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Sample Questions
NCLEX-PN Sample Question 1
A. Shock phase
B. Emergent phase
C. Healing phase
D. Wound proliferation phase
ANSWER : A
NCLEX-PN Sample Question 2
The nurse provides a postoperative client with an analgesic medication and darkens the room before the client goes to sleep for the night. The nurse’s actions:
A. help the client’s circadian rhythm.
B. stimulate hormonal changes in the brain.
C. decrease stimuli from the cerebral cortex.
D. alert the hypothalamus in the brain.
ANSWER : C
NCLEX-PN Sample Question 3
When a client describes their family as having multiple wives, all of whom are sisters, married to one man, the nurse documents the family structure as?
A. polyandry
B. soronal
C. nonsororal
D. sororate
ANSWER : B
NCLEX-PN Sample Question 4
Which of the following is one of the main goals for Healthy People 2010?
A. reduction of health care costs
B. elimination of health disparities
C. investigation of substance abuse
D. determination of an acceptable morbidity rate
ANSWER : B
NCLEX-PN Sample Question 5
How many feet should separate the nurse and the source when extinguishing a small, wastebasket fire with an appropriate extinguisher?
A. 1 foot
B. 2 feet
C. 4 feet
D. 6 feet
ANSWER : D
NCLEX-PN Sample Question 6
A nurse is assigned to do pre-operative teaching on a blind patient who is scheduled for surgery the following morning. What teaching strategy would best fit the situation?
A. Verbal teaching in short sessions throughout the day
B. Pre-operative booklet on the surgery in Braille
C. Provide a tape for the client
D. Have the blind patient’s family member instruct the patient.
ANSWER : A
NCLEX-PN Sample Question 7
The ICU nurse caring for a client who has just been declared brain dead can expect to find evidence of the client’s wishes regarding organ donation:
A. on the driver’s license of the client.
B. in the client’s safety deposit box.
C. in the client’s last will and testament.
D. on the client’s insurance card.
ANSWER : A
NCLEX-PN Sample Question 8
The client on Floxin must be alerted to which of the following adverse effects?
A. stunting of height in teens and young adults
B. propensity of anovulatory uterine bleeding
C. intractable diarrhea
D. tendon rupture
ANSWER : D
NCLEX-PN Sample Question 9
When a drug is listed as Category X and prescribed to women of child-bearing age/capacity, the nurse and the interdisciplinary team should counsel the client that:
A. Pregnancy tests might be unreliable while taking the drug.
B. She must use a reliable form of birth control.
C. She should not take the Category X drug on days she has intercourse.
D. She must follow up with an endocrinologist.
ANSWER : B
NCLEX-PN Sample Question 10
A nurse is returning phone calls in a pediatric clinic. Which of the following reports most requires the nurse’s immediate attention and phone call?
A. A 8 year-old boy has been vomiting and appears to have slower movements and has a
history of an atrio-ventricular shunt placement.
B. A 10 year-old girl feels a dull pain in her abdomen after doing sit-ups in gym class.
C. A 7 year-old boy has been having a low fever and headache for the past 3 days that has history of an anterior knee wound.
D. A 7 year-old girl that had a cast on her right ankle is complaining of itching.
ANSWER : A
NCLEX-PN Sample Question 11
A nurse is assessing a patient’s right lower extremity. The extremity is warm to touch, red and swollen. The patient is also running a low fever. Which of the following conditions would be the most likely cause of the patient’s condition?
A. Herpes
B. Scleroderma
C. Dermatitis
D. Cellulitis
ANSWER : D
NCLEX-PN Sample Question 12
A family member of a client with a diagnosis of Schizophrenia asks about the prognosis. The nurse’s response is based on the knowledge that schizophrenia:
A. affects women more often than men.
B. is usually diagnosed between the ages of 15 and 45.
C. is a chronic, deteriorating disease with periods of remission.
D. is diagnosed later in women due to a protective hormone effect.
ANSWER : C
NCLEX-PN Sample Question 13
The Token Economy is a type of therapy that focuses on:
A. play therapy.
B. behavior modification.
C. milieu therapy.
D. associative.
ANSWER : B
NCLEX-PN Sample Question 14
People-related supervisory tasks include all of the following except:
A. coaching.
B. encouraging.
C. target setting.
D. rewarding.
ANSWER : D
NCLEX-PN Sample Question 15
After securing the client’s safety from a faulty electric bed, the nurse should take which action?
