NCLEX-RN Free Practice Test

- (Topic 7)
The parents of a 9-year-old child with acute lymphocytic leukemia expressed concern about his alopecia from cranial irradiation. The nurse explains that:

1. A. Alopecia is an unavoidable side effect.
2. B. There are several wig makers for children.
3. C. Most children select a favorite hat to protect their heads.
4. D. His hair will grow back in a few months.

Correct Answer: D
(A) Alopecia has occurred, and knowing it is a side effect does not address their concern.
(B) Although true, it does not give them hope for the future. (C) Although true, it does not provide them with information of the temporary nature of the situation. (D) Knowing the hair will grow back provides comfort that the alopecia is temporary.

- (Topic 2)
The nurse would be sure to instruct a client on the signs and symptoms of an eye infection and hemorrhage. These signs and symptoms would include:

1. A. Blurred vision and dizziness
2. B. Eye pain and itching
3. C. Feeling of eye pressure and headache
4. D. Eye discharge and hemoptysis

Correct Answer: B
(A) Although blurred vision may occur, dizziness would not be associated with an infection or hemorrhage. (B) Eye pain is a symptom of hemorrhage within the eye, and itching is associated with infection. (C) Nausea and headache would not be usual symptoms of eye hemorrhage or infection. (D) Some eye discharge might be anticipated if an infection is present; hemoptysis would not.

- (Topic 5)
A 78-year-old female client has a total hip arthroplasty. Her nurse should know that which of the following is contraindicated?

1. A. Encourage exercises in the unaffected extremities.
2. B. Encourage her to cross and uncross her legs.
3. C. Check neurological and circulatory status of the affected leg hourly.
4. D. Place a trochanter roll along the upper thigh of the affected leg.

Correct Answer: B
(A) Exercising the unaffected extremities will prevent contractures and emboli. (B) Crossing and uncrossing the affected leg after surgery can dislocate the joint. (C) Neurological and circulatory status of the affected leg has been compromised by surgery. Hourly checks are needed to monitor the status of the leg. (D) A trochanter roll will prevent the upper thigh from rolling outward, increasing the chances of dislocation.

- (Topic 4)
Which of the following blood gas parameters primarily reflects respiratory function?

1. A. PCO2
2. B. CO2 content of the blood
3. C. HCO3
4. D. Base excess

Correct Answer: A
(A) The lungs are responsible for regulation of CO2, and this parameter primarily reflects respiratory function. (B) CO2 content of the blood is an indirect measure of respiratory function. (C) HCO3 is a measure of kidney function only and is important in acid-base balance. (D) Base excess represents the excess of HCO3 and is not reflective of respiratory function.

- (Topic 7)
A 14-year-old teenager is hospitalized for anorexia nervosa. She is admitted to the adolescent mental health unit and placed on a behavior modification program. Nursing interventions for the teenager will most likely include:

1. A. Establishing routine tasks and activities around mealtimes
2. B. Administering medications such as lithium
3. C. Requiring the client to eat more during meals
4. D. Checking the client??s room frequently

Correct Answer: A
(A) Providing a more structured, supportive environment addresses safety and comfort needs, thereby helping the anorexic client develop more internal control. (B) Medications (commonly antidepressants) are frequently ordered for the anorexic client. However, lithium (used primarily with bipolar disorder) is not commonly used to treat the anorexic client. (C) Requiring and/or demanding that the anorexic client ??eat more?? at mealtimes increases the client??s feelings of powerlessness. (D) Like the previous strategy, checking the client??s room frequently contributes to the client??s feelings of powerlessness.