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NCLEX-PN National Council Licensure Examination(NCLEX-PN) Question and Answers

Question # 4

Health promotion activities are designed to help clients:

A.

reduce the risk of illness.

B.

maintain maximal function.

C.

promote healthy habits related to health care.

D.

all of the above.

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Question # 5

The focus of a nurse case manager is:

A.

nursing care needs at discharge.

B.

the comprehensive care needs of the client for continuity of care.

C.

client education needs upon discharge.

D.

financial resources for needed care.

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Question # 6

A client is diagnosed with HIV. Which of the following are antiviral drug classes used in the treatment of HIV/AIDS?

A.

nucleoside reverse transcriptase inhibitors

B.

protease inhibitors

C.

HIV fusion inhibitors

D.

all of the above.

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Question # 7

The nurse should teach parents of small children that the most common type of first-degree burn is:

A.

scalding from hot bath water or spills.

B.

contact with hot surfaces such as stoves and fireplaces.

C.

contact with flammable liquids or gases resulting in flash burns.

D.

sunburn from lack of protection and overexposure.

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Question # 8

A client is told that his test is positive, but in fact, the client does not have the disease tested for. Which type of false report is this an example of?

A.

positive

B.

false positive

C.

negative

D.

false negative

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Question # 9

An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?

A.

knowledge that elder abuse is rare

B.

personal belief that abuse is deserved

C.

lack of developmentally appropriate screening tools

D.

fear of reprisal or further violence if the incident is reported

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Question # 10

Legal protection of confidentiality:

A.

extends only to written documentation.

B.

extends to the electronic dissemination of information not identifiable to a specific client.

C.

is important only within the court system.

D.

extends to both written and verbal information.

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Question # 11

The vast majority of deaths resulting from unintentional poisoning occur in:

A.

infants.

B.

toddlers.

C.

teens.

D.

adults.

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Question # 12

In performing a psychosocial assessment, the nurse begins by asking questions that encourage the client to describe problematic behaviors and situations. The next step is to elicit the client’s:

A.

feelings about what has been described.

B.

thoughts about what has been described.

C.

possible solutions to the problem.

D.

intent in sharing the description.

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Question # 13

Common problems for supervisors include all of the following except:

A.

the supervisor facilitates development of staff members.

B.

the supervisor micromanages staff members.

C.

the supervisor wants to control the style in which a staff member correctly performs a task.

D.

the supervisor does not delegate.

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Question # 14

A syringe pump is a type of electronic infusion pump used to infuse fluids or medications directly from a syringe. This device is commonly used for:

A.

solutions administered in obstetrics.

B.

dilute antibiotics.

C.

large volumes of IV solution.

D.

the neonatal and pediatric populations.

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Question # 15

After breast reconstruction secondary to breast cancer, the nurse should recognize which of the following expected client outcomes as evidence of a favorable response to nursing interventions related to disturbed body image?

A.

maintaining adequate tissue perfusion

B.

demonstrating behaviors that reduce fears

C.

restored body integrity

D.

remaining free of infection

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Question # 16

An 8-year-old Asian child is being examined during a school screening. The nurse notices small bruises on the anterior and posterior ribs. The nurse should ask the child:

A.

if the family practices coining.

B.

who hit him.

C.

if the child has fallen.

D.

how long the abuse has been occurring.

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Question # 17

A contraindication for topical corticosteroid use in a client with atopic dermatitis (eczema) is:

A.

parasite infection.

B.

viral infection.

C.

fungal infection.

D.

spirochete infection.

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Question # 18

The nurse who was not promoted then went to the utility room and slammed several cupboard doors while looking for Kleenex. This behavior exemplifies:

A.

displacement.

B.

sublimation.

C.

conversion.

D.

reaction formation.

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Question # 19

When a client who is having trouble conceiving says to the nurse, “I have started taking ginseng,” the best response by the nurse is:

A.

“No studies show that ginseng is effective for infertility.”

B.

“Some studies show that ginseng enhances in vitro sperm motility.”

C.

