NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 411:

  An 80-year-old aphasic CVA client had abdominal surgery 2 days ago.

  Which of the following puts this client at the highest risk for inadequate pain management?

  A. inability to turn, cough, and breathe deeply
  B. inability to communicate pain
  C. inability to ambulate freely
  D. inability to use a bedside commode
  B. inability to communicate pain

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  Explanation Explanation/Reference:The client cannot speak to alert the nurse to his pain state. The nurse needs to provide alternate methods of communication with the client.

• Question 412:

  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
  B. chicken and rice, apple, and tapioca pudding

• Question 413:

  Which of the following medications is not considered a neuromuscular blocker?

  A. Anectine
  B. Pavulon
  C. Pitressin
  D. Mivacron
  C. Pitressin

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  Explanation Explanation/Reference:Pitressin is a hormone replacement medication.

• Question 414:

  Kleinman's Explanatory Model of Health and Illness is significant because __________.

  A. it explains what kind of health beliefs a family is likely to have
  B. it brings out the importance of culture in forming health explanations
  C. it discusses the important role that popular and folk domains of influence have
  D. it has an educational base to the structure
  C. it discusses the important role that popular and folk domains of influence have

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  The anthropologist Kleinman makes a distinction between disease and illness. Disease is the health care professionals' biomedical understanding of the health problem, while illness is the client's personal and unique understanding and definition of what is happening to him. The theorist states that cultural factors determine the importance of the various domains of influence.

• Question 415:

  While performing a physical assessment on a 6-month-old infant, the nurse observes head lag.

  Which of the following nursing actions should the nurse perform first?

  A. Ask the parents to allow the infant to lay on her stomach to promote muscle development.
  B. Notify the physician because a developmental or neurological evaluation is indicated.
  C. Document the findings as normal in the nurse's notes.
  D. Explain to the parents that their child is likely to be mentally retarded.
  B. Notify the physician because a developmental or neurological evaluation is indicated.

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  Head lag should be completely resolved by 4 months of age. Continuing head lag at 6 months of age indicates the need for further developmental or neurological evaluation. Laying the infant on her stomach promotes muscle development of the neck and shoulder muscles, but because of the age of this child, a referral should be the first action. These findings are not normal for a 6-month-old infant. Significant head lag can be seen in infants with Down syndrome and hypoxia, as well as neurologic and other metabolic disorders. Some of those disorders might have mental retardation as a component. However, this child needs to have the referral to determine the cause of the head lag first.

• Question 416:

  An LPN is discussing medication safety with a toddler patient's parent. Which statement made by the parent would be a cause for concern?

  A. "I always check to make sure the safety cap `clicks' when I close it."
  B. "We store all of our medicine on a really high shelf that even I need a step stool to reach."
  C. "To get her to take her medicine, we just tell her it's like candy."
  D. "We store our medicines and vitamins together."
  C. "To get her to take her medicine, we just tell her it's like candy."

• Question 417:

  The teaching plan for gay or lesbian parents who want to disclose their homosexuality to their children should include all of the following instructions except __________.

  A. disclose the information before the child knows or suspects
  B. be comfortable with your sexual preference first
  C. have the discussion in a quiet place where interruptions are unlikely
  D. explain how your relationship with the child changes because of the discussion
  D. explain how your relationship with the child changes because of the discussion

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  Children of gay and lesbian parents should be reassured that their relationship with their parent will not change because of the discussion. Choices "disclose the information before the child knows or suspects", "be comfortable with your sexual preference first" and "have the discussion in a quiet place where interruptions are unlikely" are all important aspects of the disclosure. As children grow, they might have additional questions. Preschool children might not understand the absence of a father or mother. Schoolage children might be troubled that their family isn't like their friends' families. Adolescents might become reluctant to discuss it or accept it even though they expressed acceptance at an earlier age. In general the earlier children are informed, the easier it is for them to accept and assimilate the information. Nurses need to be nonjudgmental and learn how to express and accept these differences so that they can keep the nurse-child-family relationship intact.

• Question 418:

  A client's postoperative pain seems to be getting worse instead of better. When the nurse asks the client, "Why do you think it's getting worse?" the client replies, "My wife died last month. It's all I can think about." The nurse must now consider ___________.

  A. calling the physician for an increased dosage of pain medication
  B. calling the physician for a sedative
  C. referring the client for a psychiatric consult
  D. developing interventions for grief and loss
  D. developing interventions for grief and loss

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  Explanation Explanation/Reference:The client's pain is affective as well as sensory. Grieving his wife's death is a normal response that does not necessarily require psychiatric consult. Calling the physician for an increased dosage of pain medication and calling the physician for a sedative address the sensory, not the affective component of his pain.

• Question 419:

  When performing a venipuncture, at what angle should the needle be inserted into the skin?

  A. 15-30 degrees
  B. 0-15 degrees
  C. 30-45 degrees
  D. 45-60 degrees
  A. 15-30 degrees

• Question 420:

  On first meeting, a new nurse manager makes eye contact, smiles, initiates conversation about the previous work experience of nurses, and encourages active participation by nurses in the dialogue. Her behavior is an example of __________.

  A. aggressiveness
  B. passive aggressiveness
  C. passiveness
  D. assertiveness
  D. assertiveness

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  Explanation Explanation/Reference:This nurse manager is demonstrating assertive behavior. Aggressive behavior dominates or embarrasses. Passive behavior is nervous or timid. Passive-aggressive behavior is dominating or manipulative without directness.