NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 381:

  In administering NSAID adjunctive therapy to an elderly client with cancer, the nurse must monitor __________.

  A. BUN and creatinine
  B. creatinine and calcium
  C. Hgb and Hct
  D. BUN and CFT
  A. BUN and creatinine

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  Elder adults might be more at risk for gastric and renal toxicity, increasing among elder adults.

• Question 382:

  Which type of cancer has the poorest prognosis?

  A. Squamous cell carcinoma
  B. Breast cancer
  C. Pancreatic cancer
  D. Gastric cancer
  C. Pancreatic cancer

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  Of all of the above types of cancer, it is pancreatic cancer that has the poorest prognosis. This is based on the fact that pancreatic cancer is not symptomatic, and therefore, it is diagnosed after the point when a surgical removal can be performed. It has a rapid course and it is characterized with a high degree of mortality.

• Question 383:

  An appraisal of self-care practices involves an assessment of __________.

  A. all diagnostic tests
  B. home treatment practices, including nurse visits for the sick or disabled
  C. the family's capability to get health insurance
  D. caregiving needs and the potential for strain
  D. caregiving needs and the potential for strain

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  Short-term stressors impinging on a family include unemployment, being on welfare, the threat of termination, health, hospitalization, convalescence, depression, and suicidal thoughts. Long-term stressors impinging on the family include emotional distance, lack of communication in families (especially within marital relationships), continual geographical movement from one community to the next (so that no stable and sufficient social network is established), a spouse's minimal participation in family life, and excessive and frequent drinking bouts. Family strengths include the presence of a social support system, interest in and capability to provide child care, motivation for employment, and financial self-sufficiency, self-care beliefs, values, health-seeking behaviors, and realistic goals and limitations.

• Question 384:

  Elderly persons with pernicious anemia should be instructed __________.

  A. to increase their dietary intake of foods high in B12
  B. that they do not need to return for follow-up for at least a month after initiation of treatment
  C. that oral B12 is safer and less expensive than parenteral replacement
  D. that diarrhea can be a transient side effect of B12 injections
  D. that diarrhea can be a transient side effect of B12 injections

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  Pernicious anemia is a megaloblastic, macrocytic, normochronic anemia caused by a deficiency of the intrinsic factor produced by the stomach. This results in malabsorption of vitamin B12, which is necessary for DNA synthesis and maturation of RBC. Education should include side effects of Vitamin B12, which can include pain and burning at the injection site, peripheral vascular thrombosis, and transient diarrhea.

• Question 385:

  Which of the following microorganisms are considered normal body flora?

  A. staphylococcus on the skin
  B. streptococcus in the nares
  C. candida albicans in the vagina
  D. pseudomonas in the blood
  A. staphylococcus on the skin

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  Explanation Explanation/Reference:Of the choices given, only staphylococcus is considered a normal resident of the body.

• Question 386:

  A 65-year-old female client is experiencing postmenopausal bleeding. Which type of physician should this client be encouraged to see?

  A. a radiologist
  B. a gynecologist
  C. a physiatrist
  D. an oncologist
  B. a gynecologist

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  Explanation A gynecologist is the physician who treats and manages disease of the female reproductive organs. A radiologist evaluates X-rays. A physiatrist is the physician manager of a rehabilitation team. An oncologist treats clients with cancer.

• Question 387:

  Which is an appropriate outcome for the nursing diagnosis of Body Image Disturbance for a client with anorexia nervosa?

  A. The client verbalizes knowledge of a maintenance diet.
  B. The client demonstrates assertiveness with family.
  C. The client verbalizes her body size accurately.
  D. The client demonstrates control of obsessive behaviors.
  C. The client verbalizes her body size accurately.

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  Explanation Explanation/Reference:Part of the problem for anorexic clients is an altered view of their body appearance (visualizing themselves as fat even when they are emaciated). Choice "The client verbalizes knowledge of a maintenance diet." involves a knowledge deficit. Choice "The client demonstrates assertiveness with family." involves possible resolution of family-dynamic issues. Choice "The client demonstrates assertiveness with family." involves psychological adaptation.

• Question 388:

  If a client has chronic renal failure, which of the following sexual complications is the client at risk of developing?

  A. retrograde ejaculation
  B. decreased plasma testosterone
  C. hypertrophy of testicles
  D. state of euphoria
  B. decreased plasma testosterone

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  Untreated chronic renal failure causes decreased testosterone levels, atrophy of testicles, and decreased spermatogenesis. Retrograde ejaculation is not a complication of chronic renal failure. It is a complication of transurethral resection of the prostate. In chronic renal failure, the testicles atrophy; they do not hypertrophy. Chronic renal failure produces a state of depression, not euphoria.

• Question 389:

  A client with an ileus is placed on intestinal tube suction.

  Which of the following electrolytes is lost with intestinal suction?

  A. calcium
  B. magnesium
  C. potassium
  D. sodium chloride
  D. sodium chloride

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  Explanation Explanation/Reference:Duodenal intestinal fluid is rich in K+, NA+, and bicarbonate. Suctioning to remove excess fluids decreases the client's K+ and NA+ levels.

• Question 390:

  A nurse is caring for a client with an elevated urine osmolarity.

  The nurse should assess the client for __________.

  A. fluid volume excess.
  B. hyperkalemia.
  C. hypercalcemia.
  D. fluid volume deficit.
  D. fluid volume deficit.

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  For a client with an elevated urine osmolarity, the nurse should assess the client for fluid volume deficit.