“Why don’t you try acupuncture instead. Many studies have shown it to be effective for infertility.”

D.

“It’s probably not going to hurt you, but it’s also probably not going to help. Let’s look at some other alternatives.”

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Question # 20

In managing nausea related to Morphine epidural analgesia, the nurse should administer:

A.

Indocin

B.

Codeine

C.

Motrin

D.

Compazine

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Question # 21

Which of the following tests is commonly performed on newborns with jaundice?

A.

blood urea nitrogen

B.

magnesium

C.

bilirubin

D.

prolactin

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Question # 22

Which of the following conditions has a severe complication of respiratory failure?

A.

Bell’s palsy

B.

Guillain-Barré syndrome

C.

trigeminal neuralgia

D.

tetanus

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Question # 23

In evaluating the lab work of a client in a hepatic coma, which of the following lab tests is most important?

A.

blood urea nitrogen

B.

serum calcium

C.

serum ammonia

D.

serum creatinine

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Question # 24

Which of the following medications might cause upper-gastrointestinal (UGI) bleeding?

A.

Cardizem (diltiazem)

B.

Naprosyn (naproxen)

C.

Elavil (amitryptiline)

D.

Corgard (nadolol)

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Question # 25

The nurse should teach a client in the Emergency Department, who has suffered an ankle sprain, to:

A.

use cold applications to the sprain during the first 24–48 hours.

B.

expect disability to decrease within the first 24 hours of injury.

C.

expect pain to decrease within 3 hours after injury.

D.

begin progressive passive and active range of motion exercises immediately.

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Question # 26

When suctioning a client, what is the usual amount of time the nurse should spend for each suction pass?

A.

2 seconds

B.

10 seconds

C.

20 seconds

D.

30 seconds

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Question # 27

A client with jaundice has which skin color?

A.

pale

B.

ruddy

C.

yellow

D.

pink

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Question # 28

When teaching parents how their children learn sex role identification, the nurse should include which of the following statements?

A.

Sex role identification begins in infancy.

B.

Sex role identification begins in the preschool years.

C.

Sex role identification begins during the school-age years.

D.

Sex role identification begins during early adolescence.

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Question # 29

A client with a nasogastric (NG) tube begins vomiting. What action should the nurse take?

A.

Retape the NG tube.

B.

Clamp the NG tube.

C.

Remove the NG tube.

D.

Check the NG tube placement.

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Question # 30

A client is having problems with her ankles. To assess her ankles’ ROM, which ROM exercises should the nurse have her perform?

A.

flexion, extension, hyperextension

B.

flexion, extension, abduction, adduction

C.

external rotation, internal rotation

D.

extension, flexion, inversion, eversion

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Question # 31

A client has a nasogastric (NG) tube in place following abdominal surgery. The purpose of this tube immediately following surgery is to:

A.

simplify medication administration.

B.

measure accurate input and output.

C.

prevent accumulation of fluids and gas.

D.

facilitate collection of specimens.

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Question # 32

A man reports his wife is constantly cleaning. The activity has interfered with the family life. Friends have stopped visiting because she makes them uncomfortable. He states he has awakened in the middle of the night and found her cleaning. The nurse should consult with the couple and recommend the husband help with therapy by:

A.

telling his wife to stop cleaning whenever he notices her actions.

B.

making a baseline record of the time the wife spends cleaning.

C.

decreasing the stimuli in the home.

D.

helping his wife with the cleaning.

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Question # 33

A client turns her ankle. She is diagnosed as having a Pulled Ligament. This should be documented as a:

A.

sprain.

B.

strain.

C.

subluxation.

D.

distoration.

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Question # 34

Which condition is associated with inadequate intake of vitamin C?

A.

rickets

B.

marasmus

C.

kwashiorkor

D.

scurvy

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Question # 35

Which of the following instructions should the nurse give a client who will be undergoing mammography?

A.

Be sure to use underarm deodorant.

B.

Do not use underarm deodorant.

C.

Do not eat or drink after midnight.

D.

Have a friend drive you home.

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Question # 36

Which of the following nursing actions is most effective when evaluating a kinetic family drawing?

