NCLEX-RN Practice Test Edition With Answers Rated A

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NCLEX-RN Practice Test 2020 Edition 1. A nurse is putting together an educational seminar on advance directives. What information would be included in the materials? 2. A nurse is advising a p... atient with Chronic Fatigue Syndrome on infection control procedures. Which of the following statements by the patient indicates that the patient understands the advice? 3. Which of the following would be an expected finding in an age assessment of a 2 year old? 4. A patient's spouse died three months ago. The patient says "I would like my friend Tom to have my collection of artwork because I don't need to look at them anymore". Which of the following responses by the nurse would be proper? 5. A nurse is instructing a patient on the use of a walker. Which of the following would be included in the instructions? 6. A patient, who weighs 200 pounds, has a prescription for a Dopamine Drip at 5 mcg/kg/min. There is 400 mg per 500 ml D5W on hand. The nurse should administer __________ milliliters to the patient each hour. 7. A patient is to get an MRI of the abdomen. Which of the following instructions should the nurse give the patient? 8. Which of the following symptoms would support a diagnosis of Crohn's disease? 9. A nurse is teaching a staff seminar on patient confidentiality. Which of the following statements would be included in the presentation? 10. A patient has a prescription for Tylenol at 650mg every 6 hours. A nurse only has 325mg pills of Tylenol available. How many pills would be administered every 6 hours? 11. A patient is suffering from heart failure. Which of the following would be recommended by a nurse as part of the patient's health care plan? 12. A patient has had diarrhea for the past 72 hours. Which of the symptoms would support a diagnosis of hypovolemia? 13. The spouse of a patient in a long term treatment facility asks a nurse for information about the patient's treatment plan. The nurse should respond as follows? 14. Which of the following infectious control methods should be used when caring for a patient with bacterial pneumonia? 15. A patient is brought to the emergency room by her spouse. The patient's injuries are indicative of physical abuse. Which of the following actions should be taken by the nurse? 16. Which of the following advisements should a patient suffering from GERG receive? 17. A patient, who weighs 143 pounds, has a prescription for Garamycin at two mg/kg, IV, every eight hours. There is 100 mg in 50 ml solution on hand. The nurse should administer __________ milliliters to the patient with each dose. 18. A patient is not to eat or drink anything 24 hours before a colonoscopy. 19. Which of the following symptoms would a patient exhibit with hyperthyroidism? 20. A patient is having a tonic-clonic seizure. A nurse should take which of the following steps? 21. A patient with a history of schizophrenia says "The medical staff is secretly 22. Which of the following patients should a nurse recognize as having an increased risk of breast cancer while doing breast cancer screening? 23. A patient is scheduled for surgery to have his appendix out due to acute appendicitis. The patient says "I don't think I need surgery now because I feel better." A nurse should respond as follows: 24. While preparing for discharge, a patient makes the statement to the nurse, "I'm not sure I will be able to take care of myself at home." Who is the most appropriate team member to report this statement? 25. A nurse just started a blood transfusion for a patient with a Hemoglobin of 6. The patient says, "I feel hot, my stomach hurts, and I am having difficulty breathing." What should be the nurses first action? 26. The patient has only one IV site with a continuous infusion of Lactated Ringers solution. The provider has prescribed Ceftriaxone 100 mg in Normal Saline 50 ml to be given IV now. What should be the nurse's first action? 27. Which of the following lab tests would be considered Point of Care testing? 28. The nurse enters the room of a patient complaining of lower back pain after a left hip replacement surgery. What non-pharmacological intervention would not be appropriate? 29. The nurse notices a CNA using an alcohol-based hand sanitizer after walking out of a room marked as Enteric Contact Precautions. What should the nurse's response be? 30. A nurse is making a Home Health visit at a home of an elderly couple. The wife states regarding her husband, the patient, "He always sits in that chair all day long." Which of the following should the nurse consider the patient at risk for? 31. Which of the following statements to the Type 2 Diabetic patient by the nurse is correct? 32. A patient is being discharged with a new diagnosis of Congestive Heart Failure. Which of the following statements made by the patient indicate understanding of the diagnosis? 33. A nurse working in the telemetry unit receives a call that a patient's EKG rhythm has transitioned into Atrial Fibrillation. Which medication is the patient likely to receive long-term in relation to this diagnosis? 