NCLEX – NURSING Actual Exam
Questions With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!
1.Q
During a Preparation for Parenting class, one of the participants asks the nurse,
“How will I know if I am really in labor?” The nurse should tell the participant
which of the following about true labor contractions?
a
True labor contractions are felt first in the lower back, then the abdomen.
2. Q
A 14-month-old child has a severe diaper rash. Which of the following
recommendations should the nurse provide to the parents?
a
Wash the buttocks using mild soap.
3. Q
A nurse is preparing to palpate a client’s thyroid gland. Which action by the nurse
is appropriate?
a
Encircle the client’s neck with both hands, have the client slightly extend his neck,
and ask him to swallow.
4. Q
,A nurse observes that decerebrate posturing is a comatose client’s response to
painful stimuli. Decerebrate posturing as a response to pain indicates:
a
dysfunction in the brain stem.
5. Q
The primary goal in the plan of care for the client after cataract removal surgery is
to:
a
Promote safety at home.
6. Q
Which statement by a student nurse demonstrates that further instruction about
cytotoxic drugs is needed?
a
Nurses who are pregnant must wear gloves during administration of cytotoxic
drugs.
7. Q
A toddler with bacterial meningitis is admitted to the inpatient unit. Which
infection control measure should the nurse be prepared to use?
a
Respiratory isolation
8. Q
The client has been hospitalized for major depression and suicidal ideation. Which
of the following statements indicates to the nurse that the client is improving?
a
I don’t think about killing myself as much as I used to.
, 9. Q
A child is admitted with a tentative diagnosis of clinical depression. Which
assessment finding is most significant in confirming this diagnosis?
a
Sadness
10. Q
The nurse develops a plan of care for a client in the initial postoperative period
following a lumbar laminectomy. Which of the following activities is
contraindicated?
a
Sitting all afternoon in her room.
11.Q
A primigravid client visits the clinic at 12 weeks’ gestation and tells the nurse that
she has a cold and her nose is stuffy. The nurse should instruct the client to treat
the nasal stuffiness by using:
a
Saline nose drops.
12 .Q
Assessment of a school-age child with Guillain-Barré syndrome reveals absent gag
and cough reflexes. Which of the following problems should receive the highest
priority during the acute phase?
a
Ineffective breathing pattern related to neuromuscular impairment.
13. Q
Questions With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!
1.Q
During a Preparation for Parenting class, one of the participants asks the nurse,
“How will I know if I am really in labor?” The nurse should tell the participant
which of the following about true labor contractions?
a
True labor contractions are felt first in the lower back, then the abdomen.
2. Q
A 14-month-old child has a severe diaper rash. Which of the following
recommendations should the nurse provide to the parents?
a
Wash the buttocks using mild soap.
3. Q
A nurse is preparing to palpate a client’s thyroid gland. Which action by the nurse
is appropriate?
a
Encircle the client’s neck with both hands, have the client slightly extend his neck,
and ask him to swallow.
4. Q
,A nurse observes that decerebrate posturing is a comatose client’s response to
painful stimuli. Decerebrate posturing as a response to pain indicates:
a
dysfunction in the brain stem.
5. Q
The primary goal in the plan of care for the client after cataract removal surgery is
to:
a
Promote safety at home.
6. Q
Which statement by a student nurse demonstrates that further instruction about
cytotoxic drugs is needed?
a
Nurses who are pregnant must wear gloves during administration of cytotoxic
drugs.
7. Q
A toddler with bacterial meningitis is admitted to the inpatient unit. Which
infection control measure should the nurse be prepared to use?
a
Respiratory isolation
8. Q
The client has been hospitalized for major depression and suicidal ideation. Which
of the following statements indicates to the nurse that the client is improving?
a
I don’t think about killing myself as much as I used to.
, 9. Q
A child is admitted with a tentative diagnosis of clinical depression. Which
assessment finding is most significant in confirming this diagnosis?
a
Sadness
10. Q
The nurse develops a plan of care for a client in the initial postoperative period
following a lumbar laminectomy. Which of the following activities is
contraindicated?
a
Sitting all afternoon in her room.
11.Q
A primigravid client visits the clinic at 12 weeks’ gestation and tells the nurse that
she has a cold and her nose is stuffy. The nurse should instruct the client to treat
the nasal stuffiness by using:
a
Saline nose drops.
12 .Q
Assessment of a school-age child with Guillain-Barré syndrome reveals absent gag
and cough reflexes. Which of the following problems should receive the highest
priority during the acute phase?
a
Ineffective breathing pattern related to neuromuscular impairment.
13. Q
