NLN NCLEX practice question with
complete solutions
While assessing a patient, a nurse notes the following findings: poor skin turgor,
| | | | | | | | | | | | |
decreased blood pressure, and a rapid pulse. The patient reports having flu-like
| | | | | | | | | | | |
symptoms, including nausea, vomiting, and diarrhea for the past three days.
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Based on the above data, which of these laboratory tests should the patient
| | | | | | | | | | | | |
have?
1. serum amylase, cholesterol, and urine glucose
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2. serum sodium, chloride, and magnesium levels
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3. hemoglobin, RBC, and platelet sounds
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4. urine osmolarity, BUN, and hematocrit - CORRECT ANSWER✔✔-Urine
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osmolarity, BUN, and hematocrit | | |
Which of these manifestations is suggestive of a UTI in a 6-year-old?
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1. polyphagia
|
2. anuria
|
3. hypotension
|
4. enuresis - CORRECT ANSWER✔✔-Enuresis
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To assess for Chvostek's sign, which of these actions should a nurse do?
| | | | | | | | | | | |
1. Rub a cotton applicator gently over the eyelid and observe for flutters.
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,2. Inflate the blood pressure cuff on the upper arm and observe for carpal
| | | | | | | | | | | | | |
spasms. |
3. Tap over the facial nerve anterior to the ear and observe for twitching
| | | | | | | | | | | | |
4. Dorsiflex the foot and observe for toe extension - CORRECT ANSWER✔✔-Tap
| | | | | | | | | | | |
over the facial nerve anterior to the ear and observe for twitching
| | | | | | | | | | |
When assessing an adolescent for scoliosis, which of these actions should a nurse
| | | | | | | | | | | |
include?
|
1. Ask the adolescent to raise both arms over his/her head.
| | | | | | | | | |
2. Ask the adolescent bend both knees and squat
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3. Ask the adolescent to walk on his/her tiptoes
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4. Ask the adolescent to bend forward at the waist - CORRECT ANSWER✔✔-Ask
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the adolescent to bend forward at the waist
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A nurse if planning to perform a physical assessment of the abdomen. The nurse
| | | | | | | | | | | | | |
should perform which of these assessments last?
| | | | | |
1. palpation
|
2. inspection
|
3. auscultation
|
4. percussion - CORRECT ANSWER✔✔-palpation
| | | |
Which of these manifestations should a nurse expect to assess in a patient who
| | | | | | | | | | | | | |
has chronic anorexia nervosa?
| | |
1. diarrhea
|
2. oliguria
|
, 3. tachycardia
|
4. constipation - CORRECT ANSWER✔✔-constipation
| | | |
Which if these manifestations should a nurse expect to observe in a 3-month-old
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infant who is diagnosed with dehydration?
| | | | |
1. hyperreflexia
|
2. tachycardia
|
3. agitation
|
4. bradypnea - CORRECT ANSWER✔✔-tachycardia
| | | |
A patient's chart indicates the presence of petechiae on the anterior thorax,
| | | | | | | | | | | |
arms, and neck. Which of these manifestations should a nurse expect to observe?
| | | | | | | | | | | |
1. star-snapped, reddish, raised spots on the skin and mucous membranes
| | | | | | | | | |
2. dime-sized purple-white, raised blotches across all affected skin surfaces
| | | | | | | | |
3. small reddish-purplish, flat spots on the skin or mucous membranes
| | | | | | | | | |
4. large brown spots on the front of the chest, around the arms, and over the
| | | | | | | | | | | | | | | |
neck - CORRECT ANSWER✔✔-small reddish-purplish, flat spots on the skin or
| | | | | | | | | | |
mucous membranes |
Which of these assessment data, if noted by a nurse, would indicate that a
| | | | | | | | | | | | | |
patient is responding effectively to fluid imbalance correction?
| | | | | | |
1. weight has stabilized
| | |
2. alert to place and person
| | | | |
3. skin turgor returns slowly
| | | |
4. breath sounds are noisy - CORRECT ANSWER✔✔-weight has stabilized
| | | | | | | | |
complete solutions
While assessing a patient, a nurse notes the following findings: poor skin turgor,
| | | | | | | | | | | | |
decreased blood pressure, and a rapid pulse. The patient reports having flu-like
| | | | | | | | | | | |
symptoms, including nausea, vomiting, and diarrhea for the past three days.
| | | | | | | | | | |
Based on the above data, which of these laboratory tests should the patient
| | | | | | | | | | | | |
have?
