NCLEX-RN Exam Questions

21.

All treatment team members are seen as equally important in helping clients meet their treatment goals. What is the name given to this type of therapy approach?

• Milieu therapy

• Interpersonal therapy

• Behavior modification

• Rational emotive therapy

22.

A mother brings her 3-year-old child in, as she is concerned because the child continuously bangs his head and bites himself. Which of the following mental disorders should the nurse assess the child for?

• Stereotypic Movement Disorder

• Transient Tic Disorder

• Tourette's Disorder

• Encopresis

23.

You are a home health nurse inspecting a client's home for the first time. You notice that the client's smoke alarm is hanging ajar and the battery has been removed. You counsel the client never to disable the smoke detector and remind them that batteries should be changed:

• Biannually

• Once a month

• Every three months

• Annually

24.

The nurse is preparing to administer intravenous (IV) chemotherapy to a patient with cancer. What personal protective equipment (PPE) should the nurse wear when handling the chemotherapeutic agent? 

Select all that apply.

• Gown

• Gloves

• Mask

• Safety goggles

• Respirator

• Face shield 

25.

A new mother is breastfeeding her 2-month-old infant. She is concerned that the infant is "not getting enough to eat." The infant's weight is appropriate for age and the infant appears well-nourished. The mother reports 4 to 5 wet diapers per day and 3 to 4 yellow loose stools.

Which of the following responses will best provide the new mother with reassurance that her infant is getting enough nourishment?

• "If your baby is urinating and stooling several times a day and is gaining weight, you can feel confident that he is getting enough nourishment."

• "All new mothers worry about whether their baby is getting enough to eat."

• "Are you sure the baby is feeding often enough?"

• "I will send you to a lactation consultant if you are concerned."

26.

The charge nurse on a medical/surgical unit is making assignments for a licensed practice nurse (LPN). Which of the following patients would be appropriate for the LPN? 

Select all that apply.

• An 89-year-old female who requires daily stoma care 

• A 21-year-old male with QID dressing changes from a nosocomial infection

• A 27-year-old who had PRN intravenous medication 

• A patient's scheduled for discharge who will require education on initial ostomy care

27.

You are working at an outpatient cancer care center, where you are caring for a 35-year-old patient who has chronic lymphocytic leukemia and is scheduled to have a splenectomy in 3 weeks. The patient states he would like to donate his own blood to have on hand for the surgery, "just in case I need it."

Regarding autologous blood donation, you know:

• Autologous donation can be made every 3 days as long as hemoglobin remains within a safe range

• Autologous blood donation should be strongly encouraged for patients with leukemia who require transfusion with surgical procedure

• Autologous donation potentially increases risk of bacteremia

• Autologous donation should begin within 2 weeks of the transfusion date and end at least 3 days before the date of transfusion

28.

A nurse was educating a patient on the importance of visiting his dentist on a biannual basis. The nurse was informing the patient that regular dental cleanings will help prevent gum disease. Which reason would the nurse most likely give the patient for why gum disease should be prevented?

• "Gum disease could cause infection by allowing bacteria to enter the body."

• "Gum disease is known to increase one's chances of having liver diseases."

• "Gum disease could eventually lead to throat cancer."

• "Gum disease could increase one's chances of having a stroke."

29.

Which set of symptoms is characteristic of a client diagnosed with trigeminal Neuralgia?

• Sudden stabbing, severe pain over the lip and chin

• Tinnitus, vertigo, and hearing difficulties

• Facial weakness and paralysis

• Difficulty chewing, talking, and swallowing

30.

A patient has been diagnosed with right-brain damage from an embolic (ischemic) stroke. Which of the following manifestations would the nurse expect to observe in this patient? 

Select all that apply.

• Impaired judgement

• Impaired time concepts 

• Impulsivity

• Right-sided hemiplegia

• Impaired speech and language aphasias

31.

You are teaching a health assessment class. The lab involves learning how to examine the abdomen. In what order should you teach your students to palpate the abdomen if the patient is complaining of right lower quadrant pain?

• Begin palpation in the left upper quadrant

• Begin palpation in the right lower quadrant

• Begin palpation in the left lower quadrant

• Begin palpation in the right upper quadrant

32.

A patient who is prescribed a high-potassium diet consisting of foods such as avocados, fish, bananas, cantaloupe, carrots, mushrooms, and strawberries is likely to have which of the following conditions? 

Select all that apply.

• Renal tubular acidosis

• Congestive heart failure on diuretic therapy

• Cushing's syndrome

• Addison's disease

• Osteoporosis

33.

You are teaching a high school class about sexually transmitted diseases. Which of the following statements is false?

• Chlamydia can only be transmitted if the male ejaculates

• Men with gonorrhea may have no symptoms

• The initial outbreak of genital herpes may include flu-like symptoms

• Bacterial vaginosis can increase a women's susceptibility to other sexually transmitted diseases

34.

The nurse is caring for a child with leukemia. In preparing a plan of care for this child, which of the following interventions are specific to decreasing risk of infection? 

Select all that apply.

• Initiate protective isolation procedures

• Use strict aseptic technique for all nursing procedures

• Change wound dressings daily

• Ensure the child is in a semiprivate room

• Strongly encourage the parents to immunize the child against MMR (measles, mumps, rubella) and varicella

35.

Your pediatric patient has pyelonephritis. The physician orders Gentamycin 1.5 mg/kg. Your patient weighs 35 pounds. How much Gentamycin will your patient receive (in mg)?

• 23.9 mg

• 25 mg

• 22.4 mg

• 23 mg

36.

A nurse is working on a care plan for a patient being discharged with hepatitis B. In the care plan, the nurse wants to make sure the patient understands how hepatitis B is transmitted. Hepatitis B is transmitted in which of the following manners?

• Semen

• Food

• Water

• Kissing

37.

A nurse asks a parent to describe her 6-year-old child's behavior. Knowing that the child is six, what does the nurse expect the parent to say?

• "My child is able to follow two-step directions."

• "My child is struggling with a sense of identity."

• "My child is able to form 3-4 word sentences."

• "My child has a sense of immortality and likes to take risks."

38.

An RN is educating a patient on the importance of checking her blood pressure. The nurse informs the patient that a systolic reading of less than 120 mm Hg and a diastolic reading of of less than 80 mm Hg is optimal. The patient asks the nurse to explain what the systolic reading was. Which of the following identifies how the nurse should respond?

• "The systolic number is the top number of a blood pressure reading and it measures the pressure that is in the arteries when your heart beats."

• "The systolic number is the bottom number of a blood pressure reading and it measures the pressure that is in the arteries when your heart beats."

• "The systolic number is the bottom number of a blood pressure reading and it measures the pressure that is in the arteries between heart beats."

• "The systolic number is the top number of a blood pressure reading and it measures the pressure that is in the arteries between heart beats."

39.

A new mother brings her 2-month-old baby to the pediatric clinic. The baby is in great condition, is meeting all milestones, and shows no signs of health conditions. Which of the following may be signs or symptoms that could lead to concern? 

Select all that apply.

• Mom has a flat affect when discussing the positive outcomes of the assessment. 

• Mom has lost weight since the baby's last visit and is unkempt. 

• Mom seems to distance herself from the baby and has dad load the baby into the carrier. 

• Mom asks when the baby will sleep through the night. 

• Mom said she's doing her bed to keep up with her hobbies even though she has no time.

40.

You are caring for a woman of Orthodox Jewish faith during labor. You would expect to see her husband:

• In the waiting room

• At the bedside

• At home

• In a synagogue