NCLEX-RN Practice Exam 1 Welcome to your NCLEX-RN Practice Exam 1 This test is designed to prepare you mentally for the actual NCLEX-RN Exam with (100 questions). The NCLEX-RN Exam is breakdown into Eight (8) Parts. Here are the Eight (8) Domains of the NCLEX-RN Exam with the weightage and number of questions in this practice exam: Domain Weightage 1- Management of Care 15% to 21% 2- Safety and Infection Control 10% to 16% 3- Basic Care and Comfort 6% to 12% 4- Reduction of Risk Potential 9% to 15% 5- Pharmacological and   Parenteral Therapies 13% to 19% 6-Physiological Adaptation 11% to 17% 7- Psychosocial Integrity 6% to 12% 8- Health Promotion and Maintenance 6% to 12% Please click NEXT to start your Free NCLEX-RN PRACTICE EXAM right away. Best of Luck! 1. RN Management of Care,NCLEX-RN The nurse reviews a patient's recent orders and sees that informed consent must be obtained before tomorrow's surgery. The nurse was not present when the doctor explained the procedure to the patient. When the nurse brings the form to the patient, which statement to the patient is best? A. Do you have any questions about your surgery tomorrow? B. You have the right to change your mind at any time C. Your surgeon asked me to make sure that you sign the consent form D. What were you told about your surgical procedure? None 2. RN Management of Care,NCLEX-RN The nurse works in a unit that has a primary nursing care delivery model. What nursing activity is unique to this model? A. The nurse shares care of clients with unlicensed assistants B. The nurse has the responsibility from admission to discharge C. The nurse serves as liaison between providers and clients D. The nurse provides all care for assigned clients None 3. RN Management of Care,NCLEX-RN A nurse in the neonatal ICU (NICU) administers adult-strength digitalis (Digoxin, Lanoxin) to a 3-pound infant. As a result, the neonate experiences permanent heart and brain damage. The nurse can be charged with A. negligence B. tort C. malpractice D. assault None 4. RN Management of Care,NCLEX-RN Which legal document lists the medical procedures and treatments that a person will refuse if the person is unable to make decisions? A. Advance Directive B. Informed Consent C. Patient's Bill of Rights D. Power of Attorney None 5. RN Management of Care,NCLEX-RN The health care provider (HCP) prescribes bilateral soft wrist restraints for a client. Which of the following tasks can the nurse delegate to a certified nursing assistant (CNA)? A. Teach the client's family about the need for restraints B. Assist with bathing, feeding, and toileting C. Document the client's status every hour D. Assess when restraints are no longer indicated None 6. RN Management of Care,NCLEX-RN The nurse is at home with their 10-year-old son when the child falls off his bike and his front tooth is avulsed (knocked out). The nurse is able to quickly retrieve the tooth. What is the nurse's BEST action before going to the Emergency Department? A. Quickly brush dirt off the root of the tooth B. Place the tooth in milk for transport to the ED C. Ask the child to hold the tooth in his cheek pouch D. Use a ziplock bag to protect the tooth None 7. RN Management of Care,NCLEX-RN Which ethical principle is used when a client asks about her prognosis? A. Veracity B. Beneficence C. Nonmaleficence D. Fidelity None 8. RN Management of Care,NCLEX-RN The nurse manager notes that a staff nurse has been tardy three times in the last two weeks. Which of the following should the nurse manager do FIRST? A. Schedule a staff meeting to review policies B. Notify Human Resources of the nurse's behavior C. Place a reminder in the staff break room D. Ask the nurse to meet privately None 9. RN Management of Care,NCLEX-RN The PDCA cycle is a quality improvement method of implementing change. Which of the following steps is INCORRECT? A. P = Plan B. C = Check C. A = Access D. D=Do None 10. RN Management of Care,NCLEX-RN When a client is scheduled for a transesophageal echocardiogram (TEE), which task may be assigned to the unlicensed assistive personnel (UAP)? A. Give the client brief instructions on the procedure B. Ensure that the client has signed the informed consent C. Remove the water pitcher from the client's bedside D. Assess the client's anxiety level and tell the nurse None 11. RN Management of Care,NCLEX-RN Which of the following findings indicates the need to IMMEDIATELY stop a treadmill (exercise) stress test? A. Blood pressure 150/86 mmHg B. Heart rate of 142 bpm C. Pulse oximeter (SpO2) of 91% D. Chest pain of 4 on a 0-10 scale None 12. RN Management of Care,NCLEX-RN A client comes to the clinic with complaints of heart palpitations, shortness of breath, fatigue, and syncope. An ECG indicates atrial fibrillation. When the nurse performs an