NCLEX PN Test Practice Questions

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Nclex Pn Test Practicequestions With Verified Solutions2023*The client is admitted from the emergency room with multiple injuriessustainedfromanautoaccident.His doctorprescribes ahistamineblocker. The reason for this order is:A.Totreat general discomfortB.TocorrectelectrolyteimbalancesC. TopreventstressulcersD.To treat nauseaAnswerC:Histamine blockers arc frequently ordered for clients who arehospitalized for prolonged periods and who are in a stressful situation.They are not used to treat discomfort, correct electrolytes, or treat nausea;therefore, answers A, B, and D are incorrect.*The client with a recent liver transplant asks the nurse how long hewill have to take cyclosporine {Sandimmune). Which response is correct?A. 1 yearB.5 yearsC. 10 yearsD. The rest of his lifeAnswer D:Cyclosporin is an immunosuppressant, and the client with aliver transplant will be on immunosuppressants for the rest of his life.Answers A, B, and C, therefore, are incorrect.*Shortly after the client was admitted to the postpartum unit, thenurse notes heavy lochia rubra with large clots. The nurse shouldanticipate an order for:A. MethergineB.SradolC. Magnesium sulfateD.Phonergan

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Answer A:Metherginc is a drug chai causes uterine contractions. It Is usedfor pastpartal bleeding that is nor controlled by Fltocin. Answers BPC,and Dare incorrect: Stadol is an analgesic; magnesium sulfate is used torpreeclampsia; and phenergan is an antiemcrlc.•The client is scheduled to have an intravenous cholangiogram.Before rhe procedure, the nurse should assess the patient for:A.Shellfish allergiesB.Reactionsco blood transfusionsC. Gallbladder diseaseD.EggallergiesAnswer A:Clients having dye procedures should be assessed for allergiesto iodine or shellfish. Answers B and D are incorrect because there is noneed for the client to be assessed for reactions to blood or eggs. Because anIV cholangiogram is done ro detect gallbladder disease, there is no need toask about answer C.1A new diabetic is learning co administer his insulin. He receives 10Uof NPH and 12U of regular insulin each morning. Which of the followingstatements reflects understanding of the nurse's reaching?A. "When drawing up my Insulin, I should draw up die regular insulin first."B."When drawing up my insulin. I should draw up the NPEl insulin first.1’C. "It doesn't matter which insulin I draw up first."D."Icannot mixtheinsulin, so I will needtwoshots."Answer A:Regular insulin should be drawn up before the NTH. They can begiven together, so there is no need for two injections, making answer Dincorrect. Answer B is obviously Incorrect, and answer C is incorrectbecause it does matter which is drawn first: Contamination of NPII intoregular insulin will result In a hypoglycemic reaction at unexpected times.•A client with osteomylitis has an order for a trough level to bedone because he is caking Gentamycin. When should the nurse call thelab to obtain the trough level?A. Before the first dose

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B. 30 minutes before the fourth doseC. 30 minutes after the first doseD. 30 minutes after rhe fourth doseAnswerB: Trough levels are the lowest blood levels and should be done 30minutes before the thirdIVdose or30minutes before the fourth IM dose.Answers A,C, and D are incorrect.*A 4 year old with cystic fibrosis has a prescription for Viokasepancreatic enzymes to prevent malabsorption. The correct time togive pancreatic enzyme is:A.1 hour before mealsB. 2 hours after mealsC. With each meal and snackD.On an empty stomachAnswerC:Viokase is a pancreatic enzyme that is used to facilitatedigestion. It should be given with meals and snacks, and it works well infoods such a s applesauce. Answers A, B, and D are incorrect times toadminister this medication.*Isoniazid (INH) has been prescribed for a family member exposed totuberculosis. The nurse is aware that rhe length of time that themedication will be taken is:A. 6 monthsB. 3 monthsC. 18 monthsD.24 monthsAnswer A:The expected time for contact to tuberculosis is 1 year.Therefore, answers B, C.and D are incorrect.*The client is admitted to the postpartum unit with an order to continuethe infusion of Pitocln. Which finding indicates that the Pitocin is havingthe desired effect?A. The fundus is deviatedtotheleft.B. The tundus is firm and in the midline.

