NCLEX RN EXAM STUDY GUIDE LATEST UPDATE
m m m m m m
2022
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
NCLEXmRN
QUESTIONm1
Whichmclassificationmofmdrugsmismcontraindicatedmformthemclientmwithmhypertrophicmcardiomyopathy?
A. Positiveminotropes
B. Vasodilators
C. Diuretics
D. Antidysrhythmics
Answer:mAm
Explanation:
(A)mPositiveminotropicmagentsmshouldmnotmbemadministeredmowingmtomtheirmactionmofmincreasingmmyocardialm
contractility.mIncreasedmventricularmcontractilitymwouldmincreasemoutflowmtractmobstructionminmthemclientmwit
hmhypertrophicmcardiomyopathy.m(B)mVasodilatorsmaremnotmtypicallymprescribedmbutmaremnotmcontraindicated
.m(C)mDiureticsmaremusedmwithmcautionmtomavoidmcausingmhypovolemi
A.m(D)mAntidysrhythmicsmaremtypicallymneededmtomtreatmbothmatrialmandmventricularmdysrhythmias.
QUESTIONm2
Signsmandmsymptomsmofmanmallergymattackmincludemwhichmofmthemfollowing?
A. Wheezingmonminspiration
B. Increasedmrespiratorymrate
C. Circumoralmcyanosis
D. Prolongedmexpiration
Answer:mD
Explanation:
(A)mWheezingmoccursmduringmexpirationmwhenmairmmovementmismimpairedmbecausemofmconstrictedmedemato
usmbronchialmlumin
A.m(B)mRespirationsmaremdifficult,mbutmthemratemismfrequentlymnormal.m(C)mThemcircumoralmareamismusuallympa
le.mCyanosismismnotmanmearlymsignmofmhypoxi
A.m(D)mExpirationmismprolongedmbecausemthemalveolimaremgreatlymdistendedmandmairmtrappingmoccurs.
QUESTIONm3
Amclientmconfidesmtomthemnursemthatmhemtastedmpoisonminmhismeveningmmeal.mThismwouldmbemanmexamplemofmwhatm
typemofmhallucination?
A. Auditory
B. Gustatory
,C. Olfactory
D. Visceral
Answer:mBm
Explanation:
(A)mAuditorymhallucinationsminvolvemsensorymperceptionsmofmhearing.m(B)mGustatorymhallucinationsminvolvem
sensorymperceptionsmofmtaste.m(C)mOlfactorymhallucinationsminvolvemsensorymperceptionsmofmsmell.m(D)mVisce
ralmhallucinationsminvolvemsensorymperceptionsmofmsensation.
,QUESTIONm4
Whichmofmthemfollowingmfindingsmwouldmbemabnormalminmampostpartalmwoman?
A. Chillsmshortlymaftermdelivery
B. Pulsemratemofm60mbpmminmmorningmonmfirstmpostdeliverymday
C. Urinarymoutputmofm3000mmLmonmthemsecondmdaymaftermdelivery
D. Anmoralmtemperaturemofm101Fm(38.3C)monmthemthirdmdaymaftermdelivery
Answer:mDm
Explanation:
(A)mFrequentlymthemmothermexperiencesmamshakingmchillmimmediatelymaftermdelivery,mwhichmismrelatedmtomamnervo
usmresponsemormtomvasomotormchanges.m Ifm notmfollowedmbymamfever,mitmismclinicallyminnocuous.m(B)mThempulsemrat
emduringmthemimmediatempostpartalmperiodmmaymbemlowmbutmpresentsmnomcausemformalarm.mThembodymattemptsmtom
adaptmtomthemdecreasedmpressuresmintra-
abdominallymasmwellmasmfrommthemreductionmofmbloodmflowmtomthemvascularmbed.m(C)mUrinarymoutputmincreasesmdur
ingmthemearlympostpartalmperiodm(12–
24mhours)mowingmtomdiuresis.mThemkidneysmmustmeliminatemanmestimatedm2000–
3000mmLmofmextracellularmfluidmassociatedmwithmamnormalmpregnancy.m(D)mAmtemperaturemofm100.4Fm(38C)mmaym
occurmaftermdeliverymasmamresultmofmexertionmandmdehydrationmofmlabor.mHowever,manymtemperaturemgreatermthanm1
00.4Fmneedsmfurtherminvestigationmtomidentifymanyminfectiousmprocess.
