NCLEX- RN Practice Exam 8

Practice Mode

Welcome to your NCLEX- RN Practice Exam 8! 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

Pulmonary edema requires immediate interventions to improve oxygenation and reduce fluid in the lungs, often involving respiratory support and positioning to facilitate breathing.

1 / 30

1. Nurse Patel is attending to Mr. Johnson, a patient with heart failure, who suddenly presents with severe shortness of breath, rapid heart rate, and lung crackles. Suspecting pulmonary edema, Nurse Patel quickly informs the registered nurse and prepares for the following intervention:

💡 Hint

Consider which statements reflect a misunderstanding of the recommended exercise practices for managing hyperparathyroidism.

2 / 30

2. Nurse Lopez is reviewing home care exercise instructions with Ms. Sanchez, a patient diagnosed with hyperparathyroidism. Which statements by Ms. Sanchez suggest that she needs more instruction? (Select all that apply.)

💡 Hint

Think about the potential conflicts of interest and professional guidelines regarding witnessing legal documents.

3 / 30

3. Nurse Sarah enters Mrs. Johnson's room and sees that her lawyer is present, helping her prepare a living will. The document requires a witness signature, and Mrs. Johnson asks Nurse Sarah to sign as a witness. What should Nurse Sarah do?

💡 Hint

Consider the symptoms that might indicate a potentially life-threatening condition requiring immediate attention.

4 / 30

4. Nurse Emma is working the evening shift in the emergency department and is responsible for triaging incoming clients. Which client should Nurse Emma prioritize first?

💡 Hint

Think about interventions that help monitor for complications and promote recovery after a lumbar puncture.

5 / 30

5. Nurse Parker is creating a care plan for Mr. Thompson, a 45-year-old patient who just underwent a lumbar puncture. Which nursing interventions should be incorporated into the plan? (Select all that apply.)

💡 Hint

Think about gastrointestinal reactions commonly linked to medications used for cognitive disorders.

6 / 30

6. Nurse Laura is administering Exelon (rivastigmine) to Mr. Andrews, a patient with Alzheimer's disease. She reviews the medication's side effects to monitor for any adverse reactions. Which side effect is most commonly associated with Exelon?

💡 Hint

Choose a response that acknowledges the patient's current perception while addressing their immediate need.

7 / 30

7. Nurse Alex is attending to Mr. Thompson, a client who is experiencing confusion. Mr. Thompson tells Nurse Alex, "I haven't had anything to eat all day long. When are they going to bring breakfast?" Nurse Alex recalls seeing Mr. Thompson eating breakfast with others just 30 minutes ago. What is the best response for Nurse Alex to make?

💡 Hint

Think of a term that describes increased confusion and agitation occurring at a specific time of day in dementia patients.

8 / 30

8. Nurse Karen is caring for a client with dementia who becomes increasingly confused late in the afternoon and before bedtime. The nurse understands that the client is experiencing what is known as:

💡 Hint

Consider the term that describes difficulty in carrying out purposeful movements despite having the physical ability to do so.

9 / 30

9. Nurse Laura is assisting a client with Alzheimer's disease in performing activities of daily living. She notices the client attempting to use a toothbrush to brush her hair. The nurse recognizes that the client is demonstrating:

💡 Hint

Focus on the physical movement that involves the lower body and results in pain indicative of meningeal irritation.

10 / 30

10. Nurse Sam is admitting Jason, a patient with suspected meningitis, and the doctor is assessing for meningeal irritation and spinal nerve root inflammation. Nurse Sam observes and documents a positive Kernig’s sign. What specific finding should Nurse Sam note?

💡 Hint

Think about a condition that affects the cardiovascular system and could be exacerbated by the medication.

11 / 30

11. Nurse Jenna is reviewing the medical history of a client who has been prescribed Imitrex (sumatriptan succinate) for migraine headaches. Which of the following conditions in the client’s history should she report to the doctor?

💡 Hint

Focus on the combination of respiratory symptoms and systemic signs commonly associated with a chronic infectious disease.

12 / 30

12. Nurse Emily is assessing a client who has been admitted with a temperature of 99.8°F, reports of blood-tinged hemoptysis, fatigue, and night sweats. These symptoms suggest which likely diagnosis?

