NCLEX vRN vACTUAL vEXAM vTEST vBANK, vREAL vQUESTIONS v& vANSWERS vNCLEX
QUESTION v1
Which vclassification vof vdrugs vis vcontraindicated vfor vthe vclient vwith vhypertrophic vcardiomyopathy?
A. vPositive vinotropes
B. vVasodilators
C. vDiuretics
D. vAntidysrhythmics
Answer: vA
vExplanation:
(A) vPositive vinotropic vagents vshould vnot vbe vadministered vowing vto vtheir vaction vof vincreasing vmyocardial
vcontractility. vIncreased vventricular vcontractility vwould vincrease voutflow vtract vobstruction vin vthe vclient vwith
vhypertrophic vcardiomyopathy. v(B) vVasodilators vare vnot vtypically vprescribed vbut vare vnot vcontraindicated. v(C)
vDiuretics vare vused vwith vcaution vto vavoid vcausing vhypovolemi
A. v(D) vAntidysrhythmics vare vtypicallyvneeded vto vtreat vboth vatrial vand vventricular vdysrhythmias.
QUESTION v2
Signs vand vsymptoms vof van vallergyvattack vinclude vwhich vof vthe vfollowing?
A. vWheezing von vinspiration
B. vIncreased vrespiratoryvrate
C. vCircumoral vcyanosis
D. vProlonged vexpiration
Answer: vD
vExplanation:
(A) vWheezing voccurs vduring vexpiration vwhen vair vmovement vis vimpaired vbecause vof vconstricted vedematous
vbronchial vlumin
A. v(B) vRespirations vare vdifficult, vbut vthe vrate vis vfrequentlyvnormal. v(C) vThe vcircumoral varea vis vusually vpale.
vCyanosis vis vnot van vearly vsign vof vhypoxi
A. v(D) vExpiration vis vprolonged vbecause vthe valveoli vare vgreatlyvdistended vand vair vtrapping voccurs.
QUESTION v3
A vclient vconfides vto vthe vnurse vthat vhe vtasted vpoison vin vhis vevening vmeal. vThis vwould vbe van vexample vof vwhat
vtype vof vhallucination?
A. vAuditory
B. vGustatory
C. vOlfactory
D. vVisceral
Answer: vB
vExplanation:
(A) vAuditory vhallucinations vinvolve vsensory vperceptions vof vhearing. v(B) vGustatory vhallucinations vinvolve
vsensoryvperceptions vof vtaste. v(C) vOlfactory vhallucinations vinvolve vsensory vperceptions vof vsmell. v(D) vVisceral
,hallucinations vinvolve vsensory vperceptions vof vsensation
,QUESTION
4 vWhich vof vthe vfollowing vfindings vwould vbe vabnormal vin va vpostpartal vwoman?
A. Chills vshortlyvafter vdelivery
B. Pulse vrate vof v60 vbpm vin vmorning von vfirst vpostdeliveryvday
C. Urinaryvoutput vof v3000 vmLvon vthe vsecond vdayvafter vdelivery
D. An voral vtemperature vof v101F v(38.3C) von vthe vthird vdayvafter vdelivery
Answer: vD
vExplanation:
(A) vFrequently vthe vmother vexperiences va vshaking vchill vimmediately vafter vdelivery, vwhich vis vrelated vto va
vnervous vresponse vor vto vvasomotor vchanges. v If vnot vfollowed v by va vfever, vit vis vclinically vinnocuous. v(B) vThe
vpulse vrate vduring vthe vimmediate vpostpartal vperiod vmay vbe vlow vbut vpresents vno vcause vfor valarm. vThe vbody
vattempts vto vadapt vto vthe vdecreased vpressures vintra-abdominally vas vwell vas vfrom vthe vreduction vof vblood vflow vto
vthe vvascular vbed. v(C) vUrinary voutput vincreases vduring vthe vearly vpostpartal vperiod v(12–24 vhours) vowing vto
vdiuresis. vThe vkidneys vmust veliminate van vestimated v2000–3000 vmL vof vextracellular vfluid vassociated vwith va
vnormal vpregnancy. v(D) vA vtemperature vof v100.4F v(38C) vmay voccur vafter vdelivery vas va vresult vof vexertion vand
vdehydration vof vlabor. vHowever, vanytemperature vgreater vthan v100.4F vneeds vfurther vinvestigation vto videntify
vany vinfectious vprocess.
