NCSBN NCLEX QUESTIONS 2
A LPN complains to the charge nurse that an unlicensed assistive person (UAP) consistently leaves the work area untidy and does not restock supplies. What is the best initial response by the charge nurse?
1Write down potential solutions to the problems today by shift's e...
A LPN complains to the charge nurse that an unlicensed assistive person (UAP)
consistently leaves the work area untidy and does not restock supplies. What is the best
initial response by the charge nurse?
1Write down potential solutions to the problems today by shift's end
2Add this concern to the agenda of the next unit meeting
3Assure the staff nurse that the complaint will be investigated
4Explore for further identification about the nature of the problem - ANSW 4 Explore for
further identification about the nature of the problem
The nurse assists with the reinforcement of information about breast self-examination to
a group of college students. A female student asks when to perform the monthly exam.
The appropriate reply by the nurse should include which statement?
1"Ovulation, or midcycle is the best time to detect changes."
2"Do the exam at the same time every month."
3"Right after the period, when your breasts are less tender."
4"The first of every month, because it will be easiest to remember." - ANSW 3
The nurse is caring for a 75 year-old client with type 2 diabetes mellitus. The client
should be instructed to contact the outpatient clinic immediately if which findings are
present?
1An open wound on the heel with minimal discomfort
2Occasional hiccups and sneezing
3Sustained insomnia and daytime fatigue
4Persistent dryness and itching of the perineal area - ANSW 1An open wound on the
heel with minimal discomfort-
A pregnant woman has been advised to alter her diet during pregnancy by increasing
the intake of protein and vitamin C to meet the needs of the growing fetus. Which diet
choice would best meet the woman's needs?
1. 1 cup of macaroni, three-fourths cup of peas, glass whole milk, medium pear
2. Scrambled egg, hash browned potatoes, one-half glass of buttermilk, large nectarine
3. 3 oz. chicken, one-half cup of corn, lettuce salad, small banana
4. Beef, one-half cup of lima beans, glass of skim milk, three-fourths cup of strawberries
- ANSW 4. Beef, one-half cup of lima beans, glass of skim milk, three-fourths cup of
strawberries -
A nurse is taking a health history from parents of a child admitted with possible Reye's
syndrome. Which recent illness should the nurse recognize as being associated with an
increased the risk for the development of Reye's syndrome?
1. Varicella
2. Meningitis
,3. Hepatitis
4. Rubeola - ANSW 1. Varicella -
A Native American chief visits his newborn son and performs a traditional ceremony that
involves feathers and chanting. The nurse comments to a colleague: "I wonder if he has
any idea how ridiculous he looks - he's a grown man!" The nurse's comment is an
example of what type of attitude?
1. Prejudice
2. Ethnocentrism
3. Discrimination
4. Stereotyping - ANSW 1. Prejudice-
A nursing student asks the licensed practical nurse (LPN) to explain the forces that
drive health care reform. When responding to the student's question, what information
should the nurse emphasize?
1. Increased competition between health care insurers
2. Increase in health care spending that's growing faster than the economy
3. Increase in the population who have health insurance
4. Increase in spending for end-of-life treatment - ANSW 2
A child is admitted to the unit with the suspected diagnosis of pertussis (whooping
cough). What is the priority nursing intervention for this child?
1. Maintain hydration and encourage fluids
2. Implement droplet precautions
3. Monitor respiratory rate and oxygen saturation
4. Anti- infective therapy - ANSW 2
A client has an indwelling catheter with continuous bladder irrigation after undergoing a
transurethral resection of the prostate (TURP) 12 hours ago. Which finding at this time
should be reported to the registered nurse (RN) charge nurse?
1Complaints for the feeling of pulling on the urinary catheter
2Light, pink to clear urine
3Occasional suprapubic cramping
4Minimal drainage into the urinary collection bag - ANSW 4Minimal drainage into the
urinary collection bag
A nurse is caring for a woman two hours after a vaginal delivery. Documentation
indicates that the membranes ruptured 36 hours prior to delivery. Which of these
nursing diagnoses should the nurse expect the charge nurse to list as a priority at this
time?
