Mental Health and Psychiatric Nursing NCLEX Practice Questions Nursing Test Bank (700+ Que, Exams of Nursing

Download Mental Health and Psychiatric Nursing NCLEX Practice Questions Nursing Test Bank (700+ Que and more Exams Nursing in PDF only on Docsity! Quiz #1 : Comprehensive NCLEX-RN Practice Questions (25 Questions) What is NCLEX? The National Council Licensing Examination (NCLEX) is a comprehensive test administered by the National Council of State Boards of Nursing (NCSBN). It assesses whether candidates possess the necessary knowledge and skills to provide safe and effective nursing care at the entry level. The NCLEX is available in two versions: the NCLEX-RN for registered nurses and the NCLEX- PN for practical/vocational nurses. The NCSBN, composed of nursing regulatory bodies from all 50 states in the US, the District of Columbia, and four US territories, is responsible for safeguarding the public by ensuring safe nursing care. It sets the standards and guidelines for nursing licensure and develops the NCLEX examinations. 1. Question Category: Health Promotion and Maintenance A pediatric nurse is performing a routine assessment of a one-month-old infant during a well-baby visit at the primary care clinic. The infant’s mother reports no concerns and states that the baby has been feeding well and has had regular bowel movements. Upon assessment, which of the following findings warrants further investigation by the nurse? Select all that apply. • A. Abdominal respirations • B. Irregular breathing rate • C. Inspiratory grunt • D. Increased heart rate with crying • E. Nasal flaring • F. Cyanosis • G. asymmetric chest movements Correct Answers: C, E, F, & G • Option C. Grunting occurs when an infant attempts to maintain an adequate functional residual capacity in the face of poorly compliant lungs by partial glottic closure. As the infant prolongs the expiratory phase against this partially closed glottis, there is a prolonged and increased residual volume that maintains the airway opening and also an audible expiratory sound. • Option E: Nasal flaring occurs when the nostrils widen while breathing and is a sign of troubled breathing or respiratory distress. • Option F: Cyanosis refers to the bluish discoloration of the skin and indicates a decrease in oxygen attached to the red blood cells in the bloodstream. • Option G: Asymmetric chest movement occurs when the abnormal side of the lungs expands less and lags behind the normal side. This indicates respiratory distress. 2. Question Category: Pharmacological and Parenteral Therapies A nurse is to administer meperidine hydrochloride (Demerol) 100 mg, atropine sulfate (Atropisol) 0.4 mg, and promethazine hydrochloride (Phenergan) 50 mg IM to a preoperative client. List the order in which the nurse must carry out the following actions prior to the administration of preoperative medications. A.Instruct the client to remain in bed B.Have the client empty bladder C.Raise the side rails on the bed D.Place the cell bell within reach Correct Answer: B,A,C,D 3. Question Category: Health Promotion and Maintenance A 32-year-old pregnant woman comes to the clinic for her prenatal visit. The nurse gathers data about her obstetric history, which includes 3-year-old twins at home and a miscarriage 10 years ago at 12 weeks gestation. How would the nurse accurately document this information? Fill in the blanks. Correct Answer: D School-age children gain about 5.5 pounds each year and increase about 2 inches in height. Between ages 2 to 10 years, a child will grow at a steady pace. 9. Question Category: Health Promotion and Maintenance At a community health fair, the blood pressure of a 62-year-old client is 160/96 mmHg. The client states “My blood pressure is usually much lower.” The nurse should tell the client to: A. Go get a blood pressure check within the next 15 minutes B. Check blood pressure again in two (2) months C. See the healthcare provider immediately D. Visit the health care provider within one (1) week for a BP check Correct Answer: A The blood pressure reading is moderately high with the need to have it rechecked after a few minutes to verify. The client states it is ‘usually much lower.’ Thus a concern exists for complications such as stroke. 10. Question Category: Safety and Infection Control The hospital has sounded the call for a disaster drill on the evening shift. Which of these clients would the nurse put first on the list to be discharged in order to make a room available for a new admission? A. A middle-aged client with a history of being ventilator dependent for over seven (7) years and admitted with bacterial pneumonia five days ago. B. A young adult with diabetes mellitus Type 2 for over ten (10) years and admitted with antibiotic-induced diarrhea 24 hours ago. C. An elderly client with a history of hypertension, hypercholesterolemia, and lupus, and was admitted with Stevens-Johnson syndrome that morning. D. An adolescent with a positive HIV test and admitted for acute cellulitis of the lower leg 48 hours ago. Correct Answer: A The best candidate for discharge is one who has had a chronic condition and is most familiar with their care. This client in option A is most likely stable and could continue medication therapy at home. 11. Question Category: Pharmacological and Parenteral Therapies A 25-year-old male client has been newly diagnosed with hypothyroidism and will take levothyroxine (Synthroid) 50 mcg/day by mouth. As part of the teaching plan, the nurse emphasizes that this medication: A. Should be taken in the morning B. May decrease the client’s energy level C. Must be stored in a dark container D. Will decrease the client’s heart rate Correct Answer: A Levothyroxine (Synthroid) has a side effect of insomnia. Taking it in the morning could prevent interfering with the client’s sleeping pattern. 