NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023, Exams of Nursing

Download NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 and more Exams Nursing in PDF only on Docsity! NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023  A 24-year-old female client is scheduled for surgery in the morning. Which of the following is the primary responsibility of the nurse? A. Taking the vital signs B. Obtaining the permit C. Explaining the procedure D. Checking the lab work  The nurse is working in the emergency room when a client arrives with severe burns of the left arm, hands, face, and neck. Which action should receive priority? A. Starting an IV B. Applying oxygen C. Obtaining blood gases D. Medicating the client for pain  The nurse is visiting a home health client with osteoporosis. The client has a new prescription for alendronate (Fosamax). Which instruction should be given to the client? A. Rest in bed after taking the medication for at least 30 minutes B. Avoid rapid movements after taking the medication C. Take the medication with water only D. Allow at least 1 hour between taking the medicine and taking other medications NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023  The nurse is making initial rounds on a client with a C5 fracture and crutchfield tongs. Which equipment should be kept at the bedside? A. A pair of forceps B. A torque wrench C. A pair of wire cutters D. A screwdriver  An infant weighs 7 pounds at birth. The expected weight by 1 year should be: A. 10 pounds B. 12 pounds C. 18 pounds D. 21 pounds  A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due to this tumor’s location? A. Hemiplegia B. Aphasia C. Nausea D. Bone pain  The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this drug? A. Uric acid of 5mg/dL NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 C. With increasing lymph node involvement D. With distant metastasis  A client is 2 days post-operative colon resection. After a coughing episode, the client’s wound eviscerates. Which nursing action is most appropriate? A. Reinsert the protruding organ and cover with 4×4s B. Cover the wound with a sterile 4×4 and ABD dressing C. Cover the wound with a sterile saline-soaked dressing D. Apply an abdominal binder and manual pressure to the wound  The nurse is preparing a client for surgery. Which item is most important to remove before sending the client to surgery? A. Hearing aid B. Contact lenses C. Wedding ring D. Artificial eye  The nurse on the 3–11 shift is assessing the chart of a client with an abdominal aneurysm scheduled for surgery in the morning and finds that the consent form has been signed, but the client is unclear about the surgery and possible complications. Which is the most appropriate action? A. Call the surgeon and ask him or her to see the client to clarify the information B. Explain the procedure and complications to the client C. Check in the physician’s progress notes to see if understanding has been documented D. Check with the client’s family to see if they understand the procedure fully NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023  The client with diabetes is preparing for discharge. During discharge teaching, the nurse assesses the client’s ability to care for himself. Which statement made by the client would indicate a need for follow-up after discharge? A. “I live by myself.” B. “I have trouble seeing.” C. “I have a cat in the house with me.” D. “I usually drive myself to the doctor.”  The client is receiving total parenteral nutrition (TPN). Which lab test should be evaluated while the client is receiving TPN? A. Hemoglobin B. Creatinine C. Blood glucose D. White blood cell count  The client with a myocardial infarction comes to the nurse’s station stating that he is ready to go home because there is nothing wrong with him. Which defense mechanism is the client using? A. Rationalization B. Denial C. Projection D. Conversion reaction NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023  Which laboratory test would be the least effective in making the diagnosis of a myocardial infarction? A. AST B. Troponin C. CK-MB D. Myoglobin  The licensed practical nurse assigned to the post-partal unit is preparing to administer Rhogam to a postpartum client. Which woman is not a candidate for RhoGam? A. A gravida IV para 3 that is Rh negative with an Rh-positive baby B. A gravida I para 1 that is Rh negative with an Rh-positive baby C. A gravida II para 0 that is Rh negative admitted after a stillbirth delivery D. A gravida IV para 2 that is Rh negative with an Rh-negative baby  The first exercise that should be performed by the client who had a mastectomy is: A. Walking the hand up the wall B. Sweeping the floor C. Combing her hair D. Squeezing a ball  The client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication should be kept available during the test? NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023  Which information obtained from the mother of a child with cerebral palsy most likely correlates to the diagnosis? A. She was born at 42 weeks gestation. B. She had meningitis when she was 6 months old. C. She had physiologic jaundice after delivery. D. She has frequent sore throats.  