100 Random NCLEX Practice Questions 6 100 Random NCLEX Style Practice Questions Questions Change Every Time 1 / 100 1. The registered nurse (RN) is reviewing a plan of care developed by a new nurse for a child who is being admitted to the pediatric unit with a diagnosis of seizures. The RN determines that the new nurse needs further teaching and should revise the plan of care if which incorrect intervention is documented A. Place the child in a side-lying lateral position postseizure B. Immobilize the child if a seizure occurs. C. Place padding on the side rails of the bed. D. Maintain the bed in a low position. 2 / 100 2. A client who has a history of depression has been prescribed nadolol for the management of angina pectoris. Which consideration is most important when the nurse plans to counsel this client about the effects of this medication? A. High incidence of hypoglycemia B. Possible exacerbation of depression C. Risk of tachycardia D. Probability of fatigue 3 / 100 3. The nurse is preparing a plan of care for a child diagnosed with leukemia who is beginning chemotherapy. Which intervention should the nurse include? A. Monitor the mouth and anus each shift for signs of breakdown. B. Monitor rectal temperatures every 4 hours. C. Provide meticulous mouth care several times daily using an alcohol-based mouthwash and a toothbrush. D. Encourage the child to consume fresh fruits and vegetables to maintain nutritional status. 4 / 100 4. The nurse is preparing to suction an adult client with a tracheostomy who has copious amounts of secretions. Which action should the nurse take to accomplish this procedure safely and effectively? A. Set the wall suction pressure range between 80 and 120 mm Hg. B. Hyperoxygenate the client after the procedure only. C. Occlude the Y-port of the catheter while advancing it into the tracheostomy. D. Apply continuous suction in the airway for up to 20 seconds. 5 / 100 5. The nurse is performing an assessment on a 16-year-old client who has been diagnosed with anorexia nervosa. Which statement by the client should the nurse identify as a priority requiring a need for further teaching A. “My best friend was in the hospital with this disorder a year ago.” B. “I exercise 3 to 4 hours every day to keep my slim figure.” C. “I check my weight every day without fail.” D. “I’ve been told that I am 10% below my ideal body weight.” 6 / 100 6. The home care nurse is preparing to visit a client diagnosed with Ménière’s disease. The nurse reviews the primary health care provider prescriptions and expects to educate the client on which dietary measure? A. A low-carbohydrate diet and the elimination of red meats B. A low-fat diet with a restriction of citrus fruits C. A low-fiber diet with decreased fluids D. A low-sodium diet and fluid restriction 7 / 100 7. A client diagnosed with cancer of the bladder is fearful of the potential outcomes of an upcoming cystectomy and urinary diversion. Which statement made to the nurse indicates the client’s fear? A. “I’ll never feel like myself if I can’t go to the bathroom normally.” B. “What if I have no help at home after going through this awful surgery?”” C. “I wish I’d never gone to the doctor at all.” D. “I’m so afraid that I won’t live through all this.” 8 / 100 8. A client just been diagnosed with acute kidney injury has a serum potassium level of 6.1 mEq/L (6.1 mmol/L). Which action should the nurse take immediately? A. Teach the client about foods low in potassium. B. Call the primary health care provider. C. Check the sodium level. D. Encourage an extra 500 mL of fluid intake. 9 / 100 9. A client has had same-day surgery to insert a ventilating tube into the tympanic membrane. Which statement assures the nurse that the client understands the discharge instructions? A. “Swimming is allowed only if I keep my head above water.” B. “I was told to try and avoid taking medications for pain.” C. “I need to wash my hair quickly; taking 2 minutes or less.” D. “I will use a shower cap when taking a shower.” 10 / 100 10. A teenager returns to the gynecological clinic for a follow-up visit for a sexually transmitted infection (STI). Which statement by the teenager indicates the need for further teaching? A. I know you won’t tell my parents I’m sick B. My boyfriend doesn’t have to come in for treatment, does he? C. I finished all of the antibiotics, just like you said.” D. I always make sure that my boyfriend uses a condom. 