NCLEX RN ACTUAL EXAM TESTBANK OF REAL QUESTIONS & ANSWERS NCLEX 2024/2025

NCLEX RN ACTUAL EXAM TESTBANK
OF REAL QUESTIONS & ANSWERS
NCLEX 2024/2025
QUESTION 1
Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy?
A. Positive inotropes
B. Vasodilators
C. Diuretics
D. Antidysrhythmics
Answer: A
Explanation:
(A) Positive inotropic agents should not be administered owing to their action of increasing myocardial
contractility. Increased ventricular contractility would increase outflow tract obstruction in the client with
hypertrophic cardiomyopathy. (B) Vasodilators are not typically prescribed but are not contraindicated. (C)
Diuretics are used with caution to avoid causing hypovolemi
A. (D) Antidysrhythmics are typically needed to treat both atrial and ventricular dysrhythmias.
QUESTION 2
Signs and symptoms of an allergy attack include which of the following?
A. Wheezing on inspiration
B. Increased respiratory rate
C. Circumoral cyanosis
D. Prolonged expiration
Answer: D
Explanation:
(A) Wheezing occurs during expiration when air movement is impaired because of constricted edematous
bronchial lumin
A. (B) Respirations are difficult, but the rate is frequently normal. (C) The circumoral area is usually pale.
Cyanosis is not an early sign of hypoxi
A. (D) Expiration is prolonged because the alveoli are greatly distended and air trapping occurs.
QUESTION 3
A client confides to the nurse that he tasted poison in his evening meal. This would be an example of what type
of hallucination?
A. Auditory
B. Gustatory
C. Olfactory
D. Visceral
Answer: B Explanation:
(A) Auditory hallucinations involve sensory perceptions of hearing. (B) Gustatory hallucinations involve sensory
perceptions of taste. (C) Olfactory hallucinations involve sensory perceptions of smell. (D) Vicrera hallucinations
involve sensory perceptions of sensation
NCLEX RN ACTUAL EXAM TEST BANK OF REAL QUESTIONS & ANSWERS NCLEX 2022 | NCLEX Exam
QUESTION 4
Which of the following findings would be abnormal in a postpartal woman?
A. Chills shortly after delivery
B. Pulse rate of 60 bpm in morning on first postdelivery day
C. Urinary output of 3000 mL on the second day after delivery
D. An oral temperature of 101F (38.3C) on the third day after delivery
Answer: D
Explanation:
(A) Frequently the mother experiences a shaking chill immediately after delivery, which is related to a nervous
response or to vasomotor changes. If not followed by a fever, it is clinically innocuous. (B) The pulse rate
during the immediate postpartal period may be low but presents no cause for alarm. The body attempts to adapt
to the decreased pressures intra-abdominally as well as from the reduction of blood flow to the vascular bed. (C)
Urinary output increases during the early postpartal period (12–24 hours) owing to diuresis. The kidneys must
eliminate an estimated 2000–3000 mL of extracellular fluid associated with a normal pregnancy. (D) A
temperature of 100.4F (38C) may occur after delivery as a result of exertion and dehydration of labor. However,
anytemperature greater than 100.4F needs further investigation to identify any infectious process.
QUESTION 5
A six-month-old infant has been admitted to the emergency room with febrile seizures. In the teaching of the
parents, the nurse states that:
A. Sustained temperature elevation over 103F is generally related to febrile seizures
B. Febrile seizures do not usually recur
C. There is little risk of neurological deficit and mental retardation as sequelae to febrile seizures
D. Febrile seizures are associated with diseases of the central nervous system
Answer: C
Explanation:
(A) The temperature elevation related to febrile seizures generally exceeds 101F, and seizures occur during the
temperature rise rather than after a prolonged elevation. (B) Febrile seizures m