NCLEX Admission Tests NCLEX NCLEX-PN Questions & Answers

• Question 21:

  Select the tactile sensation that is accurately paired with its description or procedure for testing.

  A. Fine motor coordination: The use of the fingers.

  B. Stereognosis: Equal hearing in both ears.

  C. Two-point discrimination: The nurse gently pricks the patient's skin.

  D. Gross motor function: The use of the lower limbs.

  Correct Answer: C

  In order to determine one and two-point discrimination, the nurse gently pricks areas of the skin and the

  client states whether or not they feel these pricks while their eyes are closed.

  Both fine and gross motor coordination are not tactile sensations but instead indications of muscular

  function.

  Lastly, stereognosis is a tactile sensation and it has no role in hearing. A familiar item like a button, a pen or a paper clip is placed in the person's hand with their eyes shut. The nurse then asks the person to identify the familiar object.

• Question 22:

  Which technique or method is used to determine whether or not the patient has an irregular pulse?

  A. Apical pulse

  B. Inspection

  C. Auscultation

  D. Percussion

  Correct Answer: C

  Auscultation is listening to the sounds of the body, particularly the apical pulse for rate and irregularity,

  using a stethoscope.

  Inspection is the purposeful and systematic visual inspection and examination of the client.

  The palpation technique employs the nurse's sense of touch.

  Percussion is performed by striking the client's body in order to determine what sounds and vibrations their

  body will produce.

• Question 23:

  Which position will you place your patient in when they are demonstrating the signs and symptoms of hypovolemic shock?

  A. The Trendelenberg position

  B. The supine position

  C. The left lateral position

  D. The right lateral position

  Correct Answer: A

  You would place your patient in the Trendelenberg position when they are experiencing the signs and symptoms of hypovolemic shock. This position places the legs of the patient higher than the head and it increases the return of the blood in the extremities back into the circulating blood, thus increasing blood volume and the blood pressure, in addition to other necessary emergency measures. The supine, left lateral and right lateral positions do not produce this effect.

• Question 24:

  Your client has a doctor's order that reads "advance diet as tolerated". This client has returned from the recovery room after an appendectomy and he states, "I am hungry".

  What would you offer this client to consume?

  A. Cheese and crackers

  B. Apple sauce

  C. Chicken broth

  D. A peanut butter sandwich

  Correct Answer: C

  Clear liquids are the most appropriate choice for any postoperative patient. If the client tolerates these choices well, the diet may proceed to full liquids. Eventually, solid foods will be added to his diet.

• Question 25:

  You are caring for a four-year-old female patient who was severely burned in a house fire.

  How would you determine the extent of this child's burns?

  A. By using the Lund and Browder chart.

  B. By using the Rule of Nines.

  C. By using the Rule of Tens.

  D. By using the Parkland Formula.

  Correct Answer: A

  The Lund and Browder burn chart is used to determine the extent of burns among the members of the

  pediatric population.

  Adults are assessed by using the Rule of Nines and not the Rule of Tens.

  Lastly the Parkland Formula is used to determine the fluid needs of burn patients and not to determine the

  extent of their burns.

• Question 26:

  The wound irrigation process cleanses the wound and __________.

  A. Reduces the potential of pain in the wound region or area.

  B. Stops the spread of infection by way of magnifying the "clean" area.

  C. Pushes extravasated blood from a hematoma into nearby healthy tissue.

  D. Allows for the introduction of medications in solution form.

  Correct Answer: D

  Of all the choices above, the only correct fact about wound irrigation is that it allows the application of

  medications in solution. Introducing prescribed medications in solution form can dramatically reduce

  infection risks and facilitating proper wound heal.

  Unfortunately, the irrigation process can greatly increase the pain in a wound area.

  Wound irrigation can reduce the spread of infection, but not by increasing the area cleaned.

  The complications resulting by a hematoma are reduced through wound irrigation and not by pushing into

  other tissue.

• Question 27:

  Your patient has been diagnosed with giant cell arteritis.

  What medication will this patient most likely be given?

  A. High doses of aspirin

  B. High doses of prednisone

  C. Methotrexate

  D. Albuterol

  Correct Answer: B

  Patients with giant cell arteritis are treated low dose aspirin and high-dose prednisone. Giant cell arteritis is an inflammatory condition that affects medium and large vessels, including the temporal artery and the carotid artery. Methotrexate is used for the treatment of rheumatoid arthritis, not arteritis; and albuterol is an inhaled medication that is used for the treatment of bronchitis and chronic obstructive pulmonary disease (COPD).

• Question 28:

  Which nonpharmacological technique entails the use of electronic monitoring equipment while the patient controls basic bodily mechanisms?

  A. Meditation

  B. Visualization

  C. Biofeedback

  D. Chiropractic

  Correct Answer: C

  Biofeedback is a nonpharmacological technique that entails the use of electronic monitoring equipment while the patient controls basic bodily mechanisms such as body temperature, sweating, heart rate, blood pressure, muscle tension and sweating.

• Question 29:

  Which statement about adjuvant medications is true and accurate?

  A. Licensed practical nurses cannot administer adjuvant medications.

  B. Adjuvant medications are schedule 2 narcotics.

  C. Adjuvant medications are schedule 1 narcotics.

  D. Adjuvant medications can be purchased over the counter.

  Correct Answer: D

  Adjuvant medications, used to increase the effects of the opioids and nonopioid medications.

  These medications include anxiolytics, anesthetics, anticonvulsants, nonsteroidal analgesic medications

  and topical local anesthetics. Some of these medications, like ibuprophen, are available over the counter

  and they act on pain by deadening the nerve endings in the skin.

• Question 30:

  Your patient has a blood potassium level of 9.2 mEq/L.

  What intervention should you anticipate for this patient?

  A. Intravenous potassium supplementation

  B. Intravenous calcium supplementation

  C. Kidney dialysis

  D. Parenteral nutrition

  Correct Answer: C

  The normal potassium level is 3.7 to 5.2 mEq/L. A patient with a blood potassium level of 9.2 mEq/L is affected with severe hyperkalemia which can be life threatening. Medications, such as Kayexalate, are administered to rid the body of excessive potassium and emergency kidney dialysis may also be done to prevent life threatening cardiac arryhythmia and death. Potassium supplementation is used with hypokalemia and not hyperkalemia; calcium supplementation and parenteral nutrition have no therapeutic effects for the treatment of hyperkalemia.