NCLEX Practice Questions

NCLEX Practice Questions

A nurse is reviewing a patient's medication during shift change. Which of the following medication would be contraindicated if the patient were pregnant? Note: More than one answer may be correct.

A: Coumadin

B: Finasteride

C: Celebrex

D: Catapress

E: Habitrol

F: Clofazimine - THE CORRECT ASNWER IS (A) and (B) are both contraindicated with pregnancy.

A nurse is reviewing a patient's PMH. The history indicates photosensitive reactions to medications. Which of the following drugs has not been associated with photosensitive

reactions? Note: More than one answer may be correct.

A: Cipro

B: Sulfonamide

C: Noroxin

D: Bactrim

E: Accutane

F: Nitrodur - THE CORRECT ASNWER IS (F) All of the others have can cause

photosensitivity reactions.

A patient tells you that her urine is starting to look discolored. If you believe this change is due to medication, which of the following patient's medication does not cause urine discoloration?

A: Sulfasalazine

B: Levodopa

C: Phenolphthalein

D: Aspirin - THE CORRECT ASNWER IS (D) All of the others can cause urine

discoloration.

You are responsible for reviewing the nursing unit's refrigerator. If you found the following drug in the refrigerator it should be removed from the refrigerator's contents?

A: Corgard

B: Humulin (injection)

C: Urokinase

D: Epogen (injection) - THE CORRECT ASNWER IS (A) Corgard could be removed

from the refigerator.

A 34 year old female has recently been diagnosed with an autoimmune disease. She has also recently discovered that she is pregnant. Which of the following is the only immunoglobulin that will provide protection to the fetus in the womb?

A: IgA

B: IgD

C: IgE

D: IgG - THE CORRECT ASNWER IS (D) IgG is the only immunoglobulin that can

cross the placental barrier.

A second year nursing student has just suffered a needlestick while working with a patient that is positive for AIDS. Which of the following is the most important action that nursing student should take?

A: Immediately see a social worker

B: Start prophylactic AZT treatment

C: Start prophylactic Pentamide treatment

D: Seek counseling - THE CORRECT ASNWER IS (B) AZT treatment is the most

critical innervention.

A thirty five year old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect?

A: Atherosclerosis

B: Diabetic nephropathy

C: Autonomic neuropathy

D: Somatic neuropathy - THE CORRECT ASNWER IS (C) Autonomic neuropathy can

cause inability to urinate.

You are taking the history of a 14 year old girl who has a (BMI) of 18. The girl reports inability to eat, induced vomiting and severe constipation. Which of the following would you most likely suspect?

A: Multiple sclerosis

B: Anorexia nervosa

C: Bulimia

D: Systemic sclerosis - THE CORRECT ASNWER IS (B) All of the clinical signs and

systems point to a condition of anorexia nervosa.

A 24 year old female is admitted to the ER for confusion. This patient has a history of a myeloma diagnosis, constipation, intense abdominal pain, and polyuria. Which of the following would you most likely suspect?

A: Diverticulosis

B: Hypercalcaemia

C: Hypocalcaemia

D: Irritable bowel syndrome - THE CORRECT ASNWER IS (B) Hypercalcaemia can

cause polyuria, severe abdominal pain, and confusion.

Rho gam is most often used to treat____ mothers that have a ____ infant.

A: RH positive, RH positive

B: RH positive, RH negative

C: RH negative, RH positive

D: RH negative, RH negative - THE CORRECT ASNWER IS (C) Rho gam prevents the

production of anti-RH antibodies in the mother that has a Rh positive fetus.

A new mother has some questions about (PKU). Which of the following statements made by a nurse is not correct regarding PKU?

A: A Guthrie test can check the necessary lab values.

B: The urine has a high concentration of phenylpyruvic acid

C: Mental deficits are often present with PKU.

D: The effects of PKU are reversible. - THE CORRECT ASNWER IS (D) The effects of PKU stay with the infant throughout their life.

A patient has taken an overdose of aspirin. Which of the following should a nurse most closely monitor for during acute management of this patient?

A: Onset of pulmonary edema

B: Metabolic alkalosis

C: Respiratory alkalosis

D: Parkinson's disease type symptoms - THE CORRECT ASNWER IS (D) Aspirin

overdose can lead to metabolic acidosis and cause pulmonary edema development.

A fifty-year-old blind and deaf patient has been admitted to your floor. As the charge nurse your primary responsibility for this patient is?

A: Let others know about the patient's deficits

B: Communicate with your supervisor your concerns about the patient's deficits.

C: Continuously update the patient on the social environment.

D: Provide a secure environment for the patient. - THE CORRECT ASNWER IS (D)

This patient's safety is your primary concern.

A patient is getting discharged from a SNF facility. The patient has a history of severe COPD and PVD. The patient is primarily concerned about their ability to breath easily.Which of the following would be the best instruction for this patient?

A: Deep breathing techniques to increase O2 levels.

B: Cough regularly and deeply to clear airway passages.

C: Cough following bronchodilator utilization

D: Decrease CO2 levels by increase oxygen take output during meals. - THE

CORRECT ASNWER IS (C) The bronchodilator will allow a more productive cough.

A nurse is caring for an infant that has recently been diagnosed with a congenital heart defect. Which of the following clinical signs would most likely be present?

A: Slow pulse rate

B: Weight gain

C: Decreased systolic pressure

D: Irregular WBC lab values - THE CORRECT ASNWER IS (B) Weight gain is

associated with CHF and congenital heart deficits.

A mother has recently been informed that her child has Down's syndrome. You will be assigned to care for the child at shift change. Which of the following characteristics is not associated with Down's syndrome?

A: Simian crease

B: Brachycephaly

C: Oily skin

D: Hypotonicity - THE CORRECT ASNWER IS (C) The skin would be dry and not oily.

A patient has recently experienced a (MI) within the last 4 hours. Which of the following medications would most like be administered?

A: Streptokinase

B: Atropine

C: Acetaminophen

D: Coumadin - THE CORRECT ASNWER IS (A) Streptokinase is a clot busting drug

and the best choice in this situation.

A patient asks a nurse, "My doctor recommended I increase my intake of folic acid.What type of foods contain folic acids?"

A: Green vegetables and liver

B: Yellow vegetables and red meat

C: Carrots

D: Milk - THE CORRECT ASNWER IS (A) Green vegetables and liver are a great

source of folic acid.

A nurse is putting together a presentation on meningitis. Which of the following microorganisms has noted been linked to meningitis in humans?

A: S. pneumonia

B: H. influenza

C: N. meningitis

D: Cl. difficile - THE CORRECT ASNWER IS (D) Cl. difficile has not been linked to meningitis.

A nurse is administering blood to a patient who has a low hemoglobin count. The patient asks how long to RBC's last in my body? The correct response is.

A: The life span of RBC is 45 days.

B: The life span of RBC is 60 days.

C: The life span of RBC is 90 days.

D: The life span of RBC is 120 days. - THE CORRECT ASNWER IS (D) RBC's last for

120 days in the body.

A 65 year old man has been admitted to the hospital for spinal stenosis surgery. When does the discharge training and planning begin for this patient?

A: Following surgery

B: Upon admit

C: Within 48 hours of discharge