| Exam Code | NCLEX-RN |
| Exam Name | National Council Licensure Examination(NCLEX-RN) |
| Questions | 860 Questions Answers With Explanation |
| Update Date | July 15,2024 |
| Price |
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A female baby was born with talipes equinovarus. Her mother has requested that the nurse assigned to the baby come to her room to discuss the baby’s condition. The nurse knows that the pediatrician has discussed the baby’s condition with her mother and that an orthopedist has been consulted but has not yet seen the baby. What should the nurse do first?
A. Call the orthopedist and request that he come to see the baby now.
B. Question the mother and find out what the pediatrician has told her about the baby’scondition.
C. Tell the mother that this is not a serious condition.
D. Tell the mother that this condition has been successfully treated with exercises, casts,and/or braces.
A client states to his nurse that “I was told by the doctor not to take one of my drugsbecause it seems to have caused decreasing blood cells.” Based on this information, whichdrug might the nurse expect to be discontinued?
A. Prednisone
B. Timolol maleate (Blocadren)
C. Garamycin (Gentamicin)
D. Phenytoin (Dilantin)
A 3-year-old child is in the burn unit following a home accident. The first sign of sepsis in burned children is:
A. Disorientation
B. Low-grade fever
C. Diarrhea
D. Hypertension
A 19-month-old child is admitted to the hospital for surgical repair of patent ductusarteriosus. The child is being given digoxin. Prior to administering the medication, the nurseshould:
A. Not give the digoxin if the pulse is_60
B. Not give the digoxin if the pulse is_100
C. Take the apical pulse for a full minute
D. Monitor for visual disturbances, a side effect of digoxin
During the active phase of rheumatic fever, the nurse teaches parents of a child with acute rheumatic fever to assist in minimizing joint pain and promoting healing by:
A. Putting all joints through full range-of-motion twice daily
B. Massaging the joints briskly with lotion or liniment after bath
C. Immobilizing the joints in functional position using splints, rolls, and pillows
D. Applying warm water bottle or heating pads over involved joints
A 4 year old has an imaginary playmate, which concerns the mother. The nurse’s bestresponse would be:
A. “I understand your concern and will assist you with a referral.”
B. “Try not to worry because you will just upset your child.”
C. “Just ignore the behavior and it should disappear by age 8.”
D. “This is appropriate behavior for a preschooler and should not be a concern.”
One afternoon 3 weeks into his alcohol treatment program, a client says to the nurse, “It’s really not all my fault that I have a drinking problem. Alcoholism runs in my family. Both my grandfather and father were heavy drinkers.” The nurse’s best response would be:
A. “That might be a problem. Tell me more about them.”
B. “Risk factors can often be controlled by self-responsibility.”
C. “It sounds like you’re intellectualizing your drinking problem.”
D. “Your grandfather and father were both alcoholics?”
The nurse writes the following nursing diagnosis for a client in acute renal failure—Impairedgas exchange related to:
A. Decreased red blood cell production
B. Increased levels of vitamin D
C. Increased red blood cell production
D. Decreased production of renin
Which of the following findings would necessitate discontinuing an IV potassium infusion in an adult with ketoacidosis?
A. Urine output 22 mL/hr for 2 hours
B. Serum potassium level of 3.7
C. Small T wave of ECG
D. Serum glucose level of 180
A 9-week-old female infant has a diagnosis of bilateral cleft lip and cleft palate. She hasbeen admitted to the pediatric unit after surgical repair of the cleft lip. Which of the followingnursing interventions would be appropriate during the first 24 hours?
A. Position on side or abdomen.
B. Maintain elbow restraints in place unless she is being directly supervised.
C. Clean suture line every shift.
D. Offer pacifier when she cries.
The physician decides to prescribe both a short-acting insulin and an intermediate-actinginsulin for a newly diagnosed 8-year-old diabetic client. An example of a short-acting insulinis:
A. Novolin Regular
B. Humulin NPH
C. Lente Beef
D. Protamine zinc insulin
The nurse is admitting a client with folic acid deficiency anemia. Which of the followingquestions is most important for the nurse to ask the client?
A. “Do you take aspirin on a regular basis?”
B. “Do you drink alcohol on a regular basis?”
C. “Do you eat red meat?”
D. “Have your stools been normal?”
The most important goal in the care plan for a child who was hospitalized with anaccidental overdose would be to:
A. Determine child’s activity pattern
B. Reduce mother’s sense of guilt
C. Instruct parents in use of ipecac
D. Teach parents appropriate safety precautions
A 33-year-old client is diagnosed with bipolar disorder, acute phase. This is her first psychiatric hospitalization, and she is being evaluated for treatment with lithium. Which of the following diagnostic tests are essential prior to the initiation of lithium therapy with this client?
A. Hematocrit, hemoglobin, and white blood cell (WBC) count
B. Blood urea nitrogen, electrolytes, and creatinine
C. Glucose, glucose tolerance test, and random blood sugar
D. X-rays, electroencephalogram, and electrocardiogram
(ECG)
Which of the following physician’s orders would the nurse question on a client with chronicarterial insufficiency?
A. Neurovascular checks every 2 hours
B. Elevate legs on pillows
C. Arteriogram in the morning
D. No smoking
A woman diagnosed with multiple sclerosis is disturbed with diplopia. The nurse will teachher to:
A. Limit activities which require focusing (close vision)
B. Take more frequent naps
C. Use artificial tears
D. Wear a patch over one eye
A 4-year-old boy is brought to the emergency room with bruises on his head, face, arms, and legs. His mother states that he fell down some steps. The nurse suspects that he may have been physically abused. In accordance with the law, the nurse must:
A. Tell the physician her concerns
B. Report her suspicions to the authorities
C. Talk to the child’s father
D. Confront the child’s mother
Which of the following nursing orders has the highest priority for a child with epiglottitis?
A. Vital signs every shift
B. Tracheostomy set at bedside
C. Intake and output
D. Specific gravity every shift
A client delivered a stillborn male at term. An appropriate action of the nurse would be to:
A. State, “You have an angel in heaven.”
B. Discourage the parents from seeing the baby.
C. Provide an opportunity for the parents to see and hold the baby for an undeterminedamount of time.
D. Reassure the parents that they can have other children.
In caring at home for a child who just ingested a caustic alkali, the nurse would immediately tell the mother to:
A. Give vinegar, lemon juice, or orange juice
B. Phone the doctor
C. Take the child to the emergency room
D. Induce vomiting
