NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 311:

  Which of these does not need to be included when calculating a patient's fluid intake?

  A. pudding
  B. IV fluid from an antibiotic piggyback
  C. ice chips
  D. Jell-OTM
  A. pudding

• Question 312:

  Which of the following tests is commonly performed on newborns with jaundice?

  A. blood urea nitrogen
  B. magnesium
  C. bilirubin
  D. prolactin
  C. bilirubin

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  Explanation Explanation/Reference:A high bilirubin level is found with hepatic immaturity in newborns, from which jaundice results. The other choices are not.

• Question 313:

  Which of these patients is affected with a healthcare acquired infection?

  A. A 18-year-old male patient who developed an intravenous line infection two days after insertion.
  B. A 72-year-old male patient who is at risk for infection secondary to AIDS/HIV.
  C. A 67-year-old female patient who was admitted with a urinary tract infection.
  D. A 5-year-old pediatric patient who develops the measles rash 3 days after admission.
  A. A 18-year-old male patient who developed an intravenous line infection two days after insertion.

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  The 18-year-old male patient who developed an intravenous line infection two days after insertion is affected with a healthcare related, or nosocomial, infection. These infections include all infections that occur while the patient is receiving healthcare services. The patient who was admitted with a urinary tract infection and the pediatric patient who develops the measles rash 3 days after admission acquired these infections prior to receiving healthcare services so they are not considered healthcare related, or nosocomial, infections. Lastly, the 72-year-old male patient who is at risk for infection secondary to AIDS/HIV has not yet been infected; he is simply at risk for infection.

• Question 314:

  A client is 36 hours post-op a TKR surgery. 270 cc's of sero-sanguinous accumulates in the surgical drains. What action should the nurse take?

  A. Notify the doctor
  B. Empty the drain
  C. Do nothing
  D. Remove the drain
  A. Notify the doctor

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  Explanation Explanation/Reference:The physician should be notified if excessive drainage is noted from the surgical site.

• Question 315:

  The nurse is educating adult patients on safety and injury prevention.

  Which statement would be inaccurate?

  A. "Using your safety belt when driving or riding the car prevents injury in the event of an accident."
  B. "Working fire extinguishers and smoke alarms are extremely important to have in the home."
  C. "Having taken a gun safety class to learn the basics and following those guidelines decreases the chances of injury."
  D. "Use condoms when implementing birth control."
  D. "Use condoms when implementing birth control."

• Question 316:

  Which of the following developmental milestones for a 6-month-old child should be screened by the nurse during a routine office visit?

  A. standing while holding something
  B. rolling over
  C. sitting up
  D. creeping
  B. rolling over

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  Rolling over occurs between 4 and 6 months of age. Sitting up occurs between 7 and 8 months, creeping between 9 and 10 months, and standing between 8 and 10 months.

• Question 317:

  When a drug is listed as Category X and prescribed to women of child-bearing age/capacity, the nurse and the interdisciplinary team should counsel the client that __________.

  A. Pregnancy tests might be unreliable while taking the drug.
  B. She must use a reliable form of birth control.
  C. She should not take the Category X drug on days she has intercourse.
  D. She must follow up with an endocrinologist.
  B. She must use a reliable form of birth control.

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  Explanation Explanation/Reference:Category X drugs have many practice limitations when prescribed and dispensed to women. For example, the prescription is valid for only seven days, and if not filled, it expires. The FDA provides a pregnancy prevention program for clients taking Isotretinoin (Accutane). Prior to prescribing a Category X drug, a pregnancy test should be performed.

• Question 318:

  The best definition of communication is __________.

  A. the sending and receiving of messages
  B. the effect of sending verbal messages
  C. an ongoing, interactive form of transmitting transactions
  D. the use of message variables to send information
  C. an ongoing, interactive form of transmitting transactions

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  Communication is a personal, interactive system ?a series of ever-changing, ongoing transactions in the environment. Transmissions are simultaneously received (decoded), sent (encoded), and influenced by the total of experiences and perceptions of the receivers and senders. Through communication and interaction with others, an individual develops a sense of identity and being. Communication is the basis of a person's self-concept and the relationship of this self to another individual, to a group of people, and to the world.

• Question 319:

  For a client requiring total oral care, it is important for the nurse to __________.

  A. assemble all equipment, assist the client to semi-Fowler's position, and place a towel on his chest
  B. place client in Fowler's position, prepare the equipment, and tell the client what to do
  C. assemble all equipment, place the client in a side-lying position, and place a towel under his chin
  D. use gloves and clean the client's mouth, including the tongue
  C. assemble all equipment, place the client in a side-lying position, and place a towel under his chin

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  Explanation Explanation/Reference:Assemble all equipment first; place the client in a side-lying position so that fluid can easily flow out or pool in the side of the mouth for suctioning (to prevent aspiration); and then place a towel under the client's chin and a curved basin against the chin. Gloves should be worn.

• Question 320:

  A child comes to the clinic with a skin rash. The maculopapular lesions are distributed around the mouth and have honey-colored drainage. The caregiver states that the rash is getting worse and seems to spread with the child's scratching. Which of the following advisory comments should be given?

  A. The history and presentation might indicate chickenpox, a highly contagious disease.
  B. The lesions might indicate a noncontagious infection that does not require isolation.
  C. The history and presentation might indicate an infectious illness called impetigo.
  D. The lesions are not contagious unless others have open wounds or lesions themselves.
  C. The history and presentation might indicate an infectious illness called impetigo.

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  Explanation Explanation/Reference:The scenario describes classic impetigo for which the physician is likely to order antibiotic therapy. Chickenpox is highly contagious but presents with a history of high fever followed by a vesicular rash.