NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 281:

  A client who has a known history of cardiac problems and is still smoking enters the clinic complaining of sudden onset of sharp, stabbing pain that intensifies with a deep breath. The pain is occurring on only one side and can be isolated upon general assessment.

  The nurse concludes that this description is most likely caused by __________.

  A. pleurisy
  B. pleural effusion
  C. atelectasis
  D. tuberculosis
  A. pleurisy

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  Pleurisy is an inflammation of the pleura and is often accompanied by abrupt onset of pain. Symptoms of pleurisy are abrupt pain that is usually unilateral and localized to a specific portion of the chest. The pain is sharp, stabbing, and might radiate to the neck or shoulder. Pressure changes caused by breathing, movement, or coughing intensify the pain. Other symptoms might include fever, cough (dry, hacking), localized tenderness, diminished breath sounds, tachypnea, and pleural friction rub.

• Question 282:

  When a woman is receiving postpartum epidural morphine, the nurse should plan to observe for which of the following side effects to occur within the first 3 hours?

  A. nausea and vomiting
  B. itching
  C. urinary retention
  D. somnolence
  B. itching

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  A side effect of postpartum epidural morphine is the onset of itching within 3 hours of injection and lasting up to 10 hours. Nausea and vomiting might occur 4-7 hours after injection. Urinary retention is a side effect of postpartum epidural morphine but is not assessed as such within the first 3 hours. Somnolence is a rare side effect.

• Question 283:

  Which of the following patients would be least likely to develop hypernatremia?

  A. a patient with chronic renal insufficiency
  B. a patient with diabetes insipidus
  C. a patient with extensive thermal burns
  D. a patient taking anabolic steroids
  A. a patient with chronic renal insufficiency

• Question 284:

  Broccoli, oranges, dark greens, and dark yellow vegetables can be eaten to __________.

  A. supplement vitamin pills
  B. balance body molecules
  C. cure many diseases
  D. help improve body defenses
  D. help improve body defenses

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  Explanation Explanation/Reference:Controversy over what types of food to eat and not eat is still under investigation. Certain foods can help improve body defenses to possibly prevent certain diseases.

• Question 285:

  The nurse notices that a family is waiting at the nursing station desk for its loved one to be brought to the unit for admission during a change-of-shift report. The nurse should __________.

  A. request that the family wait for its loved one in the client's room and wait to resume the report until the family has left the desk area
  B. request that a nursing assistant bring coffee for the family while it waits at the desk and continue with the report
  C. request that the family have a seat in the station rather than stand while awaiting its loved one
  D. request that the family wait for its loved one in the Emergency Department waiting room
  A. request that the family wait for its loved one in the client's room and wait to resume the report until the family has left the desk area

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  Explanation Explanation/Reference:To protect the privacy of clients and the confidentiality of the information shared in a change-of-shift report, the family should be asked to wait in the client's room, and the report should be resumed only after it can no longer hear what is said.

• Question 286:

  A nurse is planning a brief treatment program for a client who was raped. A realistic, short-term goal is to __________.

  A. identify all psychosocial problems
  B. eliminate the client's enticing behaviors
  C. resolve feelings of trauma and fear
  D. verbalize feeling about the event
  D. verbalize feeling about the event

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  Explanation Explanation/Reference:A realistic short-term goal is for the client to verbalize feelings about the event. A brief treatment program is not designed to identify or resolve problems. The focus is on managing acute symptoms. If in-depth psychological problems are identified, the nurse might make referrals for treatment.

• Question 287:

  One drug can alter the absorption of another drug. One drug increases intestinal motility.

  Which effect does this have on the second drug?

  A. None; absorption of the second drug is not affected.
  B. The increased gut motility increases the absorption of the second drug.
  C. The absorption of the second drug cannot be predicted.
  D. Less of the second drug is absorbed.
  D. Less of the second drug is absorbed.

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  Because most oral mediations are absorbed in the intestine, increased motility moves the second drug through the system faster, thus decreasing the absorption time and the amount taken up by the intestine.

• Question 288:

  A patient that has delivered an 8.2 lb. baby boy 3 days ago via c-section, reports white patches on her breast that aren't going away. Which of the following medications may be necessary?

  A. Nystatin
  B. Atropine
  C. Amoxil
  D. Loritab
  A. Nystatin

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  Explanation Explanation/Reference:Thrush may be occurring and the patient may need Nystatin.

• Question 289:

  A patient in the recovery room has recently had a vaginal hysterectomy.

  What is this patient at an additional increased risk for?

  A. deep vein thrombosis
  B. axillary nerve injury
  C. paralytic ileus
  D. bleeding
  A. deep vein thrombosis

• Question 290:

  What is pica?

  A. dependency on alcohol
  B. increased iron in the diet
  C. the sickle cell trait
  D. eating ice
  D. eating ice

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  Explanation Explanation/Reference:Pica represents the ingestion of nonfood substances that leads to a clinical iron deficiency and might actually be the first sign of a problem. Clients eat a wide range of nonfood items, including ice, clay, dirt, and paste.