A 10-year-old is being treated for asthma. Before administering Theodur, the nurse should check the: A. Urinary output B. Blood pressure C. Pulse D. Temperature  An elderly client is diagnosed with ovarian cancer. She has surgery followed by chemotherapy with a fluorouracil (Adrucil) IV. What should the nurse do if she notices crystals and cloudiness in the IV medication? A. Discard the solution and order a new bag B. Warm the solution C. Continue the infusion and document the finding D. Discontinue the medication  The client is diagnosed with multiple myoloma. The doctor has ordered cyclophosphamide (Cytoxan). Which instruction should be given to the client? NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 A. “Walk about a mile a day to prevent calcium loss.” B. “Increase the fiber in your diet.” C. “Report nausea to the doctor immediately.” D. “Drink at least eight large glasses of water a day.”  The client is taking rifampin 600mg po daily to treat his tuberculosis. Which action by the nurse indicates understanding of the medication? A. Telling the client that the medication will need to be taken with juice B. Telling the client that the medication will change the color of the urine C. Telling the client to take the medication before going to bed at night D. Telling the client to take the medication if night sweats occur  The client is taking prednisone 7.5mg po each morning to treat his systemic lupus errythymatosis. Which statement best explains the reason for taking the prednisone in the morning? A. There is less chance of forgetting the medication if taken in the morning. B. There will be less fluid retention if taken in the morning. C. Prednisone is absorbed best with the breakfast meal. D. Morning administration mimics the body’s natural secretion of corticosteroid.  A 20-year-old female has a prescription for tetracycline. While teaching the client how to take her medicine, the nurse learns that the client is also taking Ortho-Novum oral contraceptive pills. Which instructions should be included in the teaching plan? A. The oral contraceptives will decrease the effectiveness of the tetracycline. NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 B. Nausea often results from taking oral contraceptives and antibiotics. C. Toxicity can result when taking these two medications together. D. Antibiotics can decrease the effectiveness of oral contraceptives, so the client should use an alternate method of birth control.  A 60-year-old diabetic is taking glyburide (Diabeta) 1.25mg daily to treat Type II diabetes mellitus. Which statement indicates the need for further teaching? A. “I will keep candy with me just in case my blood sugar drops.” B. “I need to stay out of the sun as much as possible.” C. “I often skip dinner because I don’t feel hungry.” D. “I always wear my medical identification.”  The physician prescribes regular insulin, 5 units subcutaneous. Regular insulin begins to exert an effect: A. In 5–10 minutes B. In 10–20 minutes C. In 30–60 minutes D. In 60–120 minutes  Vitamin K (aquamephyton) is administered to a newborn shortly after birth for which of the following reasons? A. To prevent dehydration B. To treat infection C. To replace electrolytes D. To facilitate clotting NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023  The client is admitted following repair of a fractured femur with cast application. Which nursing assessment should be reported to the doctor? A. Pain B. Warm toes C. Pedal pulses rapid D. Paresthesia of the toes  Which would be an expected finding during injection of dye with a cardiac catheterization? A. Cold extremity distant to the injection site B. Warmth in the extremity C. Extreme chest pain D. Itching in the extremities  Which action by the healthcare worker indicates a need for further teaching? A. The nursing assistant wears gloves while giving the client a bath. B. The nurse wears goggles while drawing blood from the client. C. The doctor washes his hands before examining the client. D. The nurse wears gloves to take the client’s vital signs.  The client is having electroconvulsive therapy for treatment of severe depression. Which of the following indicates that the client’s ECT has been effective? NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 A. The client loses consciousness. B. The client vomits. C. The client’s ECG indicates tachycardia. D. The client has a grand mal seizure.  A 5-year-old is being tested for pinworms. To collect a specimen for assessment of pinworms, the nurse should teach the mother to: A. Examine the perianal area with a flashlight 2–3 hours after the child is asleep and to collect any eggs on a clear tape B. Scrape the skin with a piece of cardboard and bring it to the clinic C. Obtain a stool specimen in the afternoon D. Bring a hair sample to the clinic for evaluation  Which instruction should be given regarding the medication used to treat enterobiasis (pinworms)? A. Treatment is not recommended for children less than 10 years of age. B. The entire family should be treated. C. Medication therapy will continue for 1 year. D. Intravenous antibiotic therapy will be ordered.  