Bundle for NCLEX-RN Test Prep Exam Actual Set A,B,C&D | TOPIC 1-4 Questions and Answers | latest updated on 2023 with 100% correct answer | Guaranteed success

Question #91Topic 2 A 7-year-old child is brought to the ER at midnight by his mother after symptoms appeared abruptly. The nurse’s initial assessment reveals a temperature of 104.5◦F (40.3◦C), difficulty swallowing, drooling, absence of a spontaneous cough, and agitation. These symptoms a...

Question #1Topic 3 The nurse is assessing and getting a history from a client treated for depression with a monoamine oxidase (MAO) antidepressant. The most serious side effect associated with this antidepressant and the ingestion of tyramine in aged foods may be: A. Hypertensive crisis B. Sev...

At 16 weeks’ gestation, a pregnant client is admitted to the maternity unit to have a McDonald procedure (cerclage) done. She tells the RN who is admitting her to the unit that her physician had explained what this procedure was, but that she did not understand. The RN explains to the client th...

Question #21Topic 3 A client has been in labor for 10 hours. Her contractions have become hypoactive and slowed in duration. The fetus is at 0 station, cervix is dilated 8 cm and effaced 90%. The physician orders an oxytocin (Pitocin) infusion to be started at once. The RN begins the oxytocin in...

Question #31Topic 3 A male client has been hospitalized with congestive heart failure. Medical management of heart failure focuses on improving myocardial contractility. This can be achieved by administering: A. Digoxin (Lanoxin) 0.25 mg po every day B. Furosemide (Lasix) 40 mg po every morning...

Question #31Topic 3 A male client has been hospitalized with congestive heart failure. Medical management of heart failure focuses on improving myocardial contractility. This can be achieved by administering: A. Digoxin (Lanoxin) 0.25 mg po every day B. Furosemide (Lasix) 40 mg po every morning...

Question #41Topic 3 A 19-year-old client fell off a ladder approximately 3 ft to the ground. He did not lose consciousness but was taken to the emergency department by a friend to have a scalp laceration sutured. The nurse instructs the client to: A. Clean the sutured laceration twice a day with...

Question #41Topic 3 A 19-year-old client fell off a ladder approximately 3 ft to the ground. He did not lose consciousness but was taken to the emergency department by a friend to have a scalp laceration sutured. The nurse instructs the client to: A. Clean the sutured laceration twice a day with...

A newborn infant is exhibiting signs of respiratory distress. Which of the following would the nurse recognize as the earliest clinical sign of respiratory distress? A. Cyanosis B. Increased respirations C. Sternal and subcostal retractions D. Decreased respirations Correct Answer: C (A) Cya...

Question #61Topic 3 The nurse should facilitate bonding during the postpartum period. What should the nurse expect to observe in the taking-hold phase? A. Mother is concerned about her recovery. B. Mother calls infant by name. C. Mother lightly touches infant. D. Mother is concerned about her ...

Question #71Topic 3 A client presents to the psychiatric unit crying hysterically. She is diagnosed with severe anxiety disorder. The first nursing action is to: A. Demand that she relax B. Ask what is the problem C. Stand or sit next to her D. Give her something to do Correct Answer: C (A) ...

Question #81Topic 3 A 13-year-old hemophiliac is hospitalized for hemarthrosis of his right knee. To relieve the pain, the nurse should: A. Place on bed rest; elevate and splint the right knee B. Apply moist heat to the right knee C. Administer aspirin for pain D. Encourage active range of mot...

Question #91Topic 3 A physician’s order reads: Administer KCl 10% oral solution 1.5 mL. The KCl bottle reads 20 mEq/15 mL. What dosage should the nurse administer to the infant? A. 1 mEq B. 1.13 mEq C. 2 mEq D. Not enough information to calculate Correct Answer: C (A) This answer is a mis...

Question #1Topic 4 A client presents to the emergency room with cyanosis, coughing, tachypnea, and tachycardia. She has a history of asthma. Arterial blood gas values are pH 7.28, PaO2 54, PaCO2 60, and HCO3 24. The nursing assessment of arterial blood gases indicate the presence of: A. Respira...

