NCLEX-RN Exam Questions
862 real NCLEX-RN exam questions with expert-verified answers and explanations. Page 2 of 18.
- Question #51Physiological Integrity: Reduction of Risk Potential
Which of the following would have the physiological effect of decreasing intracranial pressure (ICP)?
intracranial pressurePaCO2cerebral vasoconstrictionICP management - Question #52Physiological Integrity: Reduction of Risk Potential
A client who has sustained a basilar skull fracture exhibits blood-tinged drainage from his nose. After establishing a clear airway, administering supplemental O2, and establishing...
basilar skull fractureCSF rhinorrheahalo testhead injury assessment - Question #53Health Promotion and Maintenance
A client with a diagnosis of C-4 injury has been stabilized and is ready for discharge. Because this client is at risk for autonomic dysreflexia, he and his family should be instru...
autonomic dysreflexiaC4 spinal cord injuryheadache and flushingpatient education - Question #54Safe and Effective Care Environment: Safety and Infection Control
The initial treatment for a client with a liquid chemical burn injury is to:
chemical burnsirrigationemergency treatmentburn care - Question #55Physiological Integrity: Physiological Adaptation
The most important reason to closely assess circumferential burns at least every hour is that they may result in:
circumferential burnscompartment syndromeperipheral pulsesescharotomy - Question #56Physiological Integrity: Pharmacological and Parenteral Therapies
During burn therapy, morphine is primarily administered IV for pain management because this route:
morphine IV routeburn pharmacokineticspain managementdrug absorption - Question #57Physiological Integrity: Pharmacological and Parenteral Therapies
The medication that best penetrates eschar is:
mafenide acetateeschar penetrationtopical antimicrobialsburn wound care - Question #58Physiological Integrity: Reduction of Risk Potential
When the nurse is evaluating lab data for a client 18-24 hours after a major thermal burn, the expected physiological changes would include which of the following?
burn pathophysiologyhemoconcentrationhematocritfluid shifts - Question #59Physiological Integrity: Pharmacological and Parenteral Therapies
The nurse notes hyperventilation in a client with a thermal injury. She recognizes that this may be a reaction to which of the following medications if applied in large amounts?
mafenide acetatecarbonic anhydrase inhibitionmetabolic acidosisadverse drug effects - Question #60Health Promotion and Maintenance
The primary reason for sending a burn client home with a pressure garment, such as a Jobst garment, is that the garment:
pressure garmenthypertrophic scarringburn rehabilitationwound healing - Question #61Physiological Integrity: Pharmacological and Parenteral Therapies
A client with emphysema is placed on diuretics. In order to avoid potassium depletion as a side effect of the drug therapy, which of the following foods should be included in his d...
potassium-rich foodsdiureticselectrolyte balanceemphysema - Question #62Physiological Integrity: Physiological Adaptation
Which of the following would the nurse expect to find following respiratory assessment of a client with advanced emphysema?
emphysema assessmentbreath soundsbarrel chestauscultation - Question #63Physiological Integrity: Physiological Adaptation
The nurse assists a client with advanced emphysema to the bathroom. The client becomes extremely short of breath while returning to bed. The nurse should:
pursed-lip breathingdyspnea managementemphysemaoxygen therapy - Question #64Physiological Integrity: Physiological Adaptation
Signs and symptoms of an allergy attack include which of the following?
allergic reactionprolonged expirationrespiratory symptomswheezing - Question #65Health Promotion and Maintenance
A 55-year-old man is admitted to the hospital with complaints of fatigue, jaundice, anorexia, and clay-colored stools. His admitting diagnosis is "rule out hepatitis." Laboratory s...
hepatitis exposurehigh-risk groupsbloodborne pathogenshealth history - Question #66Physiological Integrity: Physiological Adaptation
A diagnosis of hepatitis C is confirmed by a male client's physician. The nurse should be knowledgeable of the differences between hepatitis A, B, and C. Which of the following are...
hepatitis Cincubation periodchronic liver diseasehepatitis vaccine - Question #67Physiological Integrity: Basic Care and Comfort
The nurse is aware that nutrition is an important aspect of care for a client with hepatitis. Which of the following diets would be most therapeutic?