A.

telling the child to draw their family doing something

B.

offering specific suggestions of what to include in the drawing

C.

discouraging the child from talking about the drawing

D.

noting the omission of any family members

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Question # 37

Why must the nurse be careful not to cut through or disrupt any tears, holes, bloodstains, or dirt present on the clothing of a client who has experienced trauma?

A.

The clothing is the property of another and must be treated with care.

B.

Such care facilitates repair and salvage of the clothing.

C.

The clothing of a trauma victim is potential evidence with legal implications.

D.

Such care decreases trauma to the family members receiving the clothing.

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Question # 38

A client with Kawasaki disease has bilateral congestion of the conjunctivae, dry cracked lips, a strawberry tongue, and edema of the hands and feet followed by desquamation of fingers and toes. Which of the following nursing measures is most appropriate to meet the expected outcome of positive body image?

A.

administering immune globulin intravenously

B.

assessing the extremities for edema, redness and desquamation every 8 hours

C.

explaining progression of the disease to the client and his or her family

D.

assessing heart sounds and rhythm

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Question # 39

Which of the following values should the nurse monitor closely while a client is on total parenteral nutrition?

A.

calcium

B.

magnesium

C.

glucose

D.

cholesterol

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Question # 40

Which of the following statements, if made by the parents of a newborn, does not indicate a need for further teaching about cord care?

A.

“I should put alcohol on my baby’s cord 3–4 times a day.”

B.

“I should put the baby’s diaper on so that it covers the cord.”

C.

“I should call the physician if the cord becomes dark.”

D.

“I should wash my hands before and after I take care of the cord.”

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Question # 41

How often should the nurse change the intravenous tubing on total parenteral nutrition solutions?

A.

every 24 hours

B.

every 36 hours

C.

every 48 hours

D.

every 72 hours

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Question # 42

Why might breast implants interfere with mammography?

A.

They might cause additional discomfort.

B.

They are contraindications to mammography.

C.

They are likely to be dislodged.

D.

They might prevent detection of masses.

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Question # 43

Which of the following foods is a complete protein?

A.

corn

B.

eggs

C.

peanuts

Dsunflower seeds

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Question # 44

Assessment of a client with a cast should include:

A.

capillary refill, warm toes, no discomfort.

B.

posterior tibial pulses, warm toes.

C.

moist skin essential, pain threshold.

D.

discomfort of the metacarpals.

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Question # 45

Which of the following organs of the digestive system has a primary function of absorption?

A.

stomach

B.

pancreas

C.

small intestine

D.

gallbladder

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Question # 46

A client expresses anxiety about having magnetic resonance imaging performed. Which of the following is an appropriate response by the nurse?

A.

“You can receive a sedative to help you relax during the test.”

B.

“There is absolutely nothing to worry about.”

C.

“There is no discomfort with this test, so don’t be anxious.”

D.

“The test won’t last long, so you can handle it.”

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Question # 47

The NSAID that is comparable to morphine in efficacy is:

A.

Feldene.

B.

Stodal.

C.

Toradol.

D.

Elavil.

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Question # 48

Herbal therapy has several indications for use. Primarily, herbal therapy is:

A.

used to treat many common complaints and diseases.

B.

used to promote certain types of low-carb diets.

C.

used as an adjunct to medications.

D.

used to create a diet without salt and carbohydrates.

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Question # 49

Which of the following medications should be held 24–48 hours prior to an electroencephalogram (EEG)?

A.

Lasix (furosemide)

B.

Cardizem (diltiazem)

C.

Lanoxin (digoxin)

D.

Dilantin (phenytoin)

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Question # 50

A female prostitute enters a clinic for treatment of a sexually transmitted disease. This disease is the most prevalent STD in the United States. The nurse can anticipate that the woman has which of the following?

A.

herpes

B.

chlamydia

C.

gonorrhea

D.

syphilis

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Question # 51

Which of the following home-care strategies is most likely to negatively impact the body image of a client with Cushing’s syndrome?

