NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 1:

  The intravenous route is potentially the most dangerous route of drug administration because __________.

  A. the IV might infiltrate
  B. it is expensive and nursing intensive
  C. rapid administration of a drug can lead to toxicity
  D. the client always has more side effects
  C. rapid administration of a drug can lead to toxicity

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  The bioavailability of the injected medication is 100% and might lead to toxicity. An IV infiltration can cause serious problems with tissue necrosis, but this is not life threatening. Expensive and time consuming do not equate with dangerous. Choice "the client always has more side effects" is not always true.

• Question 2:

  A patient is on a clear liquid diet. She drinks half of a 12-ounce juice, 4 ounces of soup, and has a 6-ounce JELL-O? How many milliliters of fluid did the patient ingest?

  A. 440 ml
  B. 22 ml
  C. 480 ml
  D. 660 ml
  C. 480 ml

• Question 3:

  The nurse teaching a client about hepatitis and its transmission should explain that one type of hepatitis does not produce a carrier state after its acute phase. Which type is it?

  A. hepatitis A
  B. hepatitis B
  C. hepatitis C
  D. hepatitis D
  A. hepatitis A

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  Explanation Explanation/Reference:Hepatitis A does not produce a carrier state. It is transmitted via contaminated water or food via the oral-fecal route and is not blood borne.

• Question 4:

  Which of the following infant behaviors demonstrates the concept of object permanence?

  A. The infant cries when his mother leaves the room.
  B. The infant looks at the floor to find a toy that he was playing with and dropped.
  C. The infant picks up another toy after the one he was playing with rolls under the couch.
  D. The infant participates in a game of patty-cake.
  B. The infant looks at the floor to find a toy that he was playing with and dropped.

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  Object permanence occurs when the infant learns that something/someone still exists even though they might not be able to see it/them. This develops between 9 and 10 months of age. If the infant cries when his mother leaves the room, it might be because he believes she is no longer in the house when he can't see her. If an infant picks up another toy after the one he is playing with rolls under the couch and the infant fails to look for it, he believes the toy that rolled under the couch no longer exists. Patty-cake is a game infants engage in but, it has nothing to do with object permanence. An infant game that does show object permanence is peek-a-boo. In this game, an infant continues to hunt for a hidden face because he believes it is still there.

• Question 5:

  A nurse is caring for a retired MD. The MD asks the question, "What type of cells create exocrine secretions?" The correct answer is __________.

  A. alpha cells
  B. beta cells
  C. acinar cells
  D. plasma cells
  C. acinar cells

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  Explanation Explanation/Reference:Acinar cells create exocrine secretions.

• Question 6:

  The hormone produces mother's milk is __________.

  A. Progesterone
  B. Estrogen
  C. Prolactin
  D. Colostrum
  C. Prolactin

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  Prolactin is a protein that is best known for its role in enabling females to produce milk, but it also has other functions, such as regulating the immune system. Progesterone has many roles relating to the development of the fetus during pregnancy. Estrogens are best known for their importance in both menstrual and estrous reproductive cycles. Colostrum is the most nutrient dense part of breast milk produced during the postpartum stage.

• Question 7:

  A nurse is covering a pediatric unit and is responsible for a 15-year-old male patient on the floor. The mother of the child states, "I think my son is sexually interested in girls."

  The most appropriate course of action of the nurse is to respond by stating ___________.

  A. "I will talk to the doctor about it."
  B. "Has this been going on for a while?"
  C. "How do you know this?"
  D. "Teenagers often exhibit signs of sexual interest in females."
  D. "Teenagers often exhibit signs of sexual interest in females."

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  Explanation Explanation/Reference:Adolescents exhibiting signs of sexual development and interest are normal.

• Question 8:

  The LPN on shift notices a patient come in to the clinic with bruises on his arm. The patient seems very afraid and doesn't speak much which concerns the nurse because these are signs of physical abuse. The nurse should __________.

  A. report the suspected abuse to one of the other nurses and work together on how to handle it
  B. ignore the bruises, as this is not why the patient is being treated and is not appropriate for the nurse to address
  C. report the findings to the appropriate authorities based on the state requirements and protocols
  D. use therapeutic communication to talk to the patient and attempt to get evidence of suspected abuse
  C. report the findings to the appropriate authorities based on the state requirements and protocols

• Question 9:

  A client is assessed by the nurse as experiencing a crisis.

  The nurse plans to __________.

  A. allow the client to work through independent problem-solving.
  B. complete an in-depth evaluation of stressors and responses to the situation.
  C. focus on immediate stress reduction.
  D. recommend ongoing therapy.
  C. focus on immediate stress reduction.

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  A crisis is an acute, time-limited state of disequilibrium resulting from a situational, developmental, or societal source of stress. Utilizing the nursing process, the nurse should assist clients to work through a crisis to its resolution and restore their precrisis level of functioning.

• Question 10:

  Clumsiness, difficulty running, climbing, and riding a bicycle are some of the earliest signs and symptoms of __________.

  A. duchennes's muscular dystrophy
  B. osteomyelitis
  C. talipes or clubfoot
  D. septic joint, suppurative arthritis
  A. duchennes's muscular dystrophy

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  Clumsiness, difficulty running, climbing, and riding a bicycle are some of the earliest signs and symptoms of Duchenne's muscular dystrophy. This disorder is a sex-linked inherited genetic skeletal muscle wasting disorder and it is the most severe and most common of all dystrophies. Osteomyelitis is an infection with the bone. Talipes is a deformity of the foot and ankle and it is physically discernible. Septic arthritis is an infection of a joint that will also show visible signs of its presence.