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NCLEX RN ACTUAL EXAM TEST BANK OF REAL QUESTIONS & ANSWERS NCLEX 2023 NCLEX Exam This is a Test Bank (Study Questions) to help you better prepare for your exams.

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  • December 20, 2024
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NCLEX yrRN yrACTUAL yrEXAM yrTEST yrBANK, yrREAL yrQUESTIONS yr& yrANSWERS yrNCLEX



QUESTION yr1
Which yrclassification yrof yrdrugs yris yrcontraindicated yrfor yrthe yrclient yrwith yrhypertrophic yrcardiomyopathy?

A. yr Positive yrinotropes
B. yrVasodilators
C. yrDiuretics
D. yrAntidysrhythmics

Answer: yrA
yrExplanation:

(A) yrPositive yrinotropic yragents yrshould yrnot yrbe yradministered yrowing yrto yrtheir yraction yrof yrincreasing yrmyocardial
yrcontractility. yr Increased yrventricular yrcontractility yr would yrincrease yroutflow yrtract yrobstruction yrin yrthe yrclient yrwith

yrhypertrophic yrcardiomyopathy. yr(B) yrVasodilators yrare yrnot yrtypically yrprescribed yrbut yrare yrnot yrcontraindicated. yr(C)

yrDiuretics yrare yrused yrwith yr caution yrto yravoid yrcausing yrhypovolemi

A. yr(D) yrAntidysrhythmics yrare yrtypicallyyrneeded yrto yrtreat yrboth yratrial yrand yrventricular yrdysrhythmias.

QUESTION yr2
Signs yrand yrsymptoms yrof yran yrallergyyrattack yrinclude yrwhich yrof yrthe yrfollowing?

A. yr Wheezing yron yrinspiration
B. yrIncreased yrrespiratoryyrrate
C. yrCircumoral yrcyanosis
D. yr Prolonged yrexpiration

Answer: yrD
yrExplanation:

(A) yrWheezing yroccurs yrduring yrexpiration yrwhen yrair yrmovement yris yrimpaired yrbecause yrof yrconstricted yredematous
yrbronchial yrlumin

A. yr(B) yrRespirations yrare yrdifficult, yrbut yrthe yrrate yris yrfrequentlyyrnormal. yr(C) yrThe yrcircumoral yrarea yris yrusually yrpale.
yrCyanosis yris yrnot yran yrearly yrsign yrof yrhypoxi

A. yr(D) yrExpiration yris yrprolonged yrbecause yrthe yralveoli yrare yrgreatlyyrdistended yrand yrair yrtrapping yroccurs.

QUESTION yr3
A yrclient yrconfides yrto yrthe yrnurse yrthat yrhe yrtasted yrpoison yrin yrhis yrevening yrmeal. yrThis yrwould yrbe yran yrexample yrof
yrwhat yrtype yrof yrhallucination?




A. yrAuditory
B. yrGustatory
C. yrOlfactory
D. yrVisceral

Answer: yrB
yrExplanation:

(A) yrAuditory yrhallucinations yrinvolve yrsensory yrperceptions yrof yrhearing. yr(B) yrGustatory yrhallucinations yrinvolve
yrsensoryyrperceptions yrof yrtaste. yr(C) yrOlfactoryyrhallucinations yrinvolve yrsensory yrperceptions yrof yrsmell. yr(D) yrVisceral




hallucinations yrinvolve yrsensory yrperceptions yrof yrsensation

,QUESTION
4 yrWhich yrof yrthe yrfollowing yrfindings yrwould yrbe yrabnormal yrin yra yrpostpartal yrwoman?

A. Chills yrshortlyyrafter yrdelivery
B. Pulse yrrate yrof yr60 yrbpm yrin yrmorning yron yr first yrpostdeliveryyrday
C. Urinaryyroutput yr of yr3000 yrmLyron yrthe yrsecond yr dayyrafter yrdelivery
D. An yroral yrtemperature yrof yr101F yr(38.3C) yron yrthe yrthird yrdayyrafter yrdelivery

Answer: yrD
yrExplanation:

(A) yrFrequently yrthe yrmother yrexperiences yra yrshaking yrchill yrimmediately yrafter yrdelivery, yrwhich yris yrrelated yrto yra
yrnervous yrresponse yror yrto yrvasomotor yrchanges. y r If yrnot yrfollowed y r by yra yrfever, yrit yris yrclinically yrinnocuous. yr(B)

yrThe yrpulse yrrate yrduring yrthe yrimmediate yrpostpartal yrperiod yrmay yrbe yrlow yrbut yrpresents yrno yrcause yrfor yralarm. yrThe

yrbody yrattempts yrto yradapt yrto yrthe yrdecreased yrpressures yrintra-abdominally yras yrwell yras yrfrom yrthe yrreduction yrof

yrblood yrflow yrto yrthe yrvascular yrbed. yr(C) yrUrinary yroutput yrincreases yrduring yrthe yrearly yrpostpartal yrperiod yr(12–24

yrhours) yrowing yrto yrdiuresis. yrThe yrkidneys yrmust yreliminate yran yrestimated yr2000–3000 yrmL yrof yrextracellular yrfluid

yrassociated yrwith yra yrnormal yrpregnancy. yr(D) yrA yrtemperature yrof yr100.4F yr (38C) yrmay yroccur yrafter yrdelivery yras yra

yrresult yrof yrexertion yrand yrdehydration yrof yrlabor. yrHowever, yranytemperature yrgreater yrthan yr100.4F yrneeds yrfurther

yrinvestigation yrto yridentify yr any yrinfectious yrprocess.



QUESTION yr5
A yrsix-month-old yrinfant yrhas yrbeen yradmitted yrto yrthe yremergencyyrroom yrwith yrfebrile yrseizures. yrIn yrthe yrteaching yrof yrthe
yrparents, yrthe yrnurse yrstates yr that:




A. Sustained yrtemperature yrelevation yrover yr103F yris yrgenerallyyrrelated yrto yrfebrile yrseizures
B. Febrile yrseizures yrdo yrnot yrusuallyyrrecur
C. There yris yrlittle yrrisk yrof yrneurological yrdeficit yrand yrmental yrretardation yras yrsequelae yrto yrfebrile yrseizures
D. Febrile yrseizures yrare yrassociated yrwith yrdiseases yrof yrthe yrcentral yrnervous yrsystem

Answer: yrC
yrExplanation:

(A) yrThe yrtemperature yrelevation yrrelated yrto yrfebrile yrseizures yrgenerally yrexceeds yr101F, yrand yrseizures yroccur
yrduring yrthe yrtemperature yrrise yrrather yrthan yrafter yra yrprolonged yrelevation. yr(B) yrFebrile yrseizures yrmay yrrecur yrand

yrare yrmore yrlikely yrto yrdo yrso yr when yrthe yrfirst yrseizure yroccurs yrin yrthe yr1st yr year yr of yrlife. yr(C) yrThere yris yrlittle yrrisk yrof

yrneurological yrdeficit, yrmental yrretardation, yror yraltered yrbehavior yrsecondary yrto yrfebrile yrseizures. yr(D) yrFebrile

yrseizures yrare yrassociated yrwith yrdisease yrof yrthe yrcentral yrnervous yrsystem.




QUESTION yr6
A yrclient yrdiagnosed yrwith yrbipolar yrdisorder yrcontinues yrto yrbe yrhyperactive yrand yrto yrlose yrweight. yrWhich yrof yrthe
yrfollowing yrnutritional yrinterventions yrwould yrbe yrmost yrtherapeutic yrfor yrhim yrat yrthis yrtime?




A. Small, yrfrequent yrfeedings yrof yrfoods yrthat yrcan yrbe yrcarried
B. Tube yrfeedings yrwith yrnutritional yrsupplements
C. Allowing yrhim yrto yreat yrwhen yrand yrwhat yrhe yrwants
D. Giving yrhim yra yrquiet yrplace yrwhere yrhe yrcan yrsit yrdown yrto yreat yrmeals

Answer: yrA
yrExplanation:

(A) yrThe yrmanic yrclient yris yrunable yrto yrsit yrstill yrlong yrenough yrto yreat yran yradequate yrmeal. yrSmall, yrfrequent yrfeedings
yrwith

,finger yrfoods yrallow yrhim yrto yreat yrduring yrperiods yrof yractivity. yr(B) yrThis yrtype yrof yrtherapyyrshould yrbe yrimplemented
yrwhen yrother yrmethods yrhave yrbeen yrexhausted. yr(C) yrThe yrmanic yrclient yrshould yrnot yrbe yrin yrcontrol yrof yrhis

yrtreatment yrplan. yrThis yrtype yrof yrclient yrmayyrforget yrto yreat. yr(D) yrThe yrmanic yrclient yris yrunable yrto yrsit yrdown yrto yreat

yrfull yrmeals.