Which client should be assigned to the pregnant licensed practical nurse? A. The client who just returned after receiving linear accelerator radiation therapy for lung cancer B. The client with a radium implant for cervical cancer NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 C. The client who has just been administered soluble brachytherapy for thyroid cancer D. The client who has returned from placement of iridium seeds for prostate cancer  Which client should be assigned to a private room if only one is available? A. The client with Cushing’s syndrome B. The client with diabetes C. The client with acromegaly D. The client with myxedema  The nurse caring for a client on the pediatric unit administers adult- strength Digitalis to the 3-pound infant. As a result of her actions, the baby suffers permanent heart and brain damage. The nurse can be charged with: A. Negligence B. Tort C. Assault D. Malpractice  Which assignment should not be performed by the licensed practical nurse? A. Inserting a Foley catheter B. Discontinuing a nasogastric tube C. Obtaining a sputum specimen D. Initiating a blood transfusion NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023  The client is admitted for an open reduction internal fixation of a fractured hip. Immediately following surgery, the nurse should give priority to assessing the client for: A. Hypovolemia B. Pain C. Nutritional status D. Immobilizer  Which statement made by the family member caring for the client with a percutaneous gastrotomy tube indicates understanding of the nurse’s teaching? A. “I must flush the tube with water after feedings and clamp the tube.” B. “I must check placement four times per day.” C. “I will report to the doctor any signs of indigestion.” D. “If my father is unable to swallow, I will discontinue the feeding and call the clinic.”  The nurse is assessing the client with a total knee replacement 2 hours post- operative. Which information requires notification of the doctor? A. Bleeding on the dressing is 2cm in diameter. B. The client has a low-grade temperature. C. The client’s hemoglobin is 6g/dL. D. The client voids after surgery.  The nurse is caring for the client with a 5-year-old diagnosed with plumbism. Which information in the health history is most likely related to the development of NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 plumbism? NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 A. The client has traveled out of the country in the last 6 months. B. The client’s parents are skilled stained-glass artists. C. The client lives in a house built in 1990. D. The client has several brothers and sisters.  A client with a total hip replacement requires special equipment. Which equipment would assist the client with a total hip replacement with prevention of dislocation of the prosthesis? A. An abduction pillow B. A straight chair C. A pair of crutches D. A soft mattress  The client with a joint replacement is scheduled to receive Lovenox (enoxaparin). Which lab value should be reported to the doctor? A. PT of 20 seconds B. PTT of 300 seconds C. Protime of 30 seconds D. INR 3  The nurse is responsible for performing a neonatal assessment on a full- term infant. At 1 minute, the nurse could expect to find: A. An apical pulse of 100 B. Absence of tonus NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 B. Antipyretics C. Antivirals D. Anticoagulants  A client is admitted with complaints of chest pain. Which of the following drug orders should the nurse question? A. Nitroglycerin B. Ampicillin C. Propranolol D. Verapamil  Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis? A. Avoid exercise because it fatigues the joints. B. Take prescribed anti-inflammatory medications with meals. C. Alternate hot and cold packs to affected joints. D. Avoid weight-bearing activity.  A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should the nurse question? A. Meperidine B. Mylanta C. Cimetadine D. Morphine NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023  The primary reason for rapid continuous rewarming of the area affected by frostbite is to: A. Lessen the amount of cellular damage B. Prevent the formation of blisters C. Promote movement D. Prevent pain and discomfort  A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse’s response is based on the knowledge that hemodialysis works by: A. Passing water through the dialyzing membrane B. Eliminating plasma proteins from the blood C. Lowering the pH by removing nonvolatile acids D. Filtering waste through a dialyzing membrane  During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate? A. Administering an antibiotic B. Contacting the physician for an order for immune globulin C. Administering an antiviral D. Telling the client that he should remain in isolation for 2 weeks  A client hospitalized with MRSA (methicillin-resistant staph aureus) is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact? NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 A. The client should be placed in a room with negative pressure. B. Infection requires close contact; therefore, the door may remain open. C. Transmission is highly likely, so the client should wear a mask at all times. D. Infection requires skin-to-skin contact and is prevented by handwashing, gloves, and a gown.  