hepatitis diethigh carbohydratetherapeutic nutritioncaloric intake - Question #68Safe and Effective Care Environment: Safety and Infection Control
Which of the following nursing orders should be included in the plan of care for a client with hepatitis C?
universal precautionshepatitis Cinfection controlblood sample collection - Question #69Health Promotion and Maintenance
Which of the following should be included in discharge teaching for a client with hepatitis C?
hepatitis discharge teachingalcohol avoidanceblood donation restrictionsliver recovery - Question #70Physiological Integrity: Pharmacological and Parenteral Therapies
A 27-year-old man was diagnosed with type I diabetes 3 months ago. Two weeks ago he complained of pain, redness, and tenderness in his right lower leg. He is admitted to the hospit...
hypoglycemiaoral glucose treatmentblood glucose 50 mgdiabetes management - Question #71Physiological Integrity: Pharmacological and Parenteral Therapies
A male client receives 10 U of regular human insulin SC at 9:00 AM. The nurse would expect peak action from this injection to occur at:
regular insulininsulin peak actionpharmacokineticssubcutaneous insulin - Question #72Physiological Integrity: Physiological Adaptation
A type I diabetic client is diagnosed with cellulitis in his right lower extremity. The nurse would expect which of the following to be present in relation to his blood sugar level...
infection-induced hyperglycemiatype I diabetescellulitisstress response - Question #73Health Promotion and Maintenance
The physician has ordered that a daily exercise program be instituted by a client with type I diabetes following his discharge from the hospital. Discharge instructions about exerc...
diabetes exercise guidelineshypoglycemia preventionpre-exercise snackblood glucose and activity - Question #74Physiological Integrity: Basic Care and Comfort
Dietary planning is an essential part of the diabetic client's regimen. The American Diabetes Association recommends which of the following caloric guidelines for daily meal planni...
ADA diet guidelinescarbohydrate distributiondiabetic meal planningmacronutrient ratios - Question #75Physiological Integrity: Reduction of Risk Potential
A 74-year-old female client is 3 days postoperative. She has an indwelling catheter and has been progressing well. While the nurse is in the room, the client states, "Oh dear, I fe...
indwelling catheterurge to voidcatheter obstructionpostoperative assessment - Question #76Safe and Effective Care Environment: Safety and Infection Control
In cleansing the perineal area around the site of catheter insertion, the nurse would:
catheter perineal caremeatus cleaninginfection preventioncatheter hygiene - Question #77Safe and Effective Care Environment: Safety and Infection Control
Nursing interventions designed to decrease the risk of infection in a client with an indwelling catheter include:
catheter-associated UTImeatal careinfection preventioncatheter drainage - Question #78Health Promotion and Maintenance
A client tells the nurse that she has had a history of urinary tract infections. The nurse would do further health teaching if she verbalizes she will:
UTI preventionfluid intakepatient educationcranberry juice - Question #79Physiological Integrity: Physiological Adaptation
An 83-year-old client has been hospitalized following a fall in his home. He has developed a possible fecal impaction. Which of the following assessment findings would be most indi...
fecal impactionliquid stoolparadoxical diarrheabowel assessment - Question #80Physiological Integrity: Basic Care and Comfort
The nurse provides a male client with diet teaching so that he can help prevent constipation in the future. Which food choices indicate that this teaching has been understood?
constipation preventionhigh-fiber dietdietary teachingbowel health - Question #81Physiological Integrity: Pharmacological and Parenteral Therapies
One of the medications that is prescribed for a male client is furosemide (Lasix) 80 mg bid. To reduce his risk of falls, the nurse would teach him to take this medication:
furosemidediureticsfall preventionmedication timing - Question #82Physiological Integrity: Pharmacological and Parenteral Therapies
The nurse teaches a male client ways to reduce the risks associated with furosemide therapy. Which of the following indicates that he understands this teaching?
furosemideorthostatic hypotensiondiureticspatient teaching - Question #83Physiological Integrity: Basic Care and Comfort
A client is taught to eat foods high in potassium. Which food choices would indicate that this teaching has been successful?