11 / 100 11. A client is admitted to the hospital with the diagnosis of Cushing’s disease. The nurse should monitor the client’s laboratory studies for which associated disorder? A. Decreased plasma cortisol levels B. Hyperglycemia C. Low white blood cell (WBC) count D. Hypokalemia 12 / 100 12. Which assessment finding should the nurse expect to note in the child hospitalized with a diagnosis of nephrotic syndrome? A. Constipation B. Abdominal pain C. Weight loss D. Hypotension 13 / 100 13. A client asks the home care nurse to witness the client’s signature on a living will with the client’s attorney in attendance. Which action is most appropriate for the nurse to implement? A. Sign the living will as a witness to the signature only. B. Notify the supervisor that a living will is being witnessed. C. Sign the living will with identifying credentials and employment agency. D. Decline to witness the signature on the living will. 14 / 100 14. A client who sustained a thoracic cord injury a year ago returns to the clinic for a follow-up visit, and the nurse notes a small reddened area on the coccyx. The client is not aware of the reddened area. After counseling the client to relieve pressure on the area by adhering to a turning schedule, which action by the nurse is most appropriate? A. Asking a family member to assess the skin daily B. Teaching the client to use a mirror for skin assessment C. Scheduling the client to return to the clinic daily for a skin check D. Teaching the client to feel for reddened areas 15 / 100 15. The nurse prepares to admit a newborn born with spina bifida, myelomeningocele. Which nursing action is most important for the care for this infant? A. Monitoring the blood pressure B. Monitoring the specific gravity of the urine C. Monitoring the temperature D. Inspecting the anterior fontanel for bulging 16 / 100 16. When assessing the client with a wrist restraint at the beginning of the day shift, which observation by the charge nurse should indicate that the nurse who placed the restraint on the client failed to follow safety guidelines? A. The client was toileted frequently. B. The wrist restraint was applied snugly. C. The call bell was placed within easy reach. D. A slip knot was used to secure the restraint 17 / 100 17. A 12-year-old client is seen in the health care clinic. During the assessment, which finding would suggest to the nurse that the client is experiencing a disruption in the development of self-concept? A. The child has a part-time babysitting job. B. The child enjoys playing chess and mastering new skills with this game C. The child has many friends. D. The child has an intimate relationship with a significant other. 18 / 100 18. A client with a diagnosis of urolithiasis is scheduled for extracorporeal shock wave lithotripsy. Which information should the nurse provide to ensure that the client understands the procedure? A. Hematuria is not a side effect associated with this procedure. B. The stone is broken up by a vibrating needle that is inserted into the urinary tract. C. The stone granules are passed in the urine within a few days after the procedure. D. There is usually no discomfort involved with this procedure. 19 / 100 19. The nurse working in the mental health unit is collecting data on a newly admitted client. Which data is a primary type of subjective data collection? A. Client’s blood pressure is 145/88. B. Client complains of a headache. C. Family member states that the client got into a fight. D. Police officer reports that a disturbance was created by the client. 20 / 100 20. A goal for a postpartum client states, “The client will remain free of infection during her hospital stay.” Which assessment data would support that the goal has been met? A. Minimal vaginal bleeding B. Normal appetite C. Moderate breast tenderness D. Absence of fever 21 / 100 21. The nurse prepares the client for the removal of a nasogastric tube. During the tube removal, the nurse instructs the client to take which action? A. Exhale slowly. B. Pause between breaths. C. Inhale deeply. D. Hold in a deep breath. 22 / 100 22. The nurse is teaching a client how to mix regular and NPH insulins in the same syringe. Which action should the nurse instruct the client to take? A. Rotate the NPH insulin bottle in the hands before mixing. B. Draw up the NPH insulin into the syringe first. C. Take all of the air out of the insulin bottles before mixing. D. Keep both bottles in the refrigerator at all times. 23 / 100 23. A client develops an irregular heart rate. Which statement made by the client who has developed an irregular heart rate indicates to the nurse that the client is ready for learning? A. “What is it like to have a pacemaker?” B. “I feel weak with an irregular pulse.” C. “All my medications will be changed now.” D. “How can this heart rate problem affect me?” 24 / 100 24. The nurse should question which medication if prescribed for a client diagnosed with an inoperable ruptured intracranial aneurysm? A. Aminocaproic acid B. Heparin sodium C. Nicardipine D. Docusate sodium 25 / 100 25. A postoperative client has been vomiting and has absent bowel sounds, and paralytic ileus has been diagnosed. The primary health care provider prescribes the insertion of a nasogastric tube. The nurse explains the purpose of the tube and the insertion procedure to the client. The client says to the nurse, “I’m not sure I can take any more of this treatment.” Which therapeutic response should the nurse make to the client? A. “Let’s just put the tube down, so that you can get well.” B. “If you don’t have this tube put down, you will just continue to vomit.” C. “It is your right to refuse any treatment. I’ll notify the primary health care provider.” D. “You are feeling tired and frustrated with your recovery from surgery?” 