NCLEX-RN Practice Exam 1
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NCLEX-RN Practice Exam 1
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25 Questions

1. When caring for a client with hypocalcaemia, the nurse should assess for:
2. A client with multiple sclerosis is told that the disease is a chronic, progressive neurological condition that will have periods of remission and exacerbation. The client asks the nurse, 'Will I have much pain as the disease worsens?' The nurse’s best response is:
3. An obstetric client is admitted with spontaneous rupture of membranes. Exam reveals that the cervix is 8 cm. dilated and an erratic fetal heart rate appears during contractions. The nurse should give priority to:
4. Which of the following drugs, if over-ingested, can result in metabolic alkalosis?
5. Following a cholescystetomy, the client’s diet should be:
6. Which of the following nursing interventions will best prepare a 6-year-old for a craniotomy?
7. A client with a cholesterol level of 240 mg is instructed to modify his diet. Which of the following diets provides a low-cholesterol, lowsaturated fat breakfast?
8. A 9-month-old is seen in the well child clinic. During the nursing assessment, the mother asks, 'Shouldn’t he be making baby sounds by now? My friend’s little boy is the same age and he is already saying dada.' The nurse reports the mother’s concerns to the doctor for follow-up based on the knowledge that infants should be making rudimentary sounds by age:
9. A 56-year-old male is admitted with a diagnosis of gastroesophageal reflux disease (GERD). The client is most likely to report esophageal discomfort following a meal of:
10. The nurse is taking the vital signs of a moribund client when the client suddenly grabs the nurse’s hand. The nurse should:
11. A 6-month-old has been hospitalized for the treatment of acute diarrhea. Discharge diet includes the use of Isomil instead of Similac formula until the next clinic appointment. Which of the following statements explains the change in infant formula?
12. An elderly client with Alzheimer’s has become belligerent with her daughter because her daughter will not allow her to care for herself. According to Orem’s theory of nursing, which of the following actions will best assist the client with nighttime voiding?
13. While caring for a client with Cushing’s disease, the nurse notes that the client experiences wide mood swings. The client’s emotional lability is most likely due to:
14. Glomerulonephritis is an example of which of the following types of renal disease?
15. While caring for a client receiving oxygen, the nurse identifies the odor of cigarette smoke. Which action by the nurse is most appropriate?
16. A client injured in a motor vehicle accident is placed on mechanical ventilation. A complication of mechanical ventilation is:
17. A new nursing graduate indicates in charting entries that he is a licensed registered nurse, although he has not yet received the results of the licensing exam. The graduate’s action can result in a charge of:
18. A client with ulcerative colitis is placed on Azulfidine. Which of the following instructions should be included in the nurse’s teaching?
19. A client with nephritic syndrome is placed on a low-sodium diet. Which of the following snacks is suitable for a client with sodium restriction?
20. A client recuperating from a T-4 spinal injury wants to learn to use a wheelchair. To prepare the client for use of a wheelchair, the nurse should teach her to do:
21. The nurse is monitoring a client receiving an IV of Nipride in D5W. The IV bag has a foil covering, and the nurse notes that the IV fluid has a light brownish tint. The nurse should:
22. Which of the following staff should be assigned to care for a client with a C-section delivery of a 9-pound infant?
23. Which of the following patterns describes a reassuring fetal heart rate?
24. Which of the following meals provides the lowest amount of potassium?
25. The nurse observes that a client uses tissues to open all doors and to adjust knobs on the TV. No other staff members have reported the behavior. The nurse should:

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