A. Discuss the matter with the client’s significant others.
B. Document the incident in the client’s record in detail.
C. Notify the physician.
D. Prepare an incident report.
ANSWER : D
NCLEX-PN Sample Question 16
A mother brings her 1-year-old child to the clinic. The child has no record of previous immunizations, and the mother confirms the child has not been immunized. Teaching by the nurse should include which of the following?
A. Immunizations may be started at any age.
B. The recommended immunization schedule must be followed exactly.
C. If a primary series of immunizations is interrupted, the series must be restarted.
D. This child is at increased risk for reaction to the vaccines, when they are started.
ANSWER : A
NCLEX-PN Sample Question 17
A legal right to confidentiality of client information is waived when:
A. a court system subpoenas information.
B. a family member requests health care information of a client.
C. a living will takes effect.
D. the client is declared incompetent by the legal system.
ANSWER : A
NCLEX-PN Sample Question 18
A client diagnosed with Borderline Personality Disorder frequently attempts to burn herself. The best intervention to facilitate behavior change is:
A. constantly observing the client to prevent self-harm.
B. enlisting the client in defining and describing harmful behaviors.
C. checking on the client every 15 minutes to ensure she is not engaging in harmful
behavior.
D. removing all items from the environment that the client could use to harm herself.
ANSWER : B
NCLEX-PN Sample Question 19
When choosing a needle gauge for an intramuscular injection in a 12 year old boy. Which of the following gauges would you choose?
A. 27 gauge
B. 25 gauge
C. 22 gauge
D. 20 gauge
ANSWER : C
NCLEX-PN Sample Question 20
A patient that has TB can be taken off restrictions after which of the following parameters have been met?
A. Negative culture results.
B. After 30 days of isolation.
C. Normal body temperature for 48 hours.
D. Non-productive cough for 72 hours.
ANSWER : A
NCLEX-PN Sample Question 21
After group therapy, the female victim of intimatepartner violence confides to the nurse that she does not feel in any immediate danger. Which of the following statements about victims of domestic violence is true?
A. Victims of domestic violence are often the best predictors of their risk of harm.
B. Victims of domestic violence often overestimate their safety risk.
C. Victims of domestic violence are typically in a state of denial.
D. Victims of domestic violence know that keeping peace with their partner is the best method of preventing another attack.
ANSWER : A
NCLEX-PN Sample Question 22
A client is going to have an endoscopy performed. Which of the following is not a probable reason for an endoscopy procedure?
A. Aspiration noted on honey thick diet.
B. Pain with a bowel movement
C. Pain felt in the left upper quadrant
D. Right shoulder pain
ANSWER : B
NCLEX-PN Sample Question 23
A nurse is caring for a patient who has experienced burns to the right lower extremity. According to the Rule of Nines which of the following percents most accurately describes the severity of the injury?
A. 36%
B. 27%
C. 18%
D. 9%
ANSWER : C
NCLEX-PN Sample Question 24
A. elevated urine osmolarity and elevated serum osmolarity.
B. decreased urine osmolarity and decreased serum osmolarity.
C. elevated urine osmolarity and decreased serum osmolarity.
D. decreased urine osmolarity and elevated serum osmolarity.
ANSWER : D
NCLEX-PN Sample Question 25
A. Seizures
B. Muscle weakness
C. Depression
D. Anxiety
ANSWER : B
NCLEX-PN Sample Question 26
A client has been taking a drug (Drug A) that is highly metabolized by the cytochrome p450 system. He has been on this medication for 6 months. At this time, he is started on a second medication (Drug B) that is an inducer of the cytochrome p-450 system. You should monitor this client for:
A. increased therapeutic effects of Drug A.
B. increased adverse effects of Drug B.
C. decreased therapeutic effects of Drug A.
D. decreased therapeutic effects of Drug B.
ANSWER : C
NCLEX-PN Sample Question 27
A. the client’s hemoglobin and hematocrit are normal.
B. red blood cells are affected first.
C. folic acid levels are normal.
D. the current white cell count is not affected by chemotherapy.
ANSWER : D
NCLEX-PN Sample Question 28
A 55 year-old female asks a nurse the following, “Which mineral/vitamin is the most important to prevent progression of osteoporosis. The nurse should state:
A. Potassium
B. Magnesium
C. Calcium
D. Vitamin B12
ANSWER : C
NCLEX-PN Sample Question 29
If a client has chronic renal failure, which of the following sexual complications is the client at risk of developing?
