Exam (elaborations) NCLEX-PN Practice Questions Exam Cram (NCLEX)

NCLEX-PN Practice Questions Exam Cram:
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Practice Exam 3 and Rationales




1. A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse.
The nurse recognizes that the suicidal client has difficulty:

 A. Expressing feelings of low self-worth
 B. Discussing remorse and guilt for actions
 C. Displaying dependence on others

 D. Expressing anger toward others


Quick Answers: 187


Detailed Answer: 190


2. A client receiving HydroDIURIL (hydrochlorothiazide) is instructed to increase her dietary intake
of potassium. The best snack for the client requiring increased potassium is:

 A. Pear
 B. Apple
 C. Orange

 D. Banana


Quick Answers: 187


Detailed Answer: 190


3. The nurse is caring for a client following removal of the thyroid. Immediately post-op, the nurse
should:

 A. Maintain the client in a semi-Fowler’s position with the head and neck
supported by pillows
 B. Encourage the client to turn her head side to side, to promote drainage of
oral secretions

,  C. Maintain the client in a supine position with sandbags placed on either side
of the head and neck

 D. Encourage the client to cough and breathe deeply every 2 hours, with the
neck in a flexed position


Quick Answers: 187


Detailed Answer: 190


4. A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the
following is associated with an increased incidence of gastric cancer?

 A. Dairy products
 B. Carbonated beverages
 C. Refined sugars

 D. Luncheon meats


Quick Answers: 187


Detailed Answer: 190


5. A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His
tentative diagnosis is antisocial personality disorder. In reviewing the client’s record, the nurse
could expect to find:

 A. A history of consistent employment
 B. A below-average intelligence
 C. A history of cruelty to animals

 D. An expression of remorse for his actions


Quick Answers: 187


Detailed Answer: 190


6. The licensed vocational nurse may not assume the primary care for a client:

 A. In the fourth stage of labor
 B. Two days post-appendectomy
 C. With a venous access device

 D. With bipolar disorder

, Quick Answers: 187


Detailed Answer: 190


7. The physician has ordered dressings with mafenide acetate (Sulfamylon) cream for a client with
full-thickness burns of the hands and arms. Before dressing changes, the nurse should give
priority to:

 A. Administering pain medication
 B. Checking the adequacy of urinary output
 C. Requesting a daily complete blood count

 D. Obtaining a blood glucose by finger stick


Quick Answers: 187


Detailed Answer: 190


8. The nurse is teaching a group of parents about gross motor development of the toddler. Which
behavior is an example of the normal gross motor skill of a toddler?

 A. She can pull a toy behind her.
 B. She can copy a horizontal line.
 C. She can build a tower of eight blocks.

 D. She can broad-jump.


Quick Answers: 187


Detailed Answer: 190


9. A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment
should be kept on the client with a fractured mandible?

 A. Wire cutters
 B. Oral airway
 C. Pliers

 D. Tracheostomy set


Quick Answers: 187


Detailed Answer: 190

, 10. The nurse is to administer digoxin (Lanoxin) elixir to a 6-month-old with a congenital heart defect.
The nurse auscultates an apical pulse rate of 100. The nurse should:

 A. Record the heart rate and call the physician
 B. Record the heart rate and administer the medication
 C. Administer the medication and recheck the heart rate in 15 minutes

 D. Hold the medication and recheck the heart rate in 30 minutes


Quick Answers: 187


Detailed Answer: 190


11. A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain the treatment
for her daughter. The nurse’s explanation is based on the knowledge that lead poisoning is
treated with:

 A. Gastric lavage
 B. Chelating agents
 C. Antiemetics

 D. Activated charcoal


Quick Answers: 187


Detailed Answer: 191


12. An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for the child
with a cleft palate repair are:

 A. Elbow restraints
 B. Full arm restraints
 C. Wrist restraints

 D. Mummy restraints


Quick Answers: 187


Detailed Answer: 191


13. A client with glaucoma has been prescribed Timoptic (timolol) eyedrops. Timoptic should be
used with caution in the client with a history of: