NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 551:

  The most effective nursing strategy to assist a client in recognizing and using personal strength includes __________.

  A. encouraging the client's self-identification of strengths
  B. promoting the client's active external thinking
  C. listening to the client and providing advice as needed
  D. assisting the client in maintaining an external locus of control
  A. encouraging the client's self-identification of strengths

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  Explanation Explanation/Reference:Encouraging the client to identify his own strengths is the most effective strategy.

• Question 552:

  When a client describes their family as having multiple wives, all of whom are sisters, married to one man, the nurse documents the family structure as?

  A. polyandry
  B. soronal
  C. nonsororal
  D. sororate
  B. soronal

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  The practice of polygamy refers to having multiple wives or husbands. When there are multiple wives who are sisters, the polygamy is designated as soronal. When the wives are not sisters it is nonsororal. Polyandry refers to multiple husbands and is rare. Some cultures practice a polygamy designated as sororate. Sororate polygamy specifies that a husband must marry his wife's sister if she dies. These marriages are successive rather than concurrent.

• Question 553:

  A client reports that someone is in the room and trying to kill him. The nurse's best response is __________.

  A. "No one is in your room. Let's get you more medicine."
  B. "I do not see anyone, but you seem to be very frightened."
  C. "No one can hurt you here."
  D. "Just tell the person to go away."
  B. "I do not see anyone, but you seem to be very frightened."

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  Explanation Explanation/Reference:It is important to acknowledges the client's fear. The other responses deny the client's perceptions.

• Question 554:

  The LPN is taking care of a female patient scheduled to go for an MRI later today. Which of these would require further action from the nurse?

  A. The patient ate juice and a bagel 5 hours ago.
  B. The patient has a hemoglobin level of 11.8.
  C. The patient has a cochlear implant.
  D. The patient has a broken leg.
  C. The patient has a cochlear implant.

• Question 555:

  A positive over-the-counter pregnancy test is considered a __________.

  A. possible sign of pregnancy
  B. presumptive sign of pregnancy
  C. probable sign of pregnancy
  D. positive sign of pregnancy
  C. probable sign of pregnancy

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  A positive pregnancy test and changes in the reproductive organs are both considered probable signs of pregnancy. Presumptive signs include amenorrhea, frequent urination and pigment changes in skin. Determining the estimated day of birth or delivery (EDB or EDD) is considered to be a positive sign of pregnancy.

• Question 556:

  Clients who take iron preparations should be warned of the possible side effects, which might include __________.

  A. dizziness and orthostatic hypotension
  B. nausea, vomiting, diarrhea or constipation, and stomach cramps
  C. drowsiness, lethargy, and fatigue
  D. neuropathy and tingling in the extremities
  B. nausea, vomiting, diarrhea or constipation, and stomach cramps

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  Oral iron preparations are often used to treat clients who have iron deficiency anemia to regain a positive iron balance. These preparations need to be supplemented with adequate dietary intake of iron. It can take 2-3 weeks to see improvement and up to 6-10 months to return to a stable iron level after a deficiency exists. The most common adverse effects associated with oral iron intake are related to direct GI upset, anorexia, nausea, vomiting, diarrhea, dark stools, and constipation. Nursing comfort measures include taking the preparations with meals, teaching about black stools, encouragement, and proper nutrition.

• Question 557:

  Pulling is easier than pushing.

  So pulling a client rather than pushing him or her has which of the following advantages?

  A. reduces workload
  B. decreases opposition from gravity
  C. maintains stability
  D. prevents muscle strain
  A. reduces workload

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  Explanation Explanation/Reference:Pulling an object works with gravitational force not opposing it, lowering risk of muscle strain.

• Question 558:

  A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding as __________.

  A. plantar fasciitis
  B. hallux valgus
  C. hammertoe
  D. Morton's neuroma
  D. Morton's neuroma

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  Explanation Explanation/Reference:Morton's neuroma is a small mass or tumor in a digital nerve of the foot. Hallux valgus is referred to in lay terms as abunion. Hammertoe is where one toe is cocked up over another toe. Plantar fasciitis is an inflammation of, or pain in, the arch of the foot.

• Question 559:

  A nurse is caring for a 10-year-old boy who has just been diagnosed with a congenital heart defect. Which of the following clinical signs does not indicate CHF?

  A. Increased body weight
  B. Elevated heart rate
  C. Lower extremity edema
  D. Compulsive behavior
  D. Compulsive behavior

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  Explanation Explanation/Reference:Compulsive behavior does not indicate CHF.

• Question 560:

  To remove hard contact lenses from an unresponsive client, the nurse should __________.

  A. gently irrigate the eye with an irrigating solution from the inner canthus outward
  B. grasp the lens with a gentle pinching motion
  C. don sterile gloves before attempting the procedure
  D. ensure that the lens is centered on the cornea before gently manipulating the lids to release the lens
  D. ensure that the lens is centered on the cornea before gently manipulating the lids to release the lens

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  Explanation Explanation/Reference:To remove hard contact lenses, the upper and lower eyelids are gently maneuvered to help loosen the lens and slide it out of the eye. The lens must be situated on the cornea, not the sclera, before removal. An attempt to grasp a hard lens might result in a scratch on the cornea. Clean gloves are an option if drainage is present.