A. retrograde ejaculation
B. decreased plasma testosterone
C. hypertrophy of testicles
D. state of euphoria
ANSWER : B
NCLEX-PN Sample Question 30
A. Nystatin
B. Atropine
C. Amoxil
D. Loritab
ANSWER : A
NCLEX-PN Sample Question 31
A. symptom reduction
B. improved quality of life
C. increased knowledge about mental illness
D. improved caregiving skills
ANSWER : B
NCLEX-PN Sample Question 32
Which direction given to the nursing assistant is most likely to accomplish the task of getting a urine specimen delivered to the lab immediately after collection?
A. “Make it a stat delivery.”
B. “Please do it as soon as you can after break.”
C. “This client is delirious, and we’re worried about a urinary sepsis.”
D. “Take this client to the bathroom now and collect a urine specimen from this voiding.Take the specimen to the lab immediately.”
ANSWER : D
NCLEX-PN Sample Question 33
A client who has a known history of cardiac problems and is still smoking enters the clinic complaining of sudden onset of sharp, stabbing pain that intensifies with a deep breath. The pain is occurring on only one side and can be isolated upon general assessment. The nurse concludes that this description is most likely caused by:
A. pleurisy.
B. pleural effusion.
C. atelectasis.
D. tuberculosis.
ANSWER : A
NCLEX-PN Sample Question 34
The nurse is assessing an elder who the nurse suspects is being physically abused. The most important question for nurse to ask is:
A. “How much money do you keep around the house?”
B. “Who provides your physical care?”
C. “How close does your nearest relative live?”
D. “What form of transportation do you use?”
ANSWER : B
NCLEX-PN Sample Question 35
A month after receiving a blood transfusion, an immunocompromised client develops fever, liver abnormalities, a rash, and diarrhea. The nurse should suspect this client has:
A. nothing related to the blood transfusion.
B. graft-versus-host disease (GVHD).
C. myelosuppression.
D. an allergic response to a recent medication.
ANSWER : B
NCLEX-PN Sample Question 36
A 93 year-old female with a history of Alzheimer’s Disease gets admitted to an Alzheimer’s unit. The patient has exhibited signs of increased confusion and limited stability with gait. Moreover, the patient is refusing to use a w/c. Which of the following is the most appropriate course of action for the nurse?
A. Recommend the patient remain in her room at all times.
B. Recommend family members bring pictures to the patient’s room.
C. Recommend a speech therapy consult to the doctor.
D. Recommend the patient attempt to walk pushing the w/c for safety.
ANSWER : B
NCLEX-PN Sample Question 37
The only time that an individual may receive medical care without giving informed consent is:
A. when the durable power of attorney for health care is not available.
B. in an emergency, life-or-death situation.
C. when the physician is not available for discussion with the client.
D. when they (clients) are not able to speak for themselves.
ANSWER : B
NCLEX-PN Sample Question 38
A nurse is assessing a 18 year-old female who has recently suffered a TBI. The nurse notes a slower pulse and impaired respiration. The nurse should report these findings immediately to the physician, due to the possibility the patient is experiencing which of the following conditions?
A. Increased intracranial pressure
B. Increased function of cranial nerve X
C. Sympathetic response to activity
D. Meningitis
ANSWER : A
NCLEX-PN Sample Question 39
A nurse is administering an antibiotic to a 4 year old girl, who does not have an identification bracelet. What action should the nurse take?
A. Ask another staff member who the child is.
B. Ask the child’s mother to state the child’s name.
C. Ask the child for her name.
D. Withhold the medication until an ID bracelet can be set-up.
ANSWER : B
NCLEX-PN Sample Question 40
A client taking isotretinoin (Accutane) tells the nurse that she is pregnant. What should the nurse teach this client?
A. Her pregnancy is threatened, and the fetus is at risk for teratogenesis.
B. She has a reportable condition, and the pregnancy must be terminated.
C. Accutane is a Category D drug, which means it is unsafe in pregnancy.
D. Her pregnancy must be followed carefully by a genetic specialist.
ANSWER : A
NCLEX-PN Sample Question 41
A. the client reports no episodes of awakening during the night.
B. the client falls asleep within 1 hour of going to bed.
C. the client reports satisfaction with his amount of sleep.
D. the client rates sleep as an 8 or more on the visual analog scale.
ANSWER : B
NCLEX-PN Sample Question 42
Mr. Lee comes to the clinic with thick green drainage around his eyelids. The nurse examiner takes his history and performs a physical examination, beginning with an eye history. General information the nurse should seek is:
