NCLEX-PN Practice Exam 3 Welcome to your NCLEX-PN Practice Exam 3 This test is designed to prepare you mentally for the actual NCLEX-PN Exam with (100 questions) and the time allowed (120 minutes) as the actual exam. The NCLEX-PN Exam is breakdown into Eight (8) Parts. Here are the Eight (8) Domains of the NCLEX-PN Exam with the weightage and number of questions in this practice exam: Domains Weightage 1- Coordinated Care 18%–24% 2- Safety and Infection Control 10%–16% 3- Basic Care and Comfort 7%–13% 4- Reduction of Risk Potential 10%–16% 5- Pharmacological and Parenteral Therapies 9%–15% 6- Physiological Adaptation 7%–13% 7- Psychosocial Integrity 9%–15% 8- Health Promotion and Maintenance 6%–12% Please click NEXT to start your Free NCLEX-PN PRACTICE EXAM right away. Best of Luck! 1. PN Coordinated Care,NCLEX-PN Which of the following tasks can be assigned to an experienced certified nursing assistant (CNA) who is helping to care for a patient on a ventilator? A. Document lung sounds every 4 hours B. Report when the endotracheal tube requires Suctioning C. Check ventilator settings with the respiratory therapist D. Measure vital signs and pulse oximetry readings every 4 hours None 2. PN Coordinated Care,NCLEX-PN A client presents to the Emergency Department with an oxygen saturation (SaO2) of 78%. The client is able to breathe without assist. What oxygen delivery system will BEST increase the client's SaO2? A. Rebreather mask B. Simple face mask C. Nasal cannula D. Venturi mask None 3. PN Coordinated Care,NCLEX-PN When sharing a patient's medical history land care information with another provider, how much can the initiating provider disclose? A. Only data related to the other provider's specialty B. The minimum information necessary C. The patient's entire medical record D. Only current test results and progress notes None 4. PN Coordinated Care,NCLEX-PN An adult female client with a severe mental developmental delay will be scheduled for surgery. Which action should the nurse take first to obtain informed consent? A. Ask the surgeon to proceed with informed consent B. Verify the identity of the client's legal guardian C. Check state guidelines for the definition of mental competence D. Provide details about consent and advance directives None 5. PN Coordinated Care,NCLEX-PN Before a patient is transported to surgery, the operating room calls the unit nurse to administer the preoperative medication as ordered. After giving the medication, the unit nurse discovers that the patient did not sign the surgical consent. What should the nurse do first? A. Ask the patient to sign the consent before transport B. Notify the surgeon C. Call the OR to cancel the procedure D. Notify the nursing supervisor None 6. PN Coordinated Care,NCLEX-PN The Code of Ethics for Nurses was written and published by the A. American Nurses Association B. National League for Nursing C. American Medical Association D. National Institutes of Health None 7. PN Coordinated Care,NCLEX-PN The charge nurse is making assignments for the shift. A young client who has remained unresponsive after sustaining a traumatic brain injury will be transferred from the hospital to a long-term care facility. Which staff member is MOST appropriate to provide care for this client today? A. Unlicensed assistive personnel B. Licensed practical nurse C. Registered nurse D. Supervised nursing student None 8. PN Coordinated Care,NCLEX-PN The clinic nurse calls a client who has missed two check-up appointments for her baby. The mother states that she has problems with transportation. The nurse should refer the mother to A. the local volunteer agency B. the client's primary care provider C. the clinic social worker D. her health insurance company None 9. PN Coordinated Care,NCLEX-PN A new unlicensed assistive personnel (UAP) takes an oral temperature of a client and notes that it is 102 °F (38.9 °C). The UAP quickly approaches the nurse to report the temperature, telling the nurse that the previous reading was 99.2 °F (37.3 °C). The nurse enters the client's room to perform an assessment and sees the client drinking a cup of hot tea. What instruction should the nurse give to the UAP? A. In the future, offer the client ice chips instead of a hot beverage B. Provide water and juice to bring down the client's temperature C. Document both temperatures on the client's record D. Remove the tea and retake the client's temperature in 20 minutes None 10. PN Coordinated Care,NCLEX-PN A client is admitted with a diagnosis of central diabetes insipidus, related to insufficient secretion of antidiuretic hormone (ADH). Which