NCLEX qRNCLEX-
RN
LATEST UPDATE qR
2023 NCLEX –RN
qR qR qR
QUESTIONS
R
q
AND ANSWERS
qR qR
PAPER WITH A
qR qR qR
GUARANTEE OF
qR qR
A
R
q
, NCLEX qRNCLEX-
RN
QUESTION qR1
Which qRclassification qRof qRdrugs qRis qRcontraindicated qRfor qRthe qRclient qRwith qRhypertrophic qRcardiomyopathy?
A. Positive qRinotropes
B. Vasodilators
C. Diuretics
D. Antidysrhythmics
Answer: qRA
qExplanation
:
(A) qRPositive qRinotropic qRagents qRshould qRnot qRbe qRadministered qRowing qRto qRtheir qRaction qRof qRincreasing
qRmyocardial qRcontractility. qRIncreased qRventricular qRcontractility qRwould qRincrease qRoutflow qRtract qRobstruction
qRin qRthe qRclient qRwith qRhypertrophic qRcardiomyopathy. qR(B) qRVasodilators qRare qRnot qRtypically qRprescribed qRbut qRare
qRnot qRcontraindicated. qR(C)q Diuretics qRare qRused qRwith qRcaution qRto qRavoid qRcausing qRhypovolemi
R
A. qR(D) qRAntidysrhythmics qRare qRtypically qRneeded qRto qRtreat qRboth qRatrial qRand qRventricular qRdysrhythmias.
QUESTION qR2
Signs qRand qRsymptoms qRof qRan qRallergy qRattack qRinclude qRwhich qRof qRthe qRfollowing?
A. Wheezing qRon qRinspiration
B. Increased qRrespiratory qRrate
C. Circumoral qRcyanosis
D. Prolonged qRexpiration
Answer: qRD
qExplanation
:
(A) qRWheezing qRoccurs qRduring qRexpiration qRwhen qRair qRmovement qRis qRimpaired qRbecause qRof qRconstricted
qRedematousqR bronchial qRlumin
A. qR(B) qRRespirations qRare qRdifficult, qRbut qRthe qRrate qRis qRfrequently qRnormal. qR(C) qRThe qRcircumoral qRarea qRis
qRusually qRpale.qR
Cyanosis qRis qRnot qRan qRearly qRsign qRof qRhypoxi
A. qR(D) qRExpiration qRis qRprolonged qRbecause qRthe qRalveoli qRare qRgreatly qRdistended qRand qRair qRtrapping qRoccurs.
QUESTION qR3
A qRclient qRconfides qRto qRthe qRnurse qRthat qRhe qRtasted qRpoison qRin qRhis qRevening qRmeal. qRThis qRwould qRbe qRan
qRexample qRof qRwhat qRtypeq of qRhallucination?
R
A. Auditory
B. Gustatory
C. Olfactory
D. Visceral
Answer: qRB
qExplanation
:
(A) qRAuditory qRhallucinations qRinvolve qRsensory qRperceptions qRof qRhearing. qR(B) qRGustatory qRhallucinations
qRinvolve qRsensory qRperceptions qRof qRtaste. qR(C) qROlfactory qRhallucinations qRinvolve qRsensory qRperceptions qRof
qRsmell. qR(D) qRVisceralq
hallucinations qRinvolve qRsensory qRperceptions qRof qRsensation.
R
, NCLEX qRNCLEX-
RN
QUESTION qR4
Which qRof qRthe qRfollowing qRfindings qRwould qRbe qRabnormal qRin qRa qRpostpartal qRwoman?
