NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 351:

  A client and his family facing the end stage of a terminal illness might be best served by __________.

  A. a rehabilitation center
  B. an extended care facility
  C. Hospice
  D. a crisis intervention center
  C. Hospice

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  Hospice has the belief that more humanized alternative care for dying clients is needed than is being provided in hospitals, which focus mostly on medical cures. No matter where the care is delivered, Hospice provides a specialized interdisciplinary team of health care professionals who work together to manage client care.

• Question 352:

  The nurse enters her first patient's room to administer morning medications. What is the first thing she should do?

  A. Ask the patient to verify his or her medication allergies.
  B. Verify the patient's full name and date of birth.
  C. See if the patient has had breakfast.
  D. Review medications and potential side effects.
  B. Verify the patient's full name and date of birth.

• Question 353:

  An LPN is taking care of an elderly patient who experiences the effects of Sundowner's Syndrome almost every evening.

  Which of these interventions implemented by the nurse would be the most helpful?

  A. Administer the PRN sedative prescribed by the attending physician.
  B. Remind the patient the things and people they are seeing are not real and that they are safe.
  C. Turn on the TV or radio to a station the patient enjoys.
  D. Place a nightlight in the patient's room.
  D. Place a nightlight in the patient's room.

• Question 354:

  An assessment of the skull of a normal 10-monthold baby should identify which of the following?

  A. Closure of the posterior fontanel.
  B. Closure of the anterior fontanel.
  C. Overlap of cranial bones.
  D. Ossification of the sutures.
  A. Closure of the posterior fontanel.

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  The posterior fontanel should close by the age of 2 months.

• Question 355:

  The LPN is taking care of a 176-pound patient who has recently been diagnosed with diabetes. The doctor has written an order for Lantus?(insulin glargine injection) 100 Units/mL, using weight-based dosing of 0.2 units/kg per day. About what dosing should the patient receive each day?

  A. 9 units
  B. 12 units
  C. 35 units
  D. 16 units
  D. 16 units

• Question 356:

  A client with massive chest and head injuries is admitted to the ICU from the Emergency Department.

  All of the following are true except __________.

  A. the physician in charge of the case is the only person allowed to decide whether organ donation can occur.
  B. the client's legally responsible party may make the decision for organ donation for the donor if the client is unable to do so.
  C. the organ procurement organization makes the decision regarding which organs to harvest.
  D. a declaration of wishes or documentation of wishes regarding organ donation by the donor is necessary for organ harvesting
  B. the client's legally responsible party may make the decision for organ donation for the donor if the client is unable to do so.

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  The client's legally responsible party may make the decision for organ donation if the client is unable to do so. The donor (or legally responsible party for the donor), the physician, and the organ-procurement organization are all involved in the process regarding whether organ donation is appropriate for a specific donor.

• Question 357:

  Which of the following symptoms is most characteristic of a client with cancer of the lungs?

  A. exertional dyspnea
  B. persistent changing cough
  C. air hunger; dyspnea
  D. cough with night sweats
  B. persistent changing cough

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  The most common sign of cancer of the lung is a persistent cough that changes. Other signs are dyspnea, bloody sputum, and long-term pulmonary infection. Exertional dyspnea 1 is common with chronic obstructive pulmonary disease (COPD). Air hunger; dyspnea is common with asthma. Cough with night sweats is common with tuberculosis.

• Question 358:

  A wrong committed by one person against another (or against the property of another) that might result in a civil trial is __________.

  A. a tort
  B. a crime
  C. a misdemeanor
  D. a felony
  A. a tort

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  Torts are wrongs committed by one person against another person (or against the property of another), which might result in civil trials. A crime is also defined as a wrong against a person or their property but is considered to be against the public as well. Misdemeanors are crimes that are commonly punishable with fines or imprisonment for less than one year, with both or with parole. A felony is a serious crime punishable by imprisonment in a State or Federal penitentiary for more than one year.

• Question 359:

  A nurse is caring for a patient who has recently been diagnosed with fibromyalgia and COPD.

  Which of the following tasks should the nurse delegate to a nursing assistant?

  A. Transferring the patient to the shower.
  B. Ambulating the patient for the first time.
  C. Taking the patient's breath sounds
  D. Educating the patient on monitoring fatigue
  A. Transferring the patient to the shower.

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  Explanation Explanation/Reference:Nursing assistants should be competent on all transfers.

• Question 360:

  An appropriate question when assessing a client's self-expectations about weight loss is ___________.

  A. "What makes you think you can change your eating habits?"
  B. "How do you feel about losing weight?"
  C. "How important is it that you lose weight?"
  D. "What do you think is a realistic weekly weight loss for you?"
  D. "What do you think is a realistic weekly weight loss for you?"

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  Nurses should assist clients to evaluate themselves and make behavior changes. Listening to clients, supporting clients' strengths, assisting clients to look at themselves in totality, and encouraging clients to set attainable goals should be part of the nurse-client relationship.