urine specific gravity result supports the diagnosis? A. 1.04 B. 1.01 C. 1.002 D. 1.02 None 11. PN Coordinated Care,NCLEX-PN A nurse working in a remote setting relies on telemedicine communication to provide care and education for clients. What is a PRIMARY benefit of using telemedicine from the client's perspective? A. Telemedicine removes time and distance barriers to receiving care B. Technology costs are high, but access offsets the expense C. Clients are more inclined to learn about their conditions D. Health care records are automatically standardized None 12. PN Coordinated Care,NCLEX-PN Which type of law deals with felonies and misdemeanors? A. Criminal law B. Statutory law C. Common law D. Administrative law None 13. PN Coordinated Care,NCLEX-PN An arterial line may be used for all the following purposes EXCEPT A. Arterial blood gas tests B. Measuring cardiac output C. Continuous blood pressure monitoring D. Laboratory test blood draws None 14. PN Safety and Infection Control,NCLEX-PN The nurse is explaining to a new Certified Nursing Assistant (CNA) the purposes of applying wrist or ankle restraints to clients. Which statement by the CNA indicates to the nurse that further training is needed? A. The restraints are necessary to limit arm or leg movement B. We put on the restraints to keep the clients in bed all night C. Restraints can prevent clients from harming themselves D. If we apply restraints, a client can't pull out their Foley catheter None 15. PN Safety and Infection Control,NCLEX-PN A newly admitted patient has an arteriovenous (AV) fistula for hemodialysis in the left arm. What should the nurse do to prevent injury to the fistula? A. Place a large sign above the patient's bed B. Instruct the patient to inform all staff C. Put an alert bracelet on the patient's left arm D. Make a note in the patient's health record None 16. PN Safety and Infection Control,NCLEX-PN The entire staff attends a mandatory inservice on the use of anthrax in bioterrorism. Which statement by a staff member indicates the need for further instruction? A. Anthrax produces a neurotoxin that causes paralysis B. Inhaling anthrax spores can be lethal C. Anthrax can be treated with antibiotics D. Anthrax can be transmitted by eating contaminated meat None 17. PN Safety and Infection Control,NCLEX-PN The nurse checks a client’s chart for drug allergies before administering an injection of penicillin. The chart states "NKA." She attempts to verify this with the client before giving the injection. The client says that he had a rash after receiving another shot, but he can't recall the medication. What is the nurse's best action? A. Hold the penicillin and notify the physician who ordered the drug B. Contact the pharmacy to learn whether penicillin reactions include a rash C. Administer the penicillin injection and document the client's remark D. Notify the nursing supervisor of the error in the client's record None 18. PN Safety and Infection Control,NCLEX-PN The pediatric nurse is preparing to administer a medication to a 3-year-old patient. Besides checking the child's arm band, the nurse should also A. ask a parent to identify the child B. ask the parent to step out of the room C. ask the child to state their name D. ask the child to state their age None 19. PN Safety and Infection Control,NCLEX-PN While setting up to do a sterile dressing change, the nurse places sterile 4 x 4 gauze pads on the sterile field, but then the nurse accidentally touches the field with an ungloved hand. Which action should the nurse take? A. Fold over the area of the field that was touched and continue B. Put on fresh sterile gloves and replace the gauze pads C. Replace the gauze pads that were on top D. Discard the field and gauze pads and start over None 20. PN Safety and Infection Control,NCLEX-PN As the nurse prepares to administer ampicillin 500 mg PO to a post-op patient, he checks the capsule in the patient's medication box. The dosage of the capsule is not labeled, but the nurse is familiar with the color and shape. The nurse should A. ask a second nurse to verify the medication is ampicillin B. contact the nursing supervisor to report the error C. give the patient the capsule to maintain the schedule and blood level D. call the pharmacy to bring properly labeled medication None 21. PN Safety and Infection Control,NCLEX-PN The nurse is assessing a patient who is recovering from a recent stroke. Which of these problems is the FIRST priority? A. Impaired mobility B. Impaired communication C. Risk of altered coping D. Risk of aspiration None 22. PN Safety and Infection Control,NCLEX-PN