assessment, which finding is MOST concerning? A. Difficulty speaking B. History of type 2 diabetes C. Unplanned weight loss D. Heart rate of 150 None 13. RN Management of Care,NCLEX-RN Nurse Practice Acts are an example of A. statutory law B. common law C. civil law D. criminal law None 14. RN Safety and Infection Control,NCLEX-RN A preceptor is instructing a new nurse on the reasons for applying wrist or ankle restraints to a client. The preceptor realizes that further education is needed when the new nurse states, A. A restraint can limit movement of an arm or leg B. A restraint keeps the client in bed all night C. A restraint prevents a client from hurting himself or herself or others D. A restraint prevents a client from pulling out lines and catheters None 15. RN Safety and Infection Control,NCLEX-RN After instructing a client on how to provide a urine sample for a stat urinalysis, the nurse returns two hours later to find the specimen in the client's bathroom. What should the nurse do? A. Discard the urine and obtain a fresh specimen B. Immediately send the sample to the laboratory C. Refrigerate the sample before sending it to the lab D. Initiate an incident report for the delay None 16. RN Safety and Infection Control,NCLEX-RN When a nurse assesses the pin insertion site of a client in skeletal traction, which sign indicates normal healing? A. Exudate B. Crust C. Edema D. Colonization None 17. RN Safety and Infection Control,NCLEX-RN When you use a fire extinguisher, you should aim the nozzle at A. the area around the flames B. the top of the flames C. the middle of the flames D. the base of the fire None 18. RN Safety and Infection Control,NCLEX-RN For a client with frequent fainting spells, the doctor orders a 24-hour ambulatory electrocardiography using a Holter monitor. To obtain the most accurate record, the nurse should instruct the client to avoid all of the following EXCEPT A. eating with metal utensils B. shaving with an electric razor C. standing close to a microwave D. using a cellular telephone None 19. RN Safety and Infection Control,NCLEX-RN Before the nurse sends a client for a CT with contrast dye, what is the nurse's most important action? A. Teach the client about the need for post-procedure hydration B. Place the side rails of the bed up before transport C. Verify that the informed consent is complete D. Check the client's health record for allergies None 20. RN Safety and Infection Control,NCLEX-RN The nurse is caring for a client with a right-brain stroke with accompanying unilateral neglect (hemineglect). Which of the following actions is most appropriate? A. Place the nightstand on the client's right side B. Encourage the client to use the right side C. Tell the client, "Look to your left." D. Approach the client from the left side None 21. RN Safety and Infection Control,NCLEX-RN As the nurse completes a routine preoperative checklist before transporting the patient to surgery, the patient tells the nurse about an allergy that is not on the health record. What should the nurse do first? A. Tape a note to the chart B. Contact the anesthesiologist C. Notify the OR charge nurse D. Proceed to give the pre-operative medication None 22. RN Safety and Infection Control,NCLEX-RN The nurse is caring for an 84-year-old client with a Stage Il pressure ulcer on the coccyx. Which of the following is an appropriate action? A. Elevate the head of the bed to 45 degrees B. Obtain daily cultures of the pressure ulcer C. Reposition the client every 2 hours D. Leave the wound uncovered to dry out None 23. RN Safety and Infection Control,NCLEX-RN A second-day post-op client tells the day nurse, "I was in agony last night! couldn't sleep because of the pain!" Which of the following is the nurse's best response? A. Did you tell the night nurse that you were in pain? B. Why didn't you just ask for pain medication? C. Oh, I'm so sorry. You must be exhausted D. Your pain doesn't seem to be well controlled None 24. RN Safety and Infection Control,NCLEX-RN A client is admitted with a diagnosis of a respiratory infection and is placed on droplet precautions. What is the MINIMUM PPE required when caring for this client? A. Face shield, mask, gloves, gown B. Gloves, gown, N95 respirator mask C. Gloves, disposable surgical mask D. Face shield, mask, sterile gloves None 25. RN Safety and Infection Control,NCLEX-RN Which is the correct sequence for using a fire extinguisher? A. 1. Squeeze the handle. 2. Pull the pin. 3. Step back. 4. Sweep side to side B. 1. Aim the nozzle. 2. Pull the pin. 3. Squeeze the handle. 4. Sweep side to side C. 1. Pull the pin. 2. Aim the nozzle. 3. Squeeze the handle. 4. Sweep side to side D. 1. Pull the pin. 2. Squeeze the handle. 3. Aim the nozzle. 