately to the provider? A) Slurred speech B) Incontinence C) Muscle weakness D) Rapid pulse ate action is required? A) pH below 7. Large. These intracranial bleeding or extension of the stroke.3 B) Potassium of 5. client. the client may stand within the initial 24 hours. The nurse has also noted increased lethargy. Clients may complain of a chill from the wet cast and therefore can simply be covered lightly with a sheet or blanket. rapidly developing vegetations attach to the heart valves. With plaster casts. This is a non-invasive procedure and does not require preparation other than client education. Which finding would alert the nurse to a complication of this condition? A) dyspnea B) heart murmur C) macular rash D) hemorrhage Review Information: The correct answer is B: heart murmur.». Both types of casts give off a lot of heat when drying and it is preferable to keep the cast uncovered for the first 24 hours. Question15 A client is admitted with infective endocarditis (IE).» D) «I think I remember that my child should not stand until after 72 hours.» Review Information: The correct answer is D: «I think I remember that my child should not stand until after 72 hours. Which statement from the parent indicates that teaching has been inadequate? A) «I will keep the cast uncovered for the next day to prevent burning of the skin. They have a tendency to break off. a by-product of fat metabolism.» C) «The cast should be propped on at least 2 pillows when my child is lying down.0 C) HCT of 60 D) Pa O2 of 79% Review Information: The correct answer is C: HCT of 60. all systems of the body are at risk for hypoxia from a lack of or sluggish circulation. causing emboli and leavCollected by :DeepaRajesh [ 210 ] rajesh. The potassium and PaO2 levels are near normal. the body Slurred speech.com Kuwait Question13 Which blood serum finding in a client with diabetic ketoacidosis alerts the nurse that immedi- . soft. accumulate causing metabolic acidosis (pH < 7. In the absence of insulin.» B) «I can apply an ice pack over the area to relieve itching inside the cast. Thus. Synthetic casts will typically set up in 30 minutes and dry in a few hours. Applying ice is a safe method of relieving the itching. Which of the following would be necessary for preparing the client for this test? A) Client should be NPO after midnight B) Client should receive a sedative medication prior to the test C) Discontinue anti-coagulant therapy prior to the test D) No special preparation is necessary Review Information: The correct answer is D: No special preparation is necessary. which facilitates Review Information: The correct answer is A: the transport of glucose into the cell. can take up to 72 hours. the set up and drying time. Question14 The nurse is preparing a client with a deep vein thrombosis (DVT) for a Venous Doppler evaluation. This high hematocrit is indicative of severe dehydration which requires priority attention in diabetic ketoacidosis.Question11 An 80 year-old client admitted with a diagnosis of possible cerebral vascular accident has had a blood pressure from 160/100 to 180/110 over the past 2 hours. Without sufficient hydration. Question12 A school-aged child has had a long leg (hip to ankle) synthetic cast applied 4 hours ago. Changes in speech patterns and breaks down fats and proteins to supply energy level of conscious can be indicators of continued ketones.

Which distractibility and short attention span. Which nursing diagnoCollected by :DeepaRajesh [ 211 ] rajesh. affected leg C) Inspection of pin sites for evidence of drainage or inflammation Question21 D) Applying an over-bed trapeze to assist the cli.» D) synthetic skin. malaise and neurologic sequelae of emboli. These emboli produce findings of cardiac murmur. brain and lungs. «I will receive tissue from A) a tissue bank.ing ulcerations on the valve leaflets. and has been placed in skeletal traction. The client has many questions about this condition.The nurse is caring for a newborn with traent with movement in bed cheoesophageal fistula.» Review Information: The correct answer is C: my thigh. coronary artery. Question16 Review Information: The correct answer is B: Frequent neurovascular assessments of the affected leg. Question18 A client has been admitted with a fractured femur general irritability. The nurse explains an autograft to a client scheduled for excision of a skin tumor. eightlegged burrowing mite called Sarcoptes scabiei . A wheezing sound results. kidney. Compartment syndrome is a serious complication of fractures. Furthermore.» B) a pig. At 2 days post-MI. Signs of pinworm infection include intense perianal itching.ks21@gmail. In asthma.is an itchy skin condition caused by a tiny. The nurse knows the client understands the procedure when the client says. creating difficulty getting air D) pinworms in. the air. the client’s education should be focused on the immediate needs and concerns for the day. and obstruct blood flow. poor sleep patterns. Which of the following assessments would be expected by the nurse? Question20 A 3 year-old child is brought to the clinic by his A) Diffuse expiratory wheezing grandmother to be seen for «scratching his botB) Loose. bed-wetting. Scabies of the following nursing interventions should re. The most important activity for the nurse is to assess neurovascular status.». fever. restlessness. Question19 The nurse is assigned to care for a client who had a myocardial infarction (MI) 2 days ago.com Kuwait . productive cough tom and wetting the bed at night. Question17 A client is admitted to the emergency room following an acute asthma attack. Prompt recognition of this neurovascular problem and early intervention may prevent permanent limb damage. What area is a priority for the nurse to discuss at this time? A) Daily needs and concerns B) The overview cardiac rehabilitation C) Medication and diet guideline D) Activity and rest guidelines Review Information: The correct answer is A: Daily needs and concerns.» C) my thigh. Autografts are done with tissue transplanted from the client>>s own skin.C) regression ways are narrowed. the nurse would initially asD) Fever and chills sess for which problem? A) allergies Review Information: The correct answer is A: B) scabies Diffuse expiratory wheezing. Review Information: The correct answer is D: pinworms. anorexia. ceive priority? The presence of the mite leads to intense itching A) Maintaining proper body alignment B) Frequent neurovascular assessments of the in the area of its burrows. the vegetations may travel to various organs such as spleen.» Based on C) No relief from inhalant these complaints.