26 / 100 26. The registered nurse instructs the new nurse that a variance analysis is performed on all clients with respect to which time frame? A. Every third day of hospitalization B. Daily during hospitalization C. Continuously D. Every other day of hospitalization 27 / 100 27. The nurse is developed a teaching plan for a client prescribed spironolactone. On which psychosocial side effect of the medication should the nurse base the teaching plan? A. Decreased libido B. Hair loss C. Edema D. Weight loss 28 / 100 28. A client is admitted to the hospital after sustaining a fall from a roof. The client has multiple lacerations and a right leg fracture, which has been treated with a plaster cast. How should the nurse position the client’s leg to promote optimal circulation? A. Elevated on pillows continuously for 24 to 48 hours B. Flat for 3 hours and elevated for 1 hour C. Elevated for 3 hours, and then flat for 1 hour D. Flat or a level position 29 / 100 29. A client manages peptic ulcer disease (PUD) with excessive amounts of oral antacids. Signs/symptoms of which acid–base imbalance should the nurse assess for? A. Respiratory acidosis B. Metabolic acidosis C. Respiratory alkalosis D. Metabolic alkalosis 30 / 100 30. The nurse is caring for a client who has experienced a thoracic spinal cord injury. In the event that spinal shock occurs, which intravenous (IV) fluid should the nurse anticipate being prescribed? A. 5% dextrose in water B. 5% dextrose in 0.9% normal saline C. 0.9% normal saline D. Dextran 31 / 100 31. A client diagnosed with angina pectoris appears to be very anxious and states, “So, I had a heart attack, right?” Which response should the nurse make to the client? A. “No, but there could be some minimal damage to your heart.” B. “No, not this time and we will do our best to prevent a future heart attack.” C. “No. That is not why you are hospitalized.” D. “No, but it’s necessary to monitor you and control or eliminate your pain.” 32 / 100 32. The parents of a child with mumps express concern that their child will develop orchitis as a result of having mumps. What characteristic of this complication should the nurse discuss with the parents? A. Swollen glands B. Difficulty urinating C. Fever D. Facial swelling 33 / 100 33. The nurse teaches a preoperative client about the nasogastric (NG) tube that will be inserted in preparation for surgery. The nurse determines that the client understands when the tube will be removed during the postoperative period based on which statement by the client? A. When I can tolerate food without vomiting B. When my doctor says so.” C. When my bowels begin to function again and I begin to pass gas. D. When my gastrointestinal (GI) system is healed. 34 / 100 34. A client is to undergo pleural biopsy at the bedside. Knowing the potential complications of the procedure, what equipment should the nurse plan to have available at the bedside? A. Morphine sulfate injection B. Chest tube and drainage system C. Portable chest x-ray machine D. Intubation tray 35 / 100 35. The nurse is caring for a client diagnosed with heart failure who has a magnesium level of 0.75 Eq/L (0.375 mmol/L). Which action should the nurse take? A. Monitor the client for irregular heart rhythms. B. Teach the client to avoid foods high in magnesium C. Provide a diet of ground beef, eggs, and chicken breast. D. Encourage the intake of antacids with phosphate. 36 / 100 36. The nurse determines that a client understands the purpose of a phytonadione injection for her newborn when she is heard making which statement to the baby’s father? A. It’s unusual but our baby lack’s the vitamin that helps the blood to clot.” B. The baby’s liver cannot produce that vitamin.” C. “All newborns lack intestinal bacteria to produce this vitamin.” D. Most newborns need a supplement of this vitamin.” 37 / 100 37. The nurse has given instructions to a client who is returning home after an arthroscopy of the knee. The nurse determines that the client understands the home care instructions if the client states the need to follow which instruction A. Stay off the leg entirely for the rest of the day. B. Report fever or site inflammation to the primary health care provider. C. Refrain from eating food for the remainder of the day. D. Resume strenuous exercise the following day. 38 / 100 38. The nurse has developed a plan of care for a client with a diagnosis of anterior cord syndrome. Which intervention should the nurse include in the plan of care to minimize the client’s long-term risk for injury? A. Assess the client for decreased sensation to touch B. Teach the client about loss of motor function and decreased pain sensation C. Change the client’s positions slowly D. Assess the client for decreased sensation to vibration 39 / 100 39. The student nurse is listening to a lecture on caring for clients with thrombophlebitis. Which statement by the student nurse indicates that the teaching has been effective? A. “Keeping the affected leg flat encourages healing.” B. “Engaging in activity as tolerated should be encouraged.” C. “Elevating the affected leg is indicated.” D. “Maintaining bathroom privileges is the most important action.” 