Which of the following is the second period or stage of the infection process? A. Incubation B. Decline C. Prodromal D. Illness None 23. PN Safety and Infection Control,NCLEX-PN The nurse in the birthing and maternity unit is training new unlicensed assistive personnel (UAP) on standard precautions. Which of the following observations by the nurse would indicate the need for further instruction? A. The UAP disposes of needles in a designated sharps container B. The UAP uses sterile gloves to bathe a honate who is 4 hours old C. The UAP wears clean gloves to help the mother change her peri-pad D. The UAP places soiled sheets in a marked container for contaminated linens None 24. PN Safety and Infection Control,NCLEX-PN A client is being admitted to the unit with a diagnosis of rule-out Laennec's cirrhosis of the liver. During the initial assessment, the nurse observes that the client is constantly scratching their skin. The nurse knows that this pruritus is the result of A. a buildup of ascitic fluid B. elevated cholesterol levels C. reduced phagocyte activity D. accumulation of bile salts None 25. PN Safety and Infection Control,NCLEX-PN During new employee orientation, the nurse provides information about exposure to bloodborne pathogens and the risk of human immunodeficiency virus (HIV) transmission. Which statement by the nurse is MOST important? A. Treatment for exposure may include antiretroviral medications B. Report any possible exposure of HIV-containing fluids immediately C. Transmission of HIV from clients to health care workers is rare D. HIV testing after exposure is done at specific intervals None 26. PN Safety and Infection Control,NCLEX-PN Which of the following is an early symptom of gonorrhea in males? A. Urethral discharge B. Penile lesion C. Watery stools D. Erectile dysfunction None 27. PN Basic Care and Comfort,NCLEX-PN Before a nurse implements a bladder retraining program for an incontinent client, what is the FIRST action that the nurse should take? A. Place a commode at the bedside B. Gather data on the client's voiding pattern C. Limit the client's daily fluid intake D. Schedule regular times for urination None 28. PN Basic Care and Comfort,NCLEX-PN A pediatric patient has been diagnosed with right lower lobe pneumonia. Upon auscultation of this lung field, the healthcare provider should expect to hear which breath sounds? A. Crackles B. Rhonchi C. Stridor D. Wheezes None 29. PN Basic Care and Comfort,NCLEX-PN A 10-year-old boy is admitted to the pediatric unit with a diagnosis of viral meningitis. He is experiencing a severe headache, a stiff neck, vomiting, photophobia, and drowsiness. The nurse can make him more comfortable by A. providing him with a large, soft pillow. B. encouraging him to drink fluids. C. teaching him deep breathing. D. closing the shades and dimming the lights. None 30. PN Basic Care and Comfort,NCLEX-PN A client with chronic renal failure (CRF) is learning to perform peritoneal dialysis at home. The nurse instructs the client to warm the dialyzing solution to 37 degrees Celsius so that it will A. remove toxins from the body's cells. B. relax the abdominal muscles. C. dilate the peritoneal blood vessels. D. maintain a constant body temperature. None 31. PN Basic Care and Comfort,NCLEX-PN A client with end-stage renal disease has opted for an arteriovenous (AV) fistula for long-term treatment with hemodialysis. Following the surgical creation of the AV fistula, when will the client be able to use it for hemodialysis? A. 2-3 months B. 4–6 weeks C. 4-6 months D. 2-3 weeks None 32. PN Basic Care and Comfort,NCLEX-PN The purpose of a splint is to A. immobilize and allow for tissue swelling. B. wrap around an injury for full protection. C. provide permanent support for a fracture. D. manage complex or unstable fractures None 33. PN Basic Care and Comfort,NCLEX-PN After emptying a Jackson-Pratt drainage bulb, how does the nurse reestablish negative pressure in the system? A. Fill the bulb with sterile saline solution. B. Place the bulb lower than the client's body. C. Compress the bulb and close the valve. D. Open the valve and fill the bulb with air. None 34. PN Basic Care and Comfort,NCLEX-PN A female patient complains of abdominal discomfort. Watery stool has been leaking from her rectum. This could be a sign of A. bowel incontinence. B. diarrhea. C. fecal impaction. D. constipation. None 35. PN Basic Care and Comfort,NCLEX-PN A client receives a new order for levothyroxine (Synthroid) 150 mcg PO every day. The pharmacy sends Synthroid 0.1 mg tablets. How many tablets will the nurse administer? A. 1.5 tablets B. 1.0 