101
The nurse is caring for a client scheduled for electroconvulsive therapy (ECT). Which medication should the nurse question?
A. citalopramB. pantoprazoleC. phenytoinD. risperidone
PharmacologyNclex-Rn Readiness Test 12
150 questions · Page 5 of 6
Nclex-Rn Readiness Test 12 is a nursing-school practice exam with 150 questions. It is written for nursing students preparing for this course exam and for NCLEX-style review. Every question has its own page showing the full stem, all answer options, the correct answer, and a written rationale explaining why each option is right or wrong.
Topics covered on this page: Pharmacology, Mental Health, Adult Health.
Practice resources for this exam
Study this exam in Review mode (questions and rationales together), Tutor mode (instant feedback per question), or Exam mode (timed). You can also browse the full exam library.
Start Practice ExamQuestions 101–125 of 150
102
The nurse is caring for a client who is receiving prescribed dicyclomine. Which of the following client findings would indicate a therapeutic response?
A. Decreased abdominal crampingB. Absence of nausea and vomitingC. Decreased urinary retentionD. Less burning with urination
Pharmacology103
The nurse is preparing a staff development conference on milieu therapy. ➢ Which of the following information should the nurse include?
A. This type of environment is established in inpatieB. This therapy primarily focuses on helping clients C. An emphasis of this therapy is the setting, the stD. The approach to milieu therapy is unstructured and
Mental Health104
The nurse is caring for a client receiving mechanical ventilation receiving fentanyl and midazolam. Which of the following assessment findings would indicate fentanyl toxicity?
A. constricted pupilsB. hypertensionC. coarse TremorsD. diarrhea
Pharmacology105
The primary healthcare provider (PHCP) prescribes 400,000 units of penicillin G benzathine. The label on the medication reads penicillin G benzathine 300,000 units / 10 mL. ➢ How many milliliters will
Pharmacology106
The nurse is preparing to administer an intramuscular (IM) injection into the client's vastus lateralis. The nurse is correct in identifying the landmark by
A. palpating to find greater trochanter and knee joinB. locating the acromion process; inject only into thC. locating the greater trochanter, iliac tubercle, aD. displacing the skin by pulling the skin down or to
Pharmacology107
The primary healthcare provider (PHCP) prescribes azithromycin 500 mg daily for a client with sepsis. The medication label reads 500 mg of azithromycin mixed in 250 mL of 0.9% saline. The drop factor
Pharmacology108
The nurse supervises a nursing student administering a purified protein derivative (PPD) skin test. Which action by the student requires follow-up by the nurse?
A. Inserts the needle, bevel up at a 15-degree angleB. Instructs the client that the test will be read inC. Selects a site 3 to 4 finger widths below the anteD. Administers the test using a 20-gauge needle, 2 in
Pharmacology109
The nurse is assessing a client suspected of having the early stages of dementia. Which defense mechanism would the nurse expect?
A. IdentificationB. ProjectionC. DenialD. Conversion
Mental Health110
The nurse receives a prescription for donepezil. ➢ The nurse understands that this medication is used to treat
A. Guillain Barré syndromeB. Parkinson's diseaseC. Alzheimer's diseaseD. Meniere's disease
Pharmacology111
The nurse is performing an assessment on a client. The client tells the nurse, "You people are part of the government plotting to destroy me." The nurse should document this statement as a
A. Delusion of grandeurB. Somatic delusionC. Delusion of persecutionD. Delusion of reference
Mental Health112
The nurse has received a prescription for rivaroxaban. The nurse understands that this medication is prescribed to treat which condition?
A. Pulmonary HypertensionB. Venous Thromboembolism (VTE)C. Congestive Heart FailureD. Hyperlipidemia
Pharmacology113
The nurse is preparing a client for a scheduled colonoscopy. Which prescription should the nurse anticipate from the primary healthcare provider (PHCP) while the client is preparing for this procedure
A. docusateB. loperamideC. polyethylene glycol 3350D. famotidine
Pharmacology114
The nurse is assessing a client with clinical manifestations of right ventricular heart failure (HF). Which of the following statements by the client would be consistent with this diagnosis?
A. "I notice that my feet are always swollen.”B. "I can’t seem to get rid of this wet cough."C. "I develop shortness of breath after I walk a few D. "My legs start to burn if I walk long distances."
Adult Health115
The nurse is precepting a newly-hired nurse caring for a client with a chest tube. ➢ Which of the following statements made by the newly hired nurse indicates an expected finding? Select all that appl
A. "The drainage system was positioned below the inseB. "Vigorous bubbling was in the water-seal chamber."C. "The client reported pain at the insertion site."D. "An occlusive dressing was applied over the chest
Adult Health116
The nurse cares for a client with a serum sodium level of 152 mEq/L (mmol/L) [135-145 mEq/L, mmol/L]. Which of the following assessment findings would be expected? Select all that apply.
A. LethargyB. Dry mucous membranesC. TachypneaD. Cyanosis
Adult Health117
The nurse is caring for an older adult brought to the emergency department with concerns about delirium. Which of the following findings would support a diagnosis of delirium? Select all that apply.
A. Abrupt onsetB. Change in psychomotor activityC. IrreversibleD. Progressively worsens
Adult Health118
The nurse is working with a client who has been diagnosed with hypervolemia. Which of the following conditions can cause hypervolemia? Select all that apply.
A. Heart failureB. Renal failureC. Type 1 Diabetes MellitusD. Third degree burns
Adult Health119
The nurse plans care for a client immediately postoperative following a coronary artery bypass graft surgery (CABG). ➢ Which of the following actions should the nurse take? Select all that apply.
A. obtain the client's capillary blood glucoseB. provide tracheostomy care, as neededC. teach the client about the driving restrictions afD. ground the epicardial pacing wires to the pacemake
Adult Health120
A nurse is caring for a client who is receiving albumin therapy for hypoalbuminemia. Which assessment finding would require immediate intervention by the nurse?
A. Increased urine outputB. Decreased serum albumin levelC. Crackles heard on auscultation of the lungsD. Elevated blood pressure
Adult Health121
The nurse is caring for a client with the below tracing on the electrocardiogram. The nurse should perform which priority action? See the image below.
A. initiate a code blue.B. establish a peripheral vascular access deviceC. notify the primary healthcare physician (PHCP)D. assess the client’s airway, breathing, and circula
Adult Health122
Which of the following clients, receiving normal saline via IV infusion, is at the highest risk for bloodstream infections?
A. A client who has a midline IV catheter in the leftB. A client with a peripherally inserted central cathC. A client with an implanted port in the right subclD. A client who has a non-tunneled central line in th
Adult Health123
The nurse is caring for a client who had a thoracentesis two hours ago. Which assessment finding requires follow-up?
A. persistent coughB. soreness at the needle siteC. urine output of 200 mLD. scant bloody drainage
Adult Health124
The nurse is performing a physical assessment on a client. ➢ Which of the following findings would indicate a positive result for clonus?
A. Rubor of the feet and ankles when the leg is in thB. Rapid, rhythmic muscle contractionsC. Popping or clicking of the knee joint with movemenD. Audible cracking and palpable grating with movemen
Adult Health125
After a patient experiences a motor vehicle accident (MVA) and suffers a complete spinal cord injury to L3, the nurses would assess for loss of motor function in the:
A. AbdomenB. ArmsC. LegsD. Chest
Adult Health