40 / 100 40. The nurse provides a class to new mothers on newborn care. When teaching cord care, the nurse should instruct mothers to take which action? A. If antibiotic ointment has been applied to the cord, it is not necessary to do anything else to it. B. Apply alcohol thoroughly to the cord, being careful not to move the cord because it will cause pain to the newborn infant. C. All that is necessary is to wash the cord with antibacterial soap and allow it to air-dry once a day. D. Apply the prescribed cleansing agent to the cord, ensuring that all areas around the cord are cleaned two to three times a day. 41 / 100 41. The nurse has explained the reason that the primary health care provider has chosen laser surgery to treat a client’s cervical cancer. Which statement by the client indicates an understanding of the explanation? A. “I have too much cancer to be removed with surgery.” B. “I want to be asleep during my procedure.” C. “The primary health care provider is able to see all the edges of my cancer clearly.” D. “I am young and the laser prevents cancer tissue from re-growing.” 42 / 100 42. The nurse caring for a client immediately following transurethral resection of the prostate (TURP) notices that the client has suddenly become confused and disoriented. The nurse determines that this may be a result of which potential complication of this surgical procedure? A. Hypernatremia B. Hypochloremia C. Hyponatremia D. Hyperchloremia 43 / 100 43. A client is being discharged from the hospital after a bronchoscopy that was performed a day earlier. After the discharge teaching, the client makes the following statements to the nurse. Which statement should the nurse identify as indicating a need for further teaching? A. “I will use the throat lozenges as directed by my doctor until my sore throat goes away.” B. “I can expect to cough up bright red blood.” C. “I will stop smoking my cigarettes.” D. “I will get help immediately if I start having trouble breathing.” 44 / 100 44. The nursing student is listening to a lecture on correcting errors in a written narrative on a medical record. Which statement by the nursing student indicates that the teaching has been effective? A. “The correct procedure is to draw a line through the error to identify it.” B. “The correct procedure is to remove the error in a manner approved by the facility.” C. “The correct procedure is to document the correction as a late entry.” D. “The correct procedure is to cover the error completely using a permanent marker.” 45 / 100 45. A client is admitted to a mental health unit with a diagnosis of anorexia nervosa. When planning care for this client, which primary intervention should health promotion focus on? A. Helping the client identify and examine dysfunctional thoughts and beliefs B. Emphasizing social interaction with clients who are withdrawn C. Examining intrapsychic conflicts and past issues D. Providing a supportive environment 46 / 100 46. A client is receiving intravenous (IV) antibiotic therapy at home via an intermittent IV catheter. In order to facilitate the early detection of IV therapy complications, which intervention should be included in the client’s education? A. Keep the IV site clean and dry. B. Report local pain, drainage, or edema. C. Protect the IV site continually. D. Apply pressure to the IV site if it dislodges. 47 / 100 47. A client scheduled for pulmonary angiography is fearful about the procedure and asks the nurse if the procedure involves significant pain and radiation exposure. Which therapeutic response should the nurse make to the client to provide reassurance? A. “The procedure is somewhat painful, but there is minimal exposure to radiation.” B. “There is usually no pain, although a moderate amount of radiation must be used to get accurate results.” C. “Discomfort may occur with needle insertion, and there is minimal exposure to radiation.” D. “There is very mild pain throughout the procedure, and the exposure to radiation is negligible.” 48 / 100 48. A client with a diagnosis of depression states to the nurse, “I should have died. I’ve always been a failure.” Which therapeutic response should the nurse make to the client? A. “You don’t see anything positive?” B. “You’ve been feeling like a failure for some time now?” C. “You still have a great deal to live for.” D. “Feeling like a failure is part of your illness.” 49 / 100 49. A client has been experiencing muscle weakness for a period of several months. The health care provider suspects polymyositis, and the client asks the nurse about the disorder. The nurse explains to the client that which occurs in this disorder? A. Muscle fibers are inflamed. B. A decrease in elastic tissue C. Muscle fibers are thickened. D. Increased fibers and tissue 50 / 100 50. An English-speaking Hispanic client has a newly applied long leg cast to stabilize a right proximal fractured tibia. During rounds at night, the nurse finds the client restless, withdrawn, and unusually quiet. Which nursing statement would be most appropriate? A. “I’ll get your pain medication right away.” B. “Tell me what you are feeling.” C. Are you uncomfortable?” D. “You’ll feel better in the morning.” 