Exam (elaborations)
Exam (elaborations) Nclex multiple choice questions
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- Nclex
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- Stanford University
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NCLEX-RN®Practice Questions
Fourth Edition
1. The physician has prescribed Nexium (esomeprazole) for a client
with erosive gastritis. The nurse should administer the medication:
❍ A. 30 minutes before a meal
❍ B. With each meal
❍ C. In a single dose at bedtime
❍ D. 30 minutes after meals
2. A client on the psychiatric unit is in an uncontrolled rage and is
threatening other clients and staff. What is the most appropriate
action for the nurse to take?
❍ A. Call security for assistance and prepare to sedate the
client.
❍ B. Tell the client to calm down and ask him if he would
like to play cards.
❍ C. Tell the client that if he continues his behavior he will
be punished.
❍ D. Leave the client alone until he calms down.
3. When the nurse checks the fundus of a client on the first postpar-
tum day, she notes that the fundus is firm, is at the level of the
umbilicus, and is displaced to the right. The next action the nurse
should take is to:
❍ A. Check the client for bladder distention.
❍ B. Assess the blood pressure for hypotension.
❍ C. Determine whether an oxytocic drug was given.
❍ D. Check for the expulsion of small clots.
4. A client is admitted to the hospital with a temperature of 99.8°F,
complaints of blood-tinged hemoptysis, fatigue, and night sweats.
The client’s symptoms are consistent with a diagnosis of:
❍ A. Pneumonia
❍ B. Reaction to antiviral medication
❍ C. Tuberculosis
❍ D. Superinfection due to low CD4 count
5. The client is seen in the clinic for treatment of migraine
headaches. The drug Imitrex (sumatriptan succinate) is prescribed
for the client. Which of the following in the client’s history should
be reported to the doctor?
❍ A. Diabetes
❍ B. Prinzmetal’s angina
❍ C. Cancer
❍ D. Cluster headaches
, 6. The client with suspected meningitis is admitted to the unit. The
doctor is performing an assessment to determine meningeal irrita-
tion and spinal nerve root inflammation. A positive Kernig’s sign is
charted if the nurse notes:
❍ A. Pain on flexion of the hip and knee
❍ B. Nuchal rigidity on flexion of the neck
❍ C. Pain when the head is turned to the left side
❍ D. Dizziness when changing positions
7. The client with Alzheimer’s disease is being assisted with activities
of daily living when the nurse notes that the client uses her tooth-
brush to brush her hair. The nurse is aware that the client is
exhibiting:
❍ A. Agnosia
❍ B. Apraxia
❍ C. Anomia
❍ D. Aphasia
8. The client with dementia is experiencing confusion late in the
afternoon and before bedtime. The nurse is aware that the client is
experiencing what is known as:
❍ A. Chronic fatigue syndrome
❍ B. Normal aging
❍ C. Sundowning
❍ D. Delusions
9. The client with confusion says to the nurse, “I haven’t had any-
thing to eat all day long. When are they going to bring breakfast?”
The nurse saw the client in the day room eating breakfast with
other clients 30 minutes before this conversation. Which response
would be best for the nurse to make?
❍ A. “You know you had breakfast 30 minutes ago.”
❍ B. “I am so sorry that they didn’t get you breakfast. I’ll
report it to the charge nurse.”
❍ C. “I’ll get you some juice and toast. Would you like
something else?”
❍ D. “You will have to wait a while; lunch will be here in a
little while.”
10. The doctor has prescribed Exelon (rivastigmine) for the client with
Alzheimer’s disease. Which side effect is most often associated
with this drug?
❍ A. Urinary incontinence
❍ B. Headaches
❍ C. Confusion
❍ D. Nausea
11. A client is admitted to the labor and delivery unit in active labor.
During examination, the nurse notes a papular lesion on the per-
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