4. Sweep side to side None 26. RN Safety and Infection Control,NCLEX-RN One of the major safety concerns after a client receives conscious sedation (also called moderate or procedural sedation) is a risk of A. hypertensive crisis B. inability to swallow C. falls or accidents D. loss of hearing None 27. RN Basic Care and Comfort,NCLEX-RN Contraindications for administering an enema include all of the following EXCEPT A. recent colon surgery. B. hypercalcemia treatment. C. acute myocardial infarction. D. suspected appendicitis None 28. RN Basic Care and Comfort,NCLEX-RN The nurse is providing education for a client who has just been prescribed a transcutaneous electrical nerve stimulation (TENS) unit for relief of chronic back pain. Which of the following instructions to the client is correct? A. Each TENS unit session lasts about 3 hours. B. Muscle twitching means the TENS is working. C. Don't go to sleep with the TENS unit on. D. It will take several days to build up tolerance. None 29. RN Basic Care and Comfort,NCLEX-RN A patient diagnosed with Crohn's disease has a new colostomy. When assessing the patient's stoma, which of these would alert the healthcare provider that the stoma has retracted? A. Dry and reddish purple B. Concave and bowl shaped C. Narrowed and flattened D. Pinkish red and moist None 30. RN Basic Care and Comfort,NCLEX-RN A patient with a total hip replacement requires certain equipment for recovery. Which of the following will assist the patient with activities of daily living (ADL)? A. Abduction pillow B. Recliner C. High-seat commode D. TENS unit None 31. RN Basic Care and Comfort,NCLEX-RN Of the following positions, which one facilitates maximum air exchange? A. Orthopneic B. Trendelenburg C. Lithotomy D. High Fowler's None 32. RN Basic Care and Comfort,NCLEX-RN After a high school athlete sustains a fractured femur during a competition, a full leg plaster cast is applied. When the nurse provides discharge instructions to the athlete and their parents six hours later, which statement by the athlete indicates a need for further education? A. I should walk around on my cast as soon as I get home. B. I should call my doctor if my toes turn blue or become numb. C. I'll put an ice pack over the cast to relieve itching. D. I will prop my cast on two pillows when I lie down. None 33. RN Basic Care and Comfort,NCLEX-RN A client with a severe ankle sprain will be using crutches. Which of the following indicates that the crutches have been fitted correctly? A. The client's elbow is locked with the hand on the handgrip B. The client's axilla rests on the erutch pad when the client ambulates. C. The client's axilla is at the same level as the top of the crutch. D. The client's elbow is at a 30-degree angle with the hand on the handgrip. None 34. RN Basic Care and Comfort,NCLEX-RN The nurse is providing discharge instructions to parents of a 3-year-old who was hospitalized for severe croup. In the event of a future croup attack, what non-pharmacological intervention can the parents do at home? A. Position the child on their back or side. B. Place the child in a warm, dry room. C. Encourage the child to cough and cry. D. Take the child into a steamy bathroom. None 35. RN Basic Care and Comfort,NCLEX-RN When providing postmortem care for a patient who will be an eye donor, which action is most appropriate? A. Tape the eyes tightly and place the patient in a high Fowler's position. B. Close the eyes and place the patient in a supine position. C. Cover the eyes with saline-soaked pads and place the patient in a low Fowler's position. D. Apply silver nitrate to the eyes and place the patient in a Trendelenburg position. None 36. RN Basic Care and Comfort,NCLEX-RN Before administering a soap suds enema, which position is appropriate for the client? A. Supine B. Sims C. Lithotomy D. Prone None 37. RN Basic Care and Comfort,NCLEX-RN The nurse is educating a client with cardiac disease who is taking furosemide and digoxin about eating foods rich in potassium. The client states, "I know need potassium, but I get tired of eating bananas." The nurse then suggests choosing any of the following foods EXCEPT A. spinach. B. blueberries. C. potatoes. D. avocados. None 38. RN Basic Care and Comfort,NCLEX-RN A client has a nephrostomy tube. When the nurse assists the client to ambulate, which is the best way to keep the tube safe? A. Ask the client to hold the drainage bag. B. Clamp the tube during ambulation. C. Attach the tube to a leg collection bag. D. Use a walker and tie the drainage bag. None 39. RN Reduction of Risk Potential,NCLEX-RN The healthcare provider 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. Pale toenail beds B. Incision site edema C. Hemoglobin 12.5 g/dL D. Homans' sign negative None 40. RN Reduction of Risk Potential,NCLEX-RN While doing admit for a male