A. Chills qRshortly qRafter qRdelivery
B. Pulse qRrate qRof qR60 qRbpm qRin qRmorning qRon qRfirst qRpostdelivery qRday
C. Urinary qRoutput qRof qR3000 qRmL qRon qRthe qRsecond qRday qRafter qRdelivery
D. An qRoral qRtemperature qRof qR101F qR(38.3C) qRon qRthe qRthird qRday qRafter qRdelivery
Answer: qRD
qExplanation
:
(A) qRFrequently qRthe qRmother qRexperiences qRa qRshaking qRchill qRimmediately qRafter qRdelivery, qRwhich qRis qRrelated
qRto qRa qRnervous qRresponse qRor qRto qR vasomotor qRchanges. qR If qR not qRfollowed qRby qRa qRfever, qR it qRis qRclinically
qRinnocuous. qR(B) qRThe qRpulse qRrate qRduring qRthe qRimmediate qRpostpartal qRperiod qRmay qRbe qRlow qRbut qRpresents qRno
qRcause qRfor qRalarm. qRThe qRbody qRattempts qRto qRadapt qRto qRthe qRdecreased qRpressures qRintra-abdominally qRas qRwell
qRas qRfrom qRthe qRreduction qRof qRblood qRflow qRto qRthe qRvascular qRbed. qR(C)qR
Urinary qRoutput qRincreases qRduring qRthe
qRearly qRpostpartal qRperiod qR(12–24 qRhours) qRowing qRto qRdiuresis. qRThe qRkidneys qRmust qReliminate qRan qRestimated
qR2000–3000 qRmL qRof qRextracellular qRfluid qRassociated qRwith qRa qRnormal qRpregnancy. qR(D) qRA qRtemperature qRof
qR100.4F qR(38C) qRmay qRoccur qRafter qRdelivery qRas qRa qRresult qRof qRexertion qRand qRdehydration qRof qRlabor. qRHowever,
any qRtemperature qRgreater qRthan qR100.4F qRneeds qRfurther qRinvestigation qRto qRidentify qRany qRinfectious qRprocess.
R
q
QUESTION qR5
A qRsix-month-old qRinfant qRhas qRbeen qRadmitted qRto qRthe qRemergency qRroom qRwith qRfebrile qRseizures. qRIn qRthe
qRteaching qRof qRtheqR
parents, qRthe qRnurse qRstates qRthat:
A. Sustained qRtemperature qRelevation qRover qR103F qRis qRgenerally qRrelated qRto qRfebrile qRseizures
B. Febrile qRseizures qRdo qRnot qRusually qRrecur
C. There qRis qRlittle qRrisk qRof qRneurological qRdeficit qRand qRmental qRretardation qRas qRsequelae qRto qRfebrile qRseizures
D. Febrile qRseizures qRare qRassociated qRwith qRdiseases qRof qRthe qRcentral qRnervous qRsystem
Answer: qRC
qExplanation
:
(A) qRThe qRtemperature qRelevation qRrelated qRto qRfebrile qRseizures qRgenerally qRexceeds qR101F, qRand qRseizures qRoccur
qRduring qRthe qRtemperature qRrise qRrather qRthan qRafter qRa qRprolonged qRelevation. qR(B) qRFebrile qRseizures qRmay qRrecur
qRand qRare qRmore qRlikely qRto qRdoqso qRwhen qRthe qRfirst qRseizure qRoccurs qRin qRthe qR1st qRyear qRof qRlife. qR(C) qRThere qRis
R
qRlittle qRrisk qRof qRneurological qRdeficit, qRmental qRretardation, qRor qRaltered qRbehavior qRsecondary qRto qRfebrile
qRseizures. qR(D) qRFebrile qRseizures qRare qRassociated qRwith qRdisease qRof qRthe qRcentral qRnervous qRsystem.
QUESTION qR6
A qRclient qRdiagnosed qRwith qRbipolar qRdisorder qRcontinues qRto qRbe qRhyperactive qRand qRto qRlose qRweight. qRWhich qRof
qRthe qRfollowingqR
nutritional qRinterventions qRwould qRbe qRmost qRtherapeutic qRfor qRhim qRat qRthis qRtime?
A. Small, qRfrequent qRfeedings qRof qRfoods qRthat qRcan qRbe qRcarried
B. Tube qRfeedings qRwith qRnutritional qRsupplements
C. Allowing qRhim qRto qReat qRwhen qRand qRwhat qRhe qRwants
D. Giving qRhim qRa qRquiet qRplace qRwhere qRhe qRcan qRsit qRdown qRto qReat qRmeals
Answer: qRA
qExplanation
:
, NCLEX qRNCLEX-
(A) qRThe qRmanic qRclient qRis qRunable qRto qRsit qRstill qRRN
long qRenough qRto qReat qRan qRadequate qRmeal. qRSmall, qRfrequent
qRfeedings qRwith finger qRfoods qRallow qRhim qRto qReat qRduring qRperiods qRof qRactivity. qR(B) qRThis qRtype qRof qRtherapy qRshould
qRbe qRimplemented qRwhenq other qRmethods qRhave qRbeen qRexhausted. qR(C) qRThe qRmanic qRclient qRshould qRnot qRbe qRin
R
qRcontrol qRof qRhis qRtreatment qRplan. qRThis qRtype qRof qRclient qRmay qRforget qRto qReat. qR(D) qRThe qRmanic qRclient qRis qRunable
qRto qRsit qRdown qRto qReat qRfull qRmeals.
