NCLEX-RN Practice Exam 2 of 5 by Paige Shreffler | Exam Test your readiness with real NCLEX practice questions and exams. Timed test with correct answers and rationales provided at the end of the test. Get tips, tricks and strategies on how to pass the NCLEX-RN the first time. To start you test now, hit "Next" at the bottom right of the page.1. An ER nurse is planning care for a patient who has a left hip fracture. Which of the following devices should the nurse anticipate for immobilization? Skeletal traction Buck’s traction Halo traction Gardner-Wells traction2. Your patient has osteoarthritis (OA) of their knees and fingers. Which manifestations should you expect to find during your admission assessment? (Select all that apply). Limp when walking Heberden’s nodes Enlarged joints Swelling of all joints Small body frame3. You are providing teaching to your patient related to a new prescription for methotrexate for severe psoriasis. Which of the following pieces of information should you be sure to include? Drink a glass of wine daily Monitor for evidence of infection Monitor kidney function tests regularly Expect increased bruising4. Your patient has Seborrheic keratosis on the forehead and nose. Upon your assessment which characteristics of this condition should you expect to observe? (Select all that apply). Waxy appearance of the lesions Black, rough lesions Pruritus of the lesions Purplish skin stain around the lesions Wart-like surface of the lesions5. Which of the following is the proper classification of a burn if your patient presents with a severe sunburn? Superficial Full-thickness Superficial partial-thickness Deep partial-thickness6. You are preparing to administer fentanyl to a patient who was admitted 24 hours ago following deep partial-thickness and full-thickness burns to over 60% of the body. You should plan to use which route to give this medication? Transdermal Subcutaneous (SQ) Intravenous (IV) Intramuscular (IM)7. Another nurse is taking care of a patient with diabetes insipidus (DI). Which of the following urinalysis findings should the nurse expect to find? Absence of glucose Decreased specific gravity Presence of ketones Presence of red blood cells (RBCs)8. When reviewing the characteristics of hyperthyroidism with peers, which of the following should the nurse make sure to include? (Select all that apply). Dry skin Intolerance to heat Constipation Palpitations Weight loss Bradycardia9. You are caring for a patient who has a prescription for levodopa (Sinemet). Which of the following should you advise her to limit in her diet? Tyramine Vitamin C Magnesium Vitamin B610. Another nurse is caring for a patient who experienced a cervical spine injury 24 hours ago. Which of the following types of prescribed medications should that nurse clarify with the physician? Muscle relaxants Glucocorticoids H2 antagonists Plasma expanders11. A nurse is assessing a client who is in respiratory distress. She should recognize that which of the following may cause a low pulse oximetry reading? (Select all that apply). Nail polish Inadequate peripheral circulation Hyperthermia Increased Hgb level Edema12. Your assignment for the shift includes assessing a patient following a bronchoscopy. Which of the following findings should you report to the physician? Bronchospasms Sore throat Blood-tinged sputum Dry, nonproductive cough13. Which of the following manifestations would be expected if your patient was suspected to have Meniere’s disease? Unilateral hearing loss Bilateral tympanic membranes observed to be red & bulging. A purulent lesion in the external ear canal Recent history of traveling in an airplane 14. Your patient has just been admitted following surgical evacuation of a subdural hematoma. Which of the following would you carry out as your priority assessment of their condition? Pupillary response Cranial nerve function Glasgow Coma Scale Oxygen saturation15. Which of the following assessment findings would indicate an increased intracranial pressure (ICP) in your patient who has sustained a gunshot wound to the head? (Select all that apply). Headache Hypotension Dilated pupils Decorticate posturing Tachycardia 16. You are caring for a patient who has an increased ICP and the physician just prescribed mannitol (Osmitrol). Which of the following adverse effects should you be aware to monitor for when administering mannitol? Hyperglycemia Hyponatremia Hypervolemia Oliguria17. Which of the following assessment findings would be expected if your patient has experienced a left-hemispheric stroke? Difficulty with impulse control Poor judgment Loss of depth perception Inability to recognize familiar objects18. A physician has order a patient to receive furosemide 8 mg/kg via IV push Q6h. Medication label reads 500mg/5mL. How many mL will you prepare if the patient weighs 56 kg?19. A nurse on the unit is having trouble getting a patient aroused following an esophagogastroduodenoscopy (EGD). Which of the following is the priority action by the nurse? Evaluate the laboratory findings from before the EGD Allow the patient to sleep Assess the patient’s airway Increase the rate of IV fluid administration20. A nurse is educating a patient about a fecal occult blood test, which requires obtaining three stool specimens. Which of the following statements by the patient indicates an understanding of the teaching? “I’m glad I don’t have to follow any special diet at this time.” “I will continue taking my Coumadin while I complete these tests.” “This test determines if I have parasites in my bowel.” “This is an easy way to rule out having colon cancer.”21. An RN is caring for a patient who had a paracentesis. Which of the following findings during her assessment would indicate that the bowel was perforated during the procedure? Pallor Elevated temperature Complaint of upper chest pain Decreased urinary output22. A nurse is admitting a patient who has bleeding esophageal varices. The nurse should anticipate a physician order for which of the following medications? Ranitidine Terlipressin Propranolol Metoclopramide23. A nurse is educating a patient who has a new diagnosis of pernicious anemia due to chronic gastritis. Which of the following should be included in the education? A monthly injection of a medication will be required Increased production of intrinsic factor is occurring Cells producing gastric acid have been damaged Vitamin K supplements will be administered24. A nurse is performing her assessment on a 6 month old infant. Which of the following reflexes should the infant exhibit? Moro Plantar grasp Stepping Tonic neck25. As a nurse, you are caring for a patient that has come into the office requesting a pregnancy test. She tells you that her last menstrual period was on April 8. The final result of the test is positive. Using Nagele’s rule, what will be her estimated date of birth? January 15 January 1 July 15 July 1Congratulations, you have just finished NCLEX RN Practice Exam 2. Hit the "Submit" button to see your test results. Your Test Score Amount of Time to Finish the Test Test Questions Your Answers Correct Answers Full Rationale for the correct answer(s). Want your test results sent to you? Enter your Name and Email address. More NCLEX-RN Practice Exams with Rationales NCLEX-RN exam #1 NCLEX-RN exam #2 NCLEX-RN exam #3 NCLEX-RN exam #4 NCLEX-RN Exam #5 Name Email Helpful RN Articles and Resources
