25 Random NCLEX Practice Questions

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25 Random NCLEX Style Practice Questions

Questions Change Everytime

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1. A client who has sustained a neck injury is unresponsive and pulseless. What should the emergency department nurse do to open the client’s airway?

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2. The nurse is evaluating the effects of care for the client with nephrotic syndrome. Which diagnostic result demonstrates the least amount of improvement over 2 days of care?

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3. The nurse is giving a client diagnosed with heart failure home care instructions for use after hospital discharge. The client interrupts, saying, “What’s the use? I’ll never remember all of this, and I’ll probably die anyway!” The nurse determines that the client’s statement is most likely due to which psychosocial concern?

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4. The nurse assesses a client after abdominal surgery who has a nasogastric (NG) tube in place that is connected to suction. Which observation by the nurse indicates most reliably that the tube is functioning properly?

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5. The home-care nurse visits an older client diagnosed with Parkinson’s disease who requires instillation of multiple eye drops. Which instruction for the administration of eye drops should the nurse plan to provide to this client who demonstrates signs/symptoms of this diagnosis?

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6. A client has begun medication therapy with betaxolol. The nurse determines that the client is experiencing the intended effect of therapy if which observation is noted?

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7. 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?

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8. The nurse is caring for a client who has been diagnosed with tuberculosis. The client is receiving 600 mg of oral rifampin daily. Which laboratory finding would indicate to the nurse that the client is experiencing an adverse effect?

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9. A client is scheduled for a subtotal gastrectomy (Billroth II procedure). The nurse explains that the procedure will have which surgical results?

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10. Which nursing assessment findings indicate normal vital signs in a newborn infant?

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11. An infant has been diagnosed with acute chalasia. During the nursing history, the mother tells the nurse, “I am concerned that I am somehow causing my infant to vomit after feeding her.” Considering this statement, which concern should the nurse identify for the mother?

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12. 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?

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13. A client with a diagnosis of gastroesophageal reflux disease (GERD) has just received a breakfast tray. The nurse notices that which is the only food that will increase the lower esophageal sphincter (LES) pressure and thus lessen the client’s symptoms?

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14. A client is being discharged to home after prostatectomy for treatment of benign prostatic hyperplasia. Which point should the nurse plan to teach the client as part of the discharge teaching?

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15. What is the nurse’s priority for the postprocedure care of a client who has just returned to the unit after a scheduled intravenous pyelogram (IVP)?

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16. A client with the diagnosis of pneumonia experiences dyspnea when engaging activities. Which action should the nurse implement to help address client safety?

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17. A prenatal client has been diagnosed with a vaginal infection from the organism Candida albicans. What should the nurse expect to note on assessment of the client?

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18. A client with a compound (open) fracture of the radius has a plaster cast applied in the emergency department. The nurse provides home care instructions and tells the client to seek medical attention if which finding occurs?

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19. A client has received atropine sulfate preoperatively. The nurse monitors the client for which effect of the medication in the immediate postoperative period?

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20. A client being discharged from the hospital with a diagnosis of gastric ulcer has a prescription for sucralfate 1 gram by mouth 4 times daily. The nurse determines that the client understands proper use of the medication when the client states the intention to take the medication at which time?

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21. Neuroleptic malignant syndrome is suspected in a client who is prescribed an atypical antipsychotic medication. Which medication should the nurse prepare in anticipation of being prescribed to treat this adverse effect related to the use of this medication?

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22. A client diagnosed with moderate dementia is prescribed oral anticoagulant therapy while hospitalized. The nurse identifies which discharge scenario as being the best support system for successful anticoagulant therapy monitoring

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23. A client is receiving lipids (fat emulsion) intravenously at home, and the client’s spouse manages the infusion. The home care nurse makes a visit and discusses potential side and adverse effects of the therapy with the client and the spouse. After the discussion, the nurse expects the spouse to verbalize that, in case of a suspected adverse effect, which action is the priority?

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24. A client with superficial varicose veins states to the nurse, “I hate these things. They’re so ugly. I wish I could get them to go away.” Which therapeutic response would be most appropriate for the nurse to make to the client?

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25. The nurse is caring for a client in labor who has butorphanol tartrate prescribed for the relief of labor pain. During the administration of the medication, the nurse should ensure that which priority item is readily available?

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