QUESTIONm5
Amsix-month-
oldminfantmhasmbeenmadmittedmtomthememergencymroommwithmfebrilemseizures.mInmthemteachingmofmthemparents,mt
hemnursemstatesmthat:
A. Sustainedmtemperaturemelevationmoverm103Fmismgenerallymrelatedmtomfebrilemseizures
B. Febrilemseizuresmdomnotmusuallymrecur
C. Theremismlittlemriskmofmneurologicalmdeficitmandmmentalmretardationmasmsequelaemtomfebrilemseizures
D. Febrilemseizuresmaremassociatedmwithmdiseasesmofmthemcentralmnervousmsystem
Answer:mCm
Explanation:
(A)mThemtemperaturemelevationmrelatedmtomfebrilemseizuresmgenerallymexceedsm101F,mandmseizuresmoccurmduringmt
hemtemperaturemrisemrathermthanmaftermamprolongedmelevation.m(B)mFebrilemseizuresmmaymrecurmandmaremmoremlikel
ymtomdomsomwhenmthemfirstmseizuremoccursminmthem1stmyearmofmlife.m(C)mTheremismlittlemriskmofmneurologicalmdeficit,m
mentalmretardation,mormalteredmbehaviormsecondarymtomfebrilemseizures.m(D)mFebrilemseizuresmaremassociatedmwithm
diseasemofmthemcentralmnervousmsystem.
QUESTIONm6
Amclientmdiagnosedmwithmbipolarmdisordermcontinuesmtombemhyperactivemandmtomlosemweight.mWhichmofmthemfollowing
nutritionalminterventionsmwouldmbemmostmtherapeuticmformhimmatmthismtime?
A. Small,mfrequentmfeedingsmofmfoodsmthatmcanmbemcarried
B. Tubemfeedingsmwithmnutritionalmsupplements
C. Allowingmhimmtomeatmwhenmandmwhatmhemwants
D. Givingmhimmamquietmplacemwheremhemcanmsitmdownmtomeatmmeals
Answer:mAm
Explanation:
(A)mThemmanicmclientmismunablemtomsitmstillmlongmenoughmtomeatmanmadequatemmeal.mSmall,mfrequentmfeedingsmwith
, fingermfoodsmallowmhimmtomeatmduringmperiodsmofmactivity.m(B)mThismtypemofmtherapymshouldmbemimplementedmwh
enmothermmethodsmhavembeenmexhausted.m(C)mThemmanicmclientmshouldmnotmbeminmcontrolmofmhismtreatmentmplan.m
Thismtypemofmclientmmaymforgetmtomeat.m(D)mThemmanicmclientmismunablemtomsitmdownmtomeatmfullmmeals.
QUESTIONm7
Amclientmwithmbipolarmdisordermtakingmlithiummtellsmthemnursemthatmhemhasmringingminmhismears,mblurredmvision,m
andmdiarrhe
A.mThemnursemnoticesmamslightmtremorminmhismleftmhandmandmamslurringmpatternmtomhismspeech.mWhichmofmthemfollo
wingmactionsmbymthemnursemismappropriate?
A. Administermamstatmdosemofmlithiummasmnecessary.
B. Recognizemthismasmanmexpectedmresponsemtomlithium.
C. Requestmanmordermformamstatmbloodmlithiummlevel.
D. Givemanmoralmdosemofmlithiummantidote.
Answer:mCm
Explanation:
(A) Thesemsymptomsmaremindicativemofmlithiummtoxicity.mAmstatmdosemofmlithiummcouldmbemfatal.
