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V3 PRACTICE EXAM 1 STUDY MODE

NCLEX EXAM Dec 14, 2025 ★★★★★ (5.0/5)
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2020/2021 NCLEX-PN Test Prep Questions and Answers with Explanations

V3 PRACTICE EXAM 1 (STUDY MODE)

  • A client hospitalized with severe depression and suicidal ideation refuses
  • to talk with the nurse. The nurse recognizes that the suicidal client has

difficulty:

  • Expressing feelings of low self-worth
  • Discussing remorse and guilt for actions
  • Displaying dependence on others
  • Expressing anger toward others

Answer D: The suicidal client has difficulty expressing anger toward others.

The depressed suicidal client frequently expresses feelings of low self-worth, feelings of remorse and guilt, and a dependence on others; therefore, answers A, B, and C are incorrect.

  • A client receiving HydroDIURIL (hydrochlorothiazide) is instructed to
  • increase her dietary intake of potassium. The best snack for the client

requiring increased potassium is:

  • Pear
  • Apple
  • Orange
  • Banana

Answer D: Answers A, B, and C are incorrect because they contain lower

amounts of potassium. (Note that the banana contains 450mg K+, the orange contains 235mg K+, the pear contains 208mg K+, and the apple contains 165mg K+.)

  • The nurse is caring for a client following removal of the thyroid.

Immediately post-op, the nurse should:

  • Maintain the client in a semi-Fowler’s position with the head and neck
  • supported by pillows

  • Encourage the client to turn her head side to side, to promote drainage of
  • oral secretions

  • Maintain the client in a supine position with sandbags placed on either
  • side of the head and neck

  • Encourage the client to cough and breathe deeply every 2 hours, with the
  • neck in a flexed position

Answer A: Following a thyroidectomy, the client should be placed in semiFowler’s position to decrease swelling that would place pressure on the airway. Answers B, C, and D are incorrect because they would increase the

chances of post-operative complications that include bleeding, swelling, and airway obstruction.

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

  • Dairy products
  • Carbonated beverages
  • Refined sugars
  • Luncheon meats

Answer D: Luncheon meats contain preservatives such as nitrites that have

been linked to gastric cancer. Answers A, B, and C have not been found to increase the risk of gastric cancer; therefore, they are incorrect.

  • 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:

  • A history of consistent employment
  • A below-average intelligence
  • A history of cruelty to animals
  • An expression of remorse for his actions

Answer C: A history of cruelty to people and animals, truancy, setting fires,

and lack of guilt or remorse are associated with a diagnosis of conduct disorder in children, which becomes a diagnosis of antisocial personality disorder in adults. Answer A is incorrect because the client with antisocial personality disorder does not hold consistent employment. Answer B is incorrect because the IQ is usually higher than average. Answer D is incorrect because of a lack of guilt or remorse for wrong-doing.

  • The licensed vocational nurse may not assume the primary care for a

client:

  • In the fourth stage of labor
  • Two days post-appendectomy
  • With a venous access device
  • With bipolar disorder

Answer C: The licensed vocational nurse may not assume primary care of

the client with a central venous access device. The licensed vocational nurse may care for the client in labor, the client post-operative client, and the client with bipolar disorder; therefore, answers A, B, and D are incorrect.

  • The physician has ordered dressings with mafenide acetate (Sulfamylon)

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Category: NCLEX EXAM
Added: Dec 14, 2025
Description:

NCLEX-PN Test Prep Questions and Answers with Explanations V3 PRACTICE EXAM 1 (STUDY MODE) 1. A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The ...

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