NCSBN NCLEX QUESTIONS AND
CORRECT ANSWERS.
A LPN complains to the charge nurse that an unlicensed assistive person
m m m m m m m m m m m
(UAP) consistently leaves the work area untidy and does not restock
m m m m m m m m m m m
supplies. What is the best initial response by the charge nurse?
m m m m m m m m m m m
1Write down potential solutions to the problems today by shift's end
m m m m m m m m m m
2Add this concern to the agenda of the next unit meeting
m m m m m m m m m m
3Assure the staff nurse that the complaint will be investigated
m m m m m m m m m
4Explore for further identification about the nature of the problem -
m m m m m m m m m m
mCorrect Answer ✔✔ - 4 Explore for further identification about the nature
mm m m m m m m m m m m
mof the problem
m m
The nurse assists with the reinforcement of information about breast self-
m m m m m m m m m m
examination to a group of college students. A female student asks when
m m m m m m m m m m m
mto perform the monthly exam. The appropriate reply by the nurse should
m m m m m m m m m m m
minclude which statement? m m
1"Ovulation, or midcycle is the best time to detect changes."
m m m m m m m m m
2"Do the exam at the same time every month."
m m m m m m m m
3"Right after the period, when your breasts are less tender."
m m m m m m m m m m
4"The first of every month, because it will be easiest to remember." -
m m m m m m m m m m m m
mCorrect Answer ✔✔ - 3 mm m m m
The nurse is caring for a 75 year-old client with type 2 diabetes mellitus.
m m m m m m m m m m m m m
mThe client should be instructed to contact the outpatient clinic
m m m m m m m m m
mimmediately if which findings are present? m m m m m
1An open wound on the heel with minimal discomfort
m m m m m m m m
2Occasional hiccups and sneezing m m m
,3Sustained insomnia and daytime fatigue
m m m m
4Persistent dryness and itching of the perineal area - Correct Answer ✔✔
m m m m m m m m m mm m
m- 1An open wound on the heel with minimal discomfort-
m m m m m m m m m
A pregnant woman has been advised to alter her diet during pregnancy by
m m m m m m m m m m m m
increasing the intake of protein and vitamin C to meet the needs of the
m m m m m m m m m m m m m m
growing fetus. Which diet choice would best meet the woman's needs?
m m m m m m m m m m m
1. 1 cup of macaroni, three-fourths cup of peas, glass whole milk, medium
m m m m m m m m m m m m
mpear
2. Scrambled egg, hash browned potatoes, one-half glass of buttermilk,
m m m m m m m m m
mlarge nectarinem
3. 3 oz. chicken, one-half cup of corn, lettuce salad, small banana
m m m m m m m m m m m
4. Beef, one-half cup of lima beans, glass of skim milk, three-fourths cup
m m m m m m m m m m m m
mof strawberries - Correct Answer ✔✔ - 4. Beef, one-half cup of lima
m m m mm m m m m m m m m
mbeans, glass of skim milk, three-fourths cup of strawberries -
m m m m m m m m m
A nurse is taking a health history from parents of a child admitted with
m m m m m m m m m m m m m
possible Reye's syndrome. Which recent illness should the nurse
m m m m m m m m m
recognize as being associated with an increased the risk for the
m m m m m m m m m m m
development of Reye's syndrome?
m m m m
1. Varicella
m m
2. Meningitis
m
3. Hepatitis
m
4. Rubeola - Correct Answer ✔✔ - 1. Varicella -
m m m mm m m m m m
A Native American chief visits his newborn son and performs a traditional
m m m m m m m m m m m
ceremony that involves feathers and chanting. The nurse comments to a
m m m m m m m m m m m
colleague: "I wonder if he has any idea how ridiculous he looks - he's a
m m m m m m m m m m m m m m m
grown man!" The nurse's comment is an example of what type of
m m m m m m m m m m m m
attitude?
