1
NCLEX RN EXAM 2
n n n
021 update.
n
1. Whichnofnthenfollowingnclientsnisnatnanhighernrisknofndevelopingnoralnhealthnproblems?
a. Anpregnantnclient
b. Anclientnwithndiabetes
c. Anclientnreceivingnchemotherapy
d. Bothnbnandnc
2. Whichnnursingninterventionnisnmostnappropriatentonreducenenvironmentalnstimulinthatnmaync
ausendiscomfortnfornanclient?
a. Loosennpressurendressingsnonnwounds
b. Usenassistancentonpullnanclientnupninnbed
c. Checkntemperaturenofnwaternusedninnanspongenbath
d. Positionnthenclientnprone
3. AnclientnhasndevelopednanvitaminnCndeficiency.nWhichnofnthenfollowingnsymptomsnmightnthenn
ursenmostnlikelynseenwithnthisncondition?
a. Cracksnatnthencornersnofnthenmouth
b. Alterednmentalnstatus
c. Bleedingngumsnandnloosenteeth
d. Anorexianandndiarrhea
4. Whichnofnthenfollowingninterventionsnshouldnannursenperformnfornanfemalenclientnwhonisni
ncontinentnwithnimpairednskinnintegrity?
a. Turnnthenclientnatnleastneveryn8nhours
b. Applynlotionntonthenskinnbeforenanbath
Pagen1nofn38
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c. Providenperinealncarenafternthenclientnusesnthenbathroom
d. Bathenthenclientneveryn3ndays
5. Annursenisncaringnfornanclientnwhondiednapproximatelynonenhournago.nThennursennotesnthatnthencl
ient'sntemperaturenhasndecreasedninnthenlastnhournsincenhisndeath.nWhichnofnthenfollowingnprocess
esnexplainsnthisnphenomenon?
a. Rigornmortis
b. Postmortemndecomposition
c. Algornmortis
d. Livornmortis
6. Annursenisncalculatingnanclient'snintakenandnoutput.nDuringnthenlastnshift,nthenclientnhasnhadn½ncu
pnofngelatin,nanskinlessnchickennbreast,n1ncupnofngreennbeans,nandn300nccnofnwater.nThenclientnhasn
urinatedn250nccnandnhasnhadn2nbowelnmovements.nWhatnisnthisnclient'snintakenandnoutputnfornthisns
hift?
a. 420nccnintake,n250nccnoutput
b. 300nccnintake,n250nccnoutput
c. 550nccnintake,n550nccnoutput
d. 300nccnintake,n550nccnoutput
7. Annursenisncaringnfornanclientnwithnariboflavinosis.nWhichnofnthenfollowingnfoodsnshouldnthenn
ursenserventhisnclient?
a. Citrusnfruits
b. Milk
c. Fish
d. Potatoes
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, 3
8. Anclientnisntakingnanwalkndownnthenhallwaynwhennshensuddenlynrealizesnthatnshenneedsntonusenth
enrestroom.nAlthoughnshentriesntonmakenitntonthenbathroomnonntime,nshenisnincontinentnofnurinenbef
orenreachingnthentoilet.nWhatntypenofnincontinencendoesnthisnsituationnrepresent?
a. Reflexnincontinence
b. Urgenincontinence
c. Totalnincontinence
d. Functionalnincontinence
9. Whichnofnthenfollowingnisnannexamplenofnanpositiveneffectnofnexercisenonnanclient?
a. Decreasednbasalnmetabolicnrate
b. Decreasednvenousnreturn
c. Decreasednworknofnbreathing
d. Decreasedngastricnmotility
10. Younhaventakennthenvitalnsignsnfornyournpatient.nTheynarennormalnfornthenpatient.nWhatnshouldny
oundonnext?
a. Reportnthenvitalnsignsntonthendoctor
b. Writenthenvitalnsignsnonnanscrapnpaper
c. Callnthenfamilynmembers
d. DocumentnthemnonnthengraphicnVSnform
11. PennynThorntonnhasnhadnanstroke,nornCVA.nShenisnhavingndifficultyneatingnonnhernown.nSoon,ns
henwillnbengettingnsomenassistivendevicesnforneatingnmeals.
