NCSBN NCLEX
A LPN complains to the charge nurse that an unlicensed assistive
person (UAP)leaves the work area untidy and does not restock supplies. What
consistently
is the response
initial best by the charge
nurse?
1Write down potential solutions to the problems today by
shift'sthis
2Add endconcern to the agenda of the next unit
meeting
3Assure the staff nurse that the complaint will be
investigated
4Explore for further identification about the nature of the problem Correct
answersfor
Explore 4 further identification about the nature of the
problem
The nurse assists with the reinforcement of information about breast self-
examination
a to
group of college students. A female student asks when to perform the
monthly exam.
The appropriate reply by the nurse should include which
statement?
1"Ovulation, or midcycle is the best time to detect
changes."
2"Do the exam at the same time every
month."
3"Right after the period, when your breasts are less
tender."
4"The first of every month, because it will be easiest to remember." Correct
answers 3
The nurse is caring for a 75 year-old client with type 2 diabetes mellitus.
The client
should be instructed to contact the outpatient clinic immediately if which
findings are
present
?
1An open wound on the heel with minimal
discomfort
2Occasional hiccups and
sneezing
3Sustained insomnia and daytime
fatigue
4Persistent dryness and itching of the perineal area Correct answers 1An
open
on thewound
heel with minimal
discomfort-
A pregnant woman has been advised to alter her diet during pregnancy by
increasing
the intake of protein and vitamin C to meet the needs of the growing fetus.
Which diet
choice would best meet the woman's
needs?
1. 1 cup of macaroni, three-fourths cup of peas, glass whole milk,
medium
2. pear egg, hash browned potatoes, one-half glass of buttermilk, large
Scrambled
3. 3 oz. chicken, one-half cup of corn, lettuce salad, small
nectarine
banana
4. Beef, one-half cup of lima beans, glass of skim milk, three-fourths cup of
strawberries
Correct answers 4. Beef, one-half cup of lima beans, glass of skim milk,
three-fourths
cup of
strawberries -
A nurse is taking a health history from parents of a child admitted with
possible Reye's
syndrome. Which recent illness should the nurse recognize as being
associatedthe
increased with anfor the development of Reye's
risk
syndrome?
1.
Varicella
2.
Meningitis
,3.
Hepatitis
4. Rubeola Correct answers 1.
Varicella -
A Native American chief visits his newborn son and performs a traditional
ceremony
involves that
feathers and chanting. The nurse comments to a colleague: "I
wonder
any ideaifhow
he has
ridiculous he looks - he's a grown man!" The nurse's
commentof
example is what
an type of
attitude?
1.
Prejudice
2.
Ethnocentrism
3.
Discrimination
4. Stereotyping Correct answers 1.
Prejudice-
A nursing student asks the licensed practical nurse (LPN) to explain the
forceshealth
drive that care reform. When responding to the student's question, what
information
should the nurse
emphasize?
1. Increased competition between health care
insurers
2. Increase in health care spending that's growing faster than the
economy
3. Increase in the population who have health
insurance
4. Increase in spending for end-of-life treatment Correct
answers 2
A child is admitted to the unit with the suspected diagnosis of pertussis
(whooping
cough). What is the priority nursing intervention for
this
1. child? hydration and encourage
Maintain
fluids
2. Implement droplet
precautions
3. Monitor respiratory rate and oxygen
saturation
4. Anti- infective therapy Correct
answers 2
A client has an indwelling catheter with continuous bladder irrigation after
undergoing a resection of the prostate (TURP) 12 hours ago. Which finding
transurethral
at this time
should be reported to the registered nurse (RN) charge
1Complaints for the feeling of pulling on the urinary
nurse?
catheter
2Light, pink to clear
urine
3Occasional suprapubic
cramping
4Minimal drainage into the urinary collection bag Correct answers
4Minimal
into drainage
the urinary collection
bag
A nurse is caring for a woman two hours after a vaginal delivery.
Documentation
indicates that the membranes ruptured 36 hours prior to delivery.
Which ofdiagnoses
nursing these should the nurse expect the charge nurse to list as a
priority at this
time
?
