NCLEX practice questions

NCLEX practice questions □ 1.
A client with asthma receives a prescription for high blood pressure during a clinic visit.
 Which prescription should the nurse anticipate the client to receive that is least likely to exacerbate asthma? Pindolol (Visken).
 Carteolol (Ocupress).
 Metoprolol tartrate (Lopressor).
 Propranolol hydrochloride (Inderal).
 □ □ 2.
A male client who has been taking propranolol (Inderal) for 18 months tells the nurse that the healthcare provider discontinued the medication because his blood pressure has been normal for the past three months.
 Which instruction should the nurse provide? Report any uncomfortable symptoms after stopping the medication.
 Stop the medication and keep an accurate record of blood pressure.
 Ask the healthcare provider about tapering the drug dose over the next week.
 Obtain another antihypertensive prescription to avoid withdrawal symptoms.
 □ □ 3.
A client who is taking clonidine (Catapres, Duraclon) reports drowsiness.
 Which additional assessment should the nurse make? How long has the client been taking the medication? Does the client use any tobacco products? Has the client experienced constipation recently? Did the client miss any doses of the medication? □ □ 4.
The nurse is preparing to administer atropine, an anticholinergic, to a client who is scheduled for a cholecystectomy.
 The client asks the nurse to explain the reason for the prescribed medication.
 What response is best for the nurse to provide? Provide a more rapid induction of anesthesia.
 Decrease the risk of bradycardia during surgery.
 Induce relaxation before induction of anesthesia.
 Minimize the amount of analgesia needed postoperatively.
 □ □ 5.
An 80-year-old client is given morphine sulphate for postoperative pain.
 Which concomitant medication should the nurse question that poses a potential development of urinary retention in this geriatric client? Insulin.
 Antacids.
 Tricyclic antidepressants.
 Nonsteroidal antiinflammatory agents.
 □ □ 6.
A client with osteoarthritis is given a new prescription for a nonsteroidal antiinflammatory drug (NSAID).
 The client asks the nurse, "How is this medication different from the acetaminophen I have been taking?" Which information about the therapeutic action of NSAIDs should the nurse provide? Are less expensive.
 Provide antiinflammatory response.
 Cause gastrointestinal bleeding.
 Increase hepatotoxic side effects.
 □ □ 7.
A client with cancer has a history of alcohol abuse and is taking acetaminophen (Tylenol) for pain.
 Which organ function is most important for the nurse to monitor? Liver.
 Kidney.
 Sensory.
 Cardiorespiratory.
 □ □ 8.
The nurse obtains a heart rate of 92 and a blood pressure of 110/76 prior to administering a scheduled dose of verapamil (Calan) for a client with atrial flutter.
 Which action should the nurse implement? Administer the dose as prescribed.
 Withhold the drug and notify the healthcare provider.
 Give intravenous (IV) calcium gluconate.
 Recheck the vital signs in 30 minutes and then administer the dose.
 □ □ 9.
A client is admitted to the hospital with a diagnosis of Type 2 diabetes mellitus and influenza.
 Which categories of illness should the nurse develop goals for the client's plan of care? Two acute illnesses.
 Two chronic illnesses.
 One chronic and one acute illness.
 One acute and one infectious illness.
 □ □ 10.
Following an emergency Cesarean delivery, the nurse encourages the new mother to breastfeed her newborn.
 The client asks why she should breastfeed now.
 Which information should the nurse provide? Initiate the lactation process.
 Prevent neonatal hypoglycemia.
 Stimulate contraction of the uterus.
 Facilitate maternal-infant bonding.
 □ □ 11.
Which intervention should the nurse include in the plan of care for a female client with severe postpartum depression who is admitted to the inpatient psychiatric unit? Full rooming-in for the infant and mother.
 Restrict visitors who irritate the client.
 Supervised and guided visits with infant.
 Daily visits with her significant other.
 □ □ 12.
A 16-year-old male client is admitted to the hospital after falling off a bike and sustaining a fractured bone.
 The healthcare provider explains the surgery needed to immobilize the fracture.
 Which action should be implemented to obtain a valid informed consent? Instruct the client sign the consent before giving medications.
 Obtain the permission of the custodial parent for the surgery.
 Obtain the signature of the client’s stepfather for the surgery.
 Notify the non-custodial parent to also sign a consent form.
 □ □ 13.
During a client assessment, the client says, "I can't walk very well.
" Which action should the nurse implement first? Identify the problem.
 Consider alternatives.
 Predict the likelihood of the outcome.
 Choose the most successful approach.
 □ □ 14.
The nurse identifies a client's needs and formulates the nursing problem of, "Imbalanced nutrition: less than body requirements, related to mental impairment and decreased intake, as evidenced by increasing confusion and weight loss of more than 30 pounds over the last 6 months.
" Which short-term goal is best for this client? Eat 50% of six small meals each day by the end of one week.
 Meals prepared during hospitalization will be fed by the nurse.
