75 FREE NCLEX QUESTIONS - CO BRILLIANTNURSE.COM

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75 FREE NCLEX QUESTIONS - C/O BRILLIANTNURSE.COM

EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -75 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: The nurse is working in a support group for clients with HIV. Which point is most important for the nurse to stress?

• They must inform household members of their condition
• They must take their medications exactly as prescribed
• They must abstain from substance use
• They must avoid large crowds

Answer:

• They must inform household members of their condition

Incorrect - Each patient has a right to privacy of their medical condition. It is their choice whether they inform household members.

• They must take their medications exactly as prescribed

CORRECT - Antiretrovirals must be taken exactly as prescribed to prevent drug-resistant strains. Even missed doses can reduce the effectiveness of future treatment.

• They must abstain from substance use

Incorrect - While substance use should be discouraged, using safe practices with needles can prevent transmission of HIV.

• They must avoid large crowds

Incorrect - Avoiding large crowds to prevent infection is a priority in the later stages of HIV, when the patient has AIDS.Question 2: A nurse is caring for a female patient 24 hours after a hip fracture. The patient is on bedrest. The nurse knows that which regular assessment or intervention is essential for detecting or preventing the complication of Fat Embolism Syndrome?

• Performing passive, light, range of motion exercises on the hip as tolerated.
• Assess the patient's mental status for drowsiness or sleepiness.
• Assess the pedal pulse and capillary refill in the toes.
• Administer a stool softener as ordered

Answer:

• Performing passive, light, range of motion exercises on the hip as tolerated.

Incorrect - Immobilization and prevention of motion is the best way to reduce risk for fat embolism.

• Assess the patient's mental status for drowsiness or sleepiness.

Correct - A decreased Level of Consciousness is the earliest sign of FES, caused by decreased oxygen level.

• Assess the pedal pulse and capillary refill in the toes.

Incorrect - While assessing pedal pulse is important during a neurovascular assessment, it is not relevant to FES. Capillary refill is the least reliable indicator of poor perfusion

• Administer a stool softener as ordered

Incorrect - While this is an important intervention for patients on bedrest, it is not an intervention relevant to FES Question 3: The nurse is taking the health history of a patient being treated for Emphysema and Chronic Bronchitis. After being told the patient has been smoking cigarettes for 30 years, the nurse expects to note which assessment finding?

• Increase in Forced Vital Capacity (FVC)
• A narrowed chest cavity
• Clubbed fingers
• An increased risk of cardiac failure

Answer:

• Increase in Forced Vital Capacity (FVC)

Forced Vital Capacity is the volume of air exhaled from full inhalation to full exhalation. A patient with COPD would have a decrease in FVC. Incorrect.

• A narrowed chest cavity

A patient with COPD often presents with a 'barrel chest,' which is seen as a widened chest cavity.Incorrect.

• Clubbed fingers - CORRECT

Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen levels.

• An increased risk of cardiac failure

Although a patient with these conditions would indeed be at an increased risk for cardiac failure, this is a potential complication and not an assessment finding. Incorrect.Question 4: Which of these patients would the nurse suspect as having the greatest risk of contracting Hepatitis B?

• A sexually active 45-year old man who has Type 1 Diabetes
• A 75-year old woman who lives in a crowded nursing home
• A child who lives in a country with poor sanitation and hygiene standards
• A sexually active 23-year old man who works in a hospital

Answer:

• A sexually active 45-year old man who has Type 1 Diabetes

Incorrect - This person is sexually active, but it is not specified with how many partners. Having Type 1 Diabetes is not a risk factor for Hepatitis.

• A 75-year old woman who lives in a crowded nursing home

Incorrect - Age is not a risk factor for Hepatitis B, and close living accommodations is a stronger risk factor for Hepatitis A and E, which are oral-fecal transmissions.

• A child who lives in a country with poor sanitation and hygiene standards

Incorrect - This is a relevant risk factor for Hepatitis A and E

• A sexually active 23-year old man who works in a hospital

Correct - This person is both sexually active and works in a healthcare environment.

Question 5: A patient is being discharged from the med-surgical unit. The patient has a history of gastritis. The nurse questions the patient on his usual routine at home. Which of these statements would alert the nurse that additional teaching is required?

• "I avoid NSAIDS. I only take a daily aspirin for my heart health."
• "I always avoid eating hot and spicy foods"
• "I will continue taking my antacids with or immediately after meals"
• "I will only drink coffee once a week, if even that often."

Answer:

• "I avoid NSAIDS. I only take a daily aspirin for my heart health."

Correct - Aspirin is classified as an NSAID and can exacerbate already existing stomach problems.Aspirin should be avoided just like any NSAID for patients with gastritis.

• "I always avoid eating hot and spicy foods"

Incorrect - This is a good practice for patients with gastritis

• "I will continue taking my antacids with or immediately after meals"

Incorrect - This is a good practice for patients with gastritis

• "I will only drink coffee once a week, if even that often."

Incorrect - This is a good practice for patients with gastritis. Coffee is not recommended for patients with gastritis.Question 6: A nurse is caring for a patient undergoing a stress test on a treadmill. The patient turns to talk to the nurse. Which of these statements would require the most immediate intervention?

• "I'm feeling extremely thirsty. I'm going to get some water after this."
• "I can feel my heart racing."
• "My shoulder and arm is hurting."
• "My blood pressure reading is 158/80"

Answer:

• "I'm feeling extremely thirsty. I'm going to get some water after this."

Incorrect - This does not require immediate intervention. This is a common response to exercise and activity.

• "I can feel my heart racing."