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

1. The best choice for the child following a tonsillectomy is:
2. The nurse is making assignments for the day. The staff consists of an RN, an LPN, and a nursing assistant. Which client should be assigned to the nursing assistant?
3. A client recovering from a stroke exhibits signs of unilateral neglect. Which behavior is suggestive of unilateral neglect?
4. 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?
5. The definitive diagnosis of benign prostatic hypertrophy is made by:
6. A client on assisted ventilation develops a right-sided tension pneumothorax. Which of the following signs is associated with a right-sided tension pneumothorax?
7. A 15-year-old hospitalized with a sarcoma is being treated with Adriamycin. Which action by the nurse would indicate an understanding of the drug?
8. Imipramine is frequently ordered for clients with endogenous depression. Which of the following clients would not be a candidate for therapy with imipramine?
9. Which of the following nursing interventions will best prepare a 6-year-old for a craniotomy?
10. Infants with congenital heart defects are predisposed to the development of thrombi. Primary prevention of this complication includes:
11. A client receiving aminophylline complains of nausea and 'feeling jittery.' The nurse’s first action should be to:
12. 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:
13. A client is admitted with thrombophlebitis and started on enoxaparin (Lovenox). Which diagnostic study will the nurse anticipate?
14. Which of the following staff should be assigned to care for a client with a C-section delivery of a 9-pound infant?
15. A 14-month-old is receiving Digoxin and Lasix twice a day. In planning his care, the nurse should assess for which complication?
16. A client with a gastric ulcer is losing a significant amount of blood via the NG tube. The client’s pulse is weak and thready, and she is hypotensive. A continuous irrigation of normal saline is ordered. How should the client be positioned?
17. Obstructive biliary tract disease and gallbladder disease are often associated with:
18. A client with an acute attack of gout is started on colchicine. She should be instructed to report which of the following symptoms?
19. An effective means of managing discomfort in a post hemorrhoidectomy client is:
20. A client with chronic renal failure is placed on a low-protein diet. The nurse explains that a low-protein diet is best for those with renal disease because:
21. The urinary output of a client with a renal calculi in the urethra will most likely be:
22. A culture is taken of a lesion suspected of being herpes. The nurse knows that the specimen:
23. A client who received complete thickness burns at 7:30 a.m. was rushed to the emergency room where IV therapy with Lactated Ringer’s was begun. He is to receive 8,000 ml. of solution in 24 hours. According to the Parkland formula, how much solution should he receive by 11:30 p.m.?
24. A client with lung cancer is advised to increase the protein and kilocalorie content of his diet. Which of the following choices will best meet his need for increased protein and calories?
25. A 15-year-old male is admitted with a closed head injury following an MVA. He has multiple abrasions, has fractures of the mandible, and was unconscious for several minutes after the accident. Which of the following orders should the nurse discuss with the doctor?

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