NCLEX Practice Questions- Kaplan Live N N N N
Review N
A client receives IV 0.9% NS at a rate of 125 mL/hr. Two hours later, the nurse notes the client
N N N N N N N N N N N N N N N N N N N
has crackles in both lungs that do not clear with coughing. The client reports shortness of
N N N N N N N N N N N N N N N N
breath. It is important for the nurse to take which action immediately?
N N N N N N N N N N N N
1. Decrease 0.9% sodium chloride infusion flow rate to keep vein-open (KVO) rate.
N N N N N N N N N N N N
2. Remain with the client.
N N N N
3. Place the client in high-Fowler position.
N N N N N N
4. Auscultate breath sounds. - CORRECT ANSWER-3. Place the client in high-Fowler position.
N N N N N NN N N N N N N
A laparotomy is scheduled for a client who is admitted to the hospital for a ruptured ectopic
N N N N N N N N N N N N N N N N
pregnancy. Preoperatively, which goal is most important for the nurse to include in the plar of
N N N N N N N N N N N N N N N N
care?
N
1. Fluid replacement.
N N
2. Pain relief.
N N
3. Emotional support.
N N
4. Respiratory therapy. - CORRECT ANSWER-1. Fluid replacement.
N N N N NN N N
The nurse comes upon a multicar accident. Which client should the nurse care for first?
N N N N N N N N N N N N N N
1. A middle-aged client reporting chest pain.
N N N N N N N
2. An adult client with a compound fracture of the tibia.
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3. An adolescent client with a broken jaw.
N N N N N N N
4. A toddler client with a bruise on the forehead. - CORRECT ANSWER-3. An adolescent client
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with a broken jaw.
N N N N
,The nurse provides care for a newborn who is three hours of age in the nursery. Which findings
N N N N N N N N N N N N N N N N N
cause the nurse to reevaluate the newborn in 15 minutes? (Select all that apply.)
N N N N N N N N N N N N N N
1. Heart rate of 140 beats per minute.
N N N N N N N
2. Absent breath sounds in lower lobes bilaterally.
N N N N N N N
3. Negative Babinski reflex.
N N N
4. Positive stepping reflex.
N N N
5. Acrocyanosis.
N
6. Respiratory rate of 80 breaths per minute. - CORRECT ANSWER-2. Absent breath sounds in
N N N N N N N N N NN N N N N
lower lobes bilaterally.
N N N
3. Negative Babinski reflex.
N N N
6. Respiratory rate of 80 breaths per minute.
N N N N N N N
The nurse performs nutritional counseling for a client on a lacto-vegetarian diet. The nurse
N N N N N N N N N N N N N
determines that teaching is successful if the client makes which menu selection? (Select all that
N N N N N N N N N N N N N N N
apply.)
N
1. Oatmeal, banana, toast, and milk.
N N N N N
2. Cheeseburger, french fries, fruit salad, and tea.
N N N N N N N
3. Stir-fried tofu with vegetables, cottage cheese, and apple juice.
N N N N N N N N N
4. Scrambled eggs, strawberries, and yogurt.
N N N N N
5. Peanut butter on whole-wheat toast, carrot and celery sticks, and lemonade.
N N N N N N N N N N N
6. Lentil chili, tossed salad with vinegar and oil dressing, and fruit ice. - CORRECT ANSWER-1.
N N N N N N N N N N N N N N NN
Oatmeal, banana, toast, and milk.
N N N N N
3. Stir-fried tofu with vegetables, cottage cheese, and apple juice.
N N N N N N N N N
5. Peanut butter on whole-wheat toast, carrot and celery sticks, and lemonade.
N N N N N N N N N N N
6. Lentil chili, tossed salad with vinegar and oil dressing, and fruit ice.
N N N N N N N N N N N N
,A client undergoes treatment for a fracture of the right femur by using skeletal traction with
N N N N N N N N N N N N N N N
balanced suspension through the use of a Thomas splint and a Pearson attachment. Which
N N N N N N N N N N N N N N
observation causes the nurse to intervene?
N N N N N N
1. The client grasps the overhead trapeze with the right arm to lift the body.
N N N N N N N N N N N N N N
2. The client turns to the right side to answer the telephone.
N N N N N N N N N N N
3. The client contracts and relaxes the right quadriceps and gluteal muscles for 5 minutes 4
N N N N N N N N N N N N N N N
times a day.