client, the nurse asks about possible allergies. The client denies any drug allergies but states he is allergic to bananas and avocados. The nurse knows these allergies put the client at risk for an allergy to A. adhesive B. betadine C. latex D. penicillin None 41. RN Reduction of Risk Potential,NCLEX-RN For a stroke patient, what is the best position for insertion of a nasogastric (NG) tube? A. Low Fowler's B. Supine C. High Fowler's D. Trendelenburg None 42. RN Reduction of Risk Potential,NCLEX-RN Before administering an intermittent enteral feeding by nasogastric tube (NGT), what is the nurse's FIRST action? A. Measure any residual content B. Place the client in the Low Fowler's position C. Verify proper tube placement D. Assess for active bowel sounds None 43. RN Reduction of Risk Potential,NCLEX-RN While providing post-operative care for a 7-year-old who has had a tonsillectomy and adenoidectomy, which is the appropriate nursing action? A. Encourage the child to gargle and spit B. Initiate coughing and deep breathing C. Offer warm liquids as soon as possible D. Observe for signs of post-op bleeding None 44. RN Reduction of Risk Potential,NCLEX-RN The nurse is teaching a client with emphysema how to do pursed-lip breathing. The nurse knows it will help the client because A. it will help the client achieve maximum inhalation B. it helps keep the small airways open and prevents air trapping C. it increases the respiratory rate and oxygenation levels D. it creates negative pressure in the airways None 45. RN Reduction of Risk Potential,NCLEX-RN Following a fall from a ladder, a patient is admitted to the ICU with a diagnosis of traumatic brain injury (TBI). The nurse observes that he is increasingly restless and has developed weakness in his right arm. He is also complaining of nausea. What is the nurse's BEST immediate action? A. Elevate the head of the bed to 30 degrees B. Measure the patient's blood pressure C. Increase the IV rate and call the physician D. Administer oxygen by face mask None 46. RN Reduction of Risk Potential,NCLEX-RN Seven months after birth, an infant is diagnosed with a persistent patent foramen ovale (PFO). The parents ask the nurse what this means. The nurse explains that before the infant was born, the purpose of the foramen ovale was to bypass A. the superior vena cava B. the pulmonary system C. the left ventricle D. the hepatic system None 47. RN Reduction of Risk Potential,NCLEX-RN A client with a diagnosis of congestive heart failure (CHF) is taking digoxin (Lanoxin) 0.25 mg po qd and furosemide (Lasix) 20 mg po bid. Which is the MOST important laboratory test result for the nurse to monitor? A. Potassium B. Chloride C. Calcium D. Magnesium None 48. RN Reduction of Risk Potential,NCLEX-RN A nurse educates a client who is scheduled for a lipid panel. Which of the client's statements would indicate a lack of understanding? A. This test will check if I have fatty liver disease. B. I won't drink alcohol for 24 hours before this lipid test. C. This test will help check my risk of heart disease. D. I will fast for 8-12 hours before my blood draw. None 49. RN Reduction of Risk Potential,NCLEX-RN The nurse is giving discharge instructions to a male client who had a total hip arthroplasty. Which statement by the client indicates a lack of understanding? A. I shouldn't sit for longer than 45 minutes at a time. B. I'll use a raised toilet seat for about the next six weeks. C. I can bend over to pick up things I've dropped on the floor. D. I'll tell my dentist that I've had a total hip replacement. None 50. RN Reduction of Risk Potential,NCLEX-RN For a client receiving chemotherapy, which laboratory value is MOST important for the nurse to monitor? A. Serum creatinine B. Prothrombin time C. Electrolyte panel D. White blood cell count None 51. RN Pharmacological and Parenteral Therapies,NCLEX-RN Before administering a dose of furosemide (Lasix) to a 2-year-old with a congenital heart defect, the nurse should confirm the child's identity by checking the hospital ID band and A. asking the child to state their name. B. verifying the child's identity with a second nurse C. verifying the child's room number D. asking the parent for the child's name None 52. RN Pharmacological and Parenteral Therapies,NCLEX-RN A patient is prescribed a thiazide diuretic for the treatment of hypertension. When teaching the patient about the medication, which of the following will the healthcare provider include? A. Be sure to include a number of foods in your diet that are rich in potassium. B. I'll teach you how to take your radial pulse before taking the medication. C. Take this medication every day with a large glass of water after your evening meal. D. Stop taking this medication if you notice changes in how much you urinate. None 