NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 1011:

  A nursing care plan for a client with sleep problems has been implemented. All of the following should be expected outcomes except __________.

  A. the client reports no episodes of awakening during the night
  B. the client falls asleep within 1 hour of going to bed
  C. the client reports satisfaction with his amount of sleep
  D. the client rates sleep as an 8 or more on the visual analog scale
  B. the client falls asleep within 1 hour of going to bed

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  Explanation Explanation/Reference:An expected outcome is that the client falls asleep shortly after going to bed. The stages of sleep are defined by 4 stages. By stage 3 or 4 (within a short period of time ?usually 1 hour) the client is considered to be in the deep part of sleep.

• Question 1012:

  Pain tolerance in an elderly client with cancer should __________.

  A. Stay the same
  B. Decrease
  C. Increase
  D. Cancer should have no effect on pain tolerance for an elderly client
  B. Decrease

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  There is potential for a lowered pain tolerance to exist with diminished adaptive capacity.

• Question 1013:

  All of the following tasks could be delegated to a nursing assistant or unlicensed assistive personnel (UAP) except __________.

  A. monitoring intravenous infusion.
  B. assisting a client to the bathroom.
  C. offering fluid intake every 1-2 hours.
  D. monitoring/recording the amount of fluid taken.
  A. monitoring intravenous infusion.

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  Explanation Explanation/Reference:Monitoring an intravenous infusion must be performed by an RN or LPN. Assisting during activity, offering fluids and recording intake are in the job scope of the nursing assistant.

• Question 1014:

  Your client is adversely affected with fever, night sweats, occult hematuria, tenderness of the spleen and Osler's nodes.

  What disorder would you most likely suspect?

  A. Tuberculosis
  B. AIDS/HIV
  C. Pericarditis
  D. Endocarditis
  D. Endocarditis

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  The signs and symptoms of endocarditis are fever, night sweats, occult hematuria, gross hematuria, tenderness of the spleen, fatigue, edema and Osler's nodes which are tender, red spots that can be seen under the skin of the fingers.

• Question 1015:

  A cesarean mode of delivery, often utilized for various reasons, is the most common mode for females with __________ pelvic type.

  A. android
  B. anthropoid
  C. gynecoid
  D. platypelloid
  A. android

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  Android pelvic types are heart shaped and found among 23% of all women. Gynecoids are round pelvic types and the most common type at about 50%. Oval shaped pelvic types are anthropoid and found at a rate of 24%. Platypelloids are flat and the least common pelvic type at 3%.