NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 321:

  Which fetal heart monitor pattern can indicate cord compression?

  A. variable decelerations

  B. early decelerations

  C. bradycardia

  D. tachycardia

  Correct Answer: A

  Variable decelerations can be related to cord compression. The other patterns are not.

• Question 322:

  All of the following should be performed when fetal heart monitoring indicates fetal distress except __________.

  A. increase maternal fluids

  B. administer oxygen

  C. decrease maternal fluids

  D. turn the mother

  Correct Answer: C

  Decreasing maternal fluids is the only intervention that should not be performed when fetal distress is indicated.

• Question 323:

  While undergoing fetal heart monitoring, a pregnant Native-American woman requests that a medicine woman be present in the examination room.

  Which of the following is an appropriate response by the nurse?

  A. "I will assist you in arranging to have a medicine woman present."

  B. "We do not allow medicine women in exam rooms."

  C. "That does not make any difference in the outcome."

  D. "It is old-fashioned to believe in that."

  Correct Answer: A

  This statement reflects cultural awareness and acceptance that receiving support from a medicine woman

  is important to the client.

  The other statements are culturally insensitive and unprofessional.

• Question 324:

  The PN is preparing a patient for discharge and the discharge medications include phenobarbital. Which of these patient statements would indicate a need for reinforced teaching about this medication?

  A. "It's best to take this medication with food."

  B. "I can't wait to get back to my nightly glass of wine."

  C. "I should try to take this medication at the same time every day."

  D. "I will need to avoid eating excessive leafy greens."

  Correct Answer: B

• Question 325:

  The PN has been asked to help a patient taking Risperdal with activities of daily living in the morning. Which of these tasks is most likely to be potentially impacted by this medication?

  A. eating breakfast

  B. getting out of bed to use the bathroom

  C. brushing teeth

  D. drinking fluids

  Correct Answer: B

• Question 326:

  The PN is caring for a patient admitted for acute pancreatitis.

  Which of these medications would be least appropriate for pain management?

  A. Tylenol

  B. Tramadol

  C. Codeine

  D. Morphine

  Correct Answer: D

• Question 327:

  The PN receives a call from a mother caring for her infant.

  The PN should inform the mother that __________ medications should be used with extreme caution.

  A. Diphenhydramine

  B. Simethicone

  C. Acetaminophen

  D. Bacitracin

  Correct Answer: C

• Question 328:

  Which of these is not a symptom of Serotonin Syndrome?

  A. fever

  B. tremors

  C. edema

  D. confusion

  Correct Answer: C

• Question 329:

  The PN is admitting a patient to the unit and the patient has rapidly blinking eyes, stuck out tongue, and a distorted posture.

  Which of these medications is the patient most likely taking?

  A. Ondansetron

  B. Haloperidol

  C. Clozapine

  D. Fluoxetine

  Correct Answer: B

• Question 330:

  The PN is on a home visit with a patient taking Amiodarone.

  Which of these statements would indicate that the patient understands the potential drug side effects?

  A. "I need to take supplemental vitamin B12."

  B. "I need to make sure I wear sunblock when going outdoors."

  C. "I should avoid eating leafy vegetables."

  D. "It is normal if I have numbing or tingling in my feet."

  Correct Answer: B