NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 91:

  A client, age 28, was recently diagnosed with Hodgkin's disease. After staging, therapy is planned to include combination radiation therapy and systemic chemotherapy with MOPP ?nitrogen mustard, vincristine (Onconvin), prednisone, and procarbazine.

  In planning care for this client, the nurse should anticipate which of the following side effects to contribute to a sense of altered body image?

  A. cushingoid appearance
  B. alopecia
  C. temporary or permanent sterility
  D. pathologic fractures
  D. pathologic fractures

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  Pathologic fractures are not common to the disease process. Its treatment through osteoporosis is a potential complication of steroid use. Hodgkin's disease most commonly affects young adults (males), is spread through lymphatic channels to contiguous nodes, and also might spread via the hematogenous route to extradal sites (GI, bone marrow, skin, and other organs). A working staging classification is performed for clinical use and care.

• Question 92:

  A nurse is reviewing a patient's arterial blood gas values.

  pH- 7.49 Bicarbonate ion 24 mEq/dl PaCO2 ?31 mmHg PaO2 ?52 mmHg FiO2 -22

  Which of the following conditions apply under the following values?

  A. respiratory acidosis
  B. respiratory alkalosis
  C. metabolic acidosis
  D. metabolic alkalosis
  B. respiratory alkalosis

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  Explanation Explanation/Reference:Elevated pH and low CO2 level indicate respiratory alkalosis; no compensation is noted.

• Question 93:

  The LPN is assisting the patient with an NG tube with activities of daily living.

  Which of these statements would indicate need for teaching reinforcement?

  A. "I should remain sitting up at a 45-degree angle or higher for 30 minutes after a feeding."
  B. "I should avoid using Vaseline around the nostril and tube."
  C. "I can clean around the tube with water and mild soap."
  D. "Since I'm not eating or drinking by mouth, I do not need to brush my teeth as often."
  D. "Since I'm not eating or drinking by mouth, I do not need to brush my teeth as often."

• Question 94:

  Which of the following might be an appropriate nursing diagnosis for an epileptic client?

  A. Dysreflexia
  B. Risk for Injury
  C. Urinary Retention
  D. Unbalanced Nutrition
  B. Risk for Injury

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  Explanation Explanation/Reference:The epileptic client is at risk for injury due to the complications of seizure activity, such as possible head trauma associated with a fall. The other choices are not related to the question.

• Question 95:

  Which of these is not an appropriate treatment for maternal hypotension after epidural anesthesia?

  A. Stop the Pitocin infusion.
  B. Administer oxygen.
  C. Slow or hold IV fluids.
  D. Turn the patient on the left side.
  C. Slow or hold IV fluids.

• Question 96:

  A 22-year-old male patient comes into the ER with suspected ketoacidosis.

  Which lab value would reflect this finding?

  A. serum bicarbonate of 27 mmol/L
  B. PaCO2 of 40
  C. serum glucose of 90
  D. blood pH of 7.29
  D. blood pH of 7.29

• Question 97:

  Which cultural group has the highest incidence of inflammatory bowel disease (IBD)?

  A. Asians
  B. Caucasians
  C. Hispanics
  D. African Americans
  B. Caucasians

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  Explanation Explanation/Reference:Caucasians have the highest incidence of inflammatory bowel disease (IBD).

• Question 98:

  A nurse is working in a pediatric clinic and a 25-year-old mother comes in with a 4 week-old baby. The mother is stress out about loss of sleep and the baby exhibits signs of colic. Which of the following techniques should the nurse teach the mother?

  A. Distraction of the infant with a red object
  B. Prone positioning techniques
  C. Tapping reflex techniques
  D. Neural warmth techniques
  D. Neural warmth techniques

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  Explanation Explanation/Reference:Neural warmth will help to lower the baby's agitation level.

• Question 99:

  Which of the following is least likely to be an underlying reason for elder abuse or neglect?

  A. medication side effects
  B. caregiver strain
  C. financial problems
  D. dependent elder in need of assistance
  A. medication side effects

• Question 100:

  A physician orders the administration of ibuprofen, but the nurse notices the patient is allergic to NSAIDs. What should the nurse do?

  A. Find out how serious the patient's reaction is to NSAID exposure.
  B. Administer the medication per the physician's order.
  C. Contact the physician to verify the order and discuss concerns.
  D. Ask the patient if he or she feels comfortable taking the medication.
  C. Contact the physician to verify the order and discuss concerns.