53. RN Pharmacological and Parenteral Therapies,NCLEX-RN When a provider prescribes an IV infusion medication to be titrated, which of the following elements is NOT required to be part of the order? A. Objective clinical endpoint or patient response B. Ability of the nurse to determine the units of incremental rate C. Frequency for increasing or decreasing incremental dose D. Initial or starting rate of the infusion (dose/minute) None 54. RN Pharmacological and Parenteral Therapies,NCLEX-RN A client with a diagnosis of depression is placed on a monoamine oxidase inhibitor (MAOI) medication. When a nurse educates the client, which food should the nurse instruct the client to avoid? A. Grapefruit B. Peanut butter C. Bacon D. Cottage cheese None 55. RN Pharmacological and Parenteral Therapies,NCLEX-RN A client with a urinary tract infection (UTI) is started on sulfamethoxazole/trimethoprim (Bactrim, Septra). When educating the client on the medication, which instruction is most appropriate? A. Expect that urine will be orange B. Drink 6-8 glasses of water every day C. Measure and record urine output. D. Always take the medication with a meal or snack. None 56. RN Pharmacological and Parenteral Therapies,NCLEX-RN When counseling a client with a new diagnosis of hypothyroidism who is starting on levothyroxine (Synthroid), the nurse should inform the client about which possible side effect? A. Weight gain B. Weight loss C. Photophobia D. Hypersomnia None 57. RN Pharmacological and Parenteral Therapies,NCLEX-RN The nurse receives an order to administer 65 mg of acetaminophen solution q 4-6 hrs prn for fever. The pharmacy sends a bottle labeled 80 mg per 5 mL. How much should the nurse administer per dose? A. 8 mL B. 16 mL C. 4 mL D. 12 mL None 58. RN Pharmacological and Parenteral Therapies,NCLEX-RN A client with Irritable Bowel Syndrome (IBS) tells the nurse that they are using Complementary and Alternative Medicine (CAM) methods, including taking probiotics, peppermint oil, and herbal supplements. What is the nurse's BEST response? A. None of these is harmful, but you're wasting your money. B. There is no proof that these methods will relieve your IBS. C. These are dangerous and you should stop taking them at once. D. Be sure to tell your provider what you're taking. None 59. RN Pharmacological and Parenteral Therapies,NCLEX-RN A client with a diagnosis of bacterial pneumonia is receiving erythromycin 500 mg PO q 6 hr. Which common side effect may be anticipated? A. Nausea and vomiting B. Weight gain C. Muscle weakness D. Brisk tendon reflexes None 60. RN Pharmacological and Parenteral Therapies,NCLEX-RN Which of the following medications works by inhibiting platelet aggregation? A. Coumadin B. Warfarin C. Aspirin D. Neomycin None 61. RN Pharmacological and Parenteral Therapies,NCLEX-RN The health care provider (HCP) prescribes 300,000 units Penicillin GIM q 6 hr. Pharmacy dispenses a vial with directions to add 10 mL of sterile water to reconstitute to a concentration of 100,000 units/mL. How many mL will be in each dose? A. 30 mL B. 0.3mL C. 1.3 mL D. 3 mL None 62. RN Pharmacological and Parenteral Therapies,NCLEX-RN A morphine sulphate injection contains 10 mg/mL. What is the percentage concentration? A. 0.01% B. 0.10% C. 10% D. 1% None 63. RN Physiological Adaptation,NCLEX-RN A pediatric nurse is educating the parents of a child with a new diagnosis of asthma about recognizing food triggers. Of the following, which is MOST likely to cause an allergic reaction? A. Bananas B. French fries C. Apple juice D. Salmon None 64. RN Physiological Adaptation,NCLEX-RN A patient who recently quit smoking asks a healthcare provider about the risks of developing lung cancer. Which of the following is the healthcare provider's best response? A. In 8 months, the risk of developing lung cancer will be twice as high as for a nonsmoker B. If lung cancer hasn't developed yet, the ongoing risk is the same as for a non-smoker C. For someone who quits smoking, the risk of developing lung cancer will remain constant and higher than for nonsmokers D. In 15 years, the risk of developing lung cancer will be the same as for a nonsmoker None 65. RN Physiological Adaptation,NCLEX-RN A 68-year-old male has a diagnosis of possible abdominal aortic aneurysm (AAA). When the nurse asks about signs and symptoms, which statement by the client would be most accurate? A. I haven't really noticed anything unusual B. My legs and feet always feel numb C. I’m nauseated and sometimes I Vomit D. I have a terrible pain in my stomach None 66. RN Physiological Adaptation,NCLEX-RN A client presents to the Emergency Department with signs of a myocardial infarction. The client is admitted to the cardiac unit. The next day, the client denies having chest pain. When the nurse