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Free NCLEX NCLEX-RN Practice Exam with Questions & Answers | Set: 12

Questions 221

Which type of insulin can be administered by a continuous IV drip?

Options:
A.

Humulin N

B.

NPH insulin

C.

Regular insulin

D.

Lente insulin

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Questions 222

After the fetal activity test (nonstress test) is completed, the RN is looking at the test results on the monitor strip. The RN observes that the fetal heart accelerated 5 beats/min with each fetal movement. The accelerations lasted ≥15 seconds and occurred 3 times during the 20- minute test. The RN knows that these test results will be interpreted as:

Options:
A.

A reactive test

B.

A nonreactive test

C.

An unsatisfactory test

D.

A negative test

Questions 223

Assessment of a client reveals a 30% loss of preillness weight, lanugo, and cessation of menses for 3 months. Her vital signs are BP 90/50, P 96 bpm, respirations 30, and temperature 97 οF. She admits to the nurse that she has induced vomiting 3 times this morning, but she had to continue exercising to lose “just 5 more lb.” Her symptoms are consistent with:

Options:
A.

Pregnancy

B.

Bulimia

C.

Gastritis

D.

Anorexia nervosa

Questions 224

A baby is circumcised. Immediate postoperative care should include:

Options:
A.

Applying a loose diaper

B.

Keeping the baby NPO for 4 hours to avoid vomiting

C.

Changing the dressing frequently using dry, sterile gauze

D.

Taking the baby to his mother for cuddling

Questions 225

Medication is administered to a client who has been placed in restraints after a sudden violent episode, and his EPSs subside. Restraints can be removed when:

Options:
A.

The physician orders it

B.

A therapeutic alliance has been established, and violent behavior subsides

C.

The violent behavior subsides, and the client agrees to behave

D.

The nurse deems that removal of restraints is necessary

Questions 226

A client undergoes a transurethral resection, prostate (TURP). He returns from surgery with a three-way continuous Foley irrigation of normal saline in progress. The purpose of this bladder irrigation is to prevent:

Options:
A.

Bladder spasms

B.

Clot formation

C.

Scrotal edema

D.

Prostatic infection

Questions 227

A 14-year-old boy fell off his bike while “popping a wheelie” on the dirt trails. He has sustained a head injury with laceration of his scalp over his temporal lobe. If he were to complain of headache during the first 24 hours of his hospitalization, the nurse would:

Options:
A.

Ask the physician to order a sedative

B.

Have the client describe his headache every 15 minutes

C.

Increase his fluid intake to 3000 mL/24 hr

D.

Offer diversionary activities

Questions 228

On admission to the postpartal unit, the nurse’s assessment identifies the client’s fundus to be soft, 2 fingerbreadths above the umbilicus, and deviated to the right. This is most likely an indication of:

Options:
A.

Normal involution

B.

A full bladder

C.

An infection pain

D.

A hemorrhage

Questions 229

A 24-hours’ postpartum client complains of discomfort at the episiotomy site. On assessment, the nurse notes the episiotomy is without signs of infection. To relieve the discomfort, the nurse should first:

Options:
A.

Assist her with a sitz bath

B.

Administer the prescribed medication for pain

C.

Teach her Kegel exercises

D.

Apply an ice pack

Questions 230

Blood work reveals the following lab values for a client who has been diagnosed with anorexia nervosa: hemoglobin 9.6 g/dL, hemocrit 27%, potassium 2.7 mEq/L, sodium 126 mEq/L. The greatest danger to her at this time is:

Options:
A.

Hypoglycemia from low-carbohydrate intake

B.

Possible cardiac dysrhythmias secondary to hypokalemia

C.

Dehydration from vomiting

D.

Anoxia secondary to anemia

Questions 231

A 28-year-old multigravida has class II heart disease. At her prenatal visit at 34 weeks’ gestation, all of the following observations are made. Which would require intervention?

Options:
A.

Weight gain of 2 kg in 4 weeks

B.

Blood pressure of 128/78

C.

