NCLEX RN #32 Exam Test Questions with 100% Correct Answers
1. 4 The nurse is working in a busy emergency department and
is assigned 4 clients. Which client should the nurse see
FIRST? #70769904 (10)
1. Client receiving cyclophosphamide reporting bloody
urine.
2. Client who reports severe nausea and vomiting after
chemotherapy
3. Client with an elbow abrasion and a lip laceration pos-
sibly requiring sutures.
4. Homeless client who appears drowsy with a tempera-
ture of 95F (35 C)
2. 2 A client with peripheral arterial disease is visiting the
health clinic. The nurse completes a health assessment.
Which statement by the client indicates a PRIORITY need
for follow-up teaching?
#70769904 (11)
1. "I always take my simvastatin in the evening."
2. "I prop my legs up in the recliner and use a heating pad
when my feet are cold."
3. "I've been walking on my treadmill at home for 15
minutes each day."
4. "I've noticed that I don't have much hair on my lower legs
anymore."
3. 4 A client who was placed in restraints appears in the hall-
way an hour later and states."I'M Houdini...
I can get out of anything. There could be trouble now."
Which of the following is the BEST response to the client?
#70769904 (12)
1. "How are you feeling now?"
2. "How did you manage to get out of the restraints?"
, NCLEX RN #32 Exam Test Questions with 100% Correct Answers
3. Say nothing but signal to other staff that assistance is
needed.
4. "What kind of trouble are you thinking about?"
4. 4 An adult client is admitted with back pain and found to have
a metastatic tumor on the spine. The health care provider
(HCP) explains that the client has few months to live and
is likely to become totally paralyzed below the waist soon.
The next day the clients tells the nurse of wanting to be
dis-charged despite the HCP's recommendation that the
client stay a few more days. Which is the most appropriate
INITIAL response by the nurse?
#70769904 (13)
1. "I understand you desire to leave, but it would very risky."
2. "I will ask the palliative nurse to talk with you to help
clarify your care goals."
3. "I will let the HCP know that you want to be discharged
and do everything I can to make it happen."
4. "Tell me more about your need to leave the hospital."
5. 4 What is an appropriate nursing intervention after the birth
of a newborn with anencephaly? #70769904 (14)
1. Instruct the parents that visitors should be restricted.
2. Provide information to the parents about genetic coun-
seling.
3. Refer the parents to a perinatal loss support group.
4. Wrap the newborn in warm blankets for the parents to
hold.
6. Anencephaly is a severe neural tube defect resulting in little to no brain
tissue or skull formation in utero. The newborn may be
stillborn or born alive, although death occurs shortly there-
after. Nurses should facilitate a therapeutic environment
1. 4 The nurse is working in a busy emergency department and
is assigned 4 clients. Which client should the nurse see
FIRST? #70769904 (10)
1. Client receiving cyclophosphamide reporting bloody
urine.
2. Client who reports severe nausea and vomiting after
chemotherapy
3. Client with an elbow abrasion and a lip laceration pos-
sibly requiring sutures.
4. Homeless client who appears drowsy with a tempera-
ture of 95F (35 C)
2. 2 A client with peripheral arterial disease is visiting the
health clinic. The nurse completes a health assessment.
Which statement by the client indicates a PRIORITY need
for follow-up teaching?
#70769904 (11)
1. "I always take my simvastatin in the evening."
2. "I prop my legs up in the recliner and use a heating pad
when my feet are cold."
3. "I've been walking on my treadmill at home for 15
minutes each day."
4. "I've noticed that I don't have much hair on my lower legs
anymore."
3. 4 A client who was placed in restraints appears in the hall-
way an hour later and states."I'M Houdini...
I can get out of anything. There could be trouble now."
Which of the following is the BEST response to the client?
#70769904 (12)
1. "How are you feeling now?"
2. "How did you manage to get out of the restraints?"
, NCLEX RN #32 Exam Test Questions with 100% Correct Answers
3. Say nothing but signal to other staff that assistance is
needed.
4. "What kind of trouble are you thinking about?"
4. 4 An adult client is admitted with back pain and found to have
a metastatic tumor on the spine. The health care provider
(HCP) explains that the client has few months to live and
is likely to become totally paralyzed below the waist soon.
The next day the clients tells the nurse of wanting to be
dis-charged despite the HCP's recommendation that the
client stay a few more days. Which is the most appropriate
INITIAL response by the nurse?
#70769904 (13)
1. "I understand you desire to leave, but it would very risky."
2. "I will ask the palliative nurse to talk with you to help
clarify your care goals."
3. "I will let the HCP know that you want to be discharged
and do everything I can to make it happen."
4. "Tell me more about your need to leave the hospital."
5. 4 What is an appropriate nursing intervention after the birth
of a newborn with anencephaly? #70769904 (14)
1. Instruct the parents that visitors should be restricted.
2. Provide information to the parents about genetic coun-
seling.
3. Refer the parents to a perinatal loss support group.
4. Wrap the newborn in warm blankets for the parents to
hold.
6. Anencephaly is a severe neural tube defect resulting in little to no brain
tissue or skull formation in utero. The newborn may be
stillborn or born alive, although death occurs shortly there-
after. Nurses should facilitate a therapeutic environment
