NCLEX Practice Questions RN+PN 4/7

After 12 months of cessation of menses, which of the following assessment findings in a client who is taking hormone replacement therapy should the nurse report to the physician immediately?

When a client wishes to improve her appearance by removing excess skin from her face and neck, the nurse should provide teaching regarding which of the following procedures?

All of the following are clinical manifestations indicating male climacteric except __________.

When a middle-age woman says to the nurse, “I’m really worried about menopause. When my mom went through it, she got really depressed.”
The nurse’s best response is __________.

When a woman is receiving postpartum epidural morphine, the nurse should plan to observe for which of the following side effects to occur within the first 3 hours?

The teaching plan for a postpartum client who is about to be discharged should include which of the following instructions?

The parents of a 2-year-old child ask the nurse how they can teach their child to quit taking toys away from other children.
Which of the following statements by the nurse offers the parents the best explanation of their child’s behavior?

Which of the following infant behaviors demonstrates the concept of object permanence?

Which of the following home-care strategies is most likely to negatively impact the body image of a client with Cushing’s syndrome?

When a client who is 25 years of age asks the nurse when she should seek fertility counseling, the best response by the nurse is __________.

When a couple experiencing infertility presents for a fertility workup, which of the following procedures should the nurse prepare the couple to have first?

If a client has chronic renal failure, which of the following sexual complications is the client at risk of developing?

When an elder client asks the nurse whether he will be capable of sexual activity in old age, the best response by the nurse is __________.

The teaching plan for gay or lesbian parents who want to disclose their homosexuality to their children should include all of the following instructions except
__________.

When a client describes their family as having multiple wives, all of whom are sisters, married to one man, the nurse documents the family structure as?

A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six months.
The nurse should assess the woman for other symptoms of ___________.

When obtaining a health history on a menopausal woman, which information should a nurse recognize as a contraindication for hormone replacement therapy?

Which of the following statements, if made by the parents of a newborn, does not indicate a need for further teaching about cord care?

The nurse is teaching parents of a newborn about feeding their infant.
Which of the following instructions should the nurse include?

The nurse is assessing the dental status of an 18-month-old child.
How many teeth should the nurse expect to examine?

Which of the following physical findings indicates that an 11-12-month-old child is at risk for developmental dysplasia of the hip?

A client with Kawasaki disease has bilateral congestion of the conjunctivae, dry cracked lips, a strawberry tongue, and edema of the hands and feet followed by desquamation of fingers and toes.
Which of the following nursing measures is most appropriate to meet the expected outcome of positive body image?

Which of the following is most likely to impact the body image of an infant newly diagnosed with Hemophilia?

Diagnostic genetic counseling, for procedures such as amniocentesis and chorionic villus sampling, allows clients to make all of the following choices except
__________.

A client who is experiencing infertility says to the nurse, “I feel I will be incomplete as a man/woman if I cannot have a child.”
Which of the following nursing diagnoses is likely to be appropriate for this client?

Which of the following foods is a complete protein?

Which condition is associated with inadequate intake of vitamin C?

What is the primary nutritional deficiency of concern for a strict vegetarian?

How often should the nurse change the intravenous tubing on total parenteral nutrition solutions?

Which of the following values should the nurse monitor closely while a client is on total parenteral nutrition?

Which of the following statements is correct about Maslow’s hierarchy of needs?

Which of the following methods of contraception is able to reduce the transmission of HIV and other STDs?

Which of the following is the primary force in sex education in a child’s life?

Which of the following nursing actions is most effective when evaluating a kinetic family drawing?

All of the following factors, when identified in the history of a family, are correlated with poverty except __________.

A client states, “I eat a well-balanced diet. I do not smoke. I exercise regularly, and I have yearly checkups with my physician. What else can I do to help prevent cancer?”
The nurse should respond with which of the following statements?

A 35-year-old Latin-American client wishes to lose weight to reduce her chances of developing heart disease and diabetes. The client states, “I do not know how to make my diet work with the kind of foods that my family eats.”
What should the nurse do first to help the client determine a suitable diet for disease prevention?

What is the primary theory that explains a family’s concept of health and illness?

Health promotion activities are designed to help clients __________.

Rehabilitation services begin __________.

In conducting a health screening for 12-month-old children, the nurse expects them to have been immunized against which of the following diseases?

As part of a routine health screening, the nurse notes the play of a 2-year-old child.
Which of the following is an example of age-appropriate play at this age?

Vaccines provide what type of immunity?

