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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 medication most often given to treat syphilis is:
2. A client scheduled for an arteriogram tells the nurse, 'I’m afraid to have that test done.' The nurse’s best response would be:
3. A client is admitted to the burn unit with an electrical burn. Which of the following areas probably sustained the greatest degree of injury?
4. Which of the following statements regarding wound healing is correct?
5. The best choice for the child following a tonsillectomy is:
6. A child at summer camp comes to see the camp nurse 10 minutes after being stung by a bee. The child complains of tingling around her mouth and tightness in her chest. The nurse’s first action is summon help and to:
7. Which of the following instructions should be included for the client taking calcium supplements?
8. A client with acute leukemia has developed oral ulcerations. The nurse can increase the client’s comfort by suggesting that he:
9. A client with a TURP returns from surgery with an indwelling catheter attached to a drainage bag and continuous bladder irrigation. Two hours after surgery, he complains of bladder spasms. The nurse should give priority to:
10. The nurse knows that a client receiving heparin has reached the therapeutic level when:
11. 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:
12. Which of the following drugs, if over-ingested, can result in metabolic alkalosis?
13. Due to a high census, a number of clients have had to be transferred to other units within the hospital. Which client should be transferred to the postpartum unit?
14. 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.?
15. The nurse caring for a client with Meniere’s syndrome can help minimize attacks by teaching the client to limit her dietary intake of:
16. While caring for a client receiving oxygen, the nurse identifies the odor of cigarette smoke. Which action by the nurse is most appropriate?
17. The parents of a child with cystic fibrosis discuss nutritional requirements and the need for vitamin supplements with the nurse. The nurse explains that it is necessary to give daily supplements of vitamins A, D, E, and K because:
18. A client has sustained second- and third-degree burns over her entire left arm and posterior trunk. Using the Rule of Nines, which percentage of the client’s body is burned?
19. The physician has ordered a culture from a child suspected of having pertussis. The nurse should obtain a culture of:
20. Diuretic therapy for hypertension often necessitates the addition of high-potassium foods in the client’s diet. Which of the following diuretics does not require the client to increase his intake of potassium?
21. Which of the following actions by the client indicates an acceptance of her mastectomy?
22. A client with an acute attack of gouty arthritis is started on allopurinol. The client should be instructed to:
23. The obstetric client is determined to have oligohydramnios. Which fetal anomaly is associated with oligohydramnios?
24. 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?
25. Which of the following is a sign of osteomyelitis?

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