tablet C. 2 tablets D. .5 tablet None 36. PN Basic Care and Comfort,NCLEX-PN 76 parts per 100 may be written as all of the following EXCEPT A. 0.76 B. 76% C. 100/76 D. 76/100 None 37. PN Basic Care and Comfort,NCLEX-PN The health care provider (HCP). prescribes acetaminophen gr VIII PO PRN for headache pain. The client has 500 mg caplets. How many caplets should the client take? A. 2 caplets B. 3 caplets C. 4 caplets D. 1 caplet None 38. PN Basic Care and Comfort,NCLEX-PN The health care provider (HCP) prescribes heparin 6,789 units subcutaneously q 12 hr. The nurse has a vial of heparin with 10,000 units/mL. How many mL will the nurse draw up and administer? Round the answer to one decimal place. A. 1.2 mL B. 0.7 mL C. 1.5 mL D. 0.4 mL None 39. PN Pharmacological and Parenteral Therapies,NCLEX-PN The nurse is instructing a client about a newly prescribed medication, furosemide (Lasix). Which adverse effect should the nurse discuss? A. Dry mouth B. Leg cramps C. Poor appetite D. Increased energy None 40. PN Pharmacological and Parenteral Therapies,NCLEX-PN A patient who is receiving a unit of blood complains of chills and dizziness. The nurse observes that the patient is dyspneic and the patient's face appears flushed. The nurse immediately notifies the RN. What is the likely cause of these symptoms? A. Air embolism B. Bacterial sepsis C. Fluid overload D. Transfusion reaction None 41. PN Pharmacological and Parenteral Therapies,NCLEX-PN A resident has a flare-up of psoriasis, so the physician orders salicylic acid foam to be applied topically. The nurse knows to watch for which sign of systemic toxicity? A. Photophobia B. Diarrhea C. Tinnitus D. Seizures None 42. PN Pharmacological and Parenteral Therapies,NCLEX-PN A patient receives a new order for levothyroxine (Synthroid) 150 mcg PO every day. The pharmacy sends Synthroid 0.1 mg tablets. How many tablets will the nurse administer? A. 1.0 tablet B. 2 tablets C. 0.5 tablet D. 1.5 tablets None 43. PN Pharmacological and Parenteral Therapies,NCLEX-PN The health care provider (HCP) prescribes acetaminophen liquid 160 mg PO q 4-6 hr PRN for a child with a fever. Pharmacy dispenses 80 mg/mL. How many mL should the nurse administer for a dose? A. 2 mL B. 3 mL C. 1.5 mL D. 2.5 mL None 44. PN Pharmacological and Parenteral Therapies,NCLEX-PN The health care provider (HCP). prescribes a keep vein open (KVO) rate of 10 mL/hr at 0800. There are 135 mL remaining in a bag of 0.9% NS. What time will the bag of solution be infused? A. 2330 (11:30 pm) B. 2030 (8:30 pm) C. 2130 (9:30 pm) D. 2230 (10:30 pm) None 45. PN Pharmacological and Parenteral Therapies,NCLEX-PN The provider orders furosemide (Lasix) oral solution 0.5 mL stat. Pharmacy sends a bottle marked 10 mg/mL. What dosage will the nurse administer? A. 0.05 mg B. 1.5 mg C. 0.5 mg D. 5 mg None 46. PN Pharmacological and Parenteral Therapies,NCLEX-PN The health care provider (HCP) prescribes 1/2 strength tube-feeding formula for a client who is restarting enteral nutrition. A standard can of formula contains 240 mL. How much water should the nurse add to obtain 1/2 strength? A. 240 mL B. 360 mL C. 120 mL D. 480 mL None 47. PN Pharmacological and Parenteral Therapies,NCLEX-PN A client receiving hemodialysis therapy weighs 78 kg today. The nurse notes that the client's previous weight was 76 kg. What is the percent change? Round to two decimal places. A. 4.40% B. 0.44% C. 0.26% D. 2.63% None 48. PN Pharmacological and Parenteral Therapies,NCLEX-PN The nurse is encouraging a client to increase their daily fluid intake to 2 liters. The client asks, "How much is that?" The nurse then tells the client to drink how many 8-ounce glasses of liquids each day? Round to the nearest whole. A. 12 glasses B. 6 glasses C. 10 glasses D. 8 glasses None 49. PN Pharmacological and Parenteral Therapies,NCLEX-PN A client has been taking a warfarin 5 mg tablet every day. Following a routine international normalized ratio (INR) test, the health care provider (HCP) increases the client's dose to 7.5 mg PO daily. How many (scored) tablets should the nurse instruct the client to take each day? A. 3 tablets B. 2 tablets C. 1.5 tablets D. 2.5 tablets None 50. PN Pharmacological and Parenteral Therapies,NCLEX-PN The provider orders "gabapentin 18 mg/kg/day in 3 divided doses" for a child who weighs 28 kg. How many mg will the nurse administer for each dose? A. 126 mg B. 252 mg C. 168 mg D. 504 mg None 51. PN Pharmacological and Parenteral Therapies,NCLEX-PN The pediatrician orders cephalexin monohydrate 0.5 g PO q8 hrs for a child with a diagnosis of pneumonia. The pharmacy sends the medication