34. A patient has Incentive Spirometry ordered QID x 10 breaths after a cholecystectomy. The patient is asking why they need to perform this action. Which of the following would Not be a reason the patient should use the Incentive Spirometer? 35. A nurse is changing the dressing for a post-op Bilateral Knee Amputation patient. The nurse notes the patient refuses to look at the limb while the dressing is being changed but asks the nurse about their personal life instead. Which nursing care plan should the nurse implement for the patient related to this action? 36. Which method should be the last resort in assisting a patient who is experiencing mild anxiety? 37. The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid: 38. The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to: 39. The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to: 40. The infant is admitted to the unit with tetrology of falot. The nurse would anticipate an order for which medication? 41. The nurse is educating the lady’s club in self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram below. select where the Tail of Spence is. 42. The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will: 43. The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to: 44. The nurse is evaluating the client who was admitted 8 hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse? 45. The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as: 45. A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should: 46. A nurse is caring for an adult that has recently been diagnosed with metabolic acidosis. Which of the following clinical signs would most likely not be present? 47. A nurse is caring for an adult that has recently been diagnosed with metabolic alkalosis. Which of the following clinical signs would most likely not be present? 48. A nurse is caring for an adult that has recently been diagnosed with respiratory acidosis. Which of the following clinical signs would most likely not be present? 49. A nurse is caring for an adult that has recently been diagnosed with respiratory alkalosis. Which of the following clinical signs would most likely not be present? 50. A nurse is reviewing a patient's medication list. The drug Pentoxifylline is present on the list. Which of the following conditions is commonly treated with this medication? 51. A patient has been on long-term management for CHF. Which of the following drugs is considered a loop dieuretic that could be used to treat CHF symptoms? 52. A patient has recently been diagnosed with polio and has questions about the diagnosis. Which of the following systems is most affected by polio? 53. A nurse is educating a patient about right-sided heart deficits. Which of the following clinical signs is not associated with right-sided heart deficits? 54. A nurse is reviewing a patient's medication. Which of the following is considered a potassium sparing dieuretic? 55. A nurse is reviewing a patient's medication. The patient is taking Digoxin. Which of the following is not an effect of Digoxin? 56. A patient has been instructed by the doctor to reduce their intake of Potassium. Which types of foods should not worry about avoiding? 57. A patient's chart indicates the patient is suffering from Digoxin toxicity. Which of the following clinical signs is not associated with digoxin toxicity? A 58. A fourteen year old male has just been admitted to your floor. He has a history of central abdominal pain that has moved to the right iliac fossa region. He also has tenderness over the region and a fever. Which of the following would you most likely suspect? 59. A thirteen-year old male has a tender lump area in his left groin. His abdomen is distended and he has been vomiting for the past 24 hours. Which of the following would you most like suspect? 60. Which of the following is the key risk factor for development of Parkinson's disease dementia? 61. A father notifies your clinic that his son's homeroom teacher has just been diagnosed with meningitis and his son spent the day with the teacher in detention yesterday. Which of the following would be the most likely innervention? 62.A patient has recently been diagnosed with hyponatremia. Which of the following is not associated with hyponatremia? 63. A patient has recently been diagnosed with hypernatremia. Which of the following is not associated with hypernatremia? 64.Which of the following normal blood therapeutic concentrations is abnormal? 65. Which of the following normal blood therapeutic concentrations is abnormal? 66.Which of the following normal blood therapeutic concentrations is abnormal? 67. An older adult is admitted to the medical surgical unit with dehydration. The nurse performs which of these assessments to determine whether the client is safe for independent ambulation? 68.The nurse is assessing fluid balance in the client with heart failure. Which of these strategies will the nurse employ? 69.The nurse is preparing a client a diagnosis of congestive heart failure (CHF) for discharge. Which statement by the client indicates a correct understanding of self-management of CHF? A. “I can gain 2 pounds (1 kg) of water a day without risk.” 70. What is the fastest-growing subgroup of older adults? 