NCLEX Questions
NCLEX questions also called NCLEX review questions are listed below. 
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The nurse should be prepared to manage complications after abdominal aortic aneurysm resection. Which situation is most commonly postoperatively?
- Renal Failure
- Hemorrhage and Shock
- Graft Occlusion
- Enteric Fistula
Answer: 1
A client admitted to the hospital with diabetic ketoacidosis is receiving a continuous infusion of regular insulin. The physician orders an I.V containing 1 liter of dextrose, 5 liters in water at 500ml/hour to be started when patients blood glucose reaches 250mg/dl. The drip factor of the I.V tubing is 15gtt/ml. What is the drip rate for this I.V infusion in drops per minute?
Answer: 150ml / 60mins x 15gtt / 1ml = 37.5 gtt/min
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A client submitted for surgery seems preoccupied and anxious the night before the operation. Which comment by the nurse would promote the therapeutic communication?
- “Are you worried about your surgery tomorrow?”
- “Would you like me to call a chaplain about any concern you may have about surgery?”
- “You seem worried about something. Would it help to talk about it?”
- ” It isn’t unusual to worry about surgery. If you’d like, I’ll ask the physician for something to help you sleep.”
Answer: 3
The nurse is assessing a client with a history of multiple substance abuse. The client reports that he’s been experiencing nausea, vomiting and diarrhea. The nurse observes flushing, piloerection, increased lacrimation and rhinorrhea. These signs and symptoms indicate withdrawal from which substance?
- Alcohol
- Amphetamines
- Opioids
- Cocaine
Answer: 3
The development of disaster plan should take into consideration that children are more susceptible to the effects of chemical attack than adults because of children:
- Have thinner skin than adults
- Have a smaller body surface area than adults
- Breathe at a lower rate than the adults
- Have a low risk of developing dehydration
Answer: 1
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When attempting to reduce the risk of impaired skin integrity related to immobility in a toddler, which action should be avoided?
- Gently massaging the skin with a lubricating substance
- Spreading a thin layer of lotion over pressure points
- Changing the toddler’s position frequently
- Cleaning the skin as often as necessary
Answer: 2
An emergency department nurse suspects neglect in 3 years old boy admitted for failure to thrive. Signs of neglect in children would include
- Slapping, kicking and punching others
- Poor hygiene and weight loss
- Loud crying and screaming
- Pulling hair and hitting
Answer: 2
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A client with suspected severe acute respiratory syndrome comes to the emergency department. Which physician order should the nurse implement first?
- In institute isolation precautions
- Begin an I.V infusion of Dextrose 5% in half normal saline at 100ml/hour
- Obtain a nasopharyngeal specimen
- Obtain a sputum specimen for enzyme immunoassay testing
Answer: 1
A client with mild diarrhea, fever, and abdominal discomfort is being evaluated for inflammatory bowel disease (IBD). Which statement about IBD is true?
- Diarrhea is the most common sign of IBD
- Transmural inflammation with fistula formation occurs in ulcerative colitis, one form of IBD
- Abscesses may occur in IBD as poor nutrition causes breakdown of cells in the GIT tract
- Bowel cancer is common in clients with a history of Crohn’s disease, one form of IBD.
Answer: 1
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