with 500 mg per teaspoon. How many mL should the nurse administer? A. 10 ml B. 1 mL C. 5 mL D. 0.5 mL None 52. PN Reduction of Risk Potential,NCLEX-PN When a nurse collects a stool sample to be tested for ova and parasites, which nursing action is correct? A. Delivering the stool sample directly to the laboratory B. Ensuring that the sample is sent to the laboratory in a sterile container C. Holding the specimen container in contact with the anus D. Refrigerating the specimen to maintain viability None 53. PN Reduction of Risk Potential,NCLEX-PN The nurse is assessing a patient recovering from a total knee replacement. Which of these assessment findings indicates the patient is at risk of developing a complication from the surgery? A. Incision site edema B. Homans' sign negative C. Hemoglobin 12.5 g/dL D. Pale toenail beds None 54. PN Reduction of Risk Potential,NCLEX-PN After an 86-year-old female resident falls and breaks a hip at a long-term care facility, the nurse reviews the resident's chart. Which condition MOST predisposes the resident to a fracture? A. She has had Type 2 diabetes for 15 years B. She has been lactose intolerant since age 19 C. She is 36 years postmenopausal D. She is obese, with a BMI of 30.2 None 55. PN Reduction of Risk Potential,NCLEX-PN The results of a patient's latest arterial blood gas (ABG) test are as follows: pH 7.5, PaCO2 30 mmHg. What acid-base imbalance do these results indicate? A. Respiratory acidosis B. Metabolic alkalosis C. Respiratory alkalosis D. Metabolic acidosis None 56. PN Reduction of Risk Potential,NCLEX-PN A physician orders 2 units of packed RBCs for a client with a diagnosis of severe anemia. The most important nursing action for administering the blood product is A. to use an 18-gauge needle for the blood infusion B. to verify the blood product with another RN C. to transfuse both units of blood within two hours D. to place the signed consent in the medical record None 57. PN Reduction of Risk Potential,NCLEX-PN During a Code Blue, a resident attempts to intubate the patient with an 8 mm endotracheal tube (ETT). As the nurse auscultates the patient's chest afterwards, breath sounds are absent on the left side. What is the most likely cause of this? A. Right bronchus intubation B. Aspiration C. Left pneumothorax D. Wrong ETT size None 58. PN Reduction of Risk Potential,NCLEX-PN The nurse working on a cardiac unit receives a prescription for a 20 mEq potassium chloride (KCI) IV piggyback. Which ECG finding on the client's monitor will cause the nurse to notify the health care provider (HCP) before administering the KCI? A. Peaked T waves B. Short PR interval C. Narrow QRS complex D. Prominent U waves None 59. PN Reduction of Risk Potential,NCLEX-PN The healthcare provider is reviewing the laboratory reports of a patient admitted to the medical unit for observation. Which of these assessment findings requires immediate intervention? A. Serum potassium level of 4.5 mEq/L (4.5 mmol/L) B. An International Normalized Ratio (INR) of 0.9 C. Serum magnesium level of 3.5 mEq/L (1.75 mmol/L) D. Blood urea nitrogen (BUN) level of 28 mg/dL (99.9 mmol/L) None 60. PN Reduction of Risk Potential,NCLEX-PN The healthcare provider prepares to administer a pneumococcal vaccine to a 65-year-old patient who has a diagnosis of chronic bronchitis. The patient states, "I got that vaccine 5 years ago." What is the most appropriate response by the healthcare provider? A. This vaccination is given every other year to anyone with lung disease. B. We can give you a flu shot instead of a pneumococcal vaccination. C. You will need this vaccination annually, just like the flu shot. D. Your last shot was when you were 60, so a repeat vaccination is recommended. None 61. PN Reduction of Risk Potential,NCLEX-PN A patient who takes daily low-dose aspirin experiences prolonged bleeding from a superficial cut. Which of the following lab results would be expected for this patient? A. Activated partial thromboplastin time (aPTT) 30 seconds B. Prothrombin time (PT) 14 seconds C. Platelets 150 x 10^9/L D. Bleeding time of 8 minutes None 62. PN Reduction of Risk Potential,NCLEX-PN A client with a known diagnosis of type 1 diabetes presents to the Emergency Department with a blood glucose level of 538 mg/dL. The nurse knows that the client is at the greatest risk for which acid-base imbalance? A. Respiratory alkalosis B. Metabolic acidosis C. Respiratory acidosis D. Metabolic alkalosis None 63. PN Reduction of Risk Potential,NCLEX-PN A patient presents to the emergency department with a blood pressure of 180/130 mmHg, headache, and confusion. Which