1Risk for fluid volume
deficit
2Risk for excessive
bleeding
3Risk for
infection tissue
4Altered - perfusion Correct
answers 3
,A 14 month-old child ingests a half a bottle of baby aspirin (81 mg)
tablets.should
finding Which a nurse expect to see in the
child?
1Hypotherm
ia
2Nausea and
vomiting
3Hypoventilati
on
4Bradycardia Correct
answers 2
A school nurse monitors a child with a history of tonic-clonic seizures. The
school nurse
should inform teachers that if the child falls to the floor and experiences a
seizure
in while
the classroom, which of the following would be the most important
action to
during thetake
seizure?
1Place the hands or a folded blanket under the head of
the child privacy as much as possible to minimize frightening the
2Provide
other children
3Move any chairs or desks at least three feet away from
the child
4Note the sequence of movements with the time lapse of the event
Correctthe
1Place answers
hands or a folded blanket under the head of
the child -
A client is admitted with diagnosis of a right upper lobe infiltrate and to
rule out active
tuberculosis (TB). Which type of precautions will be needed for
this client?
1Drople
t2Conta
ct
3Standar
d
4Airborne Correct
answers 4
A client has had a positive reaction to purified protein derivative
(PPD). Which
statement made by the client suggests the client understands the
teaching bynurse
registered the
(RN)?
1"I have active
tuberculosis."
2"I have been exposed to mycobacterium
tuberculosis."
3"I have never been infected with mycobacterium
4"I have never had tuberculosis." Correct
tuberculosis."
answers 2
A nurse is caring for a client with pneumococcal pneumonia. Which
breath the
would sounds
nurse expect to disappear as the client responds to the antibiotic
treatment?
1Wheeze
s
2Friction
3Rhonc
rubs
hi
4Diminished sounds Correct
answers 3
A young adult seeks treatment in an outpatient mental health center. The
client tells
nurse, "I am a a government official and spies are following me."
Upon further the client reveals that warnings must be heeded to prevent
questioning,
nuclear
What war.initial therapeutic approach that the nurse
is the
should use?
1Listen quietly without
comment
2Ask for further information on the
spies
3Confront the client about the
delusions
, 4Contact security for potential safety concerns Correct answers 1Listen
quietly without
comment
-
Lactulose has been prescribed for a client with advanced liver disease.
Which finding
should the nurse use to evaluate the effectiveness of this
treatment?
1Less
jaundice
2Increased
appetite
3Decreased
lethargy
4Less edema Correct
answers 3
The LPN is unsure about an assignment by the charge nurse to hang an
intravenous
(IV) infusion that contains potassium. What resource should the LPN
check first if
determine toLPNs can administer IV
medications?
1Employer policy and procedures
manuals
2Nursing faculty from a local nursing
program
3The nurse practice act of the state in which the practice
takes place Nurses Association (ANA) professional standards Correct
4American
answers 3
The nurse is assisting with the delivery of a newborn infant. What is the
priority nursing
intervention for a normal newborn immediately after
delivery?
1Dry off infant with a warm blanket or
towel
2Apply identification
bracelets
3Assign the one-minute APGAR
score
4Obtain vital signs Correct answers 1Dry off infant with a warm blanket
or towel -
The registered nurse is teaching a childbirth education class about
postpartumWhich statement, made by a class member, indicates that more
depression.
teaching is
needed
? will make an effort to talk with someone about my feelings if I
1"I
start to feel
overwhelme
2"It's
d." common for women with postpartum depression to have delusions
about the
infant
."
3"Women with postpartum depression have feelings of guilt and
worthlessness."
4"I may experience postpartum depression up to a year after delivery."
2Correct answers
The nurse is reinforcing information about the side effects of fluoxetine
to a client.
Which group of findings should be
included?
1Diarrhea, dry mouth, weight loss, reduced
libido
2Tachycardia, blurred vision, hypotension,
anorexia
3Orthostatic hypotension, vertigo, reactions to
tyramine, nausea seizures, edema, hyperglycemia Correct answers
4Photosensitivity,
1Diarrhea,
mouth, dry loss, reduced
weight
libido
A client has a diagnosis of heart failure. Which intervention is most
important
nurse for the
to implement prior to the administration of
digoxin?
