NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 191:

  Which pain assessment scale is used exclusively for infants and neonates from 32 weeks of gestation to six months of age?

  A. The PEPPS pain scale
  B. The FLACC pain scale
  C. The Faces pain scale
  D. The CRIES pain scale
  D. The CRIES pain scale

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  The CRIES Pain scale is used exclusively for infants and neonates from 32 weeks of gestation to six months of age. This scale has five behavioral measurements that are scored from 0 to 2; the behavioral measurements include the infant's crying, requirements for increased oxygen, increased vital signs, expression, and sleepiness. The PEPPS pain scale (Pre-Verbal, Early Verbal Pediatric Pain Scale is used to assess and measure pain among toddlers. The Face, Legs, Activity, Crying, Consolability Scale (FLACC) is used for infants over two months of age and children up to three years of age. The Faces Pain Scale contains cartoon like pictures of six faces ranging from 0, or "no hurt" to 10 which represents "the worst hurt". It is used for pediatric patients who are three years of age and older.

• Question 192:

  Which of these is not one of the Five Rights of Medication Administration?

  A. right dose
  B. right time
  C. right explanation
  D. right patient
  C. right explanation

• Question 193:

  In examining an EKG waveform, what indicates atrial contraction?

  A. P-wave
  B. T-wave
  C. U-wave
  D. QRS-complex
  A. P-wave

• Question 194:

  The doctor has ordered 500 mg of a medication po once a day. The tablets on hand are labeled as 1 tablet = 250 mg. How many tablets will you administer to your patient?

  A. 1 Tablet
  B. 2 Tablets
  C. 3 Tablets
  D. 4 Tablets
  B. 2 Tablets

• Question 195:

  Which of the following methods of contraception is able to reduce the transmission of HIV and other STDs?

  A. intrauterine device (IUD)
  B. Norplant
  C. oral contraceptives
  D. vaginal sponge
  D. vaginal sponge

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  The vaginal sponge is a barrier method of contraception that, when used with foam or jelly contraception, reduces the transmission of HIV and other STDs as well as reducing the risk of pregnancy. IUDs, Norplant, and oral contraceptives can prevent pregnancy but not the transmission HIV and STDs. Clients using the contraceptive IUD, Norplant and Oral contraceptives should be counseled to use a chemical or barrier contraceptive to decrease transmission of HIV or STDs.

• Question 196:

  A 27-year-old woman has delivered twins in the OB unit. The patient develops a condition of 5 centimeter diastasis recti abdominis.

  Which of the following statements is the most accurate when instructing the patient?

  A. Sit-ups are o.k. to do as long as you don't strain
  B. This condition leads to surgery in 80% of cases.
  C. Guarding the abdominal region is important at this time.
  D. Antibiotics are required for this condition in 70% of patients.
  C. Guarding the abdominal region is important at this time.

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  Explanation Explanation/Reference:Protection of the abdominal wall is critical at this point in time.

• Question 197:

  Which of the following coping mechanisms protects an individual from anxiety?

  A. denial and fantasy
  B. rationalization and suppression
  C. regression and displacement
  D. reaction formation and projection
  A. denial and fantasy

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  Denial, rationalization, regression, and fantasy are coping mechanisms that protect persons from anxiety.

• Question 198:

  Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is an advantage of using CVADs for chemotherapeutic agent administration?

  A. CVADs are less expensive than a peripheral IV.
  B. Weekly administration is possible.
  C. Chemotherapeutic agents can be caustic to smaller veins.
  D. The client or family can administer the drug at home.
  C. Chemotherapeutic agents can be caustic to smaller veins.

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  Explanation Explanation/Reference:Many chemotherapeutic drugs are vesicants (highly active corrosive materials that can produce tissue damage even in low concentrations). Administration into a large vein is optimal. Choice "CVADs are less expensive than a peripheral IV." is incorrect because CVADs are more expensive than a peripheral IV. Choice "Weekly administration is possible." is incorrect because dosing depends on the drug. Choice "The client or family can administer the drug at home." is incorrect because IV chemotherapeutic agents are not routinely administered at home; they are usually given in a hospital or in an outpatient or clinic setting.

• Question 199:

  New parents ask their newborn's neonatal nurse about safety tips for their home with their new baby.

  Which statement by the nurse is most appropriate?

  A. "Have a blanket and a bumper in the crib for warmth and injury prevention."
  B. "Keep all stuffed animals, pillows, blankets, bumpers, etc. out of the crib."
  C. "Mattresses should be tight-fitting and crib bars should have at least 3 inches of space between each bar."
  D. "Do not smoke in the baby's room. Other rooms are okay as long as the baby isn't in them."
  B. "Keep all stuffed animals, pillows, blankets, bumpers, etc. out of the crib."

• Question 200:

  Which of the following isoenzymes is elevated in a client who has had a myocardial infarction?

  A. CPK-BB
  B. CPK-MM
  C. CPK-MB
  D. CPK-MI
  C. CPK-MB

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  Explanation Explanation/Reference:CPK-MB is elevated in clients who have had a myocardial infarction. CPK-BB is elevated in clients who have brain damage, and CPK-MM is elevated in clients who have skeletal muscle damage. CPK-MI does not exist.