NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 451:

  When assessing a client in the Emergency Department whose membranes have ruptured, the nurse notes that the fluid is a greenish color. What is the cause of this greenish coloration?

  A. blood
  B. meconium
  C. hydramnios
  D. caput
  B. meconium

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  Explanation Explanation/Reference:Greenish amniotic fluid passed when the fetus is in a cephalic (head) presentation might indicate fetal distress. A fetus in the breech presentation passes meconium due to compression on the intestinal tract.

• Question 452:

  Select the cranial nerve that is accurately paired with its name.

  A. The first cranial nerve: The trochlear nerve.
  B. The twelfth cranial nerve: The hypoglossal nerve.
  C. The tenth cranial nerve: The olfactory nerve.
  D. The thirteenth cranial nerve: The auditory nerve.
  E. Olfactory Nerve: Transmits the sense of smell.
  F. Optic Nerve: Transmits visual signals from the retina of the eye to the brain.
  G. Oculomotor Nerve: Controls most eye movements.
  H. Trochlear Nerve: Moves the eyeballs.
  I. Trigeminal Nerve: Innervates the chewing muscles.
  J. Abducens Nerve: Eye abduction. K. Facial Nerve: Controls facial expressions, the lacrimal glands, the salivary glands and other muscles. L. Acoustic Nerve: Gravity, sound and rotation sensations. M. Glossopharyngeal Nerve: Senses taste. N. Vagus Nerve: It innervates the laryngeal and pharyngeal muscles and controls voice resonance and swallowing. O. Spinal Accessory Nerve: It innervates the trapezius and sternocleidomastoid muscles.
  B. The twelfth cranial nerve: The hypoglossal nerve.

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  The twelfth cranial nerve is the hypoglossal nerve. This nerve controls and provides motor innervation to the tongue muscles.

• Question 453:

  The method of splinting is always dictated by ___________.

  A. location of the injury and whether it is open or closed
  B. the severity of the client's condition and the priority decision
  C. the number of available rescuers and the type of splints
  D. all of the above
  B. the severity of the client's condition and the priority decision

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  Explanation Explanation/Reference:The method of splinting is always dictated by the severity of the client's condition and the priority decision.

• Question 454:

  The nurse working with elderly clients should keep in mind that falls are most likely to happen to elderly who are __________.

  A. in their 80s
  B. living at home
  C. hospitalized
  D. living on only Social Security income
  C. hospitalized

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  Explanation Explanation/Reference:Elder people are particularly prone to falling and incurring serious injury, especially in new situations and environments (such as the hospital).

• Question 455:

  You are working in a pediatric unit of the hospital and caring for a six-year-old boy who is hospitalized with cystic fibrosis and respiratory compromise. Which developmental task is the challenge for this boy at his age?

  A. To cough, deep breath and improve respiratory status.
  B. To establish industry and self-confidence.
  C. To develop autonomy and self-control.
  D. To develop initiative and a sense of purpose.
  D. To develop initiative and a sense of purpose.

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  Explanation Explanation/Reference:According to Erik Erikson, a developmental psychologist, the preschool child is challenged with initiative, the development of confidence and a sense of purpose.

• Question 456:

  The PN is caring for a patient in recovery who has had an open laparotomy. The patient has a coughing fit, and the PN notices the sutures have torn and a small loop of bowel has protruded from the incision.

  Which of these actions would be the least appropriate?

  A. The PN should maintain light pressure on the area.
  B. The PN should monitor the patient for shock.
  C. The PN should gently guide the loop of bowel back into the abdominal cavity.
  D. The PN should dampen a sterile towel and place it over the wound.
  C. The PN should gently guide the loop of bowel back into the abdominal cavity.

• Question 457:

  The emergency triage nurse should perform which action upon receiving the history that a client has a severe cough, fever, night sweats, and body wasting?

  A. Place the client in the waiting room until an available cubicle is open.
  B. Seclude the client from other clients and visitors.
  C. Perform no intervention because it might not be necessary until tests confirm a disease.
  D. Don gown, gloves, and mask immediately.
  B. Seclude the client from other clients and visitors.

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  The client is describing signs and symptoms of tuberculosis. The client is potentially infectious to others and should be secluded. A respirator mask should be worn by caregivers, but it is not necessary for the nurse to don a gown and gloves. If the client is moved to other areas such as radiology, a mask should be worn by the client and a respirator mask should be worn by those working in close contact with the client.

• Question 458:

  Why must the nurse be careful not to cut through or disrupt any tears, holes, bloodstains, or dirt present on the clothing of a client who has experienced trauma?

  A. The clothing is the property of another and must be treated with care.
  B. Such care facilitates repair and salvage of the clothing.
  C. The clothing of a trauma victim is potential evidence with legal implications.
  D. Such care decreases trauma to the family members receiving the clothing.
  C. The clothing of a trauma victim is potential evidence with legal implications.

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  Trauma in any client, living or dead, has potential legal and/or forensic implications. Clothing, patterns of stains, and debris are sources of potential evidence and must be preserved. Nurses must be aware of state and local regulations that require mandatory reporting of cases of suspected child and elder abuse, accidental death, and suicide. Each Emergency Department has written policies and procedures to assist nurses and other health care providers in making appropriate reports. Physical evidence is real, tangible, or latent matter that can be visualized, measured, or analyzed. Emergency Department nurses can be called on to collect evidence. Health care facilities have policies governing the collection of forensic evidence. The chain of evidence custody must be followed to ensure the integrity and credibility of the evidence. The chain of evidence custody is the pathway that evidence follows from the time it is collected until has served its purpose in the legal investigation of an incident.

• Question 459:

  Light therapy can be effective for __________.

  A. overcoming weight problems
  B. helping with allergies
  C. use in alternative medical treatments
  D. working with sleep patterns
  D. working with sleep patterns

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  Light therapy can be effective in treating problems associated with sleep patterns, stress, moods, jaundice in newborns, and seasonal affective disorders.

• Question 460:

  A nurse is giving shift report off to the oncoming LPN.

  Which of these is an inappropriate shift report?

  A. The nurse gives report to the oncoming LPN, checking a wound vac and dressing together.
  B. The nurse reports in SBAR format, noting that the patient was noncompliant with their diet during the shift.
  C. The nurse reports in the hallway, SBAR format, and alerts the oncoming LPN about how rude the patient was throughout the shift.
  D. The nurse reports at bedside with the oncoming LPN and discusses the patient's concerns after the chart has been reviewed.
  C. The nurse reports in the hallway, SBAR format, and alerts the oncoming LPN about how rude the patient was throughout the shift.