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C.The fundus is boggy.D.The fundus is two finger breadths below rhe umbilicus.AnswerB: Pirocin is used to cause the uterus to contract and decreasebleeding. A uterus deviated co the left, as stated in answer A, indicates a fullbladder. It is not desirable to have a boggy uterus, making answer Cincorrect. This lack of muscle tone will Increase bleeding. Answer D isincorrect because the position of rhe uterus is not related to the use ofPirocin.’The nurse is teaching a group of new graduates about the safety needsof the client receiving chemotherapy. Before administering chemotherapy,the nurse should:A. Administer a bolus of IV fluidB. Administer painmedication C.Administer anantiemeticD.Allow the patient a chance to eatAnswerC:Before chemotherapy, an antiemetic should be given becausemost chemotherapy agents cause nausea. It is not necessary to give a bolusof IV fluids, medicate for pain, or allow the client to eat; therefore, answers A,B, and D are incorrect.’Before administering Merhytrexate orally to the client with cancer,the nurse should check the:A. IV siteB. ElectrolytesC. Blood gasesD. Viral signsAnswerD: The vita] signs shouldbe takenbefore any chemotherapyagent. If it is an IV infusion of chemotherapy, the nurse should check the IVsite as well. Answers B and C are incorrect because it is not necessary tocheck the electrolytes or blood gases.*Vitamin K (aqua mephyton) is administered to a newborn shortlyafter birth for which of the following reasons?A. To prevent dehydration

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B. Ta treat infectionC. To replace electrolytesD. To facilitate clottingAnswerD : Vitamin K is given after delivery because the newborn'sintestinal tract is sterile and lacks vitamin K needed for clotting. Answer Ais incorrect because vitamin K is not directly given to prevent dehydration,but will facilitate clotting. Answers B and C are incorrect because vitamin Kdoes not prevent infection or replace electrolytes.•The client with an ileostomy is being discharged. Which teachingshould be included in the plan of care?A. Use Karaya powdertoseal the bag.B. Irrigate the ileostomy dally.C. Stomahesive is the best skin protector.D.Neosporin ointment can be used to protect the skin.Answer C:The best protector for the clientwith anileostomy to use isstomahesive. Answer A Is not correct because the bag w i l l not seal i f theclient uses Karaya powder. Answer B is incorrect because there is no needto irrigate an ileostomy. Neosporin, answer D. is not used to protect theskin because it is an antibiotic.The client has an order for FeSo4 liquid. Which method of administrationwould be best?A. Administer the medication with milkB. Administer rhe medication with a mealC. Administer die medication w i t h orange juiceD. Administer the medication undiluted.AnswerC: FeSO4 o r i r o n should be given with ascorbic acid (vitamin Cj.This helps with the absorption. I t should nor be given w i t h meals or milkbecause this decreases the absorption; thus, answers A and B are incorrect.Giving i t undiluted, as stated in answer D, is not good because it tastes bad.1The client arrives i n the emergency room with a hyphema. Whichaction by the nurse would be best?

