[Sep-2026] Dumps Practice Exam Questions Study Guide for the NCLEX-RN Exam [Q233-Q250]

NO.233 The day following his admission, the nurse sits down by a male client on the sofa in the dayroom. He was admitted for depression and thoughts of suicide. He looks at the nurse and says, “My life is so bad no one can do anything to help me.” The most helpful initial response by the nurse would be:

NO.234 Following the delivery of a healthy newborn, a client has developed thrombophlebitis and is receiving heparin IV. What are the signs and symptoms of a heparin overdose for which the nurse would need to observe during postpartum care of the client?

NO.235 A 26-year-old client is in a treatment center for alprazolam (Xanax) abuse and continues to manifest moderate levels of anxiety 3 weeks into the rehabilitation program, often requesting medication for “his nerves.” Included in the client’s plan of care is to identify alternate methods of coping with stress and anxiety other than use of medication. After intervening with assistance in stress reduction techniques, identifying feelings and past coping, the nurse evaluates the outcome as being met if:

NO.236 Following her surgery, a 5-year-old child will return to the pediatric unit with a long-arm cast. She experienced a supracondylar fracture of the humerus near the elbow. Which nursing action is most essential during the first
24 hours after surgery and cast application?

NO.237 A 26-year-old male client is brought by his wife to the emergency department (ED)
unconscious. Blood is drawn for a stat blood count (CBC), fasting blood sugar level, and electrolytes. An indwelling urinary catheter is inserted. He has a history of type 1 diabetes (insulindependent diabetes mellitus [IDDM]). A diagnosis of ketoacidosis is made. Stat lab values reveal a blood sugar level of 520 mg/dL. Which of the following should the nurse expect to administer in the ER?

NO.238 Which nursing implication is appropriate for a client undergoing a paracentesis?

NO.239 During an examination, the nurse notes that an infant has diaper rash on the convex surfaces of his buttocks, inner thighs, and scrotum. Which of the following nursing interventions will be most effective in resolving the condition?

NO.240 In working with a manipulative client, which of the following nursing interventions would be most appropriate?

NO.241 During his hospitalization, a 3-year-old child has become unusually aggressive in his play activities. His parents report this change in behavior to the primary nurse. How could the nurse explain the child’s change in behavior?

NO.242 A psychiatric client has been stabilized and is to be discharged. The nurse will recognize client insight and behavioral change by which of the following client statements?

NO.243 Assessment of a newborn for Apgar scoring includes observation for:

NO.244 The physician has prescribed metoclopramide (Reglan). When assessing the client, the nurse would expect to find which of the following responses?

NO.245 Which type of insulin can be administered by a continuous IV drip?

NO.246 Which of the following would differentiate acute from chronic respiratory acidosis in the assessment of the trauma client?

NO.247 The nurse is preparing a 6-year-old child for an IV insertion. Which one of the following statements by the nurse is appropriate when preparing a child for a potentially painful procedure?

NO.248 An 18-month-old child has been playing in the garage. His mother brings him to a nurse’s home complaining of his mouth being sore. His lips and mouth are soapy and white, with small ulcerated areas beginning to form.
The child begins to vomit. His pulse is rapid and weak. The nurse suspects that the child has:

NO.249 Prior to his discharge from the hospital, a cardiac client is started on digoxin (Lanoxin) 25
mg po qd. The nurse initiates discharge teaching. Which of the following statements by the client would validate an understanding of his medication?

NO.250 A client’s congestive heart failure has been treated, and he will soon be discharged. Discharge teaching should include instruction to call the physician if he notices a 2-lb weight gain in a 24-hour period. Increased weight gain may indicate: