Issues and Trends in Nursing: Essential Knowledge for Today and Tomorrow
Student Elements

NCLEX Review

Please read each question and select your answer from the choices provided. You must complete all of the questions in order to view your results. At the end of each exam, you have the option to e-mail your results to your instructor.

1:  Which statement about health literacy is incorrect?
A: If a patient is literate, he or she is also health literate.
B: A lack of health literacy can create barriers to achieving desired health outcomes.
C: Difficulty in understanding and using health information is a common problem in the United States.
D: One intervention for the problem of health literacy is to increase healthcare providers' awareness of this problem.

2:  The nurse is providing discharge teaching to a patient who has been diagnosed with a latex allergy. What should the nurse instruct the patient to avoid?
A: Applying elastic bandages.
B: Ingesting leafy green vegetables.
C: Using cotton-tipped applicators.
D: Putting on Nitrile gloves.

3:  An increased number of cases of infection with West Nile virus have been noted in recent months. Which actions should be taken to prevent the transmission of the disease?
A: Encourage the use of mosquito repellant.
B: Exterminate the pigeon population in the area.
C: Increase pools of standing water around the home.
D: Check pets for ticks before bringing them into the home.

4:  Which test would the nurse anticipate using to assess for a potential problem with cranial nerve II?
A: Use a Snellen chart to assess vision.
B: Touch a wisp of cotton to the cornea to assess for a corneal reflex.
C: Use substances with distinguishable scents to detect a problem with smell.
D: Ask the patient to drink from a glass of water to assess swallowing.

5:  A nurse has multiple requests for an education program on prostate cancer screening. Which group should receive the presentation first, based on their level of risk?
A: Caucasian middle-class men.
B: African American men with a low socioeconomic status.
C: Asian men with a high socioeconomic status.
D: Hispanic men who are unemployed.

6:  A patient is experiencing sleep disturbances and has established a goal of decreased caffeine consumption. Which beverage selection would be the best choice to help the patient meet this goal?
A: Lemon-lime soda.
B: Brewed iced tea.
C: Diet cola.
D: Chocolate milk.

7:  A patient is allergic to dust mites. Which action would be appropriate for the nurse to include in patient/family education geared toward reducing the patient's exposure to the allergen?
A: Encase pillows and mattresses with covers.
B: Replace wooden or tiled floors with carpet.
C: Increase the room humidity to greater than 60%.
D: Wash bedding in cool water (70 to 80 °F) on a weekly basis.

8:  The nurse is teaching a patient with end-stage renal disease about diet. The patient expresses concern and frustration about compliance with the diet. Which action should the nurse take first?
A: Tell the patient that dietary compliance is essential.
B: Continue with the patient's dietary education.
C: Identify the cause of the patient's concern and frustration.
D: Direct the education to the patient's family members.

9:  A nurse is providing discharge instructions for a patient who has undergone outpatient cataract surgery with insertion of an intraocular lens. Which instruction would the nurse would want to provide the patient to promote self-care after discharge? (Select all that apply)
A: Avoid pulling, pushing, or lifting objects that weigh more than 10 to 15 pounds.
B: Wear a protective shield on the affected eye as instructed by the physician.
C: Irrigate the eye with saline every 4 hours for 48 hours.
D: Avoid tub baths or showers for 5 days after the surgery.
E: A, B, and D

10:  The nurse is obtaining a health history on a patient. Which reported information would indicate a risk factor for hepatitis C?
A: Eating raw shellfish.
B: Intravenous drug abuse.
C: Employment in a child care center.
D: Recent travel to a developing country.

11:  Which statement about upper body obesity is true?
A: It is also described as female obesity.
B: Patients with upper body obesity are at a higher risk of developing health problems.
C: Upper body obesity is associated with a lower incidence of complications than is lower body obesity.

12:  Which patient is at greatest risk for the development of an obesity-related disease?
A: A female with a body mass index of 24 and a waist circumference of 30 inches.
B: A male with a body mass index of 29 and a waist circumference of 38 inches.
C: A female with a body mass index of 32 and a waist circumference of 40 inches.
D: A male with a body mass index of 33 and a waist circumference of 42 inches.

13:  During a routine gynecological exam, a Papanicolaou (Pap) test is completed and abnormal cells are identified. What type of community-based preventive care is a Pap test?
A: Primary.
B: Secondary.
C: Tertiary.
D: Quaternary.

14:  Which person is a candidate for the meningococcal conjugate vaccine (Menactra)?
A: A 7-year-old child who attends day care before and after school.
B: An 18-year-old youth who lives in a college dormitory.
C: A 78-year-old person who lives in an assisted living home.
D: A 65-year-old person who volunteers at an elementary school.

15:  The nurse is developing a patient teaching brochure on testicular cancer. Which information would be most appropriate to include in the brochure?
A: The testicular exam is performed weekly at any time of the day.
B: It is unnecessary to palpate the epididymis when performing the exam.
C: A normal testicle should be smooth and uniform in consistency.
D: The exam should be completed biannually, using the heel of one hand.

16:  Which statement best describes a health promotion activity that a nurse would implement?
A: Teach a patient with an extremity fracture to use crutches.
B: Volunteer time serving meals at a neighborhood soup kitchen.
C: Present a class to fifth-graders on the risks of tobacco use.
D: Refer a patient with a 20-year history of smoking to smoking cessation resources.

17:  The nurse has conducted a health promotion class on sun protection. Which response by participants in the class demonstrates that the nurse provided effective teaching about the use of sunscreen?
A: Sunscreen does not need to be applied on a cloudy day.
B: Application of a sunscreen should occur 30 minutes to 2 hours before sun exposure.
C: A sunscreen with a minimum sun protection factor (SPF) of 10 should be chosen.
D: There is no need to reapply sunscreen after swimming or profuse sweating when a water-resistant product is used.

Optional: Enter your name and your instructor's E-mail address to have your results E-mailed to him or her.
Your Name:
Instructor's E-mail Address:
Your E-mail Address:

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