NCLEX Exam Practice Question of the Week - 8/8/12

Elsevier NCLEX Exam Review

Question: Which of the following are characteristics of von Willebrand's disease? Select all that apply.


1.  Easy bruising occurs.
2.  Gum bleeding occurs.
3.  It is a hereditary bleeding disorder.
4.  It is characterized by extremely high creatinine levels.
5.  The disorder causes platelets to adhere to damaged endothelium.
6.  Treatment and care are similar to that for hemophilia.

NCLEX Exam Practice Question of the Week - 7/25/12

Elsevier NCLEX Exam Review

Question: Shortly after an amniotomy, the nurse determines that the fetal heart rate has decreased from 140 to 80 beats per minute. What is the priority nursing action?

1. Inspect the vagina
2. Administer oxygen
3. Notify the practitioner
4. Place in the knee-chest position

NCLEX Exam Practice Question of the Week - 7/4/12

Elsevier NCLEX Exam Review

Question: A nurse performs an admission assessment on a client who visits a health care clinic for the first time. The client tells the nurse that propylthiouracil (PTU) is taken daily. The nurse continues to collect data from the client, suspecting that the client has a history of:

1.  Myxedema
2.  Graves' disease
3.  Addison's disease
4.  Cushing's syndrome

NCLEX Exam Practice Question of the Week - 6/27/12

Elsevier NCLEX Exam Review

Question: The nurse is assessing a client who had a fractured femur repaired with an external fixator device. Which assessment findings would cause the nurse concern regarding the development of compartmental syndrome? Select all that apply.

1. Decrease in pulse rate in affected leg
2. Paresthesia distel to area of injury
3. Toes on affected leg cool to touch and edematous
4. Complaints that pins are hurting
5. Complaints of leg pain unrelieved by analgesics or repositioning
6. Client angry and calling loudly to the nurse every 10 minutes

NCLEX Exam Practice Question of the Week - 6/20/12

Elsevier NCLEX Exam Review

Question: A client is admitted with 50% of the body surface area burned after an industrial explosion and fire. The client’s serum albumin is 1.5 g/dL, the hematocrit is 30%, the urine specific gravity is 1.025, and the serum globulin is 3 g/dL. When evaluating the client’s response to fluid replace¬ment, the nurse should prepare to administer a colloid when the:

1. Globulin is 3 g/dL
2. Albumin is below 2 g/dL
3. Hematocrit is below 32%
4. Urine specific gravity is 1.018

NCLEX Exam Practice Question of the Week - 6/13/12

Question:A client with heart failure was experiencing difficulty breathing and increased pulmonary congestion. The physician prescribed furosemide (Lasix) 40 mg to be given intravenously and it was given an hour ago by the nurse. Which indicates the therapy has been effective?

1. The lungs are now clear to auscultation
2. The urine output has increased by 400 mL
3. The serum potassium has decreased from 4.7 mEq to 4.1 mEq
4. The blood pressure has decreased from 118/64 mm Hg to 106/62 mm Hg

Exam Practice Question of the Week - 6/6/12

Elsevier NCLEX Exam Review

Question: Which of the following laboratory results on a newly admitted client should the nurse report to the physician immediately?

1. Potassium 4.1 mEq/L
2. Hemoglobin 12.2 g/dL
3. Platelet count 165,000 mm3
4. White blood cell count 17,200 mm3

NCLEX Exam Practice Question of the Week - 5/30/12

Elsevier NCLEX Exam Review

Question: A nurse is preparing for the admission of an infant with a diagnosis of bronchiolitis caused by respiratory syncytial virus (RSV). Which interventions would the nurse include in the plan of care? Select all that apply.


1.  Place the infant in a private room.
2.  Ensure that the infant's head is in a flexed position.
3.  Wear a mask at all times when in contact with the infant.
4.  Place the infant in a tent that delivers warm humidified air.
5.  Position the infant side-lying, with the head lower than the chest.
6.  Ensure that nurses caring for the infant with RSV do not care for other high-risk children.

NCLEX Exam Practice Question of the Week - 5/23/12

Elsevier NCLEX Exam Review

Question: The nurse practitioner orders half-strength enteral formula at a rate of 55 mL/hr. A can holds 250 mL. How many cans would the nurse need for the next 24 hours?




Answer: ________ cans

NCLEX Exam Practice Question of the Week - 4/4/12

Elsevier NCLEX Exam Review

Question: A client was started on oral anticoagulant therapy while hospitalized. The client is now being discharged to home and is intermittently confused. The nurse determines that the client has the best support system for successful anticoagulant therapy monitoring if the client:

1.  Has a home health aide coming to the house for 9 weeks
2.  Was going to stay with a daughter in the daughter’s home indefinitely
3.  Was going to have blood work drawn in the home by a local laboratory
4.  Has a good friend living next door who would take the client to the doctor

NCLEX Exam Practice Question of the Week - 3/14/12

Elsevier NCLEX Exam Review

Question: A nurse is reviewing the laboratory results for a client receiving tacrolimus (Prograf). Which laboratory result would indicate to the nurse that the client is experiencing an adverse effect of the medication?

