NCLEX Practice Questions

1. Premature ventricular contractions present a grave danger when they:

A. Take on multiple configurations
B. Occur in 2's or 3's
C. Land near a T-wave
D. All of the above

Answer: D. PVCs also present danger to the client when they begin to occur more often than once in 10 beats.

2. The clinical manifestations of jaundice include:

A. Clay-colored stools and dark-colored urine
B. Dark-colored urine and diarrhea
C. Diarrhea and slera
D. None of the above

Answer: A. Other manifestations include yellow skin, slera and/or mucous membranes.

3. True or false. Clients with jaundice have an absence of bilirubin in stools.

Answer: True. There is a presence of bilirubin in the skin and urine.

4. Lupus, an autoimmune disorder, can be triggered by which of the following?

A. Sunlight
B. Alcohol consumption
C. Insect bite
D. All of the above

Answer: A. Lupus can also be triggered by pregnancy, stress and drugs.

5. When speaking to clients with hearing impairments, nurses should:

A. Avoid using visual aids, because it may make the client uncomfortable.
B. Stand in front of the person.
C. Speak slowly and distinctly in a low-pitched voice.
D. All of the above are acceptable for communication
E. B & C only

Answer: E. It is acceptable to use visual aids when communicating with the hearing impaired.
6. The nurse supervisor brings a small group of student nurses to the Neuro unit. They are brought into a room with a neurologically impaired client. One nurse asks the supervisor if it is typical for the client to be prescribed a narcotic. The best response by the supervisor would be:

A. Narcotics are generally prescribed to neurologically impaired clients.
B. Clients who are neurologically impaired should avoid narcotics.
C. Definitely. Narcotics improve the client's level of responsiveness.
D. All of the above are valid responses.

Answer: B. Narcotics should be avoided because they mask: (i) the level of responsiveness and (ii) the pupillary response.

7. True or false. Following a hysterectomy, ambulation should be discouraged.

Answer: FALSE. Nurses should encourage ambulation as soon as possible.