NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 41:

  A nurse is caring for a patient in the step down unit. The patient has signs of increased intracranial pressure. Which of the following is not a sign of increased intracranial pressure?

  A. Bradycardia
  B. Increased pupil size bilaterally
  C. Change in LOC
  D. Vomiting
  B. Increased pupil size bilaterally

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  Explanation Explanation/Reference:Unilateral pupil changes indicate changes in ICP.

• Question 42:

  When planning intervention for a client during a crisis, which of the following outcomes is most appropriate?

  A. The client should explore deep psychological problems.
  B. The client should express positive feelings about event.
  C. The client should identify needs that are threatened by the event.
  D. The client should use constructive coping mechanisms.
  D. The client should use constructive coping mechanisms.

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  The primary goal of crisis intervention is to relieve the symptoms of anxiety and foster constructive coping. Previous psychological issues might recur during crisis, but the focus is on short-term resolution of the current problem. At the end, the nurse credits a client for positive changes and helps him or her understand what was learned. This allows the client to use the learned coping mechanisms when new problems arise.

• Question 43:

  How many minims are contained in 1 milliliter?

  A. Between 10-11
  B. 12
  C. 20
  D. Between 15 or 16
  D. Between 15 or 16

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  A minim is 1/480 of a fluid ounce or 0.0020833333333333 oz. 1 milliliter equals 0.033814 ounces.

• Question 44:

  A client, age 28, is 81/2 months pregnant.

  She is most likely to display which normal skin-color variation?

  A. vitiligo
  B. erythema
  C. cyanosis
  D. chloasma
  D. chloasma

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  Chloasma, also known as the mask of pregnancy, is described as tan-to-brown patches on the face. This hyperpigmentation results from hormonal changes.

• Question 45:

  The PN is admitting a patient to the unit and the patient has rapidly blinking eyes, stuck out tongue, and a distorted posture.

  Which of these medications is the patient most likely taking?

  A. Ondansetron
  B. Haloperidol
  C. Clozapine
  D. Fluoxetine
  B. Haloperidol

• Question 46:

  Which type of hepatitis is transmitted via the fecal-oral route?

  A. A
  B. B
  C. C
  D. D
  A. A

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  Type A hepatitis is transmitted via the fecal-oral route. The remaining types have other modes of transmission.

• Question 47:

  A patient has been ordered to get Klonapin for the first time. Which of the following side effects is not associated with Klonapin?

  A. Drowsiness
  B. Ataxia
  C. Salivation elevated
  D. Diplopia
  D. Diplopia

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  Drowsiness, Ataxia, Salivation elevated are associated side effects of Klonapin.

• Question 48:

  The physician orders the antibiotics ampicillin (Omnipen) and gentamicin (Garamycin) for a newly admitted client with an infection.

  The nurse should __________.

  A. administer both medications simultaneously.
  B. give the medications sequentially, and flush well between them.
  C. ask the physician or pharmacy which medication to give first and how long to wait before giving the other drug.
  D. start one medication now and begin the other medication in 2-4 hours.
  B. give the medications sequentially, and flush well between them.

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  A client with an infection needs both antibiotics as soon as possible. However, the pH of ampicillin is 8-10, and the pH of gentamicin is 3-5.5 (making them incompatible when given together). Flushing well between drugs is necessary. To ask the physician or pharmacy which medication to give first and how long to wait before giving the other drug is incorrect because the PN determines the correct steps and consults with the pharmacist and the physician as necessary. To start one medication now and begin the other medication in 2-4 hours is incorrect because delaying the second medication by several hours slows the treatment of the client's infection.

• Question 49:

  What significant event occurs in the orientation phase of a nurse-client relationship?

  A. establishment of roles
  B. identification of transference phenomenon
  C. placement of the client within the client's family structure
  D. client agreement that the nurse has the authority in the relationship
  B. identification of transference phenomenon

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  Transference phenomena are intensified in relationships with authority, such as physicians and nurses. Common positive transferences include desire for affection and gratification of dependency needs. Common negative transferences include hostility and competitiveness. These transferences must be recognized and resolved before growth and positive change can be undertaken in the working stage.

• Question 50:

  In a disaster, triage situation, the nurse should be least concerned with which of the following regarding a client in crisis?

  A. ability to breathe
  B. pallor or cyanosis of the skin
  C. number of accompanying family members
  D. motor function
  C. number of accompanying family members

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  Explanation Explanation/Reference:The least important factor (of those listed) during an emergency situation is the number of accompanying family members.