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NCLEX RN Practice Exam Remar Questions and Answers Best rated A+ Guaranteed Success Latest, Exams of Advanced Education

Widener University - DelawareAdvanced Education

Question 1: The nurse knows that which of the following foods or fluids should be restricted for this client (Graves' disease)? A. Ice cream B. Tea CORRECT ANSWER C. Orange Juice D. Pasta Tea is a stimulant and should not be given to the client with hyperthyroidism

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NCLEX RN Practice Exam Remar
Question 1: The nurse knows that which of the following foods or fluids should be restricted for
this client (Graves' disease)?
A. Ice cream
B. Tea CORRECT ANSWER
C. Orange Juice
D. Pasta
Tea is a stimulant and should not be given to the client with hyperthyroidism.
Question 2: Who should the nurse assess first?
A. A client who has a pulse of 76 bpm
B. The client who has saturated one perineal pad in two hours
C. The client who reports swelling in her left calf CORRECT ANSWER
D. The client who asks about the circumcision procedure
Swelling in the calf postpartum may indicate DVT—a life-threatening condition.
Question 3: Stroke caused by clot—what ECG finding expected?
A. V Tach
B. Normal sinus rhythm
C. A fib CORRECT ANSWER
D. V Fib
A fib increases the risk of embolic stroke.
Question 4: Parenteral nutrition—bag running low. What fluid to have on hand?
A. 10% dextrose CORRECT ANSWER
B. 5% dextrose
C. 0.9 NS with dextrose
D. 45% glucose and water
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NCLEX RN Practice Exam Remar

Question 1 : The nurse knows that which of the following foods or fluids should be restricted for this client (Graves' disease)? A. Ice cream B. Tea CORRECT ANSWER C. Orange Juice D. Pasta Tea is a stimulant and should not be given to the client with hyperthyroidism. Question 2 : Who should the nurse assess first? A. A client who has a pulse of 76 bpm B. The client who has saturated one perineal pad in two hours C. The client who reports swelling in her left calf CORRECT ANSWER D. The client who asks about the circumcision procedure Swelling in the calf postpartum may indicate DVT—a life-threatening condition. Question 3 : Stroke caused by clot—what ECG finding expected? A. V Tach B. Normal sinus rhythm C. A fib CORRECT ANSWER D. V Fib A fib increases the risk of embolic stroke. Question 4 : Parenteral nutrition—bag running low. What fluid to have on hand? A. 10% dextrose CORRECT ANSWER B. 5% dextrose C. 0.9 NS with dextrose D. 45% glucose and water

Question 5 : Best response to patient fearful after traumatic injury A. You always have medication available B. I understand that pain can be a frightening experience CORRECT ANSWER C. Why did you think you were going to die? D. Please take the medication before you upset yourself more Question 6 : Wife asks why depression med isn't working after 4 days A. Check chart for drug interactions B. It takes 2–4 weeks for the medication to reach full effect CORRECT ANSWER C. Depends on depression severity D. Doctor will speak with you Question 7 : Which clinic client to see first?

  1. Chicken pox teen 2. Pregnant woman with active TB CORRECT ANSWER
  2. Recovering heroin addict
  3. Alzheimer’s client in a facility Question 8 : Normal 3-year-old development A. Ride a tricycle independently CORRECT ANSWER B. Play in a group with a leader C. 1,000 word vocabulary D. Know difference between real/unreal Question 9 : Eviscerated abdominal wound—what to do first? A. Bolus saline B. Cover with saline-moistened dressing CORRECT ANSWER C. Reverse Trendelenburg D. Assess pain and call doctor Question 10 : Post-MI activity monitoring—what indicates instability? A. Dyspnea CORRECT ANSWER B. Weight gain

Question 16 : Lyme disease education—correct statement? A. Amoxicillin preferred in children CORRECT ANSWER B. Caused by cat feces C. Spread by skin contact D. Inhalation of bird droppings Question 17 : Acrocyanotic heart defect expected finding? A. Poor sucking reflex B. Epistaxis C. Tachycardia CORRECT ANSWER D. Bradycardia Question 18 : Tension pneumothorax—first action? A. Sedative B. Prepare for CT C. Cough and deep breathe D. Prepare to insert chest tube CORRECT ANSWER Question 19 : Suspected drug diversion—best report statement? A. After shift, patients need repeated meds; coworker slept on job CORRECT ANSWER B. Coworker acted strange downtown C. She always looks high D. Saw tracks, think she hangs in drug houses Question 20 : Position post liver biopsy? A. Supine B. Semi-fowlers C. Left side-lying D. Right side-lying CORRECT ANSWER Question 21 : Urine specific gravity indicating fluid overload? A. 1.003 CORRECT ANSWER B. 1. C. 1. D. 1.

Question 22 : Best position for delayed gastric emptying, G-tube? A. Right side-lying with HOB elevated CORRECT ANSWER Question 23 : Post-bronchoscopy—report immediately? A. Blood-streaked sputum B. Laryngeal stridor CORRECT ANSWER C. Dry cough D. Green sputum Question 24 : False restraint statement? A. PRN orders allowed CORRECT ANSWER: FALSE Question 25 : Jehovah’s Witness refuses blood. What to do? A. Give plasma anyway B. Explain plasma vs PRBC C. Stabilize with IV fluids CORRECT ANSWER D. Notify ethics committee Question 26 : ER—who to see first? A. 2nd-degree burn + broken wrist B. Severe abdominal pain C. Dilated pupils + laceration D. Confused client with ankle sprain CORRECT ANSWER Question 27 : Adverse effect of clindamycin? A. Tinnitus CORRECT ANSWER Question 28 : Which report patient to see first? A. TB patient with 102.4 fever B. PAD with low pedal pulse

Question 35 : “Black tar in veins” is an example of: A. Illusion B. Hallucination C. Delusion CORRECT ANSWER D. Paranoia A 27-year-old male is admitted to the emergency room after a severe motor vehicle accident. The client's Glasgow Coma Scale score is 8. He is showing signs of severe trauma and the doctor would like to place an intracranial pressure catheter. Which of the following actions should the nurse take first?

  • A. Verify informed consent has been obtained
  • B. Prepare the insertion site with betadine
  • C. Position the client in the Trendelenburg position
  • D. Start the patient on prophylactic antibiotics → CORRECT ANSWER: A. Verify informed consent has been obtained Great job! Before any invasive procedure, including insertion of an ICP monitor, informed consent must be verified unless it's a life-threatening emergency. A client who has been treated for a panic disorder with buspirone asks when the medication will begin to work. The nurse knows that buspirone:
  • A. Works immediately like benzodiazepines
  • B. Requires 2–4 weeks to begin working
  • C. Should be used on a PRN basis
  • D. Has a high risk of dependence → CORRECT ANSWER: B. Requires 2–4 weeks to begin working Great job! Buspirone takes time to reach therapeutic levels and should be taken consistently—not PRN—and has low dependency risk. A client who is 24-hours postoperative following abdominal surgery has not voided since surgery. What should the nurse do first?
  • A. Notify the physician
  • B. Insert a Foley catheter
  • C. Assess for bladder distention
  • D. Encourage fluid intake → CORRECT ANSWER: C. Assess for bladder distention Correct! The nurse should assess before acting. If the bladder is distended, further interventions like catheterization may follow.

The nurse is caring for a client with active tuberculosis. Which of the following precautions should the nurse implement?

  • A. Droplet precautions
  • B. Airborne precautions
  • C. Contact precautions
  • D. Reverse isolation → CORRECT ANSWER: B. Airborne precautions Excellent! TB requires airborne precautions including N95 mask and negative-pressure room. A nurse is assessing a client with chronic obstructive pulmonary disease (COPD). Which finding would require immediate intervention?
  • A. Barrel chest
  • B. New onset of confusion
  • C. Clubbing of fingers
  • D. Use of accessory muscles → CORRECT ANSWER: B. New onset of confusion Great job! Confusion may indicate hypoxia or CO2 retention and needs immediate attention. A 6-month-old infant is brought to the clinic for immunizations. Which vaccines should the nurse anticipate administering?
  • A. MMR, Varicella
  • B. DTaP, Hib, Polio, Hep B
  • C. Influenza, HPV
  • D. Hep A, MMR → CORRECT ANSWER: B. DTaP, Hib, Polio, Hep B Correct! At 6 months, the child should receive DTaP, Hib, IPV, and Hepatitis B as part of routine immunization schedule. The nurse is caring for a client in the manic phase of bipolar disorder. Which activity is most appropriate?
  • A. Group therapy
  • B. Watching a documentary