💡 Hint

Consider what might cause the fundus to be displaced from its normal midline position.

13 / 30

13. Nurse Kelly is assessing Maria, a patient on her first day postpartum. Upon examining Maria's fundus, Nurse Kelly observes that it is firm, positioned at the level of the umbilicus, but shifted to the right. What should Nurse Kelly do next?

💡 Hint

Think about the immediate need to ensure safety for all involved in a potentially dangerous situation.

14 / 30

14. Nurse Jamie is working in the psychiatric unit when a patient, Mr. Wilson, becomes uncontrollably angry and starts threatening other clients and staff. What is the most appropriate action for Nurse Jamie to take?

💡 Hint

The timing of administration is crucial for proton pump inhibitors to reduce stomach acid production effectively, usually before the stomach starts producing acid in response to food intake.

15 / 30

15. Nurse Amanda is caring for Mrs. Jensen, a patient diagnosed with erosive gastritis who has been prescribed Nexium (esomeprazole). When should Nurse Amanda administer this medication to ensure its effectiveness?

💡 Hint

Consider the vaccines that are part of the routine immunization schedule for infants at 4 months old.

16 / 30

16. Nurse Sarah is attending to a 4-month-old baby at the well-baby clinic for a scheduled immunization visit. Besides the DPT and polio vaccines, which additional vaccine should the baby receive?

💡 Hint

Consider the protective role of leucovorin calcium in chemotherapy regimens.

17 / 30

17. Nurse Laura is caring for Mr. Thompson, a patient with leukemia who is receiving Trimetrexate. The physician has added Wellcovorin (leucovorin calcium) to his treatment plan. What is the reason for giving leucovorin calcium to a patient on Trimetrexate?

💡 Hint

Focus on the specific care requirement for a newborn's healing umbilical cord.

18 / 30

18. Nurse Megan is conducting a class on basic infant care for new parents. She explains the importance of giving a sponge bath during the first two weeks of the baby's life. What reason should she provide for this recommendation?

💡 Hint

Consider when the patient should eat relative to the insulin administration to avoid hypoglycemia.

19 / 30

19. Nurse Tina is educating Mr. Hernandez, a patient with diabetes mellitus, on how to manage his new prescription of Novolog insulin. To assess his understanding, she asks him about the timing of the insulin's peak action. Which response from Mr. Hernandez indicates he understands when Novolog insulin reaches its peak?

💡 Hint

Think about the texture and ease of swallowing for a patient with a facial stroke.

20 / 30

20. Nurse Ramirez is planning a meal for Mr. Clark, who has been hospitalized following a facial stroke. Which diet option would be most appropriate for him?

💡 Hint

Consider the safety protocols associated with radiation therapy.

21 / 30

21. Nurse Parker is caring for Mrs. Davis, who is undergoing treatment for vaginal cancer with a radioactive vaginal implant. Mr. Davis asks if he can stay overnight with his wife. How should Nurse Parker respond?

💡 Hint

The most direct method to evaluate the extent of edema involves checking for the characteristic feature of pitting, which indicates fluid retention in the tissues.

22 / 30

22. Nurse Anderson is assessing Mrs. Green, a patient with peripheral edema. To accurately evaluate the extent of the edema, what method should Nurse Anderson use?

💡 Hint

Think about standard practices for managing hypertension with multiple medications.

23 / 30

23. Nurse Johnson is preparing to administer lisinopril (Zestril) and furosemide (Lasix) to Mr. Thompson, a patient with hypertension, as prescribed by the physician. What should Nurse Johnson do?

💡 Hint

Think about the anatomical landmark used as a reference point for accurate CVP measurement.

24 / 30

24. Nurse Patel is measuring the central venous pressure of Mr. Lawson. She needs to correctly position the manometer. Where should Nurse Patel place the zero mark of the manometer?

💡 Hint

In left-sided heart failure, fluid tends to accumulate in areas where gravity naturally pulls it when the patient is upright.

25 / 30

25. Nurse Taylor is assessing Mr. Henderson, a patient admitted with left-sided congestive heart failure. She needs to evaluate him for any signs of edema. Which area should Nurse Taylor examine?

