NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 111:

  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.

  Correct Answer: C

• Question 112:

  While the PN is bathing a patient with a chest tube, the tube is accidentally pulled out.

  What is the first priority for the PN?

  A. Attempt to re-insert the chest tube.

  B. Obtain a sterile dressing for the chest tube site.

  C. Discard the contaminated chest tube.

  D. Provide the patient with supplemental oxygen.

  Correct Answer: B

• Question 113:

  Which of these is not a potential side effect of peritoneal dialysis?

  A. weight loss

  B. hyperglycemia

  C. hernia

  D. infection

  Correct Answer: A

• Question 114:

  Which of these is not an early indicator of increased intracranial pressure?

  A. widening pulse pressure

  B. Cushing's reflex

  C. Cheyne-Stokes respirations

  D. decorticate posture

  Correct Answer: B

• Question 115:

  Which of these is not a sign of early hyperglycemia?

  A. polyphagia

  B. polyketonia

  C. polyuria

  D. polydipsia

  Correct Answer: B

• Question 116:

  The PN examines a patient's EKG strip and notices an absence of p-waves and the presence of sawtooth waves.

  Which of these is the most likely rhythm?

  A. atrial flutter

  B. bradycardia

  C. ventricular tachycardia

  D. atrial fibrillation

  Correct Answer: A

• Question 117:

  The LPN is caring for a postoperative patient who had an open appendectomy. Where would he look to check the incision site?

  A. the right lower quadrant

  B. the left upper quadrant

  C. the right upper quadrant

  D. the left lower quadrant

  Correct Answer: A Exam J

• Question 118:

  Which of the following statements should the nurse use to best describe a very low-calorie diet (VLCD) to a client?

  A. "This diet can be used when there is close medical supervision."

  B. "This is a long-term treatment measure that assists obese people who can't lose weight."

  C. "The VLCD consists of solid food items that are pureed to facilitate digestion and absorption."

  D. "A VLCD contains very little protein."

  Correct Answer: A

  VLCDs are used in the clinical treatment of obesity under close medical supervision.

  The diet is low in calories, high in quality of protein, and has a minimum of carbohydrates to spare protein

  and prevent ketosis.

• Question 119:

  A client receives a cervical intracavitary radium implant as part of her therapy.

  A common side effect of a cervical implant is ___________.

  A. creamy, pink-tinged vaginal drainage

  B. stomatitis

  C. constipation

  D. xerostomia

  Correct Answer: A

  Creamy, pink-tinged vaginal drainage persists for 1 to 2 months after removal of a cervical implant.

  Diarrhea, not constipation, is usually a side effect of cervical implants.

  Stomatitis and xerostomia are local side effects of radiation to the mouth.

• Question 120:

  A client who has a known history of cardiac problems and is still smoking enters the clinic complaining of sudden onset of sharp, stabbing pain that intensifies with a deep breath. The pain is occurring on only one side and can be isolated upon general assessment.

  The nurse concludes that this description is most likely caused by __________.

  A. pleurisy

  B. pleural effusion

  C. atelectasis

  D. tuberculosis

  Correct Answer: A

  Pleurisy is an inflammation of the pleura and is often accompanied by abrupt onset of pain.

  Symptoms of pleurisy are abrupt pain that is usually unilateral and localized to a specific portion of the

  chest. The pain is sharp, stabbing, and might radiate to the neck or shoulder. Pressure changes caused by

  breathing, movement, or coughing intensify the pain.

  Other symptoms might include fever, cough (dry, hacking), localized tenderness, diminished breath

  sounds, tachypnea, and pleural friction rub.