A. type of employment.
B. burning or itchy sensation in the eyes.
C. position of the eyelids.
D. existence of floaters.
ANSWER : A
NCLEX-PN Sample Question 43
A. the physician’s loud verbal direction.
B. the nursing supervisor who is going to a meeting.
C. unit staff leaving on a break.
D. the care needs of the returning postoperative client just exiting the elevator.
ANSWER : D
NCLEX-PN Sample Question 44
The best nursing diagnosis for a client with newly diagnosed Diabetes Mellitus is:
A. Impaired Skin Integrity.
B. Knowledge Deficit: New Diabetes Diagnosis.
C. Alteration in Nutrition: More than Body Requirements.
D. Fluid Volume Deficit.
ANSWER : B
NCLEX-PN Sample Question 45
Why is it often necessary to draw a complete blood count and differential (CBC/differential) when a client is being treated with an antiepileptic drug (AED)?
A. The hematocrit is adversely affected because of an increased vascular volume.
B. AEDs affect immune modulators increasing the risk of infection.
C. AEDs induce white blood cell reduction.
D. A side effect of some AEDs is blood dyscrasia.
ANSWER : D
NCLEX-PN Sample Question 46
A newborn has been delivered. An Apgar score is given. What does this scoring system indicate?
A. heart rate, respiratory effort, color, muscle tone, reflex irritability
B. heart rate, bleeding, cyanosis, edema
C. bleeding, reflex, edema
D. respiratory effort, heart rate, seizures
ANSWER : A
NCLEX-PN Sample Question 47
A nurse reviewed the arterial blood gas reading of a 25 year-old male. The nurse should be
able to conclude the patient is experiencing which of the following conditions?
A. metabolic acidosis
B. respiratory acidosis
C. metabolic alkalosis
D. respiratory alkalosis
ANSWER : D
NCLEX-PN Sample Question 48
A nurse gave medications to the wrong client. She stated the client responded to the name called. What is the nurse’s appropriate documentation?
A. Note in medication records the drug given
B. The client was not hurt, no need for documentation
C. Note the client’s orientation
D. Completely fill out an incident report
ANSWER : D
NCLEX-PN Sample Question 49
A nurse is implementing a community awareness campaign about accidental poisoning. Which of the following should she teach in the class?
A. The child should be given milk.
B. The child should be given syrup of Ipecac
C. The poison control center should be contacted
D. The child should be taken to the ER
ANSWER : C
NCLEX-PN Sample Question 50
A nurse doing a home health visit consults with a male patient that has a diagnosis of CAD and COPD. The patient is currently taking Ventolin, Azmacort, Aspirin, and Theophylline. The patient complains of upset stomach, nausea and feeling uncomfortable. The nurse should:
A. Contact the patient’s physician immediately
B. Recommend the patient position himself in right sidelying.
C. Recommend the patient schedule a doctor’s visit the next day.
D. Recommend a hold on the drug-Azmacort
ANSWER : A
NCLEX-PN Sample Question 51
A nurse is screening patients for various vaccines. Which of the following vaccines is contraindicated during pregnancy?
A. Diphtheria
B. Hepatitis B
C. Mumps
D. Tetanus
ANSWER : C
NCLEX-PN Sample Question 52
A. Hypotension and Angina
B. Hypertension
C. Lower extremity edema
D. Peripheral sensory loss and SOB
ANSWER : A
NCLEX-PN Sample Question 53
Which of the following is responsible for laws mandating the reporting of certain infections and diseases?
A. Centers for Disease Control and Prevention (CDC)
B. individual state laws
C. National Institute of Health Research (NIH)
D. Health and Human Services (HHS)
ANSWER : B
NCLEX-PN Sample Question 54
A. Encourage warm water soaks to the right foot.
B. Notify the case manager of the purulent drainage.
C. Determine the patient’s pulse in the right ankle.
D. Recommend increased activity to reduce the purulent drainage.
ANSWER : A
NCLEX-PN Sample Question 55
The nurse who was not promoted tells another friend, “I knew I’d never get the job. The hospital administrator hates me.” If she actually believes this of the administrator, who, in reality, knows little of her, she is demonstrating:
A. compensation.
B. reaction formation.
C. projection.
D. denial.
ANSWER : C
NCLEX-PN Sample Question 56
A. Greater than 1000 cells per deciliter
B. Less than 500 cells per deciliter
C. Greater than 2000 cells per deciliter
D. Less than 200 cells per deciliter
ANSWER : D
NCLEX-PN Sample Question 57
A mother of a newborn notices a nurse placing liquid in her baby’s eyes. Which of the following is an inaccurate statement about the need for eyedrops following birth?
