NCLEX-PN Practice Test 8

When preparing a patient for the insertion of a central venous access device (CVAD), the nurse explains that the benefits of a CVAD include all except which of the following?

Which statement best describes the evaluation phase of the nursing process?

Which of the following items rules a person out for being an organ donor?

Which ocular positioning aligns with the patient’s diagnosis of exotropia?

Of the following patients, which one has the highest risk for skin injury?

The nurse is providing telephonic guidance to a 31-year-old patient who is 36 weeks pregnant regarding distinguishing between true and false labor. Which contraction findings does the nurse explain are likely due to false labor? Select all that apply.

By definition, competent bacteria can do which of the following?

The nurse is providing patient instruction on obtaining a sterile specimen, also known as a clean catch, for an uncircumcised male patient. Arrange the following steps in the order the nurse should instruct the patient to perform them. Include all options.

What is the last stage in Freud’s model of the five stages of human development?

Which of the following statements is correct?

Which of the following terms refers to a state in which the client has a lower than normal count of platelet cells?

The action created by a drug is known as what?

Upon analysis of the following fetal heart rate and maternal contraction readings gained from electronic fetal monitoring, which fetal heart pattern does the nurse determine?

Which intervention should the nurse NOT include while maintaining seizure precautions for a patient with epilepsy?

Where should the nurse place the bell or diaphragm of their stethoscope to auscultate the pulmonic area during a focused cardiac assessment?

While caring for a pediatric patient, the nurse is providing discharge instructions to the patient and family regarding the oral administration of a liquid treatment, which is available as 5 mg/mL. The patient is prescribed 40 mg. How many mL should the patient’s parent plan to administer?

The nurse is providing patient education when the patient inquires, “What is the plan to help with my fatigue, hair thinning, and weight gain?” Which medication from the patient’s electronic medication administration record does the nurse identify as supporting targeted relief for the patient’s symptoms of hypothyroidism?

Which of the following ECG strips indicates atrial flutter?

Which of the following choices illustrates the prone position?

In Erikson’s eight stages of development, Identity versus Role Confusion begins at age 12 and contains all EXCEPT which of the following challenges?

When reviewing their knowledge of the stages of infections, the nurse knows that which period precedes the first symptoms of the infection?

When taking a history from a pregnant woman with placenta previa, the nurse would expect the patient to report which of the following?

The nurse reviews the following cardiac telemetry strips during physiotherapy. Which, if any, displays traces of chest wall clapping?

Which type of law deals with misdemeanors and felonies?

How should the nurse evaluate the following cardiac rhythm noted on a patient’s electrocardiogram?

The patient reports that he feels dizzy and lightheaded when he stands up after sitting for a long time. What would be the appropriate intervention performed by the nurse to assess the cause of these symptoms?

Which of the following are vulnerable populations at high risk of being abuse and neglect victims?

The nurse is caring for a patient struggling with changes to their behavior, memory, speech, hearing, and vision secondary to a traumatic brain injury sustained during a motor vehicle accident. Which lobe does the nurse understand to be the site of injury causing these symptoms?

Which statement is typical of data the nurse collects on a woman hospitalized with abruptio placenta?

There is an interruption in the patient’s care when their case is shifted from one health care environment to another in a way that causes ambiguity over who is responsible for care. What is this called?

In receiving a new patient upon admission to an inpatient room, the nurse delegates appropriate tasks to the unlicensed assistive personnel (UAP). What equipment is appropriate for the UAP to safely start on the patient?

According to Piaget, the process by which old ideas or beliefs must be replaced with new ones due to obtaining new and more factual information is called which of the following?

Following a traumatic brain injury during a sporting event, the patient reports loss of their sense of smell. Which cranial nerve is responsible for the sense of smell?

What part of supervision involves the nurse giving the staff member tips for a better performance, using utmost respect and professionalism?

A state board of nursing has a set amount of continuing education requirements that the nurse must fulfill each year to maintain their license. Which type of law is this?

The nurse caring for a patient postcardiac catheterization will perform which specific intervention to monitor for the development of life-threatening dysrhythmias?