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A. Elevate the head of the bed and apply ice to the eyeB. Place the client in a supine position and apply heat to the kneeC. Insert a Poley catheter and measure the intake and outputD. Perform a vaginal exam and check for a dischargeAnswer A: Hyphema is blood in the anterior chamber of the eye andaround the eye. The client should have the head of the bed elevated and iceapplied. Answers B, C, and D arc incorrect and do not treat the problem.•The nurse Is making assignments for the day. Which client shouldbe assigned to the nursing assistant?A. The 18 year old with a fracture to two cervical vertebraeB. The infant with meningitisC. The elderly client with a thyroidectomy 4 days agoD.The client with a thoracotomy 2 days agoAnswer C:The most stable client is rhe client with the thyroidectomy 4days ago. Answers A, B,and D are incorrect because the other clients areless stable and require a registered nurse.•The client arrives in rhe emergency room with a "bull's eye" rash.Which question would be most appropriate for the nurse to ask theclient? A."Have you found any ticks on your body?"B."Have you had any nausea in the last 24 hours?"C. "Have you been outside rhe country in rhe last 6 months?"D."Have you had any fever for rhe past few days?"Answer A: The "bull's eye" rash is indicative of Lyme's disease, a diseasespread by ticks. The signs and symptoms include elevated temperature,headache, nausea, and the rash. Although answers B and D are important, rhequestion asks which would be best. Answer C has no significance.•The child with seizure disorder is being treated with Dilantin(phenytoin). Which of rhe following statements by rhe patient's motherindicates to the nurse that rhe patient is experiencing a side effect ofDilantin therapy?A."She is very irritable lately."B."She sleeps quite a bit of the time."C."Her gums look too big for herteeth."D."She has gained about 10 pounds Ln rhe last 6 months."

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Answer C:Hyperplasia of rhe gums is associated with Dilantin therapy.Answer A is not related to the therapy; answer B is a side effect, and answerD is not related to the question.•A 5 year old is admitted to the unit following a tonsillectomy. Whichof the following would indicate a complication of the surgery?A. Decreased appetiteB. A low grade feverC. Chest congestionD. Constant swallowingAnswer D: Acomplication of a tonsillectomy is bleeding, and constantswallowing may indicate bleeding. Decreased appetite is expected after atonsillectomy, as is a low grade temperature; thus, answers A and B arcincorrect. In answer C, chest congestion is not normal but is nor associatedwith the tonsillectomy.■A 6 year old with cerebral palsy functions at the level of an 18 monthold. Which finding wouldsupport that assessment?A.She dresses herself.B. She puUsa toy behind her.

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C.She can build a tower of eight blocks.D.She can copy a horizontal or vertical line.Answer B: Children at 18 months of age like push pull toys. Children atapproximately 3 years of age begin to dress themselves and build a tower ofeight blocks. At age four, children can copy a horizontal or vertical line.Therefore, answers ArC„and D are incorrect.1Which information obtained from the mother of a child withcerebral palsy most likely correlates to the diagnosis?A.She was born at 42 weeks gestation.B. She had meningitis when she was 6 months old.C.She had physiologic jaundice after delivery.D.She has frequent sore throats.Answer B: The diagnosis of meningitis at age 6 months correlates to adiagnosis of cerebral palsy. Cerebral palsy, a neurological disorder, is oftenassociated with birth trauma or infections of the brain or spinal column.Answers A,C,and Darc not related to the question.* A 10 year old is being created for asthma. Beforeadministering Theodur, the nurse should check the:A. Urinary outputB. Blood pressureC.PulseD.TemperatureAnswer C:Theodur is a bronchodilator, and a side effect of bronchodilatorsis tachycardia, so checking rhe pulse is important. Extreme tachycardiashould be reported to the doctor. Answers A, E,and D are nor necessary.106. An elderly client is diagnosed with ovarian cancer. She has surgeryfollowed by chemotherapy with a fluorouracil (Adrucil) IV. What should thenurse do if she notices crystals and cloudiness in the IV medication?A. Discard the solution and order a new bagB. Warm the solutionC. Continue rhe infusion and document the findingD. Discontinue the medicationAnswer A: Crystals in the solution are nor norma] and should not be

