check

NCLEX Knowledge Assessment

This 20 Question Quiz will assess your knowledge of the "must know" for NCLEX success!

Click the button below to start.

Start

Question 1 of 20

A client  with suspected cardiovascular disease is diagnosed with abnormality of her heart valves. Which past illness in her history would alert the nurse to the possibility of this problem?

A

Community Acquired Pneumonia

B

Neurological Encephalopathy

C

Rheumatic Fever

D

Emphysema

Question 2 of 20

A client complains of a sharp pain after walking a distance of one block around the neighborhood. Upon assessment the nurse notes that the client has developed a painful ulcer on the toes of the right foot. Which condition is most likely responsible for this client’s symptoms?

A

Necrosis of the toes

B

Peripheral arterial disease

C

Peripheral venous disease

D

Diabetic foot ulceration

Question 3 of 20

Which clinical manifestation alerts the nurse on the Medical Surgical Unit to the possibility of Graves’ disease as the cause of hyperthyroidism?

A

Weight gain

B

Tachycardia and hypotension

C

Exophthalmos

D

Cold intolerance

Question 4 of 20

The client is receiving heparin therapy for a pulmonary embolism caused from a deep vein thrombosis.  Which activated partial thromboplastin time (aPTT) indicates to the nurse that anticoagulation is adequate?

A

The client’s aPPT is the same as the control value.

B

The client’s aPPT is twice the control value.

C

The client’s aPPT is four times the control value.

D

The client’s aPPT is half of the control value.

Question 5 of 20

A client with severe burn is in the rehabilitative phase of recovery. The nurse notes that the priority nursing diagnosis for this client is?

A

Acute Pain

B

Risk for Infection

C

Electrolyte Imbalance

D

Impaired Adjustment

Question 6 of 20

The nurse providing care for the antepartum woman should understand that contraction stress test (CST):

A

Is considered negative if no late decelerations are observed with the contractions.

B

Is more effective than nonstress test (NST) if the membranes have already been ruptured

C

Is an invasive procedure

D

Requires the client to be NPO after midnight

Question 7 of 20

A pregnant client diagnose with gestational diabetes asked the nurse what does the laboratory test for glycosylated hemoglobin A1C stands for? The nurse responded by telling her that:

A

This test is done for all pregnant women

B

You cannot have anything to eat after midnight before test

C

This test requires you to drink a sweet liquid followed by drawing your blood one hour later

D

This test would be considered evidence of good diabetes control with a result of 5% to 6%

Question 8 of 20

A new mother asks the nurse “At what age do most babies begin to fear 

 

strangers?” The nurse responds that most infants begin to fear strangers at what age?

 

A

3 months

B

4 months

C

7 months

D

12 months

Question 9 of 20

Which of the following measures is equivalent to 1 grain?

A

30 milligrams

B

100 milligrams

C

60 milligrams

D

15 milligrams

Question 10 of 20

The nurse reviews the order from the provider who prescribes the client to receive 60 mL of IV fluid every hour. If the tubing has a drop factor of 60, how many drops per minute should the nurse set the tubing to infuse?

A

60 gtt

B

10 gtt

C

10 gtt

D

125 gtt

Question 11 of 20

A nurse assesses a client with peritonitis. Which clinical manifestations should the nurse expect to find? (Select all that apply.)

(Select all that apply)
A

Distended abdomen

B

Inability to pass flatus

C

Bradycardia

D

Hyperactive bowel sounds

E

Decreased urine output

Question 12 of 20

A nurse evaluates a client’s arterial blood gas values (ABGs): pH 7.30, PaO2 86 mm Hg, PaCO2 55 mm Hg, and HCO3 22 mEq/L. Which intervention should the nurse implement first?

A

Assess the airway.

B

Administer prescribed bronchodilators.

C

Provide oxygen.

D

Administer prescribed mucolytics.

Question 13 of 20

The nurse enters the patient’s room and notices a small fire in the headlight above the patient’s bed. In which order will the nurse perform the steps, beginning with the first one?

1. Pull the alarm.

2. Remove the patient.

3. Use the fire extinguisher.

4. Close doors and windows.

(Select all that apply)
A

2, 1, 4, 3

B

1, 2, 4, 3

C

1, 2, 3, 4

D

2, 1, 3, 4

Question 14 of 20

A client taking a medication to decrease her risk of clotting (anticoagulant) has a long history of herbal agents. Which statement by the client would indicate a need for further instructions?

A

“I should not take feverfew, because it increases the effects of my medication.”

B

“I can take ginger for my motion sickness when I fly.”

C

“I can take black cohosh for my PMS because there is no known interaction with my anticoagulant medication.”

D

“I can continue to use the garlic for a dietary supplement to decrease my cholesterol.”

Question 15 of 20

A client has gastroesophageal reflux disease (GERD). The provider prescribes a proton pump inhibitor. About what medication should the nurse anticipate teaching the client?

A

Famotidine (Pepcid)

B

Magnesium hydroxide (Maalox)

C

Omeprazole (Prilosec)

D

Ranitidine (Zantac)

Question 16 of 20

A nurse assessing a client who has acute pancreatitis and is at risk for an acid-base imbalance. Which manifestation of this acid-base imbalance should the nurse assess?

A

Seizures

B

Kussmaul respirations

C

Agitatioin

D

Trousseau sign

Question 17 of 20

A postoperative client developed respiratory depression after receiving midazolam (Versed) during surgery. Which medication should the nurse prepare to administer immediately?

A

Naloxone

B

Flumazenil

C

Cyclobenzapine

D

Protamine Sulfate

Question 18 of 20

A nurse in the emergency department receives report on a client admit with systemic lupus erythematosus (SLE). Which laboratory value requires further assessment?

A

Red blood cell count: 5.2/mm3

B

Creatine: 3.9 mg/dL

C

Platelet count: 210,000/mm3

D

White blood cell count: 4400/mm3

Question 19 of 20

The student nurse in the emergency room notes sinus arrhythmia on the monitor when assessing a 12 year old boy. She noticed the rhythm changes with his breathing. What should the nurse do ?

 

 

A

Notify the RN immediately the client will need cardioversion

B

Asking the mother of the client if the child recently had cardiac surgery

C

Continue monitoring the child's rhythm and respiration

D

Tell the RN that you've learned that this rhythm can lead to difficulty breathing

Question 20 of 20

A 55 year old male client admitted with with a myocardial infarction. Upon assessment the nurse observes this rhythm on the client and identifies no pulse. What should she do next? 

A

Call Rapid Response

B

Check vital signs

C

Prepare for immediate defibrillation

D

Prepare for cardioversion

Confirm and Submit