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 - 7/11/12

Elsevier NCLEX Exam Review

Question: A 32-year-old multigravida client who is at 40 weeks gestation is in early labor. The nurse assesses a fetal heart rate of 90 beats per minute for the last half of the previous three contractions. Which action should the nurse take?

1. Place her in the supine position and prepare an oxytocin infusion.
2. Place her on her left side and administer oxygen.
3. Place her in the knee-chest position and continue to monitor.
4. Place her in the lithotomy position and perform a vaginal examination.

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 - 6/13/12

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 - 5/16/12

Elsevier NCLEX Exam Review

Question: A client with end-stage renal disease is receiving continuous ambulatory peritoneal dialysis. The nurse is monitoring the client for signs of complications associated with peritoneal dialysis. Select all that apply.

1. Pruritus
2. Oliguria
3. Tachycardia
4. Cloudy outflow
5. Abdominal pain

NCLEX Exam Practice Question of the Week - 5/2/12

Elsevier NCLEX Exam Review

Question: A nurse notes that the physician has updated the orders for a client who had a stroke by changing the medication route from parenteral to oral. Before administering the oral medications, it would be most important for the nurse to assess which cranial nerves?

1. Facial and vagus
2. Trigeminal and vagus
3. Trigeminal and hypoglossal
4. Glossopharyngeal and vagus

NCLEX Exam Practice Question of the Week - 4/18/12

Elsevier NCLEX Exam Review

Question: The nurse is preparing to administer spironolactone (Aldactone) to a client. After assessing the client, what data indicate the need to withhold the medication?

1. Potassium level of 5.8 mEq/L
2. Apical pulse rate of 58 beats/min
3. BP of 130/90 mm Hg
4. Urine output of 30 mL/hr

NCLEX Exam Practice Question of the Week - 4/11/12

Elsevier NCLEX Exam Review

Question: An adolescent is hospitalized with multiple internal injuries after an automobile collision. The adolescent is being kept npo and is receiving an IV infusion at 125 mL/hr and an antibiotic reconstituted in 10 mL of normal saline every 6 hours (1 am, 4 pm, 1 pm, 4 am). What is the intake from 7 am to 3 pm?


1. 1000 mL
2. 1010 mL
3. 1020 mL
4. 1030 mL

NCLEX Exam Practice Question of the Week - 3/28/12

Elsevier NCLEX Exam Review

Question: Nursing management of the child with acute glomerulonephritis (AGN) would include which interventions? Select all that apply.


1. Strict bedrest in the acute phase
2. Monitor for acute hypertension
3. Protein and sodium restricted diet
4. Daily weights with strict intake and output
5. Closely monitor serum albumin
6. Administer diuretics as ordered

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 - 2/15/12

Elsevier NCLEX Exam Review

Question: A client is confined to bed with a fracture of the left femur. He begins receiving subcutaneous heparin injections. What is the purpose of this medication?

1. To prevent thrombophlebitis and pulmonary emboli associated with immobility
2. To promote vascular perfusion by preventing formation of microemboli in the left leg
3. To prevent venous stasis, which promotes vascular complications associated with immobility
4. To decrease the incidence of fat emboli associated with long bone fractures

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 - 1/25/12

Elsevier NCLEX Exam Review

Question: Tamoxifen (Nolvadex) is prescribed for the client with metastatic breast carcinoma. The nurse administering the medication understands that the primary action of this medication is to:

1.  Increase DNA and RNA synthesis.
2.  Promote the biosynthesis of nucleic acids.
3.  Increase estrogen concentration and estrogen response.
4.  Compete with estradiol for binding to estrogen in tissues containing high concentrations of receptors.

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 - 12/28/11

Elsevier NCLEX Exam Review

Question: A nurse is collecting data during an admission assessment of a client who is pregnant with twins. The client has a healthy 5-year-old child who was delivered at 38 weeks and tells the nurse that she does not have a history of any type of abortion or fetal demise. The nurse would document the GTPAL for this client as:


1.  G = 3, T = 2, P = 0, A = 0, L = 1
2.  G = 2, T = 1, P = 0, A = 0, L = 1
3.  G = 1, T = 1, P = 1, A = 0, L = 1
4.  G = 2, T = 0, P = 0, A = 0, L = 1

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