A LPN complains to the charge nurse that an unlicensed assistive
person (UAP)leaves the work area untidy and does not restock supplies. What
consistently
is the response
initial best by the charge
nurse?
1Write down potential solutions to the problems today by
shift'sthis
2Add endconcern to the agenda of the next unit
meeting
3Assure the staff nurse that the complaint will be
investigated
4Explore for further identification about the nature of the problem Correct
answersfor
Explore 4 further identification about the nature of the
problem
The nurse assists with the reinforcement of information about breast self-
examination
a to
group of college students. A female student asks when to perform the
monthly exam.
The appropriate reply by the nurse should include which
statement?
1"Ovulation, or midcycle is the best time to detect
changes."
2"Do the exam at the same time every
month."
3"Right after the period, when your breasts are less
tender."
4"The first of every month, because it will be easiest to remember." Correct
answers 3
The nurse is caring for a 75 year-old client with type 2 diabetes mellitus.
The client
should be instructed to contact the outpatient clinic immediately if which
findings are
present
?
1An open wound on the heel with minimal
discomfort
2Occasional hiccups and
sneezing
3Sustained insomnia and daytime
fatigue
4Persistent dryness and itching of the perineal area Correct answers 1An
open
on thewound
heel with minimal
discomfort-
A pregnant woman has been advised to alter her diet during pregnancy by
increasing
the intake of protein and vitamin C to meet the needs of the growing fetus.
Which diet
choice would best meet the woman's
needs?
1. 1 cup of macaroni, three-fourths cup of peas, glass whole milk,
medium
2. pear egg, hash browned potatoes, one-half glass of buttermilk, large
Scrambled
3. 3 oz. chicken, one-half cup of corn, lettuce salad, small
nectarine
banana
4. Beef, one-half cup of lima beans, glass of skim milk, three-fourths cup of
strawberries
Correct answers 4. Beef, one-half cup of lima beans, glass of skim milk,
three-fourths
cup of
strawberries -
A nurse is taking a health history from parents of a child admitted with
possible Reye's
syndrome. Which recent illness should the nurse recognize as being
associatedthe
increased with anfor the development of Reye's
risk
syndrome?
1.
Varicella
2.
Meningitis
,3.
Hepatitis
4. Rubeola Correct answers 1.
Varicella -
A Native American chief visits his newborn son and performs a traditional
ceremony
involves that
feathers and chanting. The nurse comments to a colleague: "I
wonder
any ideaifhow
he has
ridiculous he looks - he's a grown man!" The nurse's
commentof
example is what
an type of
attitude?
1.
Prejudice
2.
Ethnocentrism
3.
Discrimination
4. Stereotyping Correct answers 1.
Prejudice-
A nursing student asks the licensed practical nurse (LPN) to explain the
forceshealth
drive that care reform. When responding to the student's question, what
information
should the nurse
emphasize?
1. Increased competition between health care
insurers
2. Increase in health care spending that's growing faster than the
economy
3. Increase in the population who have health
insurance
4. Increase in spending for end-of-life treatment Correct
answers 2
A child is admitted to the unit with the suspected diagnosis of pertussis
(whooping
cough). What is the priority nursing intervention for
this
1. child? hydration and encourage
Maintain
fluids
2. Implement droplet
precautions
3. Monitor respiratory rate and oxygen
saturation
4. Anti- infective therapy Correct
answers 2
A client has an indwelling catheter with continuous bladder irrigation after
undergoing a resection of the prostate (TURP) 12 hours ago. Which finding
transurethral
at this time
should be reported to the registered nurse (RN) charge
1Complaints for the feeling of pulling on the urinary
nurse?
catheter
2Light, pink to clear
urine
3Occasional suprapubic
cramping
4Minimal drainage into the urinary collection bag Correct answers
4Minimal
into drainage
the urinary collection
bag
A nurse is caring for a woman two hours after a vaginal delivery.
Documentation
indicates that the membranes ruptured 36 hours prior to delivery.
Which ofdiagnoses
nursing these should the nurse expect the charge nurse to list as a
priority at this
time
?
