NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 501:

  As you are working you suspect that another licensed practical nurse is verbally and physically abusing a patient.

  What is the first thing that you will do?

  A. Nothing because you are not certain that it is occurring.

  B. Nothing because you only suspect the abuse.

  C. Call the police or the security department.

  D. Report your suspicions to the charge nurse.

  Correct Answer: D

  Nurses and other healthcare providers are mandated by law to report all suspected abuse and neglect.

  You do NOT have to be certain about it; an expert will perform the investigation.

  You do not contact the police or the security department; the charge nurse will follow established

  procedures for notifications not the licensed practical nurse.

• Question 502:

  Number the choices below to reflect the correct sequence for using a fire extinguisher.

  

  A. D, A, B, C

  B. D, B, A, C

  C. D, A, C, B

  D. A, D, B, C

  Correct Answer: A

  The correct sequence of action for using a fire extinguished is easily remembered by keeping the PASS

  acronym in mind.

  P is pulling out the pin to activate the fire extinguisher;

  A is to aim the fire extinguisher at the base of the fire;

  S is to squeeze the handle to discharge the contents of the fire extinguisher; and

  S is sweep back and forth over the base of the fire while discharging the contents.

• Question 503:

  The primary difference between practical nursing licensure and a nursing certification in an area of practice is that nursing licensure is __________.

  A. Insures competency and a nursing certification validates years of experience.

  B. Mandated by the American Nurses Association and a nursing certification are not.

  C. Is legally mandated by the states and a nursing certification is not.

  D. Renewed every two years and a nursing certification is renewed every five years.

  Correct Answer: C

  The primary difference between practical nursing licensure and a nursing certification in an area of practice is that nursing licensure is legally mandated by the states and NOT the American Nurses Association and a nursing certification is not mandated. To practice nursing without a current and valid license is contrary to the law. Nursing licenses are renewed every two years and nursing certifications are typically renewed every three years, however, this may vary according to the particular certification. Passing the NCLEX examination and receiving a nursing license indicates that the graduate has at least the minimal competency necessary to provide safe patient care. Nursing certifications, on the other hand, validate expertise in a particular area of nursing practice.

• Question 504:

  Which procedures necessitate the use of surgical asepsis techniques? (Choose all that apply.)

  A. Intramuscular medication administration.

  B. Central line intravenous medication administration.

  C. Donning gloves in the operating room.

  D. Neonatal bathing.

  E. Foley catheter insertion.

  F. Emptying a urinary drainage bag.

  Correct Answer: BCE

  Surgical asepsis is used when managing central line intravenous medication administration, when donning sterile gloves in the operating room and when inserting an indwelling Foley catheter. Medical asepsis, or clean technique, is used when bathing a neonate, when emptying a urinary drainage bag and when administering an intramuscular medication injection.

• Question 505:

  Select all the possible opportunistic infections that adversely affect HIV/AIDS infected patients. (Choose all that apply.)

  A. Visual losses

  B. Kaposi's sarcoma

  C. Wilms' sarcoma

  D. Tuberculosis

  E. Peripheral neuropathy

  F. Toxoplasma gondii

  Correct Answer: BDF

  Kaposi's sarcoma, tuberculosis, toxoplasma gondii, mycobacterium avium, herpes simplex, histoplasmosis and salmonella infections are HIV/AIDS associated opportunistic infections. Although many affected patients can experience blindness and peripheral neuropathy, these disorders result from impaired nervous system damage rather than an infection. Lastly, Wilms' tumor is a pediatric form of kidney cancer and it is neither an infection nor something that typically affects the patient with HIV/AIDS.

• Question 506:

  A patient is scheduled for electro-convulsive therapy treatment scheduled in the morning. What must the evening nurse do to provide the client ECT treatment possible?

  A. Patient signs an informed consent form.

  B. Patient is given morning medications.

  C. Patient gets a good night's sleep.

  D. Patient has a good breakfast.

  Correct Answer: A

  An informed consent is required prior to surgery.

• Question 507:

  In which of the following scenarios a violation of a patient's confidentiality occurs if two nurses are discussing client information?

  A. With a physical therapist treating the patient.

  B. With a social worker planning for discharge.

  C. With another nurse on duty to plan for break time.

  D. In the hallway outside the patient's room.

  Correct Answer: D

  Hallway discussions should not occur, because you do not who is listening, even though it may be a professional discussion.

• Question 508:

  A nurse gave medications to the wrong client. She stated the client responded to the name called. What is the nurse's appropriate documentation?

  A. Note in medication records the drug given

  B. The client was not hurt, no need for documentation

  C. Note the client's orientation

  D. Completely fill out an incident report

  Correct Answer: D

  The incident report should always be filled out involving medication errors.

• Question 509:

  Which of the following is not considered one of the five rights of medication administration?

  A. client

  B. drug

  C. dose

  D. routine

  Correct Answer: D

  Dose, client, drug, route and time are considered the five rights of medication.

• Question 510:

  A nurse working in a pediatric clinic and observes the following situations. Which of the following may indicate a delayed child to the nurse?

  A. A 12-month old that does not "cruise".

  B. A 8-month old that can sit upright unsupported.

  C. A 6-month old that is rolling prone to supine.

  D. A 3-month old that does not roll supine to prone.

  Correct Answer: A

  At 12 months a child should at least be "cruising" (holding on to objects to walk). Cruising is considered pre-walking.