The first action the school nurse should take is A) call for emergency transport to the hospital B) immobilize the limb and joints above and below the injury C) assess the child and the extent of the injury Collected by :DeepaRajesh [ 212 ] rajesh. then rehydrate with milk and water Review Information: The correct answer is B: Continue with the regular diet and include oral rehydration fluids. wheat roll. Prolonged vomiting can result in excess loss of acid and lead to metabolic Question26 A child is injured on the school playground and appears to have a fractured leg. cantaloupe. Which dinner menu would be best? A) Fish sticks. increased activity.ks21@gmail. green leafy vegetables. milk Review Information: The correct answer is B: Ground beef patty. Question25 The nurse is teaching parents about the appropriate diet for a 4 month-old infant with gastroenteritis and mild dehydration. raisins. lima beans. fish. Options C and D are correct answers but not the best answers since they are too general. Vomiting causes loss of acid from the stomach. apple slices. A two year-old child is brought to the provider>s office with a chief complaint of mild diarrhea for two days. milk. banana. macaroni. milk D) Peanut butter and jelly sandwich. the diet should include A) formula or breast milk B) broth and tea C) rice cereal and apple juice D) gelatin and ginger ale Review Information: The correct answer is A: formula or breast milk. Other nursing diagnoses are then addressed. lima beans. a priority is maintaining an open airway.com Kuwait . Current recommendations for mild to moderate diarrhea are to maintain a normal diet with fluids to rehydrate. apples. milk C) Chicken nuggets. legumes. whole grains. raisins. french fries. The usual diet for a young infant should be followed. egg yolks. muscle twitching and elevated pulse. Iron rich foods include red meat. Findings include irritability. wheat roll. and dried fruits such as raisins. peas. cookies. hyperactive reflexes. Nutritional counseling by the nurse should include which statement? A) Place the child on clear liquids and gelatin for 24 hours B) Continue with the regular diet and include oral rehydration fluids C) Give bananas. In addition to oral rehydration fluids. Question23 The nurse admitting a 5 month-old who vomited 9 times in the past 6 hours should observe for signs of which overall imbalance? A) Metabolic acidosis B) Metabolic alkalosis C) Some increase in the serum hemoglobin D) A little decrease in the serum potassium Review Information: The correct answer is B: Metabolic alkalosis. rice and toast as tolerated D) Place NPO for 24 hours. Thus. alkalosis. preventing aspiration. Question24 Question22 The nurse is developing a meal plan that would provide the maximum possible amount of iron for a child with anemia. The most common form of TEF is one in which the proximal esophageal segment terminates in a blind pouch and the distal segment is connected to the trachea or primary bronchus by a short fistula at or near the bifurcation. This dinner is the best choice: It is high in iron and is appropriate for a toddler. milk B) Ground beef patty.sis is a priority? A) Risk for dehydration B) Ineffective airway clearance C) Altered nutrition D) Risk for injury Review Information: The correct answer is B: Ineffective airway clearance.

