40 Items Comprehensive NCLEX Review
40 Items Comprehensive NCLEX Review
40 Items Comprehensive NCLEX Review
A) angina at rest
B) thrombus formation
C) dizziness
D) falling blood pressure
5. What would the nurse expect to see while assessing the growth of
children during their school age years?
7. The hospital has sounded the call for a disaster drill on the evening
shift. Which of these clients would the nurse put first on the list to be
discharged in order to make a room available for a new admission?
8. A client has been newly diagnosed with hypothyroidism and will take
levothyroxine (Synthroid) 50 mcg/day by mouth. As part of the
teaching plan, the nurse emphasizes that this medication:
A) Polyphagia
B) Dehydration
C) Bed wetting
D) Weight loss
A) Trichomoniasis
B) Chlamydia
C) Staphylococcus
D) Streptococcus
A) A middle-aged client who says "I took too many diet pills" and "my
heart feels like it is racing out of my chest."
B) A young adult who says "I hear songs from heaven. I need money
for beer. I quit drinking 2 days ago for my family. Why are my arms
and legs jerking?"
C) An adolescent who has been on pain medications for terminal
cancer with an initial assessment finding of pinpoint pupils and a
relaxed respiratory rate of 10
D) An elderly client who reports having taken a "large crack hit" 10
minutes prior to walking into the emergency room
14. Which of these findings indicate that a pump to deliver a basal rate
of 10 ml per hour plus PRN for pain break through for morphine drip is
not working?
17. A child who has recently been diagnosed with cystic fibrosis is in a
pediatric clinic where a nurse is performing an assessment. Which later
finding of this disease would the nurse not expect to see at this time?
18. The home health nurse visits a male client to provide wound care
and finds the client lethargic and confused. His wife states he fell down
the stairs 2 hours ago. The nurse should
A) A 2 month old infant with a history of rolling off the bed and has
buldging fontanels with crying
B) A teenager who got a singed beard while camping
C) An elderly client with complaints of frequent liquid brown colored
stools
D) A middle aged client with intermittent pain behind the right scapula
22. While planning care for a toddler, the nurse teaches the parents
about the expected developmental changes for this age. Which
statement by the mother shows that she understands the child's
developmental needs?
24. The nurse is caring for a client with a serum potassium level of 3.5
mEq/L. The client is placed on a cardiac monitor and receives 40 mEq
KCL in 1000 ml of 5% dextrose in water IV. Which of the following EKG
patterns indicates to the nurse that the infusions should be
discontinued?
A) The muscles
B) The cerebellum
C) The kidneys
D) The leg bones
26. The nurse anticipates that for a family who practices Chinese
medicine the priority goal would be to
A) Achieve harmony
B) Maintain a balance of energy
C) Respect life
D) Restore yin and yang
29. A nurse enters a client's room to discover that the client has no
pulse or respirations. After calling for help, the first action the nurse
should take is
A) Start a peripheral IV
B) Initiate closed-chest massage
C) Establish an airway
D) Obtain the crash cart
30. A client is receiving digoxin (Lanoxin) 0.25 mg. Daily. The health
care provider has written a new order to give metoprolol (Lopressor)
25 mg. B.I.D. In assessing the client prior to administering the
medications, which of the following should the nurse report
immediately to the health care provider?
A) Abdominal respirations
B) Irregular breathing rate
C) Inspiratory grunt
D) Increased heart rate with crying
32. The nurse practicing in a maternity setting recognizes that the post
mature fetus is at risk due to
33. The nurse is caring for a client who had a total hip replacement 4
days ago. Which assessment requires the nurse’s immediate attention?
34. A client has been taking furosemide (Lasix) for the past week. The
nurse recognizes which finding may indicate the client is experiencing
a negative side effect from the medication?
A) Weight gain of 5 pounds
B) Edema of the ankles
C) Gastric irritability
D) Decreased appetite
35. A client who is pregnant comes to the clinic for a first visit. The
nurse gathers data about her obstetric history, which includes 3 year-
old twins at home and a miscarriage 10 years ago at 12 weeks
gestation. How would the nurse accurately document this information?
A) Gravida 4 para 2
B) Gravida 2 para 1
C) Gravida 3 para 1
D) Gravida 3 para 2
36. The nurse is caring for a client with a venous stasis ulcer. Which
nursing intervention would be most effective in promoting healing?
40. During the evaluation of the quality of home care for a client with
Alzheimer's disease, the priority for the nurse is to reinforce which
statement by a family member?
----End----