NCLEX Final Exam Questions Answers Real Exam

NCLEX Final Exam Questions & Answers (Real Exam) Which of the following risk factors for coronary artery disease cannot be corrected?

• smoking
• hypertension
• genetics
• diet - c. genetics

Which of the following actions is the first priority care for a client exhibiting signs and symptoms of coronary artery disease?

• decrease anxiety

b enhance myocardial oxygenation

• administer sublingual nitroglycerin
• educate the client about his symptoms - b. enhance myocardial oxygenation

Which of the following is the most common symptom of myocardial infarction?

• chest pain
• dyspnea
• edema
• palpitations - a. chest pain

Which of the following landmarks is the correct one for auscultating an apical pulse?

• left second intercostal space, midaxillary line
• left fifth intercostal space, midclavicular line
• left third intercostal space, sternal border
• left fourth intercostal space, midclavicular line - b. left fifth intercostal space,

midclavicular line

Which of the following systems is the most likely origin of pain when the client describes a knifelike chest pain that increases in intensity with inspiration?

• cardiac
• gastrointestinal
• muskuloskeletal

• pulmonary - d. pulmonary

A murmur is heard at the second left intercostal space along the sternal border.Which valve area is this?

• aortic
• pulmonic
• mitral
• tricuspid - b. pulmonic

Which of the following blood tests is most indicative of cardiac damage?

• lactate dehydrogenase
• complete blood count
• troponin
• creatine kinase - c. troponin

What is the primary reason for administering morphine to a client with myocardial infarction?

• to sedate the client
• to decrease the client's pain
• to decrease the client's anxiety
• to decrease oxygen demand on the client's heart - d. to decrease oxygen demand

on the client's heart

After an anterior wall myocardial infarction, which of the following problems is indicated by auscultation of crackles in the lungs?

• left-sided heart failure
• pulmonic valve malfunction
• right-sided heart failure
• tricuspid valve malfunction - a. left-sided heart failure

What is the first intervention for a client experiencing a myocardial infarction?

• administer morphine
• administer oxygen
• administer sublingual nitroglycerin
• obtain an EKG - b. administer oxygen

What is the most appropriate response to a client having a myocardial infarction who is fearful of dying?

• "tell me how you are feeling right now"
• "when the doctor arrives, everything will be fine"
• "this is a bad situation, but you will feel better soon"
• "please be assured we are doing everything we can to make you feel better" - a.

"tell me how you are feeling right now"

With which of the following disorders is jugular vein distention most prominent?

• abdominal aortic aneurysm
• heart failure
• myocardial infarction
• pneumothorax - b. heart failure

Which of the following disorders would the nurse expect to assess sacral edema in a bedridden client?

• diabetes
• pulmonary emboli
• renal failure
• right-sided heart failure - d. right-sided heart failure

Which of the following symptoms might a client with right-sided heart failure exhibit?

• adequate urine output
• polyuria
• oliguria
• polydipsia - c. oliguria

Which of the following conditions is most closely associated with weight gain, nausea, and a decrease in urine output?

• angina pectoris
• cardiomyopathy
• left sided heart failure
• right sided heart failure - d. right sided heart failure

A pulsating abdominal mass usually indicates which of the following conditions?

• abdominal aortic aneurysm
• enlarged spleen
• gastric distention
• gastritis - a. abdominal aortic aneurysm

Which of the following complications is of greatest concern when caring for a preoperative abdominal aneurysm client?

• hypertension
• aneurysm rupture
• cardiac arrhythmias
• diminished pedal pulses - b. aneurysm rupture

Which of the following groups of symptoms indicate a ruptured abdominal aneurysm?

• lower back pain, increased BP, decreased RBC, and increased WBC
• severe lower back pain, decreased BP, decreased RBC, and increased WBC
• severe lower back pain, decreased BP, decreased RBC, and decreased WBC
• intermittent lower back pain, decreased BP, decreased RBC, and increased WBC
• severe lower back pain, decreased BP, decreased RBC, and increased WBC

Which is the term used to describe an enlargement of the heart muscle?

• cardiomegaly
• cardiomyopathy
• myocarditis
• pericarditis - a. cardiomegaly

A nurse checks a client's oxygen saturation by using a bedside sensory probe. The client has pneumonia that is currently being treated with antibiotics. When the nurse places the pulse oximeter probe on the client, the first reading shows 89%.Which of the following actions should the nurse take first?

• assess the probe site to ensure an accurate reading
• administer 100% oxygen and monitor the pulse ox until it reaches 95%
• raise the head of the bed and ask the client to take a deep breath