NCLEX » Nursing Licensure Practice Questions

    » A woman in her third trimester complains of severe heartburn. What is appropriate teaching by the nurse to help the woman alleviate these symptoms?
    » A woman is admitted to the labor and delivery unit in a sickle cell crisis. Which of the following nursing actions is the HIGHEST priority?
    » A young adult patient constantly seeks attention from the nurses, stomping away from the nurses' station and pouting when her requests are refused. Which of the following responses by the nurse is MOST appropriate?
    » A young woman is transferred to a psychiatric crisis unit with a diagnosis of a dissociative disorder. The nurse knows which of the following comments by the client is MOST indicative of this disorder?
    » Acoustic neuromas produce symptoms of progressive nerve deafness, tinnitus, and vertigo due to pressure and eventual destruction of:
    » After a client develops left-sided hemiparesis from a cerebral vascular accident (CVA), there is a decrease in muscle tone. Which of the following nursing diagnoses would be a priority to include in his care plan?
    » After a client has a positive Chlamydia trachomatis culture, she and her husband return for counseling. It would be MOST important for the nurse to ask which of the following questions?
    » After abdominal surgery, a client has a nasogastric tube attached to low suctioning. The client becomes nauseated, and the nurse observes a decrease in the flow of gastric secretions. Which of the following nursing interventions would be MOST appropriate?
    » After an anterior wall myocardial infarction, which of the following problems is indicated by auscultation of crackles in the lungs?
    » After giving epinephrine 1 mg IV and a fourth shock, a patient remains in VF. You want to continue to administer epinephrine at appropriate doses and intervals if the patient remains in VF. Which epinephrine dose is recommended under these conditions?
    » After myocardial infarction, serum glucose levels and free fatty acids are both increased. What type of physiologic changes are these?
    » After sustaining a closed head injury and numerous lacerations and abrasions to the face and neck, a five-year-old child is admitted to the emergency room. The client is unconscious and has minimal response to noxious stimuli. Which of the following assessments, if observed by the nurse three hours after admission, should be reported to the physician?
    » After talking with the parents of a child with Down Syndrome, which of the following would the nurse identify as an appropriate goal of care of the child?
    » An 8 year old child has been diagnosed to have iron deficiency anemia. Which of the following activities is most appropriate for the child to decrease oxygen demands on the body?
    » An 8-year-old client is returned to the recovery room after a bronchoscopy. The nurse should position the client
    » An adolescent client is ordered to take tetracycline HCL (Achromycin) 250 mg PO bid. Which of the following instructions should be given to this client by the nurse?
    » An adult client has regular insulin ordered before breakfast. The nurse notes that the client’s blood glucose level is 68 mg/dL, and the client is nauseated. Which of the following actions should the nurse take?
    » An ambulatory client reports edema during the day in his feet and an ankle that disappears while sleeping at night. What is the most appropriate follow-up question for the nurse to ask?
    » An eighteen month-old has been brought to the emergency room with irritability, lethargy over 2 days, dry skin and increased pulse. Based upon the evaluation of these initial findings, the nurse would assess the child for additional findings of
    » An elderly client is returned to her room after an open reduction and internal fixation of the left femoral head after a fracture. It is MOST important for the nursing care plan to include that the client
    » An esophageal obturator airway (EOA):
    » An extremely agitated client is receiving haloperidol (Haldol) IM every 30 minutes while in the psychiatric emergency room. The MOST important nursing intervention is to
    » An infant weighed 7 pounds 8 ounces at birth. If growth occurs at a normal rate, what would be the expected weight at 6 months of age?
    » An older man is seen in the outpatient clinic for treatment of an acute attack of gout. Which of the following nursing interventions would be MOST beneficial in decreasing the client’s pain during ambulation?
    » As a care provider, the nurse should do first:
    » Asystole should not be "defibrillated."
    » At a community health fair the blood pressure of a 62 year-old client is 160/96. The client states "My blood pressure is usually much lower." The nurse should tell the client to
    » At a routine clinic visit, parents express concern that their 4 year-old is wetting the bed several times a month. What is the nurse's best response?
    » At a senior citizens meeting a nurse talks with a client who has diabetes mellitus Type 1. Which statement by the client during the conversation is most predictive of a potential for impaired skin integrity?
    » At a well baby clinic the nurse is assigned to assess an 8 month-old child. Which of these developmental achievements would the nurse anticipate that the child would be able to perform?
    » Atherosclerosis impedes coronary blood flow by which of the following mechanisms?
    » Atropine:
    » Chemotherapy may be used in combination with surgery in the treatment of lung cancer. Special nursing considerations with chemotherapy include all but which of the following?
