NCLEX PN Practice Questions | NCLEX PN Quiz

1 >>An elderly client with anemia has a positive Schilling test. The nurse knows that the client’s anemia is due to: ?

  • (A) Chronically low iron store
  • (B) Abnormal shape of the red blood cells
  • (C) Lack of intrinsic factor
  • (D) Shortened lifespan of the red blood cells

2 >>The nurse is cleaning up a blood spill that occurred during removal of a chest tube. The nurse should clean the blood spill using: ?

  • (A) Hydrogen peroxide
  • (B) Weak solution of bleach
  • (C) Isoprophyl alcohol
  • (D) Soap and water

3 >>A 5-month-old admitted with gastroenteritis is managed with IV fluids and is to be NPO. Which nursing intervention will provide the most comfort for the 5-month-old who is NPO? ?

  • (A) Offering a pacifier
  • (B) Sitting next to the crib
  • (C) Providing a mobile
  • (D) Singing a lullaby

4 >>During the admission assessment, the nurse discovers that the client has brought her medications from home. The nurse should: ?

  • (A) Tell the client that she can keep her medicines as long as she does not take them
  • (B) Make a list of the medications and ask a family member to take the medications home
  • (C) Allow the client to keep over-the-counter medications and herbal supplements
  • (D) Use the client’s home medications because they have already been purchased

5 >>The nurse is reviewing the preoperative checklist for a client scheduled for a cholecystectomy. Which item is not required on the client’s preoperative checklist? ?

  • (A) History of allergies
  • (B) Most recent vital signs
  • (C) Physician’s signature
  • (D) Preoperative medications

6 >>The nursing staff has planned a picnic for a small group of clients from the psychiatric unit. All of the clients are taking Thorazine (chlorpromazine). The nursing staff should take extra measures to: ?

  • (A) Protect the clients from sun exposure
  • (B) Eliminate aged cheese from the menu
  • (C) Limit the amount of fluid intake by the clients
  • (D) Avoid chocolate desserts and treats on the menu

7 >>The nurse is caring for a client following a pneumonectomy. Which nursing intervention will help prevent an embolus? ?

  • (A) Encouraging the client to use an incentive spirometer
  • (B) Administering thrombolytic medication as ordered
  • (C) Telling the client to turn, cough, and breathe deeply
  • (D) Ambulating the client as soon as possible

8 >>The physician has ordered B & O (belladonna and opium) suppositories for a client following a prostatectomy. The nurse recognizes that the medication will: ?

  • (A) Help relieve pain due to bladder spasms
  • (B) Improve the urinary output
  • (C) Reduce post-operative swelling
  • (D) Treat nausea and vomiting

9 >>Post-operative orders have been left for a client with an abovethe- knee amputation. The orders include wrapping the stump with an elastic bandage. The nurse knows that the primary reason for wrapping the stump with an elastic bandage is to: ?

  • (A) Decrease bleeding
  • (B) Shrink the stump
  • (C) Prevent phantom pain
  • (D) Prevent seeing the area

10 >>A client with polycythemia vera is admitted for a phlebotomy. Assessment of the client with polycythemia vera reveals: ?

  • (A) Red, sore tongue; fatigue; and paresthesia
  • (B) Ruddy complexion, dyspnea, and pruritis
  • (C) Pallor; thin, spoon-shape fingernails; and pica
  • (D) Nocturnal dyspnea, rales, and weight gain

11 >>The nurse is assisting a client with a total hip replacement to a chair. Which type of chair is appropriate for the client following a total hip replacement? ?

  • (A) A recliner
  • (B) A rocking chair
  • (C) A straight chair
  • (D) A sofa chair

12 >>The physician has ordered Cotazyme (pancrelipase) for a child with cystic fibrosis. The nurse knows that the medication is given to: ?

  • (A) Replace the fat-soluble vitamins A, D, E, and K
  • (B) Decrease carbohydrate metabolism
  • (C) Aid in the digestion and absorption of fats, carbohydrates, and protein
  • (D) Facilitate sodium and chloride excretion

13 >>The nurse at a local daycare center observes a group of preschool-age children playing. The children are playing in an unorganized fashion, with no obvious rules to the play activity. The type of play that is typical of preschool-age children is known as: ?

  • (A) Solitary play
  • (B) Parallel play
  • (C) Associative play
  • (D) Cooperative play

14 >>Which of the following is not a part of routine cord care of the newborn? ?

  • (A) Placing a petroleum gauze on the cord
  • (B) Applying an antibiotic to the cord
  • (C) Cleaning the cord with alcohol
  • (D) Folding diapers below the cord

15 >>A client is hospitalized with a diagnosis of antisocial personality disorder. According to Freud’s psychoanalytic theory, antisocial personality disorder arises from faulty development of the: ?

  • (A) Id
  • (B) Ego
  • (C) Superego
  • (D) Preconscious

16 >>The nurse is monitoring a client admitted with an overdose of Phenobarbital (phenobarbital). The nurse should carefully observe the client for signs of: ?

  • (A) Hyperthermia
  • (B) Decreased respirations
  • (C) Increased blood pressure
  • (D) Dysuria

17 >>An elderly client is admitted with a fractured left hip. Which type of traction will be used to immobilize the client’s left extremity? ?

  • (A) 90-90 traction
  • (B) Buck’s traction
  • (C) Bryant’s traction
  • (D) Dunlop’s traction

18 >>The physician has prescribed Zoloft (sertraline) for a client who has been taking Nardil (phenelzine). The recommended length of time between discontinuing a monoamine oxidase inhibitor and beginning therapy with a selective serotonin reuptake inhibitor is: ?

  • (A) 2 days
  • (B) 7 days
  • (C) 10 days
  • (D) 14 days

19 >>A post-operative client has called the nurse’s station with complaints of pain. The first action by the nurse should be to: ?

  • (A) Check to see when the client received pain medication
  • (B) Administer the prescribed pain medication
  • (C) Notify the charge nurse of the client’s complaints
  • (D) Assess the location and character of the client’s pain

20 >>The nurse is observing a developmental assessment of an infant. Which of the following is an example of cephalocaudal development? ?

  • (A) The infant is able to make rudimentary vocalizations before using language.
  • (B) The infant can control arm movements before she can control finger movements.
  • (C) The infant is able to raise her head before sitting.
  • (D) The infant responds to pain with her whole body before she can localize pain.

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