potassium-rich foodselectrolyte balancediuretic therapydietary teaching - Question #84Physiological Integrity: Reduction of Risk Potential
The nurse would be sure to instruct a client on the signs and symptoms of an eye infection and hemorrhage. These signs and symptoms would include:
eye infectionpostoperative eye caresigns and symptomshemorrhage - Question #85Safe and Effective Care Environment: Safety and Infection Control
The nurse would teach a male client ways to minimize the risk of infection after eye surgery. Which of the following indicates the client needs further teaching?
eye surgeryinfection preventionpostoperative carepatient teaching - Question #86Physiological Integrity: Pharmacological and Parenteral Therapies
Other drugs may be ordered to manage a client's ulcerative colitis. Which of the following medications, if ordered, would the nurse question?
ulcerative colitisimmunosuppressantspharmacologydrug safety - Question #87Physiological Integrity: Reduction of Risk Potential
A male client is scheduled for a liver biopsy. In preparing him for this test, the nurse should:
liver biopsypre-procedure teachingpost-procedure monitoringvital signs - Question #88Physiological Integrity: Reduction of Risk Potential
After a liver biopsy, the best position for the client is:
liver biopsypost-procedure positioningbleeding preventionright lateral position - Question #89Physiological Integrity: Reduction of Risk Potential
A complication for which the nurse should be alert following a liver biopsy is:
liver biopsypost-procedure complicationshemorrhageshock - Question #90Physiological Integrity: Reduction of Risk Potential
Which nursing implication is appropriate for a client undergoing a paracentesis?
paracentesispre-procedure carebladder decompressionnursing implications - Question #91Health Promotion and Maintenance
The nurse would assess the client's correct understanding of the fertility awareness methods that enhance conception, if the client stated that:
fertility awarenessbasal body temperatureovulationconception - Question #92Health Promotion and Maintenance
A couple is planning the conception of their first child. The wife, whose normal menstrual cycle is 34 days in length, correctly identifies the time that she is most likely to ovul...
ovulation timingmenstrual cycle calculationfertilityconception planning - Question #93Health Promotion and Maintenance
A client is pregnant with her second child. Her last menstrual period began on January 15. Her expected date of delivery would be:
Naegele's ruleexpected date of deliveryprenatal careLMP calculation - Question #94Physiological Integrity: Physiological Adaptation
The nurse instructs a pregnant client (G2P1) to rest in a side-lying position and avoid lying flat on her back. The nurse explains that this is to avoid "vena caval syndrome," a co...
vena caval syndromesupine hypotensionpregnancy positioningvenous return - Question #95Health Promotion and Maintenance
A pregnant client comes to the office for her first prenatal examination at 10 weeks. She has been pregnant twice before; the first delivery produced a viable baby girl at 39 weeks...
GTPAL systemobstetrical historygravida paraprenatal assessment - Question #96Health Promotion and Maintenance
A pregnant client comes to the office for her first prenatal examination at 10 weeks. She has been pregnant twice before; the first delivery produced a viable baby girl at 39 weeks...
gravida para systemobstetrical historyprenatal classificationparity - Question #97Physiological Integrity: Pharmacological and Parenteral Therapies
A gravida 2 para 1 client is hospitalized with severe preeclampsia. While she receives magnesium sulfate (MgSO4) therapy, the nurse knows it is safe to repeat the dosage if:
magnesium sulfatepreeclampsiatoxicity monitoringdeep tendon reflexes - Question #98Physiological Integrity: Reduction of Risk Potential
Prenatal clients are routinely monitored for early signs of pregnancy-induced hypertension (PIH). For the prenatal client, which of the following blood pressure changes from baseli...
pregnancy-induced hypertensionblood pressure changesPIH diagnosisprenatal monitoring - Question #99Health Promotion and Maintenance
In assisting preconceptual clients, the nurse should teach that the corpus luteum secretes progesterone, which thickens the endometrial lining in which of the phases of the menstru...
corpus luteumprogesteronemenstrual cycle phasesendometrium - Question #100Health Promotion and Maintenance
A client decided early in her pregnancy to breast-feed her first baby. She gave birth to a normal, full-term girl and is now progressing toward the establishment of successful lact...
breastfeedinglatch releaselactationnewborn feeding