m
1. Prejudice
m
2. Ethnocentrism
m
3. Discrimination
m
,4. Stereotyping - Correct Answer ✔✔ - 1. Prejudice-
m m m mm m m m m
A nursing student asks the licensed practical nurse (LPN) to explain the
m m m m m m m m m m m
forces that drive health care reform. When responding to the student's
m m m m m m m m m m m
question, what information should the nurse emphasize?
m m m m m m m
1. Increased competition between health care insurers
m m m m m m
2. Increase in health care spending that's growing faster than the
m m m m m m m m m m
meconomy
3. Increase in the population who have health insurance
m m m m m m m m
4. Increase in spending for end-of-life treatment - Correct Answer ✔✔ - 2
m m m m m m m m mm m m m
A child is admitted to the unit with the suspected diagnosis of pertussis
m m m m m m m m m m m m
(whooping cough). What is the priority nursing intervention for this child?
m m m m m m m m m m m
1. Maintain hydration and encourage fluids
m m m m m
2. Implement droplet precautions
m m m
3. Monitor respiratory rate and oxygen saturation
m m m m m m
4. Anti- infective therapy - Correct Answer ✔✔ - 2
m m m m m mm m m m
A client has an indwelling catheter with continuous bladder irrigation after
m m m m m m m m m m
undergoing a transurethral resection of the prostate (TURP) 12 hours ago.
m m m m m m m m m m m
Which finding at this time should be reported to the registered nurse (RN)
m m m m m m m m m m m m m
charge nurse?
m m
1Complaints for the feeling of pulling on the urinary catheter
m m m m m m m m m
2Light, pink to clear urine
m m m m
3Occasional suprapubic cramping m m
4Minimal drainage into the urinary collection bag - Correct Answer ✔✔ -
m m m m m m m m mm m m
m4Minimal drainage into the urinary collection bag
m m m m m m
A nurse is caring for a woman two hours after a vaginal delivery.
m m m m m m m m m m m m
Documentation indicates that the membranes ruptured 36 hours prior to
m m m m m m m m m m
delivery. Which of these nursing diagnoses should the nurse expect the
m m m m m m m m m m m
charge nurse to list as a priority at this time?
m m m m m m m m m m
1Risk for fluid volume deficit
m m m m
, 2Risk for excessive bleeding
m m m
3Risk for infection -
m m m
4Altered tissue perfusion - Correct Answer ✔✔ - 3
m m m m mm m m m
A 14 month-old child ingests a half a bottle of baby aspirin (81 mg)
m m m m m m m m m m m m m
tablets. Which finding should a nurse expect to see in the child?
m m m m m m m m m m m m
1Hypothermia
2Nausea and vomiting m m
3Hypoventilation
4Bradycardia - Correct Answer ✔✔ - 2 m m mm m m m
A school nurse monitors a child with a history of tonic-clonic seizures. The
m m m m m m m m m m m m
school nurse should inform teachers that if the child falls to the floor and
m m m m m m m m m m m m m m
experiences a seizure while in the classroom, which of the following would
m m m m m m m m m m m m
be the most important action to take during the seizure?
m m m m m m m m m m
1Place the hands or a folded blanket under the head of the child
m m m m m m m m m m m m m
2Provide privacy as much as possible to minimize frightening the other
m m m m m m m m m m
mchildren
3Move any chairs or desks at least three feet away from the child
m m m m m m m m m m m m
4Note the sequence of movements with the time lapse of the event -
m m m m m m m m m m m m
mCorrect Answer ✔✔ - 1Place the hands or a folded blanket under the
mm m m m m m m m m m m m
mhead of the child -
m m m m
A client is admitted with diagnosis of a right upper lobe infiltrate and to
m m m m m m m m m m m m m
rule out active tuberculosis (TB). Which type of precautions will be
m m m m m m m m m m m
needed for this client?
m m m m
1Droplet
2Contact
3Standard
4Airborne - Correct Answer ✔✔ - 4 m m mm m m m
CORRECT ANSWERS.
