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Comprehensive Nursing Practice Exam – 150 NCLEX-Style Questions with Rationales | Complete Preparation Material

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This document contains a full-length nursing practice exam with 150 NCLEX-style multiple-choice questions covering essential topics such as pharmacology, medical-surgical nursing, maternal-child health, and mental health. Each question includes a detailed rationale to enhance understanding and reinforce critical thinking skills. Ideal for nursing students preparing for the NCLEX-RN or NCLEX-PN exams, this resource offers a realistic testing experience and targeted review.

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Nr-1720 Exam 1 Questions With
Verified Answers Below 2023-2024
A+
Nursing
A.T. Still University of Health Sciences (ATSU)
38 pag.




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,Nr-1720 Exam 1 Questions With Verified Answers Below
2023-2024 A+


Fluid & Electrolytes
(Exam 1 = 19 Questions) (Final = 8 Questions with Acid Base)

Acid Base
(Exam 2 = 6 Questions) (Final = 8 Questions with Fluid &
Electrolytes)
1. You are caring for a patient who is being treated on the oncology unit
with a diagnosis of lung cancer with bone metastases. During your
assessment, you note the patient complains of a new onset of weakness
with abdominal pain. Further assessment suggests that the patient
likely has a fluid volume deficit. You should recognize that this patient
may be experiencing what electrolyte imbalance?


A) Hypernatremia
B) Hypomagnesemia
C) Hypophosphatemia
D) Hypercalcem
ia
Hypercalcemia


2. You are the nurse evaluating a newly admitted patients laboratory
results, which includes several values that are outside the reference
ranges. Which of the following would cause the release of anti-diuretic
hormone (ADH)?


A) Increased serum sodium (Hypernatremia)
B) Decreased serum sodium (Hyponatremia)
C) Increased serum potassium (Hyperkalemia)
D) Decreased serum potassium
(Hypokalemia) Increased serum sodium
(Hypernatremia)


3. When planning the care of a patient with a fluid imbalance, the nurse

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, understands fat in the human body, water, and electrolytes move from
the arterial capillary bed to the intestinal fluid. What causes this to
occur?

A) Hydrostatic pressure resulting from the pumping action of the heart

B) Hydrostatic pressure resulting from the electrolytes moving from
the ICF into the ECF

C) Diffusion: Molecules moving from and area of lower concentration
to an area of higher concentration.

D) Hydrostatic pressure resulting from the nerves electrical

activity Hydrostatic pressure resulting from the pumping

action of the heart.


4. While performing a general examination of a patient, the nurse finds that
the patient is positive for Chvostek's sign, Trousseau's sign, and has
tetany. Which electrolyte disturbance is responsible for this clinical
presentation?

A) Hypokalemia

B) Hypercalcemia

C) Hypocalcemia

D) Hypermagnese

mia Hypocalcemia


5. Which of the following are sensible fluid losses? (SATA)

A) Urine

B) Feces

C) Evaporation

D) Flatulence

E) Wounds

Urine, Feces, and Wounds (Anything you can measure)




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, 6. A client who had a recent surgery has been vomiting and becomes
dizzy while standing up to go to the bathroom. After assisting the client
back to bed, the nurse notes that the blood pressure is 55/30 and the
pulse is 140 bpm. The nurse hangs which of the following IV fluids to
correct this condition?

A) D5.45 NS

B) 0.9 NS

C) D5W

D) 0.45

0.9 NS


7. A nurse evaluates a client's fluid balance by monitoring the client's intake
and output. Which must the nurse understand about the ratio of the
client's fluid intake to output?

A) Intake should be much higher than the fluid output.

B) Intake should be slightly more than the output.

C) Intake should be lower than the urine output.

D) Intake should be equal to the urine output.

Intake should be slightly more than the output.


8. In what way can you encourage a confused elderly patient to drink water?

A) Offer the patient water every hour

B) Infuse higher fluid rate

C) Leave a pitcher of water by the bedside

D) Give sparking water to increase their desire

to drink Offer the patient water every hour.


9. An assessment of which of the following is most important when a nurse
is caring for an adult patient experiencing vomiting?

A) Oral mucous membranes



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