NCLEX Rn Practice Quiz with Answers and Rationale Part I

NCLEX RN Practice Quiz 

1. A new mother has a few concerns about (PKU). Which of the following statements about PKU made by a nurse is incorrect?

A. The Guthrie test can verify the required lab values.

B. There is a high concentration of phenyl pyruvic acid in the urine.

C. PKU is frequently associated with mental deficits.

D. PKU's effects are reversible.

2. An aspirin overdose has occurred in a patient. Which of the following should a nurse keep a close eye on during this patient's acute care?

A. Initiation of pulmonary edema

B. Metabolic alkalosis

C. Respiratory alkalosis

D. Symptoms of Parkinson's disease

Read Fluid and electrolyte and acid-base-balance.

3. A blind and deaf fifty-year-old patient has been admitted to your floor. What is your primary responsibility as the charge nurse for this patient?

A. Inform others about the patient's deficiencies.

B. Discuss your patient safety concerns with your supervisor.

C. Keep the patient informed about his or her social environment on a regular basis.

D. Provide the patient with a safe environment.

4. A patient is being discharged from a skilled nursing facility. The patient has had severe COPD and PVD in the past. The patient's main concern is their ability to breathe easily. Which of the following is the best advice for this patient?

A. Deep breathing techniques to boost oxygen levels.

B. Cough frequently and deeply to clear the airways.

Coughing after using a bronchodilator

D. Lower CO2 levels by increasing oxygen take-up during meals.

5. A nurse is caring for a baby who has just been diagnosed with a congenital heart defect. Which of the following clinical symptoms is most likely to be present?

A. slow pulse rate

B. Weight gain

C. Decreased systolic pressure

D. Irregular WBC lab values

6. A mother recently learned that her child has Down syndrome. At shift change, you will be assigned to care for the child. Which of the following is not a characteristic of Down's syndrome?

A. Simian crease

B. Brachycephaly

C. Oily skin

D. Hypotonicity

7. A patient has recently had a (MI) within the last four hours. Which of the following medications would you prefer to be given

A. Streptokinase

B. Atropine

C. Acetaminophen

D. Coumadin

8. A patient approaches a nurse and says, "My doctor advised me to increase my folic acid intake." What foods have the highest concentration of folic acid?

A. Green vegetables and liver

B. Yellow vegetables and red meat

C. Carrots

D. Milk

9. A nurse is preparing a presentation on meningitis. Which of the following microorganisms has NOT been associated with human meningitis?

A. S. pneumonia

B. H. influenza

C. N. meningitis

D. Cl. difficiles

10. A nurse is giving blood to a patient who has low hemoglobin levels. The patient inquires, "How long will RBCs last in my body?" The correct answer is.

A. RBC has a 45-day lifespan.

B. RBC has a lifespan of 60 days.

C. RBC has a life span of 90 days.

D. RBC has a lifespan of 120 days.

Answer and Rationale NCLEX EXAM

1. D. PKU's effects are reversible. The effects of PKU follow the infant for the rest of his or her life.

2. D. Symptoms of Parkinson's disease. An aspirin overdose can result in metabolic acidosis and the development of pulmonary edema.

3. D. Provide the patient with a safe environment. Your primary concern is the patient's safety.

4. C. Cough following bronchodilator utilization. The bronchodilator will make coughing more productive.

5. B. Excessive weight gain. Weight gain has been linked to CHF and congenital heart defects.

6. C. Excessive sebum production. The skin would be dry rather than oily.7.

7. A. Streptokinase is the seventh enzyme. Streptokinase is a clot-busting agent that is the best option in this situation.

8. A. Liver and green vegetables. Folic acid is abundant in green vegetables and the liver.

9. D.C. difficile. Meningitis has not been linked to C. difficile.

10.D. RBC has a lifespan of 120 days. RBCs have a lifespan of 120 days in the body.