NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 991:

  A client had a colostomy done one day ago.

  Which of the following is an abnormal finding when assessing the stoma?

  A. mild edema
  B. minimal bleeding
  C. rose color
  D. dark red color
  D. dark red color

  ---

  A dark red color is an abnormal finding when assessing the stoma. It indicates inadequate blood supply. The other findings are normal one day postoperatively.

• Question 992:

  A client has a 10% dextrose in water IV solution running. He is scheduled to receive his antiepileptic drug, phenytoin (Dilantin), at this time.

  The nurse knows that the phenytoin __________.

  A. is given after the D10W is finished
  B. should be given at the time it is due in the medication port closest to the client
  C. can be piggybacked into the D10W solution now
  D. is incompatible with dextrose solutions
  D. is incompatible with dextrose solutions

  ---

  Phenytoin and dextrose will precipitate. Normal saline is used to flush before and after phenytoin administration. The administration of an antiepileptic drug cannot be delayed to maintain a therapeutic blood level.

• Question 993:

  Which of the following vaccines are not part of the regular schedule of immunizations for children?

  A. DTaP
  B. MMR
  C. Hib
  D. hepatitis A
  D. hepatitis A

  ---

  Hepatitis A is not part of the regular immunization schedule for children. DTaP, MMR, and Hib are all regularly scheduled vaccines for children.

• Question 994:

  A client asks a nurse working in a dental office what type of drug the dentist uses to provide anesthesia during the extraction of the client's wisdom teeth. The dentist uses an anesthetic gas, also known as laughing gas.

  This agent is __________.

  A. nitrous oxide
  B. nitrogen
  C. nitric oxide
  D. nitrogen dioxide
  A. nitrous oxide

  ---

  Explanation Explanation/Reference:Nitrous oxide produces analgesia and is often used for minor surgery and dental procedures that do not require loss of consciousness. It can also produce a mild euphoria in some clients. Nitrogen is a nonmetallic element that constitutes nearly four-fifths of the air by volume, occurring as a colorless, odorless, almost inert diatomic gas, N2, in various minerals and in all proteins. Nitric oxide is a potent vasodilator of vascular smooth muscle. It is produced from L arginine. Nitrogen dioxide is a poisonous brown gas, NO2, often found in smog and automobile exhaust fumes.

• Question 995:

  A nurse is working in a pediatric clinic and a mother brings in her 13-month-old child who has Down Syndrome. The mother reports, "My child's muscles feel weak and he isn't moving well. My RN friend check his reflexes and she said they are diminished."

  Which of the following actions should the nurse take first?

  A. Contact the physician immediately
  B. Have the patient go to X-ray for a c-spine work-up.
  C. Start an IV on the patient
  D. Position the child's neck in a neutral position
  D. Position the child's neck in a neutral position

  ---

  Explanation Explanation/Reference:An atlanto-axial dislocation may have occurred. Position the child in a neutral c-spine posture and then contact the doctor immediately.

• Question 996:

  Health promotion activities are designed to help clients __________.

  A. reduce the risk of illness
  B. maintain maximal function
  C. promote healthy habits related to health care
  D. all of the above
  D. all of the above

  ---

  Explanation Explanation/Reference:Health promotion activities are designed to help clients reduce the risk of illness, maintain maximum function, and promote health habits related to health care.

• Question 997:

  The charge nurse on a cardiac unit tells you a patient is exhibiting signs of right-sided heart failure. Which of the following would not indicate right-sided heart failure?

  A. Nausea
  B. Anorexia
  C. Rapid weight gain
  D. SOB (shortness of breath)
  D. SOB (shortness of breath)

  ---

  Explanation Explanation/Reference:Left sided heart failure exhibits signs of pulmonary compromise (SOB).

• Question 998:

  Which of the following is a life threatening acute complication of diabetes mellitus?

  A. Neuropathy
  B. Hypoglycemia
  C. Retinopathy
  D. Impaired microcirculation
  B. Hypoglycemia

  ---

  Hypoglycemia is an acute complication of diabetes which can be life threatening. The immediate treatment with glucose is necessary to preserve life. Retinopathy, neuropathy and impaired microcirculation are examples of the long term, rather than acute, complications of diabetes.

• Question 999:

  Which of the following should be included in a diet rich in iron?

  A. peaches, eggs, beef
  B. cereals, kale, cheese
  C. red beans, enriched breads, squash
  D. legumes, green beans, eggs
  A. peaches, eggs, beef

  ---

  Home sources of iron that can be absorbed in the body include meat, poultry, and fish. In addition, these sources contain a factor that helps to enhance iron absorption of nonheme sources. Eating Vitamin C at the same time as iron sources also helps to promote iron absorption. High calcium intake in the diet promotes the absorption of iron because it helps to bind to phytates and thereby limits their effect.

• Question 1000:

  When caring for a client with a possible diagnosis of placenta previa, which of the following admission procedures should the nurse omit?

  A. perineal shave
  B. enema
  C. urine specimen collection
  D. blood specimen collection
  B. enema

  ---

  Explanation Explanation/Reference:An enema could dislodge the placenta and increase bleeding.