NCLEX LIVE DISCUSSION | YouTube Video

This week we are practising and revising for the NCLEX exams in video discussions. Here is the link to that as I wish you the absolute best in the licensure exams!

NCLEX Practice Questions SET 6

1. The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?:
Split pea soup, mashed potatoes, pudding, milk
Roast beef sandwich, potato chips, pickle spear,
iced tea
Tomato soup, cheese toast, gelatin, coffee
Hamburger, baked beans, fruit cup, iced tea
2.The physician has prescribed NovoLog (as part) insulin for a client with diabetes mellitus. Which statement indicates that the client
knows when the onset of the insulin occurs?:
“I can save my dessert from supper for a bedtime snack.”
“I will need to carry candy or some form of sugar with me all the time.”
“I will eat a snack around three o’clock each afternoon.”
“I will make sure I eat breakfast within 10 minutes of taking my insulin.”
3. The nurse is teaching basic newborn care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first two weeks of life because?:
The chance of chilling the newborn outweighs the benefits of bathing.
New parents need time to learn how to hold the newborn.
Newborn skin is easily traumatized by washing.
The umbilical cord needs time to separate.
4. A client with leukemia who has been receiving Trimetrexate
(methotrexate) has an order for Wellcovorin (leucovorin). What is the rationale for administering Wellcovorin?:
Treat anemia caused by the methotrexate
Create a synergistic effect that shortens treatment time
Increase the number of circulating neutrophils
Reverse drug toxicity and prevent tissue damage

Read more on LEUCOVORIN RESCUE

5. The well child assessment of a one-year-old reveals orange discoloration of the nasolabial folds. Based on this finding the nurse
should?:
Assess the sclera for the presence of jaundice
Measure the abdominal girth
Inquire about the passage of clay-colored stools
Obtain a diet history from the mother

The answer to this question is related to diet more than liver diseases. Jaundice is often presented by yellowing of the sclera and the skin including palms of the hands. For dark skinned patients, assessment of the palms and sclera provides a clearer picture.

References

Howard et al. 2016 and Rinehart et al. 2016

NCLEX Review Questions Set 5

1. A patient is ordered antithrombotic stockings for a patient with peripheral vascular disease. The nurse knows the antothrombotic stokcings should be applied?:
After the client has bathed and applied lotion to the legs
With the clinet in a standing position
Before the client retires in the evening
Before the client arises in the morning
2. The nurse has just received the change of shift report and is preparing to make rounds. Which client should the nurse assess first?:
A client being prepared for discharge following a right
colectomy
A client recovering from a stroke with an oxygen
saturation rate of 99%
A client three days post-coronary artery bypass graft
with an oral temperature of 100.2ºF
A client admitted one hour ago with rales and
shortness of breath
3. A client with a femoral popliteal bypass graft is assigned to a
semiprivate room. The most suitable roommate for this client is the client with:?:
Bacterial Pneumonia
Gastroenteritis
Diabetic Ulcers
Hypothyroidism
4. The nurse is teaching the client regarding use of sodium warfarin.
Which statement made by the client would require further teaching??:
“I will have blood drawn every month.”
“I will assess my skin for a rash.”
“I will use an electric razor to shave.”
“I take aspirin for a headache.”
5. The client returns to the recovery room following repair of an
abdominal aneurysm. Which finding would require further investigation?:
Regular pedal pulses
Blood pressure 108/50
Oxygen saturation 97%
Urinary output 20mL in the past hour

NCLEX Practice QUESTIONS Set 4

1. Which of the following is a side effect that commonly presents with calcium based antacids?:
Delayed gastric emptying
Hyperperistalsis
Delayed Gastric Emptying
Constipation
3. Which of the following is the approprate site for assessing oxygen saturation levels in adult patients?:
Nose
Finger
Earlobe
Extremity with noninvasive cuff
3. While caring for an elderly patient with hypertension, the nurse notes the following vital signs: BP of 140/40, pulse 120, respirations 36. The nurse’s initial action should be to?:
Compare the vitals with those on admission
Recheck the vitals signsin an hour
Find out the patients pain levels
Report the findings to a physician
4. The nurse is preparing a client with an axillopopliteal bypass graft for discharge. The client should be taught to avoid?:
Using a recliner to rest
Sleeping in SIMS position
Resting in supine position
Sitting in a straight chair
5.Which of the following statements made by a student nurse indicates a need for further teaching regarding the administration of heparin?:
I will administer the medication one to two inches away from the umbilicus
I will not massage the injection site before administering heparin
I will check the PTT before administering heparin
¨I will need to aspirate when i give heparin¨

