NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 211:

  How does the ANA define the psychiatric nursing role?

  A. a specialized area of nursing practice that employs theories of human behavior as its science and the powerful use of self as its art
  B. assisting the therapist to relieve the symptoms of clients
  C. to solve clients' problems and give them the answers
  D. having a client committed to long-term therapy with the nurse
  A. a specialized area of nursing practice that employs theories of human behavior as its science and the powerful use of self as its art

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  The ANA sets standards of practice for psychiatric and mental health nursing roles. Quality of care, performance appraisal, education, ethics, collaboration, and research are covered through the use of the Nursing Process.

• Question 212:

  A client who is newly diagnosed with Parkinson's disease and beginning medication therapy asks the nurse, "How soon will I see improvement?"

  The nurse's best response is __________.

  A. "That varies from client to client."
  B. "You should discuss that with your physician."
  C. "You should notice a difference in a few days."
  D. "It might take several weeks before you notice improvement."
  D. "It might take several weeks before you notice improvement."

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  It might take several weeks of therapy for the client with Parkinson's disease to see improvement in symptoms. Choice "That varies from client to client." is also true but is not the best response to the question. Choice "You should discuss that with your physician." might be indicated but is not the best response to the question. Choice "You should notice a difference in a few days." is incorrect.

• Question 213:

  A nurse is reviewing a patient's medical record. The record indicates the patient has limited shoulder flexion on the left. Which plane of movement is limited?

  A. Horizontal
  B. Sagittal
  C. Frontal
  D. Vertical
  B. Sagittal

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  Explanation Explanation/Reference:Sagittal motion occurs in the midline plane of the body.

• Question 214:

  What does client and family communication and education concerning restraints do?

  A. confuses both groups more
  B. helps with coping and stress levels
  C. encourages cooperation with the client and family
  D. puts the responsibility on the client and family, not the nurse
  C. encourages cooperation with the client and family

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  Cooperation is more likely if the client and family understand the purpose of and expected gains from restraints. Well-meaning family members might release restraints if their purpose is not clear.

• Question 215:

  The PN is caring for a patient taking Lipitor (Atorvastatin).

  Which of these statements would indicate that the patient may need reinforced teaching?

  A. "I take my Lipitor and my other morning medications with my grapefruit juice at breakfast."
  B. "I take my Lipitor and wait 30 minutes before taking my other medications."
  C. "I take my Lipitor 30 minutes after I eat something."
  D. "I take my Lipitor with a glass of milk after my breakfast."
  A. "I take my Lipitor and my other morning medications with my grapefruit juice at breakfast."

• Question 216:

  The LPN on a Continuous Quality Improvement (CQI) team needs to work on ways to reduce medication errors.

  Which of these is the best approach for the nurse?

  A. Have an inservice to supervise staff members during medication administration to determine if further education needs to be given.
  B. Ensure the staff has been educated on the five rights of medication administration.
  C. Ensure that all staff members are educated on how to appropriately fill out an incident report if they make a medication error.
  D. Track the incident reports for repeating offenders and report findings to next chain in command.
  C. Ensure that all staff members are educated on how to appropriately fill out an incident report if they make a medication error.

• Question 217:

  A nurse is assigned to do pre-operative teaching on a blind patient who is scheduled for surgery the following morning. What teaching strategy would best fit the situation?

  A. Verbal teaching in short sessions throughout the day.
  B. Pre-operative booklet on the surgery in Braille.
  C. Provide a tape for the client.
  D. Have the blind patient's family member instruct the patient.
  A. Verbal teaching in short sessions throughout the day.

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  Explanation Explanation/Reference:Information is smaller amounts is easier to retain. Teaching the day before the procedure is best accomplished in a one on one format.

• Question 218:

  An LPN is working on the care plan for a patient with diabetes mellitus. Which of these outcomes would be the most appropriate?

  A. The patient will maintain a blood glucose level within normal limits throughout my shift.
  B. The patient will maintain a blood glucose level within the normal range of 70-110 (per facility policy).
  C. The patient will maintain a blood glucose level within normal range limits today.
  D. The patient will maintain a blood glucose level within the normal range of 70-110 (per facility policy) throughout my shift.
  D. The patient will maintain a blood glucose level within the normal range of 70-110 (per facility policy) throughout my shift.

• Question 219:

  A patient asks a nurse the following question. Exposure to TB can be identified best with which of the following procedures? Which of the following tests is the most definitive of TB?

  A. Chest x-ray
  B. Mantoux test
  C. Breath sounds examination
  D. Sputum culture for gram-negative bacteria
  B. Mantoux test

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  Explanation Explanation/Reference:The Mantoux is the most accurate test to determine the presence of TB.

• Question 220:

  The nurse should utilize data about which of the following to provide information about the nutritional status of a client being evaluated for malnutrition?

  A. triceps skinfold measurement
  B. fasting blood glucose level
  C. hemoglobin A1c level
  D. serum lipid profile results
  A. triceps skinfold measurement

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  Objective anthropometric measurements such as triceps skinfold and mid-arm circumference (MAC), along with weight, are usually used to diagnose malnutrition. While all the other choices represent tests that might provide useful information, they also might be affected by variables other than malnutrition.