NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 491:

  Which of the following medications is a serotonin antagonist that might be used to relieve nausea and vomiting?

  A. metoclopramide (Reglan)
  B. onedansetron (Zofran)
  C. hydroxyzine (Vistaril)
  D. prochlorperazine (Compazine)
  B. onedansetron (Zofran)

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  Explanation Explanation/Reference:Zofran is a serotonin antagonist that can be used to relieve nausea and vomiting. The other medications can be used for nausea and vomiting, but they have different mechanisms of action.

• Question 492:

  The nurse supporting a family who has just experienced a sudden and unexpected death needs to know __________.

  A. that survivors have greater emotional turmoil and shock than when death is expected.
  B. that survivors have less emotional turmoil and shock than when death is expected.
  C. that survivors have the same emotional turmoil and shock as when death is expected.
  D. that survivors have little emotional turmoil and shock because they were not there.
  A. that survivors have greater emotional turmoil and shock than when death is expected.

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  Sudden death produces greater emotional turmoil and shock in survivors than does a gradual, expected death. Survivors do not have time to engage in anticipatory grief. The most disturbing and unbalancing feature of sudden death is its unexpectedness.

• Question 493:

  In teaching clients with Buck's Traction, the major areas of importance should be __________.

  A. nutrition, ROM exercises
  B. ROM exercises, transportation
  C. nutrition, elimination, comfort, safety
  D. elimination, safety, isotonic exercises
  C. nutrition, elimination, comfort, safety

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  Explanation Explanation/Reference:Nutrition, elimination, comfort, and safety are the major areas of importance. The diet should be high in protein with adequate fluids.

• Question 494:

  The physician's role in case management includes all of the following except ___________.

  A. participating in interdisciplinary planning for clients.
  B. serving as the expert for resource utilization.
  C. consulting with the case management team to facilitate timely orders as needed.
  D. contributing to the documentation of a client's needs for services.
  B. serving as the expert for resource utilization.

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  The physician is an integral part of the case-management process in terms of assisting with defining the client's needs and the time frames for movement through the health care system; however, the physician is the expert for medical diagnosis and treatment rather than resource utilization.

• Question 495:

  A client is given an opiate drug for pain relief following general anesthesia. The client becomes extremely somnolent with respiratory depression.

  The physician is likely to order the administration of __________.

  A. naloxone (Narcan)
  B. labetalol (Normodyne)
  C. neostigmine (Prostigmin)
  D. thiothixene (Navane)
  A. naloxone (Narcan)

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  Naloxone is an opiate antagonist. It attaches to opiate receptors and blocks or reverses the action of narcotic analgesics. Labetalol (Normodyne) is incorrect because Labetalol is a beta blocker. Neostigmine (Prostigmin) is incorrect because Neostigmine is an anticholinesterase agent. Tthiothixene (Navane) is incorrect because Thiothixene is an antipsychotic agent.

• Question 496:

  According to the ANA Code of Ethics for Nurses, professional nurses have an ethical obligation to __________.

  A. clients (patients)
  B. the profession of nursing
  C. provide high-quality care
  D. all of the above
  D. all of the above

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  All the choices are elements of the ANA Code of Ethics for Nurses.

• Question 497:

  Attaching a restraint to a side rail or other movable part of the bed can __________.

  A. do nothing to the client
  B. injure the client if the rail or bed is moved
  C. help the client stay in the bed without falling out
  D. help the client with better posture
  B. injure the client if the rail or bed is moved

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  Explanation Explanation/Reference:Attaching a restraint to a movable part of the bed can cause client injury if that part of the bed is moved before releasing restraints.

• Question 498:

  How long can women lactate for?

  A. Indefinitely
  B. 12 to 18 months
  C. 18 to 24 months
  D. 30 to 36 months
  A. Indefinitely

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  A woman can lactate indefinitely; however, it puts them at risk of developing osteoporosis due to the calcium depletion from the bones and teeth. Letting the baby wean itself is ideal. Ideally, all babies should be exclusively breastfed for six months with the gradual introduction of solid foods while continuing to breastfeed. Most women in the United States stop breastfeeding following the twelfth month of life.

• Question 499:

  A spinal change occurring with pregnancy that alters mobility is __________.

  A. scoliosis
  B. kyphosis
  C. lordosis
  D. ankylosing spondylitis
  C. lordosis

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  Explanation Explanation/Reference:The spinal change occurring with pregnancy is lordosis. This occurs due to the weight of the enlarging uterus and the effect of gravity.

• Question 500:

  Which of these would be an appropriate assignment for the LPN/LVN?

  A. a 20-year-old patient with Cystic Fibrosis who needs an early morning sputum sample collection
  B. an 84-year-old patient 2 days post-op after knee replacement surgery who needs help ambulating
  C. an 18-year-old femur fracture patient who is just returning to the floor from the recovery unit
  D. a 35-year-old patient who is suffering from an acute asthma attack
  A. a 20-year-old patient with Cystic Fibrosis who needs an early morning sputum sample collection