A.

providing safety measures to prevent falls

B.

taking medications as prescribed

C.

wearing a medical ID indicating Cushing’s syndrome

D.

having regular health assessments

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Question # 52

The nurse should make which of the following responses when questioned by a client about the role of leptin in the body?

A.

It increases food intake in clients, thereby promoting obesity.

B.

It assists in the regulation of steroids.

C.

It increases the total fat mass of people who are obese.

D.

It might decrease the total fat mass in the bodies of people who are obese.

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Question # 53

Which of the following actions should a nurse take first for a client who has just vomited 300 cc of bright red blood?

A.

Document the vomiting.

B.

Increase the IV fluids.

C.

Get a complete blood count.

D.

Check the blood pressure.

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Question # 54

Which is an appropriate outcome for the nursing diagnosis of Body Image Disturbance for a client with anorexia nervosa?

A.

The client verbalizes knowledge of a maintenance diet.

B.

The client demonstrates assertiveness with family.

C.

The client verbalizes her body size accurately.

D.

The client demonstrates control of obsessive behaviors.

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Question # 55

All of the following are clinical manifestations indicating male climacteric except:

A.

hot flashes.

B.

loss of reproductive ability.

C.

headaches.

D.

heart palpitations.

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Question # 56

Which type of exercises might be prescribed to strengthen the pelvic floor muscles of a client with urinary incontinence?

A.

Kegel

B.

resistance

C.

passive

D.

stretching

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Question # 57

Which of the following diseases places a client at risk for developing cirrhosis?

A.

type I diabetes

B.

alcoholism

C.

leukemia

D.

glaucoma

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Question # 58

When a middle-age woman says to the nurse, “I’m really worried about menopause. When my mom went through it, she got really depressed.” The nurse’s best response is:

A.

“It is a myth that women get depressed because of menopause.”

B.

“Menopause is a normal developmental process.”

C.

“It sounds like you are worried that you might become depressed during menopause.”

D.

“When women experience depression during menopause it is usually because of social stresses.”

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Question # 59

In a disaster, triage situation, the nurse should be least concerned with which of the following regarding a client in crisis?

A.

ability to breathe

B.

pallor or cyanosis of the skin

C.

number of accompanying family members

D.

motor function

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Question # 60

Which cultural group has the highest incidence of inflammatory bowel disease (IBD)?

A.

Asians

B.

Caucasians

C.

Hispanics

D.

African Americans

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Question # 61

The presence of which hormone in the urine is specifically indicative of pregnancy?

A.

estrogen

B.

progesterone

C.

testosterone

D.

human chorionic gonadotropin

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Question # 62

While undergoing fetal heart monitoring, a pregnant Native-American woman requests that a medicine woman be present in the examination room. Which of the following is an appropriate response by the nurse?

A.

“I will assist you in arranging to have a medicine woman present.”

B.

“We do not allow medicine women in exam rooms.”

C.

“That does not make any difference in the outcome.”

D.

“It is old-fashioned to believe in that.”

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Question # 63

When obtaining a health history on a menopausal woman, which information should a nurse recognize as a contraindication for hormone replacement therapy?

A.

family history of stroke

B.

ovaries removed before age 45

C.

frequent hot flashes and/or night sweats

D.

unexplained vaginal bleeding

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Question # 64

What interpersonal relief behavior is Ashley using?

A.

acting out

B.

somatizing

C.

withdrawal

D.

problem-solving

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Question # 65

Which of the following indicates a hazard for a client on oxygen therapy?

A.

A No Smoking sign is on the door.

B.

The client is wearing a synthetic gown.

C.

Electrical equipment is grounded.

D.

Matches are removed.

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Question # 66

A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted to Vicodin. The nurse should base her reply on the knowledge that:

A.

the client’s body has developed tolerance, requiring more drug to produce the same effect.

B.

the client is preoccupied with getting the drug and is experiencing loss of control, indicating drug dependence.

C.

addiction is the term used to describe physical dependence with withdrawal symptoms and tolerance.

D.

the client has a dual diagnosis of substance abuse and chronic back pain.

