Page 1 of 417
NCLEX STYLE PRACTICE EXAM WITH 700+
QUESTIONS AND CORRECT VERIFIED ANS WERS
LATEST UPDATE JUST RELEASED THIS YEAR
Question: When caring for a patient with primary hyperaldosteronism, the nurse would
question a physician's order for the use of
a. Lasix
b. amiloride (midamor)
c. spironolactone (aldactone)
d. aminoglutethimide (cytadren) - CORRECT ANSWER✔✔a. Lasix37
(R- hyperaldosteronism is an excess of aldosterone, which is manifested by sodium and water
retention and potassium excretion. Lasix is a potassium-wasting diuretic that would increase the
potassium deficiency. Aminoglutethimide blocks aldosterone synthesis; amiloride is apotassium-
sparing diuretic; and spironolactone blocks mineralocorticoid receptors in the kidney, increasing
secretion of sodium and water and retention of potassium.)
Question: The nurse notices clear nasal drainage in a patient newly admitted with facial
trauma, including a nasal fracture. What should the nurse do first?
Test the drainage for the presence of glucose.
Suction the nose to maintain airway clearance.
Document the findings and continue monitoring.
Apply a drip pad and reassure the patient this is normal. - CORRECT ANSWER✔✔Test the
drainage for the presence of glucose.
Clear nasal drainage suggests leakage of cerebrospinal fluid (CSF). The drainage should be
tested for the presence of glucose, which would indicate the presence of CSF. Suctioning should
not be done. Documenting the findings and monitoring are important after notifying the health
care provider. A drip pad may be applied, but the patient should not be reassured that this is
normal.
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,Page 2 of 417
Question: A patient is being discharged from the emergency department after being treated
for epistaxis. In teaching the family first aid measures in the event the epistaxis would recur,
what measures should the nurse suggest (select all that apply)?
Tilt patient's head backwards.
Apply ice compresses to the nose.
Tilt head forward while lying down.
Pinch the entire soft lower portion of the nose.
Partially insert a small gauze pad into the bleeding nostril. - CORRECT ANSWER✔✔Apply ice
compresses to the nose.
Pinch the entire soft lower portion of the nose.
First aid measures to control epistaxis include placing the patient in a sitting position, leaning
forward. Pinching the soft lower portion of the nose or inserting a small gauze pad into the
bleeding nostril should stop the bleeding within 15 minutes. Tilting the head back or forward
does not stop the bleeding, but rather allows the blood to enter the nasopharynx, which could
result in aspiration or nausea/vomiting from swallowing blood. Lying down also will not
decrease the bleeding.
Question: When caring for a patient who is 3 hours postoperative laryngectomy, what is the
nurse's highest priority assessment?
Patient comfort
Airway patency
Incisional drainage
Blood pressure and heart rate - CORRECT ANSWER✔✔Airway patency
Remember the ABCs with prioritization. Airway patency is always the highest priority and is
essential for a patient undergoing surgery surrounding the upper respiratory system. Comfort,
drainage, and vital signs follow the ABCs in priority.
2
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,Page 3 of 417
Question: When initially teaching a patient the supraglottic swallow following a radical neck
dissection, with which food or fluid should the nurse begin?
Cola
Applesauce
French fries
White grape juice - CORRECT ANSWER✔✔Cola
When learning the supraglottic swallow, it may be helpful to start with carbonated beverages
because the effervescence provides clues about the liquid's position. Thin, watery fluids should
be avoided because they are difficult to swallow and increase the risk of aspiration.
Nonpourable pureed foods, such as applesauce, would decrease the risk of aspiration, but
carbonated beverages are the better choice with which to start.
Question: The nurse is scheduled to administer seasonal influenza vaccinations to the residents
of a long-term care facility. What would be a contraindication to the administration of the
vaccine to a resident?
Hypersensitivity to eggs
Age greater than 80 years
History of upper respiratory infections
Chronic obstructive pulmonary disease (COPD) - CORRECT ANSWER✔✔Hypersensitivity to eggs
Although current vaccines are highly purified, and reactions are extremely uncommon, a
hypersensitivity to eggs precludes vaccination because the vaccine is produced in eggs.
