Sample NCLEX Questions l Nursing Board Exam Question

Sample Nursing Board Exam Questions

1.)A man is admitted to the nursing care unit with a diagnosis of cirrhosis. He has a long history of alcohol dependence. During the late evening following his admission, he becomes increasingly disoriented and agitated. Which of the following would the client be least likely to experience?
1.Diaphoresis and tremors
2.Increased blood pressure and heart rate
3.Illusions
4.Delusions of grandeur

Answer no. 4
Rationale:
Delusions of grandeur are symptomatic of manic clients, not clients withdrawing from alcohol. The symptoms and history of alcohol abuse suggest this client is in alcohol withdrawal.

2.)Miss Rain. is an 88-year-old client at a long-term care facility. Prior to administering any medication or treatment to this client the nurse must confirm identity by
1.Asking the client if she is Miss Rain.
2.Reading the client’s identification bracelet.
3.Reading the client’s medical record.
4.Asking the roommate to state the client’s name.

Answer no. 2
Rationale:
Reading the name on the client’s ID bracelet is the most accurate way to confirm identity.

3.)A client has been placed in blood and body fluid isolation. The nurse is instructing auxiliary personnel in the correct procedures. Which statement by the nursing assistant indicates the best understanding of the correct protocol for blood and body fluid isolation?
1.Masks should be worn with all client contact.
2.Gloves should be worn for contact with nonintact skin, mucous membranes, or soiled items.
3.Isolation gowns are not needed.
4.A private room is always indicated.

Answer no. 2
Rationale:
Gloves should be worn for all contact with blood and body fluids, nonintact skin and mucous membranes; for handling soiled items; and for performing venipuncture.

4.)Following a craniotomy, the client asks the nurse why a bone flap is necessary. The nurse explains that the purpose for removing the bone flap is to
1.Allow for the insertion of an ICP bolt.
2.Accommodate postoperative brain swelling.
3.Allow free flow of fluid into the Jackson-Pratt drain.
4.Permit reoperation if necessary as access will be easier.

Answer no. 2
Rationale:
An intact cranium and vertebral canal together with the relatively inelastic dura form a rigid container. A bone flap allows for accommodation of postoperative brain tissue swelling.

5.)The following clients are on a medical surgical nursing care unit:

359-1) Mr. A., 59, had an exploratory laparotomy with permanent colostomy two days ago. He has an IV, PCA, indwelling urinary catheter, and nasogastric drainage to low wall suction. He is receiving IV push Decadron.

359-2) Mr. B., 85, suffered a cerebrovascular accident one week ago. He has a private sitter because he is confused. He has left-sided paralysis.

360-1) Mrs. C., 35, is a 23-hour admit for a myelogram. She is ready for discharge.

360-2) Miss D., 29, has severe asthma. She is experiencing some respiratory difficulty. She is on an aminophylline drip and IV steroids.

361-1) Mrs. E., 75, a newly diagnosed diabetic, requires reinforcement about insulin administration.

361-2) Mrs. F., 95, was admitted from a nursing home with dehydration and hypokalemia. She will be receiving KCl 10 mEq IV in 50 ml D5W x 3.

These clients will be assigned to one LPN and one RN. Which is the best assignment?
1.RN: 359-1, 359-2, 360-1; LPN: 360-2, 361-1, 361-2
2.RN: 359-1, 360-2, 361-2; LPN: 359-2, 360-1, 361-1
3.RN: 360-2, 361-1, 361-2; LPN: 359-1, 359-2, 360-1
4.RN: 360-1, 360-2, 361-1; LPN: 359-1, 359-2, 361-2

Answer no. 2
Rationale:
The RN should assume care for 359-1 as he is receiving recurring IV push medication and requires teaching about his colostomy; 360-2 because of the acute problems with asthma requiring very close respiratory assessment, IV aminophylline, and steroids; 361-2 as she will be receiving IV runs of potassium and must be observed closely for signs and symptoms of fluid and electrolyte imbalances. The LPN should assume care for 359-2, 360-1, and 361-1. The LPN can teach the client going home from a myelogram and can reinforce diabetic teaching.

6.)An adult woman is admitted to an isolation unit in the hospital after tuberculosis was detected during a pre-employment physical. Although frightened about her diagnosis, she is anxious to cooperate with the therapeutic regimen. The teaching plan includes information regarding the most common means of transmitting the tubercle bacillus from one individual to another. Which contamination is usually responsible?
1.Hands
2.Droplet nuclei
3.Milk products
4.Eating utensils

Answer no. 2
Rationale:
The most frequent means of transmission of the tubercle bacillus is by droplet nuclei. The bacillus is present in the air as a result of coughing, sneezing, and expectoration of sputum by an infected person.