71. An 80-year-old client is being relocated from a home setting to a long-term care facility. Which nursing intervention best minimizes the effects of relocation stress syndrome? 72. The nurse is completing a hospital admission assessment on an 86-year-old client with renal impairment. The client’s daughter gives the nurse a long list of drugs that the client is taking at home, both prescription and over-the-counter. What does the nurse do next? 73. The son of an older adult client states that he has noticed progressive periods of forgetfulness in his father over the past year. After noting the son’s comments and assessing the client, which cognitive problem does the nurse suspect the client may have? 74. At a follow-up home-care visit after repair of a fractured radial bone, an older adult client states, “I am not sleeping at all during the night.” The client’s partner reports that the client is sleeping all day. Which intervention does the nurse suggest? 75. The nurse is conducting a medication assessment on an older adult client who is being admitted to a long-term care facility for rehabilitation following a hip replacement. With Beers Criteria used as a resource, which drug poses a potential risk for this client? 76. The nurse is assessing the nutritional status of an older adult client. Which statement made by the client needs to be explored further? 77. The nurse is assessing an older adult client’s alcohol use. Which client statement warrants a follow-up collection of more data? 78. The RN manager of a skilled nursing facility wants to assign a staff member to assess the nutritional needs of an emaciated client with pressure ulcers. Which of these team members is appropriate? 79. The RN at a skilled nursing facility is supervising a staff of LPN/LVNs and nursing assistants. Which of these nursing actions does the RN delegate to a nursing assistant? 80. The RN is arriving for night duty at an acute care hospital. Which client does the RN assess first? 81. The nurse is teaching a class of unlicensed assistive personnel (UAP) about turning and repositioning clients in a long-term care setting. Which client requires extreme caution and is at greatest risk for a skin tear? 82. The nurse is teaching a class of older adults about ways to promote their cognitive health. Which collaborative interventions will be most helpful for them? (Select all that apply.) 83. The RN has delegated nursing actions to experienced unlicensed assistive personnel (UAP) working in a long-term care facility. Which actions require direct supervision by the RN? (Select all that apply.) 84.A nurse is planning a teaching session for parents of preschool children. Which statement explains why the nurse should include information about morbidity and mortality? 84. A clinic nurse is planning a teaching session about childhood obesity prevention for parents of school-age children. The nurse should include which associated risk of obesity in the teaching plan? 85. Which is the leading cause of death in infants younger than 1 year? 86. Which leading cause of death topic should the nurse emphasize to a group of African-American boys ranging in age from 15 to 19 years? 87. Which is the major cause of death for children older than 1 year? 88. Which is the leading cause of death from unintentional injuries for females ranging in age from 1 to 14? 89. Which factor most impacts the type of injury a child is susceptible to, according to the child’s age? 90. Which is now referred to as the “new morbidity”? 91. A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the care the nurse is delivering? 92. The nurse is preparing an in-service education to staff about atraumatic care for pediatric patients. Which intervention should the nurse include? 93. Which is most suggestive that a nurse has a nontherapeutic relationship with a patient and family? 94. Which is most descriptive of clinical reasoning? 95. A nurse makes the decision to apply a topical anesthetic to a child’s skin before drawing blood. Which ethical principle is the nurse demonstrating? 96. Which action by the nurse demonstrates use of evidence-based practice (EBP)? 97. A nurse is admitting a toddler to the hospital. The toddler is with both parents and is currently sitting comfortably on a parent’s lap. The parents state they will need to leave for a brief period. Which type of nursing diagnosis should the nurse formulate for this child? 98. A child has a postoperative appendectomy incision covered by a dressing. The nurse has just completed a prescribed dressing change for this child. Which description is an accurate documentation of this procedure? 99. A nurse is planning a class on accident prevention for parents of toddlers. Which safety topic is the priority for this class? 100. A nurse is collecting subjective and objective information about target populations to diagnose problems based on community needs. This describes which step in the community nursing process? [Show More]

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