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NCLEX-RN Practice Exam Questions and Answers

National Council Licensure Examination(NCLEX-RN)

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Total Questions : 860

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Question # 1

A 67-year-old man had a physical examination prior to beginning volunteer work at the hospital. A routine chest x-ray demonstrated left ventricular hypertrophy. His blood pressure was 180/110. He is 45 lb overweight. His diet is high in sodium and fat. He has a strong family history of hypertension. The client is placed on antihypertensive medication; a low-sodium, low-fat diet; and an exercise regimen. On his next visit, compliance would best be determined by:

Options:

A.  

A blood pressure reading of 130/70 with a 5-lb weight loss

B.  

No side effects from antihypertensive medication and an accurate pill count

C.  

No evidence of increased left ventricular hypertrophy on chest x-ray

D.  

Serum blood levels of the antihypertensive medication within therapeutic range

Discussion 0
Question # 2

A 72-year-old male client had the Foley catheter that was inserted during the transurethral resection of his prostate removed today. He is concerned about the urinary incontinence he is having since removal of the Foley catheter. The nurse explains that:

Options:

A.  

He should not be concerned about it because it will resolve quickly

B.  

This is usually temporary

C.  

The nurse will keep him dry, and he should notify the nurse when this happens

D.  

This is related to the bladder spasms and will soon stop

Discussion 0
Question # 3

Parents of young children often need anticipatory guidance from the nurse. Parents may have little knowledge regarding growth and development. Which of the following toys and activities would the nurse suggest as appropriate for a toddler?

Options:

A.  

Cutting, pasting, string beads, music, dolls

B.  

Mobiles, rattle, squeeze toys

C.  

Pull-toys, large ball, dolls, sand and water play, music

D.  

Simple card games, puzzles, bicycle, television

Discussion 0
Question # 4

A client’s renal calculi are identified as consisting of calcium phosphate. Which of the following diets would be appropriate?

Options:

A.  

High calcium, low phosphorus

B.  

Low calcium, high phosphorus

C.  

Two-gram sodium diet

D.  

Low calcium and phosphorus, acid ash

Discussion 0
Question # 5

A client has been diagnosed with congestive heart failure. His fluid intake and output are strictly regulated. For lunch, he drank 8 oz of milk, 4 oz of tea, and 6 oz of coffee. His intake would be recorded as:

Options:

A.  

500 mL

B.  

540 mL

C.  

600 mL

D.  

655 mL

Discussion 0
Question # 6

To facilitate maximum air exchange, the nurse should position the client in:

Options:

A.  

High Fowler

B.  

Orthopneic

C.  

Prone

D.  

Flat-supine

Discussion 0
Question # 7

The primary focus of nursing interventions for the child experiencing sickle cell crisis is aimed toward:

Options:

A.  

Maintaining an adequate level of hydration

B.  

Providing pain relief

C.  

Preventing infection

D.  

O2 therapy

Discussion 0
Question # 8

A client’s behavior is annoying other clients on the unit. He is meddling with their belongings and dominating the group. The best approach by the nurse is to:

Options:

A.  

Seclude him in his room.

B.  

Set limits on his behavior.

C.  

Have his medication increased.

D.  

Ignore him and tell the other clients that these behaviors are due to his illness and that they should understand.

Discussion 0
Question # 9

Nursing care for the parents of a child with a congenital heart defect would include:

Options:

A.  

Encouraging the parents not to tell the child about the seriousness of the congenital heart defect, so the child will function as normally as possible

B.  

Acknowledging the fear and concern surrounding their child’s health and assisting the parents through the grieving process as they mourn the loss of their fantasized healthy child

C.  

Identifying anger and resentment as destructive emotions that serve no purpose

D.  

Expressing to the parents after the corrective surgery has been completed successfully that all their grief feelings will resolve

Discussion 0
Question # 10

A 17-year-old pregnant client who is gravida 1, para 0, is at 36 weeks’ gestation. Based on the nurse’s knowledge of the maternal physiological changes in pregnancy, which of these findings would be of concern?

Options:

A.  

Complaints of dyspnea

B.  

Edema of face and hands

C.  

Pulse of 65 bpm at 8 weeks, 73 bpm at 36 weeks

D.  

Hematocrit 39%

Discussion 0
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