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NCLEX-PN Practice Exam 2
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NCLEX-PN Practice Exam 2
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25 Questions

1. A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client’s record, the nurse could expect to find:
2. Phototherapy is ordered for a newborn with physiologic jaundice. The nurse caring for the infant should:
3. The nurse should observe for side effects associated with the use of bronchodilators. A common side effect of bronchodilators is:
4. The nurse is caring for a client hospitalized with bipolar disorder, manic phase who is taking Eskalith (lithium carbonate). Which of the following snacks would be best for the client?
5. A client complains of pain and itching from herpes zoster. Which of the following provides temporary relief?
6. At 26 weeks gestation, a client is admitted to the ER stating that she has been having a painless bloody vaginal discharge since last evening. The nurse should give priority to:
7. The doctor has ordered Polycillin (ampicillin) Suspension 150 mg every 6 hours. The suggested dose for infants is 25–50 mg/kg/day in equally divided doses. The infant weighs 7 kg. The nurse should:
8. A withdrawn, depressed client sits in the day room but refuses to participate in scheduled group activities. When implementing a plan of care the nurse should:
9. The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:
10. An elderly client has returned to her room following internal fixation of a fractured hip. To prevent dislocation of the hip prosthesis, the nurse should:
11. A client with acquired immunodeficiency syndrome has a T cell count of 180. The medication frequently used for the client with T cell counts less than 200 is:
12. The licensed practical nurse is caring for a 1-year old with a history of prematurity. Which developmental finding requires further evaluation by the physician?
13. The nurse is caring for a client with Cushing’s syndrome. The nurse should carefully assess the client for signs of:
14. Which of the following findings is associated with right-sided heart failure?
15. The doctor has prescribed imipramine (Tofranil) for an elderly client with endogenous depression. The nurse should give priority to assessing the client’s:
16. Which of the following cutaneous manifestations is associated with Lyme disease?
17. The physician has ordered a lumbar puncture on a client suspected of having meningitis. Following the procedure, the nurse should:
18. A 31-year-old client is admitted to the psychiatric unit after cutting both wrists with a kitchen knife. The client has a diagnosis of borderline personality disorder. The most therapeutic approach by the nurse is one that is:
19. The physician has prescribed Elavil(amitriptyline) for a client with depression. The nurse should continue to monitor the client’s mood because the maximal effects of tricyclic antidepressant medication does not occur for:
20. Which of the following medication orders needs further clarification?
21. The nurse is teaching a group of parents about gross motor development of a 2-year old. According to the Denver Developmental Screening Test, which behavior is an example of the normal gross motor skill of a 2-year old?
22. Which of the following indicates that the client taking an anticoagulant needs further teaching?
23. After receiving an annual influenza immunization, a client develops symptoms suggestive of Guillain-Barré syndrome. Which symptom is associated with Guillain-Barré syndrome?
24. A client with glaucoma has been prescribed Timoptic (timolol) eye drops. Timoptic should be used with caution in the client with a history of:
25. A 5-year old is admitted to the hospital with pneumonia. Her orders include chest physiotherapy, mist tent, and inhalation with Mucomyst (acetylcysteine). Which of the following measures should be included in her care?

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