NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 531:

  A physician orders a serum creatinine for a hospitalized client.

  The nurse should explain to the client and his family that this test __________.

  A. is normal if the level is 4.0 to 5.5 mg/dl
  B. can be elevated with increased protein intake
  C. is a better indicator of renal function than the BUN
  D. reflects the fluid volume status of a person
  C. is a better indicator of renal function than the BUN

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  A serum creatinine level should be 0.7 to 1.5 mg/dl, and it does not vary with increased protein intake, so it is a better indicator of renal function than the BUN.

• Question 532:

  The LPN is placing a foley in a female patient. What is the correct order of procedure?

  A. Prepare sterile field. Check catheter balloon for patency. Place lubricant on catheter. Place the patient in a supine position with flexed knees. Separate labia with non-dominant hand. Clean the urinary meatus using cleansing solution and forceps. Place catheter in meatus with non-dominant hand. Inflate catheter balloon.
  B. Place the patient in a supine position with flexed knees. Prepare sterile field. Check catheter balloon for patency. Place lubricant on catheter. Separate labia with non-dominant hand. Clean the urinary meatus using cleansing solution and forceps. Place catheter in meatus with dominant (sterile) hand. Inflate catheter balloon.
  C. Place the patient in a supine position with flexed knees. Prepare sterile field. Place lubricant on catheter. Check catheter balloon for patency. Separate labia with dominant hand. Clean the urinary meatus using cleansing solution and forceps. Inflate catheter balloon. Place catheter in meatus with dominant (sterile) hand.
  D. Prepare sterile field. Place the patient in a supine position with flexed knees. Check catheter balloon for patency. Place lubricant on catheter. Clean the urinary meatus using cleansing solution and forceps. Separate labia with non-dominant hand. Place catheter in meatus with dominant (sterile) hand. Inflate catheter balloon.
  B. Place the patient in a supine position with flexed knees. Prepare sterile field. Check catheter balloon for patency. Place lubricant on catheter. Separate labia with non-dominant hand. Clean the urinary meatus using cleansing solution and forceps. Place catheter in meatus with dominant (sterile) hand. Inflate catheter balloon.

• Question 533:

  Which of the following foods enhances the absorption of an iron supplement?

  A. Orange juice
  B. Green beans
  C. Fortified Milk
  D. Baked potato
  A. Orange juice

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  Explanation Explanation/Reference:Vitamin C aids in the absorption of iron, and orange juice is a reliable source of Vitamin C. Green beans, milk, or baked potatoes do not support the absorption of iron; they do not contain the necessary vitamin C.

• Question 534:

  A nurse is working in a patient's room who is positive for C. Diff (clostridium difficile). What is the best action for the nurse to take?

  A. Don a mask, gown, and gloves when working with this patient.
  B. Wear gloves and gown during patient care.
  C. Wear gloves when having any physical contact with the patient.
  D. Wear gloves and a mask when cleaning the patient.
  B. Wear gloves and gown during patient care.

• Question 535:

  Which type of diet should the nurse provide to help a client who has major burns maintain a positive nitrogen balance?

  A. high protein
  B. high carbohydrate
  C. low carbohydrate
  D. low protein
  A. high protein

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  Explanation Explanation/Reference:Clients with burns are hypermetabolic and require increased protein levels to maintain a positive nitrogen balance. High carbohydrate and low carbohydrate are incorrect choices; carbohydrate levels do not help clients to meet this goal. Low protein is incorrect choice; a client with major burns requires a high-protein diet.

• Question 536:

  A 22-year-old patient in a mental health lock-down unit under suicide watch appears happy about being discharged. Which of the following is probably happening?

  A. The patient is excited about being around family again.
  B. The patient's suicide plan has probably progressed.
  C. The patient's plans for the future have been clarified.
  D. The patient's mood is improving.
  B. The patient's suicide plan has probably progressed.

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  Explanation Explanation/Reference:The suicide plan may have been decided.

• Question 537:

  How many bones make up a newborn's skull?

  A. 8
  B. 4
  C. 6
  D. 5
  D. 5

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  The typical newborns skull will consist of two frontal bones, two parietal bones, and an occipital bone for 5 total bones. Sutures divide these bones and there are 6 fontanelles, or soft spots, where the sutures intersect one another.

• Question 538:

  Which of the following symptoms is not indicative of autonomic dysreflexia in the client with a spinal cord injury?

  A. sudden onset of headache
  B. flushed face
  C. hypotension
  D. nasal congestion
  C. hypotension

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  Explanation Explanation/Reference:Hypotension is not indicative of autonomic dysreflexia; rather, hypertension is a sign of autonomic dysreflexia. The remaining choices are symptoms of autonomic dysreflexia.

• Question 539:

  Which statement about Meniere's disease is accurate and true?

  A. Meniere's disease most commonly occurs among members of the elderly population.
  B. Meniere's disease is insidious and it always affects both ears.
  C. Meniere's disease occurs with an impairment of the second cranial nerve.
  D. Antiemetic drugs are used for the treatment of patients affected with Meniere's disease.
  D. Antiemetic drugs are used for the treatment of patients affected with Meniere's disease.

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  Antiemetic drugs as well as other drugs to treat the vertigo, like Antivert, as well as diuretics are used for the treatment of patients affected with Meniere's disease. Meniere's disease typically affects only one ear; it is not the result of second cranial nerve damage. Lastly, people in their 40s and 50s are at greater risk for Meniere's disease and not the elderly.

• Question 540:

  The best lab test to diagnose disseminated intravascular coagulation (DIC) is ___________.

  A. platelet count
  B. protime (PT)
  C. partial thromboplastin time (PTT)
  D. D-dimer
  D. D-dimer

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  In DIC, many small clots form throughout the body and are immediately broken down. D-dimer measures a specific fibrin split (or degradation) product and is the most specific test for DIC. Platelet count is incorrect because platelets are consumed in DIC, but this is not specific. Partial thromboplastin time (PTT) and D-dimer are both elevated (because clotting factors have been used up) but, again, are not specific.