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 NCLEX Practice Questions Test Bank for Free

An important step in the process of becoming a nurse, all competitive nursing exams measure a candidate's minimum qualifications required to provide safe and effective nursing care to their patients. It is required for all candidates hoping to obtain a license to practice nursing.

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Question 1: Which is not true about kwashiorkor?

A) Brittle hair

B) Monkey like face

C) Edema in lower extremities

D) Anorexia

Question 2: HELLP syndrome is a complication of?

A) Hepatitis

B) AIDS

C) Leukemia

D) Pre eclampsia

Question 3: Bleeding in the first trimester with no uterine contraction or pain and no dilation of cervix indicates:

A) Missed abortion

B) Threatened abortion

C) Inevitable abortion

D) Complete abortion

Question 4: The vaccination was first performed by?

A) Jonas Salk

B) Edward Jenner

C) Louis Pasteur

D) Alexander Fleming

Question 5: Which vaccine can be given to an AIDS positive child?

A) BCG

B) OPV

C) Measles

D) All of the above

Question 6: Among the following sing and symptoms which is indicative of increased ICP?

A) Bradycardia

B) Hypertension

C) Tachypnea

D) Decrease in systolic pressure

Question 7: In a child with right to left shunt which finding the nurse should expect?

A) Bounding pulse

B) Low BP

C) Elevated HCT

D) Peripheral edema

Question 8: A new born is suspected to have respiratory distress if there is?

A) Acrocyanosis

B) Flaring of nostril

C) Irregular respiration

D) Breath holding spells

Question 9: All the following are the expected diagnostic test for Wilm's tumor EXCEPT?

A) Abdominal MRI

B) Abdominal CT

C) Abdominal USG

D) Renal biopsy

Question 10: In croup humidified oxygen is given to?

A) Maintain moist mucosa

B) Decrease tissue inflammation and edema

C) Provide an environment free of pathogenic organisms

D) Provide mode for giving inhaled drugs

Question 11: The nurse is caring for a client after a laryngectomy. The client is anxious, with a respiratory rate of 32 and an oxygen saturation of 88. The nurse’s first action should be to:

A) Suction the client

B) Notify the physician

C) Increase the oxygen flow rate

D) Recheck the O2 saturation

Rationale: Obstruction of the tracheostomy can cause anxiety, increased respiratory rate, and an O2 saturation decrease. The nurse should first suction the client. If this doesn’t work, she should notify the physician.

Question 12: A client with severe preeclampsia is receiving intravenous magnesium sulfate. The nurse is reviewing the laboratory results and determines that which magnesium level is within the therapeutic range?

A) 3 mEq/L (1.5 mmOl/L)

B) 1 mEq/L (0.5 mmOl/L)

C) 5 mEq/L (2.5 mmOl/L)

D) 10 mEq/L (5 mmOL/L)

Question 13: A client with a stroke and malnutrition has been placed on Total Parenteral Nutrition (TPN). The nurse notes air entering the client via the central line. Which initial action is most appropriate?

A) Notify the physician

B) Elevate the head of the bed

C) Stop the TPN and hang D5 1/2 NS

D) Place the client in the left lateral decubitus position

Question 14: A client with COPD is in respiratory failure. Which of the following results would be the most sensitive indicator that the client requires a mechanical ventilator?

A) SaO2 90

B) PH 7.23

C) HCO3 30

D) PCO2 58

Question 15: A student in a cardiac unit is performing auscultation of a client’s heart. The nurse recognizes that the student is performing pulmonic auscultation correctly when the stethoscope is placed:

A) Between the apex and the sternum

B) At the manubrium See answer & rationale here

C) At the fifth intercostal space at the left

D) At the second intercostal space, left of the sternum

Question 16: A client is admitted to the medical surgical unit with a report of severe hematemesis. The nurse should give priority to:

A) Performing an assessment

B) Initiating an IV with a large bore needle

C) Obtaining a blood permit

D) Inserting an NG tube

Rationale: The first step is to assess the client, noting any signs or symptoms of a fluid volume deficit. Answers B, C, and D might all be required interventions at some point, but assessment is needed before any other actions, so they are incorrect.

NCLEX-RN Practice Questions Test Bank

Question 17: A10 year old child with asthma is treated for acute exacerbation in the emergency department. The nurse caring for the child should monitor for which sign, knowing that it indicates a worsening of the condition?

A) Decreased wheezing

B) Warm, dry skin

C) Pulse rate of 90 beats/minute

D) Respirations of 18 breaths/minute

Explanation: Decreased wheezing is a concerning sign in a child with asthma. Wheezing is a common symptom of asthma, caused by narrowed airways. When wheezing decreases, it may signal that the airways are becoming even more constricted, making it harder for the child to breathe. This can be a sign of a severe asthma exacerbation, and it requires immediate attention.

Question 18: A client had a 1000 mL bag of 5% dextrose in 0.9% sodium chloride hung at 3 PM. at 3:45 PM the client is complaining of a pounding headache and is dyspneic, is experiencing chills. The bag has 400 mL remaining. The nurse should take which action first?

A) Sit the client up in bed

B) Call the health care provider

C) Slow the IV infusion

D) Remove the IV catheter

Question 19: A client who had major abdominal surgery is having delayed healing of the wound. Which laboratory test result would most closely correlate with this problem?

A) Increased creatinine

B) Decreased albumin

C) Decreased creatinine

D) Increased sodium

Rationale: Proteine is necessary component for wound healing.

Question 20: The nurse caring for a client with a suspected peptic ulcer recognizes which exam as the one most reliable in diagnosing the disease?

A) Gastric analysis

B) Barium studies

C) Endoscopy

D) Upper gastrointestinal x-ray

Question 21: Parkinson's disease patients often require assistance with walking because they :

A) Forget how to take steps

B) Have visual problems

C) Do not notice safety problems

D) Have shuffling walk and tremors

Question 22: Primary prevention for cervical cancer includes all except one?

A) Use of condoms

B) Radiotherapy

C) Raising the age of marriage

D) Effective therapy of STDs

Question 23: First antibody seen in serum after hepatitis b infection?

A) Anti HBc IgM

B) Anti HBc IgG

C) Anti HBe

D) Anti HBs

Question 24: "Exposure is only related to single outcome " which hill's criteria fulfilling here?

A) Specificity

B) Coherence

C) Plausibility

D) Consistency

Question 25: Another term that has been previously used for bipolar disorder is?

A) Schizophrenia

B) Multiple personality disorder

C) Paranoid schizophrenia

D) Manic depression

Report Card

Total Questions Attempted: 0

Correct Answers: 0

Wrong Answers: 0

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