C) Makes the moral judgment that «stealing is ning with cereal. gest C) Fluoridated tap water should be used to dilute milk D) Supplemental apple juice can be used be. What D) Passive range of motion exercise should be emphasized as the nurse teaches Review Information: The correct answer is B: about infant nutrition? Client controlled analgesia.is pain relief. Which notation should be included in the teaching materials? A) Solid foods are introduced one at a time beginning with cereal B) Finely ground meat should be started early to provide iron C) Egg white is added early to increase protein intake D) Solid foods should be mixed with formula in a bottle Review Information: The correct answer is B: Use minimal physical contact. Question29 The nurse planning care for a 12 year-old child with sickle cell disease in a vaso-occlusive crisis of the elbow should include which one of the following as a priority? Question27 A) Limit fluids The mother of a 3 month-old infant tells the nurse B) Client controlled analgesia that she wants to change from formula to whole C) Cold compresses to elbow milk and add cereal and meats to the diet. pallor. paresthesia. Be flexible in the sequence of the exam. In a 12 year-old child. it contains little iron and cre. The «5 Ps» of vascular impairment can be used as a guide (pain. assessment is the first step in providing care. Question31 What finding signifies that children have attained the stage of concrete operations (Piaget)? A) Explores the environment with the use of sight and movement Review Information: The correct answer is A: B) Thinks in mental images or word pictures Solid foods are introduced one at a time begin. D) Explain the exam in detail Question28 The nurse is preparing a handout on infant feeding to be distributed to families visiting the clinic.Question30 tween feedings The nurse is performing a physical assessment on a toddler. Solid foods should be added wrong» one at a time between 4-6 months. client controlled analgesia promotes maximum comfort. hard curd is difficult to B) Use minimal physical contact digest. If the infant is D) Reasons that homework is time-consuming able to tolerate the food. pulse.ks21@gmail. When applying the nursing process. Which of the following actions Review Information: The correct answer is B: should be the first? Whole milk is difficult for a young infant to digest. and give only brief simple explanations just prior to the action. Management of a A) Solid foods should be introduced at 3-4 sickle cell crisis is directed towards supportive and symptomatic treatment. In addition. Cow>>s milk is not given to infants younger than A) Perform traumatic procedures 1 year because the tough. The priority of care months B) Whole milk is difficult for a young infant to di. The nurse should approach the toddler slowly and use minimal physical contact initially so as to gain the toddler>>s cooperation.C) Proceed from head to toe ates a high renal solute load. in a week.com Kuwait . Iron fortified cereal is the recommended first food.D) apply cold compresses to the injured area Review Information: The correct answer is C: assess the child and the extent of the injury. paralysis). another may be added yet necessary Collected by :DeepaRajesh [ 213 ] rajesh.

Question32 The mother of a child with a neural tube defect asks the nurse what she can do to decrease the chances of having another baby with a neural tube defect.125 mg PO and furosemide 40 mg every day. Question35 The nurse is offering safety instructions to a parent with a four month-old infant and a four yearold child. it is most important for the nurse to teach them about which of the following actions? A) Maintain good oral hygiene and dental care B) Omit medication if the child is seizure free C) Administer acetaminophen to promote sleep D) Serve a diet that is high in iron Review Information: The correct answer is A: Maintain good oral hygiene and dental care. Watermelon is high in potassium and will replace potassium lost by the diuretic. Good oral hygiene and regular visits to the dentist should be emphasized.» B) «Multivitamin supplements are recommended during pregnancy. .» Review Information: The correct answer is D: «I have the four year-old hold and help feed the four month-old a bottle in the kitchen while I make supper.» C) «A well balanced diet promotes normal fetal development. Swollen and tender gums occur often with use of phenytoin. Infants are Question33 The provider orders Lanoxin (digoxin) 0.ks21@gmail.com Kuwait Question34 While teaching the family of a child who will take phenytoin (Dilantin) regularly for seizure control.» B) «In some instances the result is a retarded Collected by :DeepaRajesh [ 214 ] rajesh. The American Academy of Pediatrics recommends that all childbearing women increase folic acid from dietary sources and/or supplements. Small children and infants are not to be left unsupervised.Review Information: The correct answer is C: Makes the moral judgment that «stealing is wrong».» D) «I have the four year-old hold and help feed the four month-old a bottle in the kitchen while I make supper.». The infant seat is to be placed on the rear seat. The other foods are not high in potassium. Question36 The nurse admits a 7 year-old to the emergency room after a leg injury. What is the best response by the nurse? A) «Folic acid should be taken before and after conception. The x-rays show a femur fracture near the epiphysis. Which statement by the parent indicates understanding of appropriate precautions to take with the children? A) «I strap the infant car seat on the front seat to face backwards.» C) «My sleeping baby lies so cute in the crib with the little buttocks stuck up in the air while the four year-old naps on the sofa. The parents ask what will be the outcome of this injury. The stage of concrete operations is depicted by logical thinking and moral judgments.» D) «Increased dietary iron improves the health of mother and fetus. There is evidence that increased amounts of folic acid prevents neural tube defects.» B) «I place my infant in the middle of the living room floor on a blanket to play with my four yearold while I make supper in the kitchen.».» Review Information: The correct answer is A: «Folic acid should be taken before and after conception. The appropriate response by the nurse should be which of these statements? A) «The injury is expected to heal quickly because of thin periosteum. Which of these foods would the nurse reinforce for the client to eat at least daily? A) Spaghetti B) Watermelon C) Chicken D) Tomatoes Review Information: The correct answer is B: Watermelon.