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Question # 67

What is the primary theory that explains a family’s concept of health and illness?

A.

Health Belief Model

B.

Education-School-Completing Factor

C.

Family Health Expert Factor

D.

Disconnected Family Factor

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Question # 68

Support-system enhancement includes all of the following except:

A.

determining the barriers to using support systems.

B.

discussing ways to help with others who are concerned.

C.

exploring life problems of the support-team members.

D.

involving spouse, family, and friends in the care and planning.

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Question # 69

A client with massive chest and head injuries is admitted to the ICU from the Emergency Department. All of the following are true except:

A.

B.the physician in charge of the case is the only person allowed to decide whether organ donation can occur.

B.

C.the client’s legally responsible party may make the decision for organ donation for the donor if the client is unable to do so.

C.

D.the organ procurement organization makes the decision regarding which organs to harvest.

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Question # 70

The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?

A.

“How did you get those bruises?”

B.

“Did someone grab you by your arms?”

C.

“Do you fall often?”

D.

“What did you bump against?”

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Question # 71

According to the ANA Code of Ethics for Nurses, professional nurses have an ethical obligation to:

A.

clients (patients).

B.

the profession of nursing.

C.

provide high-quality care.

D.

all of the above.

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Question # 72

High uric acid levels can develop in clients who are receiving chemotherapy. This can be caused by:

A.

the inability of the kidneys to excrete the drug metabolites.

B.

rapid cell catabolism.

C.

toxic effects of the prophylactic antibiotics that are given concurrently.

D.

the altered blood pH from the acid medium of the drugs.

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Question # 73

How many feet should separate the nurse and the source when extinguishing a small, wastebasket fire with an appropriate extinguisher?

A.

1 foot

B.

2 feet

C.

4 feet

D.

6 feet

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Question # 74

A nurse is teaching a client about self-administration of Haldol 15 mg po hs. For which side effect/s must the client seek medical attention?

A.

SOB and fatigue

B.

restlessness and muscle spasms

C.

dry mouth

D.

diarrhea

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Question # 75

Ten-year-old Jackie is admitted to the hospital with a medical diagnosis of Rheumatic Fever. She relates a history of “a sore throat about a month ago.” Bed rest with bathroom privileges is prescribed. Which of the following nursing assessments should be given the highest priority when assessing Jackie’s condition?

A.

her response to being hospitalized

B.

the presence of a macular rash on her trunk

C.

her cardiac status

D.

the presence of polyarthritis and pain in her joints

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Question # 76

A patient has been ordered to get Klonapin for the first time. Which of the following side effects is not associated with Klonapin?

A.

Drowsiness

B.

Ataxia

C.

Salivation elevated

D.

Diplopia

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Question # 77

A nurse assesses a 83 year-old female’s venous ulcer for the second time that is located near the right medial malleolus. The wound is exhibiting purulent drainage and the patient has limited mobility in her home. Which of the options is the best course of action?

A.

Encourage warm water soaks to the right foot.

B.

Notify the case manager of the purulent drainage.

C.

Determine the patient’s pulse in the right ankle.

D.

Recommend increased activity to reduce the purulent drainage.

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Question # 78

A nurse is performing a screening on a patient that has been casted recently on the left lower extremity. Which of the following statements should the nurse be most concerned about?

A.

The patient reports, “I didn’t keep my extremity elevated like the doctor asked me to.”

B.

The patient reports, “I have been having pain in my left calf.”

C.

The patient reports, “My left leg has really been itching.”

D.

The patient reports, “The arthritis in my wrists is flaring up, when I put weight on my crutches.”

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Question # 79

A 14 year-old boy has been admitted to a mental health unit for observation and treatment. The boy becomes agitated and starts yelling at nursing staff members. What should the nurse first response be?

A.

Create an atmosphere of seclusion for the boy according to procedures.

B.

Remove other patients from the area via wheelchairs for added speed.

C.

Ask the patient, “What is making you mad?”

D.

Ask the patient, “Why are you doing this, have you thought about what yourparents might say?”

