1
NCLEX PRACTICE EXAM SET OF QUESTIONS
AND CORRECT ANSWERS
While performing a physical assessment of a client, a nurse notices patchy areas
with loss of pigmentation on the skin, hands, and arms. What is the probable
etiology for this condition?
Anemia
Pregnancy
Lung disease
Autoimmune disease
Which skin lesion in found in clients with acne?
Wheal
Plaque
Vesicle
Pustule
D
, 2
A nurse is assessing the integumentary system of four clients. Which client has the
least chance of a false-positive result while undergoing assessment of capillary
refill time?
Client with shock
Client with anemia
Client with epilepsy
Client with peripheral vascular disease
C
Patchy areas with loss of pigmentation on skin, hands, and arms are due to vitiligo,
which is caused by an autoimmune or congenital disease. Anemia results in pallor
due to a reduced amount of oxyhemoglobin. A tan-brown color of the skin is
noticed in pregnancy due to an increased amount of melanin. Lung disease or heart
failure can cause cyanosis due to an increased amount of deoxygenated
hemoglobin.
Test-Taking Tip: You have at least a 25% chance of selecting the correct response
in multiple-choice items. If you are uncertain about a question, eliminate the
choices that you believe are wrong and then call on your knowledge, skills, and
abilities to choose from the remaining responses.
While caring for a client with heat stroke, the nurse measured the temperature and
noted it as 109o F. Convert this temperature into Celsius and record your number
using one decimal place.
, 3
42.8
Fahrenheit is converted to Celsius by subtracting 32 from the Fahrenheit reading
and multiplying the obtained value by 5/9.
C = (F - 32)(5/9)
C = (109 - 32)(5/9)
C = 42.8
The nurse is caring for a client who is on a low-carbohydrate diet. With this diet,
there is decreased glucose available for energy and fat is metabolized for energy,
resulting in an increased production of which substance in the urine?
Protein
Glucose
Ketones
Uric acid
C
As a result of fat metabolism, ketone bodies are formed, and the kidneys attempt to
decrease the excess by filtration and excretion. Excessive ketones in the blood can
cause metabolic acidosis. A low-carbohydrate diet does not cause increased
protein, glucose, or uric acid in the urine.
The nurse is caring for a client with a temperature of 104.5 degrees Fahrenheit
(40.3 degrees Celsius). The nurse applies a cooling blanket and administers an
, 4
antipyretic medication. The nurse explains that the rationale for these interventions
is to do what?
Promote equalization of osmotic pressures
Prevent hypoxia associated with diaphoresis
Promote integrity of intracerebral neurons
Reduce brain metabolism and limit hypoxia
D
Cooling blankets and antipyretic medications can induce hypothermia, thus
decreasing brain metabolism. This in turn makes the brain less vulnerable by
decreasing the need for oxygen. The integrity of intracerebral neurons and osmotic
pressure equalization depend on an adequate supply of oxygen, carbon dioxide,
and glucose, and may occur as a result of decreased cerebral metabolism and
hypoxia. Diaphoresis does not cause hypoxia. Antipyretic medications may cause
diaphoresis as vasodilation occurs.
Which question asked by the nurse is an example of open-ended questions?
"How has your health been?"
"Are you feeling any pain now?"
"Do you think the medication is helping you?"
"How would you rate your pain on a scale from 0 to 10?"
NCLEX PRACTICE EXAM SET OF QUESTIONS
AND CORRECT ANSWERS
While performing a physical assessment of a client, a nurse notices patchy areas
with loss of pigmentation on the skin, hands, and arms. What is the probable
etiology for this condition?
Anemia
Pregnancy
Lung disease
Autoimmune disease
Which skin lesion in found in clients with acne?
Wheal
Plaque
Vesicle
Pustule
D
, 2
A nurse is assessing the integumentary system of four clients. Which client has the
least chance of a false-positive result while undergoing assessment of capillary
refill time?
Client with shock
Client with anemia
Client with epilepsy
Client with peripheral vascular disease
C
Patchy areas with loss of pigmentation on skin, hands, and arms are due to vitiligo,
which is caused by an autoimmune or congenital disease. Anemia results in pallor
due to a reduced amount of oxyhemoglobin. A tan-brown color of the skin is
noticed in pregnancy due to an increased amount of melanin. Lung disease or heart
failure can cause cyanosis due to an increased amount of deoxygenated
hemoglobin.
Test-Taking Tip: You have at least a 25% chance of selecting the correct response
in multiple-choice items. If you are uncertain about a question, eliminate the
choices that you believe are wrong and then call on your knowledge, skills, and
abilities to choose from the remaining responses.
While caring for a client with heat stroke, the nurse measured the temperature and
noted it as 109o F. Convert this temperature into Celsius and record your number
using one decimal place.
, 3
42.8
Fahrenheit is converted to Celsius by subtracting 32 from the Fahrenheit reading
and multiplying the obtained value by 5/9.
C = (F - 32)(5/9)
C = (109 - 32)(5/9)
C = 42.8
The nurse is caring for a client who is on a low-carbohydrate diet. With this diet,
there is decreased glucose available for energy and fat is metabolized for energy,
resulting in an increased production of which substance in the urine?
Protein
Glucose
Ketones
Uric acid
C
As a result of fat metabolism, ketone bodies are formed, and the kidneys attempt to
decrease the excess by filtration and excretion. Excessive ketones in the blood can
cause metabolic acidosis. A low-carbohydrate diet does not cause increased
protein, glucose, or uric acid in the urine.
The nurse is caring for a client with a temperature of 104.5 degrees Fahrenheit
(40.3 degrees Celsius). The nurse applies a cooling blanket and administers an
, 4
antipyretic medication. The nurse explains that the rationale for these interventions
is to do what?
Promote equalization of osmotic pressures
Prevent hypoxia associated with diaphoresis
Promote integrity of intracerebral neurons
Reduce brain metabolism and limit hypoxia
D
Cooling blankets and antipyretic medications can induce hypothermia, thus
decreasing brain metabolism. This in turn makes the brain less vulnerable by
decreasing the need for oxygen. The integrity of intracerebral neurons and osmotic
pressure equalization depend on an adequate supply of oxygen, carbon dioxide,
and glucose, and may occur as a result of decreased cerebral metabolism and
hypoxia. Diaphoresis does not cause hypoxia. Antipyretic medications may cause
diaphoresis as vasodilation occurs.
Which question asked by the nurse is an example of open-ended questions?
"How has your health been?"
"Are you feeling any pain now?"
"Do you think the medication is helping you?"
"How would you rate your pain on a scale from 0 to 10?"
