NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 31:

  Which of the following solutions is routinely used to flush an IV device before and after the administration of blood to a client?

  A. 0.9% sodium chloride
  B. 5% dextrose in water solution
  C. sterile water
  D. Heparin sodium
  A. 0.9% sodium chloride

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  Explanation Explanation/Reference:Normal saline is 0.9% sodium chloride. This solution has the same osmolarity as blood. Its use does not cause lysis of cells. Choices "5% dextrose in water solution" and "sterile water" are hypotonic solutions that can cause cell lysis. Choice "Heparin sodium" is an anticoagulant.

• Question 32:

  Which of the following foods is a complete protein?

  A. corn
  B. eggs
  C. peanuts
  D. sunflower seeds
  B. eggs

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  Eggs are a complete protein. The remaining options are incomplete proteins.

• Question 33:

  A mother brings her 1-year-old child to the clinic. The child has no record of previous immunizations, and the mother confirms the child has not been immunized. Which of the following should include teaching by the nurse?

  A. Immunizations may be started at any age.
  B. The recommended immunization schedule must be followed exactly.
  C. If a primary series of immunizations is interrupted, the series must be restarted.
  D. This child is at increased risk for reaction to the vaccines, when they are started.
  A. Immunizations may be started at any age.

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  Explanation Explanation/Reference:While a recommended immunization schedule exists, immunizations may be started at any age. An interrupted series may be continued and need not be restarted. There is no increased risk for reaction to vaccines due to delay.

• Question 34:

  A nurse is assessing an 18-year-old female who has recently suffered a TBI. The nurse notes a slower pulse and impaired respiration.

  The nurse should report these findings immediately to the physician, due to the possibility the patient is experiencing __________ conditions.

  A. increased intracranial pressure
  B. increased function of cranial nerve X
  C. sympathetic response to activity
  D. meningitis
  A. increased intracranial pressure

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  Explanation Explanation/Reference:The patient is at high risk of developing increased intracranial pressure (ICP).

• Question 35:

  A risk management program within a hospital is responsible for all of the following except __________.

  A. identifying risks
  B. controlling financial loss due to malpractice claims
  C. making sure that staff follow their job descriptions
  D. analyzing risks and trends to guide further interventions or programs
  C. making sure that staff follow their job descriptions

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  Risk management is an organizationwide program to identify risks and control incidents and legal liability. It does not have any direct supervisory or management responsibility for staff.

• Question 36:

  A client who is experiencing infertility says to the nurse, "I feel I will be incomplete as a man/woman if I cannot have a child."

  Which of the following nursing diagnoses is likely to be appropriate for this client?

  A. Risk for Self Harm
  B. Body Image Disturbance
  C. Ineffective Role Performance
  D. Powerlessness
  B. Body Image Disturbance

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  Of the nursing diagnoses listed, the client's statement most represents Body Image Disturbance because it directly refers to loss of the function of having a child. Nothing in the statement indicates that the client is at risk for harming herself. Ineffective Role Performance could be correct but is not the best choice because the statement does not reflect a disruption of the parent's role. Powerlessness could be an appropriate nursing diagnosis if the client described feeling powerless about the infertility.

• Question 37:

  Which is the most common microorganism associated with gastritis?

  A. syphilis
  B. cytomegalovirus
  C. H. pylori
  D. mycobacterium
  C. H. pylori

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  Explanation Explanation/Reference:H. pylori is the most common microorganism associated with gastritis. The other microorganisms listed might be associated with gastritis but to a lesser degree.

• Question 38:

  Which patient is exercising their right to autonomy in the context of patient rights?

  A. An 86-year-old female who remains independent in terms of the activities of daily living.
  B. An unemancipated 16-year-old who chooses to not have an intravenous line.
  C. A 32-year-old who does not need the help of the nurse to bathe and groom themselves.
  D. A 99-year-old who wants CPR despite the fact that the nurse and doctor do not think that it would be successful.
  D. A 99-year-old who wants CPR despite the fact that the nurse and doctor do not think that it would be successful.

• Question 39:

  Tuberculosis (mycobacterium) usually effects which system?

  A. stomach (GI)
  B. heart (cardiac)
  C. lungs (respiratory)
  D. skin (integumentary)
  C. lungs (respiratory)

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  Mycobacterium tuberculosis is an aerobic bacillus that requires a great deal of oxygen to grow and flourish. It needs highly oxygenated body sites, such as lungs, growing ends of bones, and the brain. The bacillus is airborne.

• Question 40:

  The nurse is preparing to administer IV Vancomycin to a client. Which of the following nursing actions should be taken first?

  A. performing a physical assessment prior to administration
  B. obtaining the most recent lab values regarding renal function
  C. reviewing peaks and troughs for the past few days
  D. ensuring the client is not allergic to the medication
  D. ensuring the client is not allergic to the medication

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  Even before the physical assessment (which might or might not be indicated at the time of administration of Vancomycin), ensuring that the client is not allergic to the medication is the most critical action the nurse must take before administering any drug. Lab values regarding renal functioning and therapeutic ranges via peaks and troughs are also important with some medications such as Vancomycin because renal damage can occur if blood drug levels remain high over time.