NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 371:

  The patient has an order for a 1,000 mL bag of fluids to be infused over 8 hours.

  What is the correct rate?

  A. 100 mL/hr
  B. 80 mL/min
  C. 125 mL/hr
  D. 125 mL/min
  C. 125 mL/hr

• Question 372:

  A client receiving preoperative instructions asks questions repeatedly about when to stop eating the night before the procedure. The nurse tries to refocus the client. The nurse notes that the client is frequently startled by noises in the hall. Assessment reveals rapid speech, trembling hands, tachypnea, tachycardia, and elevated blood pressure. The client admits to feeling nervous and having trouble sleeping.

  Based on the assessment, the nurse documents that the client has __________.

  A. mild anxiety
  B. moderate anxiety
  C. severe anxiety D. a panic attack
  C. severe anxiety D. a panic attack

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  In severe anxiety, a client focuses on small or scattered details. The person is unable to solve problems. With mild anxiety, stimuli are readily perceived and processed, and the ability to learn and solve problems is enhanced. Moderate anxiety narrows the perceptual field, but the client notices things brought to his attention. During a panic attack, the person is disorganized and might be hyperactive or unable to speak or act.

• Question 373:

  A hospitalized client has just been informed that he has terminal cancer. He says to the nurse, "There must be some mistake in the diagnosis." The nurse determines that the client is demonstrating __________.

  A. denial
  B. anger
  C. bargaining
  D. acceptance
  A. denial

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  Explanation Explanation/Reference:Denial (K黚ler-Ross's Stages of Grieving) is the refusal to believe that loss is happening.

• Question 374:

  Which of the following is a hazard of immobility?

  A. Loss of bone calcium.
  B. Increased vital capacity.
  C. Venous vasoconstriction.
  D. A positive nitrogen balance.
  A. Loss of bone calcium.

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  One of the hazards of immobility is the loss of calcium from the bones that results from non-weight bearing by the immobilized patient. Other complications, or hazards, of immobility include muscle weakness, muscular atrophy, contractures, disuse osteoporosis, hypostatic pneumonia, pooled respiratory secretions, atelectasis, decreased respiratory movement, decreased, not increased, vital capacity, shallow respirations, diminished cardiac reserve, orthostatic hypotension, venous stasis, venous vasodilation, not vasoconstriction, emboli, dependent edema, stiff and painful joints, thrombophlebitis, urinary stasis, renal stones, urinary retention, urinary incontinence, urinary tract infections, pressure ulcers, diminished metabolic rate, a negative, not positive, nitrogen balance, a negative calcium balance, constipation and depression.

• Question 375:

  The chemotherapeutic agent 5-fluorourcacil (5-FU) is ordered for a client as an adjunct measure to surgery.

  Which statement about chemotherapy is true?

  A. It is a local treatment affecting only tumor cells.
  B. It is a systemic treatment affecting both tumor and normal cells.
  C. It has not yet been proved an effective treatment for cancer.
  D. It is often the drug of choice because it causes few, if any, side effects.
  B. It is a systemic treatment affecting both tumor and normal cells.

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  5-FU is an antieoplastic, antimetabolic drug that inhibits DNA synthesis and interferes with cell replication. It is given intravenously and acts systemically. It affects all rapidly growing cells,both malignant and normal. It is used as adjuvant therapy for treating cancer of the colon, rectum, stomach, breast, and pancreas. This drug has many side effects, including bone marrow depression, anorexia, stomatitis, nausea, and vomiting.

• Question 376:

  What does the mnemonic device ABCDE stand for?

  A. allergy, bleeding, chemicals, dietary, environment
  B. allergy, bleeding, cardio, diabetes, endocrine
  C. allergy, bleeding, cardio, digestive, endocrine
  D. allergy, bleeding, cortisone, diabetes, emboli
  D. allergy, bleeding, cortisone, diabetes, emboli

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  Explanation Explanation/Reference:Allergy, bleeding, cortisone, diabetes, and emboli (ABCDE) is a mnemonic that is often used to readily remember some of the serious disorders and risks associated with the perioperative. Allergies to medicines or environment, bleeding tendencies, cortisone or steroid use, diabetes mellitus, and previous embolic events are some of these.

• Question 377:

  Assessment of the client with an arteriovenous fistula for hemodialysis should include __________.

  A. inspection for visible pulsation
  B. palpation of thrill
  C. percussion for dullness
  D. auscultation of blood pressure
  B. palpation of thrill

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  Thrill should be present. The client should be taught to check this daily at home. Pulsation is not typically visible. Percussion gives no information about the patency of a fistula. Blood pressure is not auscultated in a limb with an AVF. Auscultation of the AVF, for a bruit, is part of an assessment for patency.

• Question 378:

  Major competencies for the nurse giving end-of-life care include __________.

  A. demonstrating respect and compassion, and applying knowledge and skills in care of the family and the client.
  B. assessing and intervening to support total management of the family and client.
  C. setting goals, expectations, and dynamic changes to care for the client.
  D. keeping all sad news away from the family and client.
  A. demonstrating respect and compassion, and applying knowledge and skills in care of the family and the client.

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  There are many competencies that the nurse must have to care for families and clients at the end of life. Demonstration of respect and compassion as well as using knowledge and skills in the care of the client and family are major competencies.

• Question 379:

  The LPN is receiving the report on a comatose patient at the start of the shift at 1500.

  What statement should be of most concern?

  A. The patient was bathed and skin was assessed head-to-toe at 0900 with no abnormal findings.
  B. The patient's indwelling urinary catheter was last changed 5 days ago.
  C. The patient was repositioned on his right side at 1100.
  D. The patient's PEG tube was changed 6 months ago.
  C. The patient was repositioned on his right side at 1100.

• Question 380:

  A nurse gave medications to the wrong client. She stated the client responded to the name called. What is the nurse's appropriate documentation?

  A. Note in medication records the drug given
  B. The client was not hurt, no need for documentation
  C. Note the client's orientation
  D. Completely fill out an incident report
  D. Completely fill out an incident report

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  Explanation Explanation/Reference:The incident report should always be filled out involving medication errors.