51 / 100 51. The nurse is teaching health education classes to a group of expectant parents, and the topic is preventing cognitive impairment caused by congenital hypothyroidism. What should the nurse tell the parents is the most effective means of promoting early intervention? A. Neonatal screening B. Limiting alcohol consumption C. Vitamin intake D. Adequate protein intake 52 / 100 52. The nurse is about to administer a prescribed intravenous dose of tobramycin when the client reports vertigo and ringing in the ears. Which action should the nurse take next? A. Hang the dose of medication immediately. B. Give a dose of droperidol with the tobramycin. C. Hold the dose and call the primary health care provider (HCP). D. Check the client’s pupillary responses. 53 / 100 53. The nurse is assigned to care for an infant on the first postoperative day after a surgical repair of a cleft lip. Which nursing intervention is appropriate when caring for this child’s surgical incision? A. Replacing the Logan bar carefully after cleaning the incision B. Rinsing the incision with sterile water after feeding C. Rubbing the incision gently with a sterile cotton-tipped swab D. Cleaning the incision only when serous exudate forms 54 / 100 54. The nurse is planning a discharge teaching plan for a client who sustained a spinal cord injury. To provide for a safe environment regarding home care, which option should be the priority in the discharge teaching plan? A. Assisting the client to deal with long-term care placement B. Including information the primary health care provider has indicated C. Including the client’s significant others in the teaching session D. Following up on laboratory and diagnostic tests that were prescribed 55 / 100 55. The nurse admits a client with a suspected diagnosis of bulimia nervosa. While performing the admission assessment, the nurse expects to elicit which data about the client’s beliefs? A. Overeats in response to losing control of diet B. Is accepting of body size C. Overeats for the enjoyment of eating food D. Views purging as an accepted behavior 56 / 100 56. The nurse is developing a plan of care for a client in Buck’s (extension) traction. The nurse should determine that which is a priority client problem? A. Altered independence B. Risk of infection C. Immobility D. Insufficient sensory stimulation 57 / 100 57. A preschooler with a history of cleft palate repair comes to the clinic for a routine well-child checkup. To determine whether this child is experiencing a long-term effect of cleft palate, which question should the nurse ask the parent? A. “Was the child recently treated for pneumonia?” B. “Does the child play with an imaginary friend?” C. “Does the child respond when called by name?” D. “Has the child had any difficulty swallowing food?” 58 / 100 58. The nurse working on a medical nursing unit during an external disaster is called to assist with care for clients coming into the emergency department. Using principles of triage, the nurse should implement immediate care for a client with which injury? A. Fractured tibia B. Penetrating abdominal injury C. Open massive head injury, resulting in deep coma D. Bright red bleeding from a neck wound 59 / 100 59. A client has a scheduled office visit due to a new diagnosis of diabetes mellitus. The client tells the nurse that he has trouble maintaining proper health due to anxiety regarding the self-administration of insulin. Which teaching/learning strategy should the nurse initially plan to implement? A. Teach a family member to give the client the insulin. B. Leave a list of instructions at the bedside for practicing the insulin injections. C. Insert the needle, and have the client push in the plunger and remove the needle. D. Give the injection until the client feels sufficiently confident to preform it alone. 60 / 100 60. The school nurse planning to give a class on testicular self-examination (TSE) at a local high school should include which instruction to the participants? A. Perform the self-examination after a cold shower. B. Expect the self-examination to be slightly painful. C. Roll the testicle between the thumb and forefinger D. Perform the self-examination every other month. 61 / 100 61. The nurse is performing an assessment on a postterm infant. Which physical characteristic should the nurse expect to observe in this infant? A. Smooth soles without creases B. Lanugo covering the entire body C. Vernix that covers the body in a thick layer D. Peeling of the skin 62 / 100 62. The nurse is planning care for a suicidal client who is hallucinating and delusional. Which intervention should the nurse incorporate into the nursing care plan to best assure client safety? A. Check the client’s location every 15 minutes. B. Ask the client to report suicidal thoughts immediately. C. Begin suicide precautions with 30-minute checks. D. Initiate one-to-one suicide precautions immediately. 