TEST MODE
2020/2021 NCLEX-PN Test Prep
100 Questions
PRACTICE EXAM 2 [TEST MODE]
1. The child with seizure disorder is being treated with Dilantin
(phenytoin). Which of the following statements by the patient’s
mother
indicates to the nurse that the patient is experiencing a side effect of Dilantin
therapy?
A. “She is very irritable lately.”
B. “She sleeps quite a bit of the time.”
C. “Her gums look too big for her teeth.”
D. “She has gained about 10 pounds in the last 6 months.”
2. A 5-year-old is admitted to the unit following a tonsillectomy. Which
of the following would indicate a complication of the surgery?
A. Decreased appetite
B. A low-grade fever
C. Chest congestion
D. Constant swallowing
3. A 6-year-old with cerebral palsy functions at the level of an 18-monthold. Which
finding would support that assessment?
A. She dresses herself.
B. She pulls a toy behind her.
C. She can build a tower of eight blocks.
D. She can copy a horizontal or vertical line.
4. Which information obtained from the mother of a child with
cerebral palsy most likely correlates to the diagnosis?
A. She was born at 42 weeks gestation.
B. She had meningitis when she was 6 months old.
C. She had physiologic jaundice after delivery.
D. She has frequent sore throats.
,5. A 10-year-old is being treated for asthma. Before
administering Theodur, the nurse should check the:
A. Urinary output
B. Blood pressure
C. Pulse
D. Temperature
6. An elderly client is diagnosed with ovarian cancer. She has surgery
followed by chemotherapy with a fluorouracil (Adrucil) IV. What should
the nurse do if she notices crystals and cloudiness in the IV medication?
A. Discard the solution and order a new bag
B. Warm the solution
C. Continue the infusion and document the finding
D. Discontinue the medication
7. The client is diagnosed with multiple myoloma. The doctor has
ordered cyclophosphamide (Cytoxan). Which instruction should be given
to the client?
A. “Walk about a mile a day to prevent calcium loss.”
B. “Increase the fiber in your diet.”
C. “Report nausea to the doctor immediately.”
D. “Drink at least eight large glasses of water a day.”
8. The client is taking rifampin 600mg po daily to treat his
tuberculosis. Which action by the nurse indicates understanding of the
medication?
A. Telling the client that the medication will need to be taken with juice
B. Telling the client that the medication will change the color of the urine
C. Telling the client to take the medication before going to bed at night
D. Telling the client to take the medication if night sweats occur
9. The client is taking prednisone 7.5mg po each morning to treat his
systemic lupus errythymatosis. Which statement best explains the reason
for taking the prednisone in the morning?
A. There is less chance of forgetting the medication if taken in the morning.
B. There will be less fluid retention if taken in the morning.
C. Prednisone is absorbed best with the breakfast meal.
, D. Morning administration mimics the body’s natural secretion
of corticosteroid.
10. A 20-year-old female has a prescription for tetracycline. While
teaching the client how to take her medicine, the nurse learns that the
client is also taking Ortho-Novum oral contraceptive pills. Which
instructions should be included in the teaching plan?
A. The oral contraceptives will decrease the effectiveness of the tetracycline.
B. Nausea often results from taking oral contraceptives and antibiotics.
C. Toxicity can result when taking these two medications together.
D. Antibiotics can decrease the effectiveness of oral contraceptives, so
the client should use an alternate method of birth control.
11. A 60-year-old diabetic is taking glyburide (Diabeta) 1.25mg daily to
treat Type II diabetes mellitus. Which statement indicates the need for further
teaching?
A. “I will keep candy with me just in case my blood sugar drops.”
B. “I need to stay out of the sun as much as possible.”
C. “I often skip dinner because I don’t feel hungry.”
D. “I always wear my medical identification.”
12. The physician prescribes regular insulin, 5 units subcutaneous.
Regular insulin begins to exert an effect:
A. In 5–10 minutes
B. In 10–20 minutes
C. In 30–60 minutes
D. In 60–120 minutes
13. The client is admitted from the emergency room with multiple injuries
sustained from an auto accident. His doctor prescribes a histamine
blocker. The reason for this order is:
A. To treat general discomfort
B. To correct electrolyte imbalances
C. To prevent stress ulcers
D. To treat nausea
14. The client with a recent liver transplant asks the nurse how long he will
2020/2021 NCLEX-PN Test Prep
100 Questions
PRACTICE EXAM 2 [TEST MODE]
1. The child with seizure disorder is being treated with Dilantin
(phenytoin). Which of the following statements by the patient’s
mother
indicates to the nurse that the patient is experiencing a side effect of Dilantin
therapy?
