NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 421:

  The LPN is caring for a patient who is recovering from cataract surgery.

  Which of these statements, made by the patient, requires clarification from the nurse?

  A. "I will call the office if I start to see `light flashes' or `floaters' in front of my eyes."
  B. "I know I may need glasses for a while after this surgery."
  C. "I know it's normal for my eyes to feel irritated or itchy after surgery, so I will use my Visine?eyedrops as needed."
  D. "My eye should be completely healed after about 8 weeks."
  C. "I know it's normal for my eyes to feel irritated or itchy after surgery, so I will use my Visine?eyedrops as needed."

• Question 422:

  During the health screening of an adolescent, which finding by the nurse requires further teaching?

  A. The client started her first menses 2 years ago.
  B. The client states she is currently on birth control pills.
  C. The client states she recently lost 5 pounds.
  D. The client states she is experiencing growing pains.
  B. The client states she is currently on birth control pills.

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  Because the client is on the pill, she requires further teaching regarding protection against STDs. The other findings are not abnormal for an adolescent.

• Question 423:

  Mrs. Owens is the 81-year-old mother of Jonathan, who is 54 years old. Jonathan has had schizophrenia since he was 16 years old.

  Which of Mrs. Owens's concerns is likely to predominate?

  A. "Will my retirement funds outlast me?"
  B. "Who will handle my funeral arrangements?"
  C. "What will become of Jonathan when I am gone?"
  D. "How can I get Jonathan's physician to talk to me?"
  C. "What will become of Jonathan when I am gone?"

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  The mother's most prominent concern is likely to be what becomes of her son after she dies. Choice "Will my retirement funds outlast me?" is important but is not likely to be her most prominent concern. Choice "Who will handle my funeral arrangements?" is also not likely to be her primary concern because the welfare of her son with schizophrenia is more important. Choice "How can I get Jonathan's physician to talk to me?" is incorrect because Mrs. Owens has likely confronted and handled concerns about getting the physician to talk to her after 38 years of managing her son's care.

• Question 424:

  The focus of a nurse case manager is __________.

  A. nursing care needs at discharge
  B. the comprehensive care needs of the client for continuity of care
  C. client education needs upon discharge
  D. financial resources for needed care
  B. the comprehensive care needs of the client for continuity of care

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  Explanation Explanation/Reference:By definition, case management is a process of providing for the comprehensive care needs of a client for continuity of care throughout the health care experience.

• Question 425:

  Which of the following foods can cause diarrhea when eaten by a client with an ileostomy?

  A. eggs
  B. coffee
  C. fish
  D. garlic
  B. coffee

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  Explanation Explanation/Reference:Coffee might cause diarrhea in a client with an ileostomy. The other foods might cause odor.

• Question 426:

  What interpersonal relief behavior is Ashley using?

  A. acting out
  B. somatizing
  C. withdrawal
  D. problem-solving
  B. somatizing

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  Somatizing means one experiences an emotional conflict as a physical symptom. Ashley manifests several physical symptoms associated with severe anxiety. Acting out refers to behaviors such as anger, crying, laughter, and physical or verbal abuse. Withdrawal is a reaction in which psychic energy is withdrawn from the environment and focused on the self in response to anxiety. Problem-solving takes place when anxiety is identified and the unmet need is met.

• Question 427:

  A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first __________.

  A. review their own cultural beliefs and biases
  B. respectfully request that the couple utilize only medically approved health care providers
  C. realize that the clients have to learn their new country's accepted medical practices
  D. study family dynamics to understand the male and female gender roles in the clients' culture
  A. review their own cultural beliefs and biases

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  Explanation Explanation/Reference:The nurse needs to recognize her own beliefs and biases and learn about the client's cultural beliefs.

• Question 428:

  Which isolation procedure will be followed for secretions and blood?

  A. Respiratory
  B. Standard Precautions
  C. Contact Isolation
  D. Droplet
  B. Standard Precautions

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  Explanation Explanation/Reference:Standard precautions are taken in all situations for all clients and involve all body secretions except sweat and are designed to reduce the rate of transmission of microbes from one host to another or one source (environment such as the client's bedside table) to another.

• Question 429:

  A nurse is assessing a patient's right lower extremity. The extremity is warm to touch, red and swollen. The patient is also running a low fever. Which of the following conditions would be the most likely cause of the patient's condition?

  A. Herpes
  B. Scleroderma
  C. Dermatitis
  D. Cellulitis
  D. Cellulitis

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  Explanation Explanation/Reference:Inflammation of cellular tissue associated with a fever most likely indicates cellulitis.

• Question 430:

  In an obstetrical emergency, which of the following actions should the nurse perform first after the baby delivers?

  A. Place extra padding under the mother to absorb blood from the delivery.
  B. Cut the umbilical cord using sterile scissors.
  C. Suction the baby's mouth and nose.
  D. Wrap the baby in a clean blanket to preserve warmth.
  C. Suction the baby's mouth and nose.

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  Explanation Explanation/Reference:After the baby delivers, the nurse should clear the mouth and nose of the infant first. Choice "Wrap the baby in a clean blanket to preserve warmth." is the next step. Choices "Place extra padding under the mother to absorb blood from the delivery." and "Cut the umbilical cord using sterile scissors." might be performed depending on the situation.