Practice Test | 01/12/2012, 10:49 pm

NCLEX Practice Questions Set 1

PT-NCLEX EXAM SET 1 Test your knowledge about nursing NCLEX-style! These are sample questions that you might encounter in your NCLEX test.

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This test contains 25 items about nursing research
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NCLEX Practice Questions Set 1

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This is the set 1 of the NCLEX-style practice questions. Test your knowledge about different the nursing concepts!

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Question 1

A patient has recently experienced a (MI) within the last 4 hours. Which of the following medications would most like be administered?

	Acetaminophen
	Streptokinase
	Coumadin
	Atropine

Question 1 Explanation:

Streptokinase is a clot busting drug and the best choice in this situation.

Question 2

Rho gam is most often used to treat____ mothers that have a ____ infant.

	RH negative, RH positive
	RH positive, RH negative
	RH positive, RH positive
	RH negative, RH negative

Question 2 Explanation:

Rho gam prevents the production of anti-RH antibodies in the mother that has a Rh positive fetus.

Question 3

A nurse is putting together a presentation on meningitis. Which of the following microorganisms has not been linked to meningitis in humans?

	H. influenza
	S. pneumonia
	N. meningitis
	Cl. difficile

Question 3 Explanation:

Cl. difficile has not been linked to meningitis.

Question 4

A patient is getting discharged from a SNF facility. The patient has a history of severe COPD and PVD. The patient is primarily concerned about their ability to breath easily. Which of the following would be the best instruction for this patient?

	Deep breathing techniques to increase O2 levels.
	Cough regularly and deeply to clear airway passages.
	Cough following bronchodilator utilization
	Decrease CO2 levels by increase oxygen take output during meals.

Question 4 Explanation:

The bronchodilator will allow a more productive cough.

Question 5

You are taking the history of a 14 year old girl who has a (BMI) of 18. The girl reports inability to eat, induced vomiting and severe constipation. Which of the following would you most likely suspect?

	Anorexia nervosa
	Bulimia
	Systemic sclerosis
	Multiple sclerosis

Question 5 Explanation:

All of the clinical signs and systems point to a condition of anorexia nervosa.

Question 6

A 34 year old female has recently been diagnosed with an autoimmune disease. She has also recently discovered that she is pregnant. Which of the following is the only immunoglobulin that will provide protection to the fetus in the womb?

	IgE
	IgA
	IgD
	IgG

Question 6 Explanation:

IgG is the only immunoglobulin that can cross the placental barrier.

Question 7

A patient asks a nurse, “My doctor recommended I increase my intake of folic acid. What type of foods contain the highest concentration of folic acids?”

	Carrots
	Yellow vegetables and red meat
	Green vegetables and liver
	Milk

Question 7 Explanation:

Green vegetables and liver are a great source of folic acid.

Question 8

A nurse is administering blood to a patient who has a low hemoglobin count. The patient asks how long to RBC’s last in my body? The correct response is.

	The life span of RBC is 120 days.
	The life span of RBC is 45 days.
	The life span of RBC is 90 days.
	The life span of RBC is 60 days.

Question 8 Explanation:

RBC’s last for 120 days in the body.

Question 9

A mother has recently been informed that her child has Down’s syndrome. You will be assigned to care for the child at shift change. Which of the following characteristics is not associated with Down’s syndrome?

	Brachycephaly
	Oily skin
	Simian crease
	Hypotonicity

Question 9 Explanation:

The skin would be dry and not oily.

Question 10

A nurse is reviewing a patient’s medication during shift change. Which of the following medication would be contraindicated if the patient were pregnant? Note: More than one answer may be correct.

	Celebrex
	Finasteride
	Catapress
	Coumadin
	Habitrol
	Clofazimine

Question 11

A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal?

	11 year old male – 90 b.p.m, 22 resp/min. , 100/70 mm Hg
	13 year old female – 105 b.p.m., 22 resp/min., 105/60 mm Hg
	6 year old female- 100 b.p.m., 26 resp/min., 90/70mm Hg
	5 year old male- 102 b.p.m, 24 resp/min., 90/65 mm Hg

Question 11 Explanation:

HR and Respirations are slightly increased. BP is down.

Question 12

A young adult is 20 years old and has been recently admitted into the hospital. According to Erickson which of the following stages is the adult in?

