TEST BANK FOR NCLEX RN ACTUAL
EXAM TEST BANK OF REAL
QUESTIONS & ANSWERS NCLEX 2023
QUESTION 1
Which classification of drugs is contraindicated for the client with hypertrophic
cardiomyopathy?
A. Positive inotropes
B. Vasodilators
C. Diuretics
D. Antidysrhythmics
Answer: A Explanation:
(A) Positive inotropic agents should not be administered owing to their action of
increasing myocardial contractility. Increased ventricular contractility would increase
outflow tract obstruction in the client with hypertrophic cardiomyopathy. (B) Vasodilators
are not typically prescribed but are not contraindicated. (C) Diuretics are used with caution
to avoid causing hypovolemi
A. (D) Antidysrhythmics are typically needed to treat both atrial and ventricular dysrhythmias.
QUESTION 2
Signs and symptoms of an allergy attack include which of the following?
A. Wheezing on inspiration
B. Increased respiratory rate
C. Circumoral cyanosis
D. Prolonged expiration
A
n
s
w
e
r
:
,D
E
x
p
l
a
n
a
t
i
o
n
:
(A) Wheezing occurs during expiration when air movement is impaired because of
constricted edematous bronchial lumin
A. (B) Respirations are difficult, but the rate is frequently normal. (C) The circumoral area
is usually pale. Cyanosis is not an early sign of hypoxi
A. (D) Expiration is prolonged because the alveoli are greatly distended and air trapping
occurs.
QUESTION 3
A client confides to the nurse that he tasted poison in his evening meal. This would be an
example of what type of hallucination?
A. Auditory
B. Gustatory
C. Olfactory
D. Visceral
A
n
s
w
e
r
:
B
E
x
p
l
a
n
,a
t
i
o
n
:
(A) Auditory hallucinations involve sensory perceptions of hearing. (B) Gustatory
hallucinations involve sensory perceptions of taste. (C) Olfactory hallucinations involve
sensory perceptions of smell. (D) Visceral
hallucinations involve sensory perceptions of sensation.
NCLEX RN ACTUAL EXAM TEST BANK OF REAL QUESTIONS & ANSWERS NCLEX 2022 | NCLEX
Exam
QUESTION 4
Which of the following findings would be abnormal in a postpartal woman?
A. Chills shortly after delivery
B. Pulse rate of 60 bpm in morning on first postdelivery day
C. Urinary output of 3000 mL on the second day after delivery
D. An oral temperature of 101F (38.3C) on the third day after delivery
A
n
s
w
e
r
:
D
E
x
p
l
a
n
a
t
i
o
, n
:
(A) Frequently the mother experiences a shaking chill immediately after delivery, which is
related to a nervous response or to vasomotor changes. If not followed by a fever, it is
clinically innocuous. (B) The pulse rate during the immediate postpartal period may be low
but presents no cause for alarm. The body attempts to adapt to the decreased pressures
intra-abdominally as well as from the reduction of blood flow to the vascular bed. (C)
Urinary output increases during the early postpartal period (12–24 hours) owing to
diuresis. The kidneys must eliminate an estimated 2000–3000 mL of extracellular fluid
associated with a normal pregnancy. (D) A temperature of 100.4F (38C) may occur after
delivery as a result of exertion and dehydration of labor. However, any temperature greater
than 100.4F needs further investigation to identify any infectious process.
QUESTION 5
A six-month-old infant has been admitted to the emergency room with febrile seizures. In
the teaching of the parents, the nurse states that:
A. Sustained temperature elevation over 103F is generally related to febrile seizures
B. Febrile seizures do not usually recur
C. There is little risk of neurological deficit and mental retardation as sequelae to febrile
seizures
D. Febrile seizures are associated with diseases of the central nervous system
A
n
s
w
e
r
:
C
E
x
p
l
a
n
a
t
i
o
n
:
(A) The temperature elevation related to febrile seizures generally exceeds 101F, and
seizures occur during the temperature rise rather than after a prolonged elevation. (B)
EXAM TEST BANK OF REAL
QUESTIONS & ANSWERS NCLEX 2023
QUESTION 1
Which classification of drugs is contraindicated for the client with hypertrophic
cardiomyopathy?
