NCLEX-RN Exam Questions

A 19-year-old client has sustained a C-7 fracture, which resulted in his spinal cord being partially transected. By 2 weeks' postinjury, his neck has been surgically stabilized, an...

A 17-year-old client has a T-4 spinal cord injury. At present, he is learning to catheterize himself. When he says, "This is too much trouble. I would rather just have a Foley.'' A...

A client's physician has prescribed theophylline (Theo- Dur) to help control the bronchospasm associated with the client's COPD. Instructions that should be given to the client inc...

A 19-year-old client fell off a ladder approximately 3 ft to the ground. He did not lose consciousness but was taken to the emergency department by a friend to have a scalp lacerat...

A male client has asthma and his physician has prescribed beclomethasone (Vanceril) 3 puffs tid in addition to his other medications. After taking his beclomethasone, the client sh...

A 70-year-old client has pneumonia and has just had a respiratory arrest. He has just been intubated with an 8- mm endotracheal tube. During auscultation of his chest, breath sound...

A 55-year-old client is unconscious, and his physician has decided to begin tube feeding him using a smallbore silicone feeding tube (Keofeed, Duo-Tube). After the tube is inserted...

A 70-year-old client is almost finished receiving her second unit of packed red blood cells. The client, who weighs 80 lb, has started complaining of being short of breath and now...

A 52-year-old client's abdominal aortic aneurysm ruptured. She received rapid massive blood transfusions for bleeding. One potential complication of blood administration for which...

A 67-year-old client will be undergoing a coronary arteriography in the morning. Client teaching about post procedure nursing care should include that:

A client had a myocardial infarction 5 days ago. His physician has ordered an echocardiogram to determine how his myocardial infarction has affected his ventricular wall motion. Wh...

A 55-year-old man has recently been diagnosed with hypertension. His physician orders a low- sodium diet for him. When he asks, "What does salt have to do with high blood pressure?...

A client has consented to have a central venous catheter placed. The best position in which to place the client is the Trendelenburg position. The reason is that the Trendelenburg...

A newborn infant is exhibiting signs of respiratory distress. Which of the following would the nurse recognize as the earliest clinical sign of respiratory distress?

A nurse is performing a vaginal exam on a client in active labor. An important landmark to assess during labor and delivery are the ischial spines because:

The nurse instructs a client on the difference between true labor and false labor. The nurse explains, "In true labor:

A first-trimester primigravida is diagnosed with anemia. The nurse should suspect that this anemia is a result of:

In client teaching, the nurse should emphasize that fetal damage occurs more frequently with ingestion of drugs during:

A laboring client presents with a prolapsed cord. The nurse should immediately place the client in what position?

A client suspects that she is pregnant. She reports two missed menstrual periods. The first day of her last menstrual period was August 3. Her estimated date of confinement would b...

An elective saline abortion has been performed on a 3- week primigravida. Following the procedure, the nurse should be alert for which early side effect?

Assessment of a newborn for Apgar scoring includes observation for:

Painless vaginal bleeding in the last trimester may be caused by:

The nurse should facilitate bonding during the postpartum period. What should the nurse expect to observe in the taking-hold phase?

The physician is preparing to induce labor on a 40-week multigravida. The nurse should anticipate the administration of:

A primigravida is at term. The nurse can recognize the second stage of labor by the client's desire to:

A pregnant client during labor is irritable and feels the urge to vomit. The nurse should recognize this as the:

A pregnant client experiences spontaneous rupture of membranes. The first nursing action is to:

A pregnant client experiences a precipitous delivery. The nursing action during a precipitous delivery is to:

Following a vaginal delivery, the postpartum nurse should observe for:

A client who is 7 months pregnant is diagnosed with pyelonephritis. The nurse anticipates the physician ordering:

A newborn is admitted to the newborn nursery with tremors, apnea periods, and poor sucking reflex. The nurse should suspect:

A premature infant needs supplemental O2 therapy. A nursing intervention that reduces the risk of retrolental fibroplasia is to:

A client presents to the psychiatric unit crying hysterically. She is diagnosed with severe anxiety disorder. The first nursing action is to:

A schizophrenic is admitted to the psychiatric unit. What affect would the nurse expect to observe?

A 16-year-old client reports a weight loss of 20% of her previous weight. She has a history of food binges followed by self-induced vomiting (purging). The nurse should suspect a d...

A 24-year-old client presents to the emergency department protesting "I am God." The nurse identifies this as a:

A 30-year-old client has a history of several recent traumatic experiences. She presents at the physician's office with a complaint of blindness. Physical exam and diagnostic testi...

A 40-year-old client is admitted to the hospital for tests to diagnose cancer. Since his admission, he has become dependent and demanding to the nursing staff. The nurse identifies...

A young boy tells the nurse, "I don't like my Dad to kiss or hug my Mom. I love my Mom and want to marry her." The nurse recognizes this stage of growth and development as:

A client was prescribed a major tranquilizer 2 months ago. One month ago she was placed on benztropine (Cogentin). What would indicate that benztropine therapy is effective?

A client is diagnosed with organic brain disorder. The nursing care should include:

A 4-year-old child has Down syndrome. The community health nurse has coordinated a special preschool program. The nurse's primary goal is to:

A 13-year-old hemophiliac is hospitalized for hemarthrosis of his right knee. To relieve the pain, the nurse should:

A 3-month-old infant has had a unilateral cleft lip repair. He has resumed feedings of oral formula. The nurse should feed the infant with:

A 3-year-old child is admitted with a diagnosis of possible noncommunicating hydrocephalus. What is the first symptom that indicates increased intracranial pressure?

What is the appropriate nursing action for a child with increased intracranial pressure?

A client is 2 hours post ventriculoperitoneal shunt placement. How should the nurse position the client?

A type I diabetic client delivers a male newborn. The newborn is 45 minutes old. What is the primary nursing goal in the nursery during the first hours for this newborn?

A 16-month-old infant is being prepared for tetralogy of Fallot repair. In the nursing assessment, which lab value should elicit further assessment and requires notification of phy...