reviews the ECG rhythm strip, the PR intervals are 0.16 seconds. How should the nurse interpret this rhythm? A. This is within normal PR interval limits B. The rhythm indicates a first-degree heart block C. The nurse should immediately notify the provider D. This is an early sign of reinfarction None 67. RN Physiological Adaptation,NCLEX-RN When a client suddenly experiences asystole or pulseless electrical activity (PEA), which vasopressor is administered FIRST? A. Dopamine B. Amiodarone C. Epinephrine D. Atropine None 68. RN Physiological Adaptation,NCLEX-RN A patient who has experienced a stroke is being monitored during the acute management phase. The clinician notes that the patient's intracranial pressure (ICP) is 30 mmHg. Which of the following interventions should be performed first? A. Raise the head of the bed to 30° B. Place the patient in a Sims' position C. Obtain vital signs and measure urine output D. Assess level of consciousness None 69. RN Physiological Adaptation,NCLEX-RN The healthcare provider is assessing a patient admitted with a diagnosis of hemorrhagic stroke affecting the right cranial hemisphere. Which assessment finding is consistent with this diagnosis? A. Kernig's sign B. Bilateral Babinski's sign C. Left-sided flaccidity D. Right-sided spasticity None 70. RN Physiological Adaptation,NCLEX-RN Soon after admission, a patient displays signs of possible pulmonary edema. Which position is most appropriate for this patient? A. Sims' B. Trendelenburg C. Fowler's D. Orthopneic None 71. RN Physiological Adaptation,NCLEX-RN A 52-year-old female client presents to the clinic with symptoms of abdominal swelling accompanied by weight loss. She tells the nurse that when she eats, she feels full quickly; also, sex has become painful. The nurse recognizes these symptoms as clinical indications of A. heart failure B. ovarian cancer C. renal metastases D. liver disease None 72. RN Physiological Adaptation,NCLEX-RN When the nurse observes an isolated premature ventricular contraction (PVC) on a patient's cardiac monitor, which action by the nurse is most appropriate? A. Continue watching the client's rhythm. B. Administer a calcium channel blocker C. Immediately notify the primary care provider D. Move the code cart to the bedside None 73. RN Physiological Adaptation,NCLEX-RN Which finding accurately describes Grade 3 pitting edema? A. Pressure leaves an indentation of 5-6 mm that takes up to 30 seconds to rebound B. Pressure leaves an indentation of 0-2 mm that rebounds immediately C. Pressure leaves an indentation of 8 mm or deeper. It takes more than 20 seconds to rebound D. Pressure leaves an indentation of 3-4 mm that rebounds in less than 15 seconds None 74. RN Physiological Adaptation,NCLEX-RN The nurse reviews the daily lab results for a patient with a serious bacterial infection. When reporting the WBC differential to the patient's physician, the physician notes, "There's been a shift to the left." The nurse knows this means A. the infection is still progressing B. the infection has been resolved C. the patient requires platelets D. the patient has acute leukemia None 75. RN Physiological Adaptation,NCLEX-RN A 43-year-old client makes an appointment at the OB clinic because she thinks she might be pregnant with her first child. An examination confirms the pregnancy. The client tells the nurse that her last period began on July 12. Using Naegele's Rule, the nurse tells her that her estimated date of delivery (EDD) is A. March 5 B. April 19 C. March 19 D. April 5 None 76. RN Psychosocial Integrity,NCLEX-RN A parent brings a 3-year-old to the Emergency Department for a dislocated shoulder. The parent reports that the child fell down the stairs. Which of the following behaviors should raise suspicions that the child may have been abused? A. The child doesn't cry when their shoulder is touched B. The child doesn't make eye contact with the healthcare provider C. The child sobs constantly throughout the examination D. The child pulls away from contact with the healthcare provider. None 77. RN Psychosocial Integrity,NCLEX-RN A client with bipolar disorder, manic phase, says to the nurse, "Hey, beautiful! You're sure looking pretty today." Which is the nurse's best response? A. Stop. Go to your room and relax B. I'm Tina, the nurse for this shift C. Aren't you in a good mood today! D. Thank you. I appreciate the compliment None 78. RN Psychosocial Integrity,NCLEX-RN Parents take their 16-year-old daughter to the mental health clinic for treatment of self-harm from cutting. Which of the following statements about Nonsuicidal Self-Injury Disorder (NSSID) is FALSE? A. The client is at a lower risk for suicidal behavior B. The client is at greater risk for disordered eating C. NSSID methods typically damage only the body