NCLEX-PN Practice Test 1 with Questions and

NCLEX-PN Practice Test 1 with Questions and Answers

A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse.The nurse recognizes that the suicidal client has difficulty: - answerExpressing anger toward others

A client receiving hydrochlorothiazide is instructed to increase her dietary intake of potassium.

The best snack for the client requiring increased potassium is: - answerBanana

The nurse is caring for a client following removal of the thyroid. Immediately post-op, the nurse should: - answerMaintain the client in a semi-Fowler's position with the head and neck supported by pillows

A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is associated with an increased incidence of gastric cancer? - answerLuncheon meats

A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client's record, the nurse

could expect to find: - answerA history of cruelty to animals

The licensed vocational nurse may not assume the primary care for a client: - answerWith a venous access device

The physician has ordered dressings with Sulfamylon cream for a client with full-thickness burns of the hands and arms. Before dressing changes, the nurse should give priority to: - answerAdministering pain medication

The nurse is teaching a group of parents about gross motor development of the toddler. Which behavior is an example of the normal gross motor skill of a toddler? - answerShe can pull a toy behind her.

A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment should be kept on the client with a fractured mandible? - answerWire cutters

The nurse is to administer digoxin elixir to a 6-month-old with a congenital heart defect. The nurse auscultates an apical pulse rate of 100. The nurse should: - answerRecord the heart rate and administer the medication

A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain the treatment for her daughter. The nurse's explanation is based on the knowledge that lead poisoning is treated

with: - answerChelating agents

An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for the child

with a cleft palate repair are: - answerElbow restraints

A client with glaucoma has been prescribed Timoptic (timolol) eyedrops. Timoptic should be used

with caution in the client with a history of: - answerEmphysema

An elderly client who experiences nighttime confusion wanders from his room into the room of another client. The nurse can best help decrease the client's confusion by: - answerLeaving a nightlight on during the evening and night shifts

Which of the following is a common complaint of the client with end-stage renal failure? - answerItching

Which of the following medication orders needs further clarification? - answerCoumadin 10mg PO

The best diet for the client with Meniere's syndrome is one that is: - answerLow in sodium

Which of the following findings is associated with right-sided heart failure? - answerNocturnal polyuria

An 8-year-old admitted with an upper-respiratory infection has an order for O2 saturation via pulse oximeter. To ensure an accurate reading, the nurse should: - answerPlace the probe on the child's finger

An infant with Tetralogy of Fallot is discharged with a prescription for lanoxin elixir. The nurse

should instruct the mother to: - answerAdminister the medication using the calibrated dropper in the bottle

The client scheduled for electroconvulsive therapy tells the nurse, "I'm so afraid. What will happen to me during the treatment?" Which of the following statements is most therapeutic for the nurse to make? - answer"You will be given medicine to relax you during the treatment."

Which of the following skin lesions is associated with Lyme's disease? - answerBull's eye rash

Which of the following snacks would be suitable for the child with gluten-induced enteropathy? - answerButtered popcorn

A client with schizophrenia is receiving chlorpromazine (Thorazine) 400mg twice a day. An

adverse side effect of the medication is: - answerElevated temperature

Which information should be given to the client taking phenytoin (Dilantin)? - answerMore frequent dental appointments will be needed for special gum care.

A client with a history of emboli is receiving Lovenox (enoxaparin). Which drug is given to counteract the effects of enoxaparin? - answerProtamine sulfate

The nurse is formulating a plan of care for a client with a cognitive disorder. Which activity is most appropriate for the client with confusion and short attention span? - answerTaking part in a reality-orientation group

The mother of a child with hemophilia asks the nurse which over-the-counter medication is suitable for her child's joint discomfort. The nurse should tell the mother to purchase: - answerTylenol (acetaminophen)

Which home remedy is suitable to relieve the itching associated with varicella? - answerApplying a paste of baking soda and water

A newborn male has been diagnosed with hypospadias with chordee. The nurse understands that the infant will have altered patterns of urination because: - answerThe urinary meatus is on the dorsum of the penis

The recommended time for administering Zantac (ranitidine) is: - answerAt bedtime

Which statement best describes the difference between the pain of angina and the pain of myocardial infarction? - answerPain associated with angina is relieved by rest.

The nurse is developing a bowel-retraining plan for a client with multiple sclerosis. Which measure is likely to be least helpful to the client: - answerLimiting fluid intake to 1000 mL per day

The nurse is providing dietary teaching for a client with Meniere's disease. Which statement indicates that the client understands the role of diet in triggering her symptoms? - answer"I need to limit foods that taste salty or that contain a lot of sodium."

The nurse is assessing a multigravida, 36 weeks gestation for symptoms of pregnancy-induced hypertension and preeclampsia. The nurse should give priority to assessing the client for: - answerFacial swelling

An adolescent with borderline personality is hospitalized with suicidal ideation and self-mutilation.Which goal is both therapeutic and realistic for this client? - answerThe client will seek out a staff member to verbalize feelings of anger and sadness.

A client with angina has an order for nitroglycerin ointment. Before applying the medication, the

nurse should: - answerRemove the previously applied ointment

The nurse is caring for a client who is unconscious following a fall. Which comment by the nurse will help the client become reoriented when he regains consciousness? - answer"You were in an accident that hurt your head. You are in the hospital."

Following a generalized seizure, the nurse can expect the client to: - answerBe drowsy and prone to sleep

A client with oxalate renal calculi should be taught to avoid eating: - answerStrawberries

A 6-year-old is diagnosed with Legg-Calve Perthes disease of the right femur. An important part of