63 / 100 63. The nurse administers digoxin 0.25 mg by mouth rather than the prescribed dose of 0.125 mg to the client. After assessing the client and notifying the health care provider, which action should the nurse implement first? A. Tell the client about the adverse effects of digoxin. B. Write an incident report. C. Tell the client about the medication error. D. Administer digoxin immune Fab. 64 / 100 64. A client diagnosed with type 2 diabetes mellitus is being discharged from the hospital after an occurrence of hyperglycemic hyperosmolar state (HHS). The nurse creates a discharge teaching plan for the client and identifies which intervention as a priority? A. Controlling dietary intake B. Keeping follow-up appointments C. Exercise routines D. Monitoring for signs/symptoms of dehydration 65 / 100 65. A mother of a child with mumps calls the health care clinic to tell the nurse that the child has been lethargic and vomiting. What instruction should the nurse give to the mother? A. To bring the child to the clinic to be seen by the primary health care provider B. That, as long as there is no fever, there is nothing to be concerned about C. That lethargy and vomiting are normal manifestations of mumps D. To continue to monitor the child 66 / 100 66. The nurse has just finished assisting the primary health care provider in placing a central intravenous (IV) line. Which is a priority intervention to assure the client’s safety? A. Preparing the client for a chest x-ray B. Assessing the client’s temperature C. Assessing the client’s pain level D. Monitoring the client’s blood pressure (BP) 67 / 100 67. The nurse is assessing a client with gestational hypertension who was admitted to the hospital 48 hours ago. Which current assessment data would indicate that the condition has not yet resolved? A. Presence of trace urinary protein B. Blood pressure reading at prenatal baseline C. Client complaints of blurred vision D. Urinary output is increased. 68 / 100 68. A client who recently had a gastrostomy feeding tube inserted refuses to participate in the plan of care, will not make eye contact, and does not speak to family or visitors. Which type of coping mechanism should the nurse assess the client is using? A. Denial B. Suppression C. Distancing D. Regression 69 / 100 69. The nurse is providing medication instructions to a client who is prescribed imipramine daily. Which statement by the client indicates a need for further teaching? A. “A missed dose should be taken as soon as possible unless it is almost time for the next dose.” B. “I need to avoid alcohol while taking the medication.” C. “The effects of the medication may not be noticed for at least 2 weeks.” D. “I need to take the medication in the morning before breakfast.” 70 / 100 70. The nurse is providing home care instructions to a client recovering from an acute inferior myocardial infarction (MI) with recurrent angina. What instruction should the nurse provide to this client? A. Avoid sexual intercourse for at least 4 months. B. Replace sublingual nitroglycerin tablets yearly. C. Recognize the adverse effects of acetylsalicylic acid (aspirin), which include tinnitus and hearing loss. D. Participate in an exercise program that includes overhead lifting and reaching. 71 / 100 71. The nurse is caring for a client who says, “I don’t want to talk with you because you’re only the nurse. I’ll wait for my doctor.” Which statement should the nurse say in response to the client? A. “I understand. So should I call your primary health care provider?” B. “So then, you would prefer to speak with your primary health care provider?” C. “I’m saddened by the way you dismissed me.” D. “Your primary health care provider directs me in your nursing care.” 72 / 100 72. After assisting with a vaginal delivery, what should the nurse do to prevent heat loss via conduction in the newborn? A. Place the newborn on a warm crib pad. B. Wrap the newborn in a blanket. C. Close the doors to the delivery room. D. Dry the newborn with a warm blanket 73 / 100 73. A client had a positive Papanicolaou smear and underwent cryosurgery with laser therapy. What information should the nurse provide the client as a part of discharge teaching? A. Sitz baths are soothing to the irritated tissues. B. Pain can be relieved with opioid analgesics. C. There should be absolutely no odor or vaginal discharge. D. Vaginal discharge should be clear and watery. 74 / 100 74. The nurse caring for a client prescribed clozapine reviews the client’s laboratory studies. Which laboratory study is the priority to monitor for an adverse effect associated with the use of this medication? A. Cholesterol level B. White blood cell count C. Blood urea nitrogen D. Platelet count 75 / 100 75. The nurse is preparing to assess a client admitted with a diagnosis of trigeminal neuralgia (tic douloureux). On review of the client’s record, which symptom should the nurse expect the client is experiencing? A. Chronic, intermittent pain in the area of the seventh cranial nerve B. Bilateral pain in the area of the sixth cranial nerve C. Abrupt onset of pain in the area of the fifth cranial nerve D. Unilateral pain in the area of the sixth cranial nerve 76 / 100 76. Which is a sign of depression that a client could exhibit when recovering from a myocardial infarction? A. Expresses apprehension about leaving the hospital and requests that someone stay in the room at night B. Ignores activity restrictions and does not report the experience of chest pain with activity C. Reports insomnia at night D. Consumes 25% of meals and shows little interest when doing client teaching 77 / 100 77. A client with a diagnosis of acquired immunodeficiency syndrome and cytomegalovirus retinitis is receiving ganciclovir. Which action should the nurse plan to take while the client is taking this medication? A. Provide the client with a soft toothbrush and an electric razor B. Monitor blood glucose levels for elevation. C. Administer the medication on an empty stomach only. D. Apply pressure to venipuncture sites for at least 2 minutes. 