QUESTION qR7
A qRclient qRwith qRbipolar qRdisorder qRtaking qRlithium qRtells qRthe qRnurse qRthat qRhe qRhas qRringing qRin qRhis qRears,
qRblurred qRvision, qRandqdiarrhe
R
A. qRThe qRnurse qRnotices qRa qRslight qRtremor qRin qRhis qRleft qRhand qRand qRa qRslurring qRpattern qRto qRhis qRspeech. qRWhich qRof
qRthe qRfollowingqR actions qRby qRthe qRnurse qRis qRappropriate?
A. Administer qRa qRstat qRdose qRof qRlithium qRas qRnecessary.
B. Recognize qRthis qRas qRan qRexpected qRresponse qRto qRlithium.
C. Request qRan qRorder qRfor qRa qRstat qRblood qRlithium qRlevel.
D. Give qRan qRoral qRdose qRof qRlithium qRantidote.
Answer: qRC
qExplanation
:
(A) These qRsymptoms qRare qRindicative qRof qRlithium qRtoxicity. qRA qRstat qRdose qRof qRlithium qRcould qRbe qRfatal.
(B) These qRare qRtoxic qReffects qRof qRlithium qRtherapy. qR(C) qRThe qRclient qRis qRexhibiting qRsymptoms qRof qRlithium
qRtoxicity, qRwhichqR
may qRbe qRvalidated qRby qRlab qRstudies. qR(D) qRThere qRis qRno qRknown qRlithium qRantidote.
QUESTION qR8
A qRdiagnosis qRof qRhepatitis qRC qRis qRconfirmed qRby qRa qRmale qRclient’s qRphysician. qRThe qRnurse qRshould qRbe
qRknowledgeable qRof qRtheq differences qRbetween qRhepatitis qRA, qRB, qRand qRC. qRWhich qRof qRthe qRfollowing qRare
R
qRcharacteristics qRof qRhepatitis qRC?
A. The qRpotential qRfor qRchronic qRliver qRdisease qRis qRminimal.
B. The qRonset qRof qRsymptoms qRis qRabrupt.
C. The qRincubation qRperiod qRis qR2–26 qRweeks.
D. There qRis qRan qReffective qRvaccine qRfor qRhepatitis qRB, qRbut qRnot qRfor qRhepatitis qRC.
Answer: qRC
qExplanation
:
(A) qRHepatitis qRC qRand qRB qRmay qRresult qRin qRchronic qRliver qRdisease. qRHepatitis qRA qRhas qRa qRlow qRpotential qRfor
qRchronic qRliver qRdisease. qR(B) qRHepatitis qRC qRand qRB qRhave qRinsidious qRonsets. qRHepatitis qRA qRhas qRan qRabrupt qRonset.
qR(C) qRIncubation qRperiods qRareq as qRfollows: qRhepatitis qRC qRis qR2–26 qRweeks, qRhepatitis qRB qRis qR6–20 qRweeks, qRand
R
qRhepatitis qRA qRis qR2–6 qRweeks. qR(D) qROnly qRhepatitis qRB qRhas qRan qReffective qRvaccine.
QUESTION qR9
Hypoxia qRis qRthe qRprimary qRproblem qRrelated qRto qRnear-drowning qRvictims. qRThe qRfirst qRorgan qRthat qRsustains
qRirreversibleqR
damage qRafter qRsubmersion qRin qRwater qRis qRthe:
A. Kidney qR(urinary qRsystem)
B. Brain qR(nervous qRsystem)
C. Heart qR(circulatory qRsystem)
D. Lungs qR(respiratory qRsystem)
Answer: qRB
qExplanation
RN
LATEST UPDATE qR
2023 NCLEX –RN
qR qR qR
QUESTIONS
R
q
AND ANSWERS
qR qR
PAPER WITH A
qR qR qR
GUARANTEE OF
qR qR
A
R
q
, NCLEX qRNCLEX-
RN
QUESTION qR1
Which qRclassification qRof qRdrugs qRis qRcontraindicated qRfor qRthe qRclient qRwith qRhypertrophic qRcardiomyopathy?
