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
- Encourage the client to turn her head side to side, to promote drainage of
- Maintain the client in a supine position with sandbags placed on either
- Encourage the client to cough and breathe deeply every 2 hours, with the
supported by pillows
oral secretions
side of the head and neck
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
- Dairy products
- Carbonated beverages
- Refined sugars
- Luncheon meats
cancer. Which of the following is associated with an increased incidence of gastric cancer?
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)