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NCLEX Practice Exam Questions and
Answers 100% Solved
A nurse is assessing the integumentary system of four clients. Which client
has the least chance of a false-positive result while undergoing assessment
of capillary refill time?
Client with shock
Client with anemia
Client with epilepsy
Client with peripheral vascular disease - ✔✔C
A client with epilepsy does not have any circulatory inadequacy. Therefore
the capillary refill time of this client, as assessed in the nails, is a reliable
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
indicator (i.e., does not reveal a false-positive result). A client with shock
has decreased oxygen saturation levels that further prolong the capillary
refill time. Capillary refill time is not a reliable indicator of blood circulation
for clients with anemia, peripheral vascular disease, or diabetes.
While performing a physical assessment of a client, a nurse notices patchy
areas with loss of pigmentation on the skin, hands, and arms. What is the
probable etiology for this condition?
Anemia
Pregnancy
Lung disease
Autoimmune disease - ✔✔D
Patchy areas with loss of pigmentation on skin, hands, and arms are due to
vitiligo, which is caused by an autoimmune or congenital disease. Anemia
results in pallor due to a reduced amount of oxyhemoglobin. A tan-brown
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
color of the skin is noticed in pregnancy due to an increased amount of
melanin. Lung disease or heart failure can cause cyanosis due to an
increased amount of deoxygenated hemoglobin.
Test-Taking Tip: You have at least a 25% chance of selecting the correct
response in multiple-choice items. If you are uncertain about a question,
eliminate the choices that you believe are wrong and then call on your
knowledge, skills, and abilities to choose from the remaining responses.
While caring for a client with heat stroke, the nurse measured the
temperature and noted it as 109o F. Convert this temperature into Celsius
and record your number using one decimal place. - ✔✔42.8
Fahrenheit is converted to Celsius by subtracting 32 from the Fahrenheit
reading and multiplying the obtained value by 5/9.
C = (F - 32)(5/9)
C = (109 - 32)(5/9)
C = 42.8
The nurse is caring for a client who is on a low-carbohydrate diet. With this
diet, there is decreased glucose available for energy and fat is metabolized
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
for energy, resulting in an increased production of which substance in the
urine?
Protein
Glucose
Ketones
Uric acid - ✔✔C
As a result of fat metabolism, ketone bodies are formed, and the kidneys
attempt to decrease the excess by filtration and excretion. Excessive
ketones in the blood can cause metabolic acidosis. A low-carbohydrate diet
does not cause increased protein, glucose, or uric acid in the urine.
The nurse is caring for a client with a temperature of 104.5 degrees
Fahrenheit (40.3 degrees Celsius). The nurse applies a cooling blanket and
administers an antipyretic medication. The nurse explains that the rationale
for these interventions is to do what?
NCLEX Practice Exam Questions and
Answers 100% Solved
A nurse is assessing the integumentary system of four clients. Which client
has the least chance of a false-positive result while undergoing assessment
of capillary refill time?
Client with shock
Client with anemia
Client with epilepsy
Client with peripheral vascular disease - ✔✔C
A client with epilepsy does not have any circulatory inadequacy. Therefore
the capillary refill time of this client, as assessed in the nails, is a reliable
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
indicator (i.e., does not reveal a false-positive result). A client with shock
has decreased oxygen saturation levels that further prolong the capillary
refill time. Capillary refill time is not a reliable indicator of blood circulation
for clients with anemia, peripheral vascular disease, or diabetes.
While performing a physical assessment of a client, a nurse notices patchy
areas with loss of pigmentation on the skin, hands, and arms. What is the
probable etiology for this condition?
Anemia
Pregnancy
Lung disease
Autoimmune disease - ✔✔D
Patchy areas with loss of pigmentation on skin, hands, and arms are due to
vitiligo, which is caused by an autoimmune or congenital disease. Anemia
results in pallor due to a reduced amount of oxyhemoglobin. A tan-brown
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
color of the skin is noticed in pregnancy due to an increased amount of
melanin. Lung disease or heart failure can cause cyanosis due to an
increased amount of deoxygenated hemoglobin.
Test-Taking Tip: You have at least a 25% chance of selecting the correct
response in multiple-choice items. If you are uncertain about a question,
eliminate the choices that you believe are wrong and then call on your
knowledge, skills, and abilities to choose from the remaining responses.
While caring for a client with heat stroke, the nurse measured the
temperature and noted it as 109o F. Convert this temperature into Celsius
and record your number using one decimal place. - ✔✔42.8
Fahrenheit is converted to Celsius by subtracting 32 from the Fahrenheit
reading and multiplying the obtained value by 5/9.
C = (F - 32)(5/9)
C = (109 - 32)(5/9)
C = 42.8
The nurse is caring for a client who is on a low-carbohydrate diet. With this
diet, there is decreased glucose available for energy and fat is metabolized
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
for energy, resulting in an increased production of which substance in the
urine?
Protein
Glucose
Ketones
Uric acid - ✔✔C
As a result of fat metabolism, ketone bodies are formed, and the kidneys
attempt to decrease the excess by filtration and excretion. Excessive
ketones in the blood can cause metabolic acidosis. A low-carbohydrate diet
does not cause increased protein, glucose, or uric acid in the urine.
The nurse is caring for a client with a temperature of 104.5 degrees
Fahrenheit (40.3 degrees Celsius). The nurse applies a cooling blanket and
administers an antipyretic medication. The nurse explains that the rationale
for these interventions is to do what?