A. Eyedrops following birth help reduce the risk of eye infection.
B. Eyedrops are required by the law.
C. Eyedrops will keep the eye moist.
D. Eyedrops are required by law every 6 hours following birth.
ANSWER : D
NCLEX-PN Sample Question 58
A 32 year-old male with a complaint of dizziness has an order for Morphine via. IV. The nurse should do which of the following first?
A. Check the patient’s chest x-ray results.
B. Retake vitals including blood pressure.
C. Perform a neurological screen on the patient.
D. Request the physician on-call assess the patient.
ANSWER : B
NCLEX-PN Sample Question 59
A. Consider it a normal finding.
B. Check the system for leaks.
C. Clamp the chest tube.
D. Change the drainage system.
ANSWER : A
NCLEX-PN Sample Question 60
Following an automobile accident that caused a head injury to an adult client, the nurse observes that the client sleeps for long periods of time. The nurse determines that the client has experienced injury to the:
A. hypothalamus.
B. thalamus.
C. cortex.
D. medulla.
ANSWER : A
NCLEX-PN Sample Question 61
A nurse suspects a patient is developing Bell’s Palsy. The nurse wants to test the function of cranial nerve VII. Which of the following would be the most appropriate testing procedures?
A. Test the taste sensation over the back of the tongue and activation of the facial muscles.
B. Test the taste sensation over the front of the tongue and activation of the facial muscles.
C. Test the sensation of the facial muscles and sensation of the back of the tongue.
D. Test the sensation of the facial muscles and sensation of the front of the tongue.
ANSWER : B
NCLEX-PN Sample Question 62
A 26-year-old single woman is knocked down and robbed while walking her dog one evening. Three months later, she presents at the crisis clinic, stating that she cannot put this experience out of her mind. She complains of nightmares, extreme fear of being outside or alone, and difficulty eating and sleeping. What is the best response by the nurse?
A. “I will ask the physician to prescribe medication for you.”
B. “That must have been a very difficult and frightening experience. It might be helpful to
talk about it.
C. “In the future, you might walk your dog in a more populated area or hire someone else to take over this task.”
D. “Have you thought of moving to a safer neighborhood?”
ANSWER : B
NCLEX-PN Sample Question 63
A. alpha cells
B. beta cells
C. acinar cells
D. plasma cells
ANSWER : C
NCLEX-PN Sample Question 64
The nurse is teaching a client about communicable diseases and explains that a portal of entry is:
A. a vector.
B. a source, like contaminated water.
C. food.
D. the respiratory system.
ANSWER : D
NCLEX-PN Sample Question 65
A nurse working in a pediatric clinic observes bruises on the body of a four year-old boy. The parents report the boy fell riding his bike. The bruises are located on his posterior chest wall and gluteal region. The nurse should:
A. Suggest a script for counseling for the family to the doctor on duty.
B. Recommend a warm bath for the boy to decrease healing time.
B. Recommend a warm bath for the boy to decrease healing time.
D. Recommend ROM to the patient’s spine to decrease healing time.
ANSWER : C
NCLEX-PN Sample Question 66
A nurse is working in a pediatric clinic and a 25 year-old mother comes in with a 4 week-old baby. The mother is stress out about loss of sleep and the baby exhibits signs of colic. Which of the following techniques should the nurse teach the mother?
A. Distraction of the infant with a red object
B. Prone positioning techniques
C. Tapping reflex techniques
D. Neural warmth techniques
ANSWER : D
NCLEX-PN Sample Question 67
The home health nurse has made a visit to an 85-year-old female client’s home who has recently had surgery to replace her left knee. The client has been discharged from a rehab facility and has been able to walk on her own. The nurse assesses the need for teaching related to fall prevention. What should the nurse include in this teaching plan?
A. The client should remove all scatter rugs from the floor and minimize clutter.
B. The client should not get up and move around the house.
C. The client does not need to install a raised toilet and grab bar because she is able to
walk on her own.