Advanced age and a history of respiratory illness are not contraindications for influenza
vaccination.
Question: Which task can the registered nurse (RN) delegate to unlicensed assistive personnel
(UAP) in the care of a stable patient who has a tracheostomy?
Assessing the need for suctioning
Suctioning the patient's oropharynx
Assessing the patient's swallowing ability
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, Page 4 of 417
Maintaining appropriate cuff inflation pressure - CORRECT ANSWER✔✔Suctioning the patient's
oropharynx
Providing the individual has been trained in correct technique, UAP may suction the patient's
oropharynx. Assessing the need for suctioning should be performed by an RN or licensed
practical nurse, whereas swallowing assessment and the maintenance of cuff inflation pressure
should be performed solely by the RN.
Question: What is the priority nursing assessment in the care of a patient who has a
tracheostomy?
Electrolyte levels and daily weights
Assessment of speech and swallowing
Respiratory rate and oxygen saturation
Pain assessment and assessment of mobility - CORRECT ANSWER✔✔Respiratory rate and
oxygen saturation
The priority assessment in the care of a patient with a tracheostomy focuses on airway and
breathing. These assessments supersede the nurse's assessments that may also be necessary,
such as nutritional status, speech, pain, and swallowing ability.
Question: A patient whose tracheostomy was inserted 30 minutes ago is recovering in the
postanesthesia recovery unit when he coughs and expels the tracheostomy tube. How should
the nurse respond?
Suction the tracheostomy opening.
Maintain the airway with a sterile hemostat.
Use an Ambu bag and mask to ventilate the patient.
Insert the tracheostomy tube obturator into the stoma. - CORRECT ANSWER✔✔Maintain the
airway with a sterile hemostat.
As long as the patient is not in acute respiratory distress after dislodging the tracheostomy tube,
the nurse should use a sterile hemostat to maintain an open airway until a sterile tracheostomy
4
SUCCESS!
NCLEX STYLE PRACTICE EXAM WITH 700+
QUESTIONS AND CORRECT VERIFIED ANS WERS
LATEST UPDATE JUST RELEASED THIS YEAR
Question: When caring for a patient with primary hyperaldosteronism, the nurse would
question a physician's order for the use of
a. Lasix
b. amiloride (midamor)
c. spironolactone (aldactone)
d. aminoglutethimide (cytadren) - CORRECT ANSWER✔✔a. Lasix37
(R- hyperaldosteronism is an excess of aldosterone, which is manifested by sodium and water
retention and potassium excretion. Lasix is a potassium-wasting diuretic that would increase the
potassium deficiency. Aminoglutethimide blocks aldosterone synthesis; amiloride is apotassium-
sparing diuretic; and spironolactone blocks mineralocorticoid receptors in the kidney, increasing
secretion of sodium and water and retention of potassium.)
Question: The nurse notices clear nasal drainage in a patient newly admitted with facial
trauma, including a nasal fracture. What should the nurse do first?
Test the drainage for the presence of glucose.
Suction the nose to maintain airway clearance.
Document the findings and continue monitoring.
Apply a drip pad and reassure the patient this is normal. - CORRECT ANSWER✔✔Test the
drainage for the presence of glucose.
Clear nasal drainage suggests leakage of cerebrospinal fluid (CSF). The drainage should be
tested for the presence of glucose, which would indicate the presence of CSF. Suctioning should
not be done. Documenting the findings and monitoring are important after notifying the health
care provider. A drip pad may be applied, but the patient should not be reassured that this is
normal.
1
SUCCESS!
,Page 2 of 417
Question: A patient is being discharged from the emergency department after being treated
for epistaxis. In teaching the family first aid measures in the event the epistaxis would recur,
what measures should the nurse suggest (select all that apply)?
Tilt patient's head backwards.
Apply ice compresses to the nose.
Tilt head forward while lying down.
Pinch the entire soft lower portion of the nose.