QUESTION v5
A vsix-month-old vinfant vhas vbeen vadmitted vto vthe vemergencyvroom vwith vfebrile vseizures. vIn vthe vteaching vof vthe
vparents, vthe vnurse vstates vthat:
A. Sustained vtemperature velevation vover v103F vis vgenerallyvrelated vto vfebrile vseizures
B. Febrile vseizures vdo vnot vusuallyvrecur
C. There vis vlittle vrisk vof vneurological vdeficit vand vmental vretardation vas vsequelae vto vfebrile vseizures
D. Febrile vseizures vare vassociated vwith vdiseases vof vthe vcentral vnervous vsystem
Answer: vC
vExplanation:
(A) vThe vtemperature velevation vrelated vto vfebrile vseizures vgenerally vexceeds v101F, vand vseizures voccur vduring
vthe vtemperature vrise vrather vthan vafter va vprolonged velevation. v(B) vFebrile vseizures vmay vrecur vand vare vmore vlikely
vto vdo vso vwhen vthe vfirst vseizure voccurs vin vthe v1st vyear vof vlife. v(C) vThere vis vlittle vrisk vof vneurological vdeficit,
vmental vretardation, vor valtered vbehavior vsecondary vto vfebrile vseizures. v(D) vFebrile vseizures vare vassociated vwith
vdisease vof vthe vcentral vnervous vsystem.
QUESTION v6
A vclient vdiagnosed vwith vbipolar vdisorder vcontinues vto vbe vhyperactive vand vto vlose vweight. vWhich vof vthe vfollowing
vnutritional vinterventions vwould vbe vmost vtherapeutic vfor vhim vat vthis vtime?
A. Small, vfrequent vfeedings vof vfoods vthat vcan vbe vcarried
B. Tube vfeedings vwith vnutritional vsupplements
C. Allowing vhim vto veat vwhen vand vwhat vhe vwants
D. Giving vhim va vquiet vplace vwhere vhe vcan vsit vdown vto veat vmeals
Answer: vA
vExplanation:
(A) vThe vmanic vclient vis vunable vto vsit vstill vlong venough vto veat van vadequate vmeal. vSmall, vfrequent vfeedings vwith
, finger vfoods vallow vhim vto veat vduring vperiods vof vactivity. v(B) vThis vtype vof vtherapyvshould vbe vimplemented vwhen
vother vmethods vhave vbeen vexhausted. v(C) vThe vmanic vclient vshould vnot vbe vin vcontrol vof vhis vtreatment vplan.
vThis vtype vof vclient vmayvforget vto veat. v(D) vThe vmanic vclient vis vunable vto vsit vdown vto veat vfull vmeals.
QUESTION v7
A vclient vwith vbipolar vdisorder vtaking vlithium vtells vthe vnurse vthat vhe vhas vringing vin vhis vears, vblurred vvision, vand
vdiarrhe
A. vThe vnurse vnotices va vslight vtremor vin vhis vleft vhand vand va vslurring vpattern vto vhis vspeech. vWhich vof vthe vfollowing
vactions vby vthe vnurse vis vappropriate?
A. v Administer va vstat vdose vof vlithium vas vnecessary.
B. vRecognize vthis vas van vexpected vresponse vto vlithium.
C. v Request van vorder vfor va vstat vblood vlithium vlevel.
D. v Give van voral vdose vof vlithium vantidote.
Answer: vC
vExplanation:
(A) These vsymptoms vare vindicative vof vlithium vtoxicity. vA vstat vdose vof vlithium vcould vbe vfatal.