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Question # 80

A patient has recently been prescribed Lidocaine Hydrochloride. Which of the following symptoms may occur with over dosage?

A.

Memory loss and lack of appetite

B.

Confusion and fatigue

C.

Heightened reflexes

D.

Tinnitus and spasticity

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Question # 81

A nurse is caring for a retired MD. The MD asks the question, “What type of cells secrete insulin?” The correct answer is:

A.

alpha cells

B.

beta cells

C.

CD4 cells

D.

helper cells

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Question # 82

A woman seeks assistance because she recently remembered childhood sexual abuse. The nurse should include which of the following goals for this client?

A.

prosecuting the perpetrator

B.

managing symptoms of anxiety and fear

C.

determining if the memories are real

D.

collaborating the client’s story

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Question # 83

Which of the following arterial blood gas values indicates a patient may be experiencing a condition of metabolic acidosis?

A.

PaO2 (90%)

B.

Bicarbonate 159

C.

CO(2) 47 mm Hg

D.

pH 7.34

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Question # 84

A 62 year-old female is being seen on a home visit by a nurse. The patient reports she has been taking Premarin for years. Which of the following would indicate an over-dosage?

A.

Lower extremity edema

B.

Sensory changes in the upper extremities

C.

Increased occurrence of fractures

D.

Decreased peripheral blood flow

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Question # 85

The client on Floxin must be alerted to which of the following adverse effects?

A.

stunting of height in teens and young adults

B.

propensity of anovulatory uterine bleeding

C.

intractable diarrhea

D.

tendon rupture

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Question # 86

A nurse is assessing a patient’s breath sounds. The patient has had a pneumonectomy to the right lung performed 48 hours ago. Which of the following conditions most likely exists?

A.

Decreased breath sound volume

B.

Elevated tidal volume

C.

Elevated respiratory capacity

D.

Wheezing

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Question # 87

A 22 year-old patient in a mental health lock-down unit under suicide watch appears happy about being discharged. Which of the following is probably happening?

A.

The patient is excited about being around family again.

B.

The patient’s suicide plan has probably progressed.

C.

The patient’s plans for the future have been clarified.

D.

The patient’s mood is improving.

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Question # 88

The acts enacted by states to provide immunity from liability to persons who provide emergency care at an accident scene are called:

A.

Good Samaritan laws.

B.

HIPAA.

C.

Patient Self-Determination Act (PSDA).

D.

OBRA.

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Question # 89

A patient asks a nurse the following question. Exposure to TB can be identified best with which of the following procedures? Which of the following tests is the most definitive of TB?

A.

Chest x-ray

B.

Mantoux test

C.

Breath sounds examination

D.

Sputum culture for gram-negative bacteria

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Question # 90

Which of the following medications is not considered a neuromuscular blocker?

A.

Anectine

B.

Pavulon

C.

Pitressin

D.

Mivacron

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Question # 91

During a routine health screening, the nurse should talk to the parents of a 1-year-old child about which of the following?

A.

the potential hazards of accidents

B.

appropriate nutrition now that the child has been weaned from breast-feeding

C.

toilet training

D.

how to purchase appropriate shoes now that the child is walking

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Question # 92

Which of the following clients require airborne precautions?

A.

a client with fever, chills, vomiting, and diarrhea

B.

a client suspected of varicella (chickenpox)

C.

a client with abdominal pain and purpura

D.

a client diagnosed with AIDS

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Question # 93

A nurse discharge planner is preparing a client for discharge from an acute care setting. The nurse assesses that skilled home care services are clinically indicated. This assessment is based on all of the following indicators except:

A.

the client has been admitted to the hospital three times in the last 2 months.

B.

the client has a Foley catheter.

C.

the client’s family is available to care for him 24 hours a day.

D.

the client is ordered to continue IV antibiotics 5 days post discharge.

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Question # 94

When caring for a Native-American family, the nurse needs to consider which of the following?

A.

The family consists solely of the parents and children.

B.

Native Americans tend to be future oriented.

C.

Some Native Americans use herbs and psychologic treatment of illnesses.

D.

