NCLEX-RN Practice Exam Part 8

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1.      A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:

a.       Depression and suicidal ideation

b.      Tachycardia and diarrhea

c.       Muscle cramping and abdominal pain

d.      Tachycardia and euphoric mood

2.      During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?

a.       Right breech presentation

b.      Right occipital anterior presentation

c.       Left sacral anterior presentation

d.      Left occipital transverse presentation

3.      The primary physiological alteration in the development of asthma is:

a.       Bronchiolar inflammation and dyspnea

b.      Hypersecretion of abnormally viscous mucus

c.       Infectious processes causing mucosal edema

d.      Spasm of bronchiolar smooth muscle

4.      A client with mania is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:

a.       Serve high-calorie foods she can carry with her

b.      Encourage her appetite by sending out for her favorite foods

c.       Serve her small, attractively arranged portions

d.      Allow her in the unit kitchen for extra food whenever she pleases

5.      To maintain Bryant’s traction, the nurse must make certain that the child’s:

a.       Hips are resting on the bed, with the legs suspended at a right angle to the bed

b.      Hips are slightly elevated above the bed and the legs are suspended at a right angle to the bed

c.       Hips are elevated above the level of the body on a pillow and the legs are suspended parallel to the bed

d.      Hips and legs are flat on the bed, with the traction positioned at the foot of the bed

6.      Which action by the nurse indicates understanding of herpes zoster?

a.       The nurse covers the lesions with a sterile dressing.

b.      The nurse wears gloves when providing care.

c.       The nurse administers a prescribed antibiotic.

d.      The nurse administers oxygen.

7.      The client has an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that the nurse should contact the lab for them to collect the blood:

a.       15 minutes after the infusion

b.      30 minutes before the infusion

c.       1 hour after the infusion

d.      2 hours after the infusion

8.      The client using a diaphragm should be instructed to:

a.       Refrain from keeping the diaphragm in longer than 4 hours

b.      Keep the diaphragm in a cool location

c.       Have the diaphragm resized if she gains 5 pounds

d.      Have the diaphragm resized if she has any surgery

9.      The nurse is providing postpartum teaching for a mother planning to breastfeed her infant. Which of the client’s statements indicates the need for additional teaching?

a.       "I’m wearing a support bra."

b.      "I’m expressing milk from my breast."

c.       "I’m drinking four glasses of fluid during a 24-hour period."

d.      "While I’m in the shower, I’ll allow the water to run over my breasts."

10.  Damage to the VII cranial nerve results in:

a.       Facial pain

b.      Absence of ability to smell

c.       Absence of eye movement

d.      Tinnitus

11.  A client is receiving Pyridium (phenazopyridine hydrochloride) for a urinary tract infection. The client should be taught that the medication may:

a.       Cause diarrhea

b.      Change the color of her urine

c.       Cause mental confusion

d.      Cause changes in taste

12.  Which of the following tests should be performed before beginning a prescription of Accutane?

a.       Check the calcium level

b.      Perform a pregnancy test

c.       Monitor apical pulse

d.      Obtain a creatinine level

13.  A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir?

a.       Limit the client’s activity

b.      Encourage a high-carbohydrate diet

c.       Utilize an incentive spirometer to improve respiratory function

d.      Encourage fluids

14.  A client is admitted for an MRI. The nurse should question the client regarding:

a.       Pregnancy

b.      A titanium hip replacement

c.       Allergies to antibiotics

d.      Inability to move his feet

15.  The nurse is caring for the client receiving Amphotericin B. Which of the following indicates that the client has experienced toxicity to this drug?

a.       Changes in vision

b.      Nausea

c.       Urinary frequency

d.      Changes in skin color

16.  The nurse should visit which of the following clients first?

a.       The client with diabetes with a blood glucose of 95mg/dL

b.      The client with hypertension being maintained on Lisinopril

c.       The client with chest pain and a history of angina

d.      The client with Raynaud’s disease

17.  A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication:

a.       Once per day in the morning

b.      Three times per day with meals

c.       Once per day at bedtime

d.      Four times per day

18.  Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?

a.       The lens controls stimulation of the retina.

b.      The lens orchestrates eye movement.

c.       The lens focuses light rays on the retina.

d.      The lens magnifies small objects.

19.  A client who has glaucoma is to have miotic eyedrops instilled in both eyes. The nurse knows that the purpose of the medication is to:

a.       Anesthetize the cornea

b.      Dilate the pupils

c.       Constrict the pupils

d.      Paralyze the muscles of accommodation

20.  A client with a severe corneal ulcer has an order for Gentamycin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?

a.       Allow 5 minutes between the two medications.

b.      The medications may be used together.

c.       The medications should be separated by a cycloplegic drug.

d.      The medications should not be used in the same client.

21.  The client with color blindness will most likely have problems distinguishing which of the following colors?

a.       Orange

b.      Violet

c.       Red

d.      White

22.  The client with a pacemaker should be taught to:

a.       Report ankle edema

b.      Check his blood pressure daily

c.       Refrain from using a microwave oven

d.      Monitor his pulse rate

23.  The client with enuresis is being taught regarding bladder retraining. The nurse should advise the client to refrain from drinking after:

a.       1900

b.      1200

c.       1000

d.      0700

24.  Which of the following diet instructions should be given to the client with recurring urinary tract infections?

a.       Increase intake of meats.

b.      Avoid citrus fruits.

c.       Perform pericare with hydrogen peroxide.

d.      Drink a glass of cranberry juice every day.

25.  The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

a.       "I will make sure I eat breakfast within 2 hours of taking my insulin."

b.      "I will need to carry candy or some form of sugar with me all the time."

c.       "I will eat a snack around three o’clock each afternoon."

d.      "I can save my dessert from supper for a bedtime snack."

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