NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 221:

  A pregnant Asian client who is experiencing morning sickness wants to take ginger to relieve the nausea. Which of the following responses by the nurse is appropriate?

  A. "I will call your physician to see if we can start some ginger."

  B. "We don't use home remedies in this clinic."

  C. "Herbs are not as effective as regular medicines."

  D. "Just eat some dry crackers instead."

  Correct Answer: A

  This statement reveals cultural sensitivity. Ginger is sometimes used to relieve nausea.

  The other statements are culturally insensitive and do not show an awareness of herbal pharmacology.

• Question 222:

  For a client with suspected appendicitis, the nurse should expect to find abdominal tenderness in which quadrant?

  A. upper right

  B. upper left

  C. lower right

  D. lower left

  Correct Answer: C

  The nurse should expect to find abdominal tenderness in the lower-right quadrant in a client with appendicitis.

• Question 223:

  A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, "I need this surgery because nothing else I have done has helped me to lose weight."

  Which response by the nurse is most appropriate?

  A. "If you eat less, you can save some money."

  B. "Exercise is a healthier way to lose weight."

  C. "You should try the Atkins diet first."

  D. "I respect your decision to choose surgery."

  Correct Answer: D

  This statement is most appropriate, as it shows respect and empathy. The other statements are both insensitive and unprofessional.

• Question 224:

  Which of the following organs of the digestive system has a primary function of absorption?

  A. stomach

  B. pancreas

  C. small intestine

  D. gallbladder

  Correct Answer: C

  The small intestine has a primary function of absorption.

  The remaining digestive organs have other primary functions.

• Question 225:

  Which of the following is an inappropriate item to include in planning care for a severely neutropenic client?

  A. Transfuse netrophils (granulocytes) to prevent infection.

  B. Exclude raw vegetables from the diet.

  C. Avoid administering rectal suppositories.

  D. Prohibit vases of fresh flowers and plants in the client's room.

  Correct Answer: A

  Granulocyte transfusion is not indicated to prevent infection. Produced in the bone marrow, granulocytes normally comprise 70% of all WBCs. They are subdivided into three types based on staining properties: neutrophils, eosinophils, and basophils. They can be beneficial in a selected population of infected, severely granulocytopenic clients (less than 500 mm3) who do not respond to antibiotic therapy and who are expected to experience prolonged suppression of granulocyte production.

• Question 226:

  A client, age 28, was recently diagnosed with Hodgkin's disease. After staging, therapy is planned to include combination radiation therapy and systemic chemotherapy with MOPP ?nitrogen mustard, vincristine (Onconvin), prednisone, and procarbazine.

  In planning care for this client, the nurse should anticipate which of the following side effects to contribute to a sense of altered body image?

  A. cushingoid appearance

  B. alopecia

  C. temporary or permanent sterility

  D. pathologic fractures

  Correct Answer: D

  Pathologic fractures are not common to the disease process. Its treatment through osteoporosis is a potential complication of steroid use. Hodgkin's disease most commonly affects young adults (males), is spread through lymphatic channels to contiguous nodes, and also might spread via the hematogenous route to extradal sites (GI, bone marrow, skin, and other organs). A working staging classification is performed for clinical use and care.

• Question 227:

  A client has been diagnosed with Disseminated Intravascular Coagulation (DIC) and transferred to the medical intensive care unit (ICU) subsequent to an acute bleeding episode. In the ICU, continuous Heparin drip therapy is initiated.

  Which of the following assessment findings indicates a positive response to Heparin therapy?

  A. increased platelet count

  B. increased fibrinogen

  C. decreased fibrin split products

  D. decreased bleeding

  Correct Answer: B

  Effective Heparin therapy should stop the process of intravascular coagulation and result in increased availability of fibrinogen. Heparin administration interferes with thrombin-induced conversion of fibrinogen to fibrin. Bleeding should cease due to the increased availability of platelets and coagulation factors.

• Question 228:

  Which of the following diseases or conditions is least likely to be associated with increased potential for bleeding?

  A. metastatic liver cancer

  B. gram-negative septicemia

  C. pernicious anemia

  D. iron-deficiency anemia

  Correct Answer: C

  Pernicious anemia results from vitamin B12 deficiency due to lack of intrinsic factor. This can result from inadequate dietary intake, faulty absorption from the GI tract due to a lack of secretion of intrinsic factor normally produced by gastric mucosal cells and certain disorders of the small intestine that impair absorption. The nurse should instruct the client in the need for lifelong replacement of vitamin B12, as well as the need for folic acid, rest, diet, and support.

• Question 229:

  What do the following ABG values indicate:

  pH 7.38, PO2 78 mmHg, PCO2 36mmHg, HCO3 24 mEq/L?

  A. metabolic alkalosis

  B. homeostasis

  C. respiratory acidosis

  D. respiratory alkalosis

  Correct Answer: B

  These ABG values are within normal limits.

  Metabolic alkalosis, respiratory acidosis, respiratory alkalosis are incorrect choices because the ABG

  values indicate none of these acid-base disturbances.

• Question 230:

  The major electrolytes in the extracellular fluid are __________.

  A. potassium and chloride

  B. potassium and phosphate

  C. sodium and chloride

  D. sodium and phosphate

  Correct Answer: C

  Sodium and chloride are the major electrolytes in the extracellular fluid.