NCLEX-RN Free Practice Test

- (Topic 4)
A client is experiencing mucosal cell damage secondary to chemotherapy. Because of mucosal ulcers, eating has become increasingly uncomfortable for her. Which of the following interventions would be most effective in getting her to eat?

1. A. Local anesthetics or mouth washes applied to ulcers 30 minutes prior to meals
2. B. A bland, moist, soft diet
3. C. Staying with the client and providing distraction during meals
4. D. Cleaning the mouth carefully with lemon glycerin swabs and milk of magnesia before meals

Correct Answer: B
(A) Local anesthetics do temporarily relieve the pain but leave an unpleasant taste and numb feeling that are not conductive to eating. (B) Such a diet is less irritating to the damaged mucosa and is easier for the child to tolerate. (C) This intervention is helpful if the child has only anorexia. It does not work if the type and texture of the food increase oral discomfort. (D) Lemon glycerin swabs and milk of magnesia dry the oral mucosa and should be avoided.

- (Topic 1)
A 38-year-old pregnant woman visits her nurse practitioner for her regular prenatal checkup. She is 30 weeks?? gestation. The nurse should be alert to which condition related to her age?

1. A. Iron-deficiency anemia
2. B. Sexually transmitted disease (STD)
3. C. Intrauterine growth retardation
4. D. Pregnancy-induced hypertension (PIH)

Correct Answer: D
(A) Iron-deficiency anemia can occur throughout pregnancy and is not age related. (B) STDs can occur prior to or during pregnancy and are not age related. (C) Intrauterine growth retardation is an abnormal process where fetal development and maturation are delayed. It is not age related. (D) Physical risks for the pregnant client older than 35 include increased risk for PIH, cesarean delivery, fetal and neonatal mortality, and trisomy.

- (Topic 6)
Due to his prolonged history of alcohol abuse, an alcoholic client will most likely have deficiencies of which of the following nutrients?

1. A. Vitamin C and zinc
2. B. Folic acid and niacin
3. C. Vitamin A and biotin
4. D. Thiamine and pyroxidine

Correct Answer: D
(A) Chronic alcoholism can lead to deficiencies of B complex vitamins including thiamine and pyroxidine. (B) Chronic alcoholism can lead to deficiencies of vitamins A, D, K, and B complex. (C) Chronic alcoholism can lead to deficiencies of vitamins A, D, K, and B complex. (D) Vitamins A, D, K, and B require bile salts to be absorbed from the gastrointestinal tract. A damaged liver does not form bile salts.

- (Topic 6)
While the nurse is taking a male client??s blood pressure, he makes flirtatious remarks to her. The nurse will handle this effectively if she:

1. A. Politely tells the client, ??Keep your hands off ??
2. B. Ignores the remarks and hopes he will not try it again
3. C. Confronts the remarks but attempts not to reject the client
4. D. Leaves the room in order to compose herself

Correct Answer: C
(A) This response does not recognize normal feelings of attraction and rejects the client.
(B) By ignoring the situation, the nurse has not set limits to discourage other remarks or perhaps more sexually aggressive behavior. (C) By confronting the remarks, she can recognize that his feelings of attraction may be normal but are not appropriate within the context of their nurse-client relationship. (D) Leaving the room does not deal with setting limits for future interactions.

- (Topic 1)
The following medications were noted on review of the client??s home medication profile. Which of the medications would most likely potentiate or elevate serum digoxin levels?

1. A. KCl
2. B. Thyroid agents
3. C. Quinidine
4. D. Theophylline

Correct Answer: C
(A) Hypokalemia can cause digoxin toxicity. Administration of KCl would prevent this. (B) Thyroid agents decrease digoxin levels. (C) Quinidine increases digoxin levels dramatically. (D) Theophylline is not noted to have an effect on digoxin levels.