N151 Final Exam NCLEX Questions With Complete
Solutions
A 10-year-old boy has been admitted to the hospital with
respiratory acidosis. The nurse suspects that which chronic lung
disease most likely caused the child to develop this condition?
A) Cystic fibrosis
B) Aspiration
C) Hyperthyroidism
D) Pneumonia correct answers A
A 16-year-old patient comes to the free clinic and is diagnosed
with primary syphilis. The patient states that she contracted this
disease by holding hands with someone who has syphilis. What
is the most appropriate nursing diagnosis for this patient?
a) Alteration in comfort related to impaired skin integrity
b) Fear related to complications
c) Noncompliance with treatment regimen related to age
d) Knowledge deficit related to modes of transmission correct
answers D
A 22-year-old male is being treated at a college health care
clinic for gonorrhea. Which of the following teaching points
should the nurse include in patient teaching?
A) "While being treated for the infection, you will not be able to
pass this infection on to your sexual partner."
B) "While you're taking your antibiotics, you will need to
abstain from participating in sexual activity or drinking alcohol."
,C) "It's important to complete your full course of antibiotics in
order to ensure that you become resistant to reinfection."
D) "The symptoms of gonorrhea will resolve on their own, but it
is important for you to abstain from sexual activity while this is
occurring." correct answers B
A 22-year-old man tells the nurse at the health clinic that he has
recently become unable to achieve an erection. When assessing
for possible etiologic factors, which question should the nurse
ask first?
a. "Have you been experiencing an unusual amount of stress?"
b. "Do you have any history of an erection that lasted for 6 hours
or more?"
c. "Are you using any recreational drugs or drinking a lot of
alcohol?"
d. "Do you have any chronic diseases, such as diabetes
mellitus?" correct answers C
A 22-year-old patient has presented to her primary care provider
for her scheduled Pap smear. Abnormal results of this diagnostic
test may imply infection with:
a) human papillomavirus (HPV).
b) Chlamydia trachomatis.
c) Candida albicans.
d) Trichomonas vaginalis. correct answers A
A 30-year-old female patient has sought care because of the
recent appearance of itchy lesions on her vulva, some of which
,have recently burst. The patient's description of her problem
would lead you to first suspect
A) HIV.
B) Gonorrhea.
C) Chlamydia.
D) Genital herpes. correct answers D
A 32-year-old man scheduled for a unilateral orchiectomy for
testicular cancer is admitted to the hospital the morning of
surgery. He is accompanied by his wife but does not talk to her
and does not initiate interaction with the nurse. The most
appropriate action by the nurse is to
a. ask the patient if he has any questions or concerns about the
diagnosis and treatment.
b. tell the patient's wife that concerns about sexual function are
common with this diagnosis.
c. teach the patient that impotence is rarely a problem after
unilateral orchiectomy.
d. document the patient's lack of communication on the chart
and continue preoperative care. correct answers A
A 34-year-old client presents to the family practice clinic with
complaints of not having a menstrual period in the past 14
months. What data should the nurse obtain when performing a
physical examination on the client?
a Drug and alcohol use
b Sexual history
c Menstrual history
, d Weight and height correct answers D
A 4-year-old child is admitted with a radial head subluxation, or
"nursemaid's elbow." Which intervention should be taught to the
caregivers to prevent such injury in the future?
A. Avoiding picking up children from under the arms
B. Avoiding swinging children by the hands
C. Avoiding sports where swinging of the arms is required
D. Not allowing children to play on the jungle gym correct
answers B
A 40-year-old patient has a ruptured cerebral aneurysm and
subarachnoid hemorrhage. Which intervention will be included
in the care plan?
a. Apply intermittent pneumatic compression stockings.
b. Assist to dangle on edge of bed and assess for dizziness.
c. Encourage patient to cough and deep breathe every 4 hours.
d. Insert an oropharyngeal airway to prevent airway obstruction.
correct answers A
A 41-year-old man asks the nurse what he can do to decrease the
risk of BPH. The nurse explains that
a. riding a bicycle raises prostate specific antigen levels and may
increase BPH risk.
b. prevention is not possible because prostatic enlargement
occurs with normal aging.
c. decreasing butter and margarine and increasing fruits in the
diet may help.