Drinking water may be contaminated the nurse. “We are leaving now and will be back by lead from old lead pipes or lead solder used at 6 PM.com Kuwait Question39 A nurse is providing a parenting class to individuals living in a community of older homes.». they will be here. Preschoolers interpret time with their own frame of reference. it is best to explain time in relationship to a known. and meticulous combing and removal of all nits. Letting tap water run for nurse when the parents will come again. An epiphyseal (growth) plate fracture D) Buy bottled water labeled «lead free» to mix in a 7 year-old often results in retarded bone the formula growth. Thus. common event.» C) «After you play awhile.» B) «In about 2 hours. the best response by the nurse? A) «They will be back right after supper.bone growth. Question38 The nurse is giving instructions to the parents of a child with cystic fibrosis. What is several minutes will diminish the lead contamination.” A few hours later the child asks the in sealing water pipes. Treatment can include application of a medicated shampoo with lindane for children over 2 years of age.» Review Information: The correct answer is A: «They will be back right after supper. The leg often will be different in length than the uninjured leg. Time is not completely understood by a 4 year-old.» D) «This type of injury shows more rapid union than that of younger children. The nurse would emphasize that pancreatic enzymes should be taken A) once each day B) 3 times daily after meals C) with each meal or snack D) each time carbohydrates are eaten Review Information: The correct answer is C: with each meal or snack.ks21@gmail.». Question41 When interviewing the parents of a child with asthma. which of the following is most important to prevent lead poisoning? A) Use ready-to-feed commercial infant formula B) Boil the tap water for 10 minutes prior to preparing the formula Review Information: The correct answer is B: C) Let tap water run for 2 minutes before adding «In some instances the result is a retarded bone to concentrate growth. Question40 Which of the following manifestations observed by the school nurse confirms the presence of pediculosis capitis in students? A) Scratching the head more than usual B) Flakes evident on a student>s shoulders C) Oval pattern occipital hair loss D) Whitish oval specks sticking to the hair Review Information: The correct answer is D: Whitish oval specks sticking to the hair. Pancreatic enzymes should be taken with each meal and every snack to allow for digestion of all foods that are eaten. Use of lead-contaminated water to prepare formula is a major source of poisoning Question37 The parents of a 4 year-old hospitalized child tell in infants.» C) «Bone growth is stimulated in the affected leg.» cussing formula preparation. Review Information: The correct answer is C: Let tap water run for 2 minutes before adding to concentrate. you will see them. In dis- .» D) «When the clock hands are on 6 and 12. it is most important to assess the child>s environment for what factor? A) Household pets B) New furniture C) Lead based paint D) Plants such as cactus Review Information: The correct answer is A: Collected by :DeepaRajesh [ 215 ] rajesh. Diagnosis of pediculosis capitis is made by observation of the white eggs (nits) firmly attached to the hair shafts.

