NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 271:

  Which of these scenarios would not be considered a violation of HIPAA laws?

  A. looking up only the address (not the medical portion) in the chart of a co-worker who just delivered a baby so you can surprise her with a gift
  B. discussing discharge plans with a patient in a multi-bed recovery room with the curtain drawn around the patient's bed
  C. looking up the medical information of a friend not in your care but who gave you permission
  D. checking on your spouse's medical record because you are listed as her power of attorney
  B. discussing discharge plans with a patient in a multi-bed recovery room with the curtain drawn around the patient's bed

• Question 272:

  A patient has recently been diagnosed with symptomatic bradycardia.

  Which of the following medications is the most recognized for treatment of symptomatic bradycardia?

  A. Questran
  B. Digitalis
  C. Nitroglycerin
  D. Atropine
  D. Atropine

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  Explanation Explanation/Reference:Atropine encourages increased rate of conduction in the AV node.

• Question 273:

  Which of the following is not a primary function of the kidneys?

  A. blood pressure control
  B. vitamin D activation
  C. erythropoietin production
  D. reabsorbing waste products
  D. reabsorbing waste products

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  Explanation Explanation/Reference:All of the choices are functions of the kidneys except reabsorbing waste products. The kidneys excrete waste products.

• Question 274:

  The nurse is using Cognitive-Behavioral methods of pain control and knows that these methods can be expected to do all the following except __________.

  A. completely relieve all pain
  B. provide benefit by restoring the client's sense of self-control
  C. help the client to control symptoms
  D. help the client actively participate in his or her own care
  A. completely relieve all pain

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  Explanation Explanation/Reference:These interventions (strategies) help the client in all areas of client well-being. Focusing on perception and thought, cognitive techniques are designed to influence how one interprets events and bodily sensations.

• Question 275:

  High uric acid levels can develop in clients who are receiving chemotherapy. This can be caused by __________.

  A. the inability of the kidneys to excrete the drug metabolites
  B. rapid cell catabolism
  C. toxic effects of the prophylactic antibiotics that are given concurrently
  D. the altered blood pH from the acid medium of the drugs
  B. rapid cell catabolism

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  Chemotherapy causes damage to cells, and uric acid is a cell metabolite.

• Question 276:

  Which instruction should be given in a health education class regarding testicular cancer?

  A. All males should perform a testicular exam after the age of 30.
  B. Testicular exams should be performed on a daily basis.
  C. Reddening or darkening of the scrotum is a normal finding.
  D. Testicular exams should be performed after a warm bath or shower.
  D. Testicular exams should be performed after a warm bath or shower.

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  Testicular exams should be performed after a warm shower or bath to relax the scrotum. Testicular exams should be performed on a monthly basis by all men beginning at about age 15. Reddening or darkening of the scrotum is not normal finding and should be reported to a physician.

• Question 277:

  An LPN is talking with a patient scheduled to undergo a vasectomy in the next few minutes. He states, "I know I signed the form and all, but I'm not feeling so sure of this. It can be reversed pretty easily, right?" What is the LPN's best response?

  A. "Yes, vasectomies can be reversed, but I'm sure once you have it you won't regret it."
  B. "It sounds like you might be a little nervous. Don't worry, this is a pretty minor procedure, and the doctor doing it is the best we have. You're in great hands."
  C. "It's normal to feel a little nervous before a procedure like this one."
  D. "It sounds like you have a few more questions you'd like answered. Let me grab the doctor quickly so he can answer them for you."
  D. "It sounds like you have a few more questions you'd like answered. Let me grab the doctor quickly so he can answer them for you."

• Question 278:

  Client education by the nurse entails ___________.

  A. telling the client everything about his disease, what is going to happen in the course of the disease, and the outcome.
  B. giving information to the client that is accurate and understandable.
  C. telling the client that the pain he experiences might not be real.
  D. giving the client medication when pain is experienced.
  B. giving information to the client that is accurate and understandable.

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  Explanation Explanation/Reference:Client education entails giving the client accurate and understandable information.

• Question 279:

  Which of the following is likely to increase the risk of sexually transmitted disease?

  A. alcohol use
  B. certain types of sexual practices
  C. oral contraception use
  D. all of the above
  D. all of the above

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  Explanation Explanation/Reference:STDs affect certain groups in groups in greater numbers. Factors associated with risk include being younger than 25 years of age, being a member of a minority group, residing in an urban setting, being impoverished, and using crack cocaine.

• Question 280:

  Which of the following neurological disorders is characterized by writhing, twisting movements of the face and limbs?

  A. epilepsy
  B. Parkinson's
  C. muscular sclerosis
  D. Huntington's chorea
  D. Huntington's chorea

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  Explanation Explanation/Reference:Huntington's chorea is characterized by writhing, twisting movements of the face and limbs. The remaining options are neurological disorders that do not have such movements as part of their disease process.