12. Question Category: Physiological Adaptation A 3-year-old child was brought to the pediatric clinic after the sudden onset of findings that include irritability, thick muffled voice, croaking on inspiration, hot to touch, sit leaning forward, tongue protruding, drooling, and suprasternal retractions. What should the nurse do first? A. Prepare the child for X-ray of upper airways B. Examine the child’s throat C. Collect a sputum specimen D. Notify the healthcare provider of the child’s status Correct Answer: D These findings suggest a medical emergency and may be due to epiglottitis. Any child with an acute onset of an inflammatory response in the mouth and throat should receive immediate care. 13. Question Category: Physiological Adaptation In children suspected to have a diagnosis of diabetes, which one of the following complaints would be most likely to prompt parents to take their school-age child for evaluation? A. Polyphagia B. Dehydration C. Bedwetting D. Weight loss Correct Answer: C One of the first symptoms of type 1 diabetes in children is bedwetting. Bedwetting in a school-age child is readily detected by the parents. 14. Question Category: Physiological Adaptation A client comes to the clinic for treatment of recurrent pelvic inflammatory disease. The nurse recognizes that this condition most frequently follows which type of infection? A. Trichomoniasis B. Chlamydia C. Staphylococcus D. Streptococcus Correct Answer: B Chlamydial infections are one of the most frequent causes of salpingitis or pelvic inflammatory disease. Chlamydial bacteria could travel up toward the vagina or cervix into the reproductive organs. 15. Question Category: Management of Care A registered nurse who usually works in a spinal rehabilitation unit is floated to the emergency department. Which of these clients should the charge nurse assign to this RN? A. A middle-aged client who says “I took too many diet pills” and “my heart feels like it is racing out of my chest.” B. A young adult who says “I hear songs from heaven. I need money for beer. I quit drinking two (2) days ago for my family. Why are my arms and legs jerking?” C. An adolescent who has been on pain medications terminal cancer with an initial assessment finding pupils and a relaxed respiratory rate of 11, D. An elderly client who reports having taken a “large crack hit” 10 minutes prior to walking into the emergency room. Correct Answer: C Nurses who are floated to other units should be assigned to a client who has minimal anticipated immediate complications of their problem. This client exhibits opioid toxicity with the pinpoint pupils and has the least risk of complications to occur in the near future. 16. Question Category: Health Promotion and Maintenance When teaching a client with coronary artery disease about nutrition, the nurse should emphasize: A. Eating three (3) balanced meals a day B. Adding complex carbohydrates C. Avoiding very heavy meals D. Limiting sodium to 7 gms per day Correct Answer: B This client requires immediate evaluation. A delay in treatment could result in further deterioration and harm. Home care nurses must prioritize interventions based on assessment findings that are in the client’s best interest. 22. Question Category: Reduction of Risk Potential Which of the following should the nurse implement to prepare a client for a KUB (Kidney, Ureter, Bladder) radiography test? A. Client must be NPO before the examination B. Enema to be administered prior to the examination C. Medicate client with furosemide 20 mg IV 30 minutes prior to the examination D. No special orders are necessary for this examination Correct Answer: D There are no special orders for this procedure, however, the client must be instructed of the general rule during radiography tests: remove any clothing, jewelry, or objects that may interfere with the test. 22. Question Category: Reduction of Risk Potential Which of the following should the nurse implement to prepare a client for a KUB (Kidney, Ureter, Bladder) radiography test? A. Client must be NPO before the examination B. Enema to be administered prior to the examination C. Medicate client with furosemide 20 mg IV 30 minutes prior to the examination D. No special orders are necessary for this examination Correct Answer: D There are no special orders for this procedure, however, the client must be instructed of the general rule during radiography tests: remove any clothing, jewelry, or objects that may interfere with the test. 24. Question Category: Management of Care A triage nurse has these four (4) clients arrive in the emergency department within 15 minutes. Which client should the triage nurse send back to be seen first? A. A 2-month-old infant with a history of rolling off the bed and has bulging fontanelle with crying B. A teenager who got a singed beard while camping C. An elderly client with complaints of frequent liquid brown colored stools D. A middle-aged client with intermittent pain behind the right scapula Correct Answer: B This client is in the greatest danger with a potential of respiratory distress. Any client with singed facial hair has been exposed to heat or fire in close range that could have caused serious damage to the interior of the lungs. Note that the interior lining of the lungs has no nerve fibers so the client will not be aware of swelling. 25. Question Category: Health Promotion and Maintenance While planning care for a toddler, the nurse teaches the parents about the expected developmental changes for this age. Which statement by the mother shows that she understands the child’s developmental needs? A. “I want to protect my child from any falls.” B. “I will set limits on exploring the house.” C. “I understand the need to use those new skills.” D. “I intend to keep control over our child.” Correct Answer: C Erikson describes the stage of the toddler as being the time when there is normally an increase in autonomy. The child needs to use motor skills to explore the environment and develop autonomy.