National Council Licensure Examination(NCLEX-PN)
Last Update May 17, 2024
Total Questions : 725
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Which of the following nursing diagnoses might be appropriate as Parkinson’s disease progresses and complications develop?
Which of the following is the primary force in sex education in a child’s life?
Assessment of the client with an arteriovenous fistula for hemodialysis should include:
Nurses caring for clients who have cancer and are taking opioids need to assess for all of the following except:
Which of the following foods might a client with a hypercholesterolemia need to decrease his or her intake of?
Which of the following lab values is associated with a decreased risk of cardiovascular disease?
Broccoli, oranges, dark greens, and dark yellow vegetables can be eaten to:
The nurse’s first action upon discovery of an electrical fire should be which of the following?
Which of the following observations is most important when assessing a client’s breathing?
A client begins a regimen of chemotherapy. Her platelet counts falls to 98,000. Which action is least likely to increase the risk of hemorrhage?
A client states, “I eat a well-balanced diet. I do not smoke. I exercise regularly, and I have a yearly checkup with my physician. What else can I do to help prevent cancer?” The nurse should respond with which of the following statements?
Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is an advantage of using CVADs for chemotherapeutic agent administration?
The death of a beloved spouse places the surviving partner in which type of crisis?
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?
The family carries out its health care functions in which of the following ways?
The greatest time savers when planning client care include all of the following except:
A 57-year-old woman is recently widowed. She states, “I will never be able to learn how to manage the finances. My husband did all of that.” Select the nurse’s response that could help raise the client’s self-esteem.
Which of the following solutions is routinely used to flush an IV device before and after the administration of blood to a client?
Fat emulsions are frequently administered as a part of total parenteral nutrition. Which statement is true regarding fat emulsions?
The nurse is working with families who have been displaced by a fire in an apartment complex. What is the priority intervention during the initial assessment?
Which of the following isoenzymes is elevated in a client who has had a myocardial infarction?
Appropriate nursing strategies to assist a client in maintaining a sense of self include:
Jane Love, a 35-year old gravida III para II at 23 weeks gestation, is seen in the Emergency Department with painless, bright red vaginal bleeding. Jane reports that she has been feeling tired and has noticed ankle swelling in the evening. Laboratory tests reveal a hemoglobin level of 11.5 g/dL. After evaluating the situation, the nurse determines that Jane is at risk for placenta previa, based on which of the following data?
When teaching a client about anti-retroviral therapy for human immunodeficiency virus (HIV), the PN should emphasize:
Melissa Smith came to the Emergency Department in the last week before her estimated date of confinement complaining of headaches, blurred vision, and vomiting. Suspecting PIH, the nurse should best respond to Melissa’s complaints with which of the following statements?
Which instruction should be given in a health education class regarding testicular cancer?
When assessing a client with early impairment of oxygen perfusion, such as pulmonary embolus, the nurse should expect to find restlessness and which of the following symptoms?
A client with a diagnosis of Schizophrenia has been released from an acute care setting. The client had a prolonged recovery from relapse. One of the parents says to the discharge nurse, “I do not understand what is going on. The hospital said she was better, but all she does is sit around all day and smoke. We cannot get her to go to the vocational training you arranged.” The nurse recognizes that more teaching is needed about:
When questioning an elder about suspected abuse, the nurse should keep the questions:
Which of the following needs immediate medical attention and emergency intervention? The client who:
Paula is a 32-year-old woman seeking evaluation and treatment of major depressive symptoms. A major nursing priority during the assessment process includes which of the following?
Activities of effective supervisors can be taskrelated or people-related activities. An example of a task-related supervisory activity is:
The physician’s role in case management includes all of the following except:
An adolescent female reports being raped at a party where alcohol was served. The client admits to drinking alcohol before being raped by an acquaintance. The nurse should:
The power a nurse exerts when he or she works to accomplish goals and effect change in an agency or in policy is considered what type of power?
A client with a pleural drainage system to suction has gentle bubbling of the water seal. What should the nurse do?
A serious complication of a total hip replacement is displacement of the prosthesis. What is the primary sign of displacement?
A visitor accidentally knocks over a plastic pleural drainage system connected to a client, and it cracks. What should the nurse do first?
When medications have an additive, synergistic, or antagonistic effect on a tissue, a ________ reaction has occurred.
Several passengers aboard an airliner suddenly become weak and suffer breathing difficulty. The diagnosis is likely to be:
In an emergency situation, the nurse determines whether a client has an airway obstruction. Which of the following does the nurse assess?
Which of the following statements by an adult child of a client with late-stage Alzheimer’s disease indicates a need for further teaching by the nurse?
The nurse is transferring a client from a wheelchair to the bed. Which is the correct procedure?
Which statement best describes electrolytes in intracellular and extracellular fluid?
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?
