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NCLEX-RN Practice Questions

National Council Licensure Examination(NCLEX-RN)

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Question # 11

A client on the infectious disease unit is discussing transmission of human immunodeficiency virus (HIV).

The nurse would need to provide more client education based on which client statement?

Options:

A.  

“HIV is a virus transmitted by sexual contact.”

B.  

“Condoms reduce the transmission of HIV.”

C.  

“HIV is a virus that is easily transmitted by casual contact.”

D.  

“HIV can be transmitted to an unborn infant.”

Discussion 0
Question # 12

A client is experiencing mucosal cell damage secondary to chemotherapy. Because of mucosal ulcers, eating has become increasingly uncomfortable for her. Which of the following interventions would be most effective in getting her to eat?

Options:

A.  

Local anesthetics or mouth washes applied to ulcers 30 minutes prior to meals

B.  

A bland, moist, soft diet

C.  

Staying with the client and providing distraction during meals

D.  

Cleaning the mouth carefully with lemon glycerin swabs and milk of magnesia before meals

Discussion 0
Question # 13

The client tells the nurse, “I have pain in my left shoulder.”

This is considered:

Options:

A.  

Evaluation process

B.  

Objective information

C.  

Subjective information

D.  

Complaining

Discussion 0
Question # 14

A client is diagnosed with diabetic ketoacidosis. The nurse should be prepared to administer which of the following IV solutions?

Options:

A.  

D5in normal saline

B.  

D5W

C.  

0.9 normal saline

D.  

D5in lactated Ringer’s

Discussion 0
Question # 15

On an assessment of a client’s mouth, the nurse notices white patches on the buccal mucosa. The nurse tries to obtain a sample for a culture, but the lesion cannot be rubbed off. The nurse would suspect that this lesion is:

Options:

A.  

Xerosteromia

B.  

Candidiasis

C.  

Leukoplakia

D.  

Stomatitis

Discussion 0
Question # 16

The physician prescribes a medical regimen of isoniazid, rifampin, and vitamin B6 for a tuberculosis client. The nurse instructs the client that B6 is given because it:

Options:

A.  

Increases activity of isoniazid

B.  

Increases activity of rifampin

C.  

Improves nutritional status

D.  

Reduces peripheral neuropathy

Discussion 0
Question # 17

A client has returned to the unit following a left femoral popliteal bypass graft. Six hours later, his dorsalis pedis pulse cannot be palpated, and his foot is cool and dusky. The nurse should:

Options:

A.  

Continue to monitor the foot

B.  

Notify the physician immediately

C.  

Reposition and reassess the foot

D.  

Assure the client that his foot is fine

Discussion 0
Question # 18

A male client was diagnosed 6 months ago with amyotrophic lateral sclerosis (ALS). The progression of the disease has been aggressive. He is unable to maintain his personal hygiene without assistance. Ambulation is most difficult, requiring him to use a wheelchair and rely on assistance for mobility. He recently has become severely dysphasic. Nursing interventions for dysphasia would be aimed toward prevention of:

Options:

A.  

Loss of ability to speak and communicate effectively

B.  

Aspiration and weight loss

C.  

Secondary infection resulting from poor oral hygiene

D.  

Drooling

Discussion 0
Question # 19

A client has developed congestive heart failure secondary to his myocardial infarction. Discharge diet instructions should emphasize the reduction or avoidance of:

Options:

A.  

Fresh vegetables and fruit

B.  

Canned vegetables and fruit

C.  

Breads, cereals, and rice

D.  

Fish

Discussion 0
Question # 20

Four days after admission for cirrhosis of the liver, the nurse observes the following when assessing a male client: increased irritability, asterixis, and changes in his speech pattern. Which of the following foods would be appropriate for his bedtime snack?

Options:

A.  

Fresh fruit

B.  

A milkshake

C.  

Saltine crackers and peanut butter

D.  

A ham and cheese sandwich

Discussion 0
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