NCLEX- RN Practice Exam 6

Practice Mode

Welcome to your NCLEX- RN Practice Exam 6! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 25 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.

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

Focus on assessments directly related to respiratory symptoms and vital signs.

1 / 25

1. Nurse Patel is attending to Ms. Garcia, who is reporting symptoms of a cold, a persistent cough, and lung congestion. During the focused data collection process, which of the following actions should Nurse Patel include? Select all that apply.

💡 Hint

SIADH involves the retention of water and dilutional hyponatremia. Think of treatments that help counteract water retention and manage electrolyte balance.

2 / 25

2. A patient with carcinoma of the lung develops the syndrome of inappropriate antidiuretic hormone (SIADH) as a complication of the cancer. The nurse anticipates that which of the following may be prescribed?

💡 Hint

Consider treatments that address both the underlying cancer and the specific electrolyte imbalance associated with SIADH.

3 / 25

3. Nurse Smith is caring for Mr. Thompson, a patient with lung carcinoma who has developed syndrome of inappropriate antidiuretic hormone (SIADH) as a complication. To manage this condition, Nurse Smith anticipates which of the following interventions might be prescribed? Select all that apply.

💡 Hint

Common side effects of phenytoin include changes in oral health and involuntary eye movements.

4 / 25

4. Nurse Alex is monitoring a client with a closed head injury who is receiving phenytoin (Dilantin), an anticonvulsant medication. Which signs and symptoms would indicate that the client is experiencing side effects related to this medication?

💡 Hint

Post-procedure care often involves preventing complications related to changes in pressure or fluid balance within the spinal column.

5 / 25

5. Nurse Megan is preparing a list of instructions for a client scheduled for a myelogram. Which instructions should be included on the list?

💡 Hint

Calculate the total volume to be infused per hour, convert it to drops per minute, and use the drop factor (drops per milliliter) to find the correct rate.

6 / 25

6. Nurse Jessica needs to regulate the IV flow rate for a patient who is to receive 3,000 ml of 0.9% NaCl over 24 hours. The IV set delivers 15 drops per milliliter. How many drops per minute should Nurse Jessica set the IV to deliver?

💡 Hint

Think about the immediate goal of defibrillation in restoring normal heart rhythm.

7 / 25

7. Nurse Sarah is attending to a man admitted to the Telemetry Unit for chest pain evaluation. Eight hours after admission, the patient develops ventricular fibrillation, and the physician performs defibrillation. What does Nurse Sarah understand is the primary purpose of defibrillation?

💡 Hint

Think about which site would allow for the best contact with the skin and least obstruction to absorption.

8 / 25

8. Nurse Emily is preparing to apply nitroglycerine ointment to a patient and wants to enhance its percutaneous absorption. Which site should she choose to ensure optimal absorption?

💡 Hint

Consider the patient's increased risk of bleeding and bruising due to thrombocytopenia.

9 / 25

9. Nurse Jenna is caring for a 23-year-old man who has been admitted to the hospital due to fatigue and weight loss. During the physical exam, she notes pallor and multiple bruises on his arms and legs. Test results indicate he has acute lymphocytic leukemia and thrombocytopenia. Which nursing diagnosis best reflects his condition?

💡 Hint

Consider the potential nephrotoxic effects of Gentamicin when deciding which lab values to monitor closely.

10 / 25

10. Nurse Rachel is caring for a 64-year-old patient diagnosed with pneumonia who is currently being treated with garamycin (Gentamicin). Which laboratory values should Nurse Rachel prioritize monitoring for this patient?

💡 Hint

Consider the side effects of lithium therapy and the importance of monitoring mental health during treatment.

11 / 25

11. Nurse John is evaluating a patient in the psychiatric unit who has been on lithium therapy for two weeks and is now showing signs of depression. What would be the most accurate interpretation of the patient's behavior?

💡 Hint

Consider the initial reactions people often have immediately following a sudden and traumatic loss.

12 / 25

12. Nurse Lisa is caring for a 51-year-old man who has been admitted to the hospital with a severe head injury from an automobile accident. After the patient passes away, Nurse Lisa observes the patient's wife comforting other family members. What is the most justifiable interpretation of the wife's behavior?

💡 Hint

Think about the impact of speech speed and pitch on hearing clarity for those with hearing loss.

13 / 25

13. Nurse Karen is providing guidance to the family of an elderly patient with moderate hearing loss. What approach should Nurse Karen recommend the family use when speaking to the patient?

💡 Hint

Consider the nurse's role in verifying the documentation rather than obtaining consent directly.

14 / 25

14. Nurse Carla is attending to a 23-year-old woman who has arrived at the emergency room reporting a sexual assault. As part of her responsibilities, Nurse Carla must ensure the proper protocol for obtaining written consent is followed. Which statement best describes Nurse Carla's responsibility regarding the consent form?

💡 Hint

Consider the importance of personal accountability and self-awareness in the therapeutic process.

