1
The nurse is assessing a female client with syphilis. ➢ Which assessment finding would support this diagnosis?
A. DysuriaB. Vaginal dischargeC. Chancre lesionD. Dyspareunia
Adult HealthNclex-Rn Readiness Test 8
150 questions · Page 1 of 6
Nclex-Rn Readiness Test 8 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: Adult Health, Leadership & Management, Fundamentals, Pharmacology, Child Health, Critical Care, Maternal & Newborn 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 1–25 of 150
2
The nurse reviews the nursing process with a group of students. Which of the following would demonstrate implementation? Select all that apply.
A. Performing a sterile dressing changeB. Interviewing the client about their social determiC. Inputs risk for impaired skin integrity into the cD. Establishing a peripheral vascular access device
Leadership & Management3
The nurse is caring for a client in bilateral soft wrist restraints. The nurse should assess the client’s Select all that apply.
A. behavioral status.B. skin integrity.C. bowel sounds.D. neurovascular status.
Fundamentals4
The nurse is caring for a client with the following clinical data. Based on the clinical data, which prescription would the nurse request from the primary healthcare provider (PHCP)? Select all that a
A. albuterolB. hydrocortisoneC. diltiazemD. nitroglycerin
Adult Health5
The nurse is caring for a client who is receiving prescribed mirtazapine. Which of the following statements, if made by the client, would indicate a therapeutic response? Select all that apply.
A. “I am not smoking cigarettes anymore.”B. “My blood glucose has decreased.”C. “My depression has gotten better.”D. “I am sleeping eight hours a night.”
Pharmacology6
The nurse is teaching a group of students about incident reports. Which of the following situations would require an incident report? A visitor Select all that apply.
A. refusing to wear personal protective equipment (PPB. adjusting a client's infusion pump.C. requesting that their family member get pain medicD. assisting their family member with brushing their
Leadership & Management7
The nurse assists a client with left-sided weakness. ➢ Which of the following actions should the nurse perform when assisting this client in ambulating with a cane? Select all that apply.
A. Place a gait belt around the client’s waist.B. Stand on the client’s left side during ambulation.C. Instruct the client to put the cane in the left haD. Measure the cane from the client’s wrist crease.
Fundamentals8
The nurse is assessing a client who was admitted four hours ago with hypomagnesemia. Which of the following findings should the nurse recognize as a common cause of hypomagnesemia? Select all that app
A. Renal failureB. AlcoholismC. Anorexia nervosaD. Diarrhea
Adult Health9
The nurse is teaching a continuing education course on health promotion.➢ It would be appropriate for the nurse to identify which of the following would be a form of tertiary prevention? Select all
A. Yearly fecal occult blood testingB. Testicular self examsC. Digital rectal examsD. Rehabilitation programs
Adult Health10
The nurse is reviewing tetralogy of Fallot with a nursing student. ➢ It would indicate effective teaching if the student identifies which defects are associated with this disorder? Select all that app
A. Ventricular septal defect (VSD)B. Overriding aortaC. Pulmonic stenosisD. Concentric right ventricular hypertrophy
Child Health11
The pediatric nurse knows that which of the following are true regarding aortic regurgitation in a pediatric client with complex congenital heart disease? Select all that apply.
A. Aortic regurgitation increases preload in the leftB. Aortic regurgitation leads to a systolic murmur.C. Aortic regurgitation causes decreased cardiac outpD. Aortic regurgitation increases left ventricle end
Child Health12
The nurse is performing discharge teaching to the parents of a 17-year-old male diagnosed with a moderate concussion. ➢ Which of the following statements by the parents would indicate effective unders
A. "I should wake my child up every two hours to checB. "I should put extra padding underneath his footbalC. "I will not let him drive until he is seen at his D. "He should stay active during the day and not take
Child Health13
The nurse at a health fair is talking with a client who is in perimenopause. Which of the following client statements requires follow-up by the nurse? Select all that apply.
A. "I am using oil-based vaginal lubricants to lessenB. "My doctor recommended I start taking Black cohoshC. "I stopped exercising to reduce my hot flashes."D. "I recently started increasing my water intake to
Adult Health14
The nurse has received a prescription for celecoxib. Which finding in the client's medical history should prompt the nurse to question the administration of this medication?
A. osteoarthritisB. goutC. recent myocardial infarctionD. migraine headaches
Pharmacology15
The nurse is caring for a client with Guillain-Barré syndrome (GBS). ➢ The nurse plans on taking which priority action?
A. Assessing respiratory status frequently.B. Administering intravenous immunoglobulin (IVIG) asC. Providing passive range of motion exercises to maiD. Monitoring for autonomic dysreflexia.
Adult Health16
The nurse is performing a follow-up visit on an adolescent recently prescribed guanfacine. Which of the following assessments indicates a therapeutic response to the medication?
A. Euthymic moodB. Less social anxietyC. Improved academic performanceD. No suicidal ideations
Pharmacology17
The nurse is planning care for a client admitted with infective endocarditis (IE). ➢ Which assessment finding would indicate that the client is experiencing a complication?
A. petechial rashesB. flank painC. headacheD. fever
Adult Health18
The nurse is observing a student nurse wash their hands with soap and water. Which observation requires follow-up? The student nurse
A. washes their hands using warm water.B. dries hands thoroughly from wrists to fingers withC. wets their wrists and hands with fingers pointed dD. pushes wristwatch and long uniform sleeves above w
Fundamentals19
The nurse is caring for a client with diabetes insipidus who is receiving vasopressin (ADH) therapy. ➢ Which of the following assessments should the nurse prioritize to determine if the client has had
A. serum blood glucose level.B. serum sodium level.C. urine output.D. heart rate.
Critical Care20
A client with chronic obstructive pulmonary disease (COPD) is prescribed tiotropium bromide inhalation therapy. The nurse should ensure that the client is aware about which of the following regarding
A. Use the inhaler only once a day in the morningB. Increase the dose if experiencing shortness of breC. Store the inhaler in the refrigerator to prolong iD. Prime the inhaler by spraying it into the air befo
Pharmacology21
The nurse is planning a menu for a client with end-stage renal disease. ➢ Which food would be appropriate for the nurse to recommend to the client?
A. applesauceB. cantaloupeC. tomato slicesD. veggie burger patty
Fundamentals22
The nurse is participating in a fall and injury reduction committee to reduce falls in the inpatient environment. ➢ Which risk factors in the inpatient environment can be modified through this committ
A. The lighting in the client roomsB. Staffing levelsC. Communication failuresD. Inadequate client assessment
Fundamentals23
The nurse is caring for a client in the first trimester of pregnancy and notes that the client's serum potassium level is 2.9 mEq/L (mmol) [3.5-5 mEq/L, mmol/L].➢ Which assessment findings are most li
A. Gestational diabetesB. Hyperemesis gravidarumC. Lack of weight gain since the onset of pregnancyD. Food aversions
Maternal & Newborn Health24
A nurse is assigned to care for a client with liver dysfunction and ascites and is ordered to measure the client's abdominal girth daily. To ensure accuracy, the nurse should utilize which landmark?
A. Xiphoid processB. UmbilicusC. Iliac crestD. Symphysis pubis
Adult Health25
The nurse is caring for a client with a recently fractured left tibia who is grimacing and slightly diaphoretic.➢ The nurse should initially
A. perform range of motion with the client's left legB. obtain the client's temperature.C. assess the client for pain.D. administer prescribed oxycodone-acetaminophen.
Fundamentals