NCLEX PRACTICE EXAM 3
1.
A patient hospitalized with severe depression and suicidal ideation refuses to talk with the nurse.
The nurse recognizes that the suicidal patient has difficulty:
A. Expressing sadness
B. Accepting support
✅ C. Expressing anger toward others
D. Coping with loneliness
2.
A patient receiving HydroDIURIL (hydrochlorothiazide) is instructed to increase potassium
intake. The best snack choice is:
A. Apple
B. Toast
✅ C. Banana
D. Crackers
3.
Following thyroid removal, the nurse should:
A. Place the patient flat in bed
✅ B. Maintain a semi-Fowler’s position with head and neck supported
C. Keep the patient NPO for 24 hours
D. Encourage ambulation immediately
4.
Which of the following foods is associated with an increased incidence of gastric cancer?
✅ A. Luncheon meats containing nitrites
B. Whole-grain bread
C. Fresh fruits
D. Milk
1
,5.
A patient diagnosed with antisocial personality disorder would likely have a history of:
A. Anxiety attacks
✅ B. Cruelty to animals
C. Withdrawal and isolation
D. Obsessive thoughts
6.
The licensed vocational nurse (LPN) may not assume primary care for a patient:
A. With stable vital signs
✅ B. With a venous access device
C. Recovering from appendectomy
D. With a fractured limb
7.
Before applying mafenide acetate (Sulfamylon) cream, the nurse should:
✅ A. Administer pain medication
B. Apply ice to the burn
C. Wash the wound with saline
D. Take a wound culture
8.
A normal gross motor skill for a 2-year-old toddler is:
✅ A. Pulling a toy behind her
B. Hopping on one foot
C. Throwing a ball overhand
D. Riding a tricycle
9.
2
,A patient with a fractured mandible should always have which equipment at bedside?
✅ A. Wire cutters
B. Tongue depressor
C. Suction machine
D. Scissors
10.
Before giving digoxin (Lanoxin) elixir to a 6-month-old with a pulse of 100, the nurse should:
✅ A. Record the heart rate and administer the medication
B. Withhold the dose and notify the physician
C. Administer half the dose
D. Wait 30 minutes and recheck
11.
The term dyspepsia means:
A. Constipation
✅ B. Indigestion
C. Diarrhea
D. Abdominal distention
12.
Lead poisoning in children is treated with:
A. Antacids
B. Diuretics
✅ C. Chelating agents
D. Antihistamines
13.
The usual type of restraints for a child after cleft palate repair are:
A. Mummy restraints
✅ B. Elbow restraints
C. Jacket restraints
D. Wrist restraints
3
, 14.
Timoptic (timolol) eyedrops should be used cautiously in patients with:
✅ A. Emphysema
B. Hypertension
C. Cataracts
D. Diabetes
15.
To help decrease nighttime confusion in an elderly patient, the nurse should:
A. Encourage naps during the day
B. Keep the patient’s room dark
✅ C. Leave a nightlight on
D. Play soft music at night
16.
A common complaint of a patient with end-stage renal failure is:
A. Headache
B. Muscle cramps
✅ C. Itching
D. Chest pain
17.
Which medication order requires clarification?
✅ A. Coumadin (warfarin sodium) 10 mg PO
B. Digoxin 0.125 mg PO
C. Furosemide 40 mg PO
D. Atenolol 50 mg PO
18.
4
1.
A patient hospitalized with severe depression and suicidal ideation refuses to talk with the nurse.
The nurse recognizes that the suicidal patient has difficulty:
A. Expressing sadness
B. Accepting support
✅ C. Expressing anger toward others
D. Coping with loneliness
2.
A patient receiving HydroDIURIL (hydrochlorothiazide) is instructed to increase potassium
intake. The best snack choice is:
A. Apple
B. Toast
✅ C. Banana
D. Crackers
3.
Following thyroid removal, the nurse should:
A. Place the patient flat in bed
✅ B. Maintain a semi-Fowler’s position with head and neck supported
C. Keep the patient NPO for 24 hours
D. Encourage ambulation immediately
4.
Which of the following foods is associated with an increased incidence of gastric cancer?
✅ A. Luncheon meats containing nitrites
B. Whole-grain bread
C. Fresh fruits
D. Milk
1
,5.
A patient diagnosed with antisocial personality disorder would likely have a history of:
A. Anxiety attacks
✅ B. Cruelty to animals
C. Withdrawal and isolation
D. Obsessive thoughts
6.
The licensed vocational nurse (LPN) may not assume primary care for a patient:
A. With stable vital signs
✅ B. With a venous access device
C. Recovering from appendectomy
D. With a fractured limb
7.
Before applying mafenide acetate (Sulfamylon) cream, the nurse should:
✅ A. Administer pain medication
B. Apply ice to the burn
C. Wash the wound with saline
D. Take a wound culture
8.
A normal gross motor skill for a 2-year-old toddler is:
✅ A. Pulling a toy behind her
B. Hopping on one foot
C. Throwing a ball overhand
D. Riding a tricycle
9.
2
,A patient with a fractured mandible should always have which equipment at bedside?
✅ A. Wire cutters
B. Tongue depressor
C. Suction machine
D. Scissors
10.
Before giving digoxin (Lanoxin) elixir to a 6-month-old with a pulse of 100, the nurse should:
✅ A. Record the heart rate and administer the medication
B. Withhold the dose and notify the physician
C. Administer half the dose
D. Wait 30 minutes and recheck
11.
The term dyspepsia means:
A. Constipation
✅ B. Indigestion
C. Diarrhea
D. Abdominal distention
12.
Lead poisoning in children is treated with:
A. Antacids
B. Diuretics
✅ C. Chelating agents
D. Antihistamines
13.
The usual type of restraints for a child after cleft palate repair are:
A. Mummy restraints
✅ B. Elbow restraints
C. Jacket restraints
D. Wrist restraints
3
, 14.
Timoptic (timolol) eyedrops should be used cautiously in patients with:
✅ A. Emphysema
B. Hypertension
C. Cataracts
D. Diabetes
15.
To help decrease nighttime confusion in an elderly patient, the nurse should:
A. Encourage naps during the day
B. Keep the patient’s room dark
✅ C. Leave a nightlight on
D. Play soft music at night
16.
A common complaint of a patient with end-stage renal failure is:
A. Headache
B. Muscle cramps
✅ C. Itching
D. Chest pain
17.
Which medication order requires clarification?
✅ A. Coumadin (warfarin sodium) 10 mg PO
B. Digoxin 0.125 mg PO
C. Furosemide 40 mg PO
D. Atenolol 50 mg PO
18.
4