(B) Thesemaremtoxicmeffectsmofmlithiummtherapy.m(C)mThemclientmismexhibitingmsymptomsmofmlithiummtoxicity,mwh
ichmmaymbemvalidatedmbymlabmstudies.m(D)mTheremismnomknownmlithiummantidote.
QUESTIONm8
AmdiagnosismofmhepatitismCmismconfirmedmbymammalemclient’smphysician.mThemnursemshouldmbemknowledgeablemof
m them
differencesmbetweenmhepatitismA,mB,mandmC.mWhichmofmthemfollowingmaremcharacteristicsmofmhepatitismC?
A. Thempotentialmformchronicmlivermdiseasemismminimal.
B. Themonsetmofmsymptomsmismabrupt.
C. Themincubationmperiodmism2–26mweeks.
D. TheremismanmeffectivemvaccinemformhepatitismB,mbutmnotmformhepatitismC.
Answer:mCm
Explanation:
(A)mHepatitismCmandmBmmaymresultminmchronicmlivermdisease.mHepatitismAmhasmamlowmpotentialmformchronicmlivermdi
sease.m(B)mHepatitismCmandmBmhaveminsidiousmonsets.mHepatitismAmhasmanmabruptmonset.m(C)mIncubationmperiodsmar
emasmfollows:mhepatitismCmism2–26mweeks,mhepatitismBmism6–20mweeks,mandmhepatitismAmism2–
6mweeks.m(D)mOnlymhepatitismBmhasmanmeffectivemvaccine.
QUESTIONm9
Hypoxiamismthemprimarymproblemmrelatedmtomnear-
drowningmvictims.mThemfirstmorganmthatmsustainsmirreversiblemdamagemaftermsubmersionminmwatermismthe:
A. Kidneym(urinarymsystem)
B. Brainm(nervousmsystem)
C. Heartm(circulatorymsystem)
D. Lungsm(respiratorymsystem)
Answer:mBm
Explanation:
m m m m m m
2022
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
NCLEXmRN
QUESTIONm1
Whichmclassificationmofmdrugsmismcontraindicatedmformthemclientmwithmhypertrophicmcardiomyopathy?
A. Positiveminotropes
B. Vasodilators
C. Diuretics
D. Antidysrhythmics
Answer:mAm
Explanation:
(A)mPositiveminotropicmagentsmshouldmnotmbemadministeredmowingmtomtheirmactionmofmincreasingmmyocardialm
contractility.mIncreasedmventricularmcontractilitymwouldmincreasemoutflowmtractmobstructionminmthemclientmwit
hmhypertrophicmcardiomyopathy.m(B)mVasodilatorsmaremnotmtypicallymprescribedmbutmaremnotmcontraindicated
.m(C)mDiureticsmaremusedmwithmcautionmtomavoidmcausingmhypovolemi
A.m(D)mAntidysrhythmicsmaremtypicallymneededmtomtreatmbothmatrialmandmventricularmdysrhythmias.
QUESTIONm2
Signsmandmsymptomsmofmanmallergymattackmincludemwhichmofmthemfollowing?
A. Wheezingmonminspiration
B. Increasedmrespiratorymrate
C. Circumoralmcyanosis
D. Prolongedmexpiration
Answer:mD
Explanation:
(A)mWheezingmoccursmduringmexpirationmwhenmairmmovementmismimpairedmbecausemofmconstrictedmedemato
usmbronchialmlumin
A.m(B)mRespirationsmaremdifficult,mbutmthemratemismfrequentlymnormal.m(C)mThemcircumoralmareamismusuallympa
le.mCyanosismismnotmanmearlymsignmofmhypoxi
A.m(D)mExpirationmismprolongedmbecausemthemalveolimaremgreatlymdistendedmandmairmtrappingmoccurs.
