NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 521:

  To manage time most effectively, the nurse responds to which of the following stimuli first __________.

  A. the physician's loud verbal direction
  B. the nursing supervisor who is going to a meeting
  C. unit staff leaving on a break
  D. the care needs of the returning postoperative client just exiting the elevator
  D. the care needs of the returning postoperative client just exiting the elevator

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  Explanation Explanation/Reference:While many environmental stimuli might compete for attention and time, the client care needs of complex or unstable clients and those requiring assessment and care must take priority.

• Question 522:

  A client with a spinal cord injury is preparing to return home from the rehabilitation unit.

  Which of the following statements by a family member indicates a need for further teaching regarding autonomic dysreflexia?

  A. "I should raise him to a sitting position."
  B. "I should check for a fecal impaction."
  C. "I should look for a kink in the urinary catheter tubing."
  D. "I should see whether symptoms worsen."
  D. "I should see whether symptoms worsen."

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  Explanation Explanation/Reference:If the client develops signs or symptoms of autonomic dysreflexia, they need to be addressed immediately. If the family member is not able to relieve them, a health care provider needs to be notified immediately. The remaining choices are correct; they are all ways to relieve autonomic dysreflexia.

• Question 523:

  A client states, "I eat a well-balanced diet. I do not smoke. I exercise regularly, and I have a yearly checkup with my physician. What else can I do to help prevent cancer?"

  The nurse should respond with which of the following statements?

  A. Sleep at least 6-8 hours a night
  B. Practice monthly self-breast examination
  C. Reduce stress
  D. All of the above
  D. All of the above

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  All of the choices are methods of preventing cancer. Sleep is important in maintaining homeostasis, which helps the body respond to disease. Monthly breast examination can indicate cancer or fibrocystic disease. The body has a physiological response to stress that can decrease the immune response and increase the risk of disease.

• Question 524:

  The Token Economy is a type of therapy that focuses on __________.

  A. play therapy
  B. behavior modification
  C. milieu therapy
  D. associative
  B. behavior modification

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  Behavior modification gives positive feedback and rewards for appropriate behavior. Behavior modification requires negative behavior if it's not destructive or life threatening.

• Question 525:

  In conducting a health screening for 12-month-old children, the nurse expects them to have been immunized against which of the following diseases?

  A. measles, polio, pertussis, hepatitis B
  B. diptheria, pertussis, polio, tetanus
  C. rubella, polio, pertussis, hepatitis A
  D. measles, mumps, rubella, polio
  B. diptheria, pertussis, polio, tetanus

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  Explanation Explanation/Reference:By 12 months of age, the child should have had DtaP and polio. MMR is not administered until a child is 12 months of age.

• Question 526:

  While the PN is removing the third of seven sutures in a patient's surgical incision, the PN notices a gap in between the skin where this suture was.

  Which of these are the most appropriate next steps?

  A. Approximate the edges, apply a butterfly strip, and proceed with removing the most distal suture.
  B. Approximate the edges, apply a butterfly strip, and notify the physician.
  C. Remove the most proximal suture, and observe for further wound gaping.
  D. Approximate the edges, apply a butterfly strip, and proceed with removing the most proximal suture.
  B. Approximate the edges, apply a butterfly strip, and notify the physician.

• Question 527:

  Which statement about adjuvant medications is true and accurate?

  A. Licensed practical nurses cannot administer adjuvant medications.
  B. Adjuvant medications are schedule 2 narcotics.
  C. Adjuvant medications are schedule 1 narcotics.
  D. Adjuvant medications can be purchased over the counter.
  D. Adjuvant medications can be purchased over the counter.

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  Adjuvant medications, used to increase the effects of the opioids and nonopioid medications. These medications include anxiolytics, anesthetics, anticonvulsants, nonsteroidal analgesic medications and topical local anesthetics. Some of these medications, like ibuprophen, are available over the counter and they act on pain by deadening the nerve endings in the skin.

• Question 528:

  What is a major difference between a problem oriented medical record and a source oriented medical record?

  A. The problem oriented medical system has a centralized part of the chart for interdisciplinary progress notes and the source oriented medical record has separate areas for each profession's progress notes.
  B. The problem oriented medical system consists of narrative progress notes and the source oriented medical record uses SOAP.
  C. The source oriented medical system uses charting by exception and the source oriented medical record system does not.
  D. The source oriented medical system has a centralized part of the chart for interdisciplinary progress notes and the problem oriented medical record has separate areas for each profession's progress notes.
  A. The problem oriented medical system has a centralized part of the chart for interdisciplinary progress notes and the source oriented medical record has separate areas for each profession's progress notes.

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  The problem oriented medical system has a centralized part of the chart for interdisciplinary SOAP progress notes and the source oriented medical record has separate areas for each profession's progress notes. Although source oriented medical records can use SOAP, this is not a defining characteristic and most of these notes are free formed narrative notes. Charting by exception is a distinctly different medical system than source or problem oriented medical systems.

• Question 529:

  A 2-year-old child diagnosed with HIV comes to a clinic for immunizations.

  Which of the following vaccines should the nurse expect to administer in addition to the scheduled vaccines?

  A. pneumococcal vaccine
  B. hepatitis A vaccine
  C. Lyme disease vaccine
  D. typhoid vaccine
  A. pneumococcal vaccine

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  Explanation Explanation/Reference:Pneumococcal vaccine should be administered as a supplemental vaccine. Hepatitis A vaccine is for travelers and individuals with chronic liver disease. The Lyme disease vaccine is for people between the ages of 15 and 70 who are at risk for Lyme disease (transmitted by ticks primarily). The typhoid vaccine is for workers in microbiology laboratories who frequently work with Salmonella typhi.

• Question 530:

  Which of the following statements by a client indicates adequate preparation for magnetic resonance imaging?

  A. "I can leave my metal jewelry on during the test."
  B. "I need to wear earplugs during the test."
  C. "I can have the test even though I have a pacemaker."
  D. "I can have the test even though I have an artificial hip."
  B. "I need to wear earplugs during the test."

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  Explanation Explanation/Reference:Due to the loud noises from the scanner moving to obtain images, earplugs need to be worn. No metal objects are allowed, including jewelry, pacemakers, and artificial joints.