NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 481:

  A client has been taking alprazolam (Xanax) for four years to manage anxiety. The client reports taking 0.5 mg four times a day.

  Which statement indicates that the client understands the nurse's teaching about discontinuing the medication?

  A. "I can drink alcohol now that I am decreasing my Xanax."
  B. "I should not take another Xanax pill. Here is what is left of my last prescription."
  C. "I should take three pills per day next week, then two pills for one week, then one pill for one week."
  D. "I can expect to be sleepy for several days after stopping the medicine."
  C. "I should take three pills per day next week, then two pills for one week, then one pill for one week."

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  Xanax, like other benzodiazepines, can cause withdrawal symptoms that include agitation, insomnia, hypertension, seizures, and abdominal pain. The drug must be slowly decreased to prevent withdrawal symptoms.

• Question 482:

  A client asks the nurse what risk factors increase the chances of getting skin cancer.

  The risk factors include all except __________.

  A. light or fair complexion.
  B. exposure to sun for great periods of time.
  C. certain diet and foods.
  D. history of bad sunburns.
  C. certain diet and foods.

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  Conditions that increase risks for skin cancer are: light or fair complexion, history of having bad sunburns or scars from previous burns, personal or family history of skin cancer, frequently working or playing outdoors with exposure to the sun, exposure to X-rays or radiation, exposure to certain chemicals through work or hobbies (coal, pitch, asphalt, petroleum), repeated trauma or injury to an area resulting in scars, older than age 50, male gender, and living in a geographic location near the equator or at high altitudes. Ways to prevent skin cancer are avoiding exposure to the sun, wearing a hat to protect the face, avoiding all sun lamps, and using a sunscreen with a minimum of 15 sun protection factor (SPF) if exposure to the sun is unavoidable. Teaching clients how to recognize a potential problem involves inspecting the skin frequently; noting all birthmarks, freckles, and moles; and seeking medical assistance if any of the following are noted: change in color, change in shape, change in surface texture, change in size, change in the surrounding skin, or a new mole or a sore that does not heal.

• Question 483:

  If Ms. Barrett's distance vision is 20/30, which of the following statements is true?

  A. The client can read from 20' what a person with normal vision can read at 30'.
  B. The client can read from 30' what a person with normal vision can read at 20'.
  C. The client can read the entire chart from 30'.
  D. The client can read the chart from 20' with the left eye and from 30' with the right eye.
  A. The client can read from 20' what a person with normal vision can read at 30'.

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  Explanation Explanation/Reference:The numerator, which is always 20, is the distance in feet between the chart and the client. The denominator, which ranges from 10 to 200, indicates the distance at which a normal eye can read the chart. The eye chart the nurse uses is the Snellen chart, which assesses distance vision.

• Question 484:

  An example of an extended care facility is a __________.

  A. home health agency
  B. suicide prevention center
  C. state-owned psychiatric hospital
  D. nursing facility
  D. nursing facility

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  When an elderly client has been hospitalized for an illness, under Medicare he or she can be transferred to a nursing facility.

• Question 485:

  A client with which of the following conditions is at risk for developing a high ammonia level?

  A. renal failure
  B. psoriasis
  C. lupus
  D. cirrhosis
  D. cirrhosis

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  Explanation Explanation/Reference:A client with cirrhosis is at risk for developing a high ammonia level.

• Question 486:

  The nurse should make __________ responses when questioned by a client about the role of leptin in the body.

  A. It increases food intake in clients, thereby promoting obesity.
  B. It assists in the regulation of steroids.
  C. It increases the total fat mass of people who are obese.
  D. It might decrease the total fat mass in the bodies of people who are obese.
  D. It might decrease the total fat mass in the bodies of people who are obese.

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  Leptin (recessive obesity gene ?protein hormone) is expressed in fat cell coding for the protein that reacts to the percentage of fat cells in the body. Leptin is associated with increased energy expenditure and decreased food intake via hypothalamic control. Obese clients might have insensitivity or resistance to the effects of leptin. Leptin can affect other body hormones such as insulin. Genetic factors include leptin, uncoupling proteins, and the amount of brown/white fat in the body.

• Question 487:

  A patient walks to the nurse's desk and casually mentions he is "going for a smoke" outside. When the LPN reminds him that the hospital has a strict no-smoking policy everywhere on campus, including outside, he becomes verbally abusive.

  What should the nurse's first response be?

  A. Tell him if he insists, he must go off hospital grounds or he may incur a fine.
  B. Tell the patient he is being inappropriate and that he should lower his voice.
  C. Calmly walk the patient back to his room.
  D. Call the attending doctor for a nicotine patch.
  C. Calmly walk the patient back to his room.

• Question 488:

  Legal protection of confidentiality __________.

  A. extends only to written documentation
  B. extends to the electronic dissemination of information not identifiable to a specific client
  C. is important only within the court system
  D. extends to both written and verbal information
  D. extends to both written and verbal information

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  Explanation Explanation/Reference:Legal protection of confidentiality extends to both written and verbal information identifiable as individual private health information.

• Question 489:

  What is the primary nutritional deficiency of concern for a strict vegetarian?

  A. vitamin C
  B. vitamin B12
  C. vitamin E
  D. magnesium
  B. vitamin B12

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  Vitamin B12 is the primary nutritional deficiency of concern for a strict vegetarian.

• Question 490:

  The nurse is turning a client who has a new prosthetic hip.

  Which position should be avoided to prevent injury to the new prosthetic hip?

  A. abduction of the hip
  B. adduction of the hip
  C. flexing the hip at 80?flexion
  D. flexing the hip at 90?
  B. adduction of the hip

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  Explanation Explanation/Reference:New prosthetic hips should have an abduction pillow in place to avoid adduction.