QUESTIONm3
Amclientmconfidesmtomthemnursemthatmhemtastedmpoisonminmhismeveningmmeal.mThismwouldmbemanmexamplemofmwhatm
typemofmhallucination?
A. Auditory
B. Gustatory
,C. Olfactory
D. Visceral
Answer:mBm
Explanation:
(A)mAuditorymhallucinationsminvolvemsensorymperceptionsmofmhearing.m(B)mGustatorymhallucinationsminvolvem
sensorymperceptionsmofmtaste.m(C)mOlfactorymhallucinationsminvolvemsensorymperceptionsmofmsmell.m(D)mVisce
ralmhallucinationsminvolvemsensorymperceptionsmofmsensation.
,QUESTIONm4
Whichmofmthemfollowingmfindingsmwouldmbemabnormalminmampostpartalmwoman?
A. Chillsmshortlymaftermdelivery
B. Pulsemratemofm60mbpmminmmorningmonmfirstmpostdeliverymday
C. Urinarymoutputmofm3000mmLmonmthemsecondmdaymaftermdelivery
D. Anmoralmtemperaturemofm101Fm(38.3C)monmthemthirdmdaymaftermdelivery
Answer:mDm
Explanation:
(A)mFrequentlymthemmothermexperiencesmamshakingmchillmimmediatelymaftermdelivery,mwhichmismrelatedmtomamnervo
usmresponsemormtomvasomotormchanges.m Ifm notmfollowedmbymamfever,mitmismclinicallyminnocuous.m(B)mThempulsemrat
emduringmthemimmediatempostpartalmperiodmmaymbemlowmbutmpresentsmnomcausemformalarm.mThembodymattemptsmtom
adaptmtomthemdecreasedmpressuresmintra-
abdominallymasmwellmasmfrommthemreductionmofmbloodmflowmtomthemvascularmbed.m(C)mUrinarymoutputmincreasesmdur
ingmthemearlympostpartalmperiodm(12–
24mhours)mowingmtomdiuresis.mThemkidneysmmustmeliminatemanmestimatedm2000–
3000mmLmofmextracellularmfluidmassociatedmwithmamnormalmpregnancy.m(D)mAmtemperaturemofm100.4Fm(38C)mmaym
occurmaftermdeliverymasmamresultmofmexertionmandmdehydrationmofmlabor.mHowever,manymtemperaturemgreatermthanm1
00.4Fmneedsmfurtherminvestigationmtomidentifymanyminfectiousmprocess.
QUESTIONm5
Amsix-month-
oldminfantmhasmbeenmadmittedmtomthememergencymroommwithmfebrilemseizures.mInmthemteachingmofmthemparents,mt
hemnursemstatesmthat:
A. Sustainedmtemperaturemelevationmoverm103Fmismgenerallymrelatedmtomfebrilemseizures
B. Febrilemseizuresmdomnotmusuallymrecur
C. Theremismlittlemriskmofmneurologicalmdeficitmandmmentalmretardationmasmsequelaemtomfebrilemseizures
D. Febrilemseizuresmaremassociatedmwithmdiseasesmofmthemcentralmnervousmsystem
Answer:mCm
Explanation:
(A)mThemtemperaturemelevationmrelatedmtomfebrilemseizuresmgenerallymexceedsm101F,mandmseizuresmoccurmduringmt
hemtemperaturemrisemrathermthanmaftermamprolongedmelevation.m(B)mFebrilemseizuresmmaymrecurmandmaremmoremlikel
ymtomdomsomwhenmthemfirstmseizuremoccursminmthem1stmyearmofmlife.m(C)mTheremismlittlemriskmofmneurologicalmdeficit,m
mentalmretardation,mormalteredmbehaviormsecondarymtomfebrilemseizures.m(D)mFebrilemseizuresmaremassociatedmwithm
diseasemofmthemcentralmnervousmsystem.
QUESTIONm6
Amclientmdiagnosedmwithmbipolarmdisordermcontinuesmtombemhyperactivemandmtomlosemweight.mWhichmofmthemfollowing
nutritionalminterventionsmwouldmbemmostmtherapeuticmformhimmatmthismtime?