A 2-year-old child diagnosed with HIV comes to a clinic for immunizations.
Which of the following vaccines should the nurse expect to administer in addition to the scheduled vaccines?

A concern regarding maternal and infant mortality and morbidity is that __________.

The nurse teaching an obese client about nutritional needs and weight loss should include all of the following except __________.

An assessment of the skull of a normal 10-month old baby should identify which of the following?

Which is the best way to position a client’s neck for palpation of the thyroid?

A client, age 28, is 8 -months pregnant.
She is most likely to display which normal skin-color variation?

An Rh-negative woman with previous sensitization has delivered an Rh-positive fetus.
Which of the following nursing actions should be included in the client’s care plan?

The nurse is caring for a postpartum woman who has relinquished her baby for adoption.
The care plan for the client should include which of the following priority strategies?

While performing a physical assessment on a 6-month-old infant, the nurse observes head lag.
Which of the following nursing actions should the nurse perform first?

A preschooler has successfully completed the test item “counts 5 blocks” on the Denver II test.
This pass is evidence of which of the following developmental concepts?

After breast reconstruction secondary to breast cancer, the nurse should recognize which of the following expected client outcomes as evidence of a favorable response to nursing interventions related to disturbed body image?

When a client with a major burn experiences body image disturbance, which of the following is an appropriate nursing intervention classification?

When a client who is having trouble conceiving says to the nurse, “I have started taking ginseng,” the best response by the nurse is ___________.

A client describes her cervical mucus as clear, thin, and elastic. Upon examination, the nurse demonstrates that the cervical mucus can be stretched 8-10 cm.
The nurse correctly documents the finding as ___________.

When teaching parents how their children learn sex role identification, the nurse should include which of the following statements?

When working with multicultural populations, the nurse should consider all of the following when planning care for a client with an altered sexuality pattern except
___________.

Answer : A

Explanation:
Many cultures (including the Hispanic and Native-American cultures) are sometimes hesitant to discuss sexuality.
Some Navajos, Hispanics, and Orthodox Jews view the postpartum period as a state of impurity and might seclude women as long as they are bleeding. The seclusion is usually ended with a ritual bath.
Many white teenage girls approve of the prevention of pregnancy, and many African-American teenage girls value pregnancy.
Many Native-American women believe in the importance of monthly menstruation to maintain physical wellbeing and harmony

Which of the following strategies should the nurse include when planning care for children of migrant workers?

A day care center has asked the nurse to provide education for parents regarding safety in the home.
What type of preventive care does this represent?

A client has just returned from surgery where a femoral-popliteal bypass was performed. The nurse has assessed the client and is unable to feel a pulse at either the dorsalis pedis or the posterior tibial sites of the left foot. The foot feels warm and the color is pink.
What action should the nurse perform next to prevent ischemia?

American families are having difficulty adequately performing their vital health care function.
What are the basic reasons for this difficulty?

Kleinman’s Explanatory Model of Health and Illness is significant because __________.

An example of an extended care facility is a __________.

A client and his family facing the end stage of a terminal illness might be best served by __________.

During a routine health screening, the nurse should talk to the parents of a 1-year-old child about which of the following?

The school nurse is conducting health screenings on schoolchildren. During the screening, she identifies a child with the behavioral characteristics of attention deficit disorder.
Which of the following behaviors is consistent with this disorder?

Who should receive the hepatitis A vaccine?

Which of the following vaccines are not part of the regular schedule of immunizations for children?

A client asks the nurse what risk factors increase the chances of getting skin cancer.
The risk factors include all except __________.

To improve overall health, the nurse should place highest priority on assisting a client to make lifestyle changes for which of the following habits?

Which cranial nerves assesses the gag reflex test?

When teaching a woman about possible side effects of hormone replacement therapy, the nurse should include information about all of the following except
__________.

After 12 months of cessation of menses, which of the following assessment findings in a client who is taking hormone replacement therapy should the nurse report to the physician immediately?

When a client wishes to improve her appearance by removing excess skin from her face and neck, the nurse should provide teaching regarding which of the following procedures?

All of the following are clinical manifestations indicating male climacteric except __________.

When a middle-age woman says to the nurse, “I’m really worried about menopause. When my mom went through it, she got really depressed.”
The nurse’s best response is __________.

When a woman is receiving postpartum epidural morphine, the nurse should plan to observe for which of the following side effects to occur within the first 3 hours?

The teaching plan for a postpartum client who is about to be discharged should include which of the following instructions?