1Risk for fluid volume deficit
2Risk for excessive bleeding
3Risk for infection -
4Altered tissue perfusion - ANSW 3
,A 14 month-old child ingests a half a bottle of baby aspirin (81 mg) tablets. Which
finding should a nurse expect to see in the child?
1Hypothermia
2Nausea and vomiting
3Hypoventilation
4Bradycardia - ANSW 2
A school nurse monitors a child with a history of tonic-clonic seizures. The school nurse
should inform teachers that if the child falls to the floor and experiences a seizure while
in the classroom, which of the following would be the most important action to take
during the seizure?
1Place the hands or a folded blanket under the head of the child
2Provide privacy as much as possible to minimize frightening the other children
3Move any chairs or desks at least three feet away from the child
4Note the sequence of movements with the time lapse of the event - ANSW 1Place the
hands or a folded blanket under the head of the child -
A client is admitted with diagnosis of a right upper lobe infiltrate and to rule out active
tuberculosis (TB). Which type of precautions will be needed for this client?
1Droplet
2Contact
3Standard
4Airborne - ANSW 4
A client has had a positive reaction to purified protein derivative (PPD). Which
statement made by the client suggests the client understands the teaching by the
registered nurse (RN)?
1"I have active tuberculosis."
2"I have been exposed to mycobacterium tuberculosis."
3"I have never been infected with mycobacterium tuberculosis."
4"I have never had tuberculosis." - ANSW 2
A nurse is caring for a client with pneumococcal pneumonia. Which breath sounds
would the nurse expect to disappear as the client responds to the antibiotic treatment?
1Wheezes
2Friction rubs
3Rhonchi
4Diminished sounds - ANSW 3
A young adult seeks treatment in an outpatient mental health center. The client tells a
nurse, "I am a government official and spies are following me." Upon further
questioning, the client reveals that warnings must be heeded to prevent nuclear war.
What is the initial therapeutic approach that the nurse should use?
1Listen quietly without comment
2Ask for further information on the spies
3Confront the client about the delusions
, 4Contact security for potential safety concerns - ANSW 1Listen quietly without
comment -
Lactulose has been prescribed for a client with advanced liver disease. Which finding
should the nurse use to evaluate the effectiveness of this treatment?
1Less jaundice
2Increased appetite
3Decreased lethargy
4Less edema - ANSW 3
The LPN is unsure about an assignment by the charge nurse to hang an intravenous
(IV) infusion that contains potassium. What resource should the LPN check first to
determine if LPNs can administer IV medications?
1Employer policy and procedures manuals
2Nursing faculty from a local nursing program
3The nurse practice act of the state in which the practice takes place
4American Nurses Association (ANA) professional standards - ANSW 3
The nurse is assisting with the delivery of a newborn infant. What is the priority nursing
intervention for a normal newborn immediately after delivery?
1Dry off infant with a warm blanket or towel
2Apply identification bracelets
3Assign the one-minute APGAR score
4Obtain vital signs - ANSW 1Dry off infant with a warm blanket or towel -
The registered nurse is teaching a childbirth education class about postpartum
depression. Which statement, made by a class member, indicates that more teaching is
needed?
1"I will make an effort to talk with someone about my feelings if I start to feel
overwhelmed."
2"It's common for women with postpartum depression to have delusions about the
infant."
3"Women with postpartum depression have feelings of guilt and worthlessness."
4"I may experience postpartum depression up to a year after delivery." - ANSW 2
The nurse is reinforcing information about the side effects of fluoxetine to a client.
Which group of findings should be included?
1Diarrhea, dry mouth, weight loss, reduced libido
2Tachycardia, blurred vision, hypotension, anorexia
3Orthostatic hypotension, vertigo, reactions to tyramine, nausea
4Photosensitivity, seizures, edema, hyperglycemia - ANSW 1Diarrhea, dry mouth,
weight loss, reduced libido
A client has a diagnosis of heart failure. Which intervention is most important for the
nurse to implement prior to the administration of digoxin?
1Use the pulse reading from the electronic blood pressure device
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