NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 251:

  An LPN is taking care of an adult male diabetic patient who complains of feeling shaky and sweaty. What is the first thing she should do?

  A. Offer him 15 grams to 20 grams of simple carbohydrates, such as raisins or crackers.

  B. Give him his insulin dose.

  C. Check his blood sugar.

  D. Notify the RN on duty.

  Correct Answer: C

• Question 252:

  The LPN is caring for a patient who is recovering from cataract surgery.

  Which of these statements, made by the patient, requires clarification from the nurse?

  A. "I will call the office if I start to see `light flashes' or `floaters' in front of my eyes."

  B. "I know I may need glasses for a while after this surgery."

  C. "I know it's normal for my eyes to feel irritated or itchy after surgery, so I will use my Visine?eyedrops as needed."

  D. "My eye should be completely healed after about 8 weeks."

  Correct Answer: C

• Question 253:

  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

  Correct Answer: C

  The appropriate ratio for adult CPR is 15 compressions to 2 ventilations.

• Question 254:

  A client begins bleeding from the site of a previous arterial blood gas draw on the right wrist.

  What should the nurse do first?

  A. Check the blood count.

  B. Apply pressure to the site.

  C. Document the bleeding.

  D. Monitor the bleeding.

  Correct Answer: B

  If a client begins bleeding from the site of a previous arterial blood gas draw on the right wrist, the nurse should first apply pressure to the site. This prevents further bleeding. The remaining choices can be performed later.

• Question 255:

  A nurse walks into a client's room to do an assessment and discovers that the client is unresponsive. The nurse shakes the client and calls his name, but he does not arouse.

  What should the nurse do next?

  A. Open the airway.

  B. Give defibrillation.

  C. Check the pulse.

  D. Call for help.

  Correct Answer: D

  The first step after determining unresponsiveness is to call for help. The remaining steps might be indicated afterward.

• Question 256:

  Which type of dressing is recommended to place over a site when a chest tube is removed by the physician?

  A. transparent dressing

  B. colloidal dressing

  C. petrolatum gauze

  D. nonadherent dressing

  Correct Answer: C

  Petrolatum gauze is recommended to place over a site when a chest tube is removed by the physician. This is because it forms an airtight seal, which the other choices do not.

• Question 257:

  A small amount of bubbling is seen in the water seal of a pleural drainage system when a client coughs.

  What should the nurse do?

  A. Consider it a normal finding.

  B. Check the system for leaks.

  C. Clamp the chest tube.

  D. Change the drainage system.

  Correct Answer: A

  A small amount of bubbling is a normal finding in the water seal of a pleural drainage system when a client

  coughs.

  It is only a problem to find continuous, excessive bubbling in the water seal, which indicates a leak.

• Question 258:

  A 20-year-old male client had a diving accident with subsequent paraplegia. He says to the nurse, "No woman will ever want to marry me now."

  Which of the following responses by the nurse is most therapeutic?

  A. "Don't worry. Maybe you'll meet a paraplegic woman."

  B. "There is someone for everyone in this world."

  C. "You are still an attractive man, even though you can't walk."

  D. "Tell me more about your feelings on this issue."

  Correct Answer: D

  This response is the most therapeutic because it allows the client to discuss his anxieties and fears with

  the nurse.

  The other responses do not allow for such a dialogue, so they are not as therapeutic.

• Question 259:

  Which of the following statements by a client with spinal cord injury indicates a need for further teaching by the nurse regarding bowel management?

  A. "I should avoid eating foods that produce gas."

  B. "I should drink more fluids like coffee and cola."

  C. "I should set a regular schedule for bowel movements."

  D. "I should sit in an upright position for bowel movements."

  Correct Answer: B

  This statement is incorrect because caffeinated fluids, such as coffee and cola, stimulate fluid loss through

  urination. Instead, fluids such as water and fruit juices should be taken.

  The remaining choices indicate correct understanding of bowel management.

• Question 260:

  Which of the following symptoms is not indicative of autonomic dysreflexia in the client with a spinal cord injury?

  A. sudden onset of headache

  B. flushed face

  C. hypotension

  D. nasal congestion

  Correct Answer: C

  Hypotension is not indicative of autonomic dysreflexia; rather, hypertension is a sign of autonomic

  dysreflexia.

  The remaining choices are symptoms of autonomic dysreflexia.