D. The client should wear a robe and socks while walking in the house.
ANSWER : A
NCLEX-PN Sample Question 68
A. Notify the doctor
B. Empty the drain
C. Do nothing
D. Remove the drain
ANSWER : A
NCLEX-PN Sample Question 69
A. psychiatric illness is more prevalent in addicted populations.
B. people with psychiatric disorders are more prone to substance abuse.
C. substance disorders are easily detected and diagnosed in acute-care psychiatricsettings.
D. undetected substance problems have no real effect on treatment of psychiatricdisorders.
ANSWER : B
NCLEX-PN Sample Question 70
Which of the following symptoms is not indicative of autonomic dysreflexia in the client with a spinal cord injury?
A. sudden onset of headache
B. flushed face
C. hypotension
D. nasal congestion
ANSWER : C
NCLEX-PN Sample Question 71
Issues addressed in ethics committees include all of the following except:
A. nonpayment of bills.
B. euthanasia.
C. starting or stopping treatment.
D. use of feeding tubes.
ANSWER : A
NCLEX-PN Sample Question 72
A nurse is caring for a retired MD. The MD asks the question, “What type of cells secrete insulin?” The correct answer is:
A. alpha cells
B. beta cells
C. CD4 cells
D. helper cells
ANSWER : B
NCLEX-PN Sample Question 73
A. Transferring the patient to the shower.
B. Ambulating the patient for the first time.
C. Taking the patient’s breath sounds
D. Educating the patient on monitoring fatigue
ANSWER : A
NCLEX-PN Sample Question 74
A nurse working a surgical unit, notices a patient is experiencing SOB, calf pain, and warmth over the posterior calf. All of these may indicate which of the following medical conditions?
A. Patient may have a DVT.
B. Patient may be exhibiting signs of dermatitis.
C. Patient may be in the late phases of CHF.
D. Patient may be experiencing anxiety after surgery.
ANSWER : A
NCLEX-PN Sample Question 75
A 32-year-old female frequently comes to her primary care provider with vague complaints of headache, abdominal pain, and trouble sleeping. In the past, the physician has dutifully prescribed medication, but little else. Which of the following comments by the nurse to the physician is appropriate?
A. “Often women who are victims of domestic violence suffer vague symptoms such as
abdominal pain.”
B. “Often women become offended if asked about their safety in relationships.”
C. “It is mandatory that all women be questioned about domestic violence.”
D. “How would you feel to know that her partner is beating her and you didn’t ask?”
ANSWER : A
NCLEX-PN Sample Question 76
A. in their 80s.
B. living at home.
C. hospitalized.
D. living on only Social Security income.
ANSWER : C
NCLEX-PN Sample Question 77
A 14 year-old boy has been admitted to a mental health unit for observation and treatment. The boy becomes agitated and starts yelling at nursing staff members. What should the nurse first response be?
A. Create an atmosphere of seclusion for the boy according to procedures.
B. Remove other patients from the area via wheelchairs for added speed.
C. Ask the patient, “What is making you mad?”
D. Ask the patient, “Why are you doing this, have you thought about what yourparents might say?”
ANSWER : A
NCLEX-PN Sample Question 78
After the client discusses her relationship with her father, the nurse says, “Tell me whether I am understanding your relationship with your father. You feel dominated and controlled by him?” This is an example of:
A. verbalizing the implied.
B. seeking consensual validation.
C. encouraging evaluation.
D. suggesting collaboration.
ANSWER : B
NCLEX-PN Sample Question 79
A paraplegic client is in the hospital to be treated for an electrolyte imbalance. Which level of care is the client currently receiving?
A. primary prevention
B. secondary prevention
C. tertiary prevention
D. health promotion
ANSWER : B
NCLEX-PN Sample Question 80
A. prosecuting the perpetrator
B. managing symptoms of anxiety and fear
C. determining if the memories are real
D. collaborating the client’s story
ANSWER : B
NCLEX-PN Sample Question 81
A patient has been diagnosed with diabetes mellitus. Which of the following is not a clinical sign of diabetes mellitus?
A. Polyphagia
B. Polyuria
C. Metabolic acidosis
D. Lower extremity edema
ANSWER : D
NCLEX-PN Sample Question 82
A 62 year-old female is being seen on a home visit by a nurse. The patient reports she has been taking Premarin for years. Which of the following would indicate an over-dosage?
A. Lower extremity edema
B. Sensory changes in the upper extremities
C. Increased occurrence of fractures
D. Decreased peripheral blood flow
ANSWER : A
NCLEX-PN Sample Question 83
A. Provide the chart to the patient’s wife following verbal approval by the patient.
B. Provide the chart to the patient’s wife after consulting with the patient’s physician.
C. Get written approval from the patient prior to providing the wife with chart informationand call the MD about the patient’s request.