💡 Hint

Focus on which option typically contains lean meat with minimal fat content.

26 / 30

26. Nurse Lee is advising Ms. Davis, a patient who needs to follow a diet low in fat and cholesterol. Which of the following food choices is the lowest in saturated fats?

💡 Hint

Consider the best method for preserving the medication's effectiveness.

27 / 30

27. Nurse Lee is educating Mr. Roberts, who has been admitted with angina and prescribed nitroglycerine. What essential instruction should she provide?

💡 Hint

Consider which finding indicates a potential adverse reaction to Digitalis in infants.

28 / 30

28. Nurse Williams is monitoring 6-month-old baby Ethan, who has a ventral septal defect and is on Digitalis to help manage his heart rate. During her assessment, which finding should she report to the physician?

💡 Hint

Think about which action addresses a common side effect of diazoxide.

29 / 30

29. Nurse Carter is preparing to administer diazoxide (Hyperstat) to Mrs. Johnson, who has been admitted with a hypertensive crisis. To ensure safe administration of the medication, what action should Nurse Carter take?

💡 Hint

Consider which instruction focuses on a serious potential side effect of statins.

30 / 30

30. Nurse Thompson is meeting with Mr. Allen, a patient who has been prescribed rosuvastatin (Crestor) after a recent blood test showed a serum cholesterol level of 275 mg/dL. Nurse Thompson needs to provide essential instructions regarding the new medication. What should she emphasize?

Exam Mode

Welcome to your NCLEX- RN Practice Exam 8! 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 Jamie is working in the psychiatric unit when a patient, Mr. Wilson, becomes uncontrollably angry and starts threatening other clients and staff. What is the most appropriate action for Nurse Jamie to take?

2 / 30

2. Nurse Megan is conducting a class on basic infant care for new parents. She explains the importance of giving a sponge bath during the first two weeks of the baby's life. What reason should she provide for this recommendation?

3 / 30

3. Nurse Sarah enters Mrs. Johnson's room and sees that her lawyer is present, helping her prepare a living will. The document requires a witness signature, and Mrs. Johnson asks Nurse Sarah to sign as a witness. What should Nurse Sarah do?

4 / 30

4. Nurse Patel is attending to Mr. Johnson, a patient with heart failure, who suddenly presents with severe shortness of breath, rapid heart rate, and lung crackles. Suspecting pulmonary edema, Nurse Patel quickly informs the registered nurse and prepares for the following intervention:

5 / 30

5. Nurse Taylor is assessing Mr. Henderson, a patient admitted with left-sided congestive heart failure. She needs to evaluate him for any signs of edema. Which area should Nurse Taylor examine?

6 / 30

6. Nurse Amanda is caring for Mrs. Jensen, a patient diagnosed with erosive gastritis who has been prescribed Nexium (esomeprazole). When should Nurse Amanda administer this medication to ensure its effectiveness?

7 / 30

7. Nurse Carter is preparing to administer diazoxide (Hyperstat) to Mrs. Johnson, who has been admitted with a hypertensive crisis. To ensure safe administration of the medication, what action should Nurse Carter take?

8 / 30

8. Nurse Parker is creating a care plan for Mr. Thompson, a 45-year-old patient who just underwent a lumbar puncture. Which nursing interventions should be incorporated into the plan? (Select all that apply.)

9 / 30

9. Nurse Anderson is assessing Mrs. Green, a patient with peripheral edema. To accurately evaluate the extent of the edema, what method should Nurse Anderson use?

10 / 30

10. Nurse Williams is monitoring 6-month-old baby Ethan, who has a ventral septal defect and is on Digitalis to help manage his heart rate. During her assessment, which finding should she report to the physician?

11 / 30

11. Nurse Laura is administering Exelon (rivastigmine) to Mr. Andrews, a patient with Alzheimer's disease. She reviews the medication's side effects to monitor for any adverse reactions. Which side effect is most commonly associated with Exelon?

