NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 431:

  The nurse is teaching a client about sleep and gives background information on normal sleep patterns. Which of the following substances promotes sleep?

  A. serotonin
  B. cortisone
  C. alcohol
  D. narcotics
  A. serotonin

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  Explanation Explanation/Reference: Serotonin is a substance that is in the body and promotes sleep. Serotonin might play a role in synthesis of a hypnogenic factor that directly causes sleep. Drugs and alcohol can disrupt REM sleep, although they might accelerate the onset of sleep.

• Question 432:

  A patient has experienced a severe third degree burn to the trunk in the last 36 hours. Which phase of burn management is the patient in?

  A. Shock phase
  B. Emergent phase
  C. Healing phase
  D. Wound proliferation phase
  A. Shock phase

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  Explanation Explanation/Reference:The shock phase is considered the first 24-48 hours in wound management.

• Question 433:

  A nurse is working in an outpatient orthopedic clinic. During the patient's history the patient reports, "I tore 3 of my 4 Rotator cuff muscles in the past." Which of the following muscles cannot be considered as possibly being torn?

  A. Teres minor
  B. Teres major
  C. Supraspinatus
  D. Infraspinatus
  B. Teres major

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  Explanation Explanation/Reference:Teres Minor, Infraspinatus, Supraspinatus, and Subscapularis make up the Rotator Cuff.

• Question 434:

  When teaching parents how their children learn sex role identification, the nurse should include which of the following statements?

  A. Sex role identification begins in infancy.
  B. Sex role identification begins in the preschool years.
  C. Sex role identification begins during the school-age years.
  D. Sex role identification begins during early adolescence.
  A. Sex role identification begins in infancy.

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  Sex role identification begins during infancy. Infants can identify body parts by the end of the first year. Preschoolers frequently engage in masturbation and sex play with peers. School-age children continue to gain awareness of their sexual identity. During this time, they might continue to masturbate and engage in sex play. They might add behaviors such as hugging and kissing members of the opposite sex. Adolescent sex role identification is largely influenced by sexual maturation and trying out or assuming a sex role.

• Question 435:

  A 46-year-old has returned from a heart catheterization and wants to get up to start walking 3 hours after the procedure. The nurse should __________.

  A. tell the patient to remain with the leg straight for at least another hour and check the chart for activity orders
  B. allow the patient to begin limited ambulation with assistance
  C. recommend a physical therapy consultation for ambulation
  D. tell the patient to remain with leg straight for another 6 hours and check the chart for activity orders
  A. tell the patient to remain with the leg straight for at least another hour and check the chart for activity orders

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  Explanation Explanation/Reference:The patient should keep the leg straight for at least 4 hours.

• Question 436:

  Which condition is associated with inadequate intake of vitamin C?

  A. rickets
  B. marasmus
  C. kwashiorkor
  D. scurvy
  D. scurvy

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  Scurvy is associated with inadequate intake of vitamin C. The remaining choices refer to other nutritional deficiencies.

• Question 437:

  A nurse is in the operating room where x-rays are being taken during the procedure.

  What is the best way to use this equipment safely?

  A. Ensure the equipment being used to take x-rays has sterile drapes and covers on it to prevent contamination of the sterile field.
  B. Have a lead apron and thyroid shield on when being exposed to active radiation, such as x-rays.
  C. Make sure the patient does not have any metal in their body which could cause the machine to malfunction.
  D. Ensure the time out has been done prior to any x-ray imaging being taken.
  B. Have a lead apron and thyroid shield on when being exposed to active radiation, such as x-rays.

• Question 438:

  The drug of choice to decrease uric acid levels is __________.

  A. prednisone (Colisone)
  B. allopurinol (Zyloprim)
  C. indomethacin (Indocin)
  D. hydrochlorothiazide (HydroDiuril)
  B. allopurinol (Zyloprim)

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  Allopurinol is a drug used to treat gout, and it decreases uric acid formation. Prednisone is a corticosteroid used to decrease inflammation. Indomethacin is an analgesic, anti-inflammatory, and antipyretic agent. Hydrochlorothiazide is a thiazide diuretic used to treat hypertension and edema.

• Question 439:

  You have just learned that another nurse was fired for taking photographs of patients without their permission using a cell phone and posting them on Face book.

  This nurse was fired because the nurse has __________.

  A. violated the law
  B. acted in a negligent manner
  C. not completed the proper documentation
  D. violated an ethical principle
  A. violated the law

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  This nurse was fired because the nurse has violated a federal law, namely, the U.S. government's Health Insurance Portability and Accountability Act (HIPAA). This law protects the patients' rights to the privacy and confidentiality of all medical information, including written, oral electronic information, and personal identity information like photograph taking unless the client has expressly consented to it in writing. Negligence is failing to do something in the proper manner; this invasion of patient privacy is far more serious than a breach of an ethical principle. Lastly, photographs and Facebook posting should never be done so proper documentation is not required. It is still illegal documented or not.

• Question 440:

  Which patient is at greatest risk for papilledema?

  A. An elderly patient with cataracts and macular degeneration.
  B. A male patient with hypothyroidism.
  C. A male patient with hyperthyroidism.
  D. An adolescent with a closed head injury.
  D. An adolescent with a closed head injury.

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  Explanation Explanation/Reference:Patients, including adolescents, with a closed head injury is at greatest risk for papilledema because closed head injuries lead to an increase in intracranial pressure which leads to papilledema. Hyperthyroidism is associated with exophthalmos and there is no relationship or positive correlation of macular degeneration and/or cataracts to papilledema.