NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 521:

  Medical records indicate a patient has developed a condition of respiratory alkalosis. Which of the following clinical signs would not apply to a condition of respiratory alkalosis?

  A. Muscle tetany

  B. Syncope

  C. Numbness

  D. Anxiety

  Correct Answer: D

  Anxiety is a clinical sign associated with respiratory acidosis.

• Question 522:

  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

  Correct Answer: A

  Consult the physician immediately, due to the fact that theophylline toxicity may be occurring.

• Question 523:

  A central venous pressure reading of 11 cmH2O of an IV of normal saline is determined by the nurse

  caring for the patient. The patient has a diagnosis of pericarditis.

  Which of the following is the most applicable?

  A. The patient has a condition of hypovolemia.

  B. Not enough fluid has been given to the patient.

  C. Pericarditis may cause pressures greater than 10 cmH2O with testing of CVP.

  D. The patient may have a condition of arteriosclerosis.

  Correct Answer: C

  >10 cmH2O may indicate a condition of pericarditis

• Question 524:

  A nurse working in a pediatric clinic observes bruises on the body of a four-year-old boy. The parents report the boy fell riding his bike. The bruises are located on his posterior chest wall and gluteal region.

  The nurse should __________.

  A. suggest a script for counseling for the family to the doctor on duty

  B. recommend a warm bath for the boy to decrease healing time

  C. notify the case manager in the clinic about possible child abuse concerns

  D. recommend ROM to the patient's spine to decrease healing time

  Correct Answer: C

  The patient's safety should have the highest priority.

• Question 525:

  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."

  Correct Answer: C

  Patient confidentiality should be observed, especially in public places.

  The nurse should tell the nursing student do not discuss confidential information in public.

• Question 526:

  A patient asks a nurse the following question. Exposure to TB can be identified best with which of the following procedures?

  Which of the following tests is the most definitive of TB?

  A. Chest x-ray

  B. Mantoux test

  C. Breath sounds examination

  D. Sputum culture for gram-negative bacteria

  Correct Answer: B

  The Mantoux is the most accurate test to determine the presence of TB.

• Question 527:

  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

  Correct Answer: B

  Check the intake and output prior to making any decisions about patient care.

• Question 528:

  A 64-year-old Alzheimer's patient has exhibited excessive cognitive decline resulting in harmful behaviors. The physician orders restraints to be placed on the patient.

  Which of the following is the appropriate procedure?

  A. Secure the restraints to the bed rails on all extremities.

  B. Notify the physician that restraints have been placed properly.

  C. Communicate with the patient and family the need for restraints.

  D. Position the head of the bed at a 45-degree angle.

  Correct Answer: C

  Both the family and the patient should have the need for restraints explained to them.

• Question 529:

  A nurse has just started on the 7PM surgical unit shift.

  Which of the following patients should the nurse check on first?

  A. A 75-year-old female who is scheduled for an EGD in 10 hours.

  B. A 34-year-old male who is complaining of low back pain following back surgery and has an onset of urinary incontinence in the last hour.

  C. A 21-year-old male who had a lower extremity BKA yesterday, following a MVA and has phantom pain.

  D. A 27-year-old female who has received 1.5 units of RBC's. via transfusion the previous day.

  Correct Answer: B

  The new onset of urinary incontinence may require additional medical assessment, and the physician needs to be notified.

• Question 530:

  A nurse has been instructed to place an IV line in a patient that has active TB and HIV. Which of the following safety equipment should wear the nurse?

  A. Sterile gloves, mask, and goggles

  B. Surgical cap, gloves, mask, and proper shoe wear

  C. Double gloves, gown, and mask

  D. Goggles, mask, gloves, and gown

  Correct Answer: D

  All protective measures must be worn; it is not required to double glove.