NCLEX-RN EXAM 1 NUR 2960 2026 UPDATED
EXAM BUNDLE PRACTICE QUESTIONS
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11. Which assessment data should the nurse include when obtaining a review of body systems
A. Brief statement about what brought the client to the health care provider
B. Client complaints of chest pain, dyspnea, or abdominal pain
C. Information about the client's sexual performance and preference
D. The client's name, address, age, and phone number –
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Correct Answer :11. Answer: B. Client complaints of chest pain, dyspnea, or abdominal pain
Client complaints about chest pain, dyspnea, or abdominal pain are considered part of the review of
body systems. This potion of the assessment elicits subjective information on the client's perceptions
of major body system functions, including cardiac, respiratory, and abdominal. The client's name,
address, age, and phone number are biographical data. A brief statement about what brought the
client to the health care provider is the chief complaint. Information about the client's sexual
performance and preference addresses past health status.
12. Tywin has come to the nursing clinic for a comprehensive health assessment. Which statement
would be the best way to end the history interview?
A. "What brought you to the clinic today?"
B. "Would you describe your overall health as good?"
C. "Do you understand what is happening?"
D. "Is there anything else you would like to tell me?"
- Correct Answer :12. Answer: D. "Is there anything else you would like to tell me?"
By asking the client if there is anything else, the nurse allows the client to end the interview by
discussing feelings and concerns. Asking about what brought the client to the clinic is an ambiguous
question to which the client may answer "my car" or any similarly disingenuous reply. Asking if the
client describes his overall health as good is a leading question that puts words in his mouth. Asking if
the client understands what is happening is a yes-or-no question that can elicit little information.
13. For which time period would the nurse notify the health care provider that the client had no bowel
sounds?
A. 2 minutes
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B. 3 minutes
C. 4 minutes
D. 5 minutes –
Correct Answer :13. Answer: D. 5 minutes
To completely determine that bowel sounds are absent, the nurse must auscultate each of the four
quadrants for at least 5 minutes; 2, 3, or 4 minutes is too short a period to arrive at this conclusion.
14. Evaluating the apical pulse is the most reliable noninvasive way to assess cardiac function. Which is
the best area for auscultating the apical pulse?
A. Aortic arch
B. Pulmonic area
C. Tricuspid area
D. Mitral area –
Correct Answer :14. Answer: D. Mitral area
The mitral area (also known as the left ventricular area or the apical area), the fifth intercostal space
(ICS) at the left midclavicular line, is the best area for auscultating the apical pulse. The aortic arch is
the second ICS to the right of sternum. The pulmonic area is the second intercostal space to the left of
the sternum. The tricuspid area is the fifth ICS to the left of the sternum.
15. Beginning in their 20s, women should be told about the benefits and limitations of breast self-exam
(BSE). Which scientific rationale should the nurse remember when performing a breast examination
on a female client?
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A. One half of all breast cancer deaths occur in women ages 35 to 45
B. The tail of Spence area must be included in self-examination
C. The position of choice for the breast examination is supine
D. A pad should be placed under the opposite scapula of the breast being palpated –
Correct Answer :15. Answer: B. The tail of Spence area must be included in self-examination
The tail of Spence, an extension of the upper outer quadrant of breast tissue, can develop breast
tumors. This area must also be included in breast self-examination. One half of all women who die of
breast cancer are older than age 65. The correct position for breast self-examination is not limited to
the supine position; the sitting position with hands at sides, above head, and on the hips is also
recommended. A pad is placed under the ipsilateral (e.g., same side) scapula of the breast being
palpated.
16. Mr. Lim, who has chronic pain, loss of self-esteem, no job, and bodily disfigurement from severe
burns over the trunk and arms, is admitted to a pain center. Which evaluation criteria would indicate
the client's successful rehabilitation?
A. The client remains free of the aftermath phase of the pain experience.
B. The client experiences decreased frequency of acute pain episodes.
C. The client continues normal growth and development with intact support systems.
D. The client develops increased tolerance for severe pain in the future. –
Correct Answer :16. Answer: C. The client continues normal growth and development with intact
support systems.
Even though the client may experience an aftermath phase, progress is still possible, as is effective
rehabilitation. Aftermath reactions may occur but need not interfere with rehabilitation. Acute pain is
not expected at this stage of recovery. Conditioning probably would produce less pain tolerance.
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