A patient needs invasive hemodynamic monitoring as they are being admitted to the ICU for hemorrhagic shock. The nurse will expect an order for which type of line to be inserted?

A patient presents to the emergency department via ambulance after experiencing a fire accident while camping. The nurse is assisting with determining the percentage of surface area directly impacted by the burns. What region of the patient’s body, when affected anteriorly and posteriorly, combines to a total 36% surface area?

When establishing priorities for the patient, the nurse considers Maslow’s hierarchy of needs. Which level must be attained first before moving higher on the pyramid?

When administering a medication, the nurse observes all except which of the following rights?

While caring for a patient with tension headaches post motor vehicle accident, the nurse views a new order for butalbital 50 mg/acetaminophen 300 mg/caffeine 40 mg tablets to be given PO q4h prn headache. If the patient consumes the maximum daily dose of 6 tablets, how many mg of caffeine will the patient consume in a 24 hour period?

Which of the following is a nurse legally mandated to report?

A nurse is caring for a patient who doesn’t have pressure sores but is at risk for them due to immobility. How often should the patient be repositioned?

In Skinner’s theory of operant conditioning, the term shaping refers to which of the following?

The nurse is teaching the family of a patient with early Alzheimer’s disease about medication options to treat the disease. Which statement by the patient’s daughter indicates an understanding of the effects of these medications?

One’s cultural background is based primarily upon which of the following?

A client has just had a catheter placed in their chest for the purpose of total parenteral nutrition (TPN) administration. The chest x-ray shows that the catheter has slipped and caused a leakage of air into the pleural space. What is this condition called?

The nurse needs to assess a normal, uncomplicated patient in the doctor’s office for a yearly physical. Which is the best spot to assess for this patient’s pulse?

Identify the following rhythm:

All EXCEPT which of the following are true of an area with an extremely high population density?

Which model of care seeks to promote continuity of patient care across their health journey, ensuring proper case coordination, proactivity, and patient-centeredness?

What most accurately describes the blood sugar samples in this graph?

The nurse is working with an 82-year-old patient who suffered a Colles fracture during a fall. Which splint does the nurse identify as most supportive for this patient?

The nurse walks into a patient’s room and witnesses the patient violently convulsing with rigid muscles. The patient is completely unconscious. The nurse immediately recognizes this is what type of seizure?

Before using a patient’s newly placed PICC line, the nurse knows which test must be performed?

The nurse in the ICU takes over for a patient who has been experiencing respiratory acidosis. The nurse checks the daily labs and finds which of the following values that suggests the patient is still acidotic?

Which of the following CVADs is an example of a non-tunneled catheter?

After the nurse assesses the patient’s vital signs and finds an elevated heart rate, elevated respirations, and low blood pressure, which position should the nurse place the patient in?

During an inpatient hospitalization, a patient is struggling with an acute exacerbation of Meniere’s disease. Which device would be most helpful to this patient during this time?

Which nerve pathway is the simplest, and bypasses the brain?

Studies have shown that which of the following practices has the most positive impact on patients?

The nurse is obtaining the patient’s height and weight and the patient willingly steps on the scale without much prompting. Which type of consent was given?

A patient is admitted to the hospital from the emergency department with stomach pain and blood emesis. The nurse knows that which of the following tests is likely to be performed on the patient based on their symptoms?

The nurse is educating a female client who is to undergo a mammography. Which of the following statements would not be appropriate regarding mammography education?

The patient has an order for acetaminophen 650 milligrams Q6H prn for pain, not to exceed 2 grams in 24 hours. How many doses of acetaminophen can the patient have in 24 hours? Round to the nearest whole number.

Which form of consent does an unconscious patient provide when brought into the emergency department after an accident?

Which statement is typical of data collected on a patient with Grave’s disease?

The patient has an order for 240 mg of Tylenol for her pediatric patient. Tylenol comes in 160 mg per 5 mL. How many milliliters does the nurse administer to the patient?

Which of the following hemodynamic parameters is measured in beats per minute per meter squared of the patient’s body surface area?

Which term refers to a route of medication administration other than through the gastrointestinal tract?

