NCLEX-RN Exam Questions

Which of the following procedures is necessary to establish a definitive diagnosis of breast cancer?

The nurse should know that according to current thinking, the most important prognostic factor for a client with breast cancer is:

When teaching a sex education class, the nurse identifies the most common STDs in the United States as:

A 30-year-old male client is admitted to the psychiatric unit with a diagnosis of bipolar disorder. For the last 2 months, his family describes him as being "on the move," sleeping...

Nursing care for the substance abuse client experiencing alcohol withdrawal delirium includes:

A psychotic client who believes that he is God and rules all the universe is experiencing which type of delusion?

A client confides to the nurse that he tasted poison in his evening meal. This would be an example of what type of hallucination?

A schizophrenic client has made sexual overtures toward her physician on numerous occasions. During lunch, the client tells the nurse, "My doctor is in love with me and wants to ma...

Hypoxia is the primary problem related to near-drowning victims. The first organ that sustains irreversible damage after submersion in water is the:

One of the most dramatic and serious complications associated with bacterial meningitis is Waterhouse- Friderichsen syndrome, which is:

An 8-year-old child comes to the physician's office complaining of swelling and pain in the knees. His mother says, "The swelling occurred for no reason, and it keeps getting worse...

The most commonly known vectors of Lyme disease are:

A laboratory technique specific for diagnosing Lyme disease is:

The nurse would expect to include which of the following when planning the management of the client with Lyme disease?

A 3-year-old child is hospitalized with burns covering her trunk and lower extremities. Which of the following would the nurse use to assess adequacy of fluid resuscitation in the...

Proper positioning for the child who is in Bryant's traction is:

A child sustains a supracondylar fracture of the femur. When assessing for vascular injury, the nurse should be alert for the signs of ischemia, which include:

When administering phenytoin (Dilantin) to a child, the nurse should be aware that a toxic effect of phenytoin therapy is:

A six-month-old infant has been admitted to the emergency room with febrile seizures. In the teaching of the parents, the nurse states that:

When assessing a child with diabetes insipidus, the nurse should be aware of the cardinal signs of:

The usual treatment for diabetes insipidus is with IM or SC injection of vasopressin tannate in oil. Nursing care related to the client receiving IM vasopressin tannate would inclu...

A child is admitted to the emergency room with her mother. Her mother states that she has been exposed to chickenpox. During the assessment, the nurse would note a characteristic r...

Discharge teaching was effective if the parents of a child with atopic dermatitis could state the importance of:

The priority nursing goal when working with an autistic child is:

The child with iron poisoning is given IV deforoxamine mesylate (Desferal). Following administration, the child suffers hypotension, facial flushing, and urticaria. The initial nur...

As the nurse assesses a male adolescent with chlamydia, the nurse determines that a sign of chlamydia is:

When teaching a mother of a 4-month-old with diarrhea about the importance of preventing dehydration, the nurse would inform the mother about the importance of feeding her child:

The primary reason that an increase in heart rate (100 bpm) detrimental to the client with a myocardial infarction (MI) is that:

To appropriately monitor therapy and client progress, the nurse should be aware that increased myocardial work and O2 demand will occur with which of the following?

The nurse would need to monitor the serum glucose levels of a client receiving which of the following medications, owing to its effects on glycogenolysis and insulin release?

Which of the following medications requires close observation for bronchospasm in the client with chronic obstructive pulmonary disease or asthma?

The following medications were noted on review of the client's home medication profile. Which of the medications would most likely potentiate or elevate serum digoxin levels?

In the client with a diagnosis of coronary artery disease, the nurse would anticipate the complication of bradycardia with occlusion of which coronary artery?

When inspecting a cardiovascular client, the nurse notes that he needs to sit upright to breathe. This behavior is most indicative of:

When a client questions the nurse as to the purpose of exercise electrocardiography (ECG) in the diagnosis of cardiovascular disorders, the nurse's response should be based on the...

In assessing cardiovascular clients with progression of aortic stenosis, the nurse should be aware that there is typically:

The cardiac client who exhibits the symptoms of disorientation, lethargy, and seizures may be exhibiting a toxic reaction to:

Which of the following ECG changes would be seen as a positive myocardial stress test response?

Assessment of the client with pericarditis may reveal which of the following?

Clinical manifestations seen in left-sided rather than in right-sided heart failure are:

Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy?

To ensure proper client education, the nurse should teach the client taking SL nitroglycerin to expect which of the following responses with administration?

When a client is receiving vasoactive therapy IV, such as dopamine (Intropin), and extravasation occurs, the nurse should be prepared to administer which of the following medicatio...

Which of the following would differentiate acute from chronic respiratory acidosis in the assessment of the trauma client?

Which of the following signs and symptoms indicates a tension pneumothorax as compared to an open pneumothorax?

Hematotympanum and otorrhea are associated with which of the following head injuries?

A client with a C-3-4 fracture has just arrived in the emergency room. The primary nursing intervention is:

In a client with chest trauma, the nurse needs to evaluate mediastinal position. This can best be done by:

Priapism may be a sign of:

When evaluating a client with symptoms of shock, it is important for the nurse to differentiate between neurogenic and hypovolemic shock. The symptoms of neurogenic shock differ fr...