National Council Licensure Examination(NCLEX-PN)
Last Update 5 days ago
Total Questions : 725
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When a middle-age woman says to the nurse, “I’m really worried about menopause. When my mom went through it, she got really depressed.” The nurse’s best response is:
A client tells the nurse that his wife’s nagging really gets on his nerves. He asks the nurse to talk with her about her nagging during their family session tomorrow afternoon. Which of the following responses is the most therapeutic for the client?
Which of the following microorganisms is easily transmitted from client to client on the hands of health care workers?
A client expresses anxiety about having magnetic resonance imaging performed. Which of the following is an appropriate response by the nurse?
Which of the following medications should be held 24–48 hours prior to an electroencephalogram (EEG)?
The nurse should consider which of the following as a possible cause for the symptoms experienced by the client in Question 28?
When a client wishes to improve her appearance by removing excess skin from her face and neck, the nurse should provide teaching regarding which of the following procedures?
When a client who is 25 years of age asks the nurse when she should seek fertility counseling, the best response by the nurse is:
All of the following clients are in need of an emergency assessment except:
A physician orders a serum creatinine for a hospitalized client. The nurse should explain to the client and his family that this test:
During the work phase of the nurse-client relationship, the client says to her primary nurse, “You think that I could walk if I wanted to, don’t you?” What is the best response by the nurse?
Which of the following statements by a client indicates adequate understanding of preparation for electroencephalography?
The nurse should make which of the following responses when questioned by a client about the role of leptin in the body?
With a breech presentation, the nurse must be particularly alert for which of the following?
A complication of total parenteral nutrition (TPN) is the development of cholestasis. What is this condition?
The emergency triage nurse should perform which action upon receiving the history that a client has a severe cough, fever, night sweats, and body wasting?
American families are having difficulty adequately performing their vital health care function. What are the basic reasons for this difficulty?
The nurse is teaching a client about sleep and gives background information on normal sleep patterns. Which of the following substances promotes sleep?
In the United States, several definitions of death are currently being used. The definition that uses apnea testing and pupillary responses to light is termed:
A client and his family facing the end stage of a terminal illness might be best served by:
The nurse and a colleague are on the elevator after their shift, and they hear a group of health caregivers discussing a recent client scenario. Which client right might be breached?
While walking in the hallway of an acute care unit of the hospital, the nurse overhears the change of shift report. The nurse should:
Kleinman’s Explanatory Model of Health and Illness is significant because:
Which of the following vaccines are not part of the regular schedule of immunizations for children?
A client has sustained a hyphema. What intervention should the nurse take?
A woman is in the active phase of labor. An external monitor has been applied, and a fetal heart deceleration of uniform shape is observed, beginning just as the contraction is under way and returning to the baseline at the end of the contraction. Which of the following nursing actions is most appropriate?
A client with a diagnosis of Schizophrenia has been released from an acute care setting. The client had a prolonged recovery from relapse. One of the parents says to the discharge nurse, “I do not understand what is going on. The hospital said she was better, but all she does is sit around all day and smoke. We cannot get her to go to the vocational training you arranged.” The nurse recognizes that more teaching is needed about:
A 50 milliliter (ml) bolus of normal saline fluid is ordered by the physician. The physician wants it to infuse in 30 minutes. The nurse should set the pump rate at:
If a client is suffering from thyroid storm, the PN can expect to find on assessment:
A client has been admitted in septic shock. Her nursing care plan includes the diagnosis High Risk for Injury (related to clotting disorder). Based on this diagnosis, all the following are appropriate entries in the nursing care plan except:
What is the appropriate ratio of cardiac compressions to ventilations in an adult client for one-person CPR?
A case management clinical pathway for congestive heart failure might include all of the following except:
A nurse runs into the significant other of a patient with end stage AIDS crying during her smoke break. Which of the following is most appropriate action for the nurse to take?
Which type of dressing is recommended to place over a site when a chest tube is removed by the physician?
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 15 year-old high school wrestler has been taking diuretics to loose weight to compete in a lower weight class. Which of the following medical tests is most like to be given?
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 patient has been ordered to get Klonapin for the first time. Which of the following side effects is not associated with Klonapin?
Which of the following symptoms is not indicative of autonomic dysreflexia in the client with a spinal cord injury?
A client needs to rapidly achieve a therapeutic plasma drug concentration of a medication. Rather than wait for steady state to be achieved, the physician might order:
A 21-year-old college student has just learned that she contracted genital herpes from her sexual partner. After completing the initial history and assessment, the nurse has data concerning areas pertinent to the disease. The data is likely to include all but which of the following?
The only time that an individual may receive medical care without giving informed consent is:
Which of the following motions is identified with the corresponding action?
(Action- Turning palm of hand over to face in the anterior direction, dorsum of the hand is pointed downward toward the floor.)
