NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 471:

  Using clich閟 in therapeutic communication leads the client toward __________.

  A. viewing the nurse as human
  B. accepting himself as human
  C. self-disclosing
  D. feeling discounted
  D. feeling discounted

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  The use of clich閟 in therapeutic communication is commonly construed by the client as the nurse's lack of understanding, involvement, and caring, so the client might feel demeaned and discounted.

• Question 472:

  A nurse taking a patient's history realizes the patient is complaining of SOB and weakness in the lower extremities. The patient has a history of hyperlipidemia, and hypertension. Which of the following may be occurring?

  A. The patient is developing CHF.
  B. The patient may be having a MI.
  C. The patient may be developing COPD.
  D. The patient may be having an onset of PVD.
  B. The patient may be having a MI.

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  Explanation Explanation/Reference:Myocardial infarction may be associated with SOB and muscle weakness.

• Question 473:

  The LPN collects this set of vital signs from the patient:

  Pulse 67,

  Blood Pressure 167/89,

  Temperature 96.2 F,

  Pulse Ox 98%.

  What would be the most appropriate next action?

  A. Apply a warm blanket.
  B. Administer Metoprolol.
  C. Contact the physician.
  D. Review the patient's chart.
  D. Review the patient's chart.

• Question 474:

  Which skin disorder most closely resembles and mimics dandruff?

  A. Lice infestation
  B. Scabies
  C. Dematitis
  D. Acne vulgaris
  A. Lice infestation

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  Lice infestation with nits most closely resembles and mimics dandruff. Other signs and symptoms of lice infestation include itching and small, red bumps on the scalp, shoulders and/or neck. Scabies is characterized with itchiness and thin, irregular mite burrow tracks that appear like tiny blisters or bumps on the skin. Dermatitis is evidenced with an itchy rash on swollen, reddened skin. Acne vulgaris appears as blackheads and/or whiteheads, papules, pustules, nodules, and/or cysts.

• Question 475:

  The nurse teaching about preventable diseases should emphasize the importance of getting the following vaccines __________.

  A. human papilloma virus, genital herpes, measles
  B. pneumonia, HIV, mumps
  C. syphilis, gonorrhea, pneumonia
  D. polio, pertussis, measles
  D. polio, pertussis, measles

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  Explanation Explanation/Reference:Vaccines are one of the most effective methods of preventing and controlling certain communicable diseases. The smallpox vaccine is not currently in use because the smallpox virus has been declared eradicated from the world's population. Diseases such as polio, diphtheria, pertussis, and measles are mostly controlled by routine childhood immunization. They have not, however, been eradicated, so children need to be immunized against these diseases.

• Question 476:

  Acyclovir is the drug of choice for __________.

  A. HIV
  B. HSV 1 and 2 and VZV
  C. CMV
  D. influenza A viruses
  B. HSV 1 and 2 and VZV

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  Acyclovir (Zovirax) is specific for treatment of herpes virus infections. There is no cure for herpes. Acyclovir is excreted unchanged in the urine and therefore must be used cautiously in the presence of renal impairment. Drugs that treat herpes inhibit viral DNA replication by competing with viral substrates to form shorter, ineffective DNA chains.

• Question 477:

  The teaching plan for a postpartum client who is about to be discharged should include which of the following instructions?

  A. "It is normal for your breasts to be tender. You should call the physician if you also have redness and fatigue."
  B. "Because your baby was delivered vaginally, you might have to urinate more frequently."
  C. "It is normal to run a low-grade temperature for a few days. If it is higher than 100?F, call your physician."
  D. "Be sure to call your physician if your vaginal discharge becomes bright red."
  D. "Be sure to call your physician if your vaginal discharge becomes bright red."

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  The vaginal discharge after birth is called lochia, and it changes from red (rubra) to serosa (clear) on the third postpartum day. If it returns to red or contains clots, it could signal impending hemorrhage or infection and the physician should be notified. It is not normal for the breasts to be tender. If the breasts become engorged, they might be tender and the mother might need to be given additional instructions on breast care. Tenderness, redness, and fatigue are clinical manifestations of mastitis and should be reported to the physician. A woman should void in normal patterns and frequency after birth. Increased frequency is a sign of a urinary tract infection and should be reported to the physician. By the time of discharge, the woman's temperature should be normal. Elevations should be reported to the physician.

• Question 478:

  The LPN is about to give 100 mg Lopressor (metoprolol) to a patient. Before administering the drug, he takes the patient's vitals, which are as follows:

  Pulse: 58 Blood Pressure: 90/62 Respirations: 18/minute

  What action should the LPN take?

  A. Give the patient half the prescribed dose and report the findings to the RN on duty.
  B. Hold the drug and report the findings to the RN on duty.
  C. Give the patient double the dose and report the findings to the RN on duty.
  D. Administer the drug and report the findings to the RN on duty.
  B. Hold the drug and report the findings to the RN on duty.

• Question 479:

  Who should receive the hepatitis A vaccine?

  A. children who are 18 months of age
  B. infants, who should receive the vaccination at birth
  C. people who travel to other countries
  D. individuals who might come into contact with blood
  C. people who travel to other countries

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  Hepatitis A is for individuals who travel or persons with chronic liver disease. Infants receive the hepatitis B vaccine at birth. DTaP is administered at 18 months of age. Individuals who come into contact with blood should be immunized against hepatitis B.

• Question 480:

  The orientation nurse educator reviewing the biohazard legend with a class of new employees states that the emblem is affixed to containers whenever __________.

  A. there is presence of blood and body fluids
  B. there is the need for droplet precaution
  C. there is contact isolation
  D. there is the potential for airborne transmission
  A. there is presence of blood and body fluids

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  When body substances are handled, the potential for transmission is increased; therefore, federal regulations require warning labels to communicate with other employees and/or waste collectors. The biohazard alert is a three-ring symbol overlaying a central concentric ring. Blood, drainagefrom wounds, feces, and urine are all body fluids that can transfer infection and disease to others.