NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 531:

  The most common cause of injury from a house fire is __________.

  A. explosion

  B. falls from second-story windows

  C. thermal damage to skin and body surfaces

  D. inhalation injury

  Correct Answer: D

  Inhalation is the most common cause of injury from a house fire.

• Question 532:

  A nurse working a surgical unit, notices a patient is experiencing SOB, calf pain, and warmth over the posterior calf.

  Which of the following medical conditions may indicate all of these?

  A. Patient may have a DVT.

  B. Patient may be exhibiting signs of dermatitis.

  C. Patient may be in the late phases of CHF.

  D. Patient may be experiencing anxiety after surgery.

  Correct Answer: A

  All of these factors indicate a DVT.

• Question 533:

  A high school nurse observes a 14-year-old female rubbing her scalp excessively in the gym. The most appropriate course of action for the nurse to do is ___________.

  A. Request a private evaluation of the female's scalp from her parents.

  B. Contact the female's parents about the observations.

  C. Observe the hairline and scalp for possible signs of lice.

  D. Contact the student's physician.

  Correct Answer: C

  Observation of the student's hair is the next step.

• Question 534:

  The family carries out its health care functions in which of the following ways?

  A. Family provides very little preventive health care to its members at home.

  B. Family provides sick care to its members.

  C. Family pays for most health services.

  D. Family decides when and where to hospitalize its members.

  Correct Answer: B

  The family provides sick care to its members. The other options are incorrect.

• Question 535:

  Which patient is at greatest risk for papilledema?

  A. An elderly patient with cataracts and macular degeneration.

  B. A male patient with hypothyroidism.

  C. A male patient with hyperthyroidism.

  D. An adolescent with a closed head injury.

  Correct Answer: D

  Patients, including adolescents, with a closed head injury is at greatest risk for papilledema because closed head injuries lead to an increase in intracranial pressure which leads to papilledema. Hyperthyroidism is associated with exophthalmos and there is no relationship or positive correlation of macular degeneration and/or cataracts to papilledema.

• Question 536:

  A client is going to have an endoscopy performed.

  Which of the following is not a probable reason for an endoscopy procedure?

  A. Aspiration noted on honey thick diet.

  B. Pain with a bowel movement

  C. Pain felt in the left upper quadrant

  D. Right shoulder pain

  Correct Answer: B

  Bowel movement pain should be examined with a colonoscopy not an endoscopy.

• Question 537:

  Which preventive measure can be employed to decrease the risk of compartment syndrome?

  A. The administration of a potassium sparing diuretic for heart failure.

  B. A bivalve cast for a skeletal fracture.

  C. A cerebral diuretic to decease intracranial pressure after a head injury.

  D. A chest tube to restore normal intrathoracic pressure after a pneumothorax.

  Correct Answer: B

  A bivalve cast, rather than a solid fiberglass or plaster of Paris cast, for a skeletal fracture can prevent limb threatening compartment syndrome. Compartment syndrome results from increased pressure and circulatory constriction because a solid cast does not accommodate post fracture swelling like a bivalve cast does. Compartment syndrome is not related to heart failure, head injuries or pneumothoraxes.

• Question 538:

  A patient is currently having a petit mal seizure in the clinic on the floor.

  Which of the following criteria has the highest priority in this situation?

  A. Provide a safe environment free of obstructions in the immediate area

  B. Call a code

  C. Contact the patient's physician

  D. Prevent excessive movement of the extremities

  Correct Answer: A

  Patient safety should be the top concern about this patient.

• Question 539:

  When working after the occurrence of a natural disaster, the LPN uses a color coding system for triaging patients.

  Which of these would be an accurate example of this?

  A. A black sticker is placed on a patient whose injuries prove to be fatal.

  B. Red is placed on a patient who is losing a lot of blood due to massive trauma.

  C. Green is placed on a patient with an occluded airway and difficulty breathing.

  D. Yellow is placed on a patient who is stable and can wait the longest to be treated.

  Correct Answer: A

• Question 540:

  A nurse at outpatient clinic is returning phone calls that have been made to the clinic.

  Which of the following calls should have the highest priority for medical intervention?

  A. A home health patient reports, "I am starting to have breakdown of my heels."

  B. A patient that received an upper extremity cast yesterday reports, "I can't feel my fingers in my right hand today."

  C. A young female reports," I think I sprained my ankle about 2 weeks ago."

  D. A middle-aged patient reports," My knee is still hurting from the TKR."

  Correct Answer: B

  The patient experiencing neurovascular changes should have the highest priority. Pain following a TKR is normal, and breakdown over the heels is a gradual process. Moreover, a subacute ankle sprain is almost never a medical emergency.