A client with an above-the-knee amputation is being taught methods to prevent hip- flexion deformities. Which instruction should be given to the client? A. “Lie supine with the head elevated on two pillows.” B. “Lie prone every 4 hours during the day for 30 minutes.” C. “Lie on your side with your head elevated.” D. “Lie flat during the day.”  A client with cancer of the pancreas has undergone a Whipple procedure. The nurse is aware that, during the Whipple procedure, the doctor will remove the: A. Head of the pancreas B. Proximal third section of the small intestines C. Stomach and duodenum D. Esophagus and jejunum  The physician has ordered a minimal bacteria diet for a client with neutropenia. The client should be taught to avoid eating: A. Fruits NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 the nurse should: NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 A. Maintain the client in a semi-Fowler’s position with the head and neck supported by pillows B. Encourage the client to turn her head side to side, to promote drainage of oral secretions C. Maintain the client in a supine position with sandbags placed on either side of the head and neck D. Encourage the client to cough and breathe deeply every 2 hours, with the neck in a flexed position  A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is associated with an increased incidence of gastric cancer? A. Dairy products B. Carbonated beverages C. Refined sugars D. Luncheon meats  A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client’s record, the nurse could expect to find: A. A history of consistent employment B. A below-average intelligence C. A history of cruelty to animals D. An expression of remorse for his actions  The licensed vocational nurse may not assume the primary care for a client: NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 A. In the fourth stage of labor B. Two days post-appendectomy C. With a venous access device D. With bipolar disorder  The physician has ordered dressings with mafenide acetate (Sulfamylon) cream for a client with full-thickness burns of the hands and arms. Before dressing changes, the nurse should give priority to: A. Administering pain medication B. Checking the adequacy of urinary output C. Requesting a daily complete blood count D. Obtaining a blood glucose by finger stick  The nurse is teaching a group of parents about gross motor development of the toddler. Which behavior is an example of the normal gross motor skill of a toddler? A. She can pull a toy behind her. B. She can copy a horizontal line. C. She can build a tower of eight blocks. D. She can broad-jump.  A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment should be kept on the client with a fractured mandible? A. Wire cutters NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 A. Thoroughly cooking all foods B. Offering yogurt and buttermilk between meals C. Forcing fluids D. Providing small, frequent meals  The treatment protocol for a client with acute lymphocytic leukemia includes prednisone, methotrexate, and cimetadine. The purpose of the cimetadine is to: A. Decrease the secretion of pancreatic enzymes B. Enhance the effectiveness of methotrexate C. Promote peristalsis D. Prevent a common side effect of prednisone  Which of the following meal choices is suitable for a 6-month-old infant? A. Egg white, formula, and orange juice B. Apple juice, carrots, whole milk C. Rice cereal, apple juice, formula D. Melba toast, egg yolk, whole milk  The LPN is preparing to administer an injection of vitamin K to the newborn. The nurse should administer the injection in the: A. Rectus femoris muscle B. Vastus lateralis muscle NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 C. Deltoid muscle D. Dorsogluteal muscle  The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephotic syndrome. The nurse should: A. Encourage the client to drink extra fluids B. Request a low-protein diet for the client C. Bathe the client using only mild soap and water D. Provide additional warmth for swollen, inflamed joints  The nurse is caring for a client with detoxification from alcohol. Which medication is used in the treatment of alcohol withdrawal? A. Antabuse (disulfiram) B. Romazicon (flumazenil) C. Dolophine (methodone) D. Ativan (lorazepam)  A client with insulin-dependent diabetes takes 20 units of NPH insulin at 7 a.m. The nurse should observe the client for signs of hypoglycemia at: A. 8 a.m. B. 10 a.m. C. 3 p.m. D. 5 a.m. NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023  The licensed practical nurse is assisting the charge nurse in planning care for a client with a detached retina. Which of the following nursing diagnoses should receive priority? A. Alteration in comfort B. Alteration in mobility C. Alteration in skin integrity D. Alteration in O2 perfusion  The primary purpose for using a CPM machine for the client with a total knee repair is to help: A. Prevent contractures B. Promote flexion of the artificial joint C. Decrease the pain associated with early ambulation D. Alleviate lactic acid production in the leg muscles  Which of the following statements reflects Kohlberg’s theory of the moral development of the preschool-age child? A. Obeying adults is seen as correct behavior. B. Showing respect for parents is seen as important. C. Pleasing others is viewed as good behavior. D. Behavior is determined by consequences.  