78 / 100 78. The nurse is caring for a client taking memantine. Which data should the nurse monitor for this client? A. Complete blood count B. Pulmonary function studies C. Renal function studies D. Liver function studies 79 / 100 79. While obtaining the vital signs on a mother who delivered a healthy newborn 2 hours ago the nurse notes that the mother ’s temperature is 102° F. Which is the appropriate nursing action at this time? A. Administer acetaminophen and recheck the temperature in 4 hours. B. Remove the blanket from the client’s bed. C. Document the finding and recheck the temperature in 4 hours. D. Notify the primary health care provider. 80 / 100 80. A hospitalized client wants to leave the hospital before being discharged by the primary health care provider (PHCP). Which action should be the next intervention for the nurse to implement? A. Notify the nursing supervisor of the client’s plans to leave. B. Ask the client about transportation plans from the hospital. C. Arrange medication prescriptions at the client’s preferred pharmacy. D. Discuss the potential consequences of the plans for leaving with the client. 81 / 100 81. A child diagnosed with seizures is being treated with carbamazepine. The nurse reviews the laboratory report for the results of the drug plasma level and determines that the plasma level is in a therapeutic range if which is noted? A. 18 mcg/mL (76.1 mcmol/L) B. 20 mcg/mL (84.6 mcmol/L) C. 10 mcg/mL (42.3 mcmol/L) D. 1. 1 mcg/mL (4.2 mcmol/L) 82 / 100 82. The nurse is preparing to care for a child with anemia from a culture that is different from the nurse’s. Which is the best way to address the cultural needs of the child and family when the child is admitted to the health care facility? A. Explain that cultural practices need to be discontinued during hospitalization. B. Address only those issues that directly affect the nurse’s care of the child. C. Ask questions, and explain to the family why the questions are being asked. D. Ignore cultural needs because they are not important to health care professionals. 83 / 100 83. The nurse is performing a respiratory assessment on a client being treated for an asthma attack. The nurse determines that the client’s respiratory status is worsening based upon which finding? A. Noticeably diminished breath sounds B. Wheezing on expiration C. Increased displays of emotional apprehension D. Loud wheezing 84 / 100 84. A client with a known history of panic disorder comes to the emergency department and states to the nurse, “Please help me. I think I’m having a heart attack.” What is the priority nursing action? A. Determine what the client’s activity involved when the pain started. B. Identify the manifestations related to the panic disorder. C. Encourage the client to use relaxation techniques. D. Assess the client’s vital signs. 85 / 100 85. The nurse provides home care instructions to a client diagnosed with cancer who has an implanted vascular access port. Which statement by the client indicates the need for further teaching? A. “The port will need to be flushed with saline to maintain patency.” B. “I should keep the site clean and dry.” C. “If the site becomes red, I will notify my doctor.” D. “I should pump the port daily to maintain patency.” 86 / 100 86. A community health nurse is caring for a group of homeless people. What is the most immediate concern when planning for the potential needs of this group? A. Finding affordable housing for the group B. Setting up a 24-hour crisis center and hotline C. Providing peer support through structured support groups D. Ensuring that adequate food, shelter, and clothing are available 87 / 100 87. Cyclophosphamide is prescribed for the client diagnosed with breast cancer, and the nurse provides instructions to the client regarding the medication. Which statement by the client indicates the need for further teaching? A. “If I lose my hair, it will grow back.” B. “I need to avoid contact with anyone who recently received a live virus vaccine C. “If I develop a sore throat, I should notify the doctor.” D. “I need to limit my fluid intake while taking this medication.” 88 / 100 88. The maternity nurse is teaching a pregnant client about the physiological effects and hormone changes that occur in pregnancy. Which information should the nurse provide to the client about the purpose of estrogen? A. It stimulates uterine development to provide an environment for the fetus and stimulates the breasts to prepare for lactation. B. It maintains the uterine lining for implantation. C. It stimulates metabolism of glucose and converts the glucose to fat. D. It prevents the involution of the corpus luteum and maintains the production of progesterone until the placenta is formed. 