com Kuwait .ks21@gmail. The majority of reactions occur with the administration of the DTaP vaccination. Hepatitis B and HIB immunizations. what should the nurse emphasize? A) To discuss feelings with each other and use support persons B) To focus on the other healthy children and move through the loss C) To seek causes for the fetal death and come to some safe conclusion D) To plan for another pregnancy within 2 years and maintain physical health Review Information: The correct answer is A: To discuss feelings with each other and use support persons.». What is the best response by the Review Information: The correct answer is C: nurse? vastus lateralis. The last series of vaccines will be administered. the child while in the hospital. seek family. and has had several shaking spells. In planning for discharge.D) X-ray of abdomen ration anxiety is at its peak Collected by :DeepaRajesh [ 216 ] rajesh. Other triggers may include pollens. the nurse>>s goal is to help the couple begin the grief process by suggesting they talk to each other. The protest B) Abdominal ultrasound phase of separation anxiety is a normal response C) Pelvic exam for a child this age. In toddlers.Household pets. The nurse should prepare the client for an immediate Review Information: The correct answer is C: «Keep in mind that for the age this is a normal A) Non stress test response to being in the hospital. cries inconsolably for as long as 3 hours. is the preferred site. Contradictions to giving repeat DTaP immunizations include the occurrence of severe side effects after a previous dose as well as signs of encephalopathy within 7 days of the immunization. In addition to referring her to the emergency room. Question44 Question42 A couple experienced the loss of a 7 month-old fetus. What is the preferred site for injection by the nurse? A) vastus intermedius B) gluteus maximus C) vastus lateralis D) dorsogluteaI Question43 The mother of a 2 year-old hospitalized child asks the nurse>s advice about the child>s screaming every time the mother gets ready to leave the hospital room. To communicate in a therapeutic manner.» hours. carpeting and household dust. Question45 The nurse is performing a pre-kindergarten physical on a 5 year-old. IPV. a large and well developed muscle.» A 7 month pregnant woman is admitted with comD) «You might want to «sneak out» of the room plaints of painless vaginal bleeding over several once the child falls asleep.» C) «Keep in mind that for the age this is a normal Question46 response to being in the hospital. The mother of a 2 month-old baby calls the nurse 2 days after the first DTaP.» B) «Oh. ages 1 to 3. Animal dander is a very common allergen affecting persons with asthma. sepa. She reports that the baby feels very warm. Influenza Review Information: The correct answer is A: DTaP. that behavior will stop in a few days. Vastus lateralis. friends and support groups to listen to their feelings. the nurse should document the reaction on the baby>s record and expect which immunization to be most associated with the findings the infant is displaying? A) DTaP B) Hepatitis B C) Polio D) H. since it is A) «I think you or your partner needs to stay with removed from major nerves and blood vessels.

At 10:00 AM the child>s parent reports that the child «feels very warm» to touch. Close observation of hourly urinary output is necessary for early detection of this condition. Question51 A 72 year-old client with osteomyelitis requires a 6 week course of intravenous antibiotics. tell me what the pregnancy and birth were like for you.» D) «You seem upset. Clients who have had an episode of decreased glomerular perfusion are at risk for pre-renal failure.ks21@gmail. open ended response facilitates dialogue between the client and nurse. tell me what the pregnancy and birth were like for you. Parental caretakers are often quite sensitive to variations in their children>>s condition that may not be immediately evident to others.» Review Information: The correct answer is D: «You seem upset. Examples of this phenomena include a drop in circulating blood volume as in a cardiac arrest state or in low cardiac perfusion states such as congestive heart failure associated with a cardiomyopathy. The most appropriate intervention for this client is to A) position client in upright position while eating B) place client on a clear liquid diet C) tilt head back to facilitate swallowing reflex D) offer finger foods such as crackers or pretzels Review Information: The correct answer is A: position client in upright position while eating. A client is admitted to the rehabilitation unit following a cerebral vascular accident (CVA) and mild dysphagia. the nurse>s best response is A) «This is a common occurrence after birth. Question50 Question48 The nurse notes that a 2 year-old child recovering from a tonsillectomy has an temperature of 98.». but you will come to accept the baby.» B) «Many women have postpartum blues and need some time to love the baby. which is suggested in the client>>s history of painless bleeding.» C) «What a beautiful baby! Her eyes are just like yours.Review Information: The correct answer is B: Abdominal ultrasound. In planning for home care. A child>>s temperature may have rapid fluctuations. Pre-renal failure occurs when the effective arterial blood volume falls.com Kuwait . An upright position facilitates proper chewing and swallowing. what is the most important action by the nurse? A) Investigating the client>s insurance coverage Collected by :DeepaRajesh [ 217 ] rajesh.2 degrees Fahrenheit at 8:00 AM. The standard for diagnosis of placenta previa. and I do not want it. The first action by the nurse should be to A) reassure the parent that this is normal B) offer the child cold oral fluids C) reassess the child>s temperature D) administer the prescribed acetaminophen Review Information: The correct answer is C: reassess the child>>s temperature. A non-judgmental. Which of the following assessments is critical for the nurse to include in the plan of care? A) hourly urine output B) white blood count C) blood glucose every 4 hours D) temperature every 2 hours Review Information: The correct answer is A: hourly urine output. Question47 A nurse entering the room of a postpartum mother observes the baby lying at the edge of the bed while the woman sits in a chair. This is caused by any abnormal decline in kidney perfusion that reduces glomerular perfusion.» After repositioning the child safely. is abdominal ultrasound. The mother states «This is not my baby. The nurse should listen to and show respect for what parents say. Question49 The nurse is caring for a client who was successfully resuscitated from a pulseless dysrhythmia.

