NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 161:

  What intervention is the best to relieve constipation during pregnancy?

  A. Increasing the consumption of fruits and vegetables.
  B. Taking a mild over-the-counter laxative.
  C. Lying flat on back when sleeping.
  D. Reduction of iron intake by half or more.
  A. Increasing the consumption of fruits and vegetables.

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  Dietary roughage (or fiber) with sufficient fluids and exercise may help relieve constipation. Over-the-counter medications should be avoided during pregnancy. The supine position can place additional pressure on the aorta and vena cava, leading to vena cava syndrome. A reduction of iron supplements during pregnancy may reduce hemoglobin production and result in a less than an effective immune system.

• Question 162:

  A case management clinical pathway for congestive heart failure might include all of the following except __________.

  A. physician follow-up appointments with transportation
  B. client education regarding medication use
  C. a nutritional consult for diet review and accommodation
  D. insurance review for reimbursement
  D. insurance review for reimbursement

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  Explanation Explanation/Reference:Clinical pathways include maps of care outcomes to be achieved prior to discharge or movement through a health care system. Insurance review for reimbursement is a function of an outside agency from the health care provider related to the amount of expected monetary compensation for services rendered to a client.

• Question 163:

  The embryonic period during pregnancy takes place from __________.

  A. weeks 1 to 12
  B. weeks 1 to 10
  C. weeks 3 to 5
  D. weeks 6 to 10
  D. weeks 6 to 10

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  The embryonic period begins around week 6, following the ovulation period of weeks 1 to 2 and the cell division and implantation period from weeks 3 to 5. The first trimester runs from week 1 until week 12.

• Question 164:

  While admitting a client to an acute-care psychiatric unit, the nurse asks about substance abuse based on knowledge that __________.

  A. psychiatric illness is more prevalent in addicted populations
  B. people with psychiatric disorders are more prone to substance abuse
  C. substance disorders are easily detected and diagnosed in acute-care psychiatric settings
  D. undetected substance problems have no real effect on treatment of psychiatric disorders
  B. people with psychiatric disorders are more prone to substance abuse

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  The failure to address substance abuse among clients with psychiatric disorders interferes with treatment effectiveness and contributes to relapse. Misdiagnosis of a psychiatric disorder, suboptimal pharmacological treatment, neglect of appropriate interventions, or an inappropriate referral might also occur.

• Question 165:

  A nurse working a surgical unit, notices a patient is experiencing SOB, calf pain, and warmth over the posterior calf. Which of the following medical conditions may indicate all of these?

  A. Patient may have a DVT.
  B. Patient may be exhibiting signs of dermatitis.
  C. Patient may be in the late phases of CHF.
  D. Patient may be experiencing anxiety after surgery.
  A. Patient may have a DVT.

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  Explanation Explanation/Reference:All of these factors indicate a DVT.

• Question 166:

  A client is told that his test is positive, but in fact, the client does not have the disease tested for. Which type of false report is this an example of?

  A. positive
  B. false positive
  C. negative
  D. false negative
  B. false positive

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  Explanation Explanation/Reference:A false-positive result occurs when a test result is labeled positive in error, when the actual result is negative.

• Question 167:

  All of the following factors, when identified in the history of a family, are correlated with poverty except __________.

  A. high infant mortality rate
  B. frequent use of Emergency Departments
  C. consultation with folk healers
  D. low incidence of dental problems
  D. low incidence of dental problems

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  Dental problems are prevalent because of the lack of preventive care and access to care. High infant mortality is one of the most significant problems correlated with poverty. Pregnant women who do not have access to care might come to the Emergency Department when in labor. Those in poverty are likely to use Emergency Departments because they may not be turned away. Those in poverty might also turn to folk healers or other persons in their community for care who might be easier to access and might not demand payment.

• Question 168:

  The factor that most determines drug distribution is __________.

  A. vascular perfusion of the tissue or organ
  B. salt form
  C. drug interactions
  D. steady state
  A. vascular perfusion of the tissue or organ

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  Drugs are distributed via the circulatory system. Adequate perfusion is necessary for distribution of a drug. Salt form, drug interactions and steady state are not as dependent on adequate perfusion.

• Question 169:

  An example of a process standard on a med-surg unit is __________.

  A. a procedure for changing IV tubing.
  B. a policy for staffing.
  C. the job description of the CEO (chief executive officer).
  D. a procedure for checking waveforms on a client being treated on an intra-aortic balloon pump.
  A. a procedure for changing IV tubing.

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  Process standards define the actions and behaviors required by staff to provide care. A procedure for changing IV tubing is a psychomotor skill that is applied to helping clients meet their goals.

• Question 170:

  Your 32-year-old female patient has erythema marginatum, Sydenham chorea, epistaxis, abdominal pain, fever, cardiac problems and skin nodules.

  What disorder would you most likely suspect based on these signs and symptoms?

  A. Leukemia
  B. Histoplasmosis
  C. Pneumocystis jirovec
  D. Rheumatoid arthritis
  D. Rheumatoid arthritis

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  Erythema marginatum, Sydenham chorea, epistaxis, abdominal pain, fever, cardiac problems and skin nodules are the signs and symptoms of rheumatoid arthritis. Some of the signs and symptoms of leukemia are fever, bleeding and bruising, shortness of breath, loss of appetite, pain in the bones or stomach and painless lumps in the neck, groin and/or underarm. Histoplasmosis, a fungal infection, is characterized with fever, chills, cough, chest pain, joint pain, mouth sores and erythema modosum. Lastly, the signs and symptoms of Pneumocystis jirovec, among others, can include fever, shortness of breath, rapid breathing and a dry cough.