TEST MODE
2020/2021 NCLEX-PN Test Prep
100 Questions
PRACTICE EXAM 10 [TEST MODE]
1. Which post-operative assessment finding on a client with a
femoral popliteal graft of the right leg would require immediate
charge nurse notification?
A. Edema of the right extremity and pain at the incision site
B. A temperature of 99.6°F and redness of the incision
C. Serous drainage noted at the surgical area
D. A loss of posterior tibial and dorsalis pedis pulses on the right leg
2. The nurse is caring for a client with nausea and vomiting. Laboratory
results reveal a potassium level of 2.9mEq. Which ECG finding would
the nurse expect to find due to the client’s potassium results?
A. Depressed ST segments
B. Elevated T waves
C. Absent P waves
D. Flattened QRSs
3. The nurse is preparing a patient for surgery on the lower abdomen.
Which position would the nurse most likely place the client in for surgery
on this area?
A. Lithotomy
B. Sims
C. Prone
D. Trendelenburg
4. The physician has prescribed a cleansing enema to a client scheduled
for colon surgery. The nurse would place the client:
A. Prone
B. Supine
C. Left Sims
D. Dorsal recumbent
,5. The nurse is caring for a client with chest trauma. Which finding
would be most indicative of a tension pneumothorax?
A. Frothy hemoptysis
B. Trachea shift toward unaffected side of the chest
C. Subcutaneous emphysema noted anterior chest
D. Opening chest wound with a whistle sound emitting from the area
6. The nurse is reviewing a history on a new admission for surgery in the
morning. Which long-term medication in the client’s history would be
most important to report to the physician?
A. Prednisone
B. Lisinopril (Zestril)
C. Docusate (Colace)
D. Calcium carbonate (Oscal D)
7. The nurse is explaining about the drug zafirlukast (Accolate) to a
client with asthma. Which comment by the client would indicate
ineffective teaching?
A. “I should take this medication with meals.”
B. “I need to report flulike symptoms to my doctor.”
C. “My doctor might order liver tests while I’m on this drug.”
D. “If I’m already having an asthma attack, this drug will not stop it.”
8. A client is 4 hours post-operative left brain cerebral aneurysm
clipping. Which assessment finding would cause the nurse the most
concern?
A. Temperature 99.4°F, heart rate 110, respiratory rate 24
B. Drowsiness, urinary output of 50mL in the past hour, 1cm blood
drainage noted on surgical dressing
C. BP 120/60, lethargic, right-sided weakness
D. Alert and oriented, BP 168/96, heart rate 70
9. A client with pancreatic cancer has just been given a negative prognosis
by the oncologist. The nurse hears the client state, “I don’t believe the
doctor, and I think he has me confused with another patient.” This is an
example of which of Kubler-Ross’ stages of dying?
A. Denial
, B. Anger
C. Depression
D. Bargaining
10. The nurse is discussing staff assignments. Which client
assignment should be given to the nurse’s assistant?
A. Emergency exploratory laparotomy with a colon resection the
previous shift
B. Client with a stroke scheduled for discharge to rehabilitation
C. A client with terminal cancer in severe pain
D. New admission with diverticulitis
11. A client is being discharged on warfarin (Coumadin) after
hospitalization for atrial fibrillation. The nurse recognizes that which of
the following foods would be restricted while the client is on this
medication?
A. Cabbage
B. Apples
C. Potatoes
D. Macaroni
12. Which assessment finding in a client with emphysema indicates to
the nurse that the respiratory problem is chronic?
A. Wheezing on exhalation
B. Productive cough
C. Clubbing of fingers
D. Cyanosis
13. A client who has just undergone a laparoscopic tubal ligation
complains of “free air pain.” What would be the nurse’s best action?
A. Ambulate the client
B. Instruct the client to breathe deeply and cough
C. Maintain the client on bed rest with her legs elevated
D. Insert an NG tube to low wall suction
14. The nurse is planning shift duties. Which is the least appropriate task
for the nursing assistant?
