Miami Dade College NUR 1141 NCLEX Practice Test
questions- Nursing 1 Questions With Complete Solutions
A 10- month- old infant is admitted to the emergency
department with a 102° F rectal temperature and a history of
vomiting and diarrhea for 48 hours. For what signs should the
nurse look related to this client's likely fluid imbalance?
1. Bulging fontanels, tearless cry, and low urine output
2. Sunken eyes, lethargy, and dry, furrowed tongue
3. Weight loss, dilute urine, and peripheral edema
4. Dry skin, thready pulse, and neck vein distention Correct
Answers Answer 2
A 10-month-old female infant with biliary atresia is being
discharged after a Kasai procedure. Which statement, if
made by the parents, indicates that teaching with regard
to prognosis has been understood? 1. "We are glad this problem
was found so early; now everything
will be fine."
2. "We will stop her liver medicine now that she is being
discharged."
3. "We are happy to be able to stop that special formula and
many of those vitamins."
4. "We know that even though surgery is over, she will likely
need a liver transplant." Correct Answers Answer 4
A 12- year- old boy is diagnosed with early human
immunodeficiency virus ( HIV) infection secondary to factor
transfusions for hemophilia. The family is very concerned about
their ability to manage his care, risk of infection to family
members, and whether the child should remain in the home.
,Which action by the nurse will best promote family coping at
this time?
1. Explain to the family that the infection cannot be spread by
casual contact.
2. Demonstrate positive acceptance of the child with each
contact.
3. Explain that prophylactic drugs will prevent the virus from
spreading.
4. Show the family how to wash their hands properly. Correct
Answers Answer 2
A 5- year- old child is brought into the clinic after being stung
by an insect. The child appears to be going into anaphylactic
shock. Which nursing action is of highest priority?
1. Assess urinary output to determine renal perfusion
2. Apply cold, wet compresses to the site
3. Position the child's head to maintain an open airway
4. Establish intravenous access for medication delivery Correct
Answers Answer 3
A 50-year-old male with chronic low back pain visits the
outpatient clinic. The client weighs 200 pounds, works as a
truck driver, sits for prolonged periods, and exercises only
occasionally. The client smokes one pack of cigarettes and
drinks six cans of beer per day. What priority risk factors
should the nurse focus on during client teaching? Select
all that apply. 1. Cigarette smoking
2. Age
3. Alcohol use
4. Insufficient exercise
5. Sitting for prolonged periods Correct Answers Answer 1,4,5
,A 78-year-old client with chronic obstructive pulmonary
disease (COPD) has had abdominal surgery, and suddenly
feels something "let go" in the incision underneath the
dressing when coughing. What are the nurse's immediate
actions? Select all that apply. 1. Have someone notify the
physician.
2. Open the dressing, and view the problem.
3. Apply pressure over the site.
4. Use a sterile dressing and sterile saline to keep the open
incision moist.
5. Sit the client upright in bed. Correct Answers Answer 1,2,4
A 9-year-old male client with severe esophagitis is
12 hours status/post-Nissen fundoplication for
gastroesophageal reflux. What action by the nurse would
be appropriate while providing nursing care? 1. Encourage him
to take small amounts of clear liquids
every 4 hours.
2. Administer nasogstric or gastrostomy feedings every 4 hours.
3. Ask him to choose a face on the Wong FACES pain
rating scale.
4. Insert a pH probe to monitor esophageal acidity. Correct
Answers Answer 3
A child has been admitted to the unit with nephrotic
syndrome. In talking with the mother, she reports that a
cousin had acute glomerulonephritis (AGN) last year. The
mother asks how these two diseases compare, as they both
affect the kidneys. The nurse's response would include
, which piece of information? 1. Both disorders produce smoky
colored urine.
2. Both disorders cause greatly reduced urine output.
3. Both disorders have a genetic basis.
4. Both disorders require treatment with antibiotic therapy.
Correct Answers Answer 2
A child has been admitted with acute glomerulonephritis
(AGN). All of the following tests are positive for AGN.
The nurse concludes that which laboratory test is most
indicative of this disease? 1. Elevated antistreptinolysin O
(ASO) titers
2. Elevated erythrocyte sedimentation rate (ESR)
3. Presence of hematuria according to urinalysis
4. Elevated creatinine concentrations Correct Answers Answer
1
A child is admitted to the hospital with a diagnosis of
osteomyelitis. Which data would the nurse likely obtain
during a nursing history? 1. History of an upper respiratory
infection
2. History of gastroenteritis
3. History of Legg-Calve-Perthes disease
4. History of congenital hip dysplasia Correct Answers Answer
1
A child is being treated for nephrotic syndrome. The nurse
has told the mother that it is important to keep the child's
skin clean and dry. When the mother asks why, what
rationale would the nurse include in a response? 1. The skin is
fragile secondary to electrolyte deficiency.
questions- Nursing 1 Questions With Complete Solutions
A 10- month- old infant is admitted to the emergency
department with a 102° F rectal temperature and a history of
vomiting and diarrhea for 48 hours. For what signs should the
nurse look related to this client's likely fluid imbalance?
