NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 301:

  Which cardiac arrhythmia can be either acquired or congenital and can spontaneously disappear on its own or lead to ventricular fibrillation?

  A. Wenckebach
  B. Premature arterial contractions
  C. Torsades de pointes
  D. Premature ventricular contractions
  C. Torsades de pointes

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  Torsades de pointes, a polymorphic ventricular tachycardia, can be either congenital or acquired; at times, it can spontaneously terminate but it frequently leads to ventricular fibrillation. In some cases, cardiac death can occur with the first episode. All of the other cardiac arrhythmias, or dysrhythmias, are acquired and not congenital.

• Question 302:

  When helping a client gain insight into anxiety, the nurse should __________.

  A. help relate anxiety to specific behaviors
  B. ask the client to describe events that precede increased anxiety
  C. instruct the client to practice relaxation techniques
  D. confront the client's resistive behavior
  B. ask the client to describe events that precede increased anxiety

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  To gain insight, the client needs to recognize causal events. The other activities focus on recognition of anxiety.

• Question 303:

  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.
  B. Apply pressure to the site.

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  Explanation Explanation/Reference: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 304:

  Multifetal pregnancies with triplets occur at a rate of 1 in 8,100 births, but twins occur much more frequently with a rate of __________.

  A. 1 in 85 births
  B. 1 in 5400 births
  C. 1 in 2700 births
  D. 1 in 540 births
  A. 1 in 85 births

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  Twins, whether monozygotic or dizygotic, occur at the rate of about 1 in every 85 births. This rate has seen increases due to various reasons, such as the frequency of fertility treatments and women waiting until later in life to have children; older women, defined as over 35 years old, are more likely to carry multiples than younger women.

• Question 305:

  If a client is suffering from thyroid storm, the PN can expect to find on assessment __________.

  A. tachycardia and hyperthermia
  B. bradycardia and hypothermia
  C. a large goiter
  D. a calm, quiet client
  A. tachycardia and hyperthermia

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  In thyroid storm, there is too much thyroxine, causing the client to go faster. Atrial fibrillation and palpitations are also frequently seen. Bradycardia and hypothermia, a large goiter and a calm, quiet client are associated with hypothyroidism.

• Question 306:

  Which of these is not an early indicator of increased intracranial pressure?

  A. widening pulse pressure
  B. Cushing's reflex
  C. Cheyne-Stokes respirations
  D. decorticate posture
  B. Cushing's reflex

• Question 307:

  A nurse is setting up a vision-screening program for a new school. At what age will vision be 20/20 in children?

  A. 4-year-old
  B. 5-year-old
  C. 6-year-old
  D. 7-year-old
  C. 6-year-old

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  Explanation Explanation/Reference:6 years is the standard age of 20/20 vision potential.

• Question 308:

  A newborn baby exhibits a reflex that includes: hand opening, abducted and extended extremities following a jarring motion.

  Which of the following correctly identifies the reflex?

  A. ATNR reflex
  B. Startle reflex
  C. Grasping reflex
  D. Moro reflex
  D. Moro reflex

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  Explanation Explanation/Reference:The moro reflex has all of the listed characteristics.

• Question 309:

  For a client with suspected appendicitis, the nurse should expect to find abdominal tenderness in which quadrant?

  A. upper right
  B. upper left
  C. lower right
  D. lower left
  C. lower right

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  Explanation Explanation/Reference:The nurse should expect to find abdominal tenderness in the lower-right quadrant in a client with appendicitis.

• Question 310:

  The nurse is caring for a 4-year-old patient.

  What is the most appropriate pain scale for the nurse to use during the assessment?

  A. CRIES Pain Scale
  B. FLACC Pain Scale
  C. McGill Pain Scale
  D. Wong-Baker Pain Scale
  D. Wong-Baker Pain Scale