 Verbalize understanding of plan and of intention to eat meals.
 Demonstrate progressive weight gain toward the ideal weight.
 □ □ 15.
A male client is angry and is leaving the hospital against medical advice (AMA).
 The client demands to take his chart with him and states the chart is "his" and he doesn' t want any more contact with the hospital.
 How should the nurse respond? Because you are leaving against medical advice, you may not have your chart.
 The information in your chart is confidential and cannot leave this facility legally.
 This hospital does not need to keep it if you are leaving and not returning here.
 The chart is the property of the hospital but I will see that a copy is made for you.
 □ □ 16.
The nurse manager is assisting a nurse with improving organizational skills and time management.
 Which nursing activity is the priority in pre-planning a schedule for selected nursing activities in the daily assignment? Medication administration.
 Client personal hygiene.
 Colostomy care instruction.
 Tracheostomy tube suctioning.
 □ □ 17.
What nursing delivery of care provides the nurse to plan and direct care of a group of clients over a 24- hour period? Team nursing.
 Primary nursing.
 Case management.
 Functional nursing.
 □ □ 18.
Two unlicensed assistive personnel (UAP) are arguing on the unit about who deserves to take a break first.
 What is the most important basic guideline that the nurse should follow in resolving the conflict? Deal with issues and not personalities.
 Require the UAPs to reach a compromise.
 Weigh the consequences of each possible solution.
 Encourage the two to view the humor of the conflict.
 □ □ 19.
The nurse is caring for a client who is unable to void.
 The plan of care establishes an objective for the client to ingest at least 1000 mL of fluid between 7:00 am and 3:30 pm.
 Which client response should the nurse document that indicates a successful outcome? Demonstrates adequate fluid intake and output.
 Voids at least 1000 mL between 7 am and 3 pm.
 Verbalizes abdominal comfort without pressure.
 Drinks 240 mL of fluid five times during the shift.
 □ □ 20.
The nurse plans a teaching session with a client but postpones the planned session based on which nursing problem? Activity intolerance related to postoperative pain.
 Noncompliance with prescribed exercise plan.
 Ineffective management of treatment regimen.
 Knowledge deficit regarding impending surgery.
 □ □ 21.
A client who has active tuberculosis (TB) is admitted to the medical unit.
 What action is most important for the nurse to implement? Place an isolation cart in the hallway.
 Fit the client with a respirator mask.
 Don a clean gown for client care.
 Assign the client to a negative air-flow room.
 □ □ 22.
A client is receiving atenolol (Tenormin) 25 mg PO after a myocardial infarction.
 The nurse determines the client's apical pulse is 65 beats per minute.
 What action should the nurse implement next? Notify the healthcare provider.
 Measure the blood pressure.
 Administer the medication.
 Reassess the apical pulse.
 □ □ 23.
The nurse is assessing a client and identifies a bruit over the thyroid.
 This finding is consistent with which interpretation? Thyroid cyst.
 Thyroid cancer.
 Hypothyroidism.
 Hyperthyroidism.
 □ □ 24.
A 6-year-old child is alert but quiet when brought to the emergency center with periorbital ecchymosis and ecchymosis behind the ears.
 The nurse suspects potential child abuse and continues to assess the child for additional manifestations of a basilar skull fracture.
 What assessment finding would be consistent with a basilar skull fracture? Asymmetry of the face and eye movements.
 Abnormal position and movement of the arm.
 Hematemesis and abdominal distention.
 Rhinorrhoea or otorrhoea with Halo sign.
 □ □ 25.
The nurse is assessing a client who complains of weight loss, racing heart rate, and difficulty sleeping.
 The nurse determines the client has moist skin with fine hair, prominent eyes, lid retraction, and a staring expression.
 These findings are consistent with which disorder? Grave's disease.
 Cushing syndrome.
 Multiple sclerosis.
 Addison's disease.
 □ □ 26.
The nurse is assessing an older client and determines that the client's left upper eyelid droops, covering more of the iris than the right eyelid.
 Which description should the nurse use to document this finding? Ptosis on the left eyelid.
 A nystagmus on the left.
 Astigmatism on the right.
 Exophthalmos on the right.
 □ □ 27.
The nurse is assessing a child's weight and height during a clinic visit prior to starting school.
 The nurse plots the child's weight on the growth chart and notes that the child's weight is in the 95th percentile for the child's height.
 What action should the nurse take? Recommend a daily intake of at least four glasses of whole milk.
 Encourage giving two additional snacks each day to the child.
 Question the type and quantity of foods eaten in a typical day.
 Assess for signs of poor nutrition, such as a pale appearance.
 □ □ 28.
A child is receiving maintainance intravenous (IV) fluids at the rate of 1000 mL for the first 10 kg of body weight, plus 50 mL/kg per day for each kilogram between 10 and 20.
 How many milliliters per hour should the nurse program the infusion pump for a child who weighs 19.
5 kg? (Enter numeric value only.
 If rounding is required, round to