NCLEX-PN Practice Exam Part 2

This is part 2 of NCLEX-PN Practice exam. Click on this link to get NCLEX-PN Practice Exam Part 1. This exam series will have 8 parts and each will have a total of 25 questions with answers and rationales. If you want to practice more questions like this, we strongly suggest to get a copy of NCLEX-PN Practice Questions and NCLEX-PN Exam Cram from informit.com.

1. A client has returned to his room following an esophagoscopy. Before offering fluids, the nurse should give priority to assessing the client’s:
   1. Level of consciousness
   2. Gag reflex
   3. Urinary output
   4. Movement of extremities
2. Which instruction should be included in the discharge teaching for the client with cataract surgery?
   1. Over-the-counter eyedrops can be used to treat redness and irritation.

   2. The eye shield should be worn at night.

   3. It will be necessary to wear special cataract glasses.

   4. A prescription for medication to control post-operative pain will be needed.

3. An 8-year-old is admitted with drooling, muffled phonation, and a temperature of 102°F. The nurse should immediately notify the doctor because the child’s symptoms are suggestive of:
   1. Strep throat

   2. Epiglottitis

   3. Laryngotracheobronchitis

   4. Bronchiolitis

4. Phototherapy is ordered for a newborn with physiologic jaundice. The nurse caring for the infant should:
   1. Offer the baby sterile water between feedings of formula

   2. Apply an emollient to the baby’s skin to prevent drying

   3. Wear a gown, gloves, and a mask while caring for the infant

   4. Place the baby on enteric isolation

5. A teen hospitalized with anorexia nervosa is now permitted to leave her room and eat in the dining room. Which of the following nursing interventions should be included in the client’s plan of care?
   1. Weighing the client after she eats

   2. Having a staff member remain with her for 1 hour after she eats

   3. Placing high-protein foods in the center of the client’s plate

   4. Providing the client with child-size utensils

6. According to Erickson’s stage of growth and development, the developmental task associated with middle childhood is:
   1. Trust

   2. Initiative

   3. Independence

   4. Industry

7. The nurse should observe for side effects associated with the use of bronchodilators. A common side effect of bronchodilators is:
   1. Tinnitus

   2. Nausea

   3. Ataxia

   4. Hypotension

8. The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:
   1. The mottled appearance of the trunk

   2. The presence of conjunctival hemorrhages

   3. Cyanosis of the hands and feet

   4. Respiratory rate of 20–28 per minute

9. A 5-month-old infant is admitted to the ER with a temperature of 6°F and irritability. The mother states that the child has been listless for the past several hours and that he had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for:
   1. Periorbital edema

   2. Tenseness of the anterior fontanel

   3. Positive Babinski reflex

   4. Negative scarf sign

10. A client with a bowel resection and anastamosis returns to his room with an NG tube attached to intermittent suction. Which of the following observations indicates that the nasogastric suction is working properly?
    1. The client’s abdomen is soft.

    2. The client is able to swallow.

    3. The client has active bowel sounds.

    4. The client’s abdominal dressing is dry and intact.

11. The nurse is teaching the client with insulin-dependent diabetes the signs of hypoglycemia. Which of the following signs is associated with hypoglycemia?
    1. Tremulousness

    2. Slow pulse

    3. Nausea

    4. Flushed skin

12. Which of the following symptoms is associated with exacerbation of multiple sclerosis?
    1. Anorexia

    2. Seizures

    3. Diplopia

    4. Insomnia

13. Which of the following conditions is most likely related to the development of renal calculi?
    1. Gout

    2. Pancreatitis

    3. Fractured femur

    4. Disc disease

14. A client with AIDS is admitted for treatment of wasting syndrome. Which of the following dietary modifications can be used to compensate for the limited absorptive capability of the intestinal tract?
    1. Thoroughly cooking all foods

    2. Offering yogurt and buttermilk between meals

    3. Forcing fluids

    4. Providing small, frequent meals

15. The treatment protocol for a client with acute lymphatic leukemia includes prednisone, methotrexate, and cimetadine. The purpose of the cimetadine is to:
    1. Decrease the secretion of pancreatic enzymes

    2. Enhance the effectiveness of methotrexate

    3. Promote peristalsis

    4. Prevent a common side effect of prednisone

16. Which of the following meal choices is suitable for a 6-month-old infant?
    1. Egg white, formula, and orange juice

    2. Apple juice, carrots, whole milk

    3. Rice cereal, apple juice, formula

    4. Melba toast, egg yolk, whole milk

17. The LPN is preparing to administer an injection of vitamin K to the newborn. The nurse should administer the injection in the:
    1. Rectus femoris muscle

    2. Vastus lateralis muscle

    3. Deltoid muscle

    4. Dorsogluteal muscle

18. The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephotic syndrome. The nurse should:
    1. Encourage the client to drink extra fluids

    2. Request a low-protein diet for the client

    3. Bathe the client using only mild soap and water

    4. Provide additional warmth for swollen, inflamed joints

19. The nurse is caring for a client with detoxification from alcohol. Which medication is used in the treatment of alcohol withdrawal?
    1. Antabuse (disulfiram)

    2. Romazicon (flumazenil)

    3. Dolophine (methodone)

    4. Ativan (lorazepam)

20. A client with insulin-dependent diabetes takes 20 units of NPH insulin at 7 a.m. The nurse should observe the client for signs of hypoglycemia at:
    1. 8 a.m.

    2. 10 a.m.

    3. 3 p.m.

    4. 5 a.m.

21. The licensed practical nurse is assisting the charge nurse in planning care for a client with a detached retina. Which of the following nursing diagnoses should receive priority?
    1. Alteration in comfort

    2. Alteration in mobility

    3. Alteration in skin integrity

    4. Alteration in O₂ perfusion

22. The primary purpose for using a CPM machine for the client with a total knee repair is to help:
    1. Prevent contractures

    2. Promote flexion of the artificial joint

    3. Decrease the pain associated with early ambulation

    4. Alleviate lactic acid production in the leg muscles

23. Which of the following statements reflects Kohlberg’s theory of the moral development of the preschool-age child?
    1. Obeying adults is seen as correct behavior.

    2. Showing respect for parents is seen as important.

    3. Pleasing others is viewed as good behavior.

    4. Behavior is determined by consequences.

24. A toddler with otitis media has just completed antibiotic therapy. A recheck appointment should be made to:
    1. Determine whether the ear infection has affected her hearing

    2. Make sure that she has taken all the antibiotic

    3. Document that the infection has completely cleared

    4. Obtain a new prescription in case the infection recurs

25. A factory worker is brought to the nurse’s office after a metal fragment enters his right eye. The nurse should:
    1. Cover the right eye with a sterile 4×4

    2. Attempt to remove the metal with a cotton-tipped applicator

    3. Flush the eye for 10 minutes with running water

    4. Cover both eyes and transport the client to the ER

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