15 / 25

15. Nurse Amy is meeting with an adolescent male who is being treated for depression and his family at the Adolescent Day Treatment Center for their first therapy session. She explains that one of the objectives of the family meeting is to help the adolescent:

💡 Hint

The frequency of contractions involves the start time of one contraction to the start time of the next, giving an idea of how often they are occurring.

16 / 25

16. Nurse Laura is teaching Maria, a 21-year-old first-time mother, how to measure the frequency of her uterine contractions. What should Nurse Laura explain to Maria about how to determine the frequency of her contractions?

💡 Hint

Look for physical signs that relate to the positioning and symmetry of the hips and thighs in infants.

17 / 25

17. Nurse Jenny is assisting in a well-baby checkup for a two-month-old infant. During the exam, there is a suspicion of congenital subluxation of the left hip. Nurse Jenny needs to identify the symptoms indicative of congenital hip dislocation. What are these symptoms?

💡 Hint

Think about common oral conditions in newborns and the standard treatment for them.

18 / 25

18. Nurse Emily conducts a home visit with Maria, who delivered her baby two days ago and is bottle-feeding her newborn. During the visit, Nurse Emily notices white, curd-like patches on the baby's oral mucous membranes. What action should Nurse Emily take next?

💡 Hint

Consider the current health status of the clients and any symptoms that might suggest an existing infection.

19 / 25

19. Nurse Samantha is overseeing a group of student nurses giving influenza vaccinations at the outpatient clinic. She needs to ensure that the vaccine is administered safely and appropriately. For which client should Nurse Samantha reconsider the administration of the influenza vaccine?

💡 Hint

Focus on the position of the fetus relative to the mother's right side and the fetal head’s orientation.

20 / 25

20. Nurse Kelly is conducting a routine prenatal checkup for Sarah, an 18-year-old who is 34 weeks pregnant. During the examination, abdominal palpation indicates the fetus is in a right occipital anterior (ROA) position. Nurse Kelly needs to determine the most likely location to auscultate the fetal heart tone. Where should she listen?

💡 Hint

Think about the skills and scope of practice of an LPN/LVN, particularly in relation to wound care and routine procedures.

21 / 25

21. Nurse Taylor is coordinating care for the day and must delegate tasks to her team, which includes an RN, an LPN/LVN, and a nursing assistant. She needs to determine the most appropriate patient assignment for the LPN/LVN. Which patient should Nurse Taylor assign to the LPN/LVN?

💡 Hint

Consider the position that helps prevent aspiration and promotes drainage after throat surgery.

22 / 25

22. Nurse Amber is caring for Timmy, a 6-year-old who has just returned to his room after a tonsillectomy. Although Timmy is still drowsy from the anesthesia, he can be easily roused. Nurse Amber needs to decide the best position to place Timmy in to ensure his safety and comfort. Which position should she choose?

💡 Hint

Consider standard precautions to protect against exposure to bodily fluids during the procedure.

23 / 25

23. Nurse Alex is preparing to insert a nasogastric tube for a patient and must take appropriate protective measures. What protective equipment should Nurse Alex use to ensure safety and infection control during the procedure?

💡 Hint

Think about the most secure method to prevent children from accessing medications.

24 / 25

24. Nurse Emily is conducting a safety workshop for a group of mothers of toddlers, focusing on how to prevent accidental poisoning. When discussing the safe storage of medications, which recommendation should Nurse Emily provide?

💡 Hint

Consider the patient's compromised immune system and the best way to minimize her risk of infection.

25 / 25

25. Nurse Sandra is caring for Mrs. Thompson, a 68-year-old patient diagnosed with thrombocytopenia resulting from acute lymphocytic leukemia. Mrs. Thompson has been admitted for treatment, and Nurse Sandra needs to determine the most appropriate room assignment. What is the best option for Mrs. Thompson's safety and care?

Exam Mode

Welcome to your NCLEX- RN Practice Exam 6! 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: 25 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 37 minutes & 30 seconds.
  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 37 minutes & 30 seconds 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 / 25

1. Nurse Emily is preparing to apply nitroglycerine ointment to a patient and wants to enhance its percutaneous absorption. Which site should she choose to ensure optimal absorption?

2 / 25

2. Nurse Jessica needs to regulate the IV flow rate for a patient who is to receive 3,000 ml of 0.9% NaCl over 24 hours. The IV set delivers 15 drops per milliliter. How many drops per minute should Nurse Jessica set the IV to deliver?

3 / 25

3. Nurse Taylor is coordinating care for the day and must delegate tasks to her team, which includes an RN, an LPN/LVN, and a nursing assistant. She needs to determine the most appropriate patient assignment for the LPN/LVN. Which patient should Nurse Taylor assign to the LPN/LVN?

4 / 25

4. Nurse Alex is monitoring a client with a closed head injury who is receiving phenytoin (Dilantin), an anticonvulsant medication. Which signs and symptoms would indicate that the client is experiencing side effects related to this medication?

5 / 25

5. Nurse Samantha is overseeing a group of student nurses giving influenza vaccinations at the outpatient clinic. She needs to ensure that the vaccine is administered safely and appropriately. For which client should Nurse Samantha reconsider the administration of the influenza vaccine?