D. Tell the patient’ wife, a copy of the patient’s medical record is on-file with medicalrecords.
ANSWER : C
NCLEX-PN Sample Question 84
A gastroenterologist should be consulted for clients suffering from:
A. digestive system diseases.
B. urinary system diseases.
C. female reproductive system diseases.
D. nervous system diseases.
ANSWER : A
NCLEX-PN Sample Question 85
The physician wants to know if a client is tolerating his total parenteral nutrition. Which of the following laboratory tests is likely to be ordered?
A. triglyceride level
B. liver function tests
C. a glucose tolerance test
D. a complete blood count
ANSWER : B
NCLEX-PN Sample Question 86
Which type of dressing is recommended to place over a site when a chest tube is removed by the physician?
A. transparent dressing
B. colloidal dressing
C. petrolatum gauze
D. nonadherent dressing
ANSWER : C
NCLEX-PN Sample Question 87
A. Contact the patient’s physician immediately.
B. Check the intake and output on the patient’s flow sheet.
C. Encourage the patient to ambulate to reduce lower extremity edema.
D. Check the patient’s vitals every 2 hours.
ANSWER : B
NCLEX-PN Sample Question 88
A patient asks a nurse the following question. Exposure to TB can be identified best with which of the following procedures? Which of the following tests is the most definitive of TB?
A. Chest x-ray
B. Mantoux test
C. Breath sounds examination
D. Sputum culture for gram-negative bacteria
ANSWER : B
NCLEX-PN Sample Question 89
Signs of internal bleeding include all of the following except:
A. painful or swollen extremities.s
B. a tender, rigid abdomen.
C. vomiting bile.
D. bruising.
ANSWER : C
NCLEX-PN Sample Question 90
How does the ANA define the psychiatric nursing role?
A. a specialized area of nursing practice that employs theories of human behavior as its
science and the powerful use of self as its art
B. assisting the therapist to relieve the symptoms of clients
C. to solve clients’ problems and give them the answers
D. having a client committed to long-term therapy with the nurse
ANSWER : A
NCLEX-PN Sample Question 91
A. an antibiotic such as Metronidazole and a protease inhibitor (Saquinivir)
B. two non-nucleoside reverse transcriptase inhibitors
C. one protease inhibitor such as Nelfinavir
D. two protease inhibitors
ANSWER : B
NCLEX-PN Sample Question 92
Medical records indicate a patient has developed a condition of respiratory alkalosis. Which of the following clinical signs would not apply to a condition of respiratory alkalosis?
A. Muscle tetany
B. Syncope
C. Numbness
D. Anxiety
ANSWER : D
NCLEX-PN Sample Question 93
In hanging a parenteral IV fluid that is to be infused by gravity, rather than with an infusion pump, the nurse notes that the IV tubing is available in different drop factors. Which tubing is a microdrop set?
A. 15 drops per milliliter
B. 60 drops per milliliter
C. 20 drops per milliliter
D. 10 drops per milliliter
ANSWER : B
NCLEX-PN Sample Question 94
A. Guillain-Barre’ Syndrome gets better after 5 years in almost all cases.
B. Guillain-Barre’ Syndrome causes limited sensation in the abdominal region.
C. Guillain-Barre’ Syndrome causes muscle weakness in the legs.
D. Guillain-Barre’ Syndrome does not effect breathing in severe cases.
ANSWER : C
NCLEX-PN Sample Question 95
A. Bradycardia
B. Increased pupil size bilaterally
C. Change in LOC
D. Vomiting
ANSWER : B
NCLEX-PN Sample Question 96
A primigravida begins labor when her family is unavailable and she is alone. She is very upset that her family is not with her. Which approach can the nurse take to meet the client’s needs at this time?
A. asking whether another individual wants to be her support person
B. assuring her that the nursing triage group will be with her at all times
C. telling her you will try to locate her family
D. reinforcing the woman’s confidence in her own abilities to cope and maintain a sense of control
ANSWER : A
NCLEX-PN Sample Question 97
A. 1.0 mEq/L
B. 1.1 mEq/L
C. 1.2 mEq/L
D. 1.3 mEq/L
ANSWER : D
NCLEX-PN Sample Question 98
A thirty-seven year-old female in room 307 has a diagnosis of acquired immune deficiency syndrome (AIDS). Which of the following situations requires nurse intervention?
