Quiz 1 : Comprehensive NCLEX-RN Practice Questions 25 Questions

Quiz #1 : Comprehensive NCLEX-RN Practice Questions (25 Questions)

What is NCLEX?The National Council Licensing Examination (NCLEX) is a comprehensive test administered by the National Council of State Boards of Nursing (NCSBN). It assesses whether candidates possess the necessary knowledge and skills to provide safe and effective nursing care at the entry level. The NCLEX is

available in two versions: the NCLEX-RN for registered nurses and the NCLEX-

PN for practical/vocational nurses.The NCSBN, composed of nursing regulatory bodies from all 50 states in the US, the District of Columbia, and four US territories, is responsible for safeguarding the public by ensuring safe nursing care. It sets the standards and guidelines for nursing licensure and develops the NCLEX examinations.

• Question

Category: Health Promotion and Maintenance

A pediatric nurse is performing a routine assessment of a one-month-old infant during a well-baby visit at the primary care clinic. The infant’s mother reports no concerns and states that the baby has been feeding well and has had regular bowel movements. Upon assessment, which of the following findings warrants further investigation by the nurse? Select all that apply.• A. Abdominal respirations • B. Irregular breathing rate • C. Inspiratory grunt • D. Increased heart rate with crying • E. Nasal flaring • F. Cyanosis • G. asymmetric chest movements

Correct Answers: C, E, F, & G

• Option C. Grunting occurs when an infant attempts to maintain an adequate functional residual capacity in the face of poorly compliant lungs by partial glottic closure. As the infant prolongs the expiratory phase against this partially closed glottis, there is a prolonged and increased residual volume that maintains the airway opening and also an audible expiratory sound.• Option E: Nasal flaring occurs when the nostrils widen while breathing and is a sign of troubled breathing or respiratory distress.• Option F: Cyanosis refers to the bluish discoloration of the skin and indicates a decrease in oxygen attached to the red blood cells in the bloodstream.• Option G: Asymmetric chest movement occurs when the abnormal side of the lungs expands less and lags behind the normal side.This indicates respiratory distress.

• Question

Category: Pharmacological and Parenteral Therapies

A nurse is to administer meperidine hydrochloride (Demerol) 100 mg, atropine sulfate (Atropisol) 0.4 mg, and promethazine hydrochloride (Phenergan) 50 mg IM to a preoperative client. List the order in which the nurse must carry out the following actions prior to the administration of preoperative medications.A.Instruct the client to remain in bed B.Have the client empty bladder C.Raise the side rails on the bed D.Place the cell bell within reach

Correct Answer: B,A,C,D

• Question

Category: Health Promotion and Maintenance

A 32-year-old pregnant woman comes to the clinic for her prenatal visit. The nurse gathers data about her obstetric history, which includes 3-year-old twins at home and a miscarriage 10 years ago at 12 weeks gestation.How would the nurse accurately document this information? Fill in the blanks.

Gravida ---- para ----

Correct Answer: Gravida 3 para 1

• Question

Category: Reduction of Risk Potential

The nurse educates individuals on the risk factors for developing hypertension during a community health fair.Which of the following individuals are at the MOST significant risk for developing hypertension?

• A 45-year-old African-American attorney with a family history of hypertension, who has a

sedentary lifestyle and consumes a diet high in sodium.

• A 60-year-old Asian-American shop owner with a BMI of 28, who has well-managed type 2

diabetes and engages in regular physical activity.

• A 40-year-old Caucasian nurse who is a vegetarian, has a healthy BMI, and is a non-smoker

but reports high levels of work-related stress.

• A 55-year-old Hispanic teacher who smokes occasionally, has a healthy BMI, and participates

in a moderate-intensity exercise program.

Correct answer: A

African-American adults have a higher prevalence of hypertension compared to other racial and ethnic groups in the United States. This individual also has a family history of hypertension, a sedentary lifestyle, and a diet high in sodium, which are all risk factors for hypertension. Therefore, this individual is at the greatest risk for developing hypertension among the given choices.

• Question

Category: Pharmacological and Parenteral Therapies

A 15-year-old female with a history of depression is rushed to the emergency department after ingesting 15 tablets of maximum-strength acetaminophen 45 minutes ago in a suicide attempt. The patient’s vital signs are stable, but she is visibly anxious and tearful. The healthcare provider has written several orders to manage the situation. Which of the following orders should the nurse prioritize and carry out first?

• A. Perform gastric lavage
• B. Administer acetylcysteine (Mucomyst) orally
• C. Start an IV with Dextrose 5% and 0.33% normal saline
• D. Have the patient drink activated charcoal mixed with water

Correct answer: B

Although gastric lavage can help remove any remaining acetaminophen from the stomach, it is not the priority intervention in this situation. Administering the antidote, acetylcysteine (Mucomyst), should be the primary focus to counteract the toxic effects of acetaminophen on the liver. Acetylcysteine is the antidote for acetaminophen toxicity and should be administered as soon as possible to maximize its effectiveness in preventing liver damage.

• Question

Category: Management of Care

A 68-year-old male with a history of hypertension and diabetes has undergone a cardiac catheterization to evaluate potential coronary artery disease. He has a known allergy to iodine-based contrast agents, which required premedication with corticosteroids and antihistamines. The procedure was successful, but the patient experienced brief hypotension during the administration of the contrast material. The patient has been transferred to the cardiac step-down unit for observation, and the nurse is aware of the potential complications that can arise in the initial 24 hours post-procedure. Which complication should the nurse monitor closely during this period?

• Persistent angina despite being at rest and receiving nitroglycerin
• Thrombus formation leading to decreased peripheral pulses and cyanosis
• Dizziness accompanied by a sudden drop in blood pressure when standing
• Gradual decrease in blood pressure with no other symptoms

Correct Answer: B

In the initial 24 hours after a cardiac catheterization, the nurse should closely monitor for thrombus formation. Thrombus formation at the catheterization site can lead to serious complications, such as decreased blood flow to the extremities or embolization to other parts of the body. While the other options (angina at rest, dizziness, and falling blood pressure) can be potential concerns, thrombus formation is the most critical complication to monitor for during the immediate post-procedure period.

• Question

Category: Basic Care and Comfort

A 43-year-old male with a history of recurrent renal calculi is admitted to the emergency department presenting with severe left flank pain radiating to the groin, nausea, and an episode of vomiting. He also reports burning and urgency during urination. His vital signs reveal a temperature of 100.8ºF (38.2ºC), blood pressure of 145/90 mmHg, pulse of 100 beats/min, and respiratory rate of 20 breaths/min. The client is visibly anxious and uncomfortable due to the severity of the pain. The nurse is assigned to care for the patient and must prioritize the nursing goals to ensure optimal care. Which nursing goal should be the top priority for this client?

• Maintain fluid and electrolyte balance
• Control nausea
• Manage pain
• Prevent urinary tract infection

Correct Answer: C

Managing pain is always a priority because it ultimately improves the quality of life. The cornerstone of ureteral colic management is analgesia, which can be achieved most expediently with parenteral narcotics or nonsteroidal anti-inflammatory drugs (NSAIDs).

• Question

Category: Health Promotion and Maintenance

What would the nurse expect to see while assessing the growth of children during their school-age years?

• Decreasing amounts of body fat and muscle mass
• Little change in body appearance from year to year
• Progressive height increase of 4 inches each year
• Yearly weight gain of about 5.5 pounds per year