NCLEX-RN Practice Test

Which individual is at the greatest risk for developing hypertension?

A 15-year-old female who ingested 15 tablets of maximum strength acetaminophen 45 minutes ago is rushed to the emergency department. Which of these orders should the nurse do first?

Which complication of cardiac catheterization should the nurse monitor for in the initial 24 hours after the procedure?

A client is admitted to the emergency room with renal calculi and is complaining of moderate to severe flank pain and nausea. The client’s temperature is 100.8 degrees Fahrenheit. The priority nursing goal for this client is:

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

At a community health fair, the blood pressure of a 62-year-old client is 160/96 mmHg. The client states “My blood pressure is usually much lower.” The nurse should tell the client to:

A 25-year-old male client has been newly diagnosed with hypothyroidism and will take levothyroxine (Synthroid) 50 mcg/day by mouth. As part of the teaching plan, the nurse emphasizes that this medication:

A 3-year-old child was brought to the pediatric clinic after the sudden onset of findings that include irritability, thick muffled voice, croaking on inspiration, hot to touch, sit leaning forward, tongue protruding, drooling, and suprasternal retractions. What should the nurse do first?

In children suspected to have a diagnosis of diabetes, which one of the following complaints would be most likely to prompt parents to take their school-age child for evaluation?

A client comes to the clinic for treatment of recurrent pelvic inflammatory disease. The nurse recognizes that this condition most frequently follows which type of infection?

To ensure proper client education, the nurse should teach the client taking SL nitroglycerin to expect which of the following responses with administration?

Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy?

The physician orders fluoxetine (Prozac) for a depressed client. Which of the following should the nurse remember about fluoxetine?

When teaching a sex education class, the nurse identifies the most common STDs in the United States as:

A psychotic client who believes that he is God and rules all the universe is experiencing which type of delusion?

A child is admitted to the emergency room with her mother. Her mother states that she has been exposed to chickenpox. During the assessment, the nurse would note a characteristic rash:

The following medications were noted on review of the clients home medication profile. Which of the medications would most likely potentiate or elevate serum digoxin levels?

A client with a C-34 fracture has just arrived in the emergency room. The primary nursing intervention is:

A diagnosis of hepatitis C is confirmed by a male clients physician. The nurse should be knowledgeable of the differences between hepatitis A, B, and C. Which of the following are characteristics of hepatitis C?

The therapeutic blood-level range for lithium is:

A 27-year-old man was diagnosed with type I diabetes 3 months ago. Two weeks ago he complained of pain, redness, and tenderness in his right lower leg. He is admitted to the hospital with a slight elevation of temperature and vague complaints of not feeling well. At 4:30 PM on the day of his admission, his blood glucose level is 50 mg; dinner will be served at 5:00 PM. The best nursing action would be to:

During burn therapy, morphine is primarily administered IV for pain management because this route:

Which of the following medications requires close observation for bronchospasm in the client with chronic obstructive pulmonary disease or asthma?

The medication that best penetrates eschar is:

The nurse would need to monitor the serum glucose levels of a client receiving which of the following medications, owing to its effects on glycogenolysis and insulin release?

Which of the following would differentiate acute from chronic respiratory acidosis in the assessment of the trauma client?

The initial treatment for a client with a liquid chemical burn injury is to:

A male client receives 10 U of regular human insulin SC at 9:00 AM. The nurse would expect peak action from this injection to occur at:

When a client is receiving vasoactive therapy IV, such as dopamine (Intropin), and extravasation occurs, the nurse should be prepared to administer which of the following medications directly into the site?

Discharge teaching was effective if the parents of a child with atopic dermatitis could state the importance of:

Priapism may be a sign of:

When evaluating a client with symptoms of shock, it is important for the nurse to differentiate between neurogenic and hypovolemic shock. The symptoms of neurogenic shock differ from hypovolemic shock in that:

A 30-year-old male client is admitted to the psychiatric unit with a diagnosis of bipolar disorder. For the last 2 months, his family describes him as being on the move, sleeping 34 hours nightly, spending lots of money, and losing approximately 10 lb. During the initial assessment with the client, the nurse would expect him to exhibit which of the following?

The usual treatment for diabetes insipidus is with IM or SC injection of vasopressin tannate in oil. Nursing care related to the client receiving IM vasopressin tannate would include:

When assessing a child with diabetes insipidus, the nurse should be aware of the cardinal signs of:

A child sustains a supracondylar fracture of the femur. When assessing for vascular injury, the nurse should be alert for the signs of ischemia, which include:

Signs and symptoms of an allergy attack include which of the following?

A client is 6 weeks pregnant. During her first prenatal visit, she asks, “How much alcohol is safe to drink during pregnancy?” The nurse’s response is:

Which of the following risk factors associated with breast cancer would a nurse consider most significant in a clients history?

The nurse assists a client with advanced emphysema to the bathroom. The client becomes extremely short of breath while returning to bed. The nurse should:

As the nurse assesses a male adolescent with chlamydia, the nurse determines that a sign of chlamydia is:

In a client with chest trauma, the nurse needs to evaluate mediastinal position. This can best be done by:

A long-term goal for the nurse in planning care for a depressed, suicidal client would be to:

A client with emphysema is placed on diuretics. In order to avoid potassium depletion as a side effect of the drug therapy, which of the following foods should be included in his diet?

When administering phenytoin (Dilantin) to a child, the nurse should be aware that a toxic effect of phenytoin therapy is:

A client with a diagnosis of C-4 injury has been stabilized and is ready for discharge. Because this client is at risk for autonomic dysreflexia, he and his family should be instructed to assess for and report:

One of the most dramatic and serious complications associated with bacterial meningitis is Waterhouse- Friderichsen syndrome, which is:

When teaching a mother of a 4-month-old with diarrhea about the importance of preventing dehydration, the nurse would inform the mother about the importance of feeding her child:

A client with bipolar disorder taking lithium tells the nurse that he has ringing in his ears, blurred vision, and diarrhea. The nurse notices a slight tremor in his left hand and a slurring pattern to his speech. Which of the following actions by the nurse is appropriate?

The physician recommends immediate hospital admission for a client with PIH. She says to the nurse, Its not so easy for me to just go right to the hospital like that. After acknowledging her feelings, which of these approaches by the nurse would probably be best?

The nurse practitioner determines that a client is approximately 9 weeks gestation. During the visit, the practitioner informs the client about symptoms of physical changes that she will experience during her first trimester, such as:

Diabetes during pregnancy requires tight metabolic control of glucose levels to prevent perinatal mortality. When evaluating the pregnant client, the nurse knows the recommended serum glucose range during pregnancy is:

After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and starts interacting appropriately with other clients and staff. The nurse knows that this client has an increased risk for:

When the nurse is evaluating lab data for a client 18-24 hours after a major thermal burn, the expected physiological changes would include which of the following?

Dietary planning is an essential part of the diabetic clients regimen. The American Diabetes Association recommends which of the following caloric guidelines for daily meal planning?

To appropriately monitor therapy and client progress, the nurse should be aware that increased myocardial work and O2 demand will occur with which of the following?

The nurse should know that according to current thinking, the most important prognostic factor for a client with breast cancer is:

The day following his admission, the nurse sits down by a male client on the sofa in the dayroom. He was admitted for depression and thoughts of suicide. He looks at the nurse and says, My life is so bad no one can do anything to help me. The most helpful initial response by the nurse would be:

A six-month-old infant has been admitted to the emergency room with febrile seizures. In the teaching of the parents, the nurse states that:

The nurse is aware that nutrition is an important aspect of care for a client with hepatitis. Which of the following diets would be most therapeutic?