WhichnhealthcarenworkernwillnbengettingnPennynthesenassistivendevices?
a. Anphysicalntherapist
b. Anspeechntherapist
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, 4
c. Ansocialnworker
d. Annoccupationalntherapist
12. Whichnofnthenfollowingnisnannexamplenofnemotionalnabuse?
a. Anslapntonthenperson'snhand
b. Threateningnthenperson
c. Ignoringnandnisolatingnanperson
d. Leavingnanpatientnsoilednfornhours
13. Whichnofnthenfollowingnisnannexamplenofnemotionalnneglect?
a. Anslapntonthenperson'snhand
b. Threateningnthenperson
c. Ignoringnandnisolatingnanperson
d. Leavingnanpatientnsoilednfornhours
14. Thenduodenum:
a. isnthenthirdnsectionnofnthensmallnintestine,nwhichnleadsnimmediatelyntonthencolon.
b. isnthensectionnofnthenstomachnwherenthengallnbladderndeliversnbile.
c. isnthensectionnofnthensmallnintestinenwherenthenpancreasndeliversninsulin.
d. Nonenofnthenabove.
15. ThennursenisnperformingndischargenteachingnfornMrs.nSnafterncardiacnangioplasty.nHernhusbandni
snpresentnfornthenteaching.nWhilenexplainingnthenprescriptionnfornantiplateletnmedicationntonusenatnh
ome,nMrs.nS'snhusbandnstates,n"Indon'tnthinknIncannaffordntonrefillnthatnmedication."nWhatnisnthenmost
nappropriatenresponsenofnthennurse?
a. Don'tnworry,nyourninsurancenwillncovernit."
Pagen4nofn38
NCLEX RN EXAM 2
n n n
021 update.
n
1. Whichnofnthenfollowingnclientsnisnatnanhighernrisknofndevelopingnoralnhealthnproblems?
a. Anpregnantnclient
b. Anclientnwithndiabetes
c. Anclientnreceivingnchemotherapy
d. Bothnbnandnc
2. Whichnnursingninterventionnisnmostnappropriatentonreducenenvironmentalnstimulinthatnmaync
ausendiscomfortnfornanclient?
a. Loosennpressurendressingsnonnwounds
b. Usenassistancentonpullnanclientnupninnbed
c. Checkntemperaturenofnwaternusedninnanspongenbath
d. Positionnthenclientnprone
3. AnclientnhasndevelopednanvitaminnCndeficiency.nWhichnofnthenfollowingnsymptomsnmightnthenn
ursenmostnlikelynseenwithnthisncondition?
a. Cracksnatnthencornersnofnthenmouth
b. Alterednmentalnstatus
c. Bleedingngumsnandnloosenteeth
d. Anorexianandndiarrhea
4. Whichnofnthenfollowingninterventionsnshouldnannursenperformnfornanfemalenclientnwhonisni
ncontinentnwithnimpairednskinnintegrity?
a. Turnnthenclientnatnleastneveryn8nhours
b. Applynlotionntonthenskinnbeforenanbath
Pagen1nofn38
, 2
c. Providenperinealncarenafternthenclientnusesnthenbathroom
d. Bathenthenclientneveryn3ndays
5. Annursenisncaringnfornanclientnwhondiednapproximatelynonenhournago.nThennursennotesnthatnthencl
ient'sntemperaturenhasndecreasedninnthenlastnhournsincenhisndeath.nWhichnofnthenfollowingnprocess
esnexplainsnthisnphenomenon?
