NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 511:

  A patient has recently been prescribed Lidocaine Hydrochloride. Which of the following symptoms may occur with over dosage?

  A. Memory loss and lack of appetite
  B. Confusion and fatigue
  C. Heightened reflexes
  D. Tinnitus and spasticity
  B. Confusion and fatigue

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  Explanation Explanation/Reference:Lidocaine Hydrochloride can cause fatigue and confusion if an over dosage occurs.

• Question 512:

  A man expresses surprise that his wife has become very withdrawn during hospitalization for pneumonia.

  Which response helps the husband understand how some people cope with hospitalization?

  A. "Hospitalization might cause a crisis. Has your wife had to cope with problems before this?"
  B. "Some people react that way. She will be more talkative when she feels better."
  C. "Your wife might be feeling concern that she cannot fulfill her normal roles."
  D. "This is typical behavior for someone who is as ill as your wife."
  A. "Hospitalization might cause a crisis. Has your wife had to cope with problems before this?"

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  Hospitalization might precipitate a crisis in either the client or family. Clients might become demanding or withdrawn. Family members might become demanding to help them cope with insecurity.

• Question 513:

  The nurse suspects an elderly client has been the victim of abuse. The client denies abuse and declines assistance.

  The nurse's next action should be to__________.

  A. do nothing; the client has the right to refuse treatment
  B. report the incident to the police
  C. arrange an appointment with the client's next of kin
  D. educate the client about available services
  D. educate the client about available services

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  Although clients do have the right to refuse treatment, the nurse should remain nonjudgmental and inform the client of available services. Frequently elders are not aware of existing programs.

• Question 514:

  Which nursing theorist believes that most patients are capable of performing self-care?

  A. Dorothea Orem
  B. Madeleine Leininger
  C. Martha Rogers
  D. Sister Callista Roy
  A. Dorothea Orem

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  Dorothea Orem developed the Self Care theory or model. This theory maintains that some patients are completely compensatory and totally dependent on the nurse for care, other patients are partially compensatory and need only assistance by the nurse and others are totally independent in terms of their self-care needs. Madeleine Leininger developed the Transcultural Nursing theory; Martha Rogers developed the Science of Unitary Human Beings theory and Sister Callista Roy developed the Adaptation theory of nursing practice.

• Question 515:

  A nurse doing a home health visit consults with a male patient that has a diagnosis of CAD and COPD. The patient is currently taking Ventolin, Azmacort, Aspirin, and Theophylline. The patient complains of upset stomach, nausea and feeling uncomfortable.

  The nurse should __________.

  A. Contact the patient's physician immediately
  B. Recommend the patient position himself in right sidelying.
  C. Recommend the patient schedule a doctor's visit the next day.
  D. Recommend a hold on the drug-Azmacort
  A. Contact the patient's physician immediately

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  Explanation Explanation/Reference:Consult the physician immediately, due to the fact that theophylline toxicity may be occurring.

• Question 516:

  The nurse is caring for a female patient who has recently been diagnosed with cancer and will soon begin chemotherapy.

  Which of these statements would require additional follow-up and education?

  A. I will be most susceptible to an infection between 7 and 12 days after chemotherapy.
  B. I should try to get my annual teeth cleaning in before beginning chemotherapy.
  C. I should wait until all my hair falls out to purchase a wig.
  D. I should try to drink 8-10 glasses of water a day.
  C. I should wait until all my hair falls out to purchase a wig.

• Question 517:

  An LPN learns her newly admitted female patient is of the Muslim faith.

  Which of these actions would not be appropriate to take before meeting the patient?

  A. look up the number for the hospital Imam
  B. obtain a long-sleeved gown, hair covering, and long hospital pants
  C. ask the charge nurse if there is a private space conducive to prayer
  D. check to see if the cafeteria offers Halal options
  B. obtain a long-sleeved gown, hair covering, and long hospital pants

• Question 518:

  Which is the proper hand position for performing chest vibration?

  A. cup the hands
  B. use the side of the hands
  C. flatten the hands
  D. spread the fingers of both hands
  C. flatten the hands

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  Explanation Explanation/Reference:The hands are flattened over the area of the body where chest percussion is used to conduct vibration through to the chest and loosen secretions. The other hand positions do not accomplish this task.

• Question 519:

  Which of the following is the World Health Organization's (WHO) definition of health?

  A. The absence of all illness and disease
  B. The absence of any comorbidities
  C. A holistic state of wellbeing
  D. A use of health promotion activities
  C. A holistic state of wellbeing

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  The World Health Organization (WHO) defines health as a holistic (wholistic) state of wellbeing. This state of wellbeing is far more than the absence of illness, diseases and comorbidities. Lastly, the use of health promotion activities does promote health but these activities do not define health according to the World Health Organization.

• Question 520:

  A client has been taking a drug (Drug A) that is highly metabolized by the cytochrome p-450 system. He has been on this medication for 6 months. At this time, he is started on a second medication (Drug B) that is an inducer of the cytochrome p-450 system.

  You should monitor this client for __________.

  A. increased therapeutic effects of Drug A
  B. increased adverse effects of Drug B
  C. decreased therapeutic effects of Drug A
  D. decreased therapeutic effects of Drug B
  C. decreased therapeutic effects of Drug A

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  Drug B induces the cytochrome p-450 enzyme system of the liver, thus increasing the metabolism of Drug A. Therefore, Drug A is broken down faster and exerts decreased therapeutic effects. Drug A is metabolized faster, thus reducing, not increasing, its therapeutic effect. Inducing the cytochrome p-450 system does not increase the adverse effects of Drug B. Drug B induces the cytochrome p-450 system but is not metabolized faster. Thus, the therapeutic effects of Drug B are not decreased.