The parents of a 2-year-old child ask the nurse how they can teach their child to quit taking toys away from other children.
Which of the following statements by the nurse offers the parents the best explanation of their child’s behavior?

Which of the following infant behaviors demonstrates the concept of object permanence?

Which of the following home-care strategies is most likely to negatively impact the body image of a client with Cushing’s syndrome?

When a client who is 25 years of age asks the nurse when she should seek fertility counseling, the best response by the nurse is __________.

When a couple experiencing infertility presents for a fertility workup, which of the following procedures should the nurse prepare the couple to have first?

If a client has chronic renal failure, which of the following sexual complications is the client at risk of developing?

When an elder client asks the nurse whether he will be capable of sexual activity in old age, the best response by the nurse is __________.

The teaching plan for gay or lesbian parents who want to disclose their homosexuality to their children should include all of the following instructions except
__________.

When a client describes their family as having multiple wives, all of whom are sisters,

married to one man, the nurse documents the family structure as?

A mother has come to the pediatric clinic concerned about the recent outbreak of West Nile Virus. The ages of her children are 5, 7, and 10. The mother has asked the nurse what she can do to prevent her children from contracting this illness.
Which piece of information is best to provide the mother with?

The home health nurse has made a visit to an 85-year-old female client’s home who has recently had surgery to replace her left knee. The client has been discharged from a rehab facility and has been able to walk on her own. The nurse assesses the need for teaching related to fall prevention.
What should the nurse include in this teaching plan?

Which of the following substances need to be assessed when completing a family health assessment?

An appraisal of self-care practices involves an assessment of __________.

Which of the following is one of the main goals for Healthy People 2010?

A paraplegic client is in the hospital to be treated for an electrolyte imbalance.
Which level of care is the client currently receiving?

Which of the following developmental milestones for a 6-month-old child should be screened by the nurse during a routine office visit?

During the health screening of an adolescent, which finding by the nurse requires further teaching?

A mother brings her 1-year-old child to the clinic. The child has no record of previous immunizations, and the mother confirms the child has not been immunized.
Which of the following should include teaching by the nurse?

Which of the following vaccines is a live virus?

On which of the following aspects of the assessment should a nurse who is assessing the health-related physical fitness of a client as part of a health assessment be focused?

A nurse is trying to motivate a client toward more effective management of a therapeutic regimen.
Which of the following actions by the nurse is most likely to be effective in increasing the client’s motivation?

Mr. Lee comes to the clinic with thick green drainage around his eyelids. The nurse examiner takes his history and performs a physical examination, beginning with an eye history.
General information the nurse should seek is __________.

If Ms.Barrett’s distance vision is 20/30, which of the following statements is true?

The LPN is performing an assessment on a 4-day-old 8-pound, 6-ounce newborn with a head circumference of 33 cm.
Given this information, what would the nurse expect the child’s chest circumference to be?

The LPN is caring for a patient newly diagnosed with HIV.
Which statement made by the patient regarding antiretroviral therapy (ART) would require correction from the nurse?

A pregnant patient asks how she can prevent getting Group B Strep.
What is the LPN’s best response?

You are caring for a 78-year-old woman who is wondering why she was diagnosed with glaucoma.
Although she has several risk factors, which of these is not one of them?

The LPN is caring for a 9 month-old infant.
Which of these behaviors exhibited by the child warrants further investigation?

An LPN is taking care of an elderly patient who experiences the effects of Sundowner’s Syndrome almost every evening.
Which of these interventions implemented by the nurse would be the most helpful?

A laboring patient is experiencing late decelerations.
Which position should she be placed in?

The LPN is teaching a first-time mother about breastfeeding her infant, who was born that day.
Which statement, if made by the mother, would reflect that the teaching had been successful?

The LPN needs to determine the patient’s respiratory rate.
What is the best technique to do this?

The LPN is teaching a 28-year-old patient about HPV.
Which statement, if made by the patient, would warrant the need for further teaching?

When caring for pediatric patients, the nurse should pay special attention to the psychosocial development stages credited to __________?

A nurse is planning a brief treatment program for a client who was raped.
A realistic, short-term goal is to __________.

The nurse wishes to decrease a client’s use of denial and increase the client’s expression of feelings.
To do this the nurse should __________.

A 57-year-old woman is recently widowed. She states, “I will never be able to learn how to manage the finances. My husband did all of that.”
Select the nurse’s response that could help raise the client’s self-esteem.

