NCLEX-RN Practice Questions

1. Which of the following actions, if performed by the nurse, would be considered negligence?

a. The nurse obtains a Guthrie blood test on a 4-day-old infant.

b. The nurse massages lotion on the abdomen of a 3-year-old diagnosed with Wilm's tumor.

c. The nurse instructs a 5-year-old asthmatic to blow on a pinwheel.

d. The nurse plays kickball with a 10-year-old with juvenile arthritis (JA).

2. The nurse in the same-day surgery department cares for a 77-year-old woman after a sigmoidoscopy. Which of the following symptoms, if exhibited by the woman an hour after the procedure, would MOST concern the nurse?

a. The client complains of fullness and pressure in her abdomen.

b. The client complains of grogginess and thirst.

c. The client complains of lightheadedness and dizziness.

d. The client complains of mild pain and cramping in her abdomen.

3. The nurse is discharging a patient from an inpatient alcohol treatment unit. Which of the following statements, if made by the patient's wife, indicates to the nurse that the family is coping adaptively?

a. "My husband will do well as long as I keep him engaged in activities that he likes.”

b. "My focus is learning how to live my life.”

c. "I am so glad that our problems are behind us.”

d. "I'll make sure that the children don't give my husband any problems.”

4. The nurse is caring for a patient with cervical cancer. The nurse notes that the radium implant has become dislodged. Which of the following actions should the nurse take FIRST?

a. Stay with the patient and contact radiology.

b. Wrap the implant in a blanket and place it behind the lead shield.

c. Obtain a dosimeter reading on the patient and report it to the physician.

d. Pick up the implant with long-handled forceps and place it in a lead container.

5. The nurse has reviewed the charts of four antepartal women. Which woman is at greater risk for having a child with a cleft lip and palate?

a. A 22-year-old Oriental women who is having a girl.

b. A 25-year-old Native American female who is having a boy.

c. A 35-year-old African American woman who is having a boy.

d. A 40-year-old Caucasian who is having a girl.

6. A 22-year-old woman in her second trimester of pregnancy tells the clinic nurse that her child has been asking questions "about sex.” The client asks the nurse what she should tell her 5-year-old son. Which of the following statements, if made by the nurse, is BEST?

a. "Answer your son's questions in a matter-of-fact manner, in words that he will understand.”

b. "Buy a book about sex designed for young children and read it with your son.”

c. "Tell your son that this subject is complicated, and you will discuss it with him as he gets older.”

d. "Have your son touch your abdomen and tell him about your pregnancy.”

7. A nurse is caring for clients in the mental health clinic. A women comes to the clinic complaining of insomnia and anorexia. The patient tearfully tells the nurse that she was laid off from a job that she had held for 15 years. Which of the following responses, if made by the nurse, is MOST appropriate?

a. "Did your company give you a severance package?”

b. "Focus on the fact that you have a healthy, happy family.”

c. "Losing a job is common nowadays.”

d. "Tell me what happened.”

8. The nurse is teaching a 45-year-old woman how to increase the potassium in her diet. The woman says she knows bananas are high in potassium, but she doesn't like their taste. What foods should the nurse recommend the client include in her diet?

a. Potatoes, spinach, raisins.

b. Rhubarb, tofu, celery.

c. Carrots, broccoli, yogurt.

d. Onions, corn, oatmeal.

9. A 68-year-old woman diagnosed with thrombocytopenia due to acute lymphocytic leukemia is admitted to the hospital. The nurse should assign the patient which of the following?

a. to a private room so she will not infect other patients and health care workers.

b. to private room so she will not be infected by other patients and health care workers.

c. to a semiprivate room so she will have stimulation during her hospitalization.

d. to a semiprivate room so she will have the opportunity to express her feelings about her illness.

10. The nurse cares for a 46-year-old woman after a traditional cholecystectomy. The patient has a nasogastric tube connected to suction, an IV of D5W infusing into her right arm, and a T-tube and Penrose drain in place. The nurse would be MOST concerned by which of the following findings?

a. The systolic blood pressure is 10 mmHg, lower than it was preoperatively.

b. There is 250 cc of bloody drainage from the T-tube during the first 24 hours.

c. There is 30 cc of serosanguineous drainage in the Penrose drain during the first 24 hours.

d. The patient experiences a 4° temperature elevation the evening after surgery.

NCLEX-RN Practice Questions Answers

1. (b) The manipulation of a mass may cause dissemination of cancer cells.

2. (c) This could signify hypovolemic shock due to bowel perforation.

3. (c) The wife is working to change codependent patterns.

4. (d) You should never touch an implant with bare hand; forceps and container should be kept in patient's room.

5. (b) Native Americans have the highest incidence of cleft lip and palate; males are more likely than females to have both.

6. (a) This helps the child understand their concerns and allows for answering exact question that are being asked.

7. (d) By exploring the situation you allows the patient to verbalize.

8. (a) Plenty of fibre with this option.

9. (b) Assigning the patient to a private room protects the patient from exogenous bacteria, which would risk developing an infection from others due to depressed WBC count.

10. (b) You should expect drainage of 400 ml/day with a gradual decrease through time. It should be bloody initially and change to greenish-brown.

Last modified: Tuesday, 8 September 2015, 6:56 AM