NCLEX-RN V12.35 2020/2021 National Council Licensure Examination. Contains 317 Pages

QUESTION 1

Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy?

A.  Positive inotropes

B.  Vasodilators

C.  Diuretics

D.  Antidysrhythmics

QUESTION 2

Signs and symptoms of an allergy attack include which of the following?

A.  Wheezing on inspiration

B.   Increased respiratory rate

C.   Circumoral cyanosis

D.  Prolonged expiration

QUESTION 3

A client confides to the nurse that he tasted poison in his evening meal. This would be an example of what type of hallucination?

A.  Auditory

B.  Gustatory

C.  Olfactory

D.  Visceral

QUESTION 4

Which of the following findings would be abnormal in a postpartal woman?

A.     Chills shortly after delivery

B.     Pulse rate of 60 bpm in morning on first postdelivery day

C.     Urinary output of 3000 mL on the second day after delivery

D.     An oral temperature of 101F (38.3C) on the third day after delivery

QUESTION 5

A six-month-old infant has been admitted to the emergency room with febrile seizures. In the teaching of the parents, the nurse states that:

QUESTION 6

A client diagnosed with bipolar disorder continues to be hyperactive and to lose weight. Which of the following nutritional interventions would be most therapeutic for him at this time?

QUESTION 7

A client with bipolar disorder taking lithium tells the nurse that he has ringing in his ears, blurred vision, and diarrhe

QUESTION 8

A diagnosis of hepatitis C is confirmed by a male client’s physician. The nurse should be knowledgeable of the differences between hepatitis A, B, and C. Which of the following are characteristics of hepatitis C?

QUESTION 9

Hypoxia is the primary problem related to near-drowning victims. The first organ that sustains irreversible damage after submersion in water is the:

A.  Kidney (urinary system)

B.   Brain (nervous system)

C.   Heart (circulatory system)

D.   Lungs (respiratory system)

QUESTION 10

Which of the following activities would be most appropriate during occupational therapy for a client with bipolar disorder?

A.  Playing cards with other clients

B.   Working crossword puzzles

C.   Playing tennis with a staff member

D.  Sewing beads on a leather belt

QUESTION 11

A 30-year-old male client is admitted to the psychiatric unit with a diagnosis of bipolar disorder. For the last 2 months, his family describes him as being “on the move,” sleeping

3–4 hours nightly, spending lots of money, and losing approximately 10 lb. During the initial assessment with the client, the nurse would expect him to exhibit which of the following?

A.  Short, polite responses to interview questions

B.  Introspection related to his present situation

C.  Exaggerated self-importance

D.  Feelings of helplessness and hopelessness

QUESTION 12

Diabetes during pregnancy requires tight metabolic control of glucose levels to prevent perinatal mortality. When evaluating the pregnant client, the nurse knows the recommended serum glucose range during pregnancy is:

A.  70 mg/dL and 120 mg/dL

B.   100 mg/dL and 200 mg/dL

C.   40 mg/dL and 130 mg/dL

D.  90 mg/dL and 200 mg/dL

QUESTION 13

When evaluating a client with symptoms of shock, it is important for the nurse to differentiate between neurogenic and hypovolemic shock. The symptoms of neurogenic shock differ from hypovolemic shock in that:

A.   In neurogenic shock, the skin is warm and dry

B.  In hypovolemic shock, there is a bradycardia

C.  In hypovolemic shock, capillary refill is less than 2 seconds

D.   In neurogenic shock, there is delayed capillary refill

QUESTION 14

A 55-year-old man is admitted to the hospital with complaints of fatigue, jaundice, anorexia, and clay-colored stools. His admitting diagnosis is “rule out hepatitis.” Laboratory studies reveal elevated liver enzymes and bilirubin. In obtaining his health history, the nurse should assess his potential for exposure to hepatitis.

Which of the following represents a high-risk group for contracting this disease?

A.  Heterosexual males

B.  Oncology nurses

C.  American Indians

D.  Jehovah’s Witnesses

QUESTION 15

A schizophrenic client has made sexual overtures toward her physician on numerous occasions. During lunch, the client tells the nurse, “My doctor is in love with me and wants to marry me.” This client is using which of the following defense mechanisms?

A.  Displacement

B.  Projection

C.  Reaction formation

D.  Suppression

QUESTION 16

When teaching a sex education class, the nurse identifies the most common STDs in the United States as:

A.  Chlamydia

B.   Herpes genitalis

C.   Syphilis

D.  Gonorrhea

QUESTION 17

The nurse assists a client with advanced emphysema to the bathroom. The client becomes extremely short of breath while returning to bed. The nurse should:

A.   Increase his nasal O2 to 6 L/min

B.  Place him in a lateral Sims’ position

C.  Encourage pursed-lip breathing

D.  Have him breathe into a paper bag

QUESTION 18

In a client with chest trauma, the nurse needs to evaluate mediastinal position. This can best be done by:

A.  Auscultating bilateral breath sounds

B.   Palpating for presence of crepitus

C.   Palpating for trachial deviation

D.  Auscultating heart sounds

QUESTION 19

Clinical manifestations seen in left-sided rather than in right-sided heart failure are:

A.  Elevated central venous pressure and peripheral edema

B.  Dyspnea and jaundice

C.  Hypotension and hepatomegaly

D.  Decreased peripheral perfusion and rales

QUESTION 20

In assessing cardiovascular clients with progression of aortic stenosis, the nurse should be aware that there is typically:

A.  Decreased pulmonary blood flow and cyanosis

B.   Increased pressure in the pulmonary veins and pulmonary edema

C.   Systemic venous engorgement

D.   Increased left ventricular systolic pressures and hypertrophy

QUESTION 21

An 8-year-old child comes to the physician’s office complaining of swelling and pain in the knees. His mother says, “The swelling occurred for no reason, and it keeps getting worse.”

The initial diagnosis is Lyme disease. When talking to the mother and child, questions related to which of the following would be important to include in the initial history?

A.  A decreased urinary output and flank pain

B.   A fever of over 103F occurring over the last 2–3 weeks

C.   Rashes covering the palms of the hands and the soles of the feet

D.  Headaches, malaise, or sore throat

QUESTION 22

When administering phenytoin (Dilantin) to a child, the nurse should be aware that a toxic effect of phenytoin therapy is:

A.     Stephens-Johnson syndrome

B.     Folate deficiency

C.     Leukopenic aplastic anemia

D.     Granulocytosis and nephrosis