Partially insert a small gauze pad into the bleeding nostril. - CORRECT ANSWER✔✔Apply ice
compresses to the nose.
Pinch the entire soft lower portion of the nose.
First aid measures to control epistaxis include placing the patient in a sitting position, leaning
forward. Pinching the soft lower portion of the nose or inserting a small gauze pad into the
bleeding nostril should stop the bleeding within 15 minutes. Tilting the head back or forward
does not stop the bleeding, but rather allows the blood to enter the nasopharynx, which could
result in aspiration or nausea/vomiting from swallowing blood. Lying down also will not
decrease the bleeding.
Question: When caring for a patient who is 3 hours postoperative laryngectomy, what is the
nurse's highest priority assessment?
Patient comfort
Airway patency
Incisional drainage
Blood pressure and heart rate - CORRECT ANSWER✔✔Airway patency
Remember the ABCs with prioritization. Airway patency is always the highest priority and is
essential for a patient undergoing surgery surrounding the upper respiratory system. Comfort,
drainage, and vital signs follow the ABCs in priority.
2
SUCCESS!
,Page 3 of 417
Question: When initially teaching a patient the supraglottic swallow following a radical neck
dissection, with which food or fluid should the nurse begin?
Cola
Applesauce
French fries
White grape juice - CORRECT ANSWER✔✔Cola
When learning the supraglottic swallow, it may be helpful to start with carbonated beverages
because the effervescence provides clues about the liquid's position. Thin, watery fluids should
be avoided because they are difficult to swallow and increase the risk of aspiration.
Nonpourable pureed foods, such as applesauce, would decrease the risk of aspiration, but
carbonated beverages are the better choice with which to start.
Question: The nurse is scheduled to administer seasonal influenza vaccinations to the residents
of a long-term care facility. What would be a contraindication to the administration of the
vaccine to a resident?
Hypersensitivity to eggs
Age greater than 80 years
History of upper respiratory infections
Chronic obstructive pulmonary disease (COPD) - CORRECT ANSWER✔✔Hypersensitivity to eggs
Although current vaccines are highly purified, and reactions are extremely uncommon, a
hypersensitivity to eggs precludes vaccination because the vaccine is produced in eggs.
Advanced age and a history of respiratory illness are not contraindications for influenza
vaccination.
Question: Which task can the registered nurse (RN) delegate to unlicensed assistive personnel
(UAP) in the care of a stable patient who has a tracheostomy?
Assessing the need for suctioning
Suctioning the patient's oropharynx
Assessing the patient's swallowing ability
3
SUCCESS!
, Page 4 of 417
Maintaining appropriate cuff inflation pressure - CORRECT ANSWER✔✔Suctioning the patient's
oropharynx
Providing the individual has been trained in correct technique, UAP may suction the patient's
oropharynx. Assessing the need for suctioning should be performed by an RN or licensed
practical nurse, whereas swallowing assessment and the maintenance of cuff inflation pressure
should be performed solely by the RN.
Question: What is the priority nursing assessment in the care of a patient who has a
tracheostomy?
Electrolyte levels and daily weights
Assessment of speech and swallowing
Respiratory rate and oxygen saturation
Pain assessment and assessment of mobility - CORRECT ANSWER✔✔Respiratory rate and
oxygen saturation
The priority assessment in the care of a patient with a tracheostomy focuses on airway and
breathing. These assessments supersede the nurse's assessments that may also be necessary,
such as nutritional status, speech, pain, and swallowing ability.
Question: A patient whose tracheostomy was inserted 30 minutes ago is recovering in the
postanesthesia recovery unit when he coughs and expels the tracheostomy tube. How should
the nurse respond?
Suction the tracheostomy opening.
Maintain the airway with a sterile hemostat.
Use an Ambu bag and mask to ventilate the patient.
Insert the tracheostomy tube obturator into the stoma. - CORRECT ANSWER✔✔Maintain the
airway with a sterile hemostat.
As long as the patient is not in acute respiratory distress after dislodging the tracheostomy tube,
the nurse should use a sterile hemostat to maintain an open airway until a sterile tracheostomy
4
SUCCESS!
