NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 11:

  Which of the following vaccines is a live virus?

  A. varicella
  B. IPV
  C. DTaP
  D. hepatitis B
  A. varicella

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  Explanation Explanation/Reference:Varicella is a live virus, as is OPV. IPV is an inactivated polio vaccine.

• Question 12:

  A client goes to the Emergency Department with acute respiratory distress and the following arterial blood gases (ABGs): pH 7.35, PCO2 40 mmHg, PO2 63 mmHg, HCO3 23, and oxygenation saturation (SaO2) 93%. Which of the following represents the best analysis of the etiology of these ABGs?

  A. tuberculosis (TB)
  B. pneumonia
  C. pleural effusion
  D. hypoxia
  D. hypoxia

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  Explanation Explanation/Reference:A combined low PO2 and low SaO2 indicates hypoxia. The pH, PCO2, and HCO3 are normal. ABGs are not necessarily altered in TB or pleural effusion. Depending on the degree of the pneumonia, the PO2 and PCO2 might be low because hypoxia stimulates hyperventilation.

• Question 13:

  Which of the following conditions has a severe complication of respiratory failure?

  A. Bell's palsy
  B. Guillain-Barr?syndrome
  C. trigeminal neuralgia
  D. tetanus
  B. Guillain-Barr?syndrome

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  Explanation Explanation/Reference: Guillain-Barr?syndrome has a severe complication of respiratory failure. The remaining choices are peripheral nerve conditions, like Guillain-Barr? However, they do not lead to such a severe complication.

• Question 14:

  A health care worker is concerned about a new mother being overwhelmed by caring for her infant.

  The health care worker should __________.

  A. immediately contact child protective services
  B. provide the mother with literature about child care
  C. consult a therapist to help the mother work out her fears
  D. refer the mother to parenting classes
  D. refer the mother to parenting classes

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  Prevention of child abuse is centered on teaching the parents how to care for their child and cope with the demands of infant care. Parenting classes can help build self-confidence, self-esteem, and coping skills. Parents benefit by understanding the developmental needs of their children, while learning how to manage their home environment more effectively. The classes also increase the parents' social contacts and teach about community resources.

• Question 15:

  When assessing a client with amytrophic lateral sclerosis (ALS), the nurse should expect which of the following findings?

  A. mental confusion
  B. muscular weakness
  C. sensory loss
  D. emotional liability
  B. muscular weakness

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  Explanation Explanation/Reference:Clients with ALS have progressive muscular weakness and wasting. However, the mind remains clear and sharp, and there is no sensory loss. There might be periods of grieving, but usually not emotional liability.

• Question 16:

  The acts enacted by states to provide immunity from liability to persons who provide emergency care at an accident scene are called __________.

  A. Good Samaritan laws
  B. HIPAA
  C. Patient Self-Determination Act (PSDA)
  D. OBRA
  A. Good Samaritan laws

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  The Good Samaritan laws protect providers of care in an emergency situation. HIPAA's focus is confidentiality of information and right to privacy. The PSDA concerns a client's autonomous decision-making. OBRA was passed in the late 1980s to promote nursing home reform due to quality issues.

• Question 17:

  What is the ultimate purpose and goal of performance improvement activities?

  A. To increase efficiency.
  B. To contain costs.
  C. To improve processes.
  D. To improve policies.
  C. To improve processes.

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  Explanation Explanation/Reference:The ultimate purpose of quality improvement activities is to identify process flaws and then to change the process so that it is fail proof. Fail proof processes prevent human error and possible patient harm. Although these process improvements and changes may also increase efficiency and decrease costs, the ultimate goal of quality improvement activities is to prevent future occurrences with process changes and not costs and efficiency. Lastly, it is known that processes, not policies, are the root cause of many medical errors.

• Question 18:

  Which of the following services is not part of family consultation?

  A. assisting with vocational rehabilitation
  B. providing information about the client's illness
  C. teaching effective communication
  D. helping families solve problems
  A. assisting with vocational rehabilitation

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  Explanation Explanation/Reference:Family consultation does not involve vocational rehabilitation. It involves helping families deal with their feelings, focus, and find solutions. Choices "providing information about the client's illness", "teaching effective communication" and "helping families solve problems" are components of family consultation.

• Question 19:

  How is the information documented on incident reports used?

  A. to analyze risk categories
  B. to make sure procedures are in compliance with regulations
  C. to identify the educational needs of the staff
  D. all of the above
  D. all of the above

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  Risk management plays a vital role as an arm of quality monitoring and improvement programs. It utilizes information obtained from incident reports, as well as audits, committee minutes, service complaints, and client satisfaction questionnaires to perform all of the tasks identified.

• Question 20:

  Which of these scenarios would be incorrect when practicing aseptic technique?

  A. Apply sterile gloves by touching the inside only when applying both gloves.
  B. If anything on the sterile field is contaminated, dispose of everything and start over.
  C. Do not touch the sterile field unless only touching 1 inch or less of the edges.
  D. Open sterile supplies or instrument away from your body to make sure contamination does not occur.
  A. Apply sterile gloves by touching the inside only when applying both gloves.