    » Clients with mitral stenosis would likely manifest findings associated with congestion in the
    » During a first aid class, the nurse instructs clients on the emergency care of second-degree burns. The nurse knows that which of the following interventions for second-degree burns of the chest and arms will BEST prevent infection?
    » During an acute myocardial infarct (MI):
    » During an assessment of a client with cardiomyopathy, the nurse finds that the systolic blood pressure has decreased from 145 to 110 mm Hg and the heart rate has risen from 72 to 96 beats per minute and the client complains of periodic dizzy spells. The nurse instructs the client to
    » During an examination of a 2 year-old child with a tentative diagnosis of Wilm's tumor, the nurse would be most concerned about which statement by the mother?
    » During seizure activity which observation is the priority to enhance further direction of treatment?
    » During the admission assessment on a client with chronic bilateral glaucoma, which statement by the client would the nurse anticipate since it is associated with this problem?
    » During the evaluation of the quality of home care for a client with Alzheimer's disease, the priority for the nurse is to reinforce which statement by a family member?
    » During the physical examination of the well adult client, the health care provider auscultates the heart. When the stethoscope is placed on the 5th intercostal space along the left sternal border, which valve closure is best evaluated?
    » Endotracheal intubation:
    » Exceeding which of the following serum cholesterol levels significantly increases the risk of coronary artery disease?
    » First-time parents bring their 5 day-old infant to the pediatrician's office because they are extremely concerned about its breathing pattern. The nurse assesses the baby and finds that the breath sounds are clear with equal chest expansion. The respiratory rate is 38-42 breaths per minute with occasional periods of apnea lasting 10 seconds in length. What is the correct analysis of these findings?
    » Following a cocaine high, the user commonly experiences an extremely unpleasant feeling called
    » Following a diagnosis of acute glomerulonephritis (AGN) in their 6 year-old child, the parent's remark: "We just don't know how he caught the disease!" The nurse's response is based on an understanding that
    » For a 6 year-old child hospitalized with moderate edema and mild hypertension associated with acute glomerulonephritis (AGN), which one of the following nursing interventions would be appropriate?
    » Glioma is an intracranial tumor. Which of the following statements about gliomas do you know to be false?
    » If breath sounds are only heard on the right side after intubation:
    » In a child with suspected coarctation of the aorta, the nurse would expect to find
    » In assessing the healing of a client's wound during a home visit, which of the following is the best indicator of good healing?
    » 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?
    » In evaluating the growth of a 12 month-old child, which of these findings would the nurse expect to be present in the infant?
    » In planning care for a child diagnosed with minimal change nephrotic syndrome, the nurse should understand the relationship between edema formation and
    » In preadmission planning with a client who is to have a renal transplant, the client should be educated by the nurse regarding the need to
    » In preparing medications for a client with a gastrostomy tube, the nurse should contact the health care provider before administering which of the following drugs through the tube?
    » In providing care to a 14 year-old adolescent with scoliosis, which of the following will be most difficult for this client?
    » In taking the history of a pregnant woman, which of the following would the nurse recognize as the primary contraindication for breast feeding?
    » In teaching parents to associate prevention with the lifestyle of their child with sickle cell disease, the nurse should emphasize that a priority for their child is to
    » In which of the following areas is an abdominal aortic aneurysm most commonly located?
    » In which of the following disorders would the nurse expect to assess sacral edema in bedridden client?
    » Medical treatment of coronary artery disease includes which of the following procedures?
    » Of the four basic cell types of lung cancer listed below, which is always associated with smoking?
    » On admission to the psychiatric unit, the client is trembling and appears fearful. The nurse's initial response should be to
    » On assessment of a child, the nurse notes the presence of white patches on the child’s tongue and determines that they may be indicative of candidiasis (thrush). The nurse understands that the white patches of candidiasis (thrush):
    » On assessment, a nurse notes a flat brown circular nevi on the skin of a client that measures less than one centimeter. The client asks, "Is this cancer?" The nurse makes which response to the client?
    » One of the clients has noted a raised yellow plaque on the nasal side of the conjunctiva. You explain that this is called:
    » Parents of a 6 month-old breast fed baby ask the nurse about increasing the baby's diet. Which of the following should be added first?
    » Parents of a 7 year-old child call the clinic nurse because their daughter was sent home from school because of a rash. The child had been seen the day before by the health care provider and diagnosed with Fifth Disease (erythema infectiosum). What is the most appropriate action by the nurse?


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NCLEX - National Council Licensure Examination