A toddler with otitis media has just completed antibiotic therapy. A recheck appointment should be made to: NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023  The nurse is caring for a client with a history of diverticulitis. The client complains of abdominal pain, fever, and diarrhea. Which food was responsible for the client’s symptoms? A. Mashed potatoes B. Steamed carrots C. Baked fish D. Whole-grain cereal  The physician has scheduled a Whipple procedure for a client with pancreatic cancer. The nurse recognizes that the client’s cancer is located in: A. The tail of the pancreas B. The head of the pancreas C. The body of the pancreas D. The entire pancreas  A child with cystic fibrosis is being treated with inhalation therapy with Pulmozyme (dornase alfa). A side effect of the medication is: A. Weight gain B. Hair loss C. Sore throat D. Brittle nails  The doctor has ordered Percocet (oxycodone) for a client following abdominal surgery. The primary objective of nursing care for the client receiving an opiate analgesic is to: NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 A. Prevent addiction B. Alleviate pain C. Facilitate mobility D. Prevent nausea  Which finding is the best indication that a client with ineffective airway clearance needs suctioning? A. Oxygen saturation B. Respiratory rate C. Breath sounds D. Arterial blood gases  An obstetrical client calls the clinic with complaints of morning sickness. The nurse should tell the client to: A. Keep crackers at the bedside for eating before she arises B. Drink a glass of whole milk before going to sleep at night C. Skip breakfast but eat a larger lunch and dinner D. Drink a glass of orange juice after adding a couple of teaspoons of sugar  The nurse has taken the blood pressure of a client hospitalized with methicillin-resistant staphylococcus aureus. Which action by the nurse indicates an understanding regarding the care of clients with MRSA? A. The nurse leaves the stethoscope in the client’s room for future use. B. The nurse cleans the stethoscope with alcohol and returns it to the exam room. C. The nurse uses the stethoscope to assess the blood pressure of other assigned clients. NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 D. The nurse cleans the stethoscope with water, dries it, and returns it to the nurse’s station.  The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. The nurse can reinforce the physician’s teaching by telling the parents that: A. The medication will be needed only during times of rapid growth. B. The medication will be needed throughout the child’s lifetime. C. The medication schedule can be arranged to allow for drug holidays. D. The medication is given one time daily every other day.  The LPN is reviewing the lab results of an elderly client when she notes a specific gravity of 1.025. The nurse recognizes that: A. The client has impaired renal function. B. The client has a normal specific gravity. C. The client has mild to moderate dehydration. D. The client has diluted urine from fluid overload.  A client with acute pancreatitis has requested pain medication. Which pain medication is indicated for the client with acute pancreatitis? A. Demerol (meperidine) B. Toradol (ketorolac) C. Morphine (morphine sulfate) D. Codeine (codeine) NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 D. Request an abdominal x-ray  The mother of a child with chickenpox wants to know if there is a medication that will shorten the course of the illness. Which medication is sometimes used to speed healing of the lesions and shorten the duration of fever and itching? A. Zovirax (acyclovir) B. Varivax (varicella vaccine) C. VZIG (varicella-zoster immune globulin) D. Periactin (cyproheptadine)  Which of the following clients is most likely to be a victim of elder abuse? A. A 62-year-old female with diverticulitis B. A 76-year-old female with right-sided hemiplegia C. A 65-year-old male with a hip replacement D. A 72-year-old male with diabetes mellitus  A hospitalized client with severe anemia is to receive a unit of blood. Which facet of care is most appropriate for the newly licensed practical nurse? A. Initiating the IV of normal saline B. Monitoring the client’s vital signs C. Initiating the blood transfusion D. Notifying the physician of a reaction NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023  To reduce the possibility of having a baby with a neural tube defect, the client