QUESTION yr7
A yrclient yrwith yrbipolar yrdisorder yrtaking yrlithium yrtells yrthe yrnurse yrthat yrhe yrhas yrringing yrin yrhis yrears, yrblurred yrvision,
yrand yrdiarrhe

A. yrThe yrnurse yrnotices yra yrslight yrtremor yrin yrhis yrleft yrhand yrand yra yrslurring yrpattern yrto yrhis yrspeech. yrWhich yrof yrthe
yrfollowing yractions yrby yrthe yrnurse yris yrappropriate?



A. yr Administer yra yrstat yrdose yrof yrlithium yras yrnecessary.
B. yr Recognize yrthis yras yran yrexpected yrresponse yrto yrlithium.
C. yr Request yran yrorder yrfor yra yrstat yrblood yrlithium yrlevel.
D. yr Give yran yroral yrdose yrof yrlithium yrantidote.

Answer: yrC
yrExplanation:

(A) These yrsymptoms yrare yrindicative yrof yrlithium yrtoxicity. yr A yrstat yrdose yrof yrlithium yrcould yrbe yrfatal.
(B) These yrare yrtoxic yreffects yrof yrlithium yrtherapy. yr(C) yrThe yrclient yris yrexhibiting yrsymptoms yrof yrlithium yrtoxicity,
yrwhich yrmay yrbe yrvalidated yr by yrlab yrstudies. yr(D) yrThere yris yrno yrknown yrlithium yrantidote.



QUESTION yr8
A yrdiagnosis yrof yrhepatitis yrC yris yrconfirmed yrbyyra yrmale yrclient‘s yrphysician. yrThe yrnurse yrshould yrbe yrknowledgeable yrof
yrthe yrdifferences yrbetween yr hepatitis yrA, yrB, yrand yrC. yrWhich yrof yrthe yrfollowing yrare yrcharacteristics yrof yrhepatitis yrC?




A. The yrpotential yrfor yrchronic yrliver yrdisease yris yrminimal.
B. The yronset yrof yrsymptoms yris yrabrupt.
C. The yrincubation yrperiod yris yr2–26 yrweeks.
D. There yris yran yreffective yrvaccine yrfor yrhepatitis yrB, yrbut yrnot yrfor yrhepatitis yrC.

Answer: yrC
yrExplanation:

(A) yrHepatitis yrC yrand yrB yrmay yrresult yrin yrchronic yrliver yrdisease. yrHepatitis yrA yrhas yra yrlow yrpotential yrfor yrchronic
yrliver yrdisease. yr(B) yrHepatitis yrC yrand yrB yrhave yrinsidious yronsets. yrHepatitis yrA yrhas yran yrabrupt yronset. yr(C) yrIncubation

yrperiods yrare yras yrfollows: yrhepatitis yrC yris yr2–26 yrweeks, yrhepatitis yrB yris yr6–20 yrweeks, yrand yrhepatitis yrA yris yr2–6

yrweeks. yr(D) yrOnly yrhepatitis yrB yrhas yran yreffective yrvaccine.



QUESTION yr9
Hypoxia yris yrthe yrprimary yrproblem yrrelated yrto yrnear-drowning yrvictims. yrThe yrfirst yrorgan yrthat yrsustains
yrirreversible yrdamage yrafter yrsubmersion yrin yrwater yris yrthe:




A. Kidney yr(urinaryyrsystem)
B. Brain yr(nervous yrsystem)
C. Heart yr(circulatoryyrsystem)
D. Lungs yr(respiratoryyrsystem)

Answer: yrB
yrExplanation:




A+

, (A) yrThe yrkidney yrcan yrsurvive yrafter yr30 yrminutes yrof yrwater yrsubmersion. yr(B) yrThe yrcerebral yrneurons yrsustain
yrirreversible yrdamage yrafter yr4–6 yrminutes yrof yrwater yrsubmersion. yr(C) yrThe yrheart yrcan yrsurvive yrup yrto yr30 yrminutes yrof

yrwater yrsubmersion.