a. Rigornmortis
b. Postmortemndecomposition
c. Algornmortis
d. Livornmortis
6. Annursenisncalculatingnanclient'snintakenandnoutput.nDuringnthenlastnshift,nthenclientnhasnhadn½ncu
pnofngelatin,nanskinlessnchickennbreast,n1ncupnofngreennbeans,nandn300nccnofnwater.nThenclientnhasn
urinatedn250nccnandnhasnhadn2nbowelnmovements.nWhatnisnthisnclient'snintakenandnoutputnfornthisns
hift?
a. 420nccnintake,n250nccnoutput
b. 300nccnintake,n250nccnoutput
c. 550nccnintake,n550nccnoutput
d. 300nccnintake,n550nccnoutput
7. Annursenisncaringnfornanclientnwithnariboflavinosis.nWhichnofnthenfollowingnfoodsnshouldnthenn
ursenserventhisnclient?
a. Citrusnfruits
b. Milk
c. Fish
d. Potatoes
Pagen2nofn38
, 3
8. Anclientnisntakingnanwalkndownnthenhallwaynwhennshensuddenlynrealizesnthatnshenneedsntonusenth
enrestroom.nAlthoughnshentriesntonmakenitntonthenbathroomnonntime,nshenisnincontinentnofnurinenbef
orenreachingnthentoilet.nWhatntypenofnincontinencendoesnthisnsituationnrepresent?
a. Reflexnincontinence
b. Urgenincontinence
c. Totalnincontinence
d. Functionalnincontinence
9. Whichnofnthenfollowingnisnannexamplenofnanpositiveneffectnofnexercisenonnanclient?
a. Decreasednbasalnmetabolicnrate
b. Decreasednvenousnreturn
c. Decreasednworknofnbreathing
d. Decreasedngastricnmotility
10. Younhaventakennthenvitalnsignsnfornyournpatient.nTheynarennormalnfornthenpatient.nWhatnshouldny
oundonnext?
a. Reportnthenvitalnsignsntonthendoctor
b. Writenthenvitalnsignsnonnanscrapnpaper
c. Callnthenfamilynmembers
d. DocumentnthemnonnthengraphicnVSnform
11. PennynThorntonnhasnhadnanstroke,nornCVA.nShenisnhavingndifficultyneatingnonnhernown.nSoon,ns
henwillnbengettingnsomenassistivendevicesnforneatingnmeals.
WhichnhealthcarenworkernwillnbengettingnPennynthesenassistivendevices?
a. Anphysicalntherapist
b. Anspeechntherapist
Pagen3nofn38
, 4
c. Ansocialnworker
d. Annoccupationalntherapist
12. Whichnofnthenfollowingnisnannexamplenofnemotionalnabuse?
a. Anslapntonthenperson'snhand
b. Threateningnthenperson
c. Ignoringnandnisolatingnanperson
d. Leavingnanpatientnsoilednfornhours
13. Whichnofnthenfollowingnisnannexamplenofnemotionalnneglect?
a. Anslapntonthenperson'snhand
b. Threateningnthenperson
c. Ignoringnandnisolatingnanperson
d. Leavingnanpatientnsoilednfornhours
14. Thenduodenum:
a. isnthenthirdnsectionnofnthensmallnintestine,nwhichnleadsnimmediatelyntonthencolon.
b. isnthensectionnofnthenstomachnwherenthengallnbladderndeliversnbile.
c. isnthensectionnofnthensmallnintestinenwherenthenpancreasndeliversninsulin.
d. Nonenofnthenabove.
15. ThennursenisnperformingndischargenteachingnfornMrs.nSnafterncardiacnangioplasty.nHernhusbandni
snpresentnfornthenteaching.nWhilenexplainingnthenprescriptionnfornantiplateletnmedicationntonusenatnh
ome,nMrs.nS'snhusbandnstates,n"Indon'tnthinknIncannaffordntonrefillnthatnmedication."nWhatnisnthenmost
nappropriatenresponsenofnthennurse?
a. Don'tnworry,nyourninsurancenwillncovernit."
Pagen4nofn38
