NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 21:

  A patient is scheduled for electro-convulsive therapy treatment scheduled in the morning. What must the evening nurse do to provide the client ECT treatment possible?

  A. Patient signs an informed consent form.
  B. Patient is given morning medications.
  C. Patient gets a good night's sleep.
  D. Patient has a good breakfast.
  A. Patient signs an informed consent form.

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  Explanation Explanation/Reference:An informed consent is required prior to surgery.

• Question 22:

  The LPN needs to delegate a task to the nurse aide who is new to the unit.

  Which of these is the best option for the nurse to choose in proceeding?

  A. Delegate the task to the nurse aide, watch them perform the task without them seeing you, and follow up to ensure the task was done safely/accurately.
  B. Delegate the task to the nurse aide, ensure understanding of the task, and supervise task being performed.
  C. Delegate the task to the nurse aide, confirm understanding, and follow up to ensure the task was safely/correctly done.
  D. Delegate the task to the nurse aide, supervise if needed and check in after the task to see if help is needed.
  C. Delegate the task to the nurse aide, confirm understanding, and follow up to ensure the task was safely/correctly done.

• Question 23:

  An effective intervention for a client diagnosed with Obsessive-Compulsive Disorder is ___________.

  A. discussing the repetitive action
  B. insisting the client not perform the repetitive act
  C. informing the client that the act is not necessary
  D. encouraging daily exercise
  D. encouraging daily exercise

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  Explanation Explanation/Reference:Obsessive-Compulsive Disorder is an anxiety disorder. Exercise releases emotional energy, limits time for the maladaptive behavior, and directs the client's attention outward. Initially, nurses should not interfere with performance of the repetitive act, try reasoning the client out of the behavior, or ridicule the behavior.

• Question 24:

  Periwound maceration occurs when __________.

  A. The skin around the wound softens and is damaged.
  B. Selecting a dressing individualized to the type of wound.
  C. Negative-pressure to "air out" the wound is used.
  D. The skin around the wound dries out and hardens.
  A. The skin around the wound softens and is damaged.

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  Periwound maceration, also classified as moisture associated skin damage, is the softening of the skin and damaging of connective fibers which leads to the wound drying out and hardening. Dressing selection can help prevent this complication, and negative pressure may reduce it by reducing edema.

• Question 25:

  When working with multicultural populations, the nurse should consider all of the following when planning care for a client with an altered sexuality pattern except ___________.

  A. some members of the Hispanic and Native-American cultures are very open when discussing sexuality
  B. some cultures view the postpartum period as a state of impurity
  C. some women in the African-American culture view childbearing as a validation of their femaleness
  D. some Native-American women believe monthly menstruation maintains physical well-being and harmony
  A. some members of the Hispanic and Native-American cultures are very open when discussing sexuality

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  Many cultures (including the Hispanic and Native-American cultures) are sometimes hesitant to discuss sexuality. Some Navajos, Hispanics, and Orthodox Jews view the postpartum period as a state of impurity and might seclude women as long as they are bleeding. The seclusion is usually ended with a ritual bath. Many white teenage girls approve of the prevention of pregnancy, and many African-American teenage girls value pregnancy. Many Native-American women believe in the importance of monthly menstruation to maintain physical wellbeing and harmony.

• Question 26:

  A 6-year-old patient suddenly yells out, "I hate my daddy!"

  What would be the LPN's best response?

  A. "You are not alone. We all get angry at our parents sometimes."
  B. "You don't mean that. Your daddy loves you so much."
  C. "I understand you're upset. Why don't we call your daddy and see if we can talk this through?"
  D. "You sound upset. What is making you feel this way?"
  D. "You sound upset. What is making you feel this way?"

• Question 27:

  Mrs. Peterson complains of difficulty falling asleep, awakening earlier than desired, and not feeling rested. She attributes these problems to leg pain that is secondary to her arthritis. What is the most appropriate nursing diagnosis for her?

  A. Sleep Pattern Disturbances (related to arthritis)
  B. Fatigue (related to leg pain)
  C. Knowledge Deficit (regarding sleep hygiene measures)
  D. Sleep Pattern Disturbances (related to chronic leg pain)
  D. Sleep Pattern Disturbances (related to chronic leg pain)

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  Explanation Explanation/Reference:The client's sleep pattern is directly disturbed by the chronic leg pain, which is secondary to the arthritis. This nursing diagnosis is the appropriate one to directly deal with comfort measures and the like.

• Question 28:

  After group therapy, the female victim of intimate partner violence confides to the nurse that she does not feel in any immediate danger. Which of the following statements about victims of domestic violence is true?

  A. Victims of domestic violence are often the best predictors of their risk of harm.
  B. Victims of domestic violence often overestimate their safety risk.
  C. Victims of domestic violence are typically in a state of denial.
  D. Victims of domestic violence know that keeping peace with their partner is the best method of preventing another attack.
  A. Victims of domestic violence are often the best predictors of their risk of harm.

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  Explanation Explanation/Reference:Victims of domestic violence are often correct at predicting their risk of harm. However, the nurse should ensure that the client is expressing herself authentically and is not trying to convince the nurse that there is no immediate danger. Further, proper authorities, such as the police, should be alerted to this reportable offense.

• Question 29:

  The kind of man who beats a woman is __________.

  A. from a minority culture in a low-income group.
  B. from a majority culture in a middle-income group.
  C. one who was never allowed to compete as a child.
  D. from any walk of life, race, income group, or profession.
  D. from any walk of life, race, income group, or profession.

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  Batterers cannot be predicted by demographic features related to age, ethnicity, race, religious denomination, education, socioeconomic status, or class. Ninety-five percent of domestic abuse cases involve male perpetrators and female victims.

• Question 30:

  Which of the following arterial blood gas values indicates a patient may be experiencing a condition of metabolic acidosis?

  A. PaO2 (90%)
  B. Bicarbonate 159
  C. CO2 47 mm Hg
  D. pH 7.34
  B. Bicarbonate 159

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  Explanation Explanation/Reference:The bicarbonate value is below normal, indicating a condition of metabolic acidosis.