additional finding is consistent with a diagnosis of hypertensive emergency? A. Bradycardia B. Urinary retention C. Retinopathy D. Jaundice None 64. PN Reduction of Risk Potential,NCLEX-PN A patient with a diagnosis of WolffParkinson-White syndrome is undergoing a catheter ablation procedure. For the healthcare provider caring for the patient after the procedure, which is the priority intervention? A. Assist the patient to the bathroom to void. B. Auscultate apical pulse for a full minute every hour C. Assess level of consciousness every 20 minutes D. Monitor insertion site and distal pulses None 65. PN Physiological Adaptation,NCLEX-PN A client with a diagnosis of possible appendicitis is a direct admit from the clinic. The nurse knows that a positive sign of appendicitis is A. Chadwick's B. Homans' C. Psoas D. Murphy's None 66. PN Physiological Adaptation,NCLEX-PN Following application of a short leg cast for a fractured ankle, which discharge instruction by the nurse is correct? A. You can cut and smooth the edges of the cast once it has dried B. Use pillows to elevate the cast above your heart for 24 hours C. Burning and tingling sensations under the cast are normal D. Start walking on the cast as soon as it dries so you can adapt None 67. PN Physiological Adaptation,NCLEX-PN A nurse in the Emergency Department assesses a client for a possible fractured rib. Which of the following characteristics will support the suspected diagnosis? A. Pain on inspiration, with deep, rapid respirations B. Pain on inspiration, with shallow, guarded respirations C. Pain on expiration, with deep, rapid respirations D. Pain on expiration, with shallow, guarded respirations None 68. PN Physiological Adaptation,NCLEX-PN When assessing a patient diagnosed with osteoarthritis (OA), the healthcare provider looks for which characteristic of this condition? A. Joint crepitus B. Bilateral joint swelling C. Waddling gait D. Decreased grip strength None 69. PN Physiological Adaptation,NCLEX-PN A client complains of a stabbing pain on one side of the face. The nurse suspects tic douloureux, which is caused by which cranial nerve? A. VI B. IV C. V D. VII None 70. PN Physiological Adaptation,NCLEX-PN The healthcare provider is caring for a patient on a ventilator with an endotracheal tube in place. What assessment data indicate the tube has migrated too far down the trachea? A. Increased crackles auscultation bilaterally B. Low-pressure alarm sounds C. High-pressure alarm sounds D. Decreased breath sounds on the left side of the chest None 71. PN Physiological Adaptation,NCLEX-PN What is the safest method of changing a patient's tracheostomy ties? A. Ask the doctor to suture the tracheostomy in place B. Apply the new ties before removing the old ones C. Never attempt to change ties alone D. Change ties as soon as possible after the patient has eaten None 72. PN Physiological Adaptation,NCLEX-PN Which of these assessment findings should the healthcare provider expect to identify as an early clinical characteristic of multiple sclerosis (MS)? A. Dementia B. Clonus C. Vision loss D. Muscle atrophy None 73. PN Physiological Adaptation,NCLEX-PN A client with a history of chronic cirrhosis of the liver was admitted two days ago to treat an infection. Today, during the initial shift assessment, the nurse notes that the client appears lethargic and their breath has a sweet, musty odor. Which assessment should the nurse perform NEXT? A. Obtain a full set of vital signs B. Review recent serum bilirubin result C. Measure client's abdominal girth D. Observe for flapping hand tremors None 74. PN Physiological Adaptation,NCLEX-PN Scopolamine and atropine are two examples of anticholinergic medications. All of the following are frequent side effects of anticholinergic drugs EXCEPT A. urinary retention B. cognitive changes C. pupil constriction D. dry mouth None 75. PN Physiological Adaptation,NCLEX-PN Which atrioventricular (AV) heart block is called Mobitz II? A. First-degree AV heart block B. Third-degree AV heart block C. Second-degree AV heart block D. Complete AV heart block None 76. PN Physiological Adaptation,NCLEX-PN A client with a known history of asthma comes to the surgicenter for a minor procedure. The nurse measures the client's pre-procedure peak flow at 520 liters/minute. Following the procedure, the client complains of "a tight chest" and their peak flow is 250 liters/minute. What is the nurse's PRIORITY action? A. Notify the health care provider (HCP) B. Repeat the peak flow reading in 15 minutes C. Apply oxygen at 2LPM via nasal cannula D. Administer a PRN dose of albuterol None 