A LPN complains to the charge nurse that an unlicensed assistive person
m m m m m m m m m m m
(UAP) consistently leaves the work area untidy and does not restock
m m m m m m m m m m m
supplies. What is the best initial response by the charge nurse?
m m m m m m m m m m m
1Write down potential solutions to the problems today by shift's end
m m m m m m m m m m
2Add this concern to the agenda of the next unit meeting
m m m m m m m m m m
3Assure the staff nurse that the complaint will be investigated
m m m m m m m m m
4Explore for further identification about the nature of the problem -
m m m m m m m m m m
mCorrect Answer ✔✔ - 4 Explore for further identification about the nature
mm m m m m m m m m m m
mof the problem
m m
The nurse assists with the reinforcement of information about breast self-
m m m m m m m m m m
examination to a group of college students. A female student asks when
m m m m m m m m m m m
mto perform the monthly exam. The appropriate reply by the nurse should
m m m m m m m m m m m
minclude which statement? m m
1"Ovulation, or midcycle is the best time to detect changes."
m m m m m m m m m
2"Do the exam at the same time every month."
m m m m m m m m
3"Right after the period, when your breasts are less tender."
m m m m m m m m m m
4"The first of every month, because it will be easiest to remember." -
m m m m m m m m m m m m
mCorrect Answer ✔✔ - 3 mm m m m
The nurse is caring for a 75 year-old client with type 2 diabetes mellitus.
m m m m m m m m m m m m m
mThe client should be instructed to contact the outpatient clinic
m m m m m m m m m
mimmediately if which findings are present? m m m m m
1An open wound on the heel with minimal discomfort
m m m m m m m m
2Occasional hiccups and sneezing m m m
,3Sustained insomnia and daytime fatigue
m m m m
4Persistent dryness and itching of the perineal area - Correct Answer ✔✔
m m m m m m m m m mm m
m- 1An open wound on the heel with minimal discomfort-
m m m m m m m m m
A pregnant woman has been advised to alter her diet during pregnancy by
m m m m m m m m m m m m
increasing the intake of protein and vitamin C to meet the needs of the
m m m m m m m m m m m m m m
growing fetus. Which diet choice would best meet the woman's needs?
m m m m m m m m m m m
1. 1 cup of macaroni, three-fourths cup of peas, glass whole milk, medium
m m m m m m m m m m m m
mpear
2. Scrambled egg, hash browned potatoes, one-half glass of buttermilk,
m m m m m m m m m
mlarge nectarinem
3. 3 oz. chicken, one-half cup of corn, lettuce salad, small banana
m m m m m m m m m m m
4. Beef, one-half cup of lima beans, glass of skim milk, three-fourths cup
m m m m m m m m m m m m
mof strawberries - Correct Answer ✔✔ - 4. Beef, one-half cup of lima
m m m mm m m m m m m m m
mbeans, glass of skim milk, three-fourths cup of strawberries -
m m m m m m m m m
A nurse is taking a health history from parents of a child admitted with
m m m m m m m m m m m m m
possible Reye's syndrome. Which recent illness should the nurse
m m m m m m m m m
recognize as being associated with an increased the risk for the
m m m m m m m m m m m
development of Reye's syndrome?
m m m m
1. Varicella
m m
2. Meningitis
m
3. Hepatitis
m
4. Rubeola - Correct Answer ✔✔ - 1. Varicella -
m m m mm m m m m m
A Native American chief visits his newborn son and performs a traditional
m m m m m m m m m m m
ceremony that involves feathers and chanting. The nurse comments to a
m m m m m m m m m m m
colleague: "I wonder if he has any idea how ridiculous he looks - he's a
m m m m m m m m m m m m m m m
grown man!" The nurse's comment is an example of what type of
m m m m m m m m m m m m
attitude?
