NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 201:

  A 14-year-old boy has been admitted to a mental health unit for observation and treatment. The boy becomes agitated and starts yelling at nursing staff members. What should the nurse first response be?

  A. Create an atmosphere of seclusion for the boy according to procedures.
  B. Remove other patients from the area via wheelchairs for added speed.
  C. Ask the patient, "What is making you mad?"
  D. Ask the patient, "Why are you doing this, have you thought about what your parents might say?"
  A. Create an atmosphere of seclusion for the boy according to procedures.

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  Explanation Explanation/Reference:Seclusion is your best option in this scenario.

• Question 202:

  A nurse discharge planner is preparing a client for discharge from an acute care setting. The nurse assesses that skilled home care services are clinically indicated.

  This assessment is based on all of the following indicators except __________.

  A. the client has been admitted to the hospital three times in the last 2 months.
  B. the client has a Foley catheter.
  C. the client's family is available to care for him 24 hours a day.
  D. the client is ordered to continue IV antibiotics 5 days post discharge.
  C. the client's family is available to care for him 24 hours a day.

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  Family availability to provide care and assistance is not an indicator for skilled home care. In fact, the nurse might see some opportunity for family education in meeting the client's needs so that less community support is needed. This needs to be negotiated with the family. Frequent hospital readmissions imply that the client has not been able to manage either due to condition instability or lack of care needs being met. This is a red flag for home care services to be able to meet those needs and appropriately monitor the client. A Foley catheter is an indication for home health care due to infection potential and care requirements. IV antibiotics involve home care due to maintaining line patency and assessment of the site.

• Question 203:

  Which statement would be the most accurate in safety education for injury prevention in the home of elderly adults?

  A. Use the handrail when going up and down the stairs, ensure robes or pants are held up if flowy, and wear comfortable, non-skid footwear.
  B. Use solid chairs without armrests, remove anything in walkways, and use cordless phones.
  C. Have raised toilet seats, ensure all throw rugs have gripping material on the floor side, and use grab bars in the shower/bathroom.
  D. Remove all throw rugs, remove furniture from all pathways, and wear comfortable, non-skid footwear.
  D. Remove all throw rugs, remove furniture from all pathways, and wear comfortable, non-skid footwear.

• Question 204:

  A neighbor telephones the nurse to tell her that her child has erythema infectiosum and asks for information. The nurse knows that another name for the disorder is __________.

  A. Kawasaki disease.
  B. rheumatic disease.
  C. lupus erythematosus.
  D. fifth disease.
  D. fifth disease.

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  Explanation Explanation/Reference:The child has Fifth disease, a parvovirus flulike illness that is self-limiting but is contagious for two-three weeks.

• Question 205:

  A female client complains to the nurse at the health department that she has fatigue, shortness of breath, and lightheadedness. Her history reveals no significant medical problems. She states that she is always on a fad diet without any vitamin supplements.

  Which tests should the nurse expect the client to have first?

  A. peptic ulcer studies
  B. complete blood count, including hematocrit and hemoglobin
  C. genetic testing
  D. hemoglobin electrophoresis
  B. complete blood count, including hematocrit and hemoglobin

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  Explanation Explanation/Reference:The initial tests to determine the basis for her symptoms (considering her fad dieting) should be a complete blood count, urinalysis, blood sugar, and other tests. The decision about further testing is then made based on these results, her history, and other factors.

• Question 206:

  In what vitamin or mineral is a patient who has a history of alcohol abuse most likely to be deficient?

  A. Niacin (Vitamin B3)
  B. Riboflavin (Vitamin B2)
  C. Thiamine (Vitamin B1)
  D. Iron
  C. Thiamine (Vitamin B1)

• Question 207:

  The nurse should perform which intervention when a client is restrained?

  A. Remove the restraints and provide skin care hourly.
  B. Document the condition of the client's skin every 3 hours.
  C. Assess the restraint every 30 minutes.
  D. Tie the restraint to the side rails.
  C. Assess the restraint every 30 minutes.

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  Explanation Explanation/Reference:The minimum standard is to visually assess the restraint every 30 minutes. Documentation is typically performed per a checklist or flow sheet. The ends of the restraint are tied to a part of the bed that allows for position changes without unfastening them.

• Question 208:

  Around what age do children start to develop "stranger anxiety"?

  A. 3 months
  B. 9 months
  C. 6 months
  D. 12 months
  C. 6 months

• Question 209:

  Which of the following statements is true about syphilis?

  A. The cause and mode of transmission is unclear.
  B. There is no known cure for the disease.
  C. When the primary lesion heals, the disease is cured.
  D. Syphilis can be cured with a course of antibiotic therapy.
  D. Syphilis can be cured with a course of antibiotic therapy.

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  Syphilis is an acute and chronic treponemal disease characterized clinically by a primary lesion, a secondary eruption involving skin and mucous membranes, long periods of latency, and late lesions of skin, bone viscera, the CNS, and the cardiovascular system. The primary lesion (chancre) appears about three weeks after exposure as an indurated, painless ulcer with serous exudate at the site of initial invasion. Invasion of the bloodstream precedes development of the initial lesion, and a firm, nonfluctuant, painless lymph node (bubo) commonly follows. Infection might occur without a clinically evident chancre; that is, it might be in the rectum or on the cervix. After four-six weeks, even without specific treatment, the chancre begins to involute, and, in approximately one-third of untreated cases, a generalized secondary eruption appears, often accompanied by mild constitutional symptoms. This symmetrical maculopapular rash involving the palms and soles, with associated lymphadenopathy is classic. Secondary manifestations resolve spontaneously within weeks to 12 months. Again, about one-third of untreated cases of secondary syphilis become clinically latent for weeks to years. In the early years of latency, infectious lesions of the skin and mucous membranes might recur. Specific treatment includes long-acting penicillin G (benzathine penicillin), 2.4 million units given in a single IM dose on the day that primary, secondary or early latent syphilis is diagnosed. This ensures effective therapy, even if the client fails to return. Serologic testing is important to ensure adequate therapy. Tests are repeated three and six months after treatment and later as needed. In HIV-infected clients, testing should be repeated one, two, and three months after treatment, and at three-month intervals thereafter. Any fourfold titer rise indicates the need for retreatment.

• Question 210:

  A client with major head trauma is receiving bolus enteral feeding. The most important nursing order for this client is ___________.

  A. measure intake and output
  B. check albumin level
  C. monitor glucose levels
  D. increase enteral feeding
  A. measure intake and output

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  Explanation Explanation/Reference:It is important to measure intake (I) and output (O), which should be approximately equal. Enteral feedings are hyperosmotic agents pulling fluid from cells into the vascular bed. Water given before feeding presents a hyperosmotic diuresis. I and O measures assess fluid balance.