NCLEX National Council Licensure Examination(NCLEX-RN) - NCLEX-RN Exam Practice Test
Question 1
Which of the following ECG changes would be seen as a positive myocardial stress test response?
Correct Answer: A
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Question 2
The initial focus when providing nursing care for a child with rheumatic fever during the acute phase of the illness should be to:
Correct Answer: C
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Question 3
Which of the following symptoms might the nurse observe in a client with a lithium blood level over 2.0?
Correct Answer: D
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Question 4
A 38-year-old female client with a history of chronic schizophrenia, paranoid type, is currently an outpatient at the local mental health and mental retardation clinic. The client comes in once a week for medication evaluation and/or refills. She self-administers haloperidol 5 mg twice a day and benztropine 1 mg once a day.
During a recent clinic visit, she says to the nurse, "I can't stay still at night. I toss and turn and can't fall asleep." The nurse suspects that she may be experiencing:
During a recent clinic visit, she says to the nurse, "I can't stay still at night. I toss and turn and can't fall asleep." The nurse suspects that she may be experiencing:
Correct Answer: D
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Question 5
A female client is admitted to the emergency department complaining of severe right-sided abdominal pain and vaginal spotting. She states that her last menstrual period was about 2 months ago. A positive pregnancy test result and ultrasonography confirm an ectopic pregnancy. The nurse could best explain to the client that her condition is caused by:
Correct Answer: D
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Question 6
The nurse would teach a male client ways to minimize the risk of infection after eye surgery. Which of the following indicates the client needs further teaching?
Correct Answer: C
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Question 7
A client is diagnosed with Mycobacterium tuberculosis. He is placed in respiratory isolation, intubated, and receives mechanical ventilation. When performing suctioning, the nurse should:
Correct Answer: D
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Question 8
The nurse instructs a pregnant client (G2P1) to rest in a side-lying position and avoid lying flat on her back.
The nurse explains that this is to avoid "vena caval syndrome," a condition which:
The nurse explains that this is to avoid "vena caval syndrome," a condition which:
Correct Answer: C
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Question 9
A 40-year-old client is admitted to the hospital for tests to diagnose cancer. Since his admission, he has become dependent and demanding to the nursing staff. The nurse identifies this behavior as which defense mechanism?
Correct Answer: A
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Question 10
A client tells the nurse that he has been hearing voices that tell him to kill his girlfriend because she is a spy.
He further states that he is having difficulty not obeying the voices because, if he does not, his house will be burned down. The highest priority nursing diagnosis for him at this time is:
He further states that he is having difficulty not obeying the voices because, if he does not, his house will be burned down. The highest priority nursing diagnosis for him at this time is:
Correct Answer: D
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Question 11
A post-lung surgery client is placed on a chest tube drainage system. When explaining to the family how the system works, the nurse states that the water-seal bottle of a three-bottle chest drainage system serves which of the following purposes?
Correct Answer: A
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