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NCLEX-RN Practice Exam 2
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NCLEX-RN Practice Exam 2
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25 Questions

1. A 9-year-old is admitted with suspected rheumatic fever. Which finding is suggestive of Syndeham’s chorea?
2. The nurse is admitting a client with suspected duodenal ulcer. The client will most likely report that his abdominal discomfort lessens when he:
3. Routine admission lab studies are ordered for an elderly client admitted with pneumonia. Which lab result indicates that the client is dehydrated?
4. Procrastination, noncompliance, and intentional inefficiency are characteristics of:
5. A client with a history of angina is scheduled for a cardiac catheterization. Before sending the client for the procedure, the nurse should:
6. A client with psychotic depression is receiving haloperidol (Haldol). Which of the following side effects is associated with haloperidol?
7. The physician has prescribed timolol (Timoptic) ophthalmic drops and gentamicin (Garamycin) ophthalmic ointment for a client with glaucoma and conjunctivitis. When administering eye drops and eye ointments to the same client, the nurse should:
8. A client admitted to the psychiatric unit claims to be the 'Son of God' and insists that he will not be confined by 'mere mortals.' The most likely explanation for the client’s delusions is:
9. A teen hospitalized with anorexia nervosa is now permitted to leave her room and eat in the dining room. Which of the following nursing interventions should be included in the client’s plan of care?
10. A client with a bowel resection and anastamosis returns to his room with a nasogastric tube attached to intermittent suction. Which of the following observations indicates that the nasogastric suction is working properly?
11. A 15-year-old is admitted following an MVA. Examination reveals that the client has a closed head injury, a linear fracture of the temporal bone, a fracture of the mandible, and multiple abrasions. Upon admission, he is very drowsy. Which of the following doctor’s orders should the nurse question?
12. A client with hyperthyroidism is taking lithium carbonate (Lithobid) to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client’s medication?
13. A client hospitalized with mania is racing wildly about the unit trying to organize the other clients into a game of Ping Pong. The nurse should:
14. While sitting in the cafeteria, a nurse overhears two students discussing a client admitted for chemical detoxification. The nurse should:
15. A client with polysubstance abuse has been admitted to the hospital for detoxification. Which of the following drugs represents the most serious life-threatening situation during the withdrawal period?
16. To prevent symptoms of Raynaud’s disease, the client should:
17. A client with chronic obstructive pulmonary disease is receiving O2 at 2 L/ min. He is anxious and short of breath, and his mental status is clouded. The nurse should:
18. A 2-year-old is hospitalized with a diagnosis of Kawasaki’s disease. A complication of Kawasaki’s disease is
19. To prevent dislocation of a hip prosthesis following a total hip replacement, the nurse should:
20. Which of the following symptoms is associated with exacerbation of multiple sclerosis?
21. The doctor has ordered the removal of a Davol drain. Which of the following instructions should the nurse give to the client prior to removing the drain?
22. Which instruction should be included in the discharge teaching for a client with cataract surgery?
23. A primigravida, 26 years old and 33 weeks gestation, is admitted to the hospital with painless vaginal bleeding. She reports that the bleeding, which started 2 hours ago, has lessened in amount. Which of the following measures should be included in the client’s care?
24. A nursing assistant assigned to care for a client with a radium implant tells the nurse, 'I don’t want to be assigned to that radioactive patient.' The best action for the nurse to take is to:
25. The physician has ordered intravenous fluid with potassium replacement for a pediatric client admitted with gastroenteritis and dehydration. Before adding potassium to the intravenous fluid, the nurse should:

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