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la NCLEX RN EXAM 2021 update
1. Which of the following clients is at a higher risk of developing oral health problems?
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a. A pregnant client ne
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b. A client with diabetes
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c. A client receiving chemotherapy
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d. Both b and c
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2. Which nursing intervention is most appropriate to reduce environmental stimuli that may
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cause discomfort for a client?
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a. Loosen pressure dressings on wounds
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b. Use assistance to pull a client up in bed
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c. Check temperature of water used in a sponge bath
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d. Position the client prone
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3. A client has developed a vitamin C deficiency. Which of the following symptoms might the
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nurse most likely see with this condition?
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a. Cracks at the corners of the mouth
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b. Altered mental status
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c. Bleeding gums and loose teeth
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d. Anorexia and diarrhea
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4. Which of the following interventions should a nurse perform for a female client who is
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incontinent with impaired skin integrity?
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a. Turn the client at least every 8 hours
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b. Apply lotion to the skin before a bath
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c.
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Provide perineal care after the client uses the bathroom
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d. Bathe the client every 3 days
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5. A nurse is caring for a client who died approximately one hour ago. The nurse notes that the
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client's temperature has decreased in the last hour since his death. Which of the following
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processes explains this phenomenon?
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a. Rigor mortis
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b. Postmortem decomposition
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c. Algor mortis
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d. Livor mortis
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6. A nurse is calculating a client's intake and output. During the last shift, the client has had ½
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cup of gelatin, a skinless chicken breast, 1 cup of green beans, and 300 cc of water. The client
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has urinated 250 cc and has had 2 bowel movements. What is this client's intake and output for
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this shift?
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a. 420 cc intake, 250 cc output
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b. 300 cc intake, 250 cc output
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c. 550 cc intake, 550 cc output
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d. 300 cc intake, 550 cc output
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7. A nurse is caring for a client with ariboflavinosis. Which of the following foods should the
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nurse serve this client?
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sh
a. Citrus fruits
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b. Milk
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c. Fish
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d. Potatoes
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8. A client is taking a walk down the hallway when she suddenly realizes that she needs to use
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the restroom. Although she tries to make it to the bathroom on time, she is incontinent of urine
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before reaching the toilet. What type of incontinence does this situation represent?
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a. Reflex incontinence
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b. Urge incontinence
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c. Total incontinence
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d. Functional incontinence
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9. Which of the following is an example of a positive effect of exercise on a client?
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a. Decreased basal metabolic rate
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b. Decreased venous return
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c. Decreased work of breathing
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d. Decreased gastric motility
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10. You have taken the vital signs for your patient. They are normal for the patient. What should
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you do next? sh
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a. Report the vital signs to the doctor
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b. Write the vital signs on a scrap paper
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c. Call the family members
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d. Document them on the graphic VS form
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11. Penny Thornton has had a stroke, or CVA. She is having difficulty eating on her own. Soon,
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she will be getting some assistive devices for eating meals.
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Which healthcare worker will be getting Penny these assistive devices?
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a. A physical therapist
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b. A speech therapist
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, ne
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c. A social workerla
d. An occupational therapist
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12. Which of the following is an example of emotional abuse?
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a. A slap to the person's hand
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b. Threatening the person
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c. Ignoring and isolating a person
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d. Leaving a patient soiled for hours
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13. Which of the following is an example of emotional neglect?
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Sp
a. A slap to the person's hand
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b. Threatening the person
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c. Ignoring and isolating a person
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d. Leaving a patient soiled for hours
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14. The duodenum:
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a. is the third section of the small intestine, which leads immediately to the colon.
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b. is the section of the stomach where the gall bladder delivers bile.
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c. is the section of the small intestine where the pancreas delivers insulin.
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d. None of the above.
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15. The nurse is performing discharge teaching for Mrs. S after cardiac angioplasty. Her husband
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is present for the teaching. While explaining the prescription for antiplatelet medication to use at
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home, Mrs. S's husband states, "I don't think I can afford to refill that medication." What is the
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most appropriate response of the nurse?
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a. Don't worry, your insurance will cover it."
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la NCLEX RN EXAM 2021 update
1. Which of the following clients is at a higher risk of developing oral health problems?
tz
sh
Sp
a. A pregnant client ne
la
tz
sh
b. A client with diabetes
Sp
ne
c. A client receiving chemotherapy
la
d. Both b and c
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sh
Sp
ne
la
2. Which nursing intervention is most appropriate to reduce environmental stimuli that may
tz
cause discomfort for a client?
sh
Sp
ne
la
a. Loosen pressure dressings on wounds
tz
sh
Sp
b. Use assistance to pull a client up in bed
ne
c. Check temperature of water used in a sponge bath
la
tz
d. Position the client prone
sh
Sp
ne
la
3. A client has developed a vitamin C deficiency. Which of the following symptoms might the
tz
nurse most likely see with this condition?
