NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 461:

  A client expresses anxiety about having magnetic resonance imaging performed. Which of the following is an appropriate response by the nurse?

  A. "You can receive a sedative to help you relax during the test."
  B. "There is absolutely nothing to worry about."
  C. "There is no discomfort with this test, so don't be anxious."
  D. "The test won't last long, so you can handle it."
  A. "You can receive a sedative to help you relax during the test."

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  Explanation Explanation/Reference:This statement reassures the client that there is a solution for relief of his anxiety. The other responses minimize the client's feelings.

• Question 462:

  Ashley and her boyfriend Chris, both 19-years-old, are transported to the Emergency Department after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent injuries, though she appears confused and has trouble focusing on what is going on around her. She complains of dizziness and nausea. Her pulse is rapid, and she is hyperventilating.

  The nurse should assess Ashley's level of anxiety as __________.

  A. mild
  B. moderate
  C. severe
  D. panic
  C. severe

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  The person whose anxiety is assessed as severe is unable to solve problems and has a poor grasp of what's happening in his or her environment. Somatic symptoms such as those described by Ashley are usually present. Vital sign changes are observed. The individual with mild anxiety might report being mildly uncomfortable and might even find performance enhanced. The individual with moderate anxiety grasps less information about the situation, has some difficulty problem-solving, and might have mild changes in vital signs. The individual in panic demonstrates markedly disturbed behavior and might lose touch with reality.

• Question 463:

  Select a myth or falsehood relating to pain, pain management and addiction.

  A. Addiction can be accurately predicted.
  B. Withdrawal, drug tolerance and physical dependence do not indicate addiction.
  C. Pain medications can be used with patients who have a substance abuse history.
  D. Addiction is signaled when the client employs deception and stockpiling.
  B. Withdrawal, drug tolerance and physical dependence do not indicate addiction.

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  Explanation Explanation/Reference:Withdrawal, drug tolerance and physical dependence do not indicate addiction as many people believe. All the other statements are incorrect and myths relating to pain and pain management medications.

• Question 464:

  A mother has come to the pediatric clinic concerned about the recent outbreak of West Nile Virus. The ages of her children are 5, 7, and 10. The mother has asked the nurse what she can do to prevent her children from contracting this illness.

  Which piece of information is best to provide the mother with?

  A. The children should wear long sleeves and long pants while outside.
  B. Apply insect repellant containing DEET when the children are outside.
  C. Remove standing water from the property.
  D. All of the above.
  D. All of the above.

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  It is recommended that the children wear insect repellant containing DEET and long-sleeve shirts and long pants when they are outside. Removing standing water from areas around where the children play can help decrease the number of breeding mosquitoes. These are the only known methods of prevention at this time.

• Question 465:

  A nurse has been instructed to place an IV line in a patient that has active TB and HIV. Which of the following safety equipment should wear the nurse?

  A. Sterile gloves, mask, and goggles
  B. Surgical cap, gloves, mask, and proper shoe wear
  C. Double gloves, gown, and mask
  D. Goggles, mask, gloves, and gown
  D. Goggles, mask, gloves, and gown

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  Explanation Explanation/Reference:All protective measures must be worn; it is not required to double glove.

• Question 466:

  An elderly client denies that abuse is occurring.

  Which of the following factors could be a barrier for the client to admit being a victim?

  A. knowledge that elder abuse is rare
  B. personal belief that abuse is deserved
  C. lack of developmentally appropriate screening tools
  D. fear of reprisal or further violence if the incident is reported
  D. fear of reprisal or further violence if the incident is reported

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  Explanation Explanation/Reference:Barriers to reporting elder abuse include victim shame, fear of reprisals, fear of loss of caregiver, and lack of knowledge of agencies that provide services. Many elders fear that reporting abuse results in their placement in long-term care because the current caregiver is the abuser. Choices "knowledge that elder abuse is rare" and "lack of developmentally appropriate screening tools" are incorrect. Choice "personal belief that abuse is deserved" might be true but is not the best choice.

• Question 467:

  A nurse teaching a patient with COPD pulmonary exercises should __________.

  A. teach pursed-lip breathing techniques
  B. encourage repetitive heavy lifting exercises that will increase strength
  C. limit exercises based on respiratory acidosis
  D. take breaks every 10-20 minutes with exercises
  A. teach pursed-lip breathing techniques

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  Explanation Explanation/Reference:Purse lip breathing will help decrease the volume of air expelled by increased bronchial airways.

• Question 468:

  The physician wants to know if a client is tolerating his total parenteral nutrition.

  Which of the following laboratory tests is likely to be ordered?

  A. triglyceride level
  B. liver function tests
  C. a glucose tolerance test
  D. a complete blood count
  B. liver function tests

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  The liver is the primary organ for digestion. Liver function tests measure the blood level of enzymes produced by the liver: prothrombin time/partial prothrombin time, serum glutamic oxaloacetic and pyruvic transaminases, gamma glutamyl transpeptidase, albumin, and alkaline phosphatase. Triglyceride level measures the body's ability to clear triglycerides, the primary component of fats. Failure to clear triglycerides from the bloodstream indicates a problem with storage or the ingestion of too much fat. A glucose tolerance test measures the blood glucose at intervals after a glucose-rich solution is ingested; it is used for diagnosing diabetes. A complete blood count is used to evaluate blood components.

• Question 469:

  A client is having psychological counseling for problems communicating with his mother.

  Which model of stress is the most useful in reference to this stressor?

  A. Adaptation Model
  B. Stimulus-Based Model
  C. Transaction-Based Model
  D. Selye's Model of Stress
  C. Transaction-Based Model

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  The Transaction-Based Model is, according to R.S. Lazarus, a state that Stimulus theory and Response theory do not consider individual differences. He takes into account cognitive processes that intervene between the encounter and the reaction and the factors that affect the nature of this process. He includes mental and psychological components or responses as part of his concept of stress (Person ?Environment Transactions).

• Question 470:

  A young female teenager describes a brutal assault and rape to the nurse on duty. Which of the following actions should the nurse take first?

  A. Check with case manager on duty about possible police intervention.
  B. Provide an environment of concern and emotional stabilization.
  C. Clean the patient's wounds with normal saline and gauze.
  D. Recommend a good attorney to the patient.
  B. Provide an environment of concern and emotional stabilization.

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  Explanation Explanation/Reference:Emotional support is what that patient needs most at this point in time.