89 / 100 89. A client who had a total knee replacement with a metal prosthesis is being prepared for discharge to home. Which statement by the client indicates to the nurse a need for further teaching? A. I can expect that changes in the shape of the knee will occur.” B. “I need to report fever, redness, or increased pain to the primary health care provider.” C. “I need to report bleeding gums or tarry stools to the primary health care provider.” D. “I need to tell any future caregivers about the metal prosthesis.” 90 / 100 90. Which client should the nurse safely assign to the unlicensed assistive personnel (UAP)? A. A client on a bowel management program requiring rectal suppositories B. A client requiring frequent ambulation C. A client requiring dressing changes D. A client newly admitted with nausea, vomiting, and moderate neck pain 91 / 100 91. A client receiving total parenteral nutrition (TPN) through a subclavian catheter suddenly develops dyspnea, tachycardia, cyanosis, and decreased level of consciousness. Based on these findings, which is the best intervention for the nurse to implement for the client? A. Perform a stat finger-stick glucose level. B. Turn the client to the left side in Trendelenburg’s position. C. Obtain a stat oxygen saturation level. D. Examine the insertion site for redness. 92 / 100 92. The nurse is caring for a child diagnosed with Reye’s syndrome. The nurse monitors for manifestations of which condition associated with this syndrome? A. Symptoms of hyperglycemia B. . Increased intracranial pressure C. Protein in the urine D. A history of a staphylococcus infection 93 / 100 93. A client is admitted to the hospital in myasthenic crisis. The nurse should ask the client about which precipitating factor for this event? A. Getting more sleep than usual B. Taking excess prescribed medication C. A decrease in food intake recently D. Not taking prescribed medication 94 / 100 94. A client with a diagnosis of leukemia asks the nurse questions about preparing a living will. Which recommendation from the nurse should be the best method of preparing this document? A. Obtain advice from an attorney. B. Discuss the request with the primary health care provider (HCP). C. Consult the American Cancer Society. D. Talk to the hospital chaplain. 95 / 100 95. The nurse is receiving a client from the emergency department who has a diagnosis of Guillain-Barré syndrome. The client’s chief sign/symptom is an ascending paralysis that has reached the level of the waist. Which items should the nurse plan to have available for emergency use? A. Nebulizer and pulse oximeter B. Blood pressure cuff and flashlight C. Flashlight and incentive spirometer D. Cardiac monitor and intubation tray 96 / 100 96. When planning the care of the client diagnosed with thromboangiitis obliterans (Buerger ’s disease), the nurse incorporates information on which support service to best help the client cope with the lifestyle changes that are needed to control the disease process? A. Consult with a dietician B. Smoking cessation program C. Referral to a medical social worker D. Pain management clinic 97 / 100 97. A client seeks medical attention for intermittent signs and symptoms that suggest a diagnosis of Raynaud’s disease. The nurse should assess the trigger of these signs/symptoms by asking which question? A. “Do the signs and symptoms occur while you are asleep?” B. “Does being exposed to heat seem to cause the episodes?” C. “Does drinking coffee or ingesting chocolate seem related to the episodes?” D. “Have you experienced any injuries that have limited your activity levels lately?” 98 / 100 98. Carbamazepine is prescribed for the management of generalized tonic- clonic seizures. The nurse instructs the client to inform the primary health care provider if which sign/symptom occurs? A. Drowsiness B. Dizziness C. Sore throat D. Nausea 99 / 100 99. A client states to the nurse, “I’m going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this! After all, I’m the one who’s dying.” Which therapeutic response should the nurse make to the client? A. “Well, it sounds like you’re being pretty pessimistic. After all, years ago people died of pneumonia.” B. “Have you shared your feelings with your family?” C. “I think we should talk more about your anger at your family.” D. “You’re feeling angry that your family continues to hope for you to be cured?” 100 / 100 100. Fluoxetine hydrochloride is prescribed for a client with a diagnosis of depression. The nurse provides instructions to the client regarding the administration of the medication. Which statement by the client indicates an understanding about administration of the medication? A. “I should take the medication at noon with an antacid.” B. “I should take the medication right before bedtime with a snack.” C. “I should take the medication in the morning when I first arise.” D. I should take the medication with my evening meal.” Your score is The average score is 19% Restart quiz Home/Practice NCLEX Questions/100 Random Free NCLEX Questions