NCLEX Practice Exam 30 (10 Questions)

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Questions: 10 | Attempts: 3,292 | Updated: Aug 20, 2023

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NCLEX Practice Exam 30 (10 Questions) - Quiz

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

Questions and Answers

1.

The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?
- A.
  
  Roast beef sandwich. potato chips. pickle spear. iced tea
- B.
  
  Split pea soup. mashed potatoes. pudding. milk
- C.
  
  Tomato soup. cheese toast. Jello. coffee
- D.
  
  Hamburger. baked beans. fruit cup. iced tea
Correct Answer
B. Split pea soup. mashed potatoes. pudding. milk

Explanation
The client with a facial stroke will have difficulty swallowing and chewing. and the foods in answer B provide the least amount of chewing. The foods in answers A. C. and D would require more chewing and. thus. are incorrect.

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2.

The physician has prescribed Novolog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?
- A.
  
  “I will make sure I eat breakfast within 10 minutes of taking my insulin.”
- B.
  
  “I will need to carry candy or some form of sugar with me all the time.”
- C.
  
  “I will eat a snack around three o’clock each afternoon.”
- D.
  
  “I can save my dessert from supper for a bedtime snack.”
Correct Answer
A. “I will make sure I eat breakfast within 10 minutes of taking my insulin.”

Explanation
NovoLog insulin onsets very quickly. so food should be available within 10–15 minutes of taking the insulin. Answer B does not address a particular type of insulin. so it is incorrect. NPH insulin peaks in 8–12 hours. so a snack should be eaten at the expected peak time. It may not be 3 p.m. as stated in answer C. Answer D is incorrect because there is no need to save the dessert until bedtime.

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3.

The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first 2 weeks of life because:
- A.
  
  New parents need time to learn how to hold the baby.
- B.
  
  The umbilical cord needs time to separate.
- C.
  
  Newborn skin is easily traumatized by washing.
- D.
  
  The chance of chilling the baby outweighs the benefits of bathing.
Correct Answer
B. The umbilical cord needs time to separate.

Explanation
The umbilical cord needs time to dry and fall off before putting the infant in the tub. Although answers A. C. and D might be important. they are not the primary answer to the question.

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4.

A client with leukemia is receiving Trimetrexate. After reviewing the client’s chart. the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:
- A.
  
  Treat iron-deficiency anemia caused by chemotherapeutic agents
- B.
  
  Create a synergistic effect that shortens treatment time
- C.
  
  Increase the number of circulating neutrophils
- D.
  
  Reverse drug toxicity and prevent tissue damage
Correct Answer
D. Reverse drug toxicity and prevent tissue damage

Explanation
Leucovorin is the antidote for Methotrexate and Trimetrexate which are folic acid antagonists. Leucovorin is a folic acid derivative. Answers A. B. and C are incorrect because Leucovorin does not treat iron deficiency. increased neutrophils. or have a synergistic effect.

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5.

A 4-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines. the baby should receive:
- A.
  
  HibTITER
- B.
  
  Mumps vaccine
- C.
  
  Hepatitis B vaccine
- D.
  
  MMR
Correct Answer
A. HibTITER

Explanation
The Haemophilus influenza vaccine is given at 4 months with the polio vaccine. Answers B. C. and D are incorrect because these vaccines are given later in life.

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6.

The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:
- A.
  
  30 minutes before meals
- B.
  
  With each meal
- C.
  
  In a single dose at bedtime
- D.
  
  30 minutes after meals
Correct Answer
A. 30 minutes before meals

Explanation
Proton pump inhibitors reduce the production of acid in the stomach. Proton pump inhibitors work best when they are taken 30 minutes before the first meal of the day.

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7.

A client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?
- A.
  
  Call security for assistance and prepare to sedate the client.
- B.
  
  Tell the client to calm down and ask him if he would like to play cards.
- C.
  
  Tell the client that if he continues his behavior he will be punished.
- D.
  
  Leave the client alone until he calms down.
Correct Answer
A. Call security for assistance and prepare to sedate the client.

Explanation
If the client is a threat to the staff and to other clients the nurse should call for help and prepare to administer a medication such as Haldol to sedate him. Answer B is incorrect because simply telling the client to calm down will not work. Answer C is incorrect because telling the client that if he continues he will be punished is a threat and may further anger him. Answer D is incorrect because if the client is left alone he might harm himself.

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8.

When the nurse checks the fundus of a client on the first postpartum day. she notes that the fundus is firm. is at the level of the umbilicus. and is displaced to the right. The next action the nurse should take is to:
- A.
  
  Check the client for bladder distention
- B.
  
  Assess the blood pressure for hypotension
- C.
  
  Determine whether an oxytocic drug was given
- D.
  
  Check for the expulsion of small clots
Correct Answer
A. Check the client for bladder distention

Explanation
If the fundus of the client is displaced to the side. this might indicate a full bladder. The next action by the nurse should be to check for bladder distention and catheterize. if necessary. The answers in B. C. and D are actions that relate to postpartal hemorrhage.

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9.

A client is admitted to the hospital with a temperature of 99.8°F. complaints of blood-tinged hemoptysis. fatigue. and night sweats. The client’s symptoms are consistent with a diagnosis of:
- A.
  
  Pneumonia
- B.
  
  Reaction to antiviral medication
- C.
  
  Tuberculosis
- D.
  
  Superinfection due to low CD4 count
Correct Answer
C. Tuberculosis

Explanation
A low-grade temperature. blood-tinged sputum. fatigue. and night sweats are symptoms consistent with tuberculosis. If the answer in A had said pneumocystis pneumonia. answer A would have been consistent with the symptoms given in the stem. but just saying pneumonia isn’t specific enough to diagnose the problem. Answers B and D are not directly related to the stem.

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10.

The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client’s history should be reported to the doctor?
- A.
  
  Diabetes
- B.
  
  Prinzmetal’s angina
- C.
  
  Cancer
- D.
  
  Cluster headaches
Correct Answer
B. Prinzmetal’s angina

Explanation
If the client has a history of Prinzmetal’s angina. he should not be prescribed triptan preparations because they cause vasoconstriction and coronary spasms. There is no contraindication for taking triptan drugs in clients with diabetes. cancer. or cluster headaches making answers A. C. and D incorrect.

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Jul 10, 2017

Quiz Created by
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NCLEX Practice Exam 30 (10 Questions)

The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?

The physician has prescribed Novolog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first 2 weeks of life because:

A client with leukemia is receiving Trimetrexate. After reviewing the client’s chart. the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:

A 4-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines. the baby should receive:

The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:

A client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?

When the nurse checks the fundus of a client on the first postpartum day. she notes that the fundus is firm. is at the level of the umbilicus. and is displaced to the right. The next action the nurse should take is to:

A client is admitted to the hospital with a temperature of 99.8°F. complaints of blood-tinged hemoptysis. fatigue. and night sweats. The client’s symptoms are consistent with a diagnosis of:

The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client’s history should be reported to the doctor?