A. Positive qRinotropes
B. Vasodilators
C. Diuretics
D. Antidysrhythmics
Answer: qRA
qExplanation
:
(A) qRPositive qRinotropic qRagents qRshould qRnot qRbe qRadministered qRowing qRto qRtheir qRaction qRof qRincreasing
qRmyocardial qRcontractility. qRIncreased qRventricular qRcontractility qRwould qRincrease qRoutflow qRtract qRobstruction
qRin qRthe qRclient qRwith qRhypertrophic qRcardiomyopathy. qR(B) qRVasodilators qRare qRnot qRtypically qRprescribed qRbut qRare
qRnot qRcontraindicated. qR(C)q Diuretics qRare qRused qRwith qRcaution qRto qRavoid qRcausing qRhypovolemi
R
A. qR(D) qRAntidysrhythmics qRare qRtypically qRneeded qRto qRtreat qRboth qRatrial qRand qRventricular qRdysrhythmias.
QUESTION qR2
Signs qRand qRsymptoms qRof qRan qRallergy qRattack qRinclude qRwhich qRof qRthe qRfollowing?
A. Wheezing qRon qRinspiration
B. Increased qRrespiratory qRrate
C. Circumoral qRcyanosis
D. Prolonged qRexpiration
Answer: qRD
qExplanation
:
(A) qRWheezing qRoccurs qRduring qRexpiration qRwhen qRair qRmovement qRis qRimpaired qRbecause qRof qRconstricted
qRedematousqR bronchial qRlumin
A. qR(B) qRRespirations qRare qRdifficult, qRbut qRthe qRrate qRis qRfrequently qRnormal. qR(C) qRThe qRcircumoral qRarea qRis
qRusually qRpale.qR
Cyanosis qRis qRnot qRan qRearly qRsign qRof qRhypoxi
A. qR(D) qRExpiration qRis qRprolonged qRbecause qRthe qRalveoli qRare qRgreatly qRdistended qRand qRair qRtrapping qRoccurs.
QUESTION qR3
A qRclient qRconfides qRto qRthe qRnurse qRthat qRhe qRtasted qRpoison qRin qRhis qRevening qRmeal. qRThis qRwould qRbe qRan
qRexample qRof qRwhat qRtypeq of qRhallucination?
R
A. Auditory
B. Gustatory
C. Olfactory
D. Visceral
Answer: qRB
qExplanation
:
(A) qRAuditory qRhallucinations qRinvolve qRsensory qRperceptions qRof qRhearing. qR(B) qRGustatory qRhallucinations
qRinvolve qRsensory qRperceptions qRof qRtaste. qR(C) qROlfactory qRhallucinations qRinvolve qRsensory qRperceptions qRof
qRsmell. qR(D) qRVisceralq
hallucinations qRinvolve qRsensory qRperceptions qRof qRsensation.
R
, NCLEX qRNCLEX-
RN
QUESTION qR4
Which qRof qRthe qRfollowing qRfindings qRwould qRbe qRabnormal qRin qRa qRpostpartal qRwoman?