Question #11Topic 4 The physician prescribes a medical regimen of isoniazid, rifampin, and vitamin B6 for a tuberculosis client. The nurse instructs the client that B6 is given because it: A. Increases activity of isoniazid B. Increases activity of rifampin C. Improves nutritional status D. Re...

Question #41Topic 1 A 3-year-old child is hospitalized with burns covering her trunk and lower extremities. Which of the following would the nurse use to assess adequacy of fluid resuscitation in the burned child? A. Blood pressure B. Serum potassium level C. Urine output D. Pulse rate Corre...

Question #31Topic 4 A male client was involved in a motor vehicle accident earlier in the day. The nurse caring for him on evenings notices that on admission to the hospital, he lost a lot of blood and required multiple blood transfusions. The nurse would anticipate which blood product would be ...

Question #41Topic 4 Which of the following serum laboratory values would the nurse monitor during gentamicin therapy? A. Creatinine B. Sodium C. Calcium D. Potassium Correct Answer: A (A) A common side effect of gentamicin is nephrotoxicity. The serum laboratory test that best reflects kidn...

Question #51Topic 4 A client has returned to the unit following a left femoral popliteal bypass graft. Six hours later, his dorsalis pedis pulse cannot be palpated, and his foot is cool and dusky. The nurse should: A. Continue to monitor the foot B. Notify the physician immediately C. Repositi...

Question #61Topic 4 A client is having a pneumonectomy done today, and the nurse is planning her postoperative care. Nursing interventions for a postoperative left pneumonectomy would include: A. Monitoring the chest tubes B. Positioning the client on the right side C. Positioning the client i...

Question #71Topic 4 A 28-year-old client performs a long, involved ritual in getting up and preparing for the day. He became unable to get to his job before noon. His family, in desperation, has admitted him to the hospitals psychiatric unit. On the unit, he is always late for breakfast, which i...

Question #81Topic 4 A client is hyperactive and not sleeping. She will not remain at the table during mealtime. She is getting very limited calories and is using a lot of energy in her hyperactive state. The most therapeutic nursing action is to: A. Insist that she remain at the table and eat a ...

Question #91Topic 4 Prior to an amniocentesis, a fetal ultrasound is done in order to: A. Evaluate fetal lung maturity B. Evaluate the amount of amniotic fluid C. Locate the position of the placenta and fetus D. Ensure that the fetus is mature enough to perform the amniocentesis Correct Answer...

Question #101Topic 4 When a client arrives on the labor and delivery unit, she informs the nurse that she has been having contractions for the last 5 hours. Now the pain is constant and not cyclical as it was earlier. The nurse considers the possibility of uterine rupture. Which of the following...

Question #111Topic 4 A child becomes neutropenic and is placed on protective isolation. The purpose of protective isolation is to: A. Protect the child from infection B. Provide the child with privacy C. Protect the family from curious visitors D. Isolate the child from other clients and the n...

Question #11Topic 1 Provide the 1-minute Apgar score for an infant born with the following findings: Heart rate: Above 100 Respiratory efforts: Slow, irregular Muscle tone: Some flexion of extremities Reflex irritability: Vigorous cry Color: Body pink, blue extremities A. 7 B. 10 C. 8 D. 9 ...

Question #61Topic 1 When a client questions the nurse as to the purpose of exercise electrocardiography (ECG) in the diagnosis of cardiovascular disorders, the nurses response should be based on the fact that: A. The test provides a baseline for further tests B. The procedure simulates usual da...

Question #21Topic 1 The therapeutic blood-level range for lithium is: A. 0.25–1.0 mEq/L B. 0.5–1.5 mEq/L C. 1.0–2.0 mEq/L D. 2.0–2.5 mEq/L Correct Answer: B ️ (A) This range is too low to be therapeutic. (B) This is the therapeutic range for lithium. (C) This range is above the the...

Question #31Topic 1 Nursing care for the substance abuse client experiencing alcohol withdrawal delirium includes: A. Maintaining seizure precautions B. Restricting fluid intake C. Increasing sensory stimuli D. Applying ankle and wrist restraints Correct Answer: A ️ (A) These clients are a...