NCLEX Admission Tests NCLEX NCLEX-PN Questions & Answers

• Question 11:

  Select the stage of viral hepatitis that is accurately paired with its characteristic(s).

  A. The prodromal stage: Jaundice begins.

  B. The icteric stage: Flu like symptoms occur.

  C. The preicteric stage: Elevated urine bilirubin levels.

  D. The posticteric stage: Jaundice and dark urine occurs.

  Correct Answer: C

  During the preicteric stage of viral hepatitis, elevated urine bilirubin levels, nausea, chills, anorexia, fever

  and mild upper right quadrant pain occur.

  The icteric stage is marked with pruritis, clay stools, darkened urine and jaundice.

  The posticteric stage occurs when the patient returns to near normal physical status.

  There is no prodromal stage of viral hepatitis.

• Question 12:

  A nurse is caring for a 10-year-old boy who has just been diagnosed with a congenital heart defect.

  Which of the following clinical signs does not indicate CHF?

  A. Increased body weight

  B. Elevated heart rate

  C. Lower extremity edema

  D. Compulsive behavior

  Correct Answer: D

  Compulsive behavior does not indicate CHF.

• Question 13:

  Your 54-year-old male HIV positive patient has just expired.

  How should you care for this deceased patient?

  A. Bathe the patient but it is no longer necessary to use standard precautions because the patient is deceased.

  B. Place the patient in a negative pressure isolated area of the morgue.

  C. Double shroud the patient to prevent the spread of infection.

  D. Bathe the patient using the same standard precautions you used when he was alive.

  Correct Answer: D

  You should bathe your patient as part of post mortem care using the same standard precautions that you

  did when the patient was alive. The patient is still infectious. Similarly, all patients are bathed after death

  using standard precautions.

  Double shrouding and an isolation area in the morgue with negative air pressure are not necessary.

• Question 14:

  A nurse is working in a pediatric clinic and a mother brings in her 13-month-old child who has Down Syndrome. The mother reports, "My child's muscles feel weak and he isn't moving well. My RN friend check his reflexes and she said they are diminished."

  Which of the following actions should the nurse take first?

  A. Contact the physician immediately

  B. Have the patient go to X-ray for a c-spine work-up.

  C. Start an IV on the patient

  D. Position the child's neck in a neutral position

  Correct Answer: D

  An atlanto-axial dislocation may have occurred.

  Position the child in a neutral c-spine posture and then contact the doctor immediately.

• Question 15:

  A nurse is assessing a patient in the ICU. The patient has the following signs: weak pulse, quick respiration, acetone breath, and nausea.

  Which of the following conditions is most likely occurring?

  A. Hypoglycemic patient

  B. Hyperglycemic patient

  C. Cardiac arrest

  D. End-stage renal failure

  Correct Answer: B

  All of the clinical signs indicate a hyperglycemic condition.

• Question 16:

  A 32-year-old male with a complaint of dizziness has an order for Morphine via. IV. Which of the following should the nurse do first?

  A. Check the patient's chest x-ray results.

  B. Retake vitals including blood pressure.

  C. Perform a neurological screen on the patient.

  D. Request the physician on-call assess the patient.

  Correct Answer: B

  Dizziness can be a sign of hypotension, that may a contraindication with Morphine.

• Question 17:

  A 13-year-old girl is admitted to the ER with lower right abdominal discomfort.

  Which the following measures should the admitting nursing take first?

  A. Administer Loritab to the patient for pain relief.

  B. Place the patient in right sidelying position for pressure relief.

  C. Start a Central Line.

  D. Provide pain reduction techniques without administering medication.

  Correct Answer: D

  Do not administer pain medication or start a central line without MD orders.

• Question 18:

  A nurse is caring for a patient who has recently been diagnosed with fibromyalgia and COPD.

  Which of the following tasks should the nurse delegate to a nursing assistant?

  A. Transferring the patient to the shower.

  B. Ambulating the patient for the first time.

  C. Taking the patient's breath sounds

  D. Educating the patient on monitoring fatigue

  Correct Answer: A

  Nursing assistants should be competent on all transfers.

• Question 19:

  A nurse is performing a screening on a patient that has been casted recently on the left lower extremity.

  Which of the following statements should the nurse be most concerned about?

  A. The patient reports, "I didn't keep my extremity elevated like the doctor asked me to."

  B. The patient reports, "I have been having pain in my left calf."

  C. The patient reports, "My left leg has really been itching."

  D. The patient reports, "The arthritis in my wrists is flaring up, when I put weight on my crutches."

  Correct Answer: B

  Pain may be indicating neurovascular complication.

• Question 20:

  You are caring for a patient who has no cognitive functioning but only basic human functions such opening the eyes and the sleep ?wake cycle.

  What level of consciousness does this patient have?

  A. Obtunded

  B. A persistent vegetative state

  C. Locked in syndrome

  D. Brain death

  Correct Answer: B

  A persistent vegetative state leaves the client with no cognitive functioning but only basic functions such as a sleep ?wake cycle and eye opening. Locked in syndrome is characterized with retained cognitive functioning but absent motor functioning. This patient is able to communicate with eye movements and they are typically aware of their surroundings. Brain death is defined as the state where there is a known irreversible cause of the coma, a complete loss of all brainstem reflexes, complete unresponsiveness to eternal stimuli and the absence of respiratory function with the presence of hypercapnea. Obtunded patients respond slowly to stimulation.