NCLEX- RN Practice Exam 4

Practice Mode

Welcome to your NCLEX- RN Practice Exam 4! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 30 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Tips For Success

  • Read each question carefully. Take your time and don't rush.
  • Understand the rationale behind each answer. This will not only help you during this exam, but also assist in reinforcing your learning.
  • Don't be discouraged by incorrect answers. Use them as an opportunity to learn and improve.
  • Take breaks if you need them. It's not a race, and your understanding is what's most important.
  • Keep a positive attitude and believe in your ability to succeed.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Consider the genetic transmission mode of Duchenne’s muscular dystrophy, specifically how it affects males and the carrier status of females.

1 / 30

1. In a genetic counseling session, Nurse Bradley discusses the implications of Duchenne muscular dystrophy (DMD), a diagnosis recently given to the child of a couple planning another pregnancy. She provides accurate information about the inheritance pattern of this genetic disorder. Which statement is the most accurate regarding the inheritance of Duchenne’s muscular dystrophy?

💡 Hint

Consider the typical progression and treatment approach for hydroceles in infants, especially in non-complicated cases.

2 / 30

2. During a follow-up visit, Nurse Roberts evaluates a one-month-old infant previously diagnosed with a hydrocele. She notes that the infant's scrotum, although smaller than at birth, still shows fluid upon illumination. Based on this observation, what is the most likely recommendation from the physician regarding further management?

💡 Hint

Consider which factor can be passed down genetically and significantly influences the risk of heart diseases.

3 / 30

3. Nurse Garcia is speaking with a patient in the cardiac unit who is concerned about hereditary factors contributing to atherosclerosis. She explains the different risk factors, focusing on those that are inherited. Which of the following should Nurse Garcia identify as a hereditary risk factor for atherosclerosis?

💡 Hint

Focus on the location and nature of the injury in relation to the child's refusal to walk and the observed swelling.

4 / 30

4. In the emergency department, Nurse Cooper is assessing a two-year-old child who has injured his leg and now refuses to walk. Upon examination, she notes swelling in the lower leg of the affected side. Based on these observations, what does Nurse Cooper suspect is the most likely cause of the child's symptoms?

💡 Hint

Consider the common complications and symptoms associated with chronic renal failure, focusing on fluid balance, nutritional status, and the client's ability to tolerate activity.

5 / 30

5. Nurse Walker is developing a care plan for a hospitalized client with chronic renal failure. She identifies the most appropriate nursing diagnoses for this condition. Which of the following nursing diagnoses are most suitable for this client? (Select all that apply.)

💡 Hint

Focus on the relationship between muscle activity, oxygen needs, and the symptoms experienced during physical exertion.

6 / 30

6. Nurse Mitchell is educating a group of patients about claudication, a common symptom of peripheral vascular disease (PVD). She describes its characteristics and underlying causes to help them better understand their symptoms. Which of the following facts about claudication are correct? (Select all that apply.)

💡 Hint

Focus on interventions that alleviate the triggers of autonomic dysreflexia and manage the symptoms effectively.

7 / 30

7. Nurse Johnson is caring for a client with a T5 complete spinal cord injury who is exhibiting signs of autonomic dysreflexia. She observes flushed skin, diaphoresis above the T5 level, a blood pressure of 162/96, and the client reports a severe, pounding headache. Which nursing interventions would be appropriate for this client? (Select all that apply.)

💡 Hint

Focus on interventions that can directly influence the outflow of the dialysis fluid before escalating to contacting the physician.

8 / 30

8. Nurse Lee is monitoring a client undergoing peritoneal dialysis and notices that the outflow is less than the inflow. She needs to take appropriate actions to address this issue. Which actions should Nurse Lee take? (Select all that apply.)

💡 Hint

Focus on the importance of ensuring line patency and site integrity, and the protocols to follow if issues arise.

9 / 30

9. When managing a client with a central venous line for chemotherapy administration, Nurse Thompson is meticulous in her care to ensure safety and efficacy. Which of the following nursing actions should she include in her plan of care? (Select all that apply.)