surface D. The client is trying to deal with unwanted feelings None 79. RN Psychosocial Integrity,NCLEX-RN When a healthcare provider is caring for a patient who is having an acute panic attack, which of the following actions by the healthcare provider is most appropriate? A. Offer the patient reassurance of safety and security B. Ask open-ended questions to encourage communication C. Explore common phobias associated with panic attacks D. Use distraction techniques to change the patient's focus None 80. RN Psychosocial Integrity,NCLEX-RN A parent brings their 3-year-old daughter to the pediatric clinic with a fever and cough. While assessing the child, the nurse notes that the girl's genitals are swollen and bruised. The girl also tells the nurse that "it hurts to walk." Which nursing intervention is MOST important? A. Determine if her shoes are fitting properly B. Perform a throat culture and administer Tylenol C. Document all assessment findings D. Notify authorities about suspected child abuse None 81. RN Psychosocial Integrity,NCLEX-RN A patient diagnosed with generalized anxiety disorder (GAD) reports ongoing nausea and abdominal bloating. A physical examination fails to confirm a medical illness to explain these symptoms. The healthcare provider suspects these findings are a result of which of the following? A. Dissociation B. Dysthymia C. Somatization D. Derealization None 82. RN Psychosocial Integrity,NCLEX-RN A hospice nurse is caring for a client who is actively dying. The client has been receiving high doses of opioids for pain management. When the client becomes unresponsive to verbal stimuli, what is the nurse's BEST action? A. Double the dosage of the opioids B. Continue the opioids at the current dose C. Discontinue the opioids at once D. Begin to wean the client off the opioids None 83. RN Psychosocial Integrity,NCLEX-RN When a female presents to the Emergency Department, stating she has been raped, what is the nurse's first priority? A. Instruct on future legal investigations B. Notify a social worker for counseling C. Initiate a report for the State Health Department D. Get permission to obtain safe shelter None 84. RN Psychosocial Integrity,NCLEX-RN The nurse is educating parents of a 7year-old girl who is about to start chemotherapy. The nurse tells them that their daughter will likely experience alopecia (loss of hair) from the treatment. The best approach for the nurse is to A. advise them to get a wig for their daughter prior to starting treatment B. reassure them that hair falls out gradually and won't be noticeable C. tell them that they will soon adjust to their daughter's appearance D. emphasize that children don't really care how they look None 85. RN Psychosocial Integrity,NCLEX-RN A client is in a memory care unit because of advanced dementia. The client's spouse is invited to participate in the team meeting to discuss the client's plan of care. The client has recently started to display agitation, confusion, and aggression in the late afternoon. The spouse and team agree that the best INITIAL action is which of the following? A. Involve the client in a new craft activity every afternoon B. Restrict the client to their room each afternoon C. Administer a mild sedative to the client with the afternoon snack D. Allow the spouse to visit the client during late afternoons and evenings None 86. RN Psychosocial Integrity,NCLEX-RN After a client has completed an inpatient treatment program for alcohol addiction, which statement by the client would indicate an understanding of the disease process? A. From now on, I must avoid alcohol and go to AA meetings B. This isn't really my fault. My father passed his alcoholism on to me C. I have to stick to a couple of drinks so I can stay in control D. If I hadn't lost my job and gotten a DUI, I would have been fine None 87. RN Health Promotion and Maintenance,NCLEX-RN A healthcare provider is teaching pursed-lip breathing to a patient with emphysema. Pursed-lip breathing helps patients with emphysema because it A. helps keep the small airways open and prevents air trapping B. helps the patient achieve maximum inhalation C. creates negative pressure in the airways D. increases the respiratory rate and oxygenation None 88. RN Health Promotion and Maintenance,NCLEX-RN A nurse is instructing a 53-year-old male client with newly diagnosed type 2 diabetes how to care for his feet at home. Which of the following statements would indicate that the client understands? A. Every Sunday evening, I will carefully inspect my feet B. If I cut my foot, I'll just apply antibiotic ointment C. I'll dry my feet very well after every shower D. It's okay to go barefoot in my own home None 89. RN Health Promotion and Maintenance,NCLEX-RN At what age can the pediatric nurse accurately