NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 151:

  Which of the following substances need to be assessed when completing a family health assessment?

  A. coffee, tea, cola, and cocoa
  B. alcohol, tobacco, and illegal substances
  C. medicines prescribed by a physician
  D. all of the above
  D. all of the above

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  When assessing drug, alcohol, and tobacco practices among family members, a thorough investigation of prescribed, over-the-counter and illegal substance-use practices should be made. Assessment of dietary practices should include the amount and types of food the family eats; the social behaviors associated with dietary practices; and the meal planning, shopping, and preparation practices of the family.

• Question 152:

  Pressure ulcers usually occur ___________.

  A. when clients are left in one position in bed for extended periods of time
  B. when clients are underweight
  C. when clients are overweight
  D. only in underweight and overweight clients
  A. when clients are left in one position in bed for extended periods of time

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  Explanation Explanation/Reference:Pressure ulcers usually occur over bony prominences and are caused by decreased circulation. The client who is left in one position in bed for extended periods of time is more prone to decreased circulation to an area of the body and to acquiring a pressure ulcer.

• Question 153:

  The nurse who was not promoted then went to the utility room and slammed several cupboard doors while looking for Kleenex.

  This behavior exemplifies ___________.

  A. displacement
  B. sublimation
  C. conversion
  D. reaction formation
  A. displacement

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  Displacement unconsciously transfers emotions associated with a person, object, or situation to another less threatening person, object, or situation. The nurse slammed doors instead of striking the promoted nurse or the administrator who made the promotion decision. Sublimation is the unconscious process of substituting constructive activity for unacceptable impulses. This choice cannot be considered correct because the slamming of the cupboard doors cannot be considered a constructive activity. Conversion involves unconsciously transforming anxiety into a physical symptom. Reaction formation keeps unacceptable feelings or behaviors out of awareness by using the opposite feeling or behavior.

• Question 154:

  Place these human needs in order from the greatest priority to the least priority using 1 as the greatest priority and 5 as the least of all in terms of priority.

  

  A. E, C, A, D, B
  B. E, C, D, A, B
  C. E, C, D, B, A
  D. C, E, D, A, B
  B. E, C, D, A, B

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  According to Abraham Maslow, the hierarchy of human needs from the most basic and necessary to the least priority are the physiological or biological needs, the safety and psychological needs, the need for love and belonging, self-esteem and the esteem by others and self-actualization. Maslow's theory states that until the most basic priority needs are satisfied in a step wise manner, the less priority needs cannot be addressed and fulfilled.

• Question 155:

  When the nurse is determining the appropriate size of a nasopharyngeal airway to insert, which body part should be measured on the client?

  A. corner of the mouth to tragus of the ear
  B. corner of the eye to top of the ear
  C. tip of the chin to the sternum
  D. tip of the nose to the earlobe
  D. tip of the nose to the earlobe

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  Explanation Explanation/Reference:A nasopharyngeal airway is measured from the tip of the nose to the earlobe.

• Question 156:

  While repositioning the patient, the LPN notices a shallow, open ulcer on the sacrum with partial-thickness skin loss. What is the classification stage of this ulcer?

  A. Stage IV
  B. Stage III
  C. Stage I
  D. Stage II
  D. Stage II

• Question 157:

  Nonpharmacological pain management involves all of the following except __________.

  A. hypnosis alone.
  B. psychological care, including support groups.
  C. physical and psychological modalities.
  D. pain-reducing drugs only.
  D. pain-reducing drugs only.

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  Explanation Explanation/Reference:All physical and psychosocial therapies can be used concurrently with drugs and other modalities to manage pain. These interventions can be carried out by the nurse with the client and family.

• Question 158:

  During which stage of anesthesia is a patient most likely to experience involuntary motor activity?

  A. Stage I
  B. Stage II
  C. Stage III
  D. Stage VI
  B. Stage II

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  Stage II, commonly referred to as the excitement stage, is the stage of anesthesia when the patient is most likely to experience involuntary motor activity period; at this time, auditory and physical stimuli must be avoided to reduce the risk of increased tachycardia during this stage. Stage I is the administration phase, Stage III is the surgical phase, and Stage IV is the cessation phase.

• Question 159:

  Which of these is not a stage of group therapy development?

  A. termination stage
  B. discovery stage
  C. working stage
  D. initial stage
  B. discovery stage

• Question 160:

  The LPN is meeting a newly hospitalized patient and suspects he may have depression.

  Which question would best help her assess this?

  A. "Are you depressed?"
  B. "How do you feel about being here?"
  C. "Does depression run in your family?"
  D. "What activities do you enjoy?"
  D. "What activities do you enjoy?"