💡 Hint

Consider the typical infectious precursors related to the onset of this renal condition.

10 / 30

10. Nurse Patel is reviewing the medical chart of a patient diagnosed with acute glomerulonephritis. She discusses with her colleagues the most common causes of this condition to better understand the patient's history and potential precipitating factors. Which cause is most frequently associated with the development of acute glomerulonephritis?

💡 Hint

Consider the potential adverse effects of medications designed to dissolve blood clots, especially in the brain.

11 / 30

11. Nurse Evans is discussing the risks associated with thrombolytic therapy, a common treatment for suspected stroke, with a patient and their family. She highlights the potential complications to ensure they are well-informed before making treatment decisions. Which complication is significantly associated with thrombolytic therapy?

💡 Hint

Think about the condition that specifically affects neck muscles, leading to a distinctive tilted head posture.

12 / 30

12. Nurse Lee is assessing an infant whose mother reports that he consistently holds his head tilted to one side. Upon examination, Nurse Lee considers the possible causes for this abnormal head posture. Which condition is the most likely explanation for the infant's behavior?

💡 Hint

Consider the nature of cerebral palsy and the importance of ongoing assessment and community support in managing the condition.

13 / 30

13. Nurse Gomez is providing information to the parents of a toddler recently diagnosed with cerebral palsy. She emphasizes key aspects of the condition and its management to support the parents in their journey. Which of the following pieces of information should she include? (Select all that apply.)

💡 Hint

Consider the importance of identifying the causative organism before initiating antibiotic therapy to ensure appropriate treatment.

14 / 30

14. Nurse Bennett is caring for a child admitted to the hospital after a foot injury that has raised concerns about osteomyelitis. The physician has ordered parenteral antibiotics as a precaution. Before starting the antibiotic treatment, which action is Nurse Bennett most likely to take first?

💡 Hint

Raynaud's disease predominantly affects a specific gender and age group, often with onset in younger adults.

15 / 30

15. Nurse Thomas is evaluating a patient with Raynaud's disease, a vasospastic disorder characterized by episodes of reduced blood flow to the fingers, leading to coldness and stiffness. He considers which demographic is most commonly affected by this condition to enhance his understanding of the patient profile. Which description is most likely to fit a patient with Raynaud’s disease?

💡 Hint

Consider where Osgood-Schlatter disease typically causes discomfort and its common triggers in active adolescents.

16 / 30

16. Nurse Harris is reviewing a physician’s note provided by an adolescent student diagnosed with Osgood-Schlatter disease, which has led to a restriction from participating in sports. She explains to the physical education teacher what this condition entails. Which statement about Osgood-Schlatter disease is correct?

💡 Hint

Consider the habits that could impair circulation in patients with PVD.

17 / 30

17. Nurse Parker is preparing discharge instructions for a patient with peripheral vascular disease (PVD). She emphasizes important self-care practices to prevent complications and manage symptoms effectively. Which of the following instructions should Nurse Parker include?

💡 Hint

Focus on the effects of reduced blood flow in PVD and how it might impact nerve function.

18 / 30

18. Nurse Williams is managing a patient diagnosed with peripheral vascular disease (PVD) who reports burning and tingling sensations in the hands and feet, along with a hypersensitivity to touch. She discusses the possible reasons for these symptoms to better address the patient's discomfort. What is the most likely explanation for these symptoms?

💡 Hint

Focus on the risk factors related to prolonged immobility and their typical complications during pregnancy.

19 / 30

19. Nurse Brown is caring for a 24-year-old patient who is 27 weeks pregnant and has been on complete bed rest for 6 days. The patient suddenly experiences shortness of breath and chest pain. Considering her condition and circumstances, which is the most likely cause of her symptoms?

💡 Hint

Consider the position that is recommended to ensure the baby's airway remains open and reduces the risk of suffocation.

20 / 30

20. Nurse Williams educates the mother of a newborn on the safest sleeping positions to reduce the risk of sudden infant death syndrome (SIDS). Which positions should she recommend for placing the baby after nursing? (Select all that apply)

💡 Hint

Consider the common traits associated with borderline personality disorder, focusing on emotional instability and behavioral issues.

