NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 221:

  Which direction given to the nursing assistant is most likely to accomplish the task of getting a urine specimen delivered to the lab immediately after collection?

  A. "Make it a stat delivery."
  B. "Please do it as soon as you can after break."
  C. "This client is delirious, and we're worried about a urinary sepsis."
  D. "Take this client to the bathroom now and collect a urine specimen from this voiding. Take the specimen to the lab immediately."
  D. "Take this client to the bathroom now and collect a urine specimen from this voiding. Take the specimen to the lab immediately."

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  Effective delegation depends on clear, concise direction that leaves no room for question or interpretation on the part of the one being delegated to. Nursing assistants have a limited understanding of medical conditions and terminology, and should not be relied on to prioritize such tasks.

• Question 222:

  What is the appropriate ratio of cardiac compressions to ventilations in an adult client for one-person CPR?

  A. 5:1
  B. 1:5
  C. 15:2
  D. 2:15
  C. 15:2

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  Explanation Explanation/Reference:The appropriate ratio for adult CPR is 15 compressions to 2 ventilations.

• Question 223:

  A client with Parkinson's disease has difficulty performing voluntary movements.

  This is known as __________.

  A. akinesia
  B. dyskinesia
  C. chorea
  D. dystonia
  B. dyskinesia

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  Dyskinesia is an impairment of the ability to execute voluntary muscles.

• Question 224:

  An LPN is having a serious discussion with a patient who is facing a major surgery. During their conversation, the LPN is careful to pause and allow for silence.

  Which of these is the best reason for him to do this?

  A. It is designed to make sure the patient is actually paying attention.
  B. It gives the patient an opportunity to think about what is being discussed and ask related questions.
  C. It allows the patient to have a break from discussing such a serious topic.
  D. It allows the patient to write down questions he or she has for the doctor.
  B. It gives the patient an opportunity to think about what is being discussed and ask related questions.

• Question 225:

  A patient has been diagnosed with diabetes mellitus.

  Which of the following is not a clinical sign of diabetes mellitus?

  A. Polyphagia
  B. Polyuria
  C. Metabolic acidosis
  D. Lower extremity edema
  D. Lower extremity edema

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  Explanation Explanation/Reference:Polyphagia, Polyuria, Metabolic acidosis are associated with diabetes mellitus.

• Question 226:

  A primary belief of psychiatric mental health nursing is __________.

  A. most people have the potential to change and grow
  B. every person is worthy of dignity and respect
  C. human needs are individual to each person
  D. some behaviors have no meaning and cannot be understood
  B. every person is worthy of dignity and respect

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  Every person is worthy of dignity and respect. Every person has the potential to change and grow. All people have basic human needs in common with others. All behavior has meaning and can be understood from the client's perspective.

• Question 227:

  Levothyroxine (Synthroid) is the drug of choice for thyroid replacement therapy in clients with hypothyroidism because __________.

  A. it is chemically stable, nonallergenic, and can be administered orally once a day
  B. it is available in a single 25mg tablet, which makes dosing simple
  C. it is not a prodrug
  D. it has a short half-life
  A. it is chemically stable, nonallergenic, and can be administered orally once a day

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  Levothyroxine is safe and effective with virtually no side effects when dosed properly. A single, daily dose is possible because of the long half-life (7 days). Levothyroxine tablets are available in a wide range of concentrations to meet individual client requirements. Levothyroxine (T4) is a prodrug of T3.

• Question 228:

  A nurse is assessing a patient in the ICU. The patient has the following signs: weak pulse, quick respiration, acetone breath, and nausea. Which of the following conditions is most likely occurring?

  A. Hypoglycemic patient
  B. Hyperglycemic patient
  C. Cardiac arrest
  D. End-stage renal failure
  B. Hyperglycemic patient

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  Explanation Explanation/Reference:All of the clinical signs indicate a hyperglycemic condition.

• Question 229:

  Which of these tasks would be inappropriate for an LPN to take?

  A. teaching a 24-year-old first-time mother how to properly care for her new baby
  B. adjustment of a 68-year-old patient's cervical traction as ordered by the attending doctor
  C. obtaining an occult blood sample from a 16-year-old patient with ulcerative colitis
  D. an assessment of a 36-year-old man newly admitted for chest pain
  D. an assessment of a 36-year-old man newly admitted for chest pain

• Question 230:

  A client with sickle cell disease is worried about passing the disease on to children.

  Which of the following statements by the PN is most appropriate for this client?

  A. "You should discuss this with your physician."
  B. "Sickle cell disease is genetically based and might be passed on to children."
  C. "Sickle cell disease is genetically based and is not passed on to children."
  D. "Sickle cell disease is caused by an infection and cannot be passed on to children."
  B. "Sickle cell disease is genetically based and might be passed on to children."

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  A client with sickle cell disease passes on the least sickle cell trait and possibly sickle cell disease, depending on the sickle status of the other parent. Choice "You should discuss this with your physician." is not helpful to the client. Choices "Sickle cell disease is genetically based and is not passed on to children." and "Sickle cell disease is caused by an infection and cannot be passed on to children." are not true.