Subjective data: shortness of breath after showering

D.

Ankle edema reported present in late afternoon and evenings

Questions 232

A 24-year-old woman who is gravida 1 reports, “I can’t take iron pills because they make me sick.” She continues, “My bowels aren’t moving either.” In counseling her based on these complaints, the nurse’s most appropriate response would be, “It would be beneficial for you to eat . . .

Options:
A.

prunes.”

B.

green leafy vegetables.”

C.

red meat.”

D.

eggs.”

Questions 233

A psychiatric nurse is providing an orientation to a new staff nurse. She reminds the nurse that psychiatrists often use categories of medications and that it is important that she recall that some categories of medications have synonyms. Another name used to describe minor tranquilizers is which of the following?

Options:
A.

Antipsychotic medications

B.

Antidepressant medications

C.

Antianxiety medications

D.

Antimania medication

Questions 234

A client suffering from schizophrenia has been taking chlorpromazine (Thorazine) for 6 months. On one of his follow-up visits to the mental health center, the nurse reports to the physician that he has developed tardive dyskinesia. Which of the following symptoms might she have observed in the client to support this conclusion?

Options:
A.

High fever, tachycardia, stupor, renal failure

B.

Lip smacking, chewing, blinking, lateral jaw movements

C.

Photosensitivity, orthostatic hypotension, dry mouth

D.

Constipation, blurred vision, drowsiness

Questions 235

A client has been in labor 10 hours and is becoming very tired. She has dilated to 7 cm and is at 0 station with the fetus in a right occipitoposterior position. She is complaining of severe backache with each contraction. One comfort measure the nurse can employ is to:

Options:
A.

Place her in knee-chest position during the contraction

B.

Use effleurage during the contraction

C.

Apply strong sacral pressure during the contraction

D.

Have her push with each contraction

Questions 236

On the third postpartum day, a client complains of extremely tender breasts. On palpation, the nurse notes a very firm, shiny appearance to the breasts and some milk leakage. She is bottle feeding. The nurse should initially recommend to her to:

Options:
A.

Take 2 ibuprofen (Motrin) tablets by mouth now because the baby will be returning for feeding in 20 minutes

B.

Allow the infant to breast-feed at the next feeding time to empty the breasts

C.

Apply ice packs to the breasts and wear a supportive, well-fitting bra

D.

Take a warm shower and express milk from both breasts until empty

Questions 237

After 7 hours in restraints and a total of 30-mg haloperidol in divided doses, a client complains of stiffness in his neck and his tongue “pulling to one side.” These extrapyramidal symptoms (EPS) will most likely be relieved by the administration of:

Options:
A.

Lorazepam (Ativan)

B.

Benztropine (Cogentin)

C.

Thiothixene (Navane)

D.

Flurazepan (Dalmane)

Questions 238

A husband and wife and their two children, age 9 and age 5, are requesting family therapy. Which of the following strategies is most therapeutic for the nurse to use during the initial interaction with a family?

Options:
A.

Always allow the most vocal person to state the problem first.

B.

Encourage the mother to speak for the children.

C.

Interpret immediately what seems to be going on within the family.

D.

Allow family members to assume the seats as they choose.

Questions 239

The nurse explains perineal hygiene self-care postpartum to the client. She should be instructed to:

Options:
A.

Wear gloves for the procedure

B.

Place and adjust the pad from back to front

C.

Cleanse and wipe the perineum from front to back

D.

Protect the outer surface of the pad from contamination

Questions 240

A male client is experiencing auditory hallucinations. His nurse enters the room and he tells her that his mother is talking to him, and he will take his medicine after she leaves. The nurse looks around the room and sees that she and the client are the only ones in the room. The nurse’s most therapeutic response will be:

Options:
A.

“I don’t see your mother in the room. Let’s talk about how you’re feeling.”

B.

“OK, I’ll come back later when you’re feeling more like taking your medicine.”

C.

“She may be here, but I can’t see her.”

D.

“Why don’t you finish talking to her, and I’ll wait.”

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