A nurse is instructing a patient about the warning signs of (Digitalis) side effects. Which of the following side effects should the nurse tell the patient are sometimes associated with excessive levels of Digitalis?
An 8-year-old Asian child is being examined during a school screening. The nurse notices small bruises on the anterior and posterior ribs. The nurse should ask the child:
Which of the following statements by an adult child of a client with late-stage Alzheimer’s disease indicates a need for further teaching by the nurse?
A preschooler has successfully completed the test item “counts 5 blocks” on the Denver II test. This pass is evidence of which of the following developmental concepts?
When teaching a client about anti-retroviral therapy for human immunodeficiency virus (HIV), the PN should emphasize:
Which of the following instructions should a nurse give a client who is about to undergo pelvic ultrasonography?
A client’s postoperative pain seems to be getting worse instead of better. When the nurse asks the client, “Why do you think it’s getting worse?” the client replies, “My wife died last month. It’s all I can think about.” The nurse must now consider:
Which of the following statements by a client with gastroesophageal reflux disease (GERD) indicates adequate understanding?
The best lab test to diagnose disseminated intravascular coagulation (DIC) is:
Incidences of child abuse apperar to be higher in the African-American community and might be explained by:
A client has a nasogastric (NG) tube in place following abdominal surgery. The purpose of this tube immediately following surgery is to:
Laboratory tests reveal the following electrolyte values for Mr. Smith: Na 135 mEq/L, Ca 8.5 mg/dL, Cl 102 mEq/L, and K 2.0 mEq/L. Which of the following values should the nurse report to the physician because of its potential risk to the client?
An elevation in which of the following enzymes is indicative of pancreatitis?
A pregnant client has congenital heart disease. The nurse should expect to see which alterations in this client’s diet during pregnancy?
In teaching bleeding precautions to a client with leukemia, the PN should include which of the following instructions?
Appropriate nursing strategies to assist a client in maintaining a sense of self include:
A client, age 28, is 8 1⁄2 months pregnant. She is most likely to display which normal skin-color variation?
In evaluating the lab work of a client in a hepatic coma, which of the following lab tests is most important?
For which of the following conditions might blood be drawn for uric acid level?
Which of the following is likely to increase the risk of sexually transmitted disease?
Which of the following foods might a client with a hypercholesterolemia need to decrease his or her intake of?
All of the following factors, when identified in the history of a family, are correlated with poverty except:
A client who is experiencing infertility says to the nurse, “I feel I will be incomplete as a man/woman if I cannot have a child.” Which of the following nursing diagnoses is likely to be appropriate for this client?
For a client with suspected appendicitis, the nurse should expect to find abdominal tenderness in which quadrant?
Which of the following indicates a hazard for a client on oxygen therapy?
Which of the following diseases or conditions is least likely to be associated with increased potential for bleeding?
A client with an ileus is placed on intestinal tube suction. Which of the following electrolytes is lost with intestinal suction?
How often should the nurse change the intravenous tubing on total parenteral nutrition solutions?
When obtaining a health history on a menopausal woman, which information should a nurse recognize as a contraindication for hormone replacement therapy?
Which of the following is an appropriate nursing goal for a client at risk for nutritional problems?
Which of the following lab values is associated with a decreased risk of cardiovascular disease?
A health care worker is concerned about a new mother being overwhelmed by caring for her infant. The health care worker should:
In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except:
In an obstetrical emergency, which of the following actions should the nurse perform first after the
baby delivers?
The nurse wishes to decrease a client’s use of denial and increase the client’s expression of feelings. To do this the nurse should:
Which of the following ethnic groups is at highest risk in the United States for pesticide-related injuries?
A 2-year-old child diagnosed with HIV comes to a clinic for immunizations. Which of the following vaccines should the nurse expect to administer in addition to the scheduled vaccines?
A hospitalized client has just been informed that he has terminal cancer. He says to the nurse, “There must be some mistake in the diagnosis.” The nurse determines that the client is demonstrating which of the following?
A nurse observes a client sitting alone and talking. When asked, the client reports that he is “talking to the voices.” The nurse’s next action should be:
A client states, “I eat a well-balanced diet. I do not smoke. I exercise regularly, and I have a yearly checkup with my physician. What else can I do to help prevent cancer?” The nurse should respond with which of the following statements?
A 35-year-old Latin-American client wishes to lose weight to reduce her chances of developing heart disease and diabetes. The client states, “I do not know how to make my diet work with the kind of foods that my family eats.” What should the nurse do first to help the client determine a suitable diet for disease prevention?
An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?
Attaching a restraint to a side rail or other movable part of the bed can:
Ethical and moral issues concerning restraints include all of the following except:
The client’s lab culture report is negative for a suspected infection. A test that can correctly identify those who do not have a given disease is:
The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?
A chemical reaction between drugs prior to their administration or absorption is known as:
TESTED 05 May 2024
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