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National Council Licensure Examination(NCLEX-RN)

Last Update 10 hours ago Total Questions : 860

The National Council Licensure Examination(NCLEX-RN) content is now fully updated, with all current exam questions added 10 hours ago. Deciding to include NCLEX-RN practice exam questions in your study plan goes far beyond basic test preparation.

You'll find that our NCLEX-RN exam questions frequently feature detailed scenarios and practical problem-solving exercises that directly mirror industry challenges. Engaging with these NCLEX-RN sample sets allows you to effectively manage your time and pace yourself, giving you the ability to finish any National Council Licensure Examination(NCLEX-RN) practice test comfortably within the allotted time.

Question # 4

The nurse is caring for a client who has had a tracheostomy for 7 years. The client is started on a fullstrength tube feeding at 75 mL/hr. Prior to starting the tube feeding, the nurse confirms placement of the tube in the stomach. The hospital policy states that all tube feeding must be dyed blue. On suctioning, the nurse notices the sputum to be a blue color. This is indicative of which of the following?

A.

The client aspirated tube feeding.

B.

The nurse has placed the suction catheter in the esophagus.

C.

This is a normal finding.

D.

The feeding is infusing into the trachea.

Question # 5

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

This is considered:

A.

Evaluation process

B.

Objective information

C.

Subjective information

D.

Complaining

Question # 6

A mother brings her 3-year-old child who is unconscious but breathing to the ER with an apparent drug overdose. The mother found an empty bottle of aspirin next to her child in the bathroom. Which nursing action is the most appropriate?

A.

Put in a nasogastric tube and lavage the child’s stomach.

B.

Monitor muscular status.

C.

Teach mother poison prevention techniques.

D.

Place child on respiratory assistance.

Question # 7

Following a gastric resection, which of the following actions would the nurse reinforce with the client in order to alleviate the distress from dumping syndrome?

A.

Eating three large meals a day

B.

Drinking small amounts of liquids with meals

C.

Taking a long walk after meals

D.

Eating a low-carbohydrate diet

Question # 8

The nurse would be sure to instruct a client on the signs and symptoms of an eye infection and hemorrhage. These signs and symptoms would include:

A.

Blurred vision and dizziness

B.

Eye pain and itching

C.

Feeling of eye pressure and headache

D.

Eye discharge and hemoptysis

Question # 9

A 42-year-old client with bipolar disorder has been hospitalized on the inpatient psychiatric unit. She is dancing around, talking incessantly, and singing. Much of the time the client is anorexic and eats very little from her tray before she is up and about again. The nurse’s intervention would be to:

A.

Confront the client with the fact that she will have to eat more from her tray to sustain her

B.

Try to get the client to focus on her eating by offering a detailed discussion on the importance of nutrition

C.

Let her have snacks and drinks anytime that she wants them because she will not eat at regular meal times

D.

Not expect the client to sit down for complete meals; monitor intake, offering snacks and juice frequently

Question # 10

A nasogastric (NG) tube inserted preoperatively is attached to low, intermittent suctions. A client with an NG tube exhibits these symptoms: He is restless; serum electrolytes are Na 138, K 4.0, blood pH 7.53. This client is most likely experiencing:

A.

Hyperkalemia

B.

Hyponatremia

C.

Metabolic acidosis

D.

Metabolic alkalosis

Question # 11

The nurse would be concerned if a client exhibited which of the following symptoms during her postpartum stay?

A.

Pulse rate of 50–70 bpm by her third postpartum day

B.

Diuresis by her second or third postpartum day

C.

Vaginal discharge or rubra, serosa, then rubra

D.

Diaphoresis by her third postpartum day

Question # 12

A client delivered her first-born son 4 hours ago. She asks the nurse what the white cheeselike substance is under the baby’s arms. The nurse should respond:

A.

“This is a normal skin variation in newborns. It will go away in a few days.”

B.

“Let me have a closer look at it. The baby may have an infection.”

C.

“This material, called vernix, covered the baby before it was born. It will disappear in a few days.”

D.

“Babies sometimes have sebaceous glands that get plugged at birth. This substance is an example of that condition.”

Question # 13

A client with severe PIH receiving MgSO4 is placed in a quiet, darkened room. The nurse bases this action on the following understanding:

A.

The client is restless.

B.

The elevated blood pressure causes photophobia.

C.

Noise or bright lights may precipitate a convulsion.

D.

External stimuli are annoying to the client with PIH.

Question # 14

A couple is planning the conception of their first child.

The wife, whose normal menstrual cycle is 34 days in length, correctly identifies the time that she is most likely to ovulate if she states that ovulation should occur on day:

A.

14+2 days

B.

16+2 days

C.

20+2 days

D.

22+2 days

Question # 15

A 56-year-old psychiatric inpatient has had recurring episodes of depression and chronic low self-esteem. She feels that her family does not want her around, experiences a sense of helplessness, and has a negative view of herself. To assist the client in focusing on her strengths and positive traits, a strategy used by the nurse would be to:

A.

Tell the client to attend all structured activities on the unit

B.

Encourage or direct client to attend activities that offer simple methods to attain success

C.

Increase the client’s self-esteem by asking that she make all decisions regarding attendance in group activities

D.

Not allow any dependent behaviors by the client because she must learn independence and will have to ask for any assistance from staff

Question # 16

A 42-year-old client on an inpatient psychiatric unit comments that he was brought to the hospital by his wife because he had taken too many pills and states, “I just couldn’t take it anymore.” The nurse’s best response to this disclosure would be:

A.

“You shouldn’t do things like that, just tell someone you feel bad.”

B.

“Tell me more about what you couldn’t take anymore.”

C.

“I’m sure you probably didn’t mean to kill yourself.”

D.

“How long have you been in the hospital.”

Question # 17

A nurse should carefully monitor a client for the following side effect of MgSO4:

A.

Visual blurring

B.

Tachypnea

C.

Epigastric pain

D.

Respiratory depression

Question # 18

Dietary planning is an essential part of the diabetic client’s regimen. The American Diabetes Association recommends which of the following caloric guidelines for daily meal planning?

A.

50% complex carbohydrate, 20%–25% protein, 20%–25% fat

B.

45% complex carbohydrate, 25%–30% protein, 30%–35% fat

C.

70% complex carbohydrate, 20%–30% protein, 10%–20% fat

D.

60% complex carbohydrate, 12%–15% protein, 20%–25% fat

Question # 19

After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and starts interacting appropriately with other clients and staff. The nurse knows that this client has an increased risk for:

A.

Suicide

B.

Exacerbation of depressive symptoms

C.

Violence toward others

D.

Psychotic behavior

Question # 20

Clinical manifestations seen in left-sided rather than in right-sided heart failure are:

A.

Elevated central venous pressure and peripheral edema

B.

Dyspnea and jaundice

C.

Hypotension and hepatomegaly

D.

Decreased peripheral perfusion and rales

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