77. PN Psychosocial Integrity,NCLEX-PN A client was admitted to the Mental Health Unit with a diagnosis of depression. After three days, the client is smiling and happy, telling the nurse, "I feel great! I'm ready to go home now." Based on the client's sudden change in behavior, what should the treatment plan include? A. Allowing off-unit privileges B. Increasing suicide precautions C. Asking the client to lead group sessions D. Reducing the doses of medications None 78. PN Psychosocial Integrity,NCLEX-PN A nulliparous woman has a precipitous delivery. The nurse observes that she hesitates to touch her baby and seems unattached to the birth. What is the nurse's most appropriate action? A. Remind the new mother that she should hold her newborn B. Offer support for her feelings about the rapid birth C. Call the social worker to warn about possible abuse D. Put the neonate to her breast to encourage bonding None 79. PN Psychosocial Integrity,NCLEX-PN A hospice nurse is caring for a male client with cancer. He has acute bone pain related to metastases. The best way to assess the client's level of pain is to A. ask the client to rate his pain on a scale from 1 to 10 B. note observations of the client's behavior C. check the client's vital signs after giving him pain medication D. evaluate the client's verbal and non-verbal actions None 80. PN Psychosocial Integrity,NCLEX-PN After receiving the shift report, the nurse enters the room of a 92-year-old male diagnosed with a cognitive impairment disorder. The nurse asks him what day it is and where he is now. The purpose of this action is to assess for A. hallucinations B. orientation C. sensory impairment D. awareness disorder None 81. PN Psychosocial Integrity,NCLEX-PN Some clients may exhibit false beliefs not supported by facts or reality. This is known as A. digression B. delusion C. dalliance D. deliberation None 82. PN Psychosocial Integrity,NCLEX-PN A client with Stage 3 hypertension has been placed on a low-sodium and low-fat diet. He tells the nurse, "I hate this diet, and I won't stay on it. It's too hard." What is the nurse's BEST response? A. Why is this so hard for you? Just swap out the food choices B. Surely your life is more important than what you eat C. No one likes this diet plan. You'll adjust over time D. I can see this is really difficult for you. Let's talk about it None 83. PN Psychosocial Integrity,NCLEX-PN A client with Stage IV bone cancer tells the hospice nurse that he is worried about becoming addicted to the amount of opioids needed to control his pain. What is the best way to address the client's concern? A. Ask the client to lengthen the time between doses B. Remind him that he's receiving care for a terminal disease C. Suggest taking a lower dose, even if he gets more pain D. Explain that opioids taken for pain relief do not result in addiction None 84. PN Psychosocial Integrity,NCLEX-PN A child who has been diagnosed with attention deficit disorder (ADHD) will likely display which of the following behaviors? A. Ability to focus on subjects of interest B. Complaints of somatic illnesses C. Constant movement and squirming D. Attempting to run away None 85. PN Psychosocial Integrity,NCLEX-PN Emergency medical personnel bring an unconscious patient to the emergency department. The patient's pupils are pinpoint, and respirations are depressed. Intoxication with which of the following drugs could contribute to these clinical signs? A. Cocaine B. Methadone C. Methamphetamine D. Ecstasy None 86. PN Psychosocial Integrity,NCLEX-PN A client with Stage IV pancreatic cancer is being discharged from the hospital to her home. She tells the nurse that she doesn't want hospice care because her family will take care of her. What is the nurse's best response? A. I'm wondering how much you know about hospice B. I think your doctor has already ordered hospice for you C. Your care is going to be too much for your family D. This is a huge mistake. I hope you'll reconsider None 87. PN Psychosocial Integrity,NCLEX-PN A resident with dementia has wandered into another unit. What should the nurse say after finding the resident? A. Let's go. Don't you know I have work to do? B. Do you think you're Christopher Columbus? C. How on earth did you get here? D. Let's walk back together, OK? None 88. PN Psychosocial Integrity,NCLEX-PN The parents of a 16-year-old girl with celiac disease bring their daughter to the clinic because she is having constant, watery diarrhea. The girl tells the nurse that she ate pizza and a hamburger on a bun at a party the night before. She says, "I want to be like my friends. They can