NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 511:

  A 55-year-old female asks a nurse the following, "Which mineral/vitamin is the most important to prevent progression of osteoporosis."

  The nurse should state __________.

  A. Potassium

  B. Magnesium

  C. Calcium

  D. Vitamin B12

  Correct Answer: C

  Calcium is the most recognized osteoporosis treatment.

• Question 512:

  A 15-year-old high school wrestler has been taking diuretics to lose weight to compete in a lower weight class.

  Which of the following medical tests is most like to be given?

  A. Lab values of Potassium and Sodium

  B. Lab values of glucose and hemoglobin

  C. ECG

  D. CT scan

  Correct Answer: A

  Diuretics can disturb the sodium and potassium balance resulting in cardiac complications. An ECG is not indicated without evidence of cardiac conditions.

• Question 513:

  A 24-year-old man has been admitted to the hospital due to work-related back injury. The patient's wife would like to see the patient's chart.

  The nurse should __________.

  A. provide the chart to the patient's wife following verbal approval by the patient

  B. provide the chart to the patient's wife after consulting with the patient's physician

  C. get written approval from the patient prior to providing the wife with chart information and call the MD about the patient's request

  D. tell the patient' wife, a copy of the patient's medical record is on-file with medical records

  Correct Answer: C

  Some facilities require the physician to be notified about a patient's request and written permission from the husband is required for the wife to view the chart.

• Question 514:

  A nurse is returning phone calls in a pediatric clinic.

  Which of the following reports most requires the nurse's immediate attention and phone call?

  A. A 8-year-old boy has been vomiting and appears to have slower movements and has a history of an atrio-ventricular shunt placement.

  B. A 10-year-old girl feels a dull pain in her abdomen after doing sit-ups in gym class.

  C. A 7-year-old boy has been having a low fever and headache for the past 3 days that has history of an anterior knee wound.

  D. A 7-year-old girl that had a cast on her right ankle is complaining of itching.

  Correct Answer: A

  The shunt may be blocked and require immediate medical attention.

• Question 515:

  A nurse has been assigned a patient who has recently been diagnosed with Guillain-Barre' Syndrome.

  Which of the following statements is the most applicable when discussing the impairments with Guillain-Barre' Syndrome with the patient?

  A. Guillain-Barre' Syndrome gets better after 5 years in almost all cases.

  B. Guillain-Barre' Syndrome causes limited sensation in the abdominal region.

  C. Guillain-Barre' Syndrome causes muscle weakness in the legs.

  D. Guillain-Barre' Syndrome does not effect breathing in severe cases.

  Correct Answer: C

  Muscle weakness in the lower extremities is found in acute cases of Guillain-Barre' Syndrome.

• Question 516:

  A nurse taking a patient's history realizes the patient is complaining of SOB and weakness in the lower extremities. The patient has a history of hyperlipidemia, and hypertension.

  Which of the following may be occurring?

  A. The patient is developing CHF.

  B. The patient may be having a MI.

  C. The patient may be developing COPD.

  D. The patient may be having an onset of PVD.

  Correct Answer: B

  Myocardial infarction may be associated with SOB and muscle weakness.

• Question 517:

  A nurse is assessing an 18-year-old female who has recently suffered a TBI. The nurse notes a slower pulse and impaired respiration.

  The nurse should report these findings immediately to the physician, due to the possibility the patient is experiencing __________ conditions.

  A. increased intracranial pressure

  B. increased function of cranial nerve X

  C. sympathetic response to activity

  D. meningitis

  Correct Answer: A

  The patient is at high risk of developing increased intracranial pressure (ICP).

• Question 518:

  A nurse is assessing a patient that has undergone a recent CABG. The nurse notices a mole with irregular edges with a bluish color.

  The nurse should __________.

  A. recommend a dermatological consult to the MD

  B. note the location of the mole and contact the physician via the telephone

  C. note the location of the mole and follow-up with the attending physician via the medical record and phone call

  D. remove the mole with a sharp's debridement technique, following charge nurse approval

  Correct Answer: C

  Contacting the attending physician via the medical record is appropriate due to the possibility of melanoma.

• Question 519:

  Which of the following lab values would indicate symptomatic AIDS in the medical chart? (T4 cell count per deciliter)

  A. Greater than 1000 cells per deciliter.

  B. Less than 500 cells per deciliter.

  C. Greater than 2000 cells per deciliter.

  D. Less than 200 cells per deciliter.

  Correct Answer: D

  < 200 T4 cells/deciliter

• Question 520:

  A nurse is assessing a patient's right lower extremity. The extremity is warm to touch, red and swollen. The patient is also running a low fever.

  Which of the following conditions would be the most likely cause of the patient's condition?

  A. Herpes

  B. Scleroderma

  C. Dermatitis

  D. Cellulitis

  Correct Answer: D

  Inflammation of cellular tissue associated with a fever most likely indicates cellulitis.