A. “She is very irritable lately.”
B. “She sleeps quite a bit of the time.”
C. “Her gums look too big for her teeth.”
D. “She has gained about 10 pounds in the last 6 months.”
2. A 5-year-old is admitted to the unit following a tonsillectomy. Which
of the following would indicate a complication of the surgery?
A. Decreased appetite
B. A low-grade fever
C. Chest congestion
D. Constant swallowing
3. A 6-year-old with cerebral palsy functions at the level of an 18-monthold. Which
finding would support that assessment?
A. She dresses herself.
B. She pulls a toy behind her.
C. She can build a tower of eight blocks.
D. She can copy a horizontal or vertical line.
4. Which information obtained from the mother of a child with
cerebral palsy most likely correlates to the diagnosis?
A. She was born at 42 weeks gestation.
B. She had meningitis when she was 6 months old.
C. She had physiologic jaundice after delivery.
D. She has frequent sore throats.
,5. A 10-year-old is being treated for asthma. Before
administering Theodur, the nurse should check the:
A. Urinary output
B. Blood pressure
C. Pulse
D. Temperature
6. An elderly client is diagnosed with ovarian cancer. She has surgery
followed by chemotherapy with a fluorouracil (Adrucil) IV. What should
the nurse do if she notices crystals and cloudiness in the IV medication?
A. Discard the solution and order a new bag
B. Warm the solution
C. Continue the infusion and document the finding
D. Discontinue the medication
7. The client is diagnosed with multiple myoloma. The doctor has
ordered cyclophosphamide (Cytoxan). Which instruction should be given
to the client?
A. “Walk about a mile a day to prevent calcium loss.”
B. “Increase the fiber in your diet.”
C. “Report nausea to the doctor immediately.”
D. “Drink at least eight large glasses of water a day.”
8. The client is taking rifampin 600mg po daily to treat his
tuberculosis. Which action by the nurse indicates understanding of the
medication?
A. Telling the client that the medication will need to be taken with juice
B. Telling the client that the medication will change the color of the urine
C. Telling the client to take the medication before going to bed at night
D. Telling the client to take the medication if night sweats occur
9. The client is taking prednisone 7.5mg po each morning to treat his
systemic lupus errythymatosis. Which statement best explains the reason
for taking the prednisone in the morning?
A. There is less chance of forgetting the medication if taken in the morning.
B. There will be less fluid retention if taken in the morning.
C. Prednisone is absorbed best with the breakfast meal.
, D. Morning administration mimics the body’s natural secretion
of corticosteroid.
10. A 20-year-old female has a prescription for tetracycline. While
teaching the client how to take her medicine, the nurse learns that the
client is also taking Ortho-Novum oral contraceptive pills. Which
instructions should be included in the teaching plan?
A. The oral contraceptives will decrease the effectiveness of the tetracycline.
B. Nausea often results from taking oral contraceptives and antibiotics.
C. Toxicity can result when taking these two medications together.
D. Antibiotics can decrease the effectiveness of oral contraceptives, so
the client should use an alternate method of birth control.
11. A 60-year-old diabetic is taking glyburide (Diabeta) 1.25mg daily to
treat Type II diabetes mellitus. Which statement indicates the need for further
teaching?
A. “I will keep candy with me just in case my blood sugar drops.”
B. “I need to stay out of the sun as much as possible.”
C. “I often skip dinner because I don’t feel hungry.”
D. “I always wear my medical identification.”
12. The physician prescribes regular insulin, 5 units subcutaneous.
Regular insulin begins to exert an effect:
A. In 5–10 minutes
B. In 10–20 minutes
C. In 30–60 minutes
D. In 60–120 minutes
13. The client is admitted from the emergency room with multiple injuries
sustained from an auto accident. His doctor prescribes a histamine
blocker. The reason for this order is:
A. To treat general discomfort
B. To correct electrolyte imbalances
C. To prevent stress ulcers
D. To treat nausea
14. The client with a recent liver transplant asks the nurse how long he will