N N N
4. The client flexes the left leg and pushes up in bed. - CORRECT ANSWER-2. The client turns to
N N N N N N N N N N N N N NN N N N N
the right side to answer the telephone.
N N N N N N N
The nurse assesses a client receiving parenteral nutrition (PN). Which assessment most concerns
N N N N N N N N N N N N
the nurse?
N N
1. The client's urinary output is 150 mL per hour.
N N N N N N N N N
2. The client's oral temperature is 100.2°F (37.9°C).
N N N N N N N
3. The client's serum albumin is 3.8 g/dL (38 g/L).
N N N N N N N N N
4. Crackles that clear with coughing are heard during auscultation in both lungs. - CORRECT
N N N N N N N N N N N N N N N
ANSWER-1. The client's urinary output is 150 mL per hour.
N N N N N N N N N N
The nurse performs an assessment on a client admitted to the hospital with terminal cancer. The
N N N N N N N N N N N N N N N
client reports to the nurse that, "I am short of breath, have no appetite, and hurt everywhere."
N N N N N N N N N N N N N N N N N
Which statement by the nurse is best?
N N N N N N N
1. "Have you used a client-controlled analgesia machine for pain control before?"
N N N N N N N N N N N
2. "What have you found to be effective for pain control in the past?"
N N N N N N N N N N N N N
3. "I will get you a stronger pain medication that will help relieve your pain."
N N N N N N N N N N N N N N
4. "Let me turn on the television for you. That should help the pain." - CORRECT ANSWER-2.
N N N N N N N N N N N N N N N NN
"What have you found to be effective for pain control in the past?"
N N N N N N N N N N N N N
An older adult client reports difficulty sleeping. Which response by the nurse is best?
N N N N N N N N N N N N N
1. "How many times do you awaken during the night?"
N N N N N N N N N
, 2. "Does leg jerking ever wake you up at night?"
N N N N N N N N N
3. "Watching television or reading before bedtime will help you fall asleep.
N N N N N N N N N N N
4. "When you were working, how many hours of sleep did you average?" - CORRECT ANSWER-1.
N N N N N N N N N N N N N N NN
"How many times do you awaken during the night?"
N N N N N N N N N
The nurse provides discharge teaching for a client after a right posterior total hip replacement.
N N N N N N N N N N N N N N
Which statement by the client indicates that teaching is successful? (Select all that apply.)
N N N N N N N N N N N N N N
1. "My knees should be higher than my hips when I am sitting."
N N N N N N N N N N N N
2. "I should ask my spouse to put on my socks and shoes."
N N N N N N N N N N N N
3. "I should clean the incision with a mixture of hydrogen peroxide and water before applying a
N N N N N N N N N N N N N N N N
sterile dressing."
N N
4. "I don't need to continue the leg exercises learned in the hospital."
N N N N N N N N N N N N
5. "It's okay to sit for long periods of time."
N N N N N N N N N
6. "It is important that I use my walker when ambulating." - CORRECT ANSWER-2. "I should ask
N N N N N N N N N N N N NN N N N
my spouse to put on my socks and shoes."
N N N N N N N N N
6. "It is important that I use my walker when ambulating."
N N N N N N N N N N
The nurse provides care for an older adult client diagnosed with a fractured right femur. Which
N N N N N N N N N N N N N N N
observation most concerns the nurse?
N N N N N
1. The right foot's large toe remains pale for 3 seconds after pressure is applied to the nail bed.
N N N N N N N N N N N N N N N N N N
2. The client is incontinent of urine and stool.
N N N N N N N N
3. The client reports "slight shortness of breath" while moving in bed.
N N N N N N N N N N N
4. The client plucks at the bed covers and is confused about the current date and location. -
N N N N N N N N N N N N N N N N N
CORRECT ANSWER-4. The client plucks at the bed covers and is confused about the current
N NN N N N N N N N N N N N N N
date and location.
N N N
The nurse provides care for a client during an autologous blood transfusion. The client reports
N N N N N N N N N N N N N N
chills thirty minutes after the transfusion began. The client's blood pressure has decreased from
N N N N N N N N N N N N N N
122/84 mmHg to 108/62 mmHg. Which action will the nurse take first?