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administered to the client. Discard the bad solution immediately. Answer Bis incorrect because warming the solution will not help. Answer C isincorrect, and answer D requires a doctor's order.* The client is diagnosed with multiple myoloma. The doctor hasordered cyclophosphamide (Cytoxan). Which instruction should be givento rhe client?A."Walk about a mile a day to prevent calcium loss."B. "Increase the fiber in your diet."C. "Report nausea to the doctor immediately."D. "Drink at lease eight large glasses of watera day."Answer D;Cytoxan can cause hemorrhagic cystitis, so rhe client shoulddrink at least eight glasses of water a day. Answers A and B are notnecessary and, so, are incorrect. Nausea often occurs with chemotherapy, soanswer C is incorrect.* The client is taking rifampin 600mg po daily to treat histuberculosis. Which action by the nurse indicates understanding of themedication?A. I oiling the client that the medication will need ro be taken with juiceB. Telling the client that the medication will change the color of theurineC. Telling the client ro take the medication before going ro bed at nightD.Telling rhe client to take the medication if night sweats occur.AnswerB: Rifampin can change rhe color of rhe urine and body fluid.Teaching the client about these changes is best because he might think thisis a complication. Answer A is not necessary, answer C is not true, andanswer D is not true because this medication should be taken regularlyduring the course of the treatment.’The client is taking prednisone 7.5mg po each morning to treat hissystemic lupus erryrhymatosis. Which statement best explains rhe reasonfor taking the prednisone in the morning?A. There is less chance of forgetting the medication if taken in the morning.B. There will be less fluid retention if taken in rhe morning.C. Prednisone is absorbed best with the breakfast meal.

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D.Morning administration mimics the body's natural secretionof corticosteroid.Answer D;Taking corticosteroids in the morning mimics the body's naturalreleaseofcortisol. Answers A is nor necessarily true, and answers B and Care nortrue.•A 20 year old female has a prescription for tetracycline. Whileteaching rhe client how to take her medicine, the nurse learns that theclient is also taking Ortho Novum oral contraceptive pills. Whichinstructions should be included in rhe teaching plan?A. The oral contraceptives will decrease the effectiveness of the tetracycline.B. Nausea often results from taking oral contraceptives and antibiotics.C. Toxicity can result when taking these two medications together.D.Antibiotics can decrease the effectivenessof oral contraceptives, sothe client should use an alternate method of birth control.Answer D:Taking antibiotics and oral contraceptives together decreasesthe effectiveness of the oral contraceptives. Answers A, B,and Care notnecessarily true.•A 60 year old diabetic is taking glyburidc (Diabeta) 1.25mg daily totreat Type II diabetes mellitus. Which statement indicates the need forfurther teaching?A."I will keep candy wrlth me just in case my blood sugar drops."B."I need to stay out of the sun as much aspassible." C. "Ioften skip dinner becauseI don't feelhungry,"D."1always wear my medical identification.".Answer C:The client should be taught to car his meals even if he is nothungry, to prevent a hypoglycemic reaction. Answers A, B, and D areincorrect because they indicate an understanding of the nurse's teaching.•The physician prescribes regular insulin, 5 units subcutaneous.Regular insulin begins to exert an effect:A. In 5 10minutesB. In 10 20 minutes

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C.I n 30 6 0 minutesD.In 60 120 minutesAnswerC; The rime of onset for regular insulin is 30 60 minutes;therefore, answers A, E, and D are incorrect.*Which of rhe following is the best Indicator of the diagnosis of IIIV?A. White blood cellcountB. ELISAC. Western BlotD. Complete blood countAnswerC:The most definitive diagnostic tool for IIIV is the Western BlocThe white blood cell count, as stated in answer A, is not rhe best indicator,but a white blood cell count of less than 3,500 requires investigation. TheELISA rest, answer B, i s a screening exam. Answer D is not specificenough.‘The client has an order for gentamycin to be administered. Which labresults should be reported to the doctor before beginning rhemedication?A. HematocritB. CreatinineC. White blood cell countD. Erythrocyte countAnswerB : Gentamycin is a drug from the aminoglycocide classification.These drugs are toxic co the auditory nerve and the kidneys. The hematocritis not of significant consideration i n this client; therefore, answer A isincorrect. Answer C is incorrect because we would expect rhe white bloodcell count to be elevated i n this client because gentamycin is an antibiotic.Answer D is incorrect because rhe erythrocyte count is also particularlysignificant■The nurse is caring for the client w i t h a mastectomy. Whichaction would be contraindicated?A. Taking the blood pressure in the side of the mastectomyB. Elevating rhe arm on the side of the mastectomyC. Positioning rhe client on the unaffected sideD. Performing a dextrostix on the unaffected side

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