NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 391:

  The LPN is assisting the patient with an NG tube with activities of daily living.

  Which of these statements would indicate need for teaching reinforcement?

  A. "I should remain sitting up at a 45-degree angle or higher for 30 minutes after a feeding."

  B. "I should avoid using Vaseline around the nostril and tube."

  C. "I can clean around the tube with water and mild soap."

  D. "Since I'm not eating or drinking by mouth, I do not need to brush my teeth as often."

  Correct Answer: D

• Question 392:

  Which of these statements from the caregiver of a palliative care patient indicates a proper understanding?

  A. The main therapeutic goals are comfort and better quality of life.

  B. This treatment plan usually means the prognosis is less than 6 months.

  C. The medications to treat the underlying disease will be stopped.

  D. We will need to stay in the hospital to receive this level of care.

  Correct Answer: A

• Question 393:

  Which of these does not need to be included when calculating a patient's fluid intake?

  A. pudding

  B. IV fluid from an antibiotic piggyback

  C. ice chips

  D. Jell-OTM

  Correct Answer: A

• Question 394:

  Which of these types of fluid output is not typically measured?

  A. emesis

  B. urine

  C. chest tube drainage

  D. evaporative water from the respiratory tract

  Correct Answer: D

• Question 395:

  When cleaning a PEG tube, which of these tasks should not be performed?

  A. Talcum powder is applied to the tube site.

  B. Mild soap is used to clean around the tube site.

  C. The skin around the tube site is thoroughly dried with a clean towel.

  D. Crusty drainage is gently removed from the site.

  Correct Answer: A

• Question 396:

  Using the FLACC pain scale, how should the LPN document pain for a non-verbal patient with these findings:

  Face ?occasional grimacing Legs ?relaxed Activity ?Squirming Cry ?moans and whimpers Consolability ?distractible.

  A. 5

  B. 4

  C. 3

  D. 8

  Correct Answer: B

• Question 397:

  The LPN is observing a patient using crutches for a leg injury.

  Which of these would indicate that the patient needs to be reinforced on the proper use of crutches?

  A. When going down the stairs, the patient leads with the injured leg.

  B. The patient rests the axilla on the top padding and loosely grips the handles with hands.

  C. The patient has a slight bend in the elbow when using the handles.

  D. The patient places the top padding 1-2 inches below the axilla with a firm grip on the handles.

  Correct Answer: B

• Question 398:

  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.

  Correct Answer: C

• Question 399:

  An LPN is caring for a primarily bedridden patient. Which finding should be of least concern?

  A. swollen feet

  B. brown discoloration above the ankles

  C. capillary refill time of 3 seconds on the big toe

  D. leg pain

  Correct Answer: C

• Question 400:

  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

  Correct Answer: D