1.  Blood glucose of 200 mg/dL
2.  Potassium level of 3.8 mEq/L
3.  Platelet count of 300,000 cells/mm3
4.  White blood cell count of 6000 cells/mm3

NCLEX Exam Practice Question of the Week - 3/7/12

Elsevier NCLEX Exam Review

Question: An older adult client has an open wound over the coccyx that extends through the dermis and subcutaneous tissue, exposing the deep fascia. The wound edges are distinct, and the wound bed is a pink-red color. There is no bruising or sloughing. What stage of pressure ulcer is this wound?

1 Stage I
2 Stage II
3 Stage III
4 Stage IV

NCLEX Exam Practice Question of the Week - 2/8/12

Elsevier NCLEX Exam Review

Question: The nurse is assigned to a client who has had surgery. Nalbuphine (Nubain) is prescribed for pain. For which side effects/adverse reactions should the nurse assess this client after administering this medication? Select all that apply.


1. Oliguria
2. Dry mouth
3. Palpitations
4. Constipation
5. Urinary retention
6. Orthostatic hypotension

NCLEX Exam Practice Question of the Week - 2/1/12

Elsevier NCLEX Exam Review

Question:What is the primary concern of the nurse administering narcotics and sedatives to a client with cirrhosis?


1. The kidneys cannot excrete the drug.
2. The liver cannot metabolize drugs effectively.
3. Hepatic enzymes potentiate these drugs to high levels.
4. Narcotics and sedatives are contraindicated in clients with cirrhosis.

NCLEX Exam Practice Question of the Week - 1/18/12

Elsevier NCLEX Exam Review

Question: A client is experiencing a sickle cell crisis during labor and delivery. What is the best nursing action?

1 Maintain IV fluid infusion and assess adequacy of hydration.
2 Administer a high concentration of oxygen.
3 Insert a Foley catheter and monitor hourly urine output.
4 Provide continuous sedation for pain relief.

NCLEX Exam Practice Question of the Week - 1/4/12

Elsevier NCLEX Exam Review

Question: A male client with a fracture of the femur has his extremity in skeletal traction and is encouraged to use an overhead trapeze apparatus. What is the purpose of the overhead trapeze?


1. Assist with stump exercises
2. Enhance breathing and lung expansion
3. Promote circulation throughout the body
4. Facilitate independent movement while in bed

NCLEX Exam Practice Question of the Week - 12/21/11

Elsevier NCLEX Exam Review

Question: The mother of a 15-month-old child who is immunosuppressed asks about continuation of the childhood vaccines. Which immunizations are not recommended to be given to the child during immunosuppression?


1 Diphtheria, tetanus, and pertussis (DTaP); hepatitis B
2 Haemophilus influenzae B
3 Varicella; measles, mumps, and rubella (MMR)
4 Inactivated polio; diphtheria, tetanus, and pertussis (DTaP)

NCLEX Exam Practice Question of the Week - 12/14/11

Elsevier NCLEX Exam Review

Question: A nurse is assessing a 3-week-old infant admitted to the pediatric unit with hydrocephalus. What finding identifies a complication requiring immediate attention?


1. Tense anterior fontanel
2. Uncoordinated eye/muscle movement
3. Larger head circumference than chest circumference
4. Inability to support the head while in the prone position

NCLEX Exam Practice Question of the Week - 12/7/11

Elsevier NCLEX Exam Review

Question: Which intervention is most appropriate for a client diagnosed with a schizoid personality disorder?


1. Assist the client to enter a group recreation activity.
2. Convince the client that the nursing staff is trying to be helpful.
3. Help the client learn to trust the staff through selected experiences.
4. Arrange the unit environment so that contact with other clients is limited.

NCLEX Exam Practice Question of the Week - 11/30/11

Elsevier NCLEX Exam Review

Question: What will the nurse teach the client with diabetes regarding exercise in his or her treatment program?          


1. During exercise the body will use carbohydrates for energy production, which in turn will decrease the need for insulin                 
2. With an increase in activity, the body will use more carbohydrates; therefore more insulin will be required                           
3. The increase in activity results in an increase in the use of insulin; therefore the client should decrease his or her carbohydrate intake                                                                                    
4. Exercise will improve pancreatic circulation and stimulate the islets of Langerhans to increase the production of intrinsic insulin