ks21@gmail. severe depression. lethargy. Question54 Question52 A client receiving chlorpromazine HCL (Thorazine) is in psychiatric home care. and applying the oxygen. In the early stages of Review Information: The correct answer is anaphylaxis. and difficulty breathing. The cognitive ability of the client as well as the availability and reliability of a caregiver must be assessed to determine if home care is a feasible option. A nurse administers the influenza vaccine to a client in a clinic. when the patient has not lost con. Decadron increases the production of hydrochloric acid. increased anxiety. The nurse expects that the first action in the sequence of care for this client will be to A) Maintain the airway B) Administer epinephrine 1:1000 as ordered C) Monitor for hypotension with shock D) Administer diphenhydramine as ordered Which of the following findings contraindicate the use of haloperidol (Haldol) and warrant withholding the dose? A) Drowsiness. D) Hyperglycemia. Question55 Question53 Question56 The nurse instructs the client taking dexamethasone (Decadron) to take it with food or milk.com Kuwait . weight gain. sciousness and is normotensive. All C) Rash. Review Information: The correct answer is B: stimulates hydrochloric acid production. These findings are often described as Parkinsonian.for home IV antibiotic therapy B) Determining if there are adequate hand washing facilities in the home C) Assessing the client>s ability to participate in self care and/or the reliability of a caregiver D) Selecting the appropriate venous access device Review Information: The correct answer is C: Assessing the client>>s ability to participate in self care and/or the reliability of a caregiver. The nurse recognizes this assessment finding as what? A) Dystonia B) Akathisia C) Brady dyskinesia D) Tardive dyskinesia Review Information: The correct answer is D: Tardive dyskinesia. Signs of tardive dyskinesia include smacking lips. and blurred viReview Information: The correct answer is B: sion Administer epinephrine 1:1000 as ordered. administering Rash and blood dyscrasias are side effects of the epinephrine is first. grinding of teeth and «fly catching» tongue movements. A history of severe depresand watching for hypotension and shock. and edema but the priority is to administer the epinephrine. The prevention of a severe crisis tics. which may cause gastrointestinal ulcers.C: Rash. then maintain the airway. anti-psychotic drugs. Within 15 minutes after the immunization was given. severe depression the answers are correct given the circumstances. the client complains of itchy and watery eyes. and inactivity B) Dry mouth.sion is a contraindication to the use of neuroleper responses. Which of these instructions should the nurse give the client? A) Complete the entire course of the medication for an effective cure B) Begin treatment with acyclovir at the onset of symptoms of recurrence Collected by :DeepaRajesh [ 218 ] rajesh. blood dyscrasias. is maintained by using diphenhydramine. nasal congestion. are lat. During a home visit the nurse observes the client smacking her lips alternately with grinding her teeth. The physiological basis for this instruction is that the medication A) retards pepsin production B) stimulates hydrochloric acid production C) slows stomach emptying time D) decreases production of hydrochloric acid The nurse is reinforcing teaching to a 24 year-old woman receiving acyclovir (Zovirax) for a Herpes Simplex Virus type 2 infection. blood dyscrasias.

this may result in hypotension which results in decreased libido and impotence. Inderal. itching Review Information: The correct answer is C: or tingling. Question57 A 14 month-old child ingested half a bottle of aspirin tablets. C) Ineffective breathing patterns related to central nervous system depression D) Altered nutrition related to inability to control nausea and vomiting Question58 An 80 year-old client on digitalis (Lanoxin) reports nausea.» Review Information: The correct answer is C) «I have diminished sexual function. vomiting. Respiratory depressults should the nurse analyze first? sion is a life-threatening risk in this overdose. prothey simply decrease the level of symptoms.B) A decrease in fluid retention retics that enhance the loss of potassium while C) A decrease in lethargy they are taking digitalis. Medica. Lactulose produces an acid environment in the bowel and traps ammonia in the gut. A) Potassium levels B) Blood pH Question61 C) Magnesium levels D) Blood urea nitrogen Lactulose (Chronulac) has been prescribed for a client with advanced liver disease. Which of the following laboratory re. The child received twice the ordered B) Edema dose of morphine an hour ago.» B: Begin treatment with acyclovir at the onset D) «I often feel jittery.A) An increase in appetite equate potassium intake especially if taking diu. treatment is very effective. Which of the Review Information: The correct answer is A: following assessments would the nurse use to Potassium levels.«I have diminished sexual function. Review Information: The correct answer is C: A decrease in lethargy.com Kuwait .». such as pain. When the client is aware of early symptoms.ks21@gmail. Clients must be taught that it is important to have ad. Which of the following would the Question60 nurse expect to see in the child? The nurse caring for a 9 year-old child with a fractured femur is told that a medication error A) Hypothermia occurred. Which nursing C) Dyspnea diagnosis is a priority at this time? D) Epistaxis A) Risk for fluid volume deficit related to morReview Information: The correct answer is phine overdose D: Epistaxis. The most common cause of evaluate the effectiveness of this treatment? digitalis toxicity is a low potassium level.C) Stop treatment if she thinks she may be pregnant to prevent birth defects D) Continue to take prophylactic doses for at least 5 years after the diagnosis Which client statement from the assessment data is likely to explain his noncompliance? A) «I have problems with diarrhea. clotting time is prolonged.» B) «I have difficulty falling asleep. mucosal irritation With an overdose. D) A reduction in jaundice Question59 A 42 year-old male client refuses to take propranolol hydrochloride (Inderal) as prescribed.» of symptoms of recurrence. hibits the release of epinephrine into the cells.B) Decreased gastrointestinal mobility related to thrombin formation and lowers platelet levels. abdominal cramps and Review Information: The correct answer is C: halo vision. A large dose of aspirin inhibits pro. a tions for herpes simplex do not cure the disease. beta-blocking agent used in hypertension.Ineffective breathing patterns related to central nervous system depression. the laxative effect then aids in Collected by :DeepaRajesh [ 219 ] rajesh.

