NCLEX – NURSING Actual Exam
Questions With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!
1. Q
Which of the following outcomes should the nurse include in the initial plan of
care for a client who is exhibiting psychomotor retardation, withdrawal, minimal
eye contact, and unresponsiveness to the nurse’s questions?
a
The client will interact with the nurse.
2. Q
When the open method is used for treating burns, which of the following actions
should the nurse take to help prevent discomfort caused by air currents over the
client’s burned skin surfaces?
a
Support the bed linens on a cradle.
3. Q
A client with cirrhosis should be encouraged to follow which diet?
a
Well-balanced normal nutrients, low-sodium diet.
4. Q
,A 9-month-old infant with eczema has lesions that are secondarily infected. Which
of the following is most appropriate to help the parents best meet the needs of
the child?
a
Playing with the child every day.
5.Q
The nurse is reviewing the chart of a 55-year-old male client who is scheduled for
a lumbar laminectomy. The nurse should report which of the following to the
surgeon?
a
Pimple on the lower back.
6. Q
A client is receiving vincristine (Oncovin). Client teaching by the nurse should
include instructions on:
a
Bowel regimen.
7. Q
An elderly client is diagnosed with pulmonary tuberculosis. Upset and tearful, he
asks the nurse how long he must be separated from his family. Which nursing
diagnosis is most appropriate for this client?
a
Deficient knowledge (disease process and treatment regimen)
8. Q
When developing appropriate short-term goals with clients who are inpatients,
which of the following is most realistic?
a
, The client will write a list of strengths and needs.
9. Q
Four months ago, the son and daughter of a client who was in a vegetative state
gave consent for a feeding tube and agreed to long-term care placement. Nurses
in the long-term care facility note that the son and daughter have recently
become more distraught over their mother’s condition. One day while visiting
together, the son and daughter approach the nurse about having the feeding tube
removed. Which statement by the nurse best explains the legal rights of
individuals in this situation?
a
Legally, there are no time constraints on previous decisions made.
10. Q
A nurse is caring for a toddler with Down syndrome. To help the toddler cope with
painful procedures, the nurse can:
a
hold and rock him and give him a security object.
11. Q
Adrenal function is affected by the drug ketoconazole (Nizoral), an antifungal
agent used to treat severe fungal infections. How is this effect manifested?
a
Ketoconazole suppresses adrenal steroid secretion.
12. Q
The charge nurse on an antepartal unit is making staffing assignments for the day.
There is an RN, licensed practical nurse (LPN), and an unlicensed personnel (UAP)
to care for 25 patients. The nurse should assign which of the following clients to
the LPN?
Questions With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!
1. Q
Which of the following outcomes should the nurse include in the initial plan of
care for a client who is exhibiting psychomotor retardation, withdrawal, minimal
eye contact, and unresponsiveness to the nurse’s questions?
a
The client will interact with the nurse.
2. Q
When the open method is used for treating burns, which of the following actions
should the nurse take to help prevent discomfort caused by air currents over the
client’s burned skin surfaces?
a
Support the bed linens on a cradle.
3. Q
A client with cirrhosis should be encouraged to follow which diet?
a
Well-balanced normal nutrients, low-sodium diet.
4. Q
,A 9-month-old infant with eczema has lesions that are secondarily infected. Which
of the following is most appropriate to help the parents best meet the needs of
the child?
a
Playing with the child every day.
5.Q
The nurse is reviewing the chart of a 55-year-old male client who is scheduled for
a lumbar laminectomy. The nurse should report which of the following to the
surgeon?
a
Pimple on the lower back.
6. Q
A client is receiving vincristine (Oncovin). Client teaching by the nurse should
include instructions on:
a
Bowel regimen.
7. Q
An elderly client is diagnosed with pulmonary tuberculosis. Upset and tearful, he
asks the nurse how long he must be separated from his family. Which nursing
diagnosis is most appropriate for this client?
a
Deficient knowledge (disease process and treatment regimen)
8. Q
When developing appropriate short-term goals with clients who are inpatients,
which of the following is most realistic?
a
, The client will write a list of strengths and needs.
9. Q
Four months ago, the son and daughter of a client who was in a vegetative state
gave consent for a feeding tube and agreed to long-term care placement. Nurses
in the long-term care facility note that the son and daughter have recently
become more distraught over their mother’s condition. One day while visiting
together, the son and daughter approach the nurse about having the feeding tube
removed. Which statement by the nurse best explains the legal rights of
individuals in this situation?
a
Legally, there are no time constraints on previous decisions made.
10. Q
A nurse is caring for a toddler with Down syndrome. To help the toddler cope with
painful procedures, the nurse can:
a
hold and rock him and give him a security object.
11. Q
Adrenal function is affected by the drug ketoconazole (Nizoral), an antifungal
agent used to treat severe fungal infections. How is this effect manifested?
a
Ketoconazole suppresses adrenal steroid secretion.
12. Q
The charge nurse on an antepartal unit is making staffing assignments for the day.
There is an RN, licensed practical nurse (LPN), and an unlicensed personnel (UAP)
to care for 25 patients. The nurse should assign which of the following clients to
the LPN?
