NCLEX RN EXAM 2021 update

1. Which of the following clients is at a higher risk of developing oral health problems?

a. A pregnant client

b. A client with diabetes

c. A client receiving chemotherapy

d. Both b and c

2. Which nursing intervention is most appropriate to reduce environmental stimuli that may

cause discomfort for a client?

a. Loosen pressure dressings on wounds

b. Use assistance to pull a client up in bed

c. Check temperature of water used in a sponge bath

d. Position the client prone

3. A client has developed a vitamin C deficiency. Which of the following symptoms might the

nurse most likely see with this condition?

a. Cracks at the corners of the mouth

b. Altered mental status

c. Bleeding gums and loose teeth

d. Anorexia and diarrhea

4. Which of the following interventions should a nurse perform for a female client who is

incontinent with impaired skin integrity?

a. Turn the client at least every 8 hours

b. Apply lotion to the skin before a bath

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c. Provide perineal care after the client uses the bathroom

d. Bathe the client every 3 days

5. A nurse is caring for a client who died approximately one hour ago. The nurse notes that the

client's temperature has decreased in the last hour since his death. Which of the following

processes explains this phenomenon?

a. Rigor mortis

b. Postmortem decomposition

c. Algor mortis

d. Livor mortis

6. A nurse is calculating a client's intake and output. During the last shift, the client has had ½

cup of gelatin, a skinless chicken breast, 1 cup of green beans, and 300 cc of water. The client

has urinated 250 cc and has had 2 bowel movements. What is this client's intake and output for

this shift?

a. 420 cc intake, 250 cc output

b. 300 cc intake, 250 cc output

c. 550 cc intake, 550 cc output

d. 300 cc intake, 550 cc output

7. A nurse is caring for a client with ariboflavinosis. Which of the following foods should the

nurse serve this client?

a. Citrus fruits

b. Milk

c. Fish

d. Potatoes

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8. A client is taking a walk down the hallway when she suddenly realizes that she needs to use

the restroom. Although she tries to make it to the bathroom on time, she is incontinent of urine

before reaching the toilet. What type of incontinence does this situation represent?

a. Reflex incontinence

b. Urge incontinence

c. Total incontinence

d. Functional incontinence

9. Which of the following is an example of a positive effect of exercise on a client?

a. Decreased basal metabolic rate

b. Decreased venous return

c. Decreased work of breathing

d. Decreased gastric motility

10. You have taken the vital signs for your patient. They are normal for the patient. What should

you do next?

a. Report the vital signs to the doctor

b. Write the vital signs on a scrap paper

c. Call the family members

d. Document them on the graphic VS form

11. Penny Thornton has had a stroke, or CVA. She is having difficulty eating on her own. Soon,

she will be getting some assistive devices for eating meals.

Which healthcare worker will be getting Penny these assistive devices?

a. A physical therapist

b. A speech therapist

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c. A social worker

d. An occupational therapist

12. Which of the following is an example of emotional abuse?

a. A slap to the person's hand

b. Threatening the person

c. Ignoring and isolating a person

d. Leaving a patient soiled for hours

13. Which of the following is an example of emotional neglect?

a. A slap to the person's hand

b. Threatening the person

c. Ignoring and isolating a person

d. Leaving a patient soiled for hours

14. The duodenum:

a. is the third section of the small intestine, which leads immediately to the colon.

b. is the section of the stomach where the gall bladder delivers bile.

c. is the section of the small intestine where the pancreas delivers insulin.

d. None of the above.

15. The nurse is performing discharge teaching for Mrs. S after cardiac angioplasty. Her husband

is present for the teaching. While explaining the prescription for antiplatelet medication to use at

home, Mrs. S's husband states, "I don't think I can afford to refill that medication." What is the

most appropriate response of the nurse?

a. Don't worry, your insurance will cover it."

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