NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 111:

  A nurse working in a pediatric clinic observes bruises on the body of a four-year-old boy. The parents report the boy fell riding his bike. The bruises are located on his posterior chest wall and gluteal region. The nurse should __________.

  A. suggest a script for counseling for the family to the doctor on duty
  B. recommend a warm bath for the boy to decrease healing time
  C. notify the case manager in the clinic about possible child abuse concerns
  D. recommend ROM to the patient's spine to decrease healing time
  C. notify the case manager in the clinic about possible child abuse concerns

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  Explanation Explanation/Reference:The patient's safety should have the highest priority.

• Question 112:

  The LPN is taking care of a female patient with a cesium implant.

  Which statement made by the nurse would be accurate?

  A. "Vaginal stenosis may occur as a result of this treatment."
  B. "As long as you are comfortable, sexual intercourse may continue as normal during your treatment."
  C. "You will likely feel hungrier than usual as a result of this treatment."
  D. "Constipation frequently occurs as a result of having a cesium implant."
  A. "Vaginal stenosis may occur as a result of this treatment."

• Question 113:

  The nurse belongs to a professional nursing organization that provides social, educational, and political venues for nurses. The nurse has been active in this organization for almost two years, during which time she meets and works with nurses from several different nursing agencies and health care institutions to achieve a variety of goals, including obtaining advice regarding a personal career choice.

  This is an example of __________.

  A. professional nurturing
  B. networking
  C. mentoring
  D. collegiality
  B. networking

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  Explanation Explanation/Reference:Networking involves the process of developing and using contacts throughout one's professional career for information, advice, and support. Nurturing and mentoring are both examples of assistance to other colleagues in formal and informal relationships for support and career building. Collegiality is the professional camaraderie or rapport established among persons through shared experiences.

• Question 114:

  Which fetal heart monitor pattern can indicate cord compression?

  A. variable decelerations
  B. early decelerations
  C. bradycardia
  D. tachycardia
  A. variable decelerations

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  Explanation Explanation/Reference:Variable decelerations can be related to cord compression. The other patterns are not.

• Question 115:

  The tendency of a drug to combine with its receptor is called __________.

  A. potency
  B. efficacy
  C. kinetics
  D. affinity
  D. affinity

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  Affinity is a close relationship, mutual attraction, or similarity. The tendency of a drug to combine with its receptor is called affinity. Affinity is a measure of the strength of the drug-receptor bonding. Potency and efficacy describe the capability of a drug to produce the desired effect. Kinetics is the branch of science that deals with the effects of forces on the motions of material bodies or with changes in a physical or chemical system.

• Question 116:

  The most common cause of injury from a house fire is __________.

  A. explosion
  B. falls from second-story windows
  C. thermal damage to skin and body surfaces
  D. inhalation injury
  D. inhalation injury

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  Explanation Explanation/Reference:Inhalation is the most common cause of injury from a house fire.

• Question 117:

  Which of the following statements is correct about Maslow's hierarchy of needs?

  A. Four of the levels may require physical intervention, while two of the levels may require psychosocial intervention.
  B. There are psychosocial interventions that may be applicable to all of the levels.
  C. There are physical interventions that may be applicable to all of the levels.
  D. Two of the levels may require physical intervention while four of the levels may require psychosocial intervention.
  D. Two of the levels may require physical intervention while four of the levels may require psychosocial intervention.

• Question 118:

  The nurse is teaching a client about the use of Rifampin for prophylaxis after an exposure to meningitis. What change in bodily functions should the nurse advise the client about?

  A. The client's urine might turn blue.
  B. The client remains infectious to others for 48 hours.
  C. The client's contact lenses might be stained orange.
  D. The client's skin might take on a crimson glow.
  C. The client's contact lenses might be stained orange.

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  Explanation Explanation/Reference:Rifampin has the unusual effect of turning body fluids an orange color. Soft contact lenses might become permanently stained. Clients should be taught about these side effects to avoid unnecessary concern.

• Question 119:

  A nurse assesses an 83-year-old female's venous ulcer for the second time that is located near the right medial malleolus. The wound is exhibiting purulent drainage and the patient has limited mobility in her home. Which of the options is the best course of action?

  A. Encourage warm water soaks to the right foot.
  B. Notify the case manager of the purulent drainage.
  C. Determine the patient's pulse in the right ankle.
  D. Recommend increased activity to reduce the purulent drainage.
  A. Encourage warm water soaks to the right foot.

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  Explanation Explanation/Reference:A determination of arterial blood flow should be made, prior to encouraging increased activity, or notifying additional team members.

• Question 120:

  A client with stress incontinence should be advised __________.

  A. to purchase absorbent undergarments
  B. that Kegel exercises might help
  C. that effective surgical treatments are nonexistent
  D. that behavioral therapy is ineffective
  B. that Kegel exercises might help

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  Kegel exercises, tightening and releasing the pelvic floor muscles, might improve stress incontinence. To purchase absorbent undergarments is not an appropriate treatment for stress incontinence. Several effective surgical treatments exist. Lifestyle and dietary modifications can also be helpful.