NCLEX NCLEX-RN Exam Questions

Vendor Name: NCLEX
Certification Name:NCLEX Certification
Exam Name:National Council Licensure Examination(NCLEX-RN)

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NCLEX NCLEX-RN Exam Questions

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NCLEX-RN Exam Sample Questions:

A client had a cardiac catheterization with angiography and thrombolytic therapy with
streptokinase. The nurse should initiate which of the following interventions immediately
after he returns to his room?


Place him on NPO restriction for 4 hours.


Monitor the catheterization site every 15 minutes.


Place him in a high Fowler position.


Ambulate him to the bathroom to void.

Monitor the catheterization site every 15 minutes.

(A) A contrast dye, iodine, is used in this procedure. This dye is nephrotoxic. The client
must be encouraged to drink plenty of liquids to assist the kidneys in eliminating the dye.
(B) Streptokinase activates plasminogen, dissolving fibrin deposits. To prevent bleeding,
pressure is applied at the insertion site. The client is assessed for both internal and
external bleeding. (C) The extremity used for the insertion site must be kept straight and be
immobilized because of the potential for bleeding. (D) The client is kept on bed rest for
8–12 hours following the procedure because of the potential for bleeding

A 38-year-old female client with a history of chronic schizophrenia, paranoid type, is
currently an outpatient at the local mental health and mental retardation clinic. The client
comes in once a week for medication evaluation and/or refills. She self-administers
haloperidol 5 mg twice a day and benztropine 1 mg once a day. During a recent clinic visit,
she says to the nurse, “I can’t stay still at night. I toss and turn and can’t fall asleep.” The
nurse suspects that she may be experiencing:










(A) Akathisia, or motor restlessness, is a reversible EPS frequently associated with the
administration of antipsychotic drugs such as haloperidol. (B) Akinesia, or muscular or
motor retardation, is an example of reversible EPS frequently associated with the
administration of major tranquilizers such as haloperidol. (C) Acute dystonic reactions,
bizarre and severe muscle contractions usually of the tongue, face, neck or extraocular
muscles, are examples of EPS. (D) Opisthotonos, a severe type of whole-body dystonic
reaction in which the head and heels are bent backward while the body is bowed forward,
is an example of EPS.

Which of the following nursing care goals has the highest priority for a child with


Sleep or lie quietly 10 hr/day.


Consume foods from all four food groups.


Be afebrile throughout her hospital stay.


Participate in play activities 4 hr/day.

Sleep or lie quietly 10 hr/day.

(A) Of these four goals, maintenance of a calm, quiet atmosphere to reduce anxiety and to
allow for rest is the most important. (B) Although nutrition is important, the child needs
fluids to maintain fluid and electrolyte balance more than solid foods. In addition, the child
may not be able to swallow solid foods owing to epiglottic swelling. (C) This goal is
unrealistic because fever is a common symptom of the infection associated with epiglottitis.
(D) If overexerted, the child will need more O2 and energy than available, and these
requirements may exacerbate the condition.

A 25-year-old client is admitted for a tonsillectomy. She tells the nurse that she has had
episodes of muscle cramps, weakness, and unexplained temperature elevation. Many
years ago her father died shortly after surgery after developing a high fever. She further
tells the nurse that her surgeon is having her take dantrolene sodium (Dantrium)
prophylactically prior to her tonsillectomy. Dantrolene sodium is ordered preoperatively to
reduce the risk or prevent:


Infection postoperatively


Malignant hyperthermia


Neuroleptic malignant syndrome


Fever postoperatively

Malignant hyperthermia

(A, D) Dantrolene sodium is a peripheral skeletal muscle relaxant and would have no effect
on a postoperative infection. (B) Dantrolene sodium is indicated prophylactically for clients
with malignant hyperthermia or with a family history of the disorder. The mortality rate for
malignant hyperthermia is high. (C) Neuroleptic malignant syndrome is an exercise-induced

The nurse is collecting a nutritional history on a 28- year-old female client with irondeficiency
anemia and learns that the client likes to eat white chalk. When implementing a
teaching plan, the nurse should explain that this practice:


Will bind calcium and therefore interfere with its metabolism


Will cause more premenstrual cramping


Interferes with iron absorption because the iron precipitates as an insoluble substance


Causes competition at iron-receptor sites between iron and vitamin B1

Interferes with iron absorption because the iron precipitates as an insoluble substance

(A) Eating chalk is not related to calcium and its absorption. (B) Poor nutritional habits may
result in increased discomfort during premenstrual days, but this is not a primary reason for
the client to stop eating chalk. Premenstrual discomfort has not been mentioned. (C) Iron is
rendered insoluble and is excreted through the gastrointestinal tract. (D) There is no
competition between the two nutrients.

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