measure a radial pulse in a child? A. Three years B. One year C. Four years D. Two years None 90. RN Health Promotion and Maintenance,NCLEX-RN A teen female client has iron-deficiency anemia. The nurse instructs her to take the prescribed oral iron supplement with A. orange juice B. ginger ale C. whole milk D. plain water None 91. RN Health Promotion and Maintenance,NCLEX-RN The nurse is educating a postpartum mother on perineal self-care prior to her discharge to go home with her baby. The nurse should instruct the mother A. to place and adjust the peri-pad from back to front B. to always wear gloves when cleaning the perineum C. that tampons can be used after the first few days D. to clean and wipe the perineum from front to back None 92. RN Health Promotion and Maintenance,NCLEX-RN A 29-year-old primigravida experiencing bleeding at 34 weeks is diagnosed with placenta previa. Which test does the provider perform to assess lung maturity of the fetus? A. Lecithin-sphingomyelin ratio B. Alpha-fetoprotein test C. Transvaginal ultrasound D. Human Chorionic Gonadotropin None 93. RN Health Promotion and Maintenance,NCLEX-RN A female client asks her healthcare provider about the benefits of receiving the human papillomavirus (HPV) vaccine. Which statement is the most appropriate response by the healthcare provider? A. The HPV vaccine will protect you from all types of the virus B. You will no longer need to get a routine cervical exam C. You will need to have a booster vaccination each year D. The HPV vaccine can help prevent cervical cancer None 94. RN Health Promotion and Maintenance,NCLEX-RN After assessing their speech development, which of the following children should the nurse refer for further evaluation? A. A 12-month-old girl who can say 3-5 words A month B. An 18-month-old boy who only says "No" C. A 4-month-old girl who laughs out loud D. A 10-month-old boy who says "Dada" and "Mama" None 95. RN Health Promotion and Maintenance,NCLEX-RN The nurse is doing discharge education for a patient with newly diagnosed congestive heart failure (CHF). The nurse tells the client to weigh himself or herself every morning and notify the clinic if they have gained 2 pounds in a 24-hour period. The nurse knows that such a weight gain can indicate A. impending liver failure B. poor kidney function C. decreased cardiac output D. excessive calorie intake None 96. RN Health Promotion and Maintenance,NCLEX-RN The community health nurse is developing a program for clients who are victims of intimate partner violence (IPV). The nurse knows that identifying IPV victims is challenging because A. victims have no knowledge of IPV B. IPV is a rare occurrence C. clients worry about the costs of legal action D. clients only express minor, vague complaints None 97. RN Health Promotion and Maintenance,NCLEX-RN Before postpartum discharge of a Latina mother and her healthy newborn, the mother tells the nurse that she will soon begin to feed the infant pureed foods. The nurse recognizes that the most likely reason for this is A. the mother has no role models to help her B. the mother cannot afford the expense of baby formula C. the mother is following her cultural beliefs D. the mother has little formal education None 98. RN Health Promotion and Maintenance,NCLEX-RN A nurse has instructed a 63-year-old female with a new prescription for captopril (Capoten) for her hypertension. The nurse realizes that the client needs further teaching when the client states, A. I'll take my blood pressure every week B. I shouldn't stand up too quickly C. I will use a salt substitute D. I'll call if I get a fever or sore throat None 99. RN Psychosocial Integrity,NCLEX-RN An 82-year-old patient diagnosed with delirium approaches the nurse, worried that she is late for her dental appointment. "I never miss a check-up," she says. Which of the following is the nurse's most appropriate response? A. You can't leave because the door is locked so you can't get lost B. Let's go to your room, and I'll show you how to brush your teeth C. You're in the hospital right now. My name is _________. I'm one of the nurses D. It's nearly lunch time. You'll want to eat before your appointment None 100. RN Pharmacological and Parenteral Therapies,NCLEX-RN A client with a diagnosis of schizophrenia comes to the mental health clinic for a routine appointment. The client has been compliant with chlorpromazine (Thorazine) therapy for six months. The nurse notifies the physician after observing signs that indicate tardive dyskinesia. Which signs did the nurse observe? A. Blurred vision, drowsiness, constipation B. Dry mouth, photosensitivity, orthostatic hypotension C. Lip-smacking, blinking, lateral jaw movements D. High fever, tachycardia, tachypnea, stupor None 1 out of 100 Time is Up! Time's up