(D) yrThe yrlungs yrcan yrsurvive yrup yrto yr30 yrminutes yrof yrwater yrsubmersion.

QUESTION yr10
Which yrof yrthe yrfollowing yractivities yrwould yrbe yrmost yrappropriate yrduring yroccupational yrtherapyyrfor yra yrclient yrwith
yrbipolar yrdisorder?




A. Playing yrcards yrwith yrother yrclients
B. Working yrcrossword yrpuzzles
C. Playing yrtennis yrwith yra yrstaff yrmember
D. Sewing yrbeads yron yra yrleather yrbelt

Answer: yrC
yrExplanation:

(A) yrThis yractivity yris yrtoo yrcompetitive, yrand yrthe yrmanic yrclient yrmight yrbecome yrabusive yrtoward yrthe yrother
yrclients. yr(B) yrDuring yrmania, yrthe yrclient‘s yrattention yrspan yris yrtoo yrshort yrto yraccomplish yrthis yrtask. yr(C) yrThis

yractivityyruses yrgross yrmotor yrskills, yreases yrtension, yrand yrexpands yrexcess yrenergy. yrA yrstaff yrmember yris yrbetter

yrequipped yrto yrinteract yrtherapeutically yrwith yrclients. yr(D) yrThis yractivity yrrequires yrthe yruse yrof yrfine yrmotor yrskills

yrand yris yrvery yrtedious.



QUESTION yr11
A yr30-year-old yrmale yrclient yris yradmitted yrto yrthe yrpsychiatric yrunit yrwith yra yrdiagnosis yrof yrbipolar yrdisorder. yrFor yrthe
yrlast yr2 yrmonths, yrhis yrfamilyyrdescribes yrhim yras yrbeing yr―on yrthe yrmove,‖ yrsleeping

3–4 yrhours yrnightly, yrspending yrlots yrof yrmoney, yrand yrlosing yrapproximately yr10 yrlb. yrDuring yrthe
yrinitial yrassessment yrwith yrthe yrclient, yrthe yrnurse yrwould yrexpect yrhim yrto yrexhibit yrwhich yrof yrthe

yrfollowing?




A. Short, yrpolite yrresponses yrto yrinterview yrquestions
B. Introspection yrrelated yrto yrhis yrpresent yrsituation
C. Exaggerated yr self-importance
D. Feelings yrof yrhelplessness yrand yrhopelessness

Answer: yrC
yrExplanation:

(A) yrDuring yrthe yrmanic yrphase yrof yrbipolar yrdisorder, yrclients yrhave yrshort yrattention yrspans yrand yrmay yrbe yrabusive
yrtoward yrauthority yrfigures. yr(B) yrIntrospection yrrequires yrfocusing yrand yrconcentration; yrclients yrwith yrmania

yrexperience yrflight yrof yrideas, yrwhich yrprevents yrconcentration.

(C) yrGrandiosity yrand yran yrinflated yrsense yrof yrself-worth yrare yrcharacteristic yrof yrthis yrdisorder. yr(D) yrFeelings yrof
yrhelplessness yrand yrhopelessness yrare yrsymptoms yrof yrthe yrdepressive yrstage yrof yrbipolar yrdisorder.




QUESTION yr12
Diabetes yrduring yrpregnancy yrrequires yrtight yrmetabolic yrcontrol yrof yrglucose yrlevels yrto yrprevent yrperinatal
yrmortality. yrWhen yrevaluating yrthe yrpregnant yrclient, yrthe yrnurse yrknows yrthe yrrecommended yrserum yrglucose yrrange

yrduring yrpregnancy yris:




A. 70 yrmg/dL yrand yr120 yrmg/dL
B. 100 yrmg/dL yrand yr200 yrmg/dL
C. 40 yrmg/dL yrand yr130 yrmg/dL
D. 90 yrmg/dL yrand yr200 yrmg/dL




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