Health care is usually prescribed by a medicine man (shaman).

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Question # 95

The nurse and a colleague are on the elevator after their shift, and they hear a group of health caregivers discussing a recent client scenario. Which client right might be breached?

A.

right to refuse treatment

B.

right to continuity of care

C.

right to confidentiality

D.

right to reasonable responses to requests

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Question # 96

Who should receive the hepatitis A vaccine?

A.

children who are 18 months of age

B.

infants, who should receive the vaccination at birth

C.

people who travel to other countries

D.

individuals who might come into contact with blood

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Question # 97

The nurse is preparing to administer IV Vancomycin to a client. Which of the following nursing actions

should be taken first?

A.

performing a physical assessment prior to administration

B.

obtaining the most recent lab values regarding renal function

C.

reviewing peaks and troughs for the past few days

D.

ensuring the client is not allergic to the medication

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Question # 98

As a type of quality indicator, an example of a structure standard is:

A.

a written philosophy.

B.

a procedure for a straight catheterization.

C.

a protocol for treatment of a client with chest pain.

D.

the diagnostic work-up for a client with abdominal pain.

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Question # 99

Which of the following needs immediate medical attention and emergency intervention? The client who:

A.

complains of sharp pain upon taking a deep breath and excessive coughing.

B.

exhibits yellow, productive sputum, lowgrade fever, and crackles.

C.

has a shift of the trachea to the left, with no breath sounds on the right.

D.

has asthma and complains of an inability to catch her breath after exercise.

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Question # 100

Which of the following clients should refrain from therapy with the thiazide diuretic hydrochlorothiazide (HCTZ)?

A.

a client with renal impairment

B.

a client with hypertension

C.

a client with diabetes mellitus, type II

D.

a client with renal calculi (kidney stones)

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Question # 101

The gag reflex test assesses which cranial nerves?

A.

IX and X

B.

V and VII

C.

IX and XII

D.

V and X

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Question # 102

While walking in the hallway of an acute care unit of the hospital, the nurse overhears the change of shift report. The nurse should:

A.

make the charge nurse on the unit aware of the situation so that he or she can take the necessary steps to maintain the confidentiality of the information being reported.

B.

disregard the information because it changes quickly on the acute care unit and is outdated within 2–3 hours anyway.

C.

return to his or her own unit and not disclose that confidential information has been overheard.

D.

ignore the situation.

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Question # 103

All of the following tasks could be delegated to a nursing assistant or unlicensed assistive personnel (UAP) except:

A.

monitoring intravenous infusion.

B.

assisting a client to the bathroom.

C.

offering fluid intake every 1–2 hours.

D.

monitoring/recording the amount of fluid taken.

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Question # 104

The three major sequential maturational crises for females include:

A.

puberty, pregnancy, and menopause.

B.

death of a spouse, menopause, and childbirth.

C.

rape, divorce, and menarche.

D.

dating, engagement, and separation.

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Question # 105

The tendency of a drug to combine with its receptor is called:

A.

potency.

B.

efficacy.

C.

kinetics.

D.

affinity.

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Question # 106

The nurse can best communicate to a client that he or she has been listening by:

A.

restating the main feeling or thought the client has expressed.

B.

making a judgment about the client’s problem.

C.

offering a leading question such as, “And then what happened?”

D.

saying, “I understand what you’re saying.”

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Question # 107

A client’s central venous access device (CVAD) becomes infected. Why might the physician order antibiotics to be given through the line rather than through a peripheral IV line?

A.

to prevent infiltration of the peripheral line

B.

to reduce the pain and discomfort associated with antibiotic administration in a small vein

C.

to lessen the chance of an allergic reaction to the antibiotic

D.

to attempt to eliminate microorganisms in the catheter and prevent having to remove it

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Question # 108

Local anesthetics block the conduction of pain impulses to the spinal cord. Their duration of action:

A.

is always longer than general anesthesia.

B.

is determined by the rate of diffusion and absorption at the site of administration.

C.

is usually short (10 minutes).

D.

varies, depending on the client’s weight.

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