A. Positive inotropes
B. Vasodilators
C. Diuretics
D. Antidysrhythmics
Answer: A Explanation:
(A) Positive inotropic agents should not be administered owing to their action of
increasing myocardial contractility. Increased ventricular contractility would increase
outflow tract obstruction in the client with hypertrophic cardiomyopathy. (B) Vasodilators
are not typically prescribed but are not contraindicated. (C) Diuretics are used with caution
to avoid causing hypovolemi
A. (D) Antidysrhythmics are typically needed to treat both atrial and ventricular dysrhythmias.
QUESTION 2
Signs and symptoms of an allergy attack include which of the following?
A. Wheezing on inspiration
B. Increased respiratory rate
C. Circumoral cyanosis
D. Prolonged expiration
A
n
s
w
e
r
:
,D
E
x
p
l
a
n
a
t
i
o
n
:
(A) Wheezing occurs during expiration when air movement is impaired because of
constricted edematous bronchial lumin
A. (B) Respirations are difficult, but the rate is frequently normal. (C) The circumoral area
is usually pale. Cyanosis is not an early sign of hypoxi
A. (D) Expiration is prolonged because the alveoli are greatly distended and air trapping
occurs.
QUESTION 3
A client confides to the nurse that he tasted poison in his evening meal. This would be an
example of what type of hallucination?
A. Auditory
B. Gustatory
C. Olfactory
D. Visceral
A
n
s
w
e
r
:
B
E
x
p
l
a
n
,a
t
i
o
n
:
(A) Auditory hallucinations involve sensory perceptions of hearing. (B) Gustatory
hallucinations involve sensory perceptions of taste. (C) Olfactory hallucinations involve
sensory perceptions of smell. (D) Visceral
hallucinations involve sensory perceptions of sensation.
NCLEX RN ACTUAL EXAM TEST BANK OF REAL QUESTIONS & ANSWERS NCLEX 2022 | NCLEX
Exam
QUESTION 4
Which of the following findings would be abnormal in a postpartal woman?
A. Chills shortly after delivery
B. Pulse rate of 60 bpm in morning on first postdelivery day
C. Urinary output of 3000 mL on the second day after delivery
D. An oral temperature of 101F (38.3C) on the third day after delivery
A
n
s
w
e
r
:
D
E
x
p
l
a
n
a
t
i
o
, n
:
(A) Frequently the mother experiences a shaking chill immediately after delivery, which is
related to a nervous response or to vasomotor changes. If not followed by a fever, it is
clinically innocuous. (B) The pulse rate during the immediate postpartal period may be low
but presents no cause for alarm. The body attempts to adapt to the decreased pressures
intra-abdominally as well as from the reduction of blood flow to the vascular bed. (C)
Urinary output increases during the early postpartal period (12–24 hours) owing to
diuresis. The kidneys must eliminate an estimated 2000–3000 mL of extracellular fluid
associated with a normal pregnancy. (D) A temperature of 100.4F (38C) may occur after
delivery as a result of exertion and dehydration of labor. However, any temperature greater
than 100.4F needs further investigation to identify any infectious process.
QUESTION 5
A six-month-old infant has been admitted to the emergency room with febrile seizures. In
the teaching of the parents, the nurse states that:
A. Sustained temperature elevation over 103F is generally related to febrile seizures
B. Febrile seizures do not usually recur
C. There is little risk of neurological deficit and mental retardation as sequelae to febrile
seizures
D. Febrile seizures are associated with diseases of the central nervous system
A
n
s
w
e
r
:
C
E
x
p
l
a
n
a
t
i
o
n
:
(A) The temperature elevation related to febrile seizures generally exceeds 101F, and
seizures occur during the temperature rise rather than after a prolonged elevation. (B)