A. A certified nursing assistant states, “The patient in 307 is not wearing glovesshaving her
legs.”
B. A nursing assistant at the nursing station states, “The patient in 307 has arespiratory
rate of 16.”
C. A nursing student in the cafeteria states, “Dr.Jones told the patient in room307 that she
was going to die.”
D. A certified nursing assistant states, “Dr. Jones hasn’t made rounds thismorning.”
ANSWER : C
NCLEX-PN Sample Question 99
A. “I will have to talk to the doctor about letting you sit upright during the test.”
B. “You will be positioned in the reverse Trendelenburg position to maximizethe view of thebrain.”
C. “The radiologist will let you know.”
D. “You will have to lie down on your back during the test.”
ANSWER : D
NCLEX-PN Sample Question 100
A client reports that someone is in the room and trying to kill him. The nurse’s best response is:
A. “No one is in your room. Let’s get you more medicine.”
B. “I do not see anyone, but you seem to be very frightened.”
C. “No one can hurt you here.”
D. “Just tell the person to go away.”
ANSWER : B
NCLEX-PN Sample Question 101
A. Weakness and SOB
B. Fever and anemia
C. Hypertension and SOB
D. Fever and hypertension
ANSWER : B
NCLEX-PN Sample Question 102
A. “Don’t worry. Maybe you’ll meet a paraplegic woman.”
B. “There is someone for everyone in this world.”
C. “You are still an attractive man, even though you can’t walk.”
D. “Tell me more about your feelings on this issue.”
ANSWER : D
NCLEX-PN Sample Question 103
An nurse is instructing a patient on the order of sensations with the application of an ice water bath for a swollen right ankle. Which of the following is the correct order of sensations experienced with an ice water bath?
A. cold, burning, aching, and numbness
B. burning, aching, cold, and numbness
C. aching, cold, burning and numbness
D. cold, aching, burning and numbness
ANSWER : A
NCLEX-PN Sample Question 104
Metformin (Glucophage) is administered to clients with type II diabetes mellitus. Metformin is an example of:
A. an antihyperglycemic agent.
B. a hypoglycemic agent.
C. an insulin analogue.
D. a pancreatic alpha cell stimulant.
ANSWER : A
NCLEX-PN Sample Question 105
A client was involved in a motor vehicle accident in which the seat belt was not worn. The client is exhibiting crepitus, decreased breath sounds on the left, complains of shortness of breath, and has a respiratory rate of 34/min. Which of the following assessment findings should concern the nurse the most?
A. temperature of 102° F and a productive cough
B. arterial blood gases (ABGs) with a PaO2 of 92 and PaCO2 of 40 mmHg
C. trachea deviating to the right
D. barrel-chested appearance
ANSWER : C
NCLEX-PN Sample Question 106
A 64 year-old Alzheimer’s patient has exhibited excessive cognitive decline resulting in harmful behaviors. The physician orders restraints to be placed on the patient. Which of the following is the appropriate procedure?
A. Secure the restraints to the bed rails on all extremities.
B. Notify the physician that restraints have been placed properly.
C. Communicate with the patient and family the need for restraints.
D. Position the head of the bed at a 45 degree angle.
ANSWER : C
NCLEX-PN Sample Question 107
A client receiving preoperative instructions asks questions repeatedly about when to stop eating the night before the procedure. The nurse tries torefocus the client. The nurse notes that the client is frequently startled by noises in the hall. Assessment reveals rapid speech, trembling hands, tachypnea, tachycardia, and elevated blood pressure. The client admits to feeling nervous and having trouble sleeping. Based on the assessment, the nurse documents that the client has:
A. mild anxiety.
B. moderate anxiety.
C. severe anxiety.
D. a panic attack.
ANSWER : C
NCLEX-PN Sample Question 108
Which of the following syndromes associated with incomplete lesions of the spinal cord is a result of damage to one-half of the spinal cord?
A. Brown-Séquard syndrome
B. posterior cord syndrome
C. central cord syndrome
D. cauda equina syndrome
ANSWER : A
NCLEX-PN Sample Question 109
If your patient is acutely psychotic, which of the following independent nursing interventions would not be appropriate?
A. Conveying calmness with one on one interaction
B. Recognizing and dealing with your own feelings to prevent escalation of thepatient’s anxiety level
C. Encourage client participation in group therapy
D. Listen and identify causes of their behavior
ANSWER : C