NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 341:

  A nurse is reviewing a patient's serum glucose levels.

  Which of the following scenarios would indicate abnormal serum glucose values for a 30-year-old male?

  A. 70 mg/dl
  B. 55 mg/dl
  C. 110 mg/dl
  D. 100 mg/dl
  B. 55 mg/dl

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  Explanation Explanation/Reference:60-115 mg/dl is standard range for serum glucose levels.

• Question 342:

  The PN is taking care of a patient with a documented allergy to Penicillin. After rounds, the PN notices that the patient has an order for Cefazolin. Which of the following actions would be the least appropriate?

  A. The PN discusses the order with the care team prior to administering Cefazolin.
  B. The PN administers all ordered medications except for the Cefazolin.
  C. The PN clarifies the severity of the Penicillin allergy.
  D. The PN monitors the patient after a test dose of Cefazolin is administered.
  B. The PN administers all ordered medications except for the Cefazolin.

• Question 343:

  Wilms' tumor is a form of __________.

  A. renal cancer
  B. liver cancer
  C. basal cell carcinoma
  D. brain cancer
  A. renal cancer

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  Wilms' tumor, although rare, is a type of renal cancer. People of all ages can be affected with it, however, it is most common among members of the pediatric population. The treatments for Wilms' tumor include radiation therapy, chemotherapy and surgical removal.

• Question 344:

  A patient says to the LPN/LVN, "I think you're really cute and we get along so well. Once I'm out of here, would you like to go on a date sometime?"

  Which response by the LPN/LVN is the most appropriate?

  A. "I'm glad you feel we get along, but I am here to take care of you during your stay in the hospital."
  B. "I cannot discuss this with you during my shift. I will come by when I'm done working and give you my number."
  C. "Wow, that is very flattering, but I'm engaged."
  D. "That is inappropriate, and I am going to have to report this conversation to my manager."
  A. "I'm glad you feel we get along, but I am here to take care of you during your stay in the hospital."

• Question 345:

  A patient with dysphagia is ready to eat lunch.

  Which of these foods on the tray would be best to start with when assisting the patient?

  A. toast
  B. diced fruit
  C. Jell-OTM
  D. apple juice with a liquid thickener
  D. apple juice with a liquid thickener

• Question 346:

  Low birth weight is defined as a newborn's weight of __________.

  A. 2500 grams or less at birth, regardless of gestational age
  B. 1500 grams or less at birth, regardless of gestational age
  C. 2500 grams or less at birth, according to gestational age
  D. 1500 grams or less at birth, according to gestational age
  A. 2500 grams or less at birth, regardless of gestational age

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  Low birth weight (LBW) is considered to be a birth weight of less than 2,500 grams regardless of gestational age. Very low birth weight (VLBW) is less than 1500 grams and extremely low birth weight (ELBW) which is less than 1000 grams. Normal weight for a full term neonate is 2500-4200 grams.

• Question 347:

  A central venous pressure reading of 11 cmH2O of an IV of normal saline is determined by the nurse caring for the patient. The patient has a diagnosis of pericarditis. Which of the following is the most applicable?

  A. The patient has a condition of hypovolemia.
  B. Not enough fluid has been given to the patient.
  C. Pericarditis may cause pressures greater than 10 cmH2O with testing of CVP.
  D. The patient may have a condition of arteriosclerosis.
  C. Pericarditis may cause pressures greater than 10 cmH2O with testing of CVP.

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  Explanation Explanation/Reference:>10 cmH2O may indicate a condition of pericarditis

• Question 348:

  Which of the following is a vector of infection?

  A. A contaminated ball
  B. A contaminated thermometer
  C. An infected person
  D. An infectious fly
  D. An infectious fly

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  An infectious fly is an example of a vector that can transmit infection. Other vectors, or nonhuman living beings that can transmit infections to humans, include mice, vermin and mosquitoes. Inanimate items that can spread infection by contact are referred to as fomites. Examples of fomites include a contaminated thermometer, balls and door knobs. An infected human being is a host according to the chain of infection and not a vector.

• Question 349:

  A nurse notes that an elderly client suddenly does not keep appointments and is not wearing appropriate clothing.

  Which statement by the client raises the suspicion of financial abuse?

  A. "I am having difficulty paying for this new antibiotic the physician prescribed."
  B. "I am a little short on cash since my daughter moved in to help me."
  C. "I have not felt like shopping since the weather has gotten worse."
  D. "People do not realize how difficult it is to make ends meet on a fixed income."
  B. "I am a little short on cash since my daughter moved in to help me."

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  Elderly clients on fixed incomes have difficulty meeting new expenses, such as medicine. Signs of financial abuse include unexplained illnesses that are left untreated, an inability to pay rent or purchase clothes and food, and inaccurate knowledge about finances. Financial abuse is a form of elder abuse and requires investigation.

• Question 350:

  A nurse is caring for a retired MD. The MD asks the question, "What type of cells secrete insulin?" The correct answer is __________.

  A. alpha cells
  B. beta cells
  C. CD4 cells
  D. helper cells
  B. beta cells

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  Explanation Explanation/Reference:Beta cells secrete insulin.