m
1. Prejudice
m
2. Ethnocentrism
m
3. Discrimination
m
,4. Stereotyping - Correct Answer ✔✔ - 1. Prejudice-
m m m mm m m m m
A nursing student asks the licensed practical nurse (LPN) to explain the
m m m m m m m m m m m
forces that drive health care reform. When responding to the student's
m m m m m m m m m m m
question, what information should the nurse emphasize?
m m m m m m m
1. Increased competition between health care insurers
m m m m m m
2. Increase in health care spending that's growing faster than the
m m m m m m m m m m
meconomy
3. Increase in the population who have health insurance
m m m m m m m m
4. Increase in spending for end-of-life treatment - Correct Answer ✔✔ - 2
m m m m m m m m mm m m m
A child is admitted to the unit with the suspected diagnosis of pertussis
m m m m m m m m m m m m
(whooping cough). What is the priority nursing intervention for this child?
m m m m m m m m m m m
1. Maintain hydration and encourage fluids
m m m m m
2. Implement droplet precautions
m m m
3. Monitor respiratory rate and oxygen saturation
m m m m m m
4. Anti- infective therapy - Correct Answer ✔✔ - 2
m m m m m mm m m m
A client has an indwelling catheter with continuous bladder irrigation after
m m m m m m m m m m
undergoing a transurethral resection of the prostate (TURP) 12 hours ago.
m m m m m m m m m m m
Which finding at this time should be reported to the registered nurse (RN)
m m m m m m m m m m m m m
charge nurse?
m m
1Complaints for the feeling of pulling on the urinary catheter
m m m m m m m m m
2Light, pink to clear urine
m m m m
3Occasional suprapubic cramping m m
4Minimal drainage into the urinary collection bag - Correct Answer ✔✔ -
m m m m m m m m mm m m
m4Minimal drainage into the urinary collection bag
m m m m m m
A nurse is caring for a woman two hours after a vaginal delivery.
m m m m m m m m m m m m
Documentation indicates that the membranes ruptured 36 hours prior to
m m m m m m m m m m
delivery. Which of these nursing diagnoses should the nurse expect the
m m m m m m m m m m m
charge nurse to list as a priority at this time?
m m m m m m m m m m
1Risk for fluid volume deficit
m m m m
, 2Risk for excessive bleeding
m m m
3Risk for infection -
m m m
4Altered tissue perfusion - Correct Answer ✔✔ - 3
m m m m mm m m m
A 14 month-old child ingests a half a bottle of baby aspirin (81 mg)
m m m m m m m m m m m m m
tablets. Which finding should a nurse expect to see in the child?
m m m m m m m m m m m m
1Hypothermia
2Nausea and vomiting m m
3Hypoventilation
4Bradycardia - Correct Answer ✔✔ - 2 m m mm m m m
A school nurse monitors a child with a history of tonic-clonic seizures. The
m m m m m m m m m m m m
school nurse should inform teachers that if the child falls to the floor and
m m m m m m m m m m m m m m
experiences a seizure while in the classroom, which of the following would
m m m m m m m m m m m m
be the most important action to take during the seizure?
m m m m m m m m m m
1Place the hands or a folded blanket under the head of the child
m m m m m m m m m m m m m
2Provide privacy as much as possible to minimize frightening the other
m m m m m m m m m m
mchildren
3Move any chairs or desks at least three feet away from the child
m m m m m m m m m m m m
4Note the sequence of movements with the time lapse of the event -
m m m m m m m m m m m m
mCorrect Answer ✔✔ - 1Place the hands or a folded blanket under the
mm m m m m m m m m m m m
mhead of the child -
m m m m
A client is admitted with diagnosis of a right upper lobe infiltrate and to
m m m m m m m m m m m m m
rule out active tuberculosis (TB). Which type of precautions will be
m m m m m m m m m m m
needed for this client?
m m m m
1Droplet
2Contact
3Standard
4Airborne - Correct Answer ✔✔ - 4 m m mm m m m