12 / 30

12. Nurse Tina is educating Mr. Hernandez, a patient with diabetes mellitus, on how to manage his new prescription of Novolog insulin. To assess his understanding, she asks him about the timing of the insulin's peak action. Which response from Mr. Hernandez indicates he understands when Novolog insulin reaches its peak?

13 / 30

13. Nurse Johnson is preparing to administer lisinopril (Zestril) and furosemide (Lasix) to Mr. Thompson, a patient with hypertension, as prescribed by the physician. What should Nurse Johnson do?

14 / 30

14. Nurse Emily is assessing a client who has been admitted with a temperature of 99.8°F, reports of blood-tinged hemoptysis, fatigue, and night sweats. These symptoms suggest which likely diagnosis?

15 / 30

15. Nurse Lee is educating Mr. Roberts, who has been admitted with angina and prescribed nitroglycerine. What essential instruction should she provide?

16 / 30

16. Nurse Lee is advising Ms. Davis, a patient who needs to follow a diet low in fat and cholesterol. Which of the following food choices is the lowest in saturated fats?

17 / 30

17. Nurse Thompson is meeting with Mr. Allen, a patient who has been prescribed rosuvastatin (Crestor) after a recent blood test showed a serum cholesterol level of 275 mg/dL. Nurse Thompson needs to provide essential instructions regarding the new medication. What should she emphasize?

18 / 30

18. Nurse Parker is caring for Mrs. Davis, who is undergoing treatment for vaginal cancer with a radioactive vaginal implant. Mr. Davis asks if he can stay overnight with his wife. How should Nurse Parker respond?

19 / 30

19. Nurse Lopez is reviewing home care exercise instructions with Ms. Sanchez, a patient diagnosed with hyperparathyroidism. Which statements by Ms. Sanchez suggest that she needs more instruction? (Select all that apply.)

20 / 30

20. Nurse Ramirez is planning a meal for Mr. Clark, who has been hospitalized following a facial stroke. Which diet option would be most appropriate for him?

21 / 30

21. Nurse Laura is assisting a client with Alzheimer's disease in performing activities of daily living. She notices the client attempting to use a toothbrush to brush her hair. The nurse recognizes that the client is demonstrating:

22 / 30

22. Nurse Karen is caring for a client with dementia who becomes increasingly confused late in the afternoon and before bedtime. The nurse understands that the client is experiencing what is known as:

23 / 30

23. Nurse Emma is working the evening shift in the emergency department and is responsible for triaging incoming clients. Which client should Nurse Emma prioritize first?

24 / 30

24. Nurse Sarah is attending to a 4-month-old baby at the well-baby clinic for a scheduled immunization visit. Besides the DPT and polio vaccines, which additional vaccine should the baby receive?

25 / 30

25. Nurse Sam is admitting Jason, a patient with suspected meningitis, and the doctor is assessing for meningeal irritation and spinal nerve root inflammation. Nurse Sam observes and documents a positive Kernig’s sign. What specific finding should Nurse Sam note?

26 / 30

26. Nurse Kelly is assessing Maria, a patient on her first day postpartum. Upon examining Maria's fundus, Nurse Kelly observes that it is firm, positioned at the level of the umbilicus, but shifted to the right. What should Nurse Kelly do next?

27 / 30

27. Nurse Alex is attending to Mr. Thompson, a client who is experiencing confusion. Mr. Thompson tells Nurse Alex, "I haven't had anything to eat all day long. When are they going to bring breakfast?" Nurse Alex recalls seeing Mr. Thompson eating breakfast with others just 30 minutes ago. What is the best response for Nurse Alex to make?

28 / 30

28. Nurse Patel is measuring the central venous pressure of Mr. Lawson. She needs to correctly position the manometer. Where should Nurse Patel place the zero mark of the manometer?

29 / 30

29. Nurse Laura is caring for Mr. Thompson, a patient with leukemia who is receiving Trimetrexate. The physician has added Wellcovorin (leucovorin calcium) to his treatment plan. What is the reason for giving leucovorin calcium to a patient on Trimetrexate?

30 / 30

30. Nurse Jenna is reviewing the medical history of a client who has been prescribed Imitrex (sumatriptan succinate) for migraine headaches. Which of the following conditions in the client’s history should she report to the doctor?