A. Small,mfrequentmfeedingsmofmfoodsmthatmcanmbemcarried
B. Tubemfeedingsmwithmnutritionalmsupplements
C. Allowingmhimmtomeatmwhenmandmwhatmhemwants
D. Givingmhimmamquietmplacemwheremhemcanmsitmdownmtomeatmmeals
Answer:mAm
Explanation:
(A)mThemmanicmclientmismunablemtomsitmstillmlongmenoughmtomeatmanmadequatemmeal.mSmall,mfrequentmfeedingsmwith
, fingermfoodsmallowmhimmtomeatmduringmperiodsmofmactivity.m(B)mThismtypemofmtherapymshouldmbemimplementedmwh
enmothermmethodsmhavembeenmexhausted.m(C)mThemmanicmclientmshouldmnotmbeminmcontrolmofmhismtreatmentmplan.m
Thismtypemofmclientmmaymforgetmtomeat.m(D)mThemmanicmclientmismunablemtomsitmdownmtomeatmfullmmeals.
QUESTIONm7
Amclientmwithmbipolarmdisordermtakingmlithiummtellsmthemnursemthatmhemhasmringingminmhismears,mblurredmvision,m
andmdiarrhe
A.mThemnursemnoticesmamslightmtremorminmhismleftmhandmandmamslurringmpatternmtomhismspeech.mWhichmofmthemfollo
wingmactionsmbymthemnursemismappropriate?
A. Administermamstatmdosemofmlithiummasmnecessary.
B. Recognizemthismasmanmexpectedmresponsemtomlithium.
C. Requestmanmordermformamstatmbloodmlithiummlevel.
D. Givemanmoralmdosemofmlithiummantidote.
Answer:mCm
Explanation:
(A) Thesemsymptomsmaremindicativemofmlithiummtoxicity.mAmstatmdosemofmlithiummcouldmbemfatal.
(B) Thesemaremtoxicmeffectsmofmlithiummtherapy.m(C)mThemclientmismexhibitingmsymptomsmofmlithiummtoxicity,mwh
ichmmaymbemvalidatedmbymlabmstudies.m(D)mTheremismnomknownmlithiummantidote.
QUESTIONm8
AmdiagnosismofmhepatitismCmismconfirmedmbymammalemclient’smphysician.mThemnursemshouldmbemknowledgeablemof
m them
differencesmbetweenmhepatitismA,mB,mandmC.mWhichmofmthemfollowingmaremcharacteristicsmofmhepatitismC?
A. Thempotentialmformchronicmlivermdiseasemismminimal.
B. Themonsetmofmsymptomsmismabrupt.
C. Themincubationmperiodmism2–26mweeks.
D. TheremismanmeffectivemvaccinemformhepatitismB,mbutmnotmformhepatitismC.
Answer:mCm
Explanation:
(A)mHepatitismCmandmBmmaymresultminmchronicmlivermdisease.mHepatitismAmhasmamlowmpotentialmformchronicmlivermdi
sease.m(B)mHepatitismCmandmBmhaveminsidiousmonsets.mHepatitismAmhasmanmabruptmonset.m(C)mIncubationmperiodsmar
emasmfollows:mhepatitismCmism2–26mweeks,mhepatitismBmism6–20mweeks,mandmhepatitismAmism2–
6mweeks.m(D)mOnlymhepatitismBmhasmanmeffectivemvaccine.
QUESTIONm9
Hypoxiamismthemprimarymproblemmrelatedmtomnear-
drowningmvictims.mThemfirstmorganmthatmsustainsmirreversiblemdamagemaftermsubmersionminmwatermismthe:
A. Kidneym(urinarymsystem)
B. Brainm(nervousmsystem)
C. Heartm(circulatorymsystem)
D. Lungsm(respiratorymsystem)
Answer:mBm
Explanation:
