NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 251:

  Your pediatric weighs 15.8 kg.

  How many pounds does this child weigh?

  A. 36 pounds
  B. 33.6 pounds
  C. 35 pounds
  D. 34.8 pounds
  D. 34.8 pounds

  ---

  Since there are 2.2 pound in one kilogram, you calculate the weight in pounds by multiplying 2.2 by the kg weight as below.

• Question 252:

  A 32-year-old male with a complaint of dizziness has an order for Morphine via. IV. Which of the following should the nurse do first?

  A. Check the patient's chest x-ray results.
  B. Retake vitals including blood pressure.
  C. Perform a neurological screen on the patient.
  D. Request the physician on-call assess the patient.
  B. Retake vitals including blood pressure.

  ---

  Explanation Explanation/Reference:Dizziness can be a sign of hypotension, that may a contraindication with Morphine.

• Question 253:

  When caring for an infant during cardiac arrest, which pulse must be palpated to determine cardiac function?

  A. Carotid
  B. Brachial
  C. Pedal
  D. Radial
  B. Brachial

  ---

  The brachial pulse is the most accessible pulse on an infant and, therefore, it is the site of choice. The carotid pulse may be difficult to palpate due to the fatty tissue that typically, and often, surrounds an infant's neck. Lastly, the radial and pedal pulses may not be reliable indicators of cardiac function.

• Question 254:

  A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted to Vicodin.

  The nurse should base her reply on the knowledge that __________.

  A. the client's body has developed tolerance, requiring more drug to produce the same effect.
  B. the client is preoccupied with getting the drug and is experiencing loss of control, indicating drug dependence.
  C. addiction is the term used to describe physical dependence with withdrawal symptoms and tolerance.
  D. the client has a dual diagnosis of substance abuse and chronic back pain.
  A. the client's body has developed tolerance, requiring more drug to produce the same effect.

  ---

  Drug tolerance is characterized by the ability to ingest a larger dose without adverse effect and decreased sensitivity to the substance. Substance dependence is a severe condition indicating physical problems and disruption of the person's social, family, and work life. The psychological behaviors related to substance use are termed addiction. Dual diagnosis is the coexistence of substance abuse and psychiatric disorders.

• Question 255:

  The PN is caring for a patient that had an open laparotomy 6 hours ago. The patient complains about coughing and a scratchy throat from being intubated.

  What would be the most important item to make sure the patient has at the bedside?

  A. an incentive spirometer
  B. a pillow
  C. ice chips
  D. throat lozenges
  B. a pillow

• Question 256:

  Which of the following ethnic groups is at highest risk in the United States for pesticide-related injuries?

  A. Native American
  B. Asian-Pacific
  C. Norwegian
  D. Hispanic
  D. Hispanic

  ---

  Explanation Explanation/Reference:Because Hispanic people represent a large percentage of migrant workers in the United States, many work in agricultural settings and might be exposed to pesticides, putting them at higher risk than the other groups.

• Question 257:

  Which of the following statements indicates adequate dietary understanding in a client with constipation?

  A. "I should decrease my intake of fluids."
  B. "I should decrease my level of activity."
  C. "I should increase my intake of apples."
  D. "I should increase my intake of milk."
  C. "I should increase my intake of apples."

  ---

  Apples are a source of high fiber, which decreases constipation. A constipated client needs to increase fluids and activity level. Milk is not a high-fiber food.

• Question 258:

  As you are working you suspect that another licensed practical nurse is verbally and physically abusing a patient.

  What is the first thing that you will do?

  A. Nothing because you are not certain that it is occurring.
  B. Nothing because you only suspect the abuse.
  C. Call the police or the security department.
  D. Report your suspicions to the charge nurse.
  D. Report your suspicions to the charge nurse.

  ---

  Nurses and other healthcare providers are mandated by law to report all suspected abuse and neglect. You do NOT have to be certain about it; an expert will perform the investigation. You do not contact the police or the security department; the charge nurse will follow established procedures for notifications not the licensed practical nurse.

• Question 259:

  The LPN notices a patient with poor gait and balance. She is currently being treated for hypertension, but the nurse is concerned.

  What should the nurse do?

  A. Speak with the attending physician about his concerns and request a referral for the patient to go to the hospital gym.
  B. Speak with the attending physician about his concerns and request a referral to physical therapy.
  C. Do nothing as this has nothing to do with why the patient was hospitalized.
  D. Add this issue to the nursing care plan and have daily gait/balance training as an intervention.
  B. Speak with the attending physician about his concerns and request a referral to physical therapy.

• Question 260:

  In which of the following scenarios a violation of a patient's confidentiality occurs if two nurses are discussing client information?

  A. With a physical therapist treating the patient.
  B. With a social worker planning for discharge.
  C. With another nurse on duty to plan for break time.
  D. In the hallway outside the patient's room.
  D. In the hallway outside the patient's room.

  ---

  Explanation Explanation/Reference:Hallway discussions should not occur, because you do not who is listening, even though it may be a professional discussion.