(B) These vare vtoxic veffects vof vlithium vtherapy. v(C) vThe vclient vis vexhibiting vsymptoms vof vlithium vtoxicity,
vwhich vmay vbe vvalidated vby vlab vstudies. v(D) vThere vis vno vknown vlithium vantidote.
QUESTION v8
A vdiagnosis vof vhepatitis vC vis vconfirmed vbyva vmale vclient‘s vphysician. vThe vnurse vshould vbe vknowledgeable vof vthe
vdifferences vbetween vhepatitis vA, vB, vand vC. vWhich vof vthe vfollowing vare vcharacteristics vof vhepatitis vC?
A. The vpotential vfor vchronic vliver vdisease vis vminimal.
B. The vonset vof vsymptoms vis vabrupt.
C. The vincubation vperiod vis v2–26 vweeks.
D. There vis van veffective vvaccine vfor vhepatitis vB, vbut vnot vfor vhepatitis vC.
Answer: vC
vExplanation:
(A) vHepatitis vC vand vB vmay vresult vin vchronic vliver vdisease. vHepatitis vA vhas va vlow vpotential vfor vchronic vliver
vdisease. v(B) vHepatitis vC vand vB vhave vinsidious vonsets. vHepatitis vA vhas van vabrupt vonset. v(C) vIncubation vperiods
vare vas vfollows: vhepatitis vC vis v2–26 vweeks, vhepatitis vB vis v6–20 vweeks, vand vhepatitis vA vis v2–6 vweeks. v(D) vOnly
vhepatitis vB vhas van veffective vvaccine.
QUESTION v9
Hypoxia vis vthe vprimary vproblem vrelated vto vnear-drowning vvictims. vThe vfirst vorgan vthat vsustains virreversible
vdamage vafter vsubmersion vin vwater vis vthe:
A. Kidney v(urinaryvsystem)
B. Brain v(nervous vsystem)
C. Heart v(circulatoryvsystem)
D. Lungs v(respiratoryvsystem)
Answer: vB
vExplanation:
A+
QUESTION v1
Which vclassification vof vdrugs vis vcontraindicated vfor vthe vclient vwith vhypertrophic vcardiomyopathy?
A. vPositive vinotropes
B. vVasodilators
C. vDiuretics
D. vAntidysrhythmics
Answer: vA
vExplanation:
(A) vPositive vinotropic vagents vshould vnot vbe vadministered vowing vto vtheir vaction vof vincreasing vmyocardial
vcontractility. vIncreased vventricular vcontractility vwould vincrease voutflow vtract vobstruction vin vthe vclient vwith
vhypertrophic vcardiomyopathy. v(B) vVasodilators vare vnot vtypically vprescribed vbut vare vnot vcontraindicated. v(C)
vDiuretics vare vused vwith vcaution vto vavoid vcausing vhypovolemi
A. v(D) vAntidysrhythmics vare vtypicallyvneeded vto vtreat vboth vatrial vand vventricular vdysrhythmias.
QUESTION v2
Signs vand vsymptoms vof van vallergyvattack vinclude vwhich vof vthe vfollowing?
A. vWheezing von vinspiration
B. vIncreased vrespiratoryvrate
C. vCircumoral vcyanosis
D. vProlonged vexpiration
Answer: vD
vExplanation:
(A) vWheezing voccurs vduring vexpiration vwhen vair vmovement vis vimpaired vbecause vof vconstricted vedematous
vbronchial vlumin
A. v(B) vRespirations vare vdifficult, vbut vthe vrate vis vfrequentlyvnormal. v(C) vThe vcircumoral varea vis vusually vpale.
vCyanosis vis vnot van vearly vsign vof vhypoxi
A. v(D) vExpiration vis vprolonged vbecause vthe valveoli vare vgreatlyvdistended vand vair vtrapping voccurs.
QUESTION v3
A vclient vconfides vto vthe vnurse vthat vhe vtasted vpoison vin vhis vevening vmeal. vThis vwould vbe van vexample vof vwhat
vtype vof vhallucination?
