NCLEX-RN Practice Test 2 0 Welcome to your NCLEX- RN Practice Test 2 Instructions: Please Click on Next Button to Start your Test. Do not Refresh the Page unless you submit the Quiz and want to Retake it. Retake/Refresh of Page should be done only after Submission of Quiz. If you want to Retake this Test after Submission please refresh the Page. Result will be shown after submission of Test Time of This Test is 20 Minutes, so you have to submit Quiz before that. You can leave suggestions/Feedback in comment Box bellow. A nurse if reviewing a patient’s chart and notices that the patient suffers from conjunctivitis. Which of the following microorganisms is related to this condition? Vibrio cholera Yersinia pestis Helicobacter pyroli Hemophilus aegyptius Which of these findings indicate that a pump to deliver a basal rate of 10 ml per hour plus PRN for pain break through for morphine drip is not working? The client complains of discomfort at the IV insertion site The level of drug is 100 ml at 8 AM and is 80 ml at noon The level of the drug is 100 ml at 8 AM and is 50 ml at noon The client states "I just can’t get relief from my pain. A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal? 6 year old female- 100 b.p.m., 26 resp/min., 90/70mm Hg 5 year old male- 102 b.p.m, 24 resp/min., 90/65 mm Hg 11 year old male – 90 b.p.m, 22 resp/min. , 100/70 mm Hg 13 year old female – 105 b.p.m., 22 resp/min., 105/60 mm Hg Which of the following should the nurse implement to prepare a client for a KUB (Kidney, Ureter, Bladder) radiograph test? No special orders are necessary for this examination Medicate client with Lasix 20 mg IV 30 minutes prior to the examination Client must be NPO before the examination Enema to be administered prior to the examination A patient’s chart indicates a history of hyperkalemia. Which of the following would you not expect to see with this patient if this condition were acute? Muscle weakness of the extremities Decreased HR Paresthesias Migranes The nurse is performing a neurological assessment on a client post right CVA. Which finding, if observed by the nurse, would warrant immediate attention? Emotional ability Loss of bladder control Decrease in level of consciousness Altered sensation to stimuli A parent calls the pediatric clinic and is frantic about the bottle of cleaning fluid her child drank 20 minutes. Which of the following is the most important instruction the nurse can give the parent? Contact the Poison Control Center quickly Take the child immediately to the ER This too shall pass Give the child syrup of ipecac During an assessment of a client with cardiomyopathy, the nurse finds that the systolic blood pressure has decreased from 145 to 110 mm Hg and the heart rate has risen from 72 to 96 beats per minute and the client complains of periodic dizzy spells. The nurse instructs the client to: Increase fluids that are high in protein Restrict fluids Force fluids and reassess blood pressure Limit fluids to non-caffeine beverages A 34 year old female has recently been diagnosed with an autoimmune disease. She has also recently discovered that she is pregnant. Which of the following is the only immunoglobulin that will provide protection to the fetus in the womb? IgA IgG IgE IgD A client is receiving digoxin (Lanoxin) 0.25 mg. Daily. The health care provider has written a new order to give metoprolol (Lopressor) 25 mg. B.I.D. In assessing the client prior to administering the medications, which of the following should the nurse report immediately to the health care provider? Heart rate 76 Blood pressure 94/60 Respiratory rate 16 Urine output 50 ml/hour A fifty-year-old blind and deaf patient has been admitted to your floor. As the charge nurse your primary responsibility for this patient is? Communicate with your supervisor your patient safety concerns Provide a secure environment for the patient Continuously update the patient on the social environment Let others know about the patient’s deficits When teaching a client with coronary artery disease about nutrition, the nurse should emphasize: Avoiding very heavy meals Eating 3 balanced meals a day Limiting sodium to 7 gms per day Adding complex carbohydrates When you are taking a patient’s history, she tells you she has been depressed and is dealing with an anxiety disorder. Which of the following medications would the patient most likely be taking? Elavil Calcitonin Verapamil Pergolide A client is admitted to the emergency room with renal calculi and is complaining of moderate to severe flank pain and nausea. The client’s temperature is 100.8 degrees Fahrenheit. The priority nursing goal for this client is? Maintain fluid and electrolyte balance Manage pain Prevent urinary tract infection Control nausea A 84 year-old male has been loosing mobility and gaining weight over the last 2 months. The patient also has the heater running in his house 24 hours a day, even on warm days. Which of the following tests is most likely to be performed? CT scan FBC (full blood count) ECG (electrocardiogram) Thyroid function tests Which individual is at greatest risk for developing hypertension? 60 year-old Asian American shop owner 55 year-old Hisapanic teacher 45 year-old African American attorney 40 year-old Caucasian nurse A nurse is administering blood to a patient who has a low hemoglobin count. The patient asks how long to RBC’s last in my body? The correct response is? 60 year-old Asian American shop owner 55 year-old Hisapanic teacher 45 year-old African American attorney 40 year-old Caucasian nurse A mother has recently been informed that her child has Down’s syndrome. You will be assigned to care for the child at shift change. Which of the following characteristics is not associated with Down’s syndrome? Oily skin Simian crease Hypotonicity Brachycephaly The nurse is speaking at a community meeting about personal responsibility for health promotion. A participant asks about chiropractic treatment for illnesses. What should be the focus of the nurse’s response? Exercise of joints Electrical energy fields Spinal column manipulation Mind-body balance A nurse is caring for an infant that has recently been diagnosed with a congenital heart defect. Which of the following clinical signs would most likely be present? Weight gain Slow pulse rate Irregular WBC lab values Decreased systolic pressure Time is Up!