NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 231:

  An adolescent female reports being raped at a party where alcohol was served. The client admits to drinking alcohol before being raped by an acquaintance.

  The nurse should ___________.

  A. inform the client that because she is underage, she is at fault for attending a party where alcohol was served
  B. ask the client if anyone witnessed the event because the client was intoxicated and might not remember correctly
  C. inform the client that it was not her fault, and support the client through the physical examination
  D. question whether the woman had consensual sex and now just feels guilty
  C. inform the client that it was not her fault, and support the client through the physical examination

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  Acquaintance rape remains a controversial topic because of lack of agreement on the definition of consent. Most acquaintance rapes take place in either the victim's or the assailant's home or apartment. Most victims of acquaintance rape inform someone close to them, but less than 30% report the incidence to the authorities. Survivors of acquaintance rape report similar levels of depression, anxiety, complications in subsequent relationships, and difficulty attaining prerape levels of sexual satisfaction to what survivors of stranger rape report. Coping is more difficult for victims of acquaintance rape if others fail to recognize that the emotional impact is just as serious.

• Question 232:

  Select the type of skeletal fracture that is correctly paired with its description.

  A. A complete fracture: The fractured bone penetrates through the skin to the skin surface.
  B. A pathological fracture: A fracture that results from some physical trauma.
  C. A greenstick fracture: This bends but does not fracture the bone.
  D. An avulsion fracture: A fracture that pulls a part of the bone from the tendon or ligament
  D. An avulsion fracture: A fracture that pulls a part of the bone from the tendon or ligament

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  An avulsion fracture pulls a part of the fractured bone from the ligament or tendon. A complete fracture is one with which the whole cross section of the bone is fractured; a compound or opened fracture pierces through the skin; a pathological fracture results from an underlying disease or disorder not physical trauma or stressors. Lastly, a greenstick fracture is a skeletal bone fracture that affects only one side of the bone.

• Question 233:

  Which of the following is not a reason for pelvic ultrasonography?

  A. to measure uterine size
  B. to detect multiple pregnancies
  C. to measure renal size
  D. to detect foreign bodies
  C. to measure renal size

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  Explanation Explanation/Reference:The remainder of the responses are indications for pelvic ultrasonography.

• Question 234:

  Which of the following is a predisposing factor for cancer of the tongue?

  A. tobacco use
  B. obesity
  C. sun exposure
  D. eating sweets
  A. tobacco use

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  Explanation Explanation/Reference:Tobacco use is a predisposing factor for cancer of the tongue; the other choices are not.

• Question 235:

  The PN is caring for a patient with an open wound with a significant amount of drainage.

  What would the most appropriate dressing choice be for this wound?

  A. dry-to-wet dressing
  B. wet-to-dry dressing
  C. alginate dressing
  D. hydrocolloid dressing
  C. alginate dressing

• Question 236:

  A young boy is recently diagnosed with a seizure disorder.

  Which of the following statements by the boy's mother indicates a need for further teaching by the nurse?

  A. "I should make sure he gets plenty of rest."
  B. "I should get him a medic alert bracelet."
  C. "I should lay him on his back during a seizure."
  D. "I should loosen his clothing during a seizure."
  C. "I should lay him on his back during a seizure."

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  Explanation Explanation/Reference:A client having a seizure should be turned to the side to prevent aspiration of secretions. The other statements are correct and indicate adequate understanding of teaching.

• Question 237:

  The PN examines a patient's EKG strip and notices an absence of p-waves and the presence of sawtooth waves.

  Which of these is the most likely rhythm?

  A. atrial flutter
  B. bradycardia
  C. ventricular tachycardia
  D. atrial fibrillation
  A. atrial flutter

• Question 238:

  Medication bound to protein can have which of the following effects?

  A. enhancement of drug availability
  B. rapid distribution of the drug to receptor sites
  C. less availability to produce desired medicinal effects
  D. increased metabolism of the drug by the liver
  C. less availability to produce desired medicinal effects

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  Only an unbound drug can be distributed to active receptor sites. Therefore, the more of a drug that is bound to protein, the less it is available for the desired drug effect. Enhancement of drug availability is incorrect because less drug is available if it is bound to protein. Rapid distribution of the drug to receptor sites is incorrect because distribution to receptor sites is irrelevant if the drug, which is bound to protein, cannot bind with a receptor site. Increased metabolism of the drug by the liver is incorrect because metabolism is not increased. The liver first has to remove the drug from the protein molecule before metabolism can occur. The protein is then free to return to circulation and be used again.

• Question 239:

  The role of the incident report in risk management is __________.

  A. liability protection
  B. to provide data for analysis by a risk manager to determine how future problems can be avoided
  C. to discipline staff for errors
  D. all of the above
  B. to provide data for analysis by a risk manager to determine how future problems can be avoided

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  Explanation Explanation/Reference:Incident reports are a tool for determining how future problems can be avoided. Incident reports do not provide liability protection. Incident reports are not meant to be used for disciplining staff.

• Question 240:

  Increased cortisol levels might be found in a client with which condition?

  A. Cushing's syndrome
  B. Addison's disease
  C. renal failure
  D. congestive heart failure
  A. Cushing's syndrome

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  Cushing's syndrome produces elevated cortisol levels. Addison's disease produces decreased cortisol levels. The other conditions are not associated with cortisol levels.