A. Assisting a COPD client admitted 2 days ago to get up in the chair
2020/2021 NCLEX-PN Test Prep
100 Questions
PRACTICE EXAM 10 [TEST MODE]
1. Which post-operative assessment finding on a client with a
femoral popliteal graft of the right leg would require immediate
charge nurse notification?
A. Edema of the right extremity and pain at the incision site
B. A temperature of 99.6°F and redness of the incision
C. Serous drainage noted at the surgical area
D. A loss of posterior tibial and dorsalis pedis pulses on the right leg
2. The nurse is caring for a client with nausea and vomiting. Laboratory
results reveal a potassium level of 2.9mEq. Which ECG finding would
the nurse expect to find due to the client’s potassium results?
A. Depressed ST segments
B. Elevated T waves
C. Absent P waves
D. Flattened QRSs
3. The nurse is preparing a patient for surgery on the lower abdomen.
Which position would the nurse most likely place the client in for surgery
on this area?
A. Lithotomy
B. Sims
C. Prone
D. Trendelenburg
4. The physician has prescribed a cleansing enema to a client scheduled
for colon surgery. The nurse would place the client:
A. Prone
B. Supine
C. Left Sims
D. Dorsal recumbent
,5. The nurse is caring for a client with chest trauma. Which finding
would be most indicative of a tension pneumothorax?
A. Frothy hemoptysis
B. Trachea shift toward unaffected side of the chest
C. Subcutaneous emphysema noted anterior chest
D. Opening chest wound with a whistle sound emitting from the area
6. The nurse is reviewing a history on a new admission for surgery in the
morning. Which long-term medication in the client’s history would be
most important to report to the physician?
A. Prednisone
B. Lisinopril (Zestril)
C. Docusate (Colace)
D. Calcium carbonate (Oscal D)
7. The nurse is explaining about the drug zafirlukast (Accolate) to a
client with asthma. Which comment by the client would indicate
ineffective teaching?
A. “I should take this medication with meals.”
B. “I need to report flulike symptoms to my doctor.”
C. “My doctor might order liver tests while I’m on this drug.”
D. “If I’m already having an asthma attack, this drug will not stop it.”
8. A client is 4 hours post-operative left brain cerebral aneurysm
clipping. Which assessment finding would cause the nurse the most
concern?
A. Temperature 99.4°F, heart rate 110, respiratory rate 24
B. Drowsiness, urinary output of 50mL in the past hour, 1cm blood
drainage noted on surgical dressing
C. BP 120/60, lethargic, right-sided weakness
D. Alert and oriented, BP 168/96, heart rate 70
9. A client with pancreatic cancer has just been given a negative prognosis
by the oncologist. The nurse hears the client state, “I don’t believe the
doctor, and I think he has me confused with another patient.” This is an
example of which of Kubler-Ross’ stages of dying?
A. Denial
, B. Anger
C. Depression
D. Bargaining
10. The nurse is discussing staff assignments. Which client
assignment should be given to the nurse’s assistant?
A. Emergency exploratory laparotomy with a colon resection the
previous shift
B. Client with a stroke scheduled for discharge to rehabilitation
C. A client with terminal cancer in severe pain
D. New admission with diverticulitis
11. A client is being discharged on warfarin (Coumadin) after
hospitalization for atrial fibrillation. The nurse recognizes that which of
the following foods would be restricted while the client is on this
medication?
A. Cabbage
B. Apples
C. Potatoes
D. Macaroni
12. Which assessment finding in a client with emphysema indicates to
the nurse that the respiratory problem is chronic?
A. Wheezing on exhalation
B. Productive cough
C. Clubbing of fingers
D. Cyanosis
13. A client who has just undergone a laparoscopic tubal ligation
complains of “free air pain.” What would be the nurse’s best action?
A. Ambulate the client
B. Instruct the client to breathe deeply and cough
C. Maintain the client on bed rest with her legs elevated
D. Insert an NG tube to low wall suction
14. The nurse is planning shift duties. Which is the least appropriate task
for the nursing assistant?
A. Assisting a COPD client admitted 2 days ago to get up in the chair