A. vAuditory
B. vGustatory
C. vOlfactory
D. vVisceral
Answer: vB
vExplanation:
(A) vAuditory vhallucinations vinvolve vsensory vperceptions vof vhearing. v(B) vGustatory vhallucinations vinvolve
vsensoryvperceptions vof vtaste. v(C) vOlfactory vhallucinations vinvolve vsensory vperceptions vof vsmell. v(D) vVisceral
,hallucinations vinvolve vsensory vperceptions vof vsensation
,QUESTION
4 vWhich vof vthe vfollowing vfindings vwould vbe vabnormal vin va vpostpartal vwoman?
A. Chills vshortlyvafter vdelivery
B. Pulse vrate vof v60 vbpm vin vmorning von vfirst vpostdeliveryvday
C. Urinaryvoutput vof v3000 vmLvon vthe vsecond vdayvafter vdelivery
D. An voral vtemperature vof v101F v(38.3C) von vthe vthird vdayvafter vdelivery
Answer: vD
vExplanation:
(A) vFrequently vthe vmother vexperiences va vshaking vchill vimmediately vafter vdelivery, vwhich vis vrelated vto va
vnervous vresponse vor vto vvasomotor vchanges. v If vnot vfollowed v by va vfever, vit vis vclinically vinnocuous. v(B) vThe
vpulse vrate vduring vthe vimmediate vpostpartal vperiod vmay vbe vlow vbut vpresents vno vcause vfor valarm. vThe vbody
vattempts vto vadapt vto vthe vdecreased vpressures vintra-abdominally vas vwell vas vfrom vthe vreduction vof vblood vflow vto
vthe vvascular vbed. v(C) vUrinary voutput vincreases vduring vthe vearly vpostpartal vperiod v(12–24 vhours) vowing vto
vdiuresis. vThe vkidneys vmust veliminate van vestimated v2000–3000 vmL vof vextracellular vfluid vassociated vwith va
vnormal vpregnancy. v(D) vA vtemperature vof v100.4F v(38C) vmay voccur vafter vdelivery vas va vresult vof vexertion vand
vdehydration vof vlabor. vHowever, vanytemperature vgreater vthan v100.4F vneeds vfurther vinvestigation vto videntify
vany vinfectious vprocess.
QUESTION v5
A vsix-month-old vinfant vhas vbeen vadmitted vto vthe vemergencyvroom vwith vfebrile vseizures. vIn vthe vteaching vof vthe
vparents, vthe vnurse vstates vthat:
A. Sustained vtemperature velevation vover v103F vis vgenerallyvrelated vto vfebrile vseizures
B. Febrile vseizures vdo vnot vusuallyvrecur
C. There vis vlittle vrisk vof vneurological vdeficit vand vmental vretardation vas vsequelae vto vfebrile vseizures
D. Febrile vseizures vare vassociated vwith vdiseases vof vthe vcentral vnervous vsystem
Answer: vC
vExplanation:
(A) vThe vtemperature velevation vrelated vto vfebrile vseizures vgenerally vexceeds v101F, vand vseizures voccur vduring
vthe vtemperature vrise vrather vthan vafter va vprolonged velevation. v(B) vFebrile vseizures vmay vrecur vand vare vmore vlikely
vto vdo vso vwhen vthe vfirst vseizure voccurs vin vthe v1st vyear vof vlife. v(C) vThere vis vlittle vrisk vof vneurological vdeficit,
vmental vretardation, vor valtered vbehavior vsecondary vto vfebrile vseizures. v(D) vFebrile vseizures vare vassociated vwith
vdisease vof vthe vcentral vnervous vsystem.
QUESTION v6
A vclient vdiagnosed vwith vbipolar vdisorder vcontinues vto vbe vhyperactive vand vto vlose vweight. vWhich vof vthe vfollowing
vnutritional vinterventions vwould vbe vmost vtherapeutic vfor vhim vat vthis vtime?