1. Bulging fontanels, tearless cry, and low urine output
2. Sunken eyes, lethargy, and dry, furrowed tongue
3. Weight loss, dilute urine, and peripheral edema
4. Dry skin, thready pulse, and neck vein distention Correct
Answers Answer 2
A 10-month-old female infant with biliary atresia is being
discharged after a Kasai procedure. Which statement, if
made by the parents, indicates that teaching with regard
to prognosis has been understood? 1. "We are glad this problem
was found so early; now everything
will be fine."
2. "We will stop her liver medicine now that she is being
discharged."
3. "We are happy to be able to stop that special formula and
many of those vitamins."
4. "We know that even though surgery is over, she will likely
need a liver transplant." Correct Answers Answer 4
A 12- year- old boy is diagnosed with early human
immunodeficiency virus ( HIV) infection secondary to factor
transfusions for hemophilia. The family is very concerned about
their ability to manage his care, risk of infection to family
members, and whether the child should remain in the home.
,Which action by the nurse will best promote family coping at
this time?
1. Explain to the family that the infection cannot be spread by
casual contact.
2. Demonstrate positive acceptance of the child with each
contact.
3. Explain that prophylactic drugs will prevent the virus from
spreading.
4. Show the family how to wash their hands properly. Correct
Answers Answer 2
A 5- year- old child is brought into the clinic after being stung
by an insect. The child appears to be going into anaphylactic
shock. Which nursing action is of highest priority?
1. Assess urinary output to determine renal perfusion
2. Apply cold, wet compresses to the site
3. Position the child's head to maintain an open airway
4. Establish intravenous access for medication delivery Correct
Answers Answer 3
A 50-year-old male with chronic low back pain visits the
outpatient clinic. The client weighs 200 pounds, works as a
truck driver, sits for prolonged periods, and exercises only
occasionally. The client smokes one pack of cigarettes and
drinks six cans of beer per day. What priority risk factors
should the nurse focus on during client teaching? Select
all that apply. 1. Cigarette smoking
2. Age
3. Alcohol use
4. Insufficient exercise
5. Sitting for prolonged periods Correct Answers Answer 1,4,5
,A 78-year-old client with chronic obstructive pulmonary
disease (COPD) has had abdominal surgery, and suddenly
feels something "let go" in the incision underneath the
dressing when coughing. What are the nurse's immediate
actions? Select all that apply. 1. Have someone notify the
physician.
2. Open the dressing, and view the problem.
3. Apply pressure over the site.
4. Use a sterile dressing and sterile saline to keep the open
incision moist.
5. Sit the client upright in bed. Correct Answers Answer 1,2,4
A 9-year-old male client with severe esophagitis is
12 hours status/post-Nissen fundoplication for
gastroesophageal reflux. What action by the nurse would
be appropriate while providing nursing care? 1. Encourage him
to take small amounts of clear liquids
every 4 hours.
2. Administer nasogstric or gastrostomy feedings every 4 hours.
3. Ask him to choose a face on the Wong FACES pain
rating scale.
4. Insert a pH probe to monitor esophageal acidity. Correct
Answers Answer 3
A child has been admitted to the unit with nephrotic
syndrome. In talking with the mother, she reports that a
cousin had acute glomerulonephritis (AGN) last year. The
mother asks how these two diseases compare, as they both
affect the kidneys. The nurse's response would include
, which piece of information? 1. Both disorders produce smoky
colored urine.
2. Both disorders cause greatly reduced urine output.
3. Both disorders have a genetic basis.
4. Both disorders require treatment with antibiotic therapy.
Correct Answers Answer 2
A child has been admitted with acute glomerulonephritis
(AGN). All of the following tests are positive for AGN.
The nurse concludes that which laboratory test is most
indicative of this disease? 1. Elevated antistreptinolysin O
(ASO) titers
2. Elevated erythrocyte sedimentation rate (ESR)
3. Presence of hematuria according to urinalysis
4. Elevated creatinine concentrations Correct Answers Answer
1
A child is admitted to the hospital with a diagnosis of
osteomyelitis. Which data would the nurse likely obtain
during a nursing history? 1. History of an upper respiratory
infection
2. History of gastroenteritis
3. History of Legg-Calve-Perthes disease
4. History of congenital hip dysplasia Correct Answers Answer
1
A child is being treated for nephrotic syndrome. The nurse
has told the mother that it is important to keep the child's
skin clean and dry. When the mother asks why, what
rationale would the nurse include in a response? 1. The skin is
fragile secondary to electrolyte deficiency.
