Pass the NCLEX NCLEX Certification NCLEX-RN Questions and answers with CertsForce

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Questions # 1:

The physician prescribes a medical regimen of isoniazid, rifampin, and vitamin B6 for a tuberculosis client. The nurse instructs the client that B6 is given because it:

Options:

A.

Increases activity of isoniazid


B.

Increases activity of rifampin


C.

Improves nutritional status


D.

Reduces peripheral neuropathy


Questions # 2:

A client sustained second- and third-degree burns to his face, neck, and upper chest. Which of the following nursing diagnoses would be given the highest priority in the first 8 hours’ postburn?

Options:

A.

Fluid volume deficit secondary to alteration in skin integrity


B.

Alteration in comfort secondary to alteration in skin integrity


C.

Alteration in sensation secondary to third-degree burn


D.

Alteration in airway integrity secondary to edema of neck and face, which in turn is secondary to alteration in skin integrity


Questions # 3:

A client had a ruptured abdominal aortic aneurysm that was repaired surgically. Her postoperative recovery progressed without complications, and she is ready for discharge. Client education in preparation for discharge began 7 days ago on her admission to the nursing unit. Evaluation of nursing care related to client education is based on evaluation of expected outcomes. Which statement made by the client would indicate that she is ready for discharge?

Options:

A.

“I will not drive but ride in the front seat of the car with a seat belt on for my first doctor’s appointment.”


B.

“When I bathe tomorrow morning, I will be very careful not to get soap on my incision.”


C.

“I am allowed to exercise by walking for short periods.”


D.

“Teach my husband about the diet. He’ll be doing all the cooking now.”


Questions # 4:

While changing the dressing on a client’s central line, the nurse notices redness and warmth at the needle insertion site. Which of the following actions would be appropriate to implement based on this finding?

Options:

A.

Discontinue the central line.


B.

Begin a peripheral IV.


C.

Document in the nurse’s notes and notify the physician after redressing the site.


D.

Clean the site well and redress.


Questions # 5:

The nurse is caring for a client who has diabetes insipidus. The nurse would describe this client’s urine

output pattern as:

Options:

A.

Anuria


B.

Oliguria


C.

Dysuria


D.

Polyuria


Questions # 6:

A 55-year-old woman entered the emergency room by ambulance. Her primary complaint is chest pain. She is receiving O2 via nasal cannula at 2 L/min for dyspnea. Which of the following findings in the client’s nursing assessment demand immediate nursing action?

Options:

A.

Associated symptoms of indigestion and nausea


B.

Restlessness and apprehensiveness


C.

Inability to tolerate assessment session with the admitting nurse


D.

History of hypertension treated with pharmacological therapy


Questions # 7:

A 26-year-old client is diagnosed with an astrocytoma, a benign brain tumor. From the nurse’s knowledge of the central nervous system, the nurse knows that benign tumors:

Options:

A.

Can be just as dangerous as malignant tumors


B.

Grow more rapidly than malignant tumors


C.

Do not warrant concern because they do not become malignant tumors


D.

Can be removed surgically


Questions # 8:

A hyperactive client is experiencing flight of ideas. The most therapeutic activity for him would be:

Options:

A.

Doing crafts in occupational therapy


B.

Working a 1000-piece puzzle


C.

Playing bridge with three other clients


D.

Playing basketball in the gym


Questions # 9:

A client has returned to the unit from the recovery room after having a thyroidectomy. The nurse knows that a major complication after a thyroidectomy is:

Options:

A.

Respiratory obstruction


B.

Hypercalcemia


C.

Fistula formation


D.

Myxedema


Questions # 10:

A 45-year-old client has a permanent colostomy. Which of the following foods should he avoid?

Options:

A.

Peanut butter and jelly sandwich and milk


B.

Corn beef and cabbage and boiled potatoes


C.

Oatmeal, whole-wheat toast, and milk


D.

Tuna on whole-wheat bread and iced tea


Questions # 11:

A client diagnosed with severe anemia is to receive 2 U of packed red blood cells. Prior to starting the blood transfusion, the nurse must:

Options:

A.

Take a baseline set of vital signs


B.

Hang Ringer’s lactate as the companion fluid


C.

Use microdrip tubing for the blood administration


D.

Have the registered nurse in charge assume responsibility for verifying the client and blood product information


Questions # 12:

The nurse is caring for a client with pancreatitis. Which of the following IV medications would the nurse expect the physician to prescribe for control of pain in this client?

Options:

A.

Morphine sulfate


B.

Kerolac tromethamine (Toradol)


C.

Promethazine (Phenergan)


D.

Meperidine (Demerol)


Questions # 13:

The nurse needs to be aware that the most common early complication of a myocardial infarction is:

Options:

A.

Diabetes mellitus


B.

Anaphylactic shock


C.

Cardiac hypertrophy


D.

Cardiac dysrhythmia


Questions # 14:

Children often experience visual impairments. Refractive errors affect the child’s visual activity. The main refractive error seen in children is myopia. The nurse explains to the child’s parents that myopia may also be described as:

Options:

A.

Cataracts


B.

Farsightedness


C.

Nearsightedness


D.

Lazy eye


Questions # 15:

A client was admitted to the hospital for a TURP. Within 48 hours of admission and 12 hours postoperatively, both the blood pressure and pulse increased. He became agitated, thought snakes were crawling on his arms and legs, and generally became unmanageable. He pulled out his IV and urinary catheter in attempt to rid himself of the snakes. He was sweating profusely. The admission nurse’s notes indicated that the client admitted to “having a few drinks now and then.” He is probably experiencing which of the following?

Options:

A.

Major psychotic depression


B.

Delirium tremens


C.

Generalized anxiety disorder


D.

Adjustment disorder with mixed features


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