NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 171:

  The wound irrigation process cleanses the wound and __________.

  A. Reduces the potential of pain in the wound region or area.
  B. Stops the spread of infection by way of magnifying the "clean" area.
  C. Pushes extravasated blood from a hematoma into nearby healthy tissue.
  D. Allows for the introduction of medications in solution form.
  D. Allows for the introduction of medications in solution form.

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  Of all the choices above, the only correct fact about wound irrigation is that it allows the application of medications in solution. Introducing prescribed medications in solution form can dramatically reduce infection risks and facilitating proper wound heal. Unfortunately, the irrigation process can greatly increase the pain in a wound area. Wound irrigation can reduce the spread of infection, but not by increasing the area cleaned. The complications resulting by a hematoma are reduced through wound irrigation and not by pushing into other tissue.

• Question 172:

  The primary organ for drug elimination is the __________.

  A. skin
  B. lung(s)
  C. kidney(s)
  D. liver
  C. kidney(s)

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  Most drugs are excreted in the urine, either as the parent compound or as drug metabolites. Relatively few drugs are excreted in sweat. Some volatile gases are excreted with expiration. The liver primarily metabolizes drugs. Some of them are excreted in bile, especially those with a molecular weight above 300.

• Question 173:

  Signs of impaired breathing in infants and children include all of the following except __________.

  A. nasal flaring
  B. grunting
  C. seesaw breathing
  D. quivering lips
  D. quivering lips

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  Explanation Explanation/Reference:Lip quivering is a distracter. Signs of impaired breathing in infants and children include all the other options.

• Question 174:

  A nurse reviewed the arterial blood gas reading of a 25-year-old male.

  Bicarbonate ion - 25 mEq/l PH - 7.41 PaCO2 - 29 mmHg PaO2 - 54 mmHg FiO2 -22

  The nurse should be able to conclude the patient is experiencing __________ conditions.

  A. metabolic acidosis
  B. respiratory acidosis
  C. metabolic alkalosis
  D. respiratory alkalosis
  D. respiratory alkalosis

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  Explanation Explanation/Reference:Respiratory alkalosis-elevated pH, and low carbon dioxide levels, no compensation noted.

• Question 175:

  A pregnant patient asks how she can prevent getting Group B Strep. What is the LPN's best response?

  A. "You cannot prevent getting Group B Strep, you can only treat it."
  B. "The Group B Strep vaccine is the only proven way to prevent the disease."
  C. "You should be extra vigilant about hand-washing, especially in the third trimester."
  D. "You should have your partner wear a condom every time you have intercourse."
  A. "You cannot prevent getting Group B Strep, you can only treat it."

• Question 176:

  Which of these patients could most safely share a room?

  A. a 30-year-old patient positive for the flu and a 75-year-old patient positive for MRSA infection
  B. a patient positive for C. Difficile and an elderly patient who is suspected to have a C. Difficile infection
  C. a 28-year-old male with blood-tinged sputum and night sweats and an 18-year-old male with the flu
  D. an elderly woman with Hepatitis A and a 50-year-old woman with the measles
  B. a patient positive for C. Difficile and an elderly patient who is suspected to have a C. Difficile infection

• Question 177:

  Which of the following is one of the main goals for Healthy People 2010?

  A. reduction of health care costs
  B. elimination of health disparities
  C. investigation of substance abuse
  D. determination of an acceptable morbidity rate
  B. elimination of health disparities

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  Healthy People 2010 has as its main goal elimination of health disparities among the U.S. population. Healthy People 2010 is a set of health objectives for the nation to achieve over the first decade of the twenty-first century and was developed by the Surgeon General's office. Earlier editions of this report, Healthy People and Healthy People 2000: National Health Promotion and Disease Prevention Objectives established national health objectives and served as the basis for the development of state and community plans.

• Question 178:

  A patient comes into the Emergency Department with symptoms of chest tightness, difficulty breathing, blood tinged purulent sputum, and night sweats.

  What is the best action for the nurse to take?

  A. Review admission criteria, cohort patient with a patient positive for the flu, and draw blood for full work up blood panel.
  B. Get the patient in a negative air pressure room and alert the attending of active tuberculosis
  C. Arrange for a chest x-ray and private room, then wait for results.
  D. Implement airborne precautions, arrange for a chest x-ray of the patient, and get the patient to negative air pressure, private room.
  D. Implement airborne precautions, arrange for a chest x-ray of the patient, and get the patient to negative air pressure, private room.

• Question 179:

  Which anatomic malformations are associated with the Tetralogy of Fallot?

  A. A sub-aortic septal defect, an overriding aorta, left ventricular hypertrophy, and right ventricular outflow.
  B. A sub-aortic septal defect, an overriding aorta, right ventricular hypertrophy, and left ventricular outflow.
  C. A sub-aortic septal defect, an overriding aorta, pulmonary atresia, and right ventricular outflow.
  D. A sub-aortic septal defect, an overriding aorta, right ventricular hypertrophy, and right ventricular outflow.
  D. A sub-aortic septal defect, an overriding aorta, right ventricular hypertrophy, and right ventricular outflow.

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  The Tetralogy of Fallot consists of a sub-aortic septal defect, an overriding aorta, right, not left, ventricular hypertrophy, and right, not left, ventricular outflow. Pulmonary atresia is not one of the anatomical malformations included in the Tetralogy of Fallot.

• Question 180:

  A cavity containing pus surrounded by inflamed tissue is __________.

  A. cellulitis
  B. an abscess
  C. extravasation
  D. an adhesion
  B. an abscess

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  A cavity containing pus surrounded by inflamed tissue is an abscess. An abscess is typically formed as a result of suppuration in a localized infection. Cellulitis is an infection of the skin characterized by heat, pain, erythema, and edema. Extravasation is the passage, or escape of blood, serum, or lymph fluids into the tissues. A band of scar tissue that binds together two surfaces that are typically separated is an adhesion.