Which of the following is a function of the parasympathetic nervous system?

You walk into a patient’s room and find them sweating and complaining of heart palpitations. Earlier that day, the patient’s heart rate was 60 beats per minute and the heart rhythm was normal sinus. You check their pulse, and it is now 150 beats per minute. Their SpO2 is 88 percent. You do an EKG at the bedside, and it shows that the patient is now in atrial fibrillation. What should you do? Select all that apply.

A nurse is delegating a task to a certified nursing assistant (CNA). Which of the following factors must the nurse consider?

The nurse is caring for a fifty-two-year-old female patient with metabolic syndrome. Which of the following is the nurse NOT likely to assess?

An aide is caring for a patient with a known respiratory infection. The patient is on droplet precautions. What is the minimum PPE required when caring for this patient?

A woman who has entered her twenty-fourth week of pregnancy is preparing to take the oral glucose tolerance test, which will screen for which condition of pregnancy?

Middle school student Johnny stores an epinephrine injection pen in his locker, lunch bag, and pencil case. Johnny likely suffers from which of the following?

On admission, you learn that your patient has fallen at home three times in the last six months. What should you do to ensure the patient’s safety? Select all that apply.

A twenty-two-year-old male comes in with a gunshot wound to the right upper quadrant of his abdomen. The bleeding has been controlled, the wound was closed, and he has been hemodynamically stabilized. What solid organ of the abdomen does the nurse suspect might have been hit by the gunshot?

The nurse prepares to don personal protective equipment (PPE). Arrange the following steps in the order the nurse should perform them. Include all options.

Which instrument should the nurse select for use in debridement?

A nurse is charged with negligence. Which type of offense is negligence?

What are the functions of the hypothalamus?

I. Regulate body temperature.

II. Send stimulatory and inhibitory instructions to the pituitary gland.

III. Receive sensory information from the brain.

The school nurse notices that a kindergartener seems to have trouble making certain letter sounds when they talk. Which type of referral would be appropriate in this circumstance?

Approximately what percentage of people in the United States struggle with mental illness in a given year?

What category of psychological disorders is characterized by a mood that fluctuates between mania and depression?

Which sound should be assessed using the bell of the stethoscope for proper detection?

The nurse is caring for a forty-eight-year-old patient assessed to have an elevated white blood cell count following anesthesia. What is the normal range for white blood cells in a healthy adult patient?

Which of the following lab values suggests the client is experiencing hypokalemia?

You suspect that your patient who is receiving a blood transfusion is experiencing a transfusion reaction. List the order in which the following things should occur:

You present information on advanced directives to your patient. Your patient states that they do not want to be resuscitated in the event their heart should stop. That is, they have a “do not resuscitate” order, or DNR. What actions should you take? Select all that apply.

The nurse identifies a patient care safety risk while rounding on the unit at the start of shift. Which member of the care team should the nurse elevate this concern to?

The nurse has a patient who reports that he is 155 pounds. The nurse needs to record the patient’s weight in kilograms. Knowing that 1 kilogram is equal to 2.2 pounds, the nurse then calculates the patient’s weight to be what in kilograms?

Which heart rate does the nurse consider within normal range for the two-week-old patient?

Which of the following is NOT a preventative measure for pressure-ulcer formation?

As the nurse is receiving reports on her patients for the day, she knows that which patient will take top priority in being assessed and treated?

Which body surface correlates to an 18% burn percentage in an adult patient?

A patient calls the doctor’s office asking how many milliliters of ibuprofen she should give her nine-month-old baby. The baby weighs 18 pounds. The ibuprofen comes in drops with a concentration of 50 mg/1.25 mL. The dose is 75 mg. The nurse tells the patient to give her baby how many milliliters? Round to the nearest tenth of a decimal.

A nursing student is interested in becoming a case manager. Which of the following will be required to attain this nursing role?

The nurse looks for which of the following signs that the patient is having an allergic reaction after administering a drug?

Which scores from the Norton Scale for Assessing Risk of Pressure Ulcers indicate that the patient is susceptible to ulcers? Select all that apply.

High levels of dopamine are associated with which of the following?