NCLEX-RN Practice Exam 2
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NCLEX-RN Practice Exam 2
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25 Questions

1. The nurse is admitting a client with suspected duodenal ulcer. The client will most likely report that his abdominal discomfort lessens when he:
2. The physician has prescribed tamoxofen citrate (Nolvadex) for a client with a positive family history of breast cancer. An adverse effect of Nolvadex is:
3. A client hospitalized with mania is racing wildly about the unit trying to organize the other clients into a game of Ping Pong. The nurse should:
4. A client with chronic obstructive pulmonary disease is receiving O2 at 2 L/ min. He is anxious and short of breath, and his mental status is clouded. The nurse should:
5. Procrastination, noncompliance, and intentional inefficiency are characteristics of:
6. A 5-year-old is admitted to the hospital with pneumonia. Her orders include chest physiotherapy, mist tent, and inhalation with acetylcysteine (Mucomyst). Which of the following measures should be included in her care?
7. The nurse is monitoring the intake and output of a client hospitalized with acute glomerulonephritis. Which finding suggests the presence of red blood cells in the client’s urine?
8. A elderly client with glaucoma is scheduled for a cholecystectomy. Which medication order should the nurse question?
9. The physician has ordered intravenous fluid with potassium replacement for a pediatric client admitted with gastroenteritis and dehydration. Before adding potassium to the intravenous fluid, the nurse should:
10. A client with insulin-dependent diabetes receives an injection of 12 units of regular insulin at 7 a.m. The nurse should provide the client with a snack at:
11. An elderly client is hospitalized for a transurethral prostatectomy. Which finding should be reported to the doctor immediately?
12. A client is to be discharged following the removal of a cataract on her right eye. The nurse should tell the client to:
13. A diagnosis of pernicious anemia is made by:
14. According to Erickson’s stage of growth and development, the developmental task associated with middle childhood is:
15. A 15-year-old is admitted following an MVA. Examination reveals that the client has a closed head injury, a linear fracture of the temporal bone, a fracture of the mandible, and multiple abrasions. Upon admission, he is very drowsy. Which of the following doctor’s orders should the nurse question?
16. The nurse is teaching a group of clients in the family planning clinic about barrier methods of birth control. Which statement is true regarding the use of a diaphragm?
17. The physician has prescribed iron dextran (Imferon) for a client with severe anemia. The nurse should administer the medication:
18. Prior to suctioning a tracheotomy, the nurse should:
19. Which of the following should be included in the discharge teaching of a client with a unilateral adrenalectomy?
20. A client with allergic rhinitis has an order for a long-acting nasal spray that contains oxymetzoline. The client should be instructed to use the spray as directed to prevent:
21. Following visitation, the nurse observes a client’s wife sitting alone crying. When approached, the wife states, 'I’m so worried about him.' The best response by the nurse is:
22. A client with cancer of the bladder has had a cystectomy with the formation of an ileal conduit. Which of the following describes an ileal conduit?
23. The nurse is preparing a client with peritoneal dialysis for discharge. The nurse’s discharge teaching should include:
24. A primigravida, 26 years old and 33 weeks gestation, is admitted to the hospital with painless vaginal bleeding. She reports that the bleeding, which started 2 hours ago, has lessened in amount. Which of the following measures should be included in the client’s care?
25. The primary purpose for using a continuous passive movement (CPM) apparatus for a client with a total knee repair is to help:

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