NCLEX PRACTICE EXAM w/ Answers

1. The client has a PEG-tube for feeding purposes. Which of the following is true regarding a percutaneous endoscopic gastrostomy tube?

A. The physician inserts it via a small incision in the stomach
B. TPN is preferred over G-tube feedings, if possible
C. It is for long term nutritional therapy
D. The nurse does not need to check bowel sounds prior to tube feeding administration   

2. The nurse notes that a client with sickle cell anemia is experiencing respiratory distress and has cyanotic nailbeds. She recognizes these signs are secondary to a/an: 

A. Increased hemoglobin and pre-albumin
B. Increased albumin and hematocrit
C. Decreased hemoglobin an hematocrit
D. Decreased albumin and pre-albumin

3.  The nurse is administering naproxin to the client. She recognizes that it is a non-opioid, therefore it:  

A. Is used for moderate to severe pain
B. Has a ceiling effect
C. May cause respiratory depression
D. Is not to be given with opioids

4.  The nurse takes the scheduled dose of Milk of Magnesia (MOM) - a laxative - to the client as ordered by the doctor. The client states, "I have had 4 loose B.M.'s today." The nurse appropriately responds:    

A. "I will not give you this medicine and will consult the doctor when she comes in."
B.  "I will set the medicine here at your bedside. You may take it if you change your mind."
C. "Are you sure don't need some of this medicine before I discard it?"
D. "I am required to give you this medicine 

5. The nurse is caring for a client 74 years old female suffering from chronic malnutrition. Which of the lab findings noted by the nurse would be consistent with this problem?  

A. Hematocrit - 37%
B. Hemoblobin - 13 gm/100ml
C. Pre-albumin - 21 mg/dl
D. Albumin - 2.8 g/dl

6.  A peripheral IV line would be located in the :

A. Subclavian vein
B. Cephalic vein
C. Radial artery 
D. Superior vena cava

7. You are in the process of bathing and assessing your client when you note the IV fluid bag is empty. The appropriate interventions would be:  

A. Put the IV pump on hold, finish the assessment, obtain and hang another  bag of IV fluid, finish the bath
B. Put the IV pump on hold, obtain and hold another IV bag of fluid, finish the assessment and bath.
C. Put the IV pump on hold, finish the assessment and bath, obtain another bag of IV fluid
D. Finish the assessment, put the IV pump on hold, obtain and hang another bag of IV fluid, finish the bath

8. The client has been noted to have periods of incontinence with coughing or sneezing. The nurse correctly identifies this as _______________ incontinence:

A. overflow
B. total   
C. stress
D. functional

9. The client is in severe renal failure. She is most liable to develop which of the following acid-base disturbances?   
  
A. Metabolic acidosis
B. Respiratory acidosis
C. Respiratory  alkalosis
D. Metabolic alkalosis

10. Which one of the following clients is at risk for developing respiratory acidosis? 

A. The client who c/o of severe chest soreness after open heart surgery   
B. The client who has a history of diabetes mellitus
C. The client who has had diarrhea for five days
D. The client who has a history of diabetes mellitus


How did you do?
Here are your answers below.




Answers:


1. C
2. C
3. B
4. A
5. D
6. B
7. B
8. C
9. A
10. A