unprotected intercourse and shared drug paraphernalia remain the highest risks for infection. This option encourages the process of self evaluation and problem solving. while avoiding telling the client what to do. Question63 While interviewing a new admission.com Kuwait Question64 A young adult seeks treatment in an outpatient mental health center. wringing her hands. In bulimia.» C) «It is important to exercise daily and get involved in activities that will cause you not to think about drug use. This decreases the effects of hepatic encephalopathy. asks the nurse. the client may simply need to use the restroom but be reluctant to communicate her need! Question66 A client.» Review Information: The correct answer is D: «Let’s talk about possible options you have when you recognize relapse triggers in yourself. What is the most therapeutic approach by the nurse? .». Which of the following laboratory reports would the nurse anticipate? A) Increased serum glucose B) Decreased albumin C) Decreased potassium D) Increased sodium retention Review Information: The correct answer is C: Decreased potassium. loss of electrolytes can occur in addition to other findings of starvation and dehydration. In the situation above. Question65 The nurse is assessing a 17 year-old female client with bulimia. Which of the following should be emphasized as increasing risk? A) Donating blood B) Using public bathrooms C) Unprotected sex D) Touching a person with AIDS Review Information: The correct answer is C: Unprotected sex. and assessing anxiety.removing the ammonia from the body.ks21@gmail. On further questioning. The client tells the nurse he is a government official being followed by spies. the nurse notices that the client is shifting positions. Review Information: The correct answer is A: Listen quietly without comment. The initial step in anxiety intervention is observing. and avoiding eye contact. It is important for the nurse to A) ask the client what she is feeling B) assess the client for auditory hallucinations C) recognize the behavior as a side effect of medication D) re-focus the discussion on a less anxiety provoking topic Review Information: The correct answer is A: ask the client what she is feeling. The client>>s comments demonstrate grandiose ideas. B) Ask for further information on the spies C) Confront the client’s delusion D) Contact the government agency Question62 The nurse is teaching a class on HIV prevention. Because HIV is spread through exposure to bodily fluids.» B) «Go to an AA meeting when you feel the urge to drink. Encouraging the client to brainstorm about response options validates the Collected by :DeepaRajesh [ 220 ] rajesh. The most therapeutic response is to listen but avoid being incorporated into the client’s delusional system. recovering from alcoholism. A) Listen quietly without comment including lethargy and confusion. contact a sober friend and talk with him. The nurse should seek client validation of the accuracy of nursing assessments and avoid drawing conclusions based on limited data. «What can I do when I start recognizing relapse triggers within myself?» How might the nurse best respond? A) «When you have the impulse to stop in a bar. he reveals that his warnings must be heeded to prevent nuclear war.» D) «Let’s talk about possible options you have when you recognize relapse triggers in yourself. identifying.

