NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 401:

  An LPN is caring for a new admission recovering from a knee replacement.

  In assisting the patient to the bathroom, what step would best prevent a patient fall?

  A. Ask the patient if he or she prefers crutches or a walker.

  B. Ask the patient to stand and extend his or her arms for 5 seconds.

  C. Ask the patient to march in place before walking toward the bathroom.

  D. Ask the patient to shake hands while in bed.

  Correct Answer: D

• Question 402:

  The LPN is caring for a 32-year-old female patient who is 8 hours post-op after a tonsillectomy. Which of these would be an appropriate action taken by the nurse?

  A. Inform the patient that ear pain may occur and is normal.

  B. Monitor vitals every 15 minutes.

  C. Provide ice water and a straw to promote easy fluid consumption.

  D. Provide hot tea to soothe the throat.

  Correct Answer: A

• Question 403:

  A patient is on a clear liquid diet. She drinks half of a 12-ounce juice, 4 ounces of soup, and has a 6-ounce JELL-O?

  How many milliliters of fluid did the patient ingest?

  A. 440 ml

  B. 22 ml

  C. 480 ml

  D. 660 ml

  Correct Answer: C

• Question 404:

  The LPN is placing a foley in a female patient.

  What is the correct order of procedure?

  A. Prepare sterile field. Check catheter balloon for patency. Place lubricant on catheter. Place the patient in a supine position with flexed knees. Separate labia with non-dominant hand. Clean the urinary meatus using cleansing solution and forceps. Place catheter in meatus with non-dominant hand. Inflate catheter balloon.

  B. Place the patient in a supine position with flexed knees. Prepare sterile field. Check catheter balloon for patency. Place lubricant on catheter. Separate labia with non-dominant hand. Clean the urinary meatus using cleansing solution and forceps. Place catheter in meatus with dominant (sterile) hand. Inflate catheter balloon.

  C. Place the patient in a supine position with flexed knees. Prepare sterile field. Place lubricant on catheter. Check catheter balloon for patency. Separate labia with dominant hand. Clean the urinary meatus using cleansing solution and forceps. Inflate catheter balloon. Place catheter in meatus with dominant (sterile) hand.

  D. Prepare sterile field. Place the patient in a supine position with flexed knees. Check catheter balloon for patency. Place lubricant on catheter. Clean the urinary meatus using cleansing solution and forceps. Separate labia with non- dominant hand. Place catheter in meatus with dominant (sterile) hand. Inflate catheter balloon.

  Correct Answer: B

• Question 405:

  Which of these would be an appropriate meal for a patient with Celiac disease?

  A. egg noodles with cream sauce and broccoli, oat cookie, almond milk

  B. chicken and rice, apple, and tapioca pudding

  C. turkey sandwich with rye bread, carrots

  D. granola and dried apricots with cow's milk

  Correct Answer: B

• Question 406:

  A nursing care plan for a client with sleep problems has been implemented. All of the following should be expected outcomes except __________.

  A. the client reports no episodes of awakening during the night

  B. the client falls asleep within 1 hour of going to bed

  C. the client reports satisfaction with his amount of sleep

  D. the client rates sleep as an 8 or more on the visual analog scale

  Correct Answer: B

  An expected outcome is that the client falls asleep shortly after going to bed.

  The stages of sleep are defined by 4 stages. By stage 3 or 4 (within a short period of time ?usually 1 hour)

  the client is considered to be in the deep part of sleep.

• Question 407:

  The nurse provides a postoperative client with an analgesic medication and darkens the room before the client goes to sleep for the night.

  The nurse's actions __________.

  A. help the client's circadian rhythm

  B. stimulate hormonal changes in the brain

  C. decrease stimuli from the cerebral cortex

  D. alert the hypothalamus in the brain

  Correct Answer: C

  Reduction of environmental stimuli (particularly light and noise) from the cerebral cortex (which can be an

  area of arousal) facilitates sleep.

  Sleep occurs when there is a decreased input into this area.

• Question 408:

  Following an automobile accident that caused a head injury to an adult client, the nurse observes that the client sleeps for long periods of time.

  The nurse determines that the client has experienced injury to the __________.

  A. hypothalamus

  B. thalamus

  C. cortex

  D. medulla

  Correct Answer: A

  The hypothalamus, when injured, can cause fluctuations and disruptions in sleep patterns.

• Question 409:

  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

  Correct Answer: A

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

• Question 410:

  The NSAID that is comparable to morphine in efficacy is __________.

  A. Feldene

  B. Stodal

  C. Toradol

  D. Elavil

  Correct Answer: C

  Toradol is the first injectable NSAID equal to morphine in efficacy.