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NCLEX-PN Practice Exam 1
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NCLEX-PN Practice Exam 1
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25 Questions

1. A client with a C6 spinal injury begins to complain of a severe headache. When assessing the client, the nurse notes that her BP is 190/100 and she is diaphoretic. Which of the following nursing actions is most appropriate at this time?
2. Which of the following statements regarding wound healing is correct?
3. The best choice for the child following a tonsillectomy is:
4. The client is receiving furosemide (Lasix) 80 mgm. Which is a sign of a possible complication of the administration of furosemide?
5. Which of the following positions is best for a client with preeclampsia who is in labor?
6. A 28-year-old primigravida with pregestational diabetes visits the clinic 6 weeks gestation. Which of the following statements indicates that she understands the nurse’s teaching regarding her insulin needs during pregnancy?
7. Which of the following activities is most suitable for a 10-year old with asthma?
8. A 15-month-old continually turns his cup upside down and shakes milk from the spout. The mother is convinced that he does this on purpose and asks the nurse what she should do. The nurse’s response should be guided by the knowledge that:
9. The client with a colostomy does not feel that the irrigating solution has drained completely. The nurse can enhance the effectiveness of the colostomy irrigation by telling the client to:
10. A symptom of impending cardiac decompensation in a pregnant client with heart disease is:
11. 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:
12. A non-stress test has been ordered for a pregnant client with diabetes mellitus. Non-stress testing is a part of the diabetic’s prenatal care because:
13. The primary physiological alteration in the development of asthma is:
14. The nurse is to apply an Ace wrap to the client’s right lower leg. Which action should the nurse take to ensure that the dressing is not too tight?
15. Which of the following lab values might the nurse expect to see in a client with Addison’s disease?
16. Which of the following instructions should be included in the pre-op teaching of a client scheduled for a transphenoidal hypophysectomy for the removal of a pituitary tumor?
17. When describing the correct way for cleansing a wound site, the nurse understands that the wound should be cleaned:
18. To maintain Bryant’s traction, the nurse must make certain that the child’s:
19. Which of the following findings is consistent with a diagnosis of congestive heart failure?
20. A client with seizure disorder has an order for Dilantin (Phenytoin). Which of the following is not a side effect of Dilantin (Phenytoin)?
21. A client with a recent spinal cord injury is experiencing dysreflexia and is noted to have a BP of 240/110. The nurse’s initial response should be to:
22. The client with multiple myloma is admitted and prescribed cyclophosphamide (Cytoxan). During the treatment, the nurse should instruct the client to:
23. A client with a cholesterol level of 240 mg is instructed to modify his diet. Which of the following diets provides a low-cholesterol, low- saturated fat breakfast?
24. Which of the following snacks would be permitted for a child with acute renal failure?
25. A client with AIDS shows symptoms of herpes simplex stomatitis. Which drug therapy can be anticipated for the client?

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