NCLEX-RN Final Exams Questions

NCLEX-RN FINAL EXAMS QUESTIONS

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NCLEX-RN FINAL EXAM QUESTIONS

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1 / 50

The nurse would expect to include which of the following when planning the management of the client with Lyme disease?

2 / 50

Which of the following statements relevant to a suicidal client is correct?

3 / 50

The predominant purpose of the first Apgar scoring of a newborn is to:

4 / 50

A 3-year-old child is hospitalized with burns covering her trunk and lower extremities. Which of the following would the nurse use to assess adequacy of fluid resuscitation in the burned child?

5 / 50

Which of the following procedures is necessary to establish a definitive diagnosis of breast cancer?

6 / 50

An 8-year-old child comes to the physician’s office complaining of swelling and pain in the knees. His mother says, "The swelling occurred for no reason, and it keeps getting worse." The initial diagnosis is Lyme disease. When talking to the mother and child, questions related to which of the following would be important to include in the initial history?

7 / 50

A client is 6 weeks pregnant. During her first prenatal visit, she asks, "How much alcohol is safe to drink during pregnancy?" The nurse’s response is:

8 / 50

A six-month-old infant has been admitted to the emergency room with febrile seizures. In the teaching of the parents, the nurse states that:

9 / 50

A pregnant woman at 36 weeks’ gestation is followed for PIH and develops proteinuria. To increase protein in her diet, which of the following foods will provide the greatest amount of protein when added to her intake of 100 mL of milk?

10 / 50

The nurse should know that according to current thinking, the most important prognostic factor for a client with breast cancer is:

11 / 50

The most commonly known vectors of Lyme disease are:

12 / 50

When assessing a child with diabetes insipidus, the nurse should be aware of the cardinal signs of:

13 / 50

Discharge teaching was effective if the parents of a child with atopic dermatitis could state the importance of:

14 / 50

Which of the following findings would be abnormal in a postpartal woman?

15 / 50

When teaching a sex education class, the nurse identifies the most common STDs in the United States as:

16 / 50

A child sustains a supracondylar fracture of the femur. When assessing for vascular injury, the nurse should be alert for the signs of ischemia, which include:

17 / 50

The therapeutic blood-level range for lithium is:

18 / 50

A psychotic client who believes that he is God and rules all the universe is experiencing which type of delusion?

19 / 50

The priority nursing goal when working with an autistic child is:

20 / 50

Provide the 1-minute Apgar score for an infant born with the following findings: Heart rate:

Above 100 Respiratory effort: Slow, irregular Muscle tone: Some flexion of extremities Reflex irritability: Vigorous cry Color: Body pink, blue extremities

21 / 50

A client confides to the nurse that he tasted poison in his evening meal. This would be an example of what type of hallucination?

22 / 50

A client with bipolar disorder taking lithium tells the nurse that he has ringing in his ears, blurred vision, and diarrhea. The nurse notices a slight tremor in his left hand and a slurring pattern to his speech. Which of the following actions by the nurse is appropriate?

23 / 50

A client returns for her 6-month prenatal checkup and has gained 10 lb in 2 months. The results of her physical examination are normal. How does the nurse interpret the effectiveness of the instruction about diet and weight control?

24 / 50

A 30-year-old male client is admitted to the psychiatric unit with a diagnosis of bipolar disorder. For the last 2 months, his family describes him as being "on the move," sleeping 34 hours nightly, spending lots of money, and losing approximately 10 lb. During the initial assessment with the client, the nurse would expect him to exhibit which of the following?

25 / 50

A client has been diagnosed as being preeclamptic. The physician orders magnesium sulfate. Magnesium sulfate (MgSO4) is used in the management of preeclampsia for:

26 / 50

A 38-year-old pregnant woman visits her nurse practitioner for her regular prenatal checkup. She is 30 weeks’ gestation. The nurse should be alert to which condition related to her age?

27 / 50

A laboratory technique specific for diagnosing Lyme disease is:

28 / 50

When assessing fetal heart rate status during labor, the monitor displays late decelerations with tachycardia and decreasing variability. What action should the nurse take?

29 / 50

Pregnant women with diabetes often have problems related to the effectiveness of insulin in controlling their glucose levels during their second half of pregnancy. The nurse teaches the client that this is due to:

30 / 50

Which of the following activities would be most appropriate during occupational therapy for a client with bipolar disorder?

31 / 50

One of the most dramatic and serious complications associated with bacterial meningitis is Waterhouse- Friderichsen syndrome, which is:

32 / 50

A 25-year-old client believes she may be pregnant with her first child. She schedules an obstetric examination with the nurse practitioner to determine the status of her possible pregnancy. Her last menstrual period began May 20, and her estimated date of confinement using Nägele’s rule

is:

33 / 50

A child is admitted to the emergency room with her mother. Her mother states that she has been exposed to chickenpox. During the assessment, the nurse would note a characteristic rash:

34 / 50

The physician orders fluoxetine (Prozac) for a depressed client. Which of the following should the nurse remember about fluoxetine?

35 / 50

Nursing care for the substance abuse client experiencing alcohol withdrawal delirium includes:

36 / 50

The physician recommends immediate hospital admission for a client with PIH. She says to the nurse, "It’s not so easy for me to just go right to the hospital like that." After acknowledging her feelings, which of these approaches by the nurse would probably be best?

37 / 50

The usual treatment for diabetes insipidus is with IM or SC injection of vasopressin tannate in oil. Nursing care related to the client receiving IM vasopressin tannate would include:

38 / 50

When administering phenytoin (Dilantin) to a child, the nurse should be aware that a toxic effect of phenytoin therapy is:

39 / 50

Hypoxia is the primary problem related to near-drowning victims. The first organ that sustains irreversible damage after submersion in water is the:

40 / 50

Three weeks following discharge, a male client is readmitted to the psychiatric unit for depression. His wife stated that he had threatened to kill himself with a handgun. As the nurse admits him to the unit, he says, "I wish I were dead because I am worthless to everyone; I guess I am just no good." Which response by the nurse is most appropriate at this time?

41 / 50

What is the most effective method to identify early breast cancer lumps?

42 / 50

Diabetes during pregnancy requires tight metabolic control of glucose levels to prevent perinatal mortality. When evaluating the pregnant client, the nurse knows the recommended serum glucose range during pregnancy is:

43 / 50

The day following his admission, the nurse sits down by a male client on the sofa in the dayroom. He was admitted for depression and thoughts of suicide. He looks at the nurse and says, "My life is so bad no one can do anything to help me." The most helpful initial response by the nurse would be:

44 / 50

A schizophrenic client has made sexual overtures toward her physician on numerous occasions. During lunch, the client tells the nurse, "My doctor is in love with me and wants to marry me." This client is using which of the following defense mechanisms?

45 / 50

Proper positioning for the child who is in Bryant’s traction is:

46 / 50

A client diagnosed with bipolar disorder continues to be hyperactive and to lose weight. Which of the following nutritional interventions would be most therapeutic for him at this time?

47 / 50

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:

48 / 50

Which of the following risk factors associated with breast cancer would a nurse consider most significant in a client’s history?

49 / 50

A long-term goal for the nurse in planning care for a depressed, suicidal client would be to:

50 / 50

The nurse practitioner determines that a client is approximately 9 weeks’ gestation. During the visit, the practitioner informs the client about symptoms of physical changes that she will experience during her first trimester, such as:

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