should be told to increase her intake of folic acid. Dietary sources of folic acid include: A. Meat, liver, eggs B. Pork, fish, chicken C. Oranges, cabbage, cantaloupe D. Dried beans, sweet potatoes, Brussels sprouts  A client is admitted for suspected bladder cancer. Which one of the following factors is most significant in the client’s diagnosis? A. Smoking a pack of cigarettes a day for 30 years B. Taking hormone-replacement therapy C. Eating foods with preservatives D. Past employment involving asbestos  The physician has prescribed nitroglycerin buccal tablets as needed for a client with angina. The nurse should tell the client to take the tablets: A. After engaging in strenuous activity B. Every 4 hours to prevent chest pain C. When he first feels chest discomfort D. At bedtime to prevent nocturnal angina  The nurse is caring for an infant who is on strict intake and output. The used diaper weighs 90.5 grams. The diaper’s dry weight was 62 grams. The infant’s urine output was: NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 A. 10mL NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 A. Assess for bladder distention NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 B. Notify the physician C. Gently massage the fundus D. Administer pain medication  Which breakfast selection is suitable for the client on a high-fiber diet? A. Danish pastry, tomato juice, coffee, and milk B. Oatmeal, grapefruit wedges, coffee, and milk C. Cornflakes, toast and jam, and milk D. Scrambled eggs, bacon, toast, and coffee  A male client is admitted with a tentative diagnosis of Hodgkin’s lymphoma. The client with Hodgkin’s lymphoma commonly reports: A. Finding enlarged nodes in the neck while shaving B. Projectile vomiting upon arising C. Petechiae and easy bruising D. Frequent, painless hematuria  A client with acquired immunodeficiency syndrome has begun treatment with Pentam (pentamidine). The nurse recognizes that the medication will help to prevent: A. Candida albicans B. Pneumocystis carinii C. Cryptosporidiosis D. Cytomegaloretinitis NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023  During a well-baby visit, the mother asks the nurse when the “soft spot” on the front of her baby’s head will close. The nurse should tell the mother that the anterior fontanel normally closes by the time the baby is: A. 4–6 months of age B. 7–9 months of age C. 10–12 months of age D. 12–18 months of age  An elderly client with anemia has a positive Schilling test. The nurse knows that the client’s anemia is due to: A. Chronically low iron store B. Abnormal shape of the red blood cells C. Lack of intrinsic factor D. Shortened lifespan of the red blood cells  A client has returned from having an arteriogram. The nurse should give priority to: A. Checking the radial pulse B. Assessing the site for bleeding C. Offering fluids D. Administering pain medication  The physician has ordered Dolophine (methadone) for a client withdrawing from opiates. Which finding is associated with acute methodone toxicity? A. Fever NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 A. The level is too low to be therapeutic. B. The client can be expected to have signs of toxicity. C. The level is within the therapeutic range. D. The client needs to eat more sodium-rich foods.  Which emergency treatment is appropriate for the client who suddenly develops ventricular fibrillations? A. Cardioversion B. Intubation C. Defibrillation D. Anticonvulsant medication  The nurse is caring for a client following a stroke that left him with apraxia. The nurse knows that the client will: A. Be unable to communicate through speech B. Have difficulty swallowing C. Have difficulty with voluntary movements D. Be unable to perform previously learned skills  The nurse is positioning a client with right hemiplegia. To prevent subluxation of the client’s right shoulder, the nurse should: A. Use a pillow to support the client’s arm when she is sitting in a chair NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 B. Elevate the arm and hand above chest level when she is lying in bed C. Place a pillow under the axilla to elevate the elbow when she is lying in bed D. Use a pillow to support the client’s hand when she is sitting in a chair  A client with thrombophlebitis is receiving Lovenox (enoxaparin). Which method is recommended for administering Lovenox? A. Z track in the dorsogluteal muscle B. Intramuscularly in the deltoid muscle C. Subcutaneously in the abdominal tissue D. Orally after breakfast  A client with angina is to be discharged with a prescription for nitroglycerin tablets. The client should be instructed to: A. Take one tablet daily with a glass of water B. Leave the medication in a dark-brown bottle C. Replenish the medication supply every year D. Leave the cotton in the bottle to protect the tablets  The physician has ordered Parnate (tranylcypromine) for a client with depression. The nurse should tell the client to avoid foods containing tryamine because it can result in: A. Elevations in blood pressure B. Decreased libido C. Elevations in temperature NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 D. Increased depression  A client is receiving external radiation for cancer of the larynx. As a result of the treatment, the client will most likely complain of: A. Generalized pruritis B. Dyspnea C. Sore throat D. Bone pain  The nurse is caring for a client with a T4 spinal cord injury when he begins to have symptoms of autonomic dysreflexia. After placing the client in high Fowler’s position, the nurse should: A. Administer a prescribed analgesic B. Check for patency of the catheter C. Tell the client to breathe slowly D. Check the temperature  A 40-year-old client with a myocardial infarction tells the nurse, “My father died with a heart attack when he was in his forties, and I guess I will, too.” Which response by the nurse is most appropriate? A. “Tell me more about what you are feeling.” B. “Are you thinking you won’t recover from this?” C. “You have an excellent doctor, so I’m sure everything will be fine.” D. “I would think that’s unlikely because we have much better treatment now.” NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 A. Feeding difficulties B. Nasal flaring C. Increased blood pressure D. Temperature instability  To reduce the risk of SIDS (sudden infant death syndrome), the nurse should tell parents to place the infant: A. Prone while he is sleeping B. Side-lying while he is awake C. On his back while he is sleeping D. Prone while he is awake  Which of the following play activities is most developmentally appropriate for the toddler? A. Watching cartoons B. Pulling a toy wagon C. Watching a mobile D. Coloring with crayons in a coloring book  The physician has discharged a client with diverticulitis with a prescription for Metamucil (psyllium). When teaching the client how to prepare the medication, the nurse should tell the client to: A. Dissolve the medication in gelatin or applesauce NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 B. Mix the medication with water and drink it immediately C. Sprinkle the medication on ice cream or sherbet D. Take the medication with an ounce of antacid  A client with end stage cirrhosis can sometimes develop mental changes. What is the most likely cause? A. Elevated blood ammonia B. Decreased serum proteins C. Leukocytosis D. Hyperglycemia  The nurse is caring for a client after a liver biopsy. The nurse should carefully monitor the client for the development of which of the following? A. Respiratory alkalosis B. Metabolic acidosis C. Pneumothorax D. Cardiac tamponade  The LPN/LVN is assisting a client immediately after a paracentesis. Which of the following actions is the priority? A. Obtaining vital signs B. Positioning the client for comfort C. Detailed documentation of the procedure NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 D. Reporting the amount removed to the client  A client has received platelet infusions. Which finding would indicate the most therapeutic effect from the transfusions? A. Hgb level increase from 8.9 to 10.6 B. Temperature reading of 99.4°F C. White blood cell count of 11,000 D. Decrease in oozing of blood from IV site  A client is admitted with Parkinson’s disease. The client has been taking Carbidopa/levodopa (Sinemet) for 1 year. Which clinical manifestation would be most important to report? A. Dryness of the mouth B. Spasmodic eye winking C. Dark urine D. Dizziness  The nurse who is caring for a client with cancer notes a WBC of 1,000. Which intervention would be most appropriate to include when caring for this client? A. Assess temperature every 4 hours, due to risk for hypothermia B. Instruct the client to avoid large crowds and people who are sick C. Instruct in the use of a soft toothbrush D. Assess for hematuria NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023 C. Diarrhea D. Pitting edema  A client with a femur fracture is exhibiting shortness of breath, pain upon deep breathing, and a cough that produces blood-tinged sputum. The nurse would determine that these clinical manifestations are indicative of which of the following? A. Congestive heart failure B. Pulmonary embolus C. Adult respiratory distress syndrome D. Tension pneumothorax  A client with Alzheimer’s disease has been prescribed donepezil (Aricept). Which information should the nurse include when explaining about Aricept? A. “Take the medication with meals.” B. “The medicine can cause dizziness, so rise slowly.” C. “If a dose is skipped, take two the next time.” D. “The pill can cause an increase in heart rate.”  A client who had an abdominal aortic aneurysm repair is having delayed healing of the wound. Which laboratory test result would most closely correlate to this problem? A. Decreased albumin B. Decreased creatinine C. Increased calcium D. Increased sodium NURS EXAM NCLEX-PN HEALTH CARE BEST QUESTIONS WITH ANSWERS 2022/2023  A client is admitted to the chemical dependency unit due to cocaine addiction. The client states, “I don’t know why you are all so worried. I am in control. I don’t have a problem.” Which defense mechanism is being utilized? A. Rationalization B. Projection C. Dissociation D. Denial