N N N N N N N N N N N N
Review N
A client receives IV 0.9% NS at a rate of 125 mL/hr. Two hours later, the nurse notes the client
N N N N N N N N N N N N N N N N N N N
has crackles in both lungs that do not clear with coughing. The client reports shortness of
N N N N N N N N N N N N N N N N
breath. It is important for the nurse to take which action immediately?
N N N N N N N N N N N N
1. Decrease 0.9% sodium chloride infusion flow rate to keep vein-open (KVO) rate.
N N N N N N N N N N N N
2. Remain with the client.
N N N N
3. Place the client in high-Fowler position.
N N N N N N
4. Auscultate breath sounds. - CORRECT ANSWER-3. Place the client in high-Fowler position.
N N N N N NN N N N N N N
A laparotomy is scheduled for a client who is admitted to the hospital for a ruptured ectopic
N N N N N N N N N N N N N N N N
pregnancy. Preoperatively, which goal is most important for the nurse to include in the plar of
N N N N N N N N N N N N N N N N
care?
N
1. Fluid replacement.
N N
2. Pain relief.
N N
3. Emotional support.
N N
4. Respiratory therapy. - CORRECT ANSWER-1. Fluid replacement.
N N N N NN N N
The nurse comes upon a multicar accident. Which client should the nurse care for first?
N N N N N N N N N N N N N N
1. A middle-aged client reporting chest pain.
N N N N N N N
2. An adult client with a compound fracture of the tibia.
N N N N N N N N N N N
3. An adolescent client with a broken jaw.
N N N N N N N
4. A toddler client with a bruise on the forehead. - CORRECT ANSWER-3. An adolescent client
N N N N N N N N N N N NN N N N
with a broken jaw.
N N N N
,The nurse provides care for a newborn who is three hours of age in the nursery. Which findings
N N N N N N N N N N N N N N N N N
cause the nurse to reevaluate the newborn in 15 minutes? (Select all that apply.)
N N N N N N N N N N N N N N
1. Heart rate of 140 beats per minute.
N N N N N N N
2. Absent breath sounds in lower lobes bilaterally.
N N N N N N N
3. Negative Babinski reflex.
N N N
4. Positive stepping reflex.
N N N
5. Acrocyanosis.
N
6. Respiratory rate of 80 breaths per minute. - CORRECT ANSWER-2. Absent breath sounds in
N N N N N N N N N NN N N N N
lower lobes bilaterally.
N N N
3. Negative Babinski reflex.
N N N
6. Respiratory rate of 80 breaths per minute.
N N N N N N N
The nurse performs nutritional counseling for a client on a lacto-vegetarian diet. The nurse
N N N N N N N N N N N N N
determines that teaching is successful if the client makes which menu selection? (Select all that
N N N N N N N N N N N N N N N
apply.)
N
1. Oatmeal, banana, toast, and milk.
N N N N N
2. Cheeseburger, french fries, fruit salad, and tea.
N N N N N N N
3. Stir-fried tofu with vegetables, cottage cheese, and apple juice.
N N N N N N N N N
4. Scrambled eggs, strawberries, and yogurt.
N N N N N
5. Peanut butter on whole-wheat toast, carrot and celery sticks, and lemonade.
N N N N N N N N N N N
6. Lentil chili, tossed salad with vinegar and oil dressing, and fruit ice. - CORRECT ANSWER-1.
N N N N N N N N N N N N N N NN
Oatmeal, banana, toast, and milk.
N N N N N
3. Stir-fried tofu with vegetables, cottage cheese, and apple juice.
N N N N N N N N N
5. Peanut butter on whole-wheat toast, carrot and celery sticks, and lemonade.
N N N N N N N N N N N
6. Lentil chili, tossed salad with vinegar and oil dressing, and fruit ice.
N N N N N N N N N N N N
,A client undergoes treatment for a fracture of the right femur by using skeletal traction with
N N N N N N N N N N N N N N N
balanced suspension through the use of a Thomas splint and a Pearson attachment. Which
N N N N N N N N N N N N N N
observation causes the nurse to intervene?
N N N N N N
1. The client grasps the overhead trapeze with the right arm to lift the body.
N N N N N N N N N N N N N N
2. The client turns to the right side to answer the telephone.
N N N N N N N N N N N
3. The client contracts and relaxes the right quadriceps and gluteal muscles for 5 minutes 4
N N N N N N N N N N N N N N N
times a day.