	Trust vs. mistrust
	Autonomy vs. shame
	Initiative vs. guilt
	Intimacy vs. isolation

Question 12 Explanation:

Intimacy vs. isolation- 18-35 years old

Question 13

You are responsible for reviewing the nursing unit’s refrigerator. If you found the following drug in the refrigerator it should be removed from the refrigerator’s contents?

	Epogen (injection)
	Urokinase
	Corgard
	Humulin (injection)

Question 13 Explanation:

Corgard could be removed from the refigerator.

Question 14

A toddler is 16 months old and has been recently admitted into the hospital. According to Erickson which of the following stages is the toddler in?

	Initiative vs. guilt
	Intimacy vs. isolation
	Autonomy vs. shame
	Trust vs. mistrust

Question 14 Explanation:

Trust vs. Mistrust- 12-18 months old

Question 15

A patient has taken an overdose of aspirin. Which of the following should a nurse most closely monitor for during acute management of this patient?

	Onset of pulmonary edema
	Respiratory alkalosis
	Parkinson’s disease type symptoms
	Metabolic alkalosis

Question 15 Explanation:

Aspirin overdose can lead to metabolic acidosis and cause pulmonary edema development.

Question 16

A new mother has some questions about (PKU). Which of the following statements made by a nurse is not correct regarding PKU?

	A Guthrie test can check the necessary lab values.
	Mental deficits are often present with PKU.
	The urine has a high concentration of phenylpyruvic acid
	The effects of PKU are reversible.

Question 16 Explanation:

The effects of PKU stay with the infant throughout their life.

Question 17

A patient tells you that her urine is starting to look discolored. If you believe this change is due to medication, which of the following patient’s medication does not cause urine discoloration?

	Levodopa
	Sulfasalazine
	Phenolphthalein
	Aspirin

Question 18

A 65 year old man has been admitted to the hospital for spinal stenosis surgery. When does the discharge training and planning begin for this patient?

	Upon admit
	Preoperative discussion
	Following surgery
	Within 48 hours of discharge

Question 18 Explanation:

Discharge education begins upon admit.

Question 19

A child is 5 years old and has been recently admitted into the hospital. According to Erickson which of the following stages is the child in?

	Trust vs. mistrust
	Initiative vs. guilt
	Autonomy vs. shame
	Intimacy vs. isolation

Question 19 Explanation:

Initiative vs. guilt- 3-6 years old

Question 20

A fifty-year-old blind and deaf patient has been admitted to your floor. As the charge nurse your primary responsibility for this patient is?

	Let others know about the patient’s deficits.
	Provide a secure environment for the patient.
	Communicate with your supervisor your patient safety concerns.
	Continuously update the patient on the social environment.

Question 20 Explanation:

This patient’s safety is your primary concern.

Question 21

A 24 year old female is admitted to the ER for confusion. This patient has a history of a myeloma diagnosis, constipation, intense abdominal pain, and polyuria. Which of the following would you most likely suspect?

	Hypercalcaemia
	Hypocalcaemia
	Irritable bowel syndrome
	Diverticulosis

Question 21 Explanation:

Hypercalcaemia can cause polyuria, severe abdominal pain, and confusion.

Question 22

A nurse is caring for an infant that has recently been diagnosed with a congenital heart defect. Which of the following clinical signs would most likely be present?

	Slow pulse rate
	Weight gain
	Decreased systolic pressure
	Irregular WBC lab values

Question 22 Explanation:

Weight gain is associated with CHF and congenital heart deficits.

Question 23

A thirty five year old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect?

	Autonomic neuropathy
	Diabetic nephropathy
	Atherosclerosis
	Somatic neuropathy

Question 23 Explanation:

Autonomic neuropathy can cause inability to urinate.

Question 24

A second year nursing student has just suffered a needlestick while working with a patient that is positive for AIDS. Which of the following is the most important action that nursing student should take?

	Immediately see a social worker
	Start prophylactic AZT treatment
	Seek counseling
	Start prophylactic Pentamide treatment

Question 24 Explanation:

AZT treatment is the most critical intervention.

Question 25

A nurse is reviewing a patient’s PMH. The history indicates photosensitive reactions to medications. Which of the following drugs has not been associated with photosensitive reactions? Note: More than one answer may be correct.

	Bactrim
	Sulfonamide
	Nitrodur
	Noroxin
	Cipro
	Accutane

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NCLEX Practice Questions Set 1

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NCLEX Practice Questions Set 1

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