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NCLEX-RN Practice Questions

National Council Licensure Examination(NCLEX-RN)

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Total Questions : 860

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Question # 41

A 2-year-old boy fell out of bed and has a subdural hematoma. When his mother leaves him for the first time, you will expect the child to:

Options:

A.  

Be comforted when he is held

B.  

Cry

C.  

Not notice that his mother has left

D.  

Withdraw and become listless

Discussion 0
Question # 42

The doctor has ordered a restricted fluid intake for a 2- year-old child with a head injury. Normal fluid intake for a child of 2 years is:

Options:

A.  

900 mL/24 hr

B.  

1300 mL/24 hr

C.  

1600 mL/24 hr

D.  

2000 mL/24 hr

Discussion 0
Question # 43

A 28-year-old multigravida has class II heart disease. At her prenatal visit at 34 weeks’ gestation, all of the following observations are made. Which would require intervention?

Options:

A.  

Weight gain of 2 kg in 4 weeks

B.  

Blood pressure of 128/78

C.  

Subjective data: shortness of breath after showering

D.  

Ankle edema reported present in late afternoon and evenings

Discussion 0
Question # 44

A 2-year-old boy is in the hospital outpatient department for observation after falling out of his crib and hitting his head. The nurse calls the physician to report:

Options:

A.  

Evidence of perineal irritation

B.  

Pulse fell from 102 to 96

C.  

Pulse increased from 96 to 102

D.  

Temperature rose to 102_F rectally

Discussion 0
Question # 45

A client is resting comfortably after delivering her first child. When assessing her pulse rate, the nurse would recognize the following finding to be typical:

Options:

A.  

Thready pulse

B.  

Irregular pulse

C.  

Tachycardia

D.  

Bradycardia

Discussion 0
Question # 46

A client who has been diagnosed with anorexia nervosa refuses to eat lunch. The most therapeutic response by the nurse to her refusal is:

Options:

A.  

“Okay, missing one meal won’t hurt.”

B.  

“You’ll have to eat lunch, or we’ll force-feed you.”

C.  

“It’s not appropriate for you to try to manipulate the staff into granting your wishes.”

D.  

“We will not allow you to starve yourself. You may choose to eat voluntarily or be fed.”

Discussion 0
Question # 47

A client with IDDM is given IV insulin for a blood glucose level of 520 mg/dL. Life-threatening complications may occur initially, so the nurse will monitor him closely for serum:

Options:

A.  

Chloride level of 99 mEq/L

B.  

Sodium level of 136 mEq/L

C.  

Potassium level of 3.1 mEq/L

D.  

Potassium level of 6.3 mEq/L

Discussion 0
Question # 48

A psychiatric nurse is providing an orientation to a new staff nurse. She reminds the nurse that psychiatrists often use categories of medications and that it is important that she recall that some categories of medications have synonyms. Another name used to describe minor tranquilizers is which of the following?

Options:

A.  

Antipsychotic medications

B.  

Antidepressant medications

C.  

Antianxiety medications

D.  

Antimania medication

Discussion 0
Question # 49

A 14-year-old boy has a head injury with laceration of his scalp over his ear. The nurse should call the physician to report:

Options:

A.  

Blood pressure increase from 100/80 to 115/85 after lunch

B.  

Headache that is unresponsive to acetaminophen (Tylenol)

C.  

Pulse rate ranges between 68 bpm and 76 bpm

D.  

Temperature rise to 102_F rectally

Discussion 0
Question # 50

A female client admitted to the labor and delivery unit thinks her bag of water “broke” approximately 2 hours ago. She is having mild contractions 5 minutes apart. The most immediate nursing intervention would be to:

Options:

A.  

Note the color and amount of fluid on her clothes.

B.  

Assess the FHR.

C.  

Notify the physician.

D.  

Place the nitrazine test paper at the cervical os and note the color change.

Discussion 0
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