N N N
4. The client flexes the left leg and pushes up in bed. - CORRECT ANSWER-2. The client turns to
N N N N N N N N N N N N N NN N N N N
the right side to answer the telephone.
N N N N N N N
The nurse assesses a client receiving parenteral nutrition (PN). Which assessment most concerns
N N N N N N N N N N N N
the nurse?
N N
1. The client's urinary output is 150 mL per hour.
N N N N N N N N N
2. The client's oral temperature is 100.2°F (37.9°C).
N N N N N N N
3. The client's serum albumin is 3.8 g/dL (38 g/L).
N N N N N N N N N
4. Crackles that clear with coughing are heard during auscultation in both lungs. - CORRECT
N N N N N N N N N N N N N N N
ANSWER-1. The client's urinary output is 150 mL per hour.
N N N N N N N N N N
The nurse performs an assessment on a client admitted to the hospital with terminal cancer. The
N N N N N N N N N N N N N N N
client reports to the nurse that, "I am short of breath, have no appetite, and hurt everywhere."
N N N N N N N N N N N N N N N N N
Which statement by the nurse is best?
N N N N N N N
1. "Have you used a client-controlled analgesia machine for pain control before?"
N N N N N N N N N N N
2. "What have you found to be effective for pain control in the past?"
N N N N N N N N N N N N N
3. "I will get you a stronger pain medication that will help relieve your pain."
N N N N N N N N N N N N N N
4. "Let me turn on the television for you. That should help the pain." - CORRECT ANSWER-2.
N N N N N N N N N N N N N N N NN
"What have you found to be effective for pain control in the past?"
N N N N N N N N N N N N N
An older adult client reports difficulty sleeping. Which response by the nurse is best?
N N N N N N N N N N N N N
1. "How many times do you awaken during the night?"
N N N N N N N N N
, 2. "Does leg jerking ever wake you up at night?"
N N N N N N N N N
3. "Watching television or reading before bedtime will help you fall asleep.
N N N N N N N N N N N
4. "When you were working, how many hours of sleep did you average?" - CORRECT ANSWER-1.
N N N N N N N N N N N N N N NN
"How many times do you awaken during the night?"
N N N N N N N N N
The nurse provides discharge teaching for a client after a right posterior total hip replacement.
N N N N N N N N N N N N N N
Which statement by the client indicates that teaching is successful? (Select all that apply.)
N N N N N N N N N N N N N N
1. "My knees should be higher than my hips when I am sitting."
N N N N N N N N N N N N
2. "I should ask my spouse to put on my socks and shoes."
N N N N N N N N N N N N
3. "I should clean the incision with a mixture of hydrogen peroxide and water before applying a
N N N N N N N N N N N N N N N N
sterile dressing."
N N
4. "I don't need to continue the leg exercises learned in the hospital."
N N N N N N N N N N N N
5. "It's okay to sit for long periods of time."
N N N N N N N N N
6. "It is important that I use my walker when ambulating." - CORRECT ANSWER-2. "I should ask
N N N N N N N N N N N N NN N N N
my spouse to put on my socks and shoes."
N N N N N N N N N
6. "It is important that I use my walker when ambulating."
N N N N N N N N N N
The nurse provides care for an older adult client diagnosed with a fractured right femur. Which
N N N N N N N N N N N N N N N
observation most concerns the nurse?
N N N N N
1. The right foot's large toe remains pale for 3 seconds after pressure is applied to the nail bed.
N N N N N N N N N N N N N N N N N N
2. The client is incontinent of urine and stool.
N N N N N N N N
3. The client reports "slight shortness of breath" while moving in bed.
N N N N N N N N N N N
4. The client plucks at the bed covers and is confused about the current date and location. -
N N N N N N N N N N N N N N N N N
CORRECT ANSWER-4. The client plucks at the bed covers and is confused about the current
N NN N N N N N N N N N N N N N
date and location.
N N N
The nurse provides care for a client during an autologous blood transfusion. The client reports
N N N N N N N N N N N N N N
chills thirty minutes after the transfusion began. The client's blood pressure has decreased from
N N N N N N N N N N N N N N
122/84 mmHg to 108/62 mmHg. Which action will the nurse take first?
N N N N N N N N N N N N
