NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 101:

  Which position will you place your patient in when they are demonstrating the signs and symptoms of hypovolemic shock?

  A. The Trendelenberg position
  B. The supine position
  C. The left lateral position
  D. The right lateral position
  A. The Trendelenberg position

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  You would place your patient in the Trendelenberg position when they are experiencing the signs and symptoms of hypovolemic shock. This position places the legs of the patient higher than the head and it increases the return of the blood in the extremities back into the circulating blood, thus increasing blood volume and the blood pressure, in addition to other necessary emergency measures. The supine, left lateral and right lateral positions do not produce this effect.

• Question 102:

  Which type of dressing is recommended to place over a site when a chest tube is removed by the physician?

  A. transparent dressing
  B. colloidal dressing
  C. petrolatum gauze
  D. nonadherent dressing
  C. petrolatum gauze

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  Explanation Explanation/Reference:Petrolatum gauze is recommended to place over a site when a chest tube is removed by the physician. This is because it forms an airtight seal, which the other choices do not.

• Question 103:

  On a Thursday, the PN is caring for an inpatient who identifies as a Seventh Day Adventist. The patient is scheduled for a minor invasive procedure on Saturday.

  Which of these is the most appropriate action?

  A. Ask the patient if he has any specific beliefs or restrictions on the Sabbath.
  B. Move forward with the procedure without question.
  C. Reschedule the procedure for Friday.
  D. Reschedule the procedure for Sunday.
  A. Ask the patient if he has any specific beliefs or restrictions on the Sabbath.

• Question 104:

  Select the criteria that is accurately paired with its indication of birth weight or gestational age.

  A. Low birth weight: The neonate's weight is less than 1,500 g at the time of delivery.
  B. Appropriate for gestational age: The neonate's weight ranges from the 10th to the 90th percentile.
  C. Large for gestational age: The neonate's weight is above the 99th percentile.
  D. Small for gestational age: The neonate's weight is below the 20th percentile.
  B. Appropriate for gestational age: The neonate's weight ranges from the 10th to the 90th percentile.

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  It is considered appropriate for gestational age when the neonate's weight ranges from the 10th to the 90th percentile. A low birth weight is less than 2,500 g at the time of delivery. Large for gestational age is indicated when the neonate's weight is above the 90th percentile and when the neonate's weight is below the 10th percentile, it is considered small for gestational age.

• Question 105:

  Paula is a 32-year-old woman seeking evaluation and treatment of major depressive symptoms.

  A major nursing priority during the assessment process includes which of the following?

  A. meaning of current stressors
  B. possibility of self-harm
  C. motivation to participate in treatment
  D. presence of alcohol or other drug use
  B. possibility of self-harm

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  Unless the client is first assessed for self-harm or suicide potential, the staff might not observe the necessary degree of vigilance needed in the client's environment. Physical needs are the second most critical concern with a depressive client. Though the client may be encouraged to attend group therapy as part of the treatment plan, the client's safety takes precedence. Response to medication takes time and is not an initial concern.

• Question 106:

  A complication of total parenteral nutrition (TPN) is the development of cholestasis.

  What is this condition?

  A. an inflammatory process of the extrahepatic bile ducts
  B. an arrest of the normal flow of bile
  C. an inflammation of the gallbladder
  D. the formation of gallstones
  B. an arrest of the normal flow of bile

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  Cholestasis due to TPN administration is an intrahepatic process that interrupts the normal flow of bile. Extrahepatic bile duct inflammation is cholangitis. Inflammation of the gallbladder is cholecystitis. Gallstones are formed by bile components.

• Question 107:

  Padding on a restraint helps __________.

  A. with pressure distribution so that bony prominences do not receive pressure when a client pulls against the restraints
  B. the client feels more secure
  C. to keep infection and wounds down
  D. to keep restraints in place
  A. with pressure distribution so that bony prominences do not receive pressure when a client pulls against the restraints

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  Padding distributes pressure so that bony prominences do not receive the brunt of pressure when a client pulls against the restraints. Pressure, especially over bony prominences, causes tissue damage due to ischemia.

• Question 108:

  How many calories per kilogram does an average full term infant require when the infants is around 1-2 months old?

  A. 140 calories per kilogram per day
  B. 120 calories per kilogram per day
  C. 100 calories per kilogram per day
  D. 160 calories per kilogram per day
  B. 120 calories per kilogram per day

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  Explanation Explanation/Reference:An average full-term newborn requires 120 calories per kilogram of weight each day to grow into a healthy child. For example, if a newborn weighs 4.55 kilograms, multiply 4.55 by 120. 546 calories would be what an infant should consume in one day.

• Question 109:

  A gunshot wound victim has been brought to your unit. He has chosen to be marked as confidential due to safety concerns.

  Which of these actions would be inappropriate for you to do as the nurse?

  A. Tell the patient's mother he is okay when she calls to ask about him being on the unit.
  B. Keep the patient's name/information out of public areas such as the nurses' station.
  C. Remove the patient from confidential status when he asks to be removed.
  D. Deny that the patient is on the unit when visitors come or call.
  A. Tell the patient's mother he is okay when she calls to ask about him being on the unit.

• Question 110:

  After your patient has been told that they have Cushing's syndrome, the patient asks you what Cushing's syndrome is.

  How would you respond to this patient's question?

  A. "Cushing's syndrome is a type of irritable bowel syndrome."
  B. "Cushing's syndrome is a disorder of the adrenal gland."
  C. "Cushing's syndrome often occurs among patients who are getting radiation therapy."
  D. "Cushing's syndrome often occurs among patients who are chemotherapy."
  B. "Cushing's syndrome is a disorder of the adrenal gland."

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  Cushing's syndrome is a disorder of the adrenal gland. It results from the chronic hypersecretion of glucocorticoids from the adrenal cortex. It is Crohn's disease, not Cushing's syndrome, that is a type of irritable bowel syndrome and, there is no relationship between Cushing's syndrome and radiation or chemotherapy.