Rhinehart et al. 2017

NCLEX practice Questions SET 3

1.The nurse is ready to begin an exam on a nine-month-old infant who is sitting quietly on his mother’s lap. Which should the nurse do first?:
Check the babinski reflex
Check the tympanic membranes
Palpate the abdomen
Listen to the heart and lung sounds

2. In terms of cognitive development, a three-year-old would be
expected to::
See things from the perspective of others
Think abstractly
Understand conservation of matter
Use magical thinking

3. Which of the following describes the language development of a two-year-old?:
Doesn’t understand yes and no
Understands the meaning of all words
Repeatedly asks “why?”
Can combine three or four words

4. A client who has been receiving Urokinase (uPA) for deep vein
thrombosis is noted to have dark brown urine in the urine collection
bag. Which action should the nurse take immediately?:
Prepare an injection of vitamin K
Irrigate the urinary catheter with 50 mL of normal
saline
Offer the client additional oral fluids
Withhold the medication and notify the physician

5. Which of the following can occur with the frequent use of calciumbased antacids?:
Diarrhea
Hyperperistalsis
Delayed gastric emptying
constipation

Courtesy of Rhinehart et al. 2017

NCLEX practice Questions SET 2

1. A patient is admitted with renal failre and is prescribed a low potassium diet. Which of the following do you advice the patient consume?:
A cup of beef broth
A baked potato with skin
A half a cup of raisins
A cup of rice

2. An appropriate nursing intervention for the client with borderline
personality disorder is:
Allowing the patient to select a primary caregiver
Restricting the client to lead unit group sessions
Allowing the patient to lead the unit group sessions
Observing the patient for signs of depression and suicidal thinking

3. Which of the following is an expected finding in the assessment of a client with bulimia nervosa:
Extreme Weight Loss
Presence of lanugo over the body
Muscle Wasting
Erosion of the tooth enamel

4. Assuming that all have achoeved normal cognitive and emotional development, which of the following children is att greatest risk for accidental poisoning :
twelve-year-old
eight-year-old
one-year-old
four-year-old

5. which of the follwoing terms describes the play activity of the preschool age child:
cooperative
Solitary
parallel
Associative

NCLEX Exams Practice Questions Set 1

1. A two-year-old is admitted due to suspected intussusception.
Which of the following is associated with intussusception?:
Projectile Vomiting
palpable mass over the flank
¨Ribbonlike¨ stools
¨Currant Jelly¨ Stools
2. Which of the following findings would be expected in the infant
with biliary atresia?
Rapid Weight gain and hepatomegaly
Dark Stools and poor weight gain
Abdominal distention and rapid weight gain
Adbominal distention and poor weight gain
3. The physician has made a diagnosis of “shaken child” syndrome for a 13-month-old who was brought to the emergency room after a reported fall from his highchair. Which finding supports the diagnosis of “shaken child” syndrome?
Fracture of the Clavicle
Periobital Brusing
fracture of the humerus
retinal hemorrhages
4. The nurse is teaching the mother of an infant with galactosemia. Which information should be included in the nurse’s teaching?:
Sources of galactose are essential for growth
Future children will not be affected
Foods containing galactose can gradually be added
Check food and drug labels for the presence of lactose
5. A four-year-old is admitted with acute leukemia. It will be most
important to monitor the child for?
Abdominal pain and anorexia
Petechiae and mucosal ulcers
Fatigue and bruising
Bleeding and pallor

All the absolute best with this quick practice questions! A tip that I often found to be useful is to read through the topic or diagnosis independently regardless of the answer you selected. In so doing, you will learn more about the condition incase you come across it in the clinical area or in the actual licensure exams.

Reference Rinehart et al. 2017