When assessing a client with amytrophic lateral sclerosis (ALS), the nurse should expect which of the following findings?
Incidences of child abuse apperar to be higher in the African-American community and might be explained by:
Which of the following coping mechanisms protects an individual from anxiety?
A client with sickle cell disease is worried about passing the disease on to children. Which of the following statements by the PN is most appropriate for this client?
One drug can alter the absorption of another drug. One drug increases intestinal motility. Which effect does this have on the second drug?
In hanging a parenteral IV fluid that is to be infused by gravity, rather than with an infusion pump, the nurse notes that the IV tubing is available in different drop factors. Which tubing is a microdrop set?
A nurse is reviewing a patient’s serum glucose levels. Which of the following scenarios would indicate abnormal serum glucose values for a 30 year-old male.
A patient has recently been prescribed Albuterol. Which of the following changes are not associated with Albuterol?
A month after receiving a blood transfusion, an immunocompromised client develops fever, liver abnormalities, a rash, and diarrhea. The nurse should suspect this client has:
A nurse is caring for a patient in the step down unit. The patient has signs of increased intracranial pressure. Which of the following is not a sign of increased intracranial pressure?
A patient has suffered a left CVA and has developed severe hemiparesis resulting in a loss of mobility. The nurse notices on assessment that an area over the patient’s left elbow appears as non-blanchable erythema and the skin is intact. The nurse should score the patient as having which of the following?
Following an automobile accident that caused a head injury to an adult client, the nurse observes that the client sleeps for long periods of time. The nurse determines that the client has experienced injury to the:
Acyclovir (Zovirax) is the agent of choice for which of the following infections?
A patient has experienced a severe third degree burn to the trunk in the last 36 hours. Which phase of burn management is the patient in?
A nurse is covering a pediatric unit and is responsible for a 15 year-old male patient on the floor. The mother of the child states, “I think my son is sexually interested in girls.” The most appropriate course of action of the nurse is to respond by stating:
A 32 year-old male with a complaint of dizziness has an order for Morphine via. IV. The nurse should do which of the following first?
A nurse has been assigned a patient who has recently been diagnosed with Guillain-Barre’ Syndrome. Which of the following statements is the most applicable when discussing the impairments with Guillain-Barre’ Syndrome with the patient?
An infection in a central venous access device is not eliminated by giving antibiotics through the catheter. How might bacterial glycocalyx contribute to this?
A patient is complaining of severe chest pain during a stress test. Which of the following medications is the most appropriate to relieve this discomfort?
A man expresses surprise that his wife has become very withdrawn during hospitalization for pneumonia. Which response helps the husband understand how some people cope with hospitalization?
Ms. Petty is having difficulty falling asleep. Which of the following measures promote sleep?
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 client with massive chest and head injuries is admitted to the ICU from the Emergency Department. All of the following are true except:
Which of the following diseases or conditions is least likely to be associated with increased potential for bleeding?
Erythropoietin used to treat anemia in clients with renal failure should be given in conjunction with:
Which of the following values should the nurse monitor closely while a client is on total parenteral nutrition?
When a client informs the nurse that he is experiencing hypoglycemia, the nurse provides immediate intervention by providing:
Which of the following is an inappropriate item to include in planning care for a severely neutropenic client?
Which of the following organs of the digestive system has a primary function of absorption?
Which of the following nursing actions is most effective when evaluating a kinetic family drawing?
Which of the following diseases places a client at risk for developing cirrhosis?
The nurse is using Cognitive-Behavioral methods of pain control and knows that the these methods can be expected to do all the following except:
When discussing possible complications of pregnancy with a client, the nurse should explain that all of the following are symptoms of urinary tract infection (UTI). Which of the following is least indicative of UTI during pregnancy?
The parents of a 2-year-old child ask the nurse how they can teach their child to quit taking toys away from other children. Which of the following statements by the nurse offers the parents the best explanation of their child’s behavior?
The presence of which hormone in the urine is specifically indicative of pregnancy?
Which of the following foods can cause diarrhea when eaten by a client with an ileostomy?
Which of the following statements by a client indicates adequate preparation for magnetic resonance imaging?
A client who recently lost 50 pounds just received news that she is pregnant. A possible nursing diagnosis is:
A client with urinary tract calculi needs to avoid which of the following foods?
The chemotherapeutic agent 5-fluorourcacil (5-FU) is ordered for a client as an adjunct measure to surgery. Which statement about chemotherapy is true?
In a disaster, triage situation, the nurse should be least concerned with which of the following regarding a client in crisis?
A physician orders a serum creatinine for a hospitalized client. The nurse should explain to the client and his family that this test:
An 80-year-old aphasic CVA client had abdominal surgery 2 days ago. Which of the following puts this client at the highest risk for inadequate pain management?
Which cultural group has the highest incidence of inflammatory bowel disease (IBD)?
TESTED 17 May 2024
