NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 321:

  The nurse wishes to decrease a client's use of denial and increase the client's expression of feelings. To do this the nurse should __________.

  A. tell the client to stop using the defense mechanism of denial
  B. positively reinforce each expression of feelings
  C. instruct the client to express feelings
  D. challenge the client each time denial is used
  B. positively reinforce each expression of feelings

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  Explanation Explanation/Reference:The nurse should positively reinforce each expression of feelings.

• Question 322:

  Avulsed teeth should be placed in __________.

  A. normal saline
  B. cold water
  C. milk
  D. warm water
  C. milk

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  Avulsed teeth should be immediately placed in milk. An avulsed tooth is the traumatic loss of a tooth. In addition to placing the tooth in milk, the tooth should only be handled at the crown and not the root of the tooth. These interventions preserve the tooth for reimplantation.

• Question 323:

  Distribution of a drug to various tissues is dependent on the amount of cardiac output to each type of tissue.

  Which tissue would receive the highest amount of cardiac output and thus the highest amount of a drug?

  A. skin
  B. adipose tissue
  C. skeletal muscle
  D. myocardium
  D. myocardium

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  Highly perfused tissue includes all vital organs: the brain, heart, kidneys, adrenal glands, and liver. Skin, adipose tissue and skeletal muscle are incorrect choices because the skin and adipose tissue are poorly perfused, while the skeletal muscle is better perfused.

• Question 324:

  A patient has been admitted to the hospital with a HNP L4-5 segment diagnosis. After 24 hours the patient is able to ambulate with assistance with reduced muscle spasms. Which of the following medications was the most beneficial in changing the patient's mobility status?

  A. Mivacron
  B. Atropine
  C. Bethanechol
  D. Flexeril
  D. Flexeril

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  Explanation Explanation/Reference:Flexeril is a muscle relaxant for acute muscle pain and spasms.

• Question 325:

  The LPN is caring for a patient with ascites related to liver failure. The patient becomes hypotensive and complains of cramps.

  Which of the following is least likely related to the hypotension and cramps?

  A. decreased renal blood flow
  B. recent diuretics
  C. excessive IV intake
  D. increased aldosterone
  C. excessive IV intake

• Question 326:

  An advance directive is written and notarized according to law in the state of Colorado. This document is legal and binding __________.

  A. internationally
  B. in the state of Colorado only
  C. in the continental United States
  D. in the county of origination only
  B. in the state of Colorado only

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  Explanation Explanation/Reference:Choices "internationally", "in the continental United States" and "in the county of origination only" are incorrect. Advance directive protocols and documents are defined by each state.

• Question 327:

  The PN is caring for a patient who has a history of exhibiting inappropriate and dangerous behavior in brief episodes. The PN is asked to suggest ways to adapt that patient's care plan to prevent these episodes.

  Which of the following is not an appropriate suggestion?

  A. Allow the patient to participate in physical exercise to help decrease the patient's stress.
  B. Promote appropriate socialization to make sure the patient is having enough personal interaction.
  C. Change the patient's schedule daily to help the patient adjust to unexpected changes.
  D. Ensure the patient has the same bedtime to promote adequate sleep.
  C. Change the patient's schedule daily to help the patient adjust to unexpected changes.

• Question 328:

  The anemias most often associated with pregnancy are __________.

  A. folic acid and iron deficiency
  B. folic acid deficiency and thalassemia
  C. iron deficiency and thalassemia
  D. thalassemia and B12 deficiency
  A. folic acid and iron deficiency

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  Folic acid and iron deficiency anemia are the most common anemias, prevalent in women of childbearing age with 50% of pregnant women having this type of anemia. Iron deficiency anemia during pregnancy is a result (usually) of the increase in the plasma level during pregnancy but not in the constituent level. Also, if a woman has this type of anemia prepregnancy, it gets worse during pregnancy.

• Question 329:

  A nurse is reviewing a patient's current Lithium levels.

  Which of the following values is outside the therapeutic range?

  A. 1.0 mEq/L
  B. 1.1 mEq/L
  C. 1.2 mEq/L
  D. 1.3 mEq/L
  D. 1.3 mEq/L

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  Explanation Explanation/Reference:1.0-1.2 mEq/L is considered standard therapeutic range for patient care.

• Question 330:

  A client goes to the mental health center for difficulty concentrating, insomnia, and nightmares. The client reports being raped as a child.

  The nurse should assess the client for further signs of ___________.

  A. general anxiety disorder
  B. schizophrenia
  C. post-traumatic stress disorder
  D. bipolar disorder
  C. post-traumatic stress disorder

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  Childhood sexual abuse is associated with adult-onset depression and with an increased risk for lifetime and current post-traumatic stress disorder (PTSD). About one-third of all victims of sexual abuse meet the diagnostic criteria for PTSD. A person with PTSD has three main types of symptoms: ?Re-experiencing the traumatic event with flashbacks, nightmares, and exaggerated reactions to triggers that remind the person of the event. ?Emotional numbing is evidenced by avoidance of activities, places, thoughts, feelings, or conversations related to the trauma; feelings of detachment from others; and restricted or blunted emotions. ?Increased activity is seen in bursts of anger, difficulty sleeping, hypervigilence, difficulty concentrating, and an exaggerated startle response. Other problems associated with PTSD are panic attacks, suicidal thoughts and feelings, substance abuse, eating disorders, feelings of alienation and isolation, and feelings of mistrust and betrayal.