A. Chills qRshortly qRafter qRdelivery
B. Pulse qRrate qRof qR60 qRbpm qRin qRmorning qRon qRfirst qRpostdelivery qRday
C. Urinary qRoutput qRof qR3000 qRmL qRon qRthe qRsecond qRday qRafter qRdelivery
D. An qRoral qRtemperature qRof qR101F qR(38.3C) qRon qRthe qRthird qRday qRafter qRdelivery
Answer: qRD
qExplanation
:
(A) qRFrequently qRthe qRmother qRexperiences qRa qRshaking qRchill qRimmediately qRafter qRdelivery, qRwhich qRis qRrelated
qRto qRa qRnervous qRresponse qRor qRto qR vasomotor qRchanges. qR If qR not qRfollowed qRby qRa qRfever, qR it qRis qRclinically
qRinnocuous. qR(B) qRThe qRpulse qRrate qRduring qRthe qRimmediate qRpostpartal qRperiod qRmay qRbe qRlow qRbut qRpresents qRno
qRcause qRfor qRalarm. qRThe qRbody qRattempts qRto qRadapt qRto qRthe qRdecreased qRpressures qRintra-abdominally qRas qRwell
qRas qRfrom qRthe qRreduction qRof qRblood qRflow qRto qRthe qRvascular qRbed. qR(C)qR
Urinary qRoutput qRincreases qRduring qRthe
qRearly qRpostpartal qRperiod qR(12–24 qRhours) qRowing qRto qRdiuresis. qRThe qRkidneys qRmust qReliminate qRan qRestimated
qR2000–3000 qRmL qRof qRextracellular qRfluid qRassociated qRwith qRa qRnormal qRpregnancy. qR(D) qRA qRtemperature qRof
qR100.4F qR(38C) qRmay qRoccur qRafter qRdelivery qRas qRa qRresult qRof qRexertion qRand qRdehydration qRof qRlabor. qRHowever,
any qRtemperature qRgreater qRthan qR100.4F qRneeds qRfurther qRinvestigation qRto qRidentify qRany qRinfectious qRprocess.
R
q
QUESTION qR5
A qRsix-month-old qRinfant qRhas qRbeen qRadmitted qRto qRthe qRemergency qRroom qRwith qRfebrile qRseizures. qRIn qRthe
qRteaching qRof qRtheqR
parents, qRthe qRnurse qRstates qRthat:
A. Sustained qRtemperature qRelevation qRover qR103F qRis qRgenerally qRrelated qRto qRfebrile qRseizures
B. Febrile qRseizures qRdo qRnot qRusually qRrecur
C. There qRis qRlittle qRrisk qRof qRneurological qRdeficit qRand qRmental qRretardation qRas qRsequelae qRto qRfebrile qRseizures
D. Febrile qRseizures qRare qRassociated qRwith qRdiseases qRof qRthe qRcentral qRnervous qRsystem
Answer: qRC
qExplanation
:
(A) qRThe qRtemperature qRelevation qRrelated qRto qRfebrile qRseizures qRgenerally qRexceeds qR101F, qRand qRseizures qRoccur
qRduring qRthe qRtemperature qRrise qRrather qRthan qRafter qRa qRprolonged qRelevation. qR(B) qRFebrile qRseizures qRmay qRrecur
qRand qRare qRmore qRlikely qRto qRdoqso qRwhen qRthe qRfirst qRseizure qRoccurs qRin qRthe qR1st qRyear qRof qRlife. qR(C) qRThere qRis
R
qRlittle qRrisk qRof qRneurological qRdeficit, qRmental qRretardation, qRor qRaltered qRbehavior qRsecondary qRto qRfebrile
qRseizures. qR(D) qRFebrile qRseizures qRare qRassociated qRwith qRdisease qRof qRthe qRcentral qRnervous qRsystem.
QUESTION qR6
A qRclient qRdiagnosed qRwith qRbipolar qRdisorder qRcontinues qRto qRbe qRhyperactive qRand qRto qRlose qRweight. qRWhich qRof
qRthe qRfollowingqR
nutritional qRinterventions qRwould qRbe qRmost qRtherapeutic qRfor qRhim qRat qRthis qRtime?
A. Small, qRfrequent qRfeedings qRof qRfoods qRthat qRcan qRbe qRcarried
B. Tube qRfeedings qRwith qRnutritional qRsupplements
C. Allowing qRhim qRto qReat qRwhen qRand qRwhat qRhe qRwants
D. Giving qRhim qRa qRquiet qRplace qRwhere qRhe qRcan qRsit qRdown qRto qReat qRmeals
Answer: qRA
qExplanation
:
, NCLEX qRNCLEX-
(A) qRThe qRmanic qRclient qRis qRunable qRto qRsit qRstill qRRN
long qRenough qRto qReat qRan qRadequate qRmeal. qRSmall, qRfrequent
qRfeedings qRwith finger qRfoods qRallow qRhim qRto qReat qRduring qRperiods qRof qRactivity. qR(B) qRThis qRtype qRof qRtherapy qRshould
qRbe qRimplemented qRwhenq other qRmethods qRhave qRbeen qRexhausted. qR(C) qRThe qRmanic qRclient qRshould qRnot qRbe qRin
R
qRcontrol qRof qRhis qRtreatment qRplan. qRThis qRtype qRof qRclient qRmay qRforget qRto qReat. qR(D) qRThe qRmanic qRclient qRis qRunable
qRto qRsit qRdown qRto qReat qRfull qRmeals.
