NCLEX RN PRACTICE EXAM
Questions and Answers
1.The nurse plans care for a 36-year-old woman with Graves' disease. The
nurse knows that which of the following foods or fluids should be
restricted for this client?
A. Ice cream
B. tea
C. Orange Juice
D. Pasta
ANS b.
Great job! Tea is a stimulant and should not be given to the client
with hyperthy- roidism.
2.The nurse is caring for postpartum clients who had vaginal deliveries
within the last six hours. Who should the nurse assess first?
A client who has pulse of 76 beats per min
The client who has staurated one pernial pad in two hours
THe client who reports swelling in her left calf
The client who asks about the circumsion procedure of her son
ANS D
,Reports of swelling in the calf 6-10 hours postpartum may be
suggestive of the development of a deep vein thrombosis, a
potentially life threatening condition. Immediate intervention is
needed.
3.A 47-year-old patient is admitted to the intensive care unit with complica-
tions from a stroke 10 hours ago. The stroke was caused by a dislodged
clot. The nurse anticipates seeing which of the following on the client's
electrocar- diogram strip?
V Tach
Nomral sinus rhtym
A fib
V Fib
ANS A fib
; Great job! Patients with atrial fibrillation are at a high risk for clot
formation, these clots can dislodge and travel to the brain.
4.A nurse is working on a long term care unit and is caring for a client on
parenteral nutrition. The nurse notices the supplement feeding bag is
running low. What fluid should she have on hand?
a. 10 % dextrose
b. 5% dextrose
c. 0.9 NS with dextrose added
d. 45% glucose and water
, ANS a.
Great job! 10% Dextrose is the only acceptable replacement for TPN.
5.A client has just lost an arm in a motor vehicle accident. The client was
medicated for pain and tells the nurse. "I was so scared from the pain, I
didn't think I was going to make it." Which is the best response by the
nurse?
you always have medication avaiable do not be afraid of
pain I undestand that pain can be frighetning experince
why did you think you were going to die?
Please take the medcaition before you upset yourself more
ANS B
Great job! I understand that pain can be a frightening experience is the
most therapeutic answer. The nurse should never ask a patient why.
6.A client has been taking imipramine for his depression for 4 days. His
wife asks the nurse "Why is he still so depressed?" Which of the
following responses by the nurse is most appropriate?
- lets look over this chart to see if there are possible drug interactions
- it takes 2-4 wewks for the medication to reach its full ecfect
- the severity of the dpression will determine how soon the medicaiton works
I will have the physcican speak with you concerning this medicaton
Questions and Answers
1.The nurse plans care for a 36-year-old woman with Graves' disease. The
nurse knows that which of the following foods or fluids should be
restricted for this client?
A. Ice cream
B. tea
C. Orange Juice
D. Pasta
ANS b.
Great job! Tea is a stimulant and should not be given to the client
with hyperthy- roidism.
2.The nurse is caring for postpartum clients who had vaginal deliveries
within the last six hours. Who should the nurse assess first?
A client who has pulse of 76 beats per min
The client who has staurated one pernial pad in two hours
THe client who reports swelling in her left calf
The client who asks about the circumsion procedure of her son
ANS D
,Reports of swelling in the calf 6-10 hours postpartum may be
suggestive of the development of a deep vein thrombosis, a
potentially life threatening condition. Immediate intervention is
needed.
3.A 47-year-old patient is admitted to the intensive care unit with complica-
tions from a stroke 10 hours ago. The stroke was caused by a dislodged
clot. The nurse anticipates seeing which of the following on the client's
electrocar- diogram strip?
V Tach
Nomral sinus rhtym
A fib
V Fib
ANS A fib
; Great job! Patients with atrial fibrillation are at a high risk for clot
formation, these clots can dislodge and travel to the brain.
4.A nurse is working on a long term care unit and is caring for a client on
parenteral nutrition. The nurse notices the supplement feeding bag is
running low. What fluid should she have on hand?
a. 10 % dextrose
b. 5% dextrose
c. 0.9 NS with dextrose added
d. 45% glucose and water
, ANS a.
Great job! 10% Dextrose is the only acceptable replacement for TPN.
5.A client has just lost an arm in a motor vehicle accident. The client was
medicated for pain and tells the nurse. "I was so scared from the pain, I
didn't think I was going to make it." Which is the best response by the
nurse?
you always have medication avaiable do not be afraid of
pain I undestand that pain can be frighetning experince
why did you think you were going to die?
Please take the medcaition before you upset yourself more
ANS B
Great job! I understand that pain can be a frightening experience is the
most therapeutic answer. The nurse should never ask a patient why.
6.A client has been taking imipramine for his depression for 4 days. His
wife asks the nurse "Why is he still so depressed?" Which of the
following responses by the nurse is most appropriate?
- lets look over this chart to see if there are possible drug interactions
- it takes 2-4 wewks for the medication to reach its full ecfect
- the severity of the dpression will determine how soon the medicaiton works
I will have the physcican speak with you concerning this medicaton
