NCLEX- RN Practice Test 1 0 Welcome to your NCLEX- RN Practice Test 1 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. At a community health fair the blood pressure of a 62 year-old client is 160/96. The client states “My blood pressure is usually much lower.” The nurse should tell the client to Go get a blood pressure check within the next 48 to 72 hours See the health care provider immediately Check blood pressure again in 2 months Visit the health care provider within 1 week for a BP check A 65 year old man has been admitted to the hospital for spinal stenosis surgery. When does the discharge training and planning begin for this patient? Preoperative discussion Upon admit Within 48 hours of discharge Following surgery A client has a Swan-Ganz catheter in place. The nurse understands that this is intended to measure: Right heart function Carotid artery function Left heart function Renal tubule function A 28 year old male has been found wandering around in a confused pattern. The male is sweaty and pale. Which of the following tests is most likely to be performed first? CT scan Blood cultures Arterial blood gases Blood sugar check 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 level of the drug is 100 ml at 8 AM and is 50 ml at noon The level of drug is 100 ml at 8 AM and is 80 ml at noon The client complains of discomfort at the IV insertion site The client states "I just can’t get relief from my pain A 20 year-old female attending college is found unconscious in her dorm room. She has a fever and a noticeable rash. She has just been admitted to the hospital. Which of the following tests is most likely to be performed first? Arterial blood gases Blood sugar check Blood cultures CT scan The nurse anticipates that for a family who practices Chinese medicine the priority goal would be to? Respect life Achieve harmony Maintain a balance of energy Restore yin and yang 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? IgE IgD IgG IgA 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? Urine output 50 ml/hour Heart rate 76 Respiratory rate 16 Blood pressure 94/60 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? Hypotonicity Brachycephaly Simian crease Oily skin A client who is pregnant comes to the clinic for a first visit. The nurse gathers data about her obstetric history, which includes 3 year-old twins at home and a miscarriage 10 years ago at 12 weeks gestation. How would the nurse accurately document this information? Gravida 2 para 1 Gravida 4 para 2 Gravida 3 para 2 Gravida 3 para 1 A 24 year old female is admitted to the ER for confusion. This patient has a history of a myeloma diagnosis, constipation, intense abdominal pain, and polyuria. Which of the following would you most likely suspect? Diverticulosis Irritable bowel syndrome Hypocalcaemia Hypercalcaemia When teaching a client with coronary artery disease about nutrition, the nurse should emphasize: Limiting sodium to 7 gms per day Eating 3 balanced meals a day Adding complex carbohydrates Avoiding very heavy meals You are taking the history of a 14 year old girl who has a (BMI) of 18. The girl reports inability to eat, induced vomiting and severe constipation. Which of the following would you most likely suspect? Systemic sclerosis Bulimia Anorexia nervosa Multiple sclerosis The home health nurse visits a male client to provide wound care and finds the client lethargic and confused. His wife states he fell down the stairs 2 hours ago. The nurse should: Send him to the emergency room for evaluation Reassure the client’s wife that the symptoms are transient Place a call to the client’s health care provider for instructions Instruct the client’s wife to call the doctor if his symptoms become worse A patient has recently experienced a (MI) within the last 4 hours. Which of the following medications would most like be administered? Acetaminophen Streptokinase Atropine Coumadin A nurse enters a client’s room to discover that the client has no pulse or respirations. After calling for help, the first action the nurse should take is: Initiate closed-chest massage Obtain the crash cart Start a peripheral IV Establish an airway 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 11 year old male – 90 b.p.m, 22 resp/min. , 100/70 mm Hg 5 year old male- 102 b.p.m, 24 resp/min., 90/65 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? Client must be NPO before the examination Medicate client with Lasix 20 mg IV 30 minutes prior to the examination Enema to be administered prior to the examination No special orders are necessary for this examination 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? Continuously update the patient on the social environment Communicate with your supervisor your patient safety concerns Provide a secure environment for the patient Let others know about the patient’s deficits Time is Up!