QUESTION qR7
A qRclient qRwith qRbipolar qRdisorder qRtaking qRlithium qRtells qRthe qRnurse qRthat qRhe qRhas qRringing qRin qRhis qRears,
qRblurred qRvision, qRandqdiarrhe
R
A. qRThe qRnurse qRnotices qRa qRslight qRtremor qRin qRhis qRleft qRhand qRand qRa qRslurring qRpattern qRto qRhis qRspeech. qRWhich qRof
qRthe qRfollowingqR actions qRby qRthe qRnurse qRis qRappropriate?
A. Administer qRa qRstat qRdose qRof qRlithium qRas qRnecessary.
B. Recognize qRthis qRas qRan qRexpected qRresponse qRto qRlithium.
C. Request qRan qRorder qRfor qRa qRstat qRblood qRlithium qRlevel.
D. Give qRan qRoral qRdose qRof qRlithium qRantidote.
Answer: qRC
qExplanation
:
(A) These qRsymptoms qRare qRindicative qRof qRlithium qRtoxicity. qRA qRstat qRdose qRof qRlithium qRcould qRbe qRfatal.
(B) These qRare qRtoxic qReffects qRof qRlithium qRtherapy. qR(C) qRThe qRclient qRis qRexhibiting qRsymptoms qRof qRlithium
qRtoxicity, qRwhichqR
may qRbe qRvalidated qRby qRlab qRstudies. qR(D) qRThere qRis qRno qRknown qRlithium qRantidote.
QUESTION qR8
A qRdiagnosis qRof qRhepatitis qRC qRis qRconfirmed qRby qRa qRmale qRclient’s qRphysician. qRThe qRnurse qRshould qRbe
qRknowledgeable qRof qRtheq differences qRbetween qRhepatitis qRA, qRB, qRand qRC. qRWhich qRof qRthe qRfollowing qRare
R
qRcharacteristics qRof qRhepatitis qRC?
A. The qRpotential qRfor qRchronic qRliver qRdisease qRis qRminimal.
B. The qRonset qRof qRsymptoms qRis qRabrupt.
C. The qRincubation qRperiod qRis qR2–26 qRweeks.
D. There qRis qRan qReffective qRvaccine qRfor qRhepatitis qRB, qRbut qRnot qRfor qRhepatitis qRC.
Answer: qRC
qExplanation
:
(A) qRHepatitis qRC qRand qRB qRmay qRresult qRin qRchronic qRliver qRdisease. qRHepatitis qRA qRhas qRa qRlow qRpotential qRfor
qRchronic qRliver qRdisease. qR(B) qRHepatitis qRC qRand qRB qRhave qRinsidious qRonsets. qRHepatitis qRA qRhas qRan qRabrupt qRonset.
qR(C) qRIncubation qRperiods qRareq as qRfollows: qRhepatitis qRC qRis qR2–26 qRweeks, qRhepatitis qRB qRis qR6–20 qRweeks, qRand
R
qRhepatitis qRA qRis qR2–6 qRweeks. qR(D) qROnly qRhepatitis qRB qRhas qRan qReffective qRvaccine.
QUESTION qR9
Hypoxia qRis qRthe qRprimary qRproblem qRrelated qRto qRnear-drowning qRvictims. qRThe qRfirst qRorgan qRthat qRsustains
qRirreversibleqR
damage qRafter qRsubmersion qRin qRwater qRis qRthe:
A. Kidney qR(urinary qRsystem)
B. Brain qR(nervous qRsystem)
C. Heart qR(circulatory qRsystem)
D. Lungs qR(respiratory qRsystem)
Answer: qRB
qExplanation