Solutions
A 10-year-old boy has been admitted to the hospital with
respiratory acidosis. The nurse suspects that which chronic lung
disease most likely caused the child to develop this condition?
A) Cystic fibrosis
B) Aspiration
C) Hyperthyroidism
D) Pneumonia correct answers A
A 16-year-old patient comes to the free clinic and is diagnosed
with primary syphilis. The patient states that she contracted this
disease by holding hands with someone who has syphilis. What
is the most appropriate nursing diagnosis for this patient?
a) Alteration in comfort related to impaired skin integrity
b) Fear related to complications
c) Noncompliance with treatment regimen related to age
d) Knowledge deficit related to modes of transmission correct
answers D
A 22-year-old male is being treated at a college health care
clinic for gonorrhea. Which of the following teaching points
should the nurse include in patient teaching?
A) "While being treated for the infection, you will not be able to
pass this infection on to your sexual partner."
B) "While you're taking your antibiotics, you will need to
abstain from participating in sexual activity or drinking alcohol."
,C) "It's important to complete your full course of antibiotics in
order to ensure that you become resistant to reinfection."
D) "The symptoms of gonorrhea will resolve on their own, but it
is important for you to abstain from sexual activity while this is
occurring." correct answers B
A 22-year-old man tells the nurse at the health clinic that he has
recently become unable to achieve an erection. When assessing
for possible etiologic factors, which question should the nurse
ask first?
a. "Have you been experiencing an unusual amount of stress?"
b. "Do you have any history of an erection that lasted for 6 hours
or more?"
c. "Are you using any recreational drugs or drinking a lot of
alcohol?"
d. "Do you have any chronic diseases, such as diabetes
mellitus?" correct answers C
A 22-year-old patient has presented to her primary care provider
for her scheduled Pap smear. Abnormal results of this diagnostic
test may imply infection with:
a) human papillomavirus (HPV).
b) Chlamydia trachomatis.
c) Candida albicans.
d) Trichomonas vaginalis. correct answers A
A 30-year-old female patient has sought care because of the
recent appearance of itchy lesions on her vulva, some of which
,have recently burst. The patient's description of her problem
would lead you to first suspect
A) HIV.
B) Gonorrhea.
C) Chlamydia.
D) Genital herpes. correct answers D
A 32-year-old man scheduled for a unilateral orchiectomy for
testicular cancer is admitted to the hospital the morning of
surgery. He is accompanied by his wife but does not talk to her
and does not initiate interaction with the nurse. The most
appropriate action by the nurse is to
a. ask the patient if he has any questions or concerns about the
diagnosis and treatment.
b. tell the patient's wife that concerns about sexual function are
common with this diagnosis.
c. teach the patient that impotence is rarely a problem after
unilateral orchiectomy.
d. document the patient's lack of communication on the chart
and continue preoperative care. correct answers A
A 34-year-old client presents to the family practice clinic with
complaints of not having a menstrual period in the past 14
months. What data should the nurse obtain when performing a
physical examination on the client?
a Drug and alcohol use
b Sexual history
c Menstrual history
, d Weight and height correct answers D
A 4-year-old child is admitted with a radial head subluxation, or
"nursemaid's elbow." Which intervention should be taught to the
caregivers to prevent such injury in the future?
A. Avoiding picking up children from under the arms
B. Avoiding swinging children by the hands
C. Avoiding sports where swinging of the arms is required
D. Not allowing children to play on the jungle gym correct
answers B
A 40-year-old patient has a ruptured cerebral aneurysm and
subarachnoid hemorrhage. Which intervention will be included
in the care plan?
a. Apply intermittent pneumatic compression stockings.
b. Assist to dangle on edge of bed and assess for dizziness.
c. Encourage patient to cough and deep breathe every 4 hours.
d. Insert an oropharyngeal airway to prevent airway obstruction.
correct answers A
A 41-year-old man asks the nurse what he can do to decrease the
risk of BPH. The nurse explains that
a. riding a bicycle raises prostate specific antigen levels and may
increase BPH risk.
b. prevention is not possible because prostatic enlargement
occurs with normal aging.
c. decreasing butter and margarine and increasing fruits in the
diet may help.
