NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 501:

  A 64-year-old male who has been diagnosed with COPD, and CHF exhibits an increase in total body weight of 10 lbs. over the last few days. The nurse should __________.

  A. contact the patient's physician immediately
  B. check the intake and output on the patient's flow sheet
  C. encourage the patient to ambulate to reduce lower extremity edema
  D. check the patient's vitals every 2 hours
  B. check the intake and output on the patient's flow sheet

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  Explanation Explanation/Reference:Check the intake and output prior to making any decisions about patient care.

• Question 502:

  The LPN is taking care of a patient who is on Phenelzine (Nardil) for depression. Which meal would the nurse encourage the patient to avoid?

  A. orange juice and toast
  B. prosciutto and cheese plate
  C. carbonated water, shrimp and rice
  D. steak and potatoes
  B. prosciutto and cheese plate

• Question 503:

  A thirty-seven-year-old female in room 307 has a diagnosis of acquired immune deficiency syndrome (AIDS). Which of the following situations requires nurse intervention?

  A. A certified nursing assistant states, "The patient in 307 is not wearing gloves shaving her legs."
  B. A nursing assistant at the nursing station states, "The patient in 307 has a respiratory rate of 16."
  C. A nursing student in the cafeteria states, "Dr. Jones told the patient in room 307 that she was going to die."
  D. A certified nursing assistant states, "Dr. Jones hasn't made rounds this morning."
  C. A nursing student in the cafeteria states, "Dr. Jones told the patient in room 307 that she was going to die."

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  Explanation Explanation/Reference:Patient confidentiality should be observed, especially in public places. The nurse should tell the nursing student do not discuss confidential information in public.

• Question 504:

  Which statement about appendicitis is accurate and true?

  A. Appendicitis is more common among females than males.
  B. A high fiber diet is a risk factor associated with appendicitis.
  C. Left lower quadrant pain is suggestive of appendicitis.
  D. Mc Burney's point tenderness is suggestive of appendicitis.
  D. Mc Burney's point tenderness is suggestive of appendicitis.

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  Mc Burney's point tenderness in the right lower quadrant is suggestive of appendicitis. Appendicitis is more common among males than females and those with a high carbohydrate and/or low fiber diet are at risk for this inflammation and infection.

• Question 505:

  The nurse is assessing an elder who the nurse suspects is being physically abused.

  The most important question for nurse to ask is __________.

  A. "How much money do you keep around the house?"
  B. "Who provides your physical care?"
  C. "How close does your nearest relative live?"
  D. "What form of transportation do you use?"
  B. "Who provides your physical care?"

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  The most common abuser is a caregiver living with the client. Research reveals that the spouse is currently the most common abuser, followed by an adult child.

• Question 506:

  What type of WBC typically rises in response to a bacterial infection?

  A. basophils
  B. eosinophils
  C. neutrophils
  D. lymphocytes
  C. neutrophils

• Question 507:

  The vast majority of deaths resulting from unintentional poisoning occur in __________.

  A. infants
  B. toddlers
  C. teens
  D. adults
  B. toddlers

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  Explanation Explanation/Reference:The vast majority of deaths resulting from unintentional poisoning occur in toddlers.

• Question 508:

  The LPN is checking for residual before administering enteral feeding through a PEG tube.

  Which of these steps is incorrect?

  A. If the residual is greater than 200mL, the LPN should not administer the enteral feeding.
  B. The residual should be discarded prior to administering the tube feeding.
  C. The residual pH level is tested to ensure appropriate placement.
  D. The LPN elevates the head of the bed at least 30 degrees.
  B. The residual should be discarded prior to administering the tube feeding.

• Question 509:

  Following the change of shift report, the nurse should analyze the information and set priorities accordingly.

  When the plan has been formulated, at what point during the shift can or should the nurse's plan be altered or modified?

  A. halfway through the shift
  B. at the end of the shift before the nurse reports off
  C. when needs change
  D. after the top-priority tasks have been completed
  C. when needs change

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  The nurse changes the plan to respond to changes in needs.

• Question 510:

  A client begins a regimen of chemotherapy. Her platelet counts fall to 98,000. Which action is least likely to increase the risk of hemorrhage?

  A. Test all excreta for occult blood.
  B. Use a soft toothbrush or foam cleaner for oral hygiene.
  C. Implement reverse isolation.
  D. Avoid IM injections.
  C. Implement reverse isolation.

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  Explanation Explanation/Reference:Reverse isolation does not affect the risk of hemorrhage.