sh
Sp
ne
la
a. Cracks at the corners of the mouth
tz
sh
Sp
b. Altered mental status
ne
la
c. Bleeding gums and loose teeth
tz
sh
d. Anorexia and diarrhea
Sp
ne
la
tz
4. Which of the following interventions should a nurse perform for a female client who is
sh
Sp
incontinent with impaired skin integrity?
ne
la
tz
a. Turn the client at least every 8 hours
sh
Sp
ne
b. Apply lotion to the skin before a bath
la
sh
Sp
la
Sp
, ne
tz
sh
ne
c.
la
Provide perineal care after the client uses the bathroom
tz
sh
Sp
d. Bathe the client every 3 days
ne
la
tz
sh
5. A nurse is caring for a client who died approximately one hour ago. The nurse notes that the
Sp
client's temperature has decreased in the last hour since his death. Which of the following
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processes explains this phenomenon?
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tz
sh
Sp
ne
a. Rigor mortis
la
b. Postmortem decomposition
tz
sh
Sp
c. Algor mortis
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d. Livor mortis
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tz
sh
Sp
ne
6. A nurse is calculating a client's intake and output. During the last shift, the client has had ½
la
cup of gelatin, a skinless chicken breast, 1 cup of green beans, and 300 cc of water. The client
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has urinated 250 cc and has had 2 bowel movements. What is this client's intake and output for
sh
Sp
this shift?
ne
la
tz
a. 420 cc intake, 250 cc output
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Sp
ne
b. 300 cc intake, 250 cc output
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c. 550 cc intake, 550 cc output
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sh
Sp
d. 300 cc intake, 550 cc output
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la
tz
sh
7. A nurse is caring for a client with ariboflavinosis. Which of the following foods should the
Sp
nurse serve this client?
ne
la
tz
sh
a. Citrus fruits
Sp
ne
b. Milk
la
tz
c. Fish
sh
Sp
d. Potatoes
ne
la
sh
Sp
la
Sp
, ne
tz
sh
ne
8. A client is taking a walk down the hallway when she suddenly realizes that she needs to use
la
the restroom. Although she tries to make it to the bathroom on time, she is incontinent of urine
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before reaching the toilet. What type of incontinence does this situation represent?
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Sp
ne
la
a. Reflex incontinence
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sh
Sp
b. Urge incontinence
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c. Total incontinence
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tz
d. Functional incontinence
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Sp
ne
la
9. Which of the following is an example of a positive effect of exercise on a client?
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sh
Sp
ne
a. Decreased basal metabolic rate
la
tz
b. Decreased venous return
sh
Sp
ne
c. Decreased work of breathing
la
d. Decreased gastric motility
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sh
Sp
ne
10. You have taken the vital signs for your patient. They are normal for the patient. What should
la
tz
you do next? sh
Sp
ne
la
a. Report the vital signs to the doctor
tz
sh
b. Write the vital signs on a scrap paper
Sp
ne
c. Call the family members
la
tz
d. Document them on the graphic VS form
sh
Sp
ne
la
11. Penny Thornton has had a stroke, or CVA. She is having difficulty eating on her own. Soon,
tz
she will be getting some assistive devices for eating meals.
sh
Sp
ne
Which healthcare worker will be getting Penny these assistive devices?
la
tz
sh
Sp
a. A physical therapist
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b. A speech therapist
la
sh
Sp
la
Sp
, ne
tz
sh
ne
c. A social workerla
d. An occupational therapist
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sh
Sp
ne
12. Which of the following is an example of emotional abuse?
la
tz
sh
Sp
ne
a. A slap to the person's hand
la
b. Threatening the person
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sh
Sp
c. Ignoring and isolating a person
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la
d. Leaving a patient soiled for hours
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sh
Sp
ne
13. Which of the following is an example of emotional neglect?
la
tz
sh
Sp
a. A slap to the person's hand
ne
la
b. Threatening the person
tz
sh
c. Ignoring and isolating a person
Sp
ne
d. Leaving a patient soiled for hours
la
tz
sh
Sp
14. The duodenum:
ne
la
a. is the third section of the small intestine, which leads immediately to the colon.
tz
sh
b. is the section of the stomach where the gall bladder delivers bile.
Sp
ne
c. is the section of the small intestine where the pancreas delivers insulin.
la
tz
d. None of the above.
sh
Sp
ne
la
15. The nurse is performing discharge teaching for Mrs. S after cardiac angioplasty. Her husband
tz
is present for the teaching. While explaining the prescription for antiplatelet medication to use at
sh
Sp
home, Mrs. S's husband states, "I don't think I can afford to refill that medication." What is the
ne
most appropriate response of the nurse?
la
tz
sh
Sp
ne
a. Don't worry, your insurance will cover it."
la
sh
Sp
la
Sp