1. serum amylase, cholesterol, and urine glucose
| | | | | |
2. serum sodium, chloride, and magnesium levels
| | | | | |
3. hemoglobin, RBC, and platelet sounds
| | | | |
4. urine osmolarity, BUN, and hematocrit - CORRECT ANSWER✔✔-Urine
| | | | | | | | |
osmolarity, BUN, and hematocrit | | |
Which of these manifestations is suggestive of a UTI in a 6-year-old?
| | | | | | | | | | |
1. polyphagia
|
2. anuria
|
3. hypotension
|
4. enuresis - CORRECT ANSWER✔✔-Enuresis
| | | |
To assess for Chvostek's sign, which of these actions should a nurse do?
| | | | | | | | | | | |
1. Rub a cotton applicator gently over the eyelid and observe for flutters.
| | | | | | | | | | | | |
,2. Inflate the blood pressure cuff on the upper arm and observe for carpal
| | | | | | | | | | | | | |
spasms. |
3. Tap over the facial nerve anterior to the ear and observe for twitching
| | | | | | | | | | | | |
4. Dorsiflex the foot and observe for toe extension - CORRECT ANSWER✔✔-Tap
| | | | | | | | | | | |
over the facial nerve anterior to the ear and observe for twitching
| | | | | | | | | | |
When assessing an adolescent for scoliosis, which of these actions should a nurse
| | | | | | | | | | | |
include?
|
1. Ask the adolescent to raise both arms over his/her head.
| | | | | | | | | |
2. Ask the adolescent bend both knees and squat
| | | | | | | |
3. Ask the adolescent to walk on his/her tiptoes
| | | | | | | |
4. Ask the adolescent to bend forward at the waist - CORRECT ANSWER✔✔-Ask
| | | | | | | | | | | | |
the adolescent to bend forward at the waist
| | | | | | |
A nurse if planning to perform a physical assessment of the abdomen. The nurse
| | | | | | | | | | | | | |
should perform which of these assessments last?
| | | | | |
1. palpation
|
2. inspection
|
3. auscultation
|
4. percussion - CORRECT ANSWER✔✔-palpation
| | | |
Which of these manifestations should a nurse expect to assess in a patient who
| | | | | | | | | | | | | |
has chronic anorexia nervosa?
| | |
1. diarrhea
|
2. oliguria
|
, 3. tachycardia
|
4. constipation - CORRECT ANSWER✔✔-constipation
| | | |
Which if these manifestations should a nurse expect to observe in a 3-month-old
| | | | | | | | | | | | |
infant who is diagnosed with dehydration?
| | | | |
1. hyperreflexia
|
2. tachycardia
|
3. agitation
|
4. bradypnea - CORRECT ANSWER✔✔-tachycardia
| | | |
A patient's chart indicates the presence of petechiae on the anterior thorax,
| | | | | | | | | | | |
arms, and neck. Which of these manifestations should a nurse expect to observe?
| | | | | | | | | | | |
1. star-snapped, reddish, raised spots on the skin and mucous membranes
| | | | | | | | | |
2. dime-sized purple-white, raised blotches across all affected skin surfaces
| | | | | | | | |
3. small reddish-purplish, flat spots on the skin or mucous membranes
| | | | | | | | | |
4. large brown spots on the front of the chest, around the arms, and over the
| | | | | | | | | | | | | | | |
neck - CORRECT ANSWER✔✔-small reddish-purplish, flat spots on the skin or
| | | | | | | | | | |
mucous membranes |
Which of these assessment data, if noted by a nurse, would indicate that a
| | | | | | | | | | | | | |
patient is responding effectively to fluid imbalance correction?
| | | | | | |
1. weight has stabilized
| | |
2. alert to place and person
| | | | |
3. skin turgor returns slowly
| | | |
4. breath sounds are noisy - CORRECT ANSWER✔✔-weight has stabilized
| | | | | | | | |