1Risk for fluid volume
deficit
2Risk for excessive
bleeding
3Risk for
infection tissue
4Altered - perfusion Correct
answers 3
,A 14 month-old child ingests a half a bottle of baby aspirin (81 mg)
tablets.should
finding Which a nurse expect to see in the
child?
1Hypotherm
ia
2Nausea and
vomiting
3Hypoventilati
on
4Bradycardia Correct
answers 2
A school nurse monitors a child with a history of tonic-clonic seizures. The
school nurse
should inform teachers that if the child falls to the floor and experiences a
seizure
in while
the classroom, which of the following would be the most important
action to
during thetake
seizure?
1Place the hands or a folded blanket under the head of
the child privacy as much as possible to minimize frightening the
2Provide
other children
3Move any chairs or desks at least three feet away from
the child
4Note the sequence of movements with the time lapse of the event
Correctthe
1Place answers
hands or a folded blanket under the head of
the child -
A client is admitted with diagnosis of a right upper lobe infiltrate and to
rule out active
tuberculosis (TB). Which type of precautions will be needed for
this client?
1Drople
t2Conta
ct
3Standar
d
4Airborne Correct
answers 4
A client has had a positive reaction to purified protein derivative
(PPD). Which
statement made by the client suggests the client understands the
teaching bynurse
registered the
(RN)?
1"I have active
tuberculosis."
2"I have been exposed to mycobacterium
tuberculosis."
3"I have never been infected with mycobacterium
4"I have never had tuberculosis." Correct
tuberculosis."
answers 2
A nurse is caring for a client with pneumococcal pneumonia. Which
breath the
would sounds
nurse expect to disappear as the client responds to the antibiotic
treatment?
1Wheeze
s
2Friction
3Rhonc
rubs
hi
4Diminished sounds Correct
answers 3
A young adult seeks treatment in an outpatient mental health center. The
client tells
nurse, "I am a a government official and spies are following me."
Upon further the client reveals that warnings must be heeded to prevent
questioning,
nuclear
What war.initial therapeutic approach that the nurse
is the
should use?
1Listen quietly without
comment
2Ask for further information on the
spies
3Confront the client about the
delusions
, 4Contact security for potential safety concerns Correct answers 1Listen
quietly without
comment
-
Lactulose has been prescribed for a client with advanced liver disease.
Which finding
should the nurse use to evaluate the effectiveness of this
treatment?
1Less
jaundice
2Increased
appetite
3Decreased
lethargy
4Less edema Correct
answers 3
The LPN is unsure about an assignment by the charge nurse to hang an
intravenous
(IV) infusion that contains potassium. What resource should the LPN
check first if
determine toLPNs can administer IV
medications?
1Employer policy and procedures
manuals
2Nursing faculty from a local nursing
program
3The nurse practice act of the state in which the practice
takes place Nurses Association (ANA) professional standards Correct
4American
answers 3
The nurse is assisting with the delivery of a newborn infant. What is the
priority nursing
intervention for a normal newborn immediately after
delivery?
1Dry off infant with a warm blanket or
towel
2Apply identification
bracelets
3Assign the one-minute APGAR
score
4Obtain vital signs Correct answers 1Dry off infant with a warm blanket
or towel -
The registered nurse is teaching a childbirth education class about
postpartumWhich statement, made by a class member, indicates that more
depression.
teaching is
needed
? will make an effort to talk with someone about my feelings if I
1"I
start to feel
overwhelme
2"It's
d." common for women with postpartum depression to have delusions
about the
infant
."
3"Women with postpartum depression have feelings of guilt and
worthlessness."
4"I may experience postpartum depression up to a year after delivery."
2Correct answers
The nurse is reinforcing information about the side effects of fluoxetine
to a client.
Which group of findings should be
included?
1Diarrhea, dry mouth, weight loss, reduced
libido
2Tachycardia, blurred vision, hypotension,
anorexia
3Orthostatic hypotension, vertigo, reactions to
tyramine, nausea seizures, edema, hyperglycemia Correct answers
4Photosensitivity,
1Diarrhea,
mouth, dry loss, reduced
weight
libido
A client has a diagnosis of heart failure. Which intervention is most
important
nurse for the
to implement prior to the administration of
digoxin?
