NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 301:

  Which of the following allergies might be a contraindication for a client to receive contrast enhancement for intracranial computed tomography?

  A. penicillin

  B. iodine

  C. erythromycin

  D. aspirin

  Correct Answer: B

  Iodine allergy might be a contraindication for contrast media, not the other allergies.

• Question 302:

  Which of the following instructions should a nurse give a client who is about to undergo pelvic ultrasonography?

  A. "Urinate prior to the test."

  B. "Have someone drive you home."

  C. "Do not drink after midnight."

  D. "Drink plenty of water."

  Correct Answer: D

  A full bladder is required to serve as a landmark to define pelvic organs. No sedation is given, so the client may drive herself home after the test.

• Question 303:

  When a client needs oxygen therapy, what is the highest flow rate that oxygen can be delivered via nasal cannula?

  A. 2 liters/minute

  B. 4 liters/minute

  C. 6 liters/minute

  D. 8 liters/minute

  Correct Answer: C

  The highest flow rate that oxygen can be delivered via nasal cannula is 6 liters/minute. Higher flow rates must be delivered by mask.

• Question 304:

  When the nurse is determining the appropriate size of an oropharyngeal airway to insert, what part of a client's body should she measure?

  A. corner of the mouth to the tragus of the ear

  B. corner of the eye to the top of the ear

  C. tip of the chin to the sternum

  D. tip of the nose to the earlobe

  Correct Answer: A

  An oropharyngeal airway is measured from the corner of the client's mouth, to the tragus of the ear.

• Question 305:

  Which of the following indicates a hazard for a client on oxygen therapy?

  A. A No Smoking sign is on the door.

  B. The client is wearing a synthetic gown.

  C. Electrical equipment is grounded.

  D. Matches are removed.

  Correct Answer: B

  A synthetic gown might generate sparks of static electricity, which can be a fire hazard, particularly in the

  presence of oxygen. The client on oxygen therapy should wear a cotton gown.

  The remaining options are appropriate safety measures.

• Question 306:

  Which is the proper hand position for performing chest vibration?

  A. cup the hands

  B. use the side of the hands

  C. flatten the hands

  D. spread the fingers of both hands

  Correct Answer: C

  The hands are flattened over the area of the body where chest percussion is used to conduct vibration

  through to the chest and loosen secretions.

  The other hand positions do not accomplish this task.

• Question 307:

  Which is the proper hand position for performing chest percussion?

  A. cup the hands

  B. use the side of the hands

  C. flatten the hands

  D. spread the fingers of both hands

  Correct Answer: A

  The hands are cupped for performing percussion, producing a vibration that helps loosen respiratory

  secretions.

  The other hand positions do not accomplish this task.

• Question 308:

  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

  Correct Answer: D

  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.

• Question 309:

  Which of the following nursing diagnoses might be appropriate as Parkinson's disease progresses and complications develop?

  A. Impaired Physical Mobility

  B. Dysreflexia

  C. Hypothermia D. Impaired Dentition

  Correct Answer: A

  The client with Parkinson's disease can develop a shuffling gait and rigidity, causing impaired physical

  mobility.

  The other diagnoses do not necessarily relate to a client with Parkinson's disease.

• Question 310:

  Which of the following might be an appropriate nursing diagnosis for an epileptic client?

  A. Dysreflexia

  B. Risk for Injury

  C. Urinary Retention

  D. Unbalanced Nutrition

  Correct Answer: B

  The epileptic client is at risk for injury due to the complications of seizure activity, such as possible head

  trauma associated with a fall.

  The other choices are not related to the question.