NCLEX NCLEX-RN Practice Test Questions ( Updated) – Real Exam Questions & Dumps PDF
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NCLEX NCLEX-RN Sample Questions – Free Practice Test & Real Exam Prep
Question #1
The physician decides to prescribe both a short-acting insulin and an intermediate-actinginsulin for a newly diagnosed 8-year-old diabetic client. An example of a short-acting insulinis:
A. Novolin Regular
B. Humulin NPH
C. Lente Beef
D. Protamine zinc insulin
Answer: A
Explanation:
(A) Novolin is a short-acting insulin. (B, C) NPH and Lente are intermediate-acting insulins.
(D) Protamine zinc insulin is a long-acting insulin preparation.
Question #2
The nurse is admitting a client with folic acid deficiency anemia. Which of the followingquestions is most important for the nurse to ask the client?
A. “Do you take aspirin on a regular basis?”
B. “Do you drink alcohol on a regular basis?”
C. “Do you eat red meat?”
D. “Have your stools been normal?”
Answer: B
Explanation:
(A) Aspirin does not affect folic acid absorption. (B) Folic acid deficiency is strongly
associated with alcohol abuse. (C) Because folic acid is a coenzyme for single carbon
transfer purines, calves liver or other purines are the meat sources. (D) Folic acid does not
affect stool character.
Question #3
The most important goal in the care plan for a child who was hospitalized with anaccidental overdose would be to:
A. Determine child’s activity pattern
B. Reduce mother’s sense of guilt
C. Instruct parents in use of ipecac
D. Teach parents appropriate safety precautions
Answer: D
Explanation:
(A) This goal is not the most important. (B) There is always some guilt when an accident
occurs; however, the priority is to be sure future accidents are prevented. (C) Ipecac is not
used for caustic alkali and acid ingestions. (D) Determining the parent’s knowledge about
safety hazards and teaching appropriate preventive measures are likely to prevent
recurrence of accidents
Question #4
A 33-year-old client is diagnosed with bipolar disorder, acute phase. This is her first
psychiatric hospitalization, and she is being evaluated for treatment with lithium. Which of
the following diagnostic tests are essential prior to the initiation of lithium therapy with this
client?
A. Hematocrit, hemoglobin, and white blood cell (WBC) count
B. Blood urea nitrogen, electrolytes, and creatinine
C. Glucose, glucose tolerance test, and random blood sugar
D. X-rays, electroencephalogram, and electrocardiogram
(ECG)
Answer: B
Explanation:
(A) These are general diagnostic blood studies (usually done on admission), but they are
not reliable indicators of lithium therapy clearance. (B) These are the primary diagnostic
tests to determine kidney functioning. Because lithium is excreted through the kidneys and
because it can be very toxic, adequate renal function must be ascertained before therapy
begins. (C) These are diagnostic blood tests used to determine the presence of endocrine
(not renal) dysfunction. (D) These are other types of diagnostic procedures used to
determine musculoskeletal, neural, and cardiac (rather than renal) functioning.
Question #5
Which of the following physician’s orders would the nurse question on a client with chronicarterial insufficiency?
A. Neurovascular checks every 2 hours
B. Elevate legs on pillows
C. Arteriogram in the morning
D. No smoking
Answer: B
Explanation:
(A) Neurovascular checks are a routine part of assessment with clients having this
diagnosis. (B) Elevation of the legs is contraindicated because it reduces blood flow to
areas already compromised. (C) Arteriogram is a routine diagnostic order. (D) Smoking is
highly correlated with this disorder.
Question #6
A woman diagnosed with multiple sclerosis is disturbed with diplopia. The nurse will teachher to:
A. Limit activities which require focusing (close vision)
B. Take more frequent naps
C. Use artificial tears
D. Wear a patch over one eye
Answer: D
Explanation:
(A) Limiting activities requiring close vision will not alleviate the discomfort of double vision.
(B) Frequent naps may be comforting, but they will not prevent double vision. (C) Artificial
tears are necessary in the absence of a corneal reflex, but they have no effect on diplopia.
(D) An eye patch over either eye will eliminate the effects of double vision during the time
the eye patch is worn. An eye patch is safe for a person with an intact corneal reflex.
Question #7
A 4-year-old boy is brought to the emergency room with bruises on his head, face, arms,
and legs. His mother states that he fell down some steps. The nurse suspects that he may
have been physically abused. In accordance with the law, the nurse must:
A. Tell the physician her concerns
B. Report her suspicions to the authorities
C. Talk to the child’s father
D. Confront the child’s mother
Answer: B
Explanation:
(A) Although the nurse probably would talk to the physician about these concerns, the
nurse is not required by law to do so. (B) All healthcare workers are required by the Federal
Child Abuse Prevention and Treatment Act of 1974 to report suspected and actual cases of
child abuse and/or neglect. (C) Talking to the child’s father may or may not help the child,
and the nurse is not required by law to do so. (D) Confrontation may not be indicated; the
nurse is not required by law to confront the child’s mother with these suspicions.
Question #8
Which of the following nursing orders has the highest priority for a child with epiglottitis?
A. Vital signs every shift
B. Tracheostomy set at bedside
C. Intake and output
D. Specific gravity every shift
Answer: B
Explanation:
(A) Because of the possibility of fever or respiratory failure, vital signs should be done more
often than every eight hours. (B) If the epiglottitis worsens, the edema and laryngospasm
may close the airway and an emergency tracheostomy may be necessary. (C) Although
intake and output are a part of the nursing care of a child with epiglottitis, it is not as
important as the safety measure of keeping the tracheostomy set at the bedside. (D)
Specific gravity will indicate hydration status, but it is not as important as keeping the
tracheostomy set at the bedside.
Question #9
A client delivered a stillborn male at term. An appropriate action of the nurse would be to:
A. State, “You have an angel in heaven.”
B. Discourage the parents from seeing the baby.
C. Provide an opportunity for the parents to see and hold the baby for an undeterminedamount of time.
D. Reassure the parents that they can have other children.
Answer: C
Explanation:
(A) This is not a supportive statement. There are also no data to indicate the family’s
religious beliefs. (B) Seeing their baby assists the parents in the grieving process. This
gives them the opportunity to say “good-bye.” (C) Parents need time to get to know their
baby. (D) This is not a comforting statement when a baby has died. There are also no
guarantees that the couple will be able to have another child.
Question #10
In caring at home for a child who just ingested a caustic alkali, the nurse would immediately
tell the mother to:
A. Give vinegar, lemon juice, or orange juice
B. Phone the doctor
C. Take the child to the emergency room
D. Induce vomiting
Answer: A
Explanation:
(A) The immediate action is to neutralize the action of the chemical before further damage
takes place. (B) This action should be done after neutralizing the chemical. (C) This action
should be done after neutralizing the chemical. (D) Never induce vomiting with a strong
alkali or acid. Additional damage will be done when the child vomits the chemical.
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