21 / 30

21. Nurse Greene is discussing the history of a 20-year-old college student newly admitted to the psychiatric hospital with a diagnosis of borderline personality disorder (BPD). She explores the typical characteristics associated with this condition to gain a comprehensive understanding of the client's behavior and symptoms. Which aspects of the client's history should Nurse Greene expect to find? (Select all that apply.)

💡 Hint

Probable signs of pregnancy include physical and clinical findings typically observed by a healthcare provider but exclude definitive proof such as fetal heart rate or imaging.

22 / 30

22. Nurse Taylor is assisting in assessing a client who suspects she is pregnant. She checks for probable signs of pregnancy to confirm the suspicion. Which of the following are considered probable signs of pregnancy? (Select all that apply.)

💡 Hint

Consider the simplest and most rapid test to evaluate for a common cause of acute confusion and physical symptoms.

23 / 30

23. Nurse Carter is evaluating a 29-year-old male patient who was found wandering in a confused manner, appearing sweaty and pale. Given these acute symptoms, which test is Nurse Carter most likely to conduct first to determine the immediate cause of the patient's condition?

💡 Hint

Think about the typical defensive behaviors and attitudes of parents involved in child abuse cases.

24 / 30

24. Nurse Allen is conducting an interview with a parent suspected of child abuse. During the interview, she considers various characteristics that may be commonly observed in abusing parents. Which characteristic is Nurse Allen LEAST likely to find in a parent who abuses their child?

💡 Hint

Consider the standard first-line treatments for managing symptoms in juvenile idiopathic arthritis.

25 / 30

25. Nurse Martinez, working in the pediatric rheumatology clinic, is evaluating a child recently diagnosed with juvenile idiopathic arthritis (JIA). She reviews current knowledge about the disease to provide accurate information and support to the child and their family. Which statement about juvenile idiopathic arthritis is most accurate?

💡 Hint

Focus on practices that ensure proper care of the ostomy and skin protection, while avoiding misconceptions about fluid intake and odor control.

26 / 30

26. Nurse Williams is evaluating the discharge teaching for a client with an ileal conduit. She wants to ensure the client understands proper care and management of the ostomy. Which of the following statements by the client indicate correct understanding? (Select all that apply.)

💡 Hint

Focus on symptoms related to increased intracranial pressure and changes in behavior or physical function commonly seen with brain tumors.

27 / 30

27. Nurse Adams is assessing a child diagnosed with a brain tumor. She evaluates the common signs and symptoms associated with this condition. Which of the following signs and symptoms would she expect the child to demonstrate? (Select all that apply.)

💡 Hint

Consider the extent of tumor spread and surgical outcomes for this stage.

28 / 30

28. Nurse Thompson is caring for a young child diagnosed with Wilms' tumor, stage II. She educates the parents about the specifics of this stage to help them understand the treatment and prognosis. Which description should Nurse Thompson use to accurately describe stage II of Wilms' tumor?

💡 Hint

Consider the recommendation that is known to have a calming effect and promote relaxation without interfering with sleep.

29 / 30

29. Nurse Kim is providing advice to an adult client who is having difficulty sleeping. To promote better sleep, which recommendation should Nurse Kim give?

💡 Hint

Focus on the type of examination that involves observing the spine's alignment when the patient is in a forward-bending position.

30 / 30

30. Nurse Thompson instructs a 13-year-old female patient to bend forward at the waist with her arms hanging freely during a routine physical examination. This specific posture helps the nurse conduct a particular assessment. Which assessment is Nurse Thompson most likely performing?

Exam Mode

Welcome to your NCLEX- RN Practice Exam 4! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 30 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 45 minutes.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

Tips For Success

  • Read each question carefully. You have 90 seconds per question, so make sure you understand the question before selecting your answer.
  • Pace yourself. Remember, you have 45 minutes in total, so try to maintain a steady rhythm.
  • Focus on one question at a time. Try not to worry about the questions to come.
  • Stay calm under pressure. Use your knowledge and trust your instincts.
  • Remember, it's not just about the score, but about the learning process.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career. Click 'Start Exam' when you're ready to begin. Good luck!