6 / 25

6. Nurse Kelly is conducting a routine prenatal checkup for Sarah, an 18-year-old who is 34 weeks pregnant. During the examination, abdominal palpation indicates the fetus is in a right occipital anterior (ROA) position. Nurse Kelly needs to determine the most likely location to auscultate the fetal heart tone. Where should she listen?

7 / 25

7. Nurse Amy is meeting with an adolescent male who is being treated for depression and his family at the Adolescent Day Treatment Center for their first therapy session. She explains that one of the objectives of the family meeting is to help the adolescent:

8 / 25

8. Nurse John is evaluating a patient in the psychiatric unit who has been on lithium therapy for two weeks and is now showing signs of depression. What would be the most accurate interpretation of the patient's behavior?

9 / 25

9. Nurse Sandra is caring for Mrs. Thompson, a 68-year-old patient diagnosed with thrombocytopenia resulting from acute lymphocytic leukemia. Mrs. Thompson has been admitted for treatment, and Nurse Sandra needs to determine the most appropriate room assignment. What is the best option for Mrs. Thompson's safety and care?

10 / 25

10. A patient with carcinoma of the lung develops the syndrome of inappropriate antidiuretic hormone (SIADH) as a complication of the cancer. The nurse anticipates that which of the following may be prescribed?

11 / 25

11. Nurse Lisa is caring for a 51-year-old man who has been admitted to the hospital with a severe head injury from an automobile accident. After the patient passes away, Nurse Lisa observes the patient's wife comforting other family members. What is the most justifiable interpretation of the wife's behavior?

12 / 25

12. Nurse Laura is teaching Maria, a 21-year-old first-time mother, how to measure the frequency of her uterine contractions. What should Nurse Laura explain to Maria about how to determine the frequency of her contractions?

13 / 25

13. Nurse Sarah is attending to a man admitted to the Telemetry Unit for chest pain evaluation. Eight hours after admission, the patient develops ventricular fibrillation, and the physician performs defibrillation. What does Nurse Sarah understand is the primary purpose of defibrillation?

14 / 25

14. Nurse Jenny is assisting in a well-baby checkup for a two-month-old infant. During the exam, there is a suspicion of congenital subluxation of the left hip. Nurse Jenny needs to identify the symptoms indicative of congenital hip dislocation. What are these symptoms?

15 / 25

15. Nurse Amber is caring for Timmy, a 6-year-old who has just returned to his room after a tonsillectomy. Although Timmy is still drowsy from the anesthesia, he can be easily roused. Nurse Amber needs to decide the best position to place Timmy in to ensure his safety and comfort. Which position should she choose?

16 / 25

16. Nurse Karen is providing guidance to the family of an elderly patient with moderate hearing loss. What approach should Nurse Karen recommend the family use when speaking to the patient?

17 / 25

17. Nurse Megan is preparing a list of instructions for a client scheduled for a myelogram. Which instructions should be included on the list?

18 / 25

18. Nurse Smith is caring for Mr. Thompson, a patient with lung carcinoma who has developed syndrome of inappropriate antidiuretic hormone (SIADH) as a complication. To manage this condition, Nurse Smith anticipates which of the following interventions might be prescribed? Select all that apply.

19 / 25

19. Nurse Alex is preparing to insert a nasogastric tube for a patient and must take appropriate protective measures. What protective equipment should Nurse Alex use to ensure safety and infection control during the procedure?

20 / 25

20. Nurse Jenna is caring for a 23-year-old man who has been admitted to the hospital due to fatigue and weight loss. During the physical exam, she notes pallor and multiple bruises on his arms and legs. Test results indicate he has acute lymphocytic leukemia and thrombocytopenia. Which nursing diagnosis best reflects his condition?

21 / 25

21. Nurse Rachel is caring for a 64-year-old patient diagnosed with pneumonia who is currently being treated with garamycin (Gentamicin). Which laboratory values should Nurse Rachel prioritize monitoring for this patient?

22 / 25

22. Nurse Emily is conducting a safety workshop for a group of mothers of toddlers, focusing on how to prevent accidental poisoning. When discussing the safe storage of medications, which recommendation should Nurse Emily provide?

23 / 25

23. Nurse Patel is attending to Ms. Garcia, who is reporting symptoms of a cold, a persistent cough, and lung congestion. During the focused data collection process, which of the following actions should Nurse Patel include? Select all that apply.

24 / 25

24. Nurse Emily conducts a home visit with Maria, who delivered her baby two days ago and is bottle-feeding her newborn. During the visit, Nurse Emily notices white, curd-like patches on the baby's oral mucous membranes. What action should Nurse Emily take next?

25 / 25

25. Nurse Carla is attending to a 23-year-old woman who has arrived at the emergency room reporting a sexual assault. As part of her responsibilities, Nurse Carla must ensure the proper protocol for obtaining written consent is followed. Which statement best describes Nurse Carla's responsibility regarding the consent form?