An elderly client denies that abuse is occurring.
Which of the following factors could be a barrier for the client to admit being a victim?

The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?

What significant event occurs in the orientation phase of a nurse-client relationship?

A hospitalized client has just been informed that he has terminal cancer. He says to the nurse, “There must be some mistake in the diagnosis.”
The nurse determines that the client is demonstrating __________.

The nurse is caring for a client who is dying.
While assessing the client for signs of impending death, the nurse observes the client for __________.

A couple from the Philippines living in the United States is expecting their first child.
In providing culturally competent care, the nurse must first __________.

Nursing considerations when caring for African-American clients include that __________.

A client recently lost a child due to poisoning. The client tells the nurse, “I don’t want to make any new friends right now.”
This is an example of __________ indicator of stress.

A corporate executive works 60-80 hours a week. The client is experiencing some physical signs of stress. The nurse teaches the client biofeedback techniques.
This is an example of __________ health-promotion interventions.

Social support systems include of the following except __________.

Support-system enhancement includes all of the following except __________.

Using clichés in therapeutic communication leads the client toward __________.

In performing a psychosocial assessment, the nurse begins by asking questions that encourage the client to describe problematic behaviors and situations.
The next step is to elicit the client’s __________.

The most effective nursing strategy to assist a client in recognizing and using personal strength includes __________.

Appropriate nursing strategies to assist a client in maintaining a sense of self include __________.

Which of the following describes the stages of domestic violence in an intimate relationship?

Which of the following statements is correct regarding rape?

An effective intervention for a client diagnosed with Obsessive-Compulsive Disorder is ___________.

A man reports his wife is constantly cleaning. The activity has interfered with the family life. Friends have stopped visiting because she makes them uncomfortable. He states he has awakened in the middle of the night and found her cleaning.
The nurse should consult with the couple and recommend the husband help with therapy by ___________.

An 8-year-old Asian child is being examined during a school screening. The nurse notices small bruises on the anterior and posterior ribs.
The nurse should ask the child ___________.

Incidences of child abuse appear to be higher in the African-American community and might be explained by ___________.

Two staff nurses were considered for promotion to head nurse. The promotion is announced via a memo on the unit bulletin board. When the nurse who was not promoted first read the memo and learned that the other nurse had received the promotion, she left the room in tears.
This behavior is an example of ___________.

The nurse who was not promoted then went to the utility room and slammed several cupboard doors while looking for Kleenex.
This behavior exemplifies ___________.

Which of the following coping mechanisms protects an individual from anxiety?

Which activity is best employed to perform Milieu therapy?

When discussing the patterns of use of alcohol and other drugs, which piece of information should the nurse include?

A client is admitted with a diagnosis of Multiple Drug Use.
The nurse should plan care based on knowledge that ___________.

A client with a diagnosis of Schizophrenia has been released from an acute care setting. The client had a prolonged recovery from relapse. One of the parents says to the discharge nurse, “I do not understand what is going on. The hospital said she was better, but all she does is sit around all day and smoke. We cannot get her to go to the vocational training you arranged.”
The nurse recognizes that more teaching is needed about ___________.

A nurse is teaching a group of clients with a diagnosis of Schizophrenia who are nearing discharge from a residential care facility.
An essential topic to include is ___________.

An adolescent female reports being raped at a party where alcohol was served. The client admits to drinking alcohol before being raped by an acquaintance.
The nurse should ___________.

A client goes to the mental health center for difficulty concentrating, insomnia, and nightmares. The client reports being raped as a child.
The nurse should assess the client for further signs of ___________.

Which of the following attitudes is essential in a nurse who assists clients during crises?

The nurse is working with families who have been displaced by a fire in an apartment complex.
What is the priority intervention during the initial assessment?

The nurse suspects an elderly client has been the victim of abuse. The client denies abuse and declines assistance.
The nurse’s next action should be to__________.

When questioning an elder about suspected abuse, the nurse should keep the questions __________.

What is the reason for a contract between nurse and client?

The nurse can best communicate to a client that he or she has been listening by __________.

In the United States, several definitions of death are currently being used.
The definition that uses apnea testing and pupillary responses to light is termed __________.

The nurse is caring for a dying client who has persistently requested that the nurse “help her to die and be in peace.”
According to the Code of Ethics for Nurses, the nurse should __________.

When caring for a Native-American family, which of the following the nurse needs to consider?

The three universal spiritual needs include all of the following except __________.

The three major sequential maturational crises for females include __________.