1 / 30

1. Nurse Thomas is evaluating a patient with Raynaud's disease, a vasospastic disorder characterized by episodes of reduced blood flow to the fingers, leading to coldness and stiffness. He considers which demographic is most commonly affected by this condition to enhance his understanding of the patient profile. Which description is most likely to fit a patient with Raynaud’s disease?

2 / 30

2. Nurse Thompson is caring for a young child diagnosed with Wilms' tumor, stage II. She educates the parents about the specifics of this stage to help them understand the treatment and prognosis. Which description should Nurse Thompson use to accurately describe stage II of Wilms' tumor?

3 / 30

3. Nurse Williams is evaluating the discharge teaching for a client with an ileal conduit. She wants to ensure the client understands proper care and management of the ostomy. Which of the following statements by the client indicate correct understanding? (Select all that apply.)

4 / 30

4. Nurse Walker is developing a care plan for a hospitalized client with chronic renal failure. She identifies the most appropriate nursing diagnoses for this condition. Which of the following nursing diagnoses are most suitable for this client? (Select all that apply.)

5 / 30

5. In the emergency department, Nurse Cooper is assessing a two-year-old child who has injured his leg and now refuses to walk. Upon examination, she notes swelling in the lower leg of the affected side. Based on these observations, what does Nurse Cooper suspect is the most likely cause of the child's symptoms?

6 / 30

6. Nurse Williams educates the mother of a newborn on the safest sleeping positions to reduce the risk of sudden infant death syndrome (SIDS). Which positions should she recommend for placing the baby after nursing? (Select all that apply)

7 / 30

7. Nurse Bennett is caring for a child admitted to the hospital after a foot injury that has raised concerns about osteomyelitis. The physician has ordered parenteral antibiotics as a precaution. Before starting the antibiotic treatment, which action is Nurse Bennett most likely to take first?

8 / 30

8. Nurse Greene is discussing the history of a 20-year-old college student newly admitted to the psychiatric hospital with a diagnosis of borderline personality disorder (BPD). She explores the typical characteristics associated with this condition to gain a comprehensive understanding of the client's behavior and symptoms. Which aspects of the client's history should Nurse Greene expect to find? (Select all that apply.)

9 / 30

9. Nurse Lee is monitoring a client undergoing peritoneal dialysis and notices that the outflow is less than the inflow. She needs to take appropriate actions to address this issue. Which actions should Nurse Lee take? (Select all that apply.)

10 / 30

10. Nurse Mitchell is educating a group of patients about claudication, a common symptom of peripheral vascular disease (PVD). She describes its characteristics and underlying causes to help them better understand their symptoms. Which of the following facts about claudication are correct? (Select all that apply.)

11 / 30

11. Nurse Kim is providing advice to an adult client who is having difficulty sleeping. To promote better sleep, which recommendation should Nurse Kim give?

12 / 30

12. Nurse Johnson is caring for a client with a T5 complete spinal cord injury who is exhibiting signs of autonomic dysreflexia. She observes flushed skin, diaphoresis above the T5 level, a blood pressure of 162/96, and the client reports a severe, pounding headache. Which nursing interventions would be appropriate for this client? (Select all that apply.)

13 / 30

13. Nurse Evans is discussing the risks associated with thrombolytic therapy, a common treatment for suspected stroke, with a patient and their family. She highlights the potential complications to ensure they are well-informed before making treatment decisions. Which complication is significantly associated with thrombolytic therapy?

14 / 30

14. Nurse Harris is reviewing a physician’s note provided by an adolescent student diagnosed with Osgood-Schlatter disease, which has led to a restriction from participating in sports. She explains to the physical education teacher what this condition entails. Which statement about Osgood-Schlatter disease is correct?

15 / 30

15. Nurse Lee is assessing an infant whose mother reports that he consistently holds his head tilted to one side. Upon examination, Nurse Lee considers the possible causes for this abnormal head posture. Which condition is the most likely explanation for the infant's behavior?

16 / 30

16. Nurse Taylor is assisting in assessing a client who suspects she is pregnant. She checks for probable signs of pregnancy to confirm the suspicion. Which of the following are considered probable signs of pregnancy? (Select all that apply.)

17 / 30

17. Nurse Patel is reviewing the medical chart of a patient diagnosed with acute glomerulonephritis. She discusses with her colleagues the most common causes of this condition to better understand the patient's history and potential precipitating factors. Which cause is most frequently associated with the development of acute glomerulonephritis?

18 / 30

18. Nurse Gomez is providing information to the parents of a toddler recently diagnosed with cerebral palsy. She emphasizes key aspects of the condition and its management to support the parents in their journey. Which of the following pieces of information should she include? (Select all that apply.)

19 / 30

19. Nurse Parker is preparing discharge instructions for a patient with peripheral vascular disease (PVD). She emphasizes important self-care practices to prevent complications and manage symptoms effectively. Which of the following instructions should Nurse Parker include?

20 / 30

20. In a genetic counseling session, Nurse Bradley discusses the implications of Duchenne muscular dystrophy (DMD), a diagnosis recently given to the child of a couple planning another pregnancy. She provides accurate information about the inheritance pattern of this genetic disorder. Which statement is the most accurate regarding the inheritance of Duchenne’s muscular dystrophy?

21 / 30

21. Nurse Garcia is speaking with a patient in the cardiac unit who is concerned about hereditary factors contributing to atherosclerosis. She explains the different risk factors, focusing on those that are inherited. Which of the following should Nurse Garcia identify as a hereditary risk factor for atherosclerosis?

22 / 30

22. Nurse Brown is caring for a 24-year-old patient who is 27 weeks pregnant and has been on complete bed rest for 6 days. The patient suddenly experiences shortness of breath and chest pain. Considering her condition and circumstances, which is the most likely cause of her symptoms?

23 / 30

23. Nurse Martinez, working in the pediatric rheumatology clinic, is evaluating a child recently diagnosed with juvenile idiopathic arthritis (JIA). She reviews current knowledge about the disease to provide accurate information and support to the child and their family. Which statement about juvenile idiopathic arthritis is most accurate?

24 / 30

24. When managing a client with a central venous line for chemotherapy administration, Nurse Thompson is meticulous in her care to ensure safety and efficacy. Which of the following nursing actions should she include in her plan of care? (Select all that apply.)

25 / 30

25. Nurse Thompson instructs a 13-year-old female patient to bend forward at the waist with her arms hanging freely during a routine physical examination. This specific posture helps the nurse conduct a particular assessment. Which assessment is Nurse Thompson most likely performing?

26 / 30

26. Nurse Adams is assessing a child diagnosed with a brain tumor. She evaluates the common signs and symptoms associated with this condition. Which of the following signs and symptoms would she expect the child to demonstrate? (Select all that apply.)

27 / 30

27. Nurse Allen is conducting an interview with a parent suspected of child abuse. During the interview, she considers various characteristics that may be commonly observed in abusing parents. Which characteristic is Nurse Allen LEAST likely to find in a parent who abuses their child?

28 / 30

28. During a follow-up visit, Nurse Roberts evaluates a one-month-old infant previously diagnosed with a hydrocele. She notes that the infant's scrotum, although smaller than at birth, still shows fluid upon illumination. Based on this observation, what is the most likely recommendation from the physician regarding further management?

29 / 30

29. Nurse Carter is evaluating a 29-year-old male patient who was found wandering in a confused manner, appearing sweaty and pale. Given these acute symptoms, which test is Nurse Carter most likely to conduct first to determine the immediate cause of the patient's condition?

30 / 30

30. Nurse Williams is managing a patient diagnosed with peripheral vascular disease (PVD) who reports burning and tingling sensations in the hands and feet, along with a hypersensitivity to touch. She discusses the possible reasons for these symptoms to better address the patient's discomfort. What is the most likely explanation for these symptoms?