A. Small, vfrequent vfeedings vof vfoods vthat vcan vbe vcarried
B. Tube vfeedings vwith vnutritional vsupplements
C. Allowing vhim vto veat vwhen vand vwhat vhe vwants
D. Giving vhim va vquiet vplace vwhere vhe vcan vsit vdown vto veat vmeals
Answer: vA
vExplanation:
(A) vThe vmanic vclient vis vunable vto vsit vstill vlong venough vto veat van vadequate vmeal. vSmall, vfrequent vfeedings vwith
, finger vfoods vallow vhim vto veat vduring vperiods vof vactivity. v(B) vThis vtype vof vtherapyvshould vbe vimplemented vwhen
vother vmethods vhave vbeen vexhausted. v(C) vThe vmanic vclient vshould vnot vbe vin vcontrol vof vhis vtreatment vplan.
vThis vtype vof vclient vmayvforget vto veat. v(D) vThe vmanic vclient vis vunable vto vsit vdown vto veat vfull vmeals.
QUESTION v7
A vclient vwith vbipolar vdisorder vtaking vlithium vtells vthe vnurse vthat vhe vhas vringing vin vhis vears, vblurred vvision, vand
vdiarrhe
A. vThe vnurse vnotices va vslight vtremor vin vhis vleft vhand vand va vslurring vpattern vto vhis vspeech. vWhich vof vthe vfollowing
vactions vby vthe vnurse vis vappropriate?
A. v Administer va vstat vdose vof vlithium vas vnecessary.
B. vRecognize vthis vas van vexpected vresponse vto vlithium.
C. v Request van vorder vfor va vstat vblood vlithium vlevel.
D. v Give van voral vdose vof vlithium vantidote.
Answer: vC
vExplanation:
(A) These vsymptoms vare vindicative vof vlithium vtoxicity. vA vstat vdose vof vlithium vcould vbe vfatal.
(B) These vare vtoxic veffects vof vlithium vtherapy. v(C) vThe vclient vis vexhibiting vsymptoms vof vlithium vtoxicity,
vwhich vmay vbe vvalidated vby vlab vstudies. v(D) vThere vis vno vknown vlithium vantidote.
QUESTION v8
A vdiagnosis vof vhepatitis vC vis vconfirmed vbyva vmale vclient‘s vphysician. vThe vnurse vshould vbe vknowledgeable vof vthe
vdifferences vbetween vhepatitis vA, vB, vand vC. vWhich vof vthe vfollowing vare vcharacteristics vof vhepatitis vC?
A. The vpotential vfor vchronic vliver vdisease vis vminimal.
B. The vonset vof vsymptoms vis vabrupt.
C. The vincubation vperiod vis v2–26 vweeks.
D. There vis van veffective vvaccine vfor vhepatitis vB, vbut vnot vfor vhepatitis vC.
Answer: vC
vExplanation:
(A) vHepatitis vC vand vB vmay vresult vin vchronic vliver vdisease. vHepatitis vA vhas va vlow vpotential vfor vchronic vliver
vdisease. v(B) vHepatitis vC vand vB vhave vinsidious vonsets. vHepatitis vA vhas van vabrupt vonset. v(C) vIncubation vperiods
vare vas vfollows: vhepatitis vC vis v2–26 vweeks, vhepatitis vB vis v6–20 vweeks, vand vhepatitis vA vis v2–6 vweeks. v(D) vOnly
vhepatitis vB vhas van veffective vvaccine.
QUESTION v9
Hypoxia vis vthe vprimary vproblem vrelated vto vnear-drowning vvictims. vThe vfirst vorgan vthat vsustains virreversible
vdamage vafter vsubmersion vin vwater vis vthe:
A. Kidney v(urinaryvsystem)
B. Brain v(nervous vsystem)
C. Heart v(circulatoryvsystem)
D. Lungs v(respiratoryvsystem)
Answer: vB
vExplanation:
A+