com Kuwait .» Question68 Which nursing intervention will be most effective D) «You seem angry right now. to interact with other clients C) Assist the client to analyze the meaning of the withdrawn behavior D) Discuss with the client the focus that other Question71 clients have similar problems A client who is a former actress enters the day room wearing a sheer nightgown. A therapeutic milieu is purposeful and planned to provide safety and a testbehavior D) advises the client on ways to resolve prob.» An appropriate response for the nurse is A) «Is that why you’ve been staring at me?» B) «You seem to be in a really bad mood. high heels.in response to the client’s attire? able in social interaction.». B) Directly assist client to her room for appropriate apparel C) Quietly point out to her the dress of other clients on the unit Question69 An important goal in the development of a thera.» in helping a withdrawn client to develop relationReview Information: The correct answer is D: ship skills? A) Offer the client frequent opportunities to inter. B) provide a group forum in which clients decide on unit rules.ing ground for new patterns of behavior. bright red lipstick and heavily Offer the client frequent opportunities to interact rouged cheeks. lems Review Information: The correct answer is A: assists the client to clarify the meaning of what the client has said.» C) «Perfect? I don’t quite understand. but avoids telling the clients how they feel. nuReview Information: The correct answer is A: merous bracelets. giving approval. regulations. and policies C) provide a testing ground for new patterns of behavior while the client takes responsibility for his or her own actions D) discourage expressions of anger because Question67 Therapeutic nurse-client interaction occurs when they can be disruptive to other clients the nurse A) assists the client to clarify the meaning of what Review Information: The correct answer is C: provide a testing ground for new patterns of bethe client has said havior while the client takes responsibility for his B) interprets the client’s covert communication C) praises the client for appropriate feelings and or her own actions. The nurse-client relationship is a corrective relationship in which the A) Gently remind her that she is no longer on client learns both tolerance and skills for relation. Interpretation. Which nursing action is the best with 1 person. The withdrawn client is uncomfort. Clarification is a facilitating/ therapeutic communication strategy. changing the focus/subject.stage ships.D) Tactfully explain appropriate clothing for the hospital peutic inpatient milieu is to A) provide a businesslike atmosphere where clients can work on individual goals Review Information: The correct answer is B: Directly assist client to her room for appropriate Collected by :DeepaRajesh [ 221 ] rajesh.ks21@gmail. The client suddenly walks up to the nurse and shouts «You think you’re so perfect and pure and good.«You seem angry right now. The nurse recognizes the underlying emotion with a matter of fact act with 1 person B) Provide the client with frequent opportunities attitude.nurse’s belief in the client’s personal competency and reinforces a coping strategy that will be needed when the nurse may not be available to offer solutions. Question70 A client with paranoid delusions stares at the nurse over a period of several days. and advising are non-therapeutic/barriers to communication.

Have you seen them?» D) «I>m fine.» Review Information: The correct answer is C: «I can>>t find my <>mesmer>> shoes. amenorrhea B) diarrhea. Question72 C) refusal to touch a client denotes lack of concern D) inappropriate touch often results in charges of assault and battery Review Information: The correct answer is A: some clients misconstrue hugs as an invitation to sexual advances.apparel. Question74 In a psychiatric setting. lanugo. Eighty percent of all potential suicide victims give some type of indication that self-destructiveness should be addressed. These clues might lead one to suspect that a client is having suicidal thoughts or is developing a plan. Physical findings associated with anorexia also include reduced metabolic rate and lower vital signs. Using neologisms is often associated with a thought disorder. Wait until my partner hears about this. lanugo. Have you seen them?». amenorrhea. the nurse limits touch or contact used with clients to handshaking because A) some clients misconstrue hugs as an invitation to sexual advances B) handshaking keeps the gesture on a professional level Collected by :DeepaRajesh [ 222 ] rajesh. vomiting. dental erosion C) hyperthermia. When teaching suicide prevention to the parents of a 15 year-old who recently attempted suicide.ks21@gmail. It>s my daughter who has the problem. the nurse describes the following behavioral cue as indicating a need for intervention.com Kuwait . nausea. increased metabolic rate D) excessive anxiety about symptoms Review Information: The correct answer is A: brittle hair. The client may interpret hugging and holding hands as sexual advances. It assists the client to maintain self-esteem while modifying behavior. Question75 A client with anorexia is hospitalized on a medical unit due to electrolyte imbalance and cardiac dysrhythmias. Touch denotes positive feelings for another person. A) Angry outbursts at significant others B) Fear of being left alone C) Giving away valued personal items D) Experiencing the loss of a boyfriend Review Information: The correct answer is C: Giving away valued personal items.» B) «I>m a little confused. Question73 Which statement made by a client indicates to the nurse that the client may have a thought disorder? A) «I>m so angry about this. What time is it?» C) «I can>t find my <mesmer> shoes. tachycardia. A neologism is a new word self invented by a person and not readily understood by another. Additional assessment findings that the nurse would expect to observe are A) brittle hair.

Sign up to vote on this title
UsefulNot useful