NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 1001:

  Fat emulsions are frequently administered as a part of total parenteral nutrition.

  Which statement is true regarding fat emulsions?

  A. They have a high energy-to-fluid-volume ratio.
  B. Even though hypertonic, they are well tolerated.
  C. They are a basic solution secondary to the addition of sodium hydroxide (NaOH).
  D. The pH is alkaline, making them compatible with most medications.
  A. They have a high energy-to-fluid-volume ratio.

  ---

  They have a high energy-to-fluid-volume ratio. Fat emulsions are formulated in 10%, 20%, and 30% solutions and supply 1.1, 2, and 3 kilocalories respectively for each milliliter. A milliliter of 5% dextrose only supplies 0.17 kilocalories. Choices "Even though hypertonic, they are well tolerated.", "They are a basic solution secondary to the addition of sodium hydroxide (NaOH)." and "The pH is alkaline, making them compatible with most medications." are incorrect because fat emulsions are essentially pH neutral and isotonic.

• Question 1002:

  You have been asked to speak at a new nursing assistants' orientation class about infection control and handwashing techniques.

  What would you include in this teaching?

  A. Demonstrate the correct 1-minute handwashing procedure using soap and running water.
  B. Demonstrate the correct 2-minute handwashing procedure using soap and running water.
  C. Using hot water so that the natural fats on the skins are emulsified with the soap.
  D. Using cold water so that the natural fats on the skins are emulsified with the soap.
  B. Demonstrate the correct 2-minute handwashing procedure using soap and running water.

  ---

  The best way to teach the techniques of handwashing is to actually demonstrate the correct handwashing procedure. Proper handwashing must be done for a minimum of two minutes. Warm not cold water or hot water is used for handwashing.

• Question 1003:

  The three major sequential maturational crises for females include __________.

  A. puberty, pregnancy, and menopause
  B. death of a spouse, menopause, and childbirth
  C. rape, divorce, and menarche
  D. dating, engagement, and separation
  A. puberty, pregnancy, and menopause

  ---

  The three major sequential maturational crises affecting females are puberty, pregnancy, and menopause. These are life events that have been studied by many researchers and are considered the major events in a woman's life. Puberty is the onset menarche. Pregnancy is a turning point in one's life from which there is no return. Menopause is the cessation of menses. The nurse has the responsibility to assess, plan, implement appropriate concepts to facilitate effective functioning, and enhance growth and development. Choices "death of a spouse, menopause, and childbirth.", "rape, divorce, and menarche." and "dating, engagement, and separation." are not sequential maturational crises.

• Question 1004:

  A client is admitted with a diagnosis of Multiple Drug Use.

  The nurse should plan care based on knowledge that ___________.

  A. multiple drug use is very uncommon
  B. people might use more than one drug to enhance the effect or relieve withdrawal symptoms
  C. alcohol and barbiturates used together are not dangerous because one is a stimulant and the other is a depressant
  D. assessment and intervention are easier with multiple drug use because of the synergistic effect
  B. people might use more than one drug to enhance the effect or relieve withdrawal symptoms

  ---

  Simultaneous or sequential use of more than one substance is very common. Multiple drug use can enhance, lessen, or change the nature of the intoxication, or relive withdrawal symptoms. Heroin users often also use alcohol, marijuana, or benzodiazepines. Multiple drug use is especially dangerous if synergistic drugs are combined. Multiple drug use complicates assessment and intervention because the client might be demonstrating the effects or withdrawal from several drugs.

• Question 1005:

  A client with a diagnosis of Schizophrenia has been released from an acute care setting. The client had a prolonged recovery from relapse. One of the parents says to the discharge nurse, "I do not understand what is going on. The hospital said she was better, but all she does is sit around all day and smoke. We cannot get her to go to the vocational training you arranged."

  The nurse recognizes that more teaching is needed about ___________.

  A. the pathophysiology and acting out behaviors of schizophrenia.
  B. support groups that can help the parents release their feelings of frustration.
  C. the prolonged recovery time and depressive effects of medicines to prevent relapse.
  D. motivational techniques that are effective in clients with schizophrenia.
  C. the prolonged recovery time and depressive effects of medicines to prevent relapse.

  ---

  The nurse conducting discharge teaching must stress the lengthy recuperation process with emphasis on the sedative qualities of the medication used to prevent relapse. Support groups are useful for caregivers. The emphasis during recuperation is on maintaining nutrition and hygiene.

• Question 1006:

  Which of the following would be least likely to present itself in a prenatal patient with HELLP?

  A. disseminated intravascular coagulopathy
  B. elevated liver enzymes
  C. increased platelet count
  D. anemia
  C. increased platelet count

• Question 1007:

  One of the major functions of the kidneys in maintaining normal fluid balance is __________.

  A. the manufacture of antidiuretic hormone
  B. the regulation of calcium and phosphate balance
  C. the regulation of the pH of the extracellular fluid
  D. the control of aldosterone levels
  C. the regulation of the pH of the extracellular fluid

  ---

  Major functions of the kidneys in maintaining normal fluid balance include regulation of extracellular fluid and osmolarity by selective retention and excretion of fluids, regulation of pH of the extracellular fluid by retention of hydrogen ions, and excretion of metabolic wastes and toxic substances. ADH is manufactured by the pituitary, and the parathyroid regulates calcium and phosphate balance.

• Question 1008:

  In managing nausea related to Morphine epidural analgesia, the nurse should administer ___________.

  A. Indocin
  B. Codeine
  C. Motrin
  D. Compazine
  D. Compazine

  ---

  Explanation Explanation/Reference:Compazine is the drug that should be administered.

• Question 1009:

  Which of the following nursing diagnoses might be appropriate as Parkinson's disease progresses and complications develop?

  A. Impaired Physical Mobility
  B. Dysreflexia
  C. Hypothermia
  D. Impaired Dentition
  A. Impaired Physical Mobility

  ---

  The client with Parkinson's disease can develop a shuffling gait and rigidity, causing impaired physical mobility. The other diagnoses do not necessarily relate to a client with Parkinson's disease.

• Question 1010:

  Which of the following syndromes associated with incomplete lesions of the spinal cord is a result of damage to one-half of the spinal cord?

  A. Brown-S閝uard syndrome
  B. posterior cord syndrome
  C. central cord syndrome
  D. cauda equina syndrome
  A. Brown-S閝uard syndrome

  ---

  Explanation Explanation/Reference:Brown-S閝uard syndrome is a result of damage to one-half of the spinal cord. The other choices are also incomplete lesions of the spinal cord, but they have different defining characteristics.