NCLEX – NURSING Actual Exam
Questions With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!
Q1. After undergoing transurethral resection of the prostate to treat benign
prostatic hyperplasia, a client returns to the room with continuous bladder
irrigation. On the first day after surgery, the client reports bladder pain. What
should the nurse do first?
a
Assess the irrigation catheter for patency and drainage.
2. Q
A 16-year-old girl visits the clinic for the first time. She tells the nurse that she has
been exposed to herpes. Initially, with primary genital or Type 2 herpes simplex,
the nurse should expect the girl to have:
a
burning or tingling on vulva, perineum, or vagina.
3. Q
An elderly client with delusional disorder for many years is exhibiting early
symptoms of dementia. His daughter lives with him to help him manage daily
activities; he attends a day care program for seniors during the week while she
works. A nurse at the day care center hears him say, “If my neighbor puts up a
fence, I’ll blow him away with my shotgun. He has never respected my property
line and I’ve had it!” Which of the following actions should the nurse take?
,a
Report the comment to the neighbor, the daughter, and the police because there
is the potential for a criminal act.
4. Q
A nasogastric tube is ordered to be inserted for a child with severe head trauma.
Diagnostic testing reveals that the child has a basilar skull fracture. What should
the nurse do next?
a
Ask for the prescription to be changed to oral gastric tube.
5. Q
Which action is the priority when assessing a suicidal client who has ingested a
handful of unknown pills?
a
Determining if the client’s physical condition is life-threatening
6. Q
A young school-age child whose mother and aunt have bipolar disorder and
whose father has depression is brought to the child psychiatrist’s office by her
father. He has custody of the child since the parents divorced. The father says that
the child has problems with behavior, attention in school, and sleeping at night.
The child says “My brain doesn’t turn off at night.” The psychiatrist diagnoses the
child with attention deficit hyperactivity disorder (ADHD) with a possibility of
bipolar disorder as well. What should the office nurse say to the father to
reinforce what the psychiatrist said? Select all that apply.
a
• “The psychiatrist diagnosed your child with ADHD because of her attention
and behavior problems at school.”
, • The psychiatrist is considering a bipolar diagnosis because of your child’s
family history of bipolar disorder and her sleep issues.”
• “ADHD involves difficulty with attention, impulse control, and hyperactivity
at school, home, or in both settings.”
7. Q
While caring for a pregnant adolescent, a nurse should develop a care plan that
incorporates the adolescent’s:
a
level of emotional maturity.
8.Q
Which client best fits into the middle-old elderly population?
a
A 76-year old with hypertension
9. Q
A client with severe shortness of breath comes to the emergency department. He
tells the emergency department staff that he recently traveled to China for
business. Based on his travel history and presentation, the staff suspects severe
acute respiratory syndrome (SARS). Which isolation precautions should the staff
institute?
a
Airborne and contact precautions
10. Q
When a nurse is assessing a client for pain, what finding is most significant? The
client:
a
Tells the nurse about experiencing pain.
Questions With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!
Q1. After undergoing transurethral resection of the prostate to treat benign
prostatic hyperplasia, a client returns to the room with continuous bladder
irrigation. On the first day after surgery, the client reports bladder pain. What
should the nurse do first?
a
Assess the irrigation catheter for patency and drainage.
2. Q
A 16-year-old girl visits the clinic for the first time. She tells the nurse that she has
been exposed to herpes. Initially, with primary genital or Type 2 herpes simplex,
the nurse should expect the girl to have:
a
burning or tingling on vulva, perineum, or vagina.
3. Q
An elderly client with delusional disorder for many years is exhibiting early
symptoms of dementia. His daughter lives with him to help him manage daily
activities; he attends a day care program for seniors during the week while she
works. A nurse at the day care center hears him say, “If my neighbor puts up a
fence, I’ll blow him away with my shotgun. He has never respected my property
line and I’ve had it!” Which of the following actions should the nurse take?
,a
Report the comment to the neighbor, the daughter, and the police because there
is the potential for a criminal act.
4. Q
A nasogastric tube is ordered to be inserted for a child with severe head trauma.
Diagnostic testing reveals that the child has a basilar skull fracture. What should
the nurse do next?
a
Ask for the prescription to be changed to oral gastric tube.
5. Q
Which action is the priority when assessing a suicidal client who has ingested a
handful of unknown pills?
a
Determining if the client’s physical condition is life-threatening
6. Q
A young school-age child whose mother and aunt have bipolar disorder and
whose father has depression is brought to the child psychiatrist’s office by her
father. He has custody of the child since the parents divorced. The father says that
the child has problems with behavior, attention in school, and sleeping at night.
The child says “My brain doesn’t turn off at night.” The psychiatrist diagnoses the
child with attention deficit hyperactivity disorder (ADHD) with a possibility of
bipolar disorder as well. What should the office nurse say to the father to
reinforce what the psychiatrist said? Select all that apply.
a
• “The psychiatrist diagnosed your child with ADHD because of her attention
and behavior problems at school.”
, • The psychiatrist is considering a bipolar diagnosis because of your child’s
family history of bipolar disorder and her sleep issues.”
• “ADHD involves difficulty with attention, impulse control, and hyperactivity
at school, home, or in both settings.”
7. Q
While caring for a pregnant adolescent, a nurse should develop a care plan that
incorporates the adolescent’s:
a
level of emotional maturity.
8.Q
Which client best fits into the middle-old elderly population?
a
A 76-year old with hypertension
9. Q
A client with severe shortness of breath comes to the emergency department. He
tells the emergency department staff that he recently traveled to China for
business. Based on his travel history and presentation, the staff suspects severe
acute respiratory syndrome (SARS). Which isolation precautions should the staff
institute?
a
Airborne and contact precautions
10. Q
When a nurse is assessing a client for pain, what finding is most significant? The
client:
a
Tells the nurse about experiencing pain.
