NCLEX NCLEX-RN Online Practice Questions and Exam Preparation

NCLEX NCLEX-RN Online Questions & Answers

• Question 221:

  Diabetes during pregnancy requires tight metabolic control of glucose levels to prevent perinatal mortality. When evaluating the pregnant client, the nurse knows the recommended serum glucose range during pregnancy is:

  A. 70 mg/dL and 120 mg/dL
  B. 100 mg/dL and 200 mg/dL
  C. 40 mg/dL and 130 mg/dL
  D. 90 mg/dL and 200 mg/dL
  A. 70 mg/dL and 120 mg/dL

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  (A) The recommended range is 70?20 mg/dL to reduce the risk of perinatal mortality. (B, C, D) These levels are not recommended. The higher the blood glucose, the worse the prognosis for the fetus. Hypoglycemia can also have detrimental effects on the fetus.

• Question 222:

  A male client is experiencing extreme distress. He begins to pace up and down the corridor. What nursing intervention is appropriate when communicating with the pacing client?

  A. Ask him to sit down. Speak slowly and use short, simple sentences.
  B. Help him to recognize his anxiety.
  C. Walk with him as he paces.
  D. Increase the level of his supervision.
  C. Walk with him as he paces.

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  (A) The nurse should not ask him to sit down. Pacing is the activity he has chosen to deal with his anxiety. The nurse dealing with this client should speak slowly and with short, simplesentences. (B) The client may already recognize the anxiety and is attempting to deal with it. (C) Walk with the client as he paces. This gives support while he uses anxiety- generated energy. (D) Increasing the level of supervision may be appropriate after he stops pacing. It would minimize self-injury and/or loss of control.

• Question 223:

  The nurse would teach a male client ways to minimize the risk of infection after eye surgery. Which of the following indicates the client needs further teaching?

  A. "I will wash my hands before instilling eye medications."
  B. "I will wear sunglasses when going outside."
  C. "I will wear an eye patch for the first 3 postoperative days."
  D. "I will maintain the sterility of the eye medications."
  C. "I will wear an eye patch for the first 3 postoperative days."

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  (A) Hand washing would be an important action designed to prevent transmission of pathogens from the hands to the eye. (B) Wearing sunglasses when going outside will prevent airborne pathogens from entering the eye. (C) Eye patches are most frequently ordered to be worn while the client sleeps or naps, not constantly for this length of time. (D) Eye medications are sterile; clients need to be taught how to maintain this sterility.

• Question 224:

  A client returned to the unit following a pneumonectomy. As the nurse is assessing her incision, she notices fresh blood on the dressing. The nurse should first:

  A. Reinforce the dressing.
  B. Continue to monitor the dressing.
  C. Notify the physician.
  D. Note the time and amount of blood.
  C. Notify the physician.

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  (A) The dressing should not be reinforced without first notifying the physician. The decision may be made by the physician to reinforce the dressing after assessing the amount of bleeding. (B) Blood on the dressing is unusual and should make the nurse aware that something more than continuing to monitor the dressing should be done. (C) The physician should be notified immediately, because if the bleeding persists, the client may have to be taken back to surgery. (D) The time and amount of blood do need to be recorded after the physician is notified.

• Question 225:

  A mother is unsure about the type of toys for her 17-month-old child. Based on knowledge of growth and development, what toy would the nurse suggest?

  A. A pull toy to encourage locomotion
  B. A mobile to improve hand-eye coordination
  C. A large toy with movable parts to improve pincer grasp
  D. Various large colored blocks to teach visual discrimination
  A. A pull toy to encourage locomotion

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  (A) Increased locomotive skills make push-pull toys appropriate for the energetic toddler. (B) Infants progress from reflex activity through simple repetitive behaviors to imitative behavior. Hand-eye coordination forms the foundation of other movements. (C) At age 8 months, infants begin to have pincer grasp. Toys that help infants develop the pincer grasp are recommended for this age group. (D) Various large colored blocks are suggested toys for infants 6?2 months of age to help visual stimulation.

• Question 226:

  The client tells the nurse, "I have pain in my left shoulder."

  This is considered:

  A. Evaluation process
  B. Objective information
  C. Subjective information
  D. Complaining
  C. Subjective information

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  (A) Evaluation process follows a nursing intervention. (B) Objective information can be measured. (C) Subjective information is provided by a person. (D) Client is reporting a symptom that needs to be assessed.

• Question 227:

  A complication for which the nurse should be alert following a liver biopsy is:

  A. Hepatic coma
  B. Jaundice
  C. Ascites
  D. Shock
  D. Shock

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  (A) Hepatic coma may occur in liver disease due to the increased NH3levels, not due to liver biopsy. (B) Jaundice may occur due to increased bilirubin levels, not due to liver biopsy. (C) Ascites would occur due to portal hypertension, not due to liver biopsy. (D) Hemorrhage and shock are the most likely complications after liver biopsy because of already existing bleeding tendencies in the vascular makeup of the liver.

• Question 228:

  A physician's order reads: Administer furosemide oral solution 0.5 mL stat. The furosemide bottle dosage is 10 mg/mL. What dosage of furosemide should the nurse give to this infant?

  A. 5 mg
  B. 0.5 mg
  C. 0.05 mg
  D. 20 mg
  A. 5 mg

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  (A) 1 mg = 0.1 mL, then 0.5 mL X= 55 mg. (B) Thisanswer is a miscalculation. (C) This answer is a miscalculation. (D) This answer is a miscalculation.

• Question 229:

  A male client received a heart-lung transplant 1 month ago at a local transplant center. While visiting the nursing center to have his blood pressure taken, he complains of recent weakness and fatigue. He also tells the nurse that he is considering stopping his cyclosporine because it is expensive and is causing his face to become round. He fears he will catch viruses and be more susceptible to infections. The nurse responds to this last statement by explaining that cyclosporine:

  A. Is given to prevent rejection and makes him less susceptible to infection than other oral corticosteroids
  B. Is available at discount pharmacies for a reduced price
  C. Is usually not necessary after the first year following transplantation
  D. May initially cause weakness, dizziness, and fatigue, but these side effects will gradually resolve themselves
  A. Is given to prevent rejection and makes him less susceptible to infection than other oral corticosteroids

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  (A) Cyclosporine is the immunosuppressive drug of choice. It provides immunosuppression but does not lower the white blood cell count; therefore, the client is less susceptible to infection. (B) Cyclosporine is available at discount pharmacies. The cost may be absorbed by health insurance, or Medicare, if the client is eligible. However, this statement does not address the entire problem verbalized by the client. (C) Immunosuppressive agents will be taken for the client's entire life because rejection can occur at any time. (D) These side effects do not necessarily resolve in time; however, the client may adapt.

• Question 230:

  The nurse is caring for a 3-month-old girl with meningitis. She has a positive Kernig's sign. The nurse expects her to react to discomfort if she:

  A. Dorsiflexes her ankle
  B. Flexes her spine
  C. Plantiflexes her wrist
  D. Turns her head to the side
  B. Flexes her spine

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  (A) Discomfort with ankle dorsiflexion is not expected with meningitis. (B) Spinal flexion, flexing the neck or the hips with legs extended, causes discomfort if the meninges are irritated. (C) Discomfort with wrist flexion is not expected with meningitis. (D) Rotating the cervical spine may cause discomfort with meningitis, but pain with flexion is more indicative of meningeal irritation.