eat anything!" When responding to the teenager, which problem should the nurse prioritize? A. Low self-esteem B. Intestinal damage C. Electrolyte imbalance D. Suicidal ideation None 89. PN Health Promotion and Maintenance,NCLEX-PN A client in her second trimester of pregnancy is diagnosed with preeclampsia. Which of the following statements is true about her care for the remainder of her pregnancy? A. The client will have to take diuretics to relieve edema in the ankles B. The client has no reason for concern for herself or her baby C. Untreated preeclampsia can result in poor fetal development D. Preeclampsia is the most common cause of delivery after 40 weeks! gestation None 90. PN Health Promotion and Maintenance,NCLEX-PN To take an adult client's blood pressure, how far should the lower edge of the sphygmomanometer cuff be from the client's antecubital crease? A. 3.5 cm B. 4.5 cm C. 2.5 cm D. 1.5 cm None 91. PN Health Promotion and Maintenance,NCLEX-PN When reviewing a new client's health history with her, the nurse knows that the primary risk factor for cervical cancer is which of the following? A. Maternal history of cervical cancer B. Chlamydia infection, treated 10 years ago C. 20-pack-year history of smoking cigarettes D. Human papillomavirus infection None 92. PN Health Promotion and Maintenance,NCLEX-PN During a routine check-up, a 22-year-old client tells the nurse that he is losing weight despite being constantly hungry and thirsty. He also admits to urinating more frequently. Which lab tests will likely be ordered? A. ALT, AST, and GGT B. Blood glucose and A1c C. Complete blood count D. 24-hour urine collection None 93. PN Health Promotion and Maintenance,NCLEX-PN A new client's lab results show a hemoglobin A1c level of 9%. What educational focus will the client need most? A. Self-administering nebulizer medications PRN B. Warning signs and symptoms of hypokalemia C. Learning to take and record daily blood pressures D. Preventing and recognizing hyperglycemia None 94. PN Health Promotion and Maintenance,NCLEX-PN A 28-year-old woman with a family history of heart disease asks the clinic nurse about the safety of birth control pills. Which lifestyle topic should the nurse assess FIRST? A. Diet preferences B. Smoking history C. Work hazards D. Exercise schedule None 95. PN Health Promotion and Maintenance,NCLEX-PN A 54-year-old male client with chronic kidney disease (CKD) tells the nurse that he loves to have dessert after dinner. Knowing that CKD requires fluid restriction, which dessert should the nurse recommend? A. Ice cream B. Angel food cake C. Any flavor of jello D. Fruit yogurt None 96. PN Health Promotion and Maintenance,NCLEX-PN The Emergency Department physician is admitting a 74-year-old male with a diagnosis of hemorrhagic stroke affecting the right cranial hemisphere. Which assessment is consistent with this diagnosis? A. Homan's sign B. Kernig's sign C. Right-sided spasticity D. Left-sided flaccidity None 97. PN Health Promotion and Maintenance,NCLEX-PN During his annual physical examination, a client tells the nurse that he would really like to stop smoking. What should the nurse recommend as the client's FIRST step? A. Ask family members and co-workers to provide support B. Immediately dispose of cigarettes and smoking supplies C. Sign and date a formal" Quit" contract with the nurse D. Make a plan to quit smoking within two weeks None 98. PN Health Promotion and Maintenance,NCLEX-PN The nurse is teaching a client who has just been diagnosed with genital herpes. Which statement is true? A. This infection will decrease your risk of getting HIV infection B. You will not be contagious if you keep taking your antiviral drugs C. There is no cure for genital herpes, but outbreaks are shorter with the right drugs D. Genital herpes infection is caused by a corkscrew bacterium called a spirochete None 99. PN Health Promotion and Maintenance,NCLEX-PN A 10-year-old girl lives with her parents, her paternal grandparents, a younger brother, an aunt, and two cousins. What type of family unit is this? A. Extended family B. Nuclear family C. Next-of-kin unit D. Family of origin None 100. PN Health Promotion and Maintenance,NCLEX-PN A 58-year-old female asks the nurse if she should still do breast self-examinations. Which statement is most appropriate for the nurse to tell the client? A. You are postmenopausal, so there's no need to continue. B. Do it while you shower on the first day of every month C. Mammograms have entirely replaced the need to do it D. Wait until the week before your yearly mammogram None 1 out of 100 Time is Up! Time's up
