NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 131:

  A patient has fallen off a bicycle and fractured the head of the proximal fibula. A cast was placed on the patient's lower extremity. Which of the following is the most probable result of the fall?

  A. Peroneal nerve injury
  B. Tibial nerve injury
  C. Sciatic nerve injury
  D. Femoral nerve injury
  A. Peroneal nerve injury

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  Explanation Explanation/Reference:The head of the proximal fibula is in close proximity to the peroneal nerve.

• Question 132:

  The ethical principle of keeping professional promises or obligations is __________.

  A. veracity
  B. autonomy
  C. fidelity
  D. beneficence
  C. fidelity

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  Explanation Explanation/Reference:The ethical principle of veracity is truth-telling. Autonomy is client self-determination (that is, clients making their own decisions). Beneficence is the principle of doing good, which is a foundation of nursing care.

• Question 133:

  A 17-year-old female was raped by a young man in her neighborhood. She is in the Emergency Department for evaluation and tests. After the procedure is completed, a rape crisis counselor (nurse specialist) talks to the client in a conference room regarding the rape.

  Implementing counseling by the nurse specialist for the raped victim represents __________.

  A. assessment
  B. crisis intervention
  C. empathetic concern
  D. unwarranted intrusion
  B. crisis intervention

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  Crisis intervention is part of the Crisis Intervention Model. Counseling by a nurse specialist at the time of a stressful event (rape) can strengthen the client's coping. A nurse specialist in rape crisis intervention is educationally prepared in counseling and crisis intervention specific to rape victims.

• Question 134:

  Appropriate care for a client with neutropenia includes __________.

  A. plenty of fresh fruits and vegetables
  B. a semi-private room
  C. wearing a mask when out of the room
  D. routine hand washing
  C. wearing a mask when out of the room

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  When a client is neutropenic (one type of white blood cell), they lack the ability to fight off infection. The mask is to prevent exposure to any upper-respiratory infections. Fresh fruits, vegetables, and flowers can contain pathogens that might infect the neutropenic client. All foods must be thoroughly cooked and plants/flowers are not allowed. A neutropenic client needs a private room and carefully screened visitors ?no one is to enter the room with anysymptoms of an illness (runny nose, sneezing, nausea, and so on). Meticulous, frequent hand washing is called for.

• Question 135:

  The PN is preparing a patient who has undergone cataract surgery on the right eye for discharge.

  Which of these statements indicates that the patient understands his or her post-surgical instructions?

  A. "I need to sleep on my right side."
  B. "I need to sleep flat on my back."
  C. "I need to sleep on my left side."
  D. "I can sleep in any position I find comfortable."
  C. "I need to sleep on my left side."

• Question 136:

  Nurses should understand the chain of infection because it refers to __________.

  A. the linkages between various forms of microorganisms.
  B. the sequence required for transmission of disease.
  C. the clustering of bacteria in a specific pattern.
  D. increasing virulence patterns among species of microorganisms.
  B. the sequence required for transmission of disease.

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  Explanation Explanation/Reference:Infection occurs in a predictable sequence requiring virulence, movement from a reservoir, and entry into a susceptible host.

• Question 137:

  A client can receive the mumps, measles, rubella (MMR) vaccine if he or she __________.

  A. is pregnant
  B. is immunocompromised
  C. is allergic to neomycin
  D. has a cold
  D. has a cold

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  A simple cold without fever does not preclude vaccination. Choices "is pregnant" and "is immunocompromised" are incorrect because pregnant women and immunocompromised individuals cannot have the MMR vaccine because the rubella component is a live virus and might cause birth defects and/or disease. Choice "is allergic to neomycin" is incorrect because the American Academy of Pediatrics states, "Persons who have experienced anaphylactic reactions to topically or systemically administered neomycin should not receive measles vaccine."

• Question 138:

  Which of the following is true concerning human immunodeficiency virus (HIV)?

  A. HIV infection involves CD4 receptor protein on the surface of helper T-cells.
  B. The presence of circulating antibodies that neutralize HIV is evidence that the individual has immunity-HIV.
  C. HIV replication occurs extracellularly.
  D. DNA replication
  A. HIV infection involves CD4 receptor protein on the surface of helper T-cells.

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  The virus makes a DNA copy of its own RNA using the reverse transcriptase enzyme, and the DNA copy is inserted into the genetic material of the infected cell.

• Question 139:

  The nurse acts as an advocate for the nursing profession by performing all of the following activities except ___________.

  A. encouraging political involvement by nurses with their legislators.
  B. acting as a first-aid provider for a children's athletic team.
  C. precepting newly licensed nurses in the work situation.
  D. encouraging as many persons to become nurses as possible.
  D. encouraging as many persons to become nurses as possible.

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  The nurse acts as an advocate for the nursing profession by encouraging appropriate persons to become nurses, by being a positive role model and mentor, and by communicating the needs of nurses in the most professional manner possible, to those making the laws.

• Question 140:

  A client with dumping syndrome should ___________ while a client with GERD should ___________.

  A. sit up 1 hour after meals; lie flat 30 minutes after meals
  B. lie down 1 hour after eating; sit up at least 30 minutes after eating
  C. sit up after meals; sit up after meals
  D. lie down after meals; lie down after meals
  B. lie down 1 hour after eating; sit up at least 30 minutes after eating

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  Explanation Explanation/Reference:Clients with dumping syndrome should lie down after eating to decrease dumping syndrome. GERD clients should sit up to prevent backflow of acid into the esophagus.