NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 571:

  Which of the following conditions is mammography used to detect?

  A. pain
  B. tumor
  C. edema
  D. epilepsy
  B. tumor

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  Explanation Explanation/Reference:Mammography is used to detect tumors or cysts in the breasts, not the other conditions.

• Question 572:

  An elevation in which of the following enzymes is indicative of pancreatitis?

  A. alkaline phosphatase
  B. acid phosphatase
  C. creatine phosphokinase
  D. amylase
  D. amylase

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  Explanation Explanation/Reference:Amylase is elevated in conditions of pancreatic inflammation, such as pancreatitis. The other enzymes are associated with other types of tissue damage.

• Question 573:

  The nurse teaching an obese client about nutritional needs and weight loss should include all of the following except __________.

  A. knowledge of food and food products
  B. development of a positive mental attitude
  C. adequate exercise
  D. starting a fast weight-loss diet
  D. starting a fast weight-loss diet

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  Explanation Explanation/Reference:Start a fast weight-loss diet.

• Question 574:

  A paraplegic client is in the hospital to be treated for an electrolyte imbalance.

  Which level of care is the client currently receiving?

  A. primary prevention
  B. secondary prevention
  C. tertiary prevention
  D. health promotion
  B. secondary prevention

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  This client is receiving secondary prevention. The current focus of health care is on preventive care. Leavell and Clark (1965) described the three levels of preventive care as primary, secondary, and tertiary. Secondary preventive care focuses on early detection of disease, prompt intervention, and health maintenance for clients experiencing health problems. Examples of activities at this level are carrying out direct nursing actions (for example, providing wound care, giving medications, exercising arms and legs), assessing children for normal growth and development, and encouraging regular medical and dental screenings and care. Primary preventive care is directed toward health promotion and specific protections against illness. Activities at this level might focus on individuals or groups. Examples of primary-level activities are immunizations, family-planning services, teaching breast self-examination, poison-control information, and accident-prevention education. Tertiary preventive care begins after an illness is diagnosed and treated and is aimed at helping rehabilitate clients and restore them to their maximum level of functioning.

• Question 575:

  Which of the following instructions should a nurse give a client who is about to undergo pelvic ultrasonography?

  A. "Urinate prior to the test."
  B. "Have someone drive you home."
  C. "Do not drink after midnight."
  D. "Drink plenty of water."
  D. "Drink plenty of water."

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  Explanation Explanation/Reference:A full bladder is required to serve as a landmark to define pelvic organs. No sedation is given, so the client may drive herself home after the test.

• Question 576:

  Jane Love, a 35-year old gravida III para II at 23 weeks gestation, is seen in the Emergency Department with painless, bright red vaginal bleeding. Jane reports that she has been feeling tired and has noticed ankle swelling in the evening. Laboratory tests reveal a hemoglobin level of 11.5 g/dL.

  After evaluating the situation, the nurse determines that Jane is at risk for placenta previa, based on which of the following data?

  A. anemia
  B. edema
  C. painless vaginal bleeding
  D. fatigue
  C. painless vaginal bleeding

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  Explanation Explanation/Reference:Placenta previa is a disorder where the placenta implants in the lower uterine segment, causing painless bleeding in the third trimester of pregnancy. The bleeding results from tearing of the placental villi from the uterine wall as the lower uterine segment contracts and dilates. It can be slight or profuse and can include bright red, painless bleeding. The abdomen might be soft, nontender, and relax between contractions.

• Question 577:

  Hearing screening of prematurely born infants is an effective means of identifying disease and is an example of __________.

  A. primary prevention
  B. secondary prevention
  C. tertiary prevention
  D. disability prevention
  B. secondary prevention

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  The three levels of prevention address disease and disability across all phases, from absence of disease and at risk for disease, to preventing further impairment. Hearing impairment associated with prematurity cannot be prevented by screening, but identifying the infants with hearing loss might prevent sequelae and further impairment by allowing early intervention.

• Question 578:

  The home health nurse has made a visit to an 85-year-old female client's home who has recently had surgery to replace her left knee. The client has been discharged from a rehab facility and has been able to walk on her own. The nurse assesses the need for teaching related to fall prevention.

  What should the nurse include in this teaching plan?

  A. The client should remove all scatter rugs from the floor and minimize clutter.
  B. The client should not get up and move around the house.
  C. The client does not need to install a raised toilet and grab bar because she is able to walk on her own.
  D. The client should wear a robe and socks while walking in the house.
  A. The client should remove all scatter rugs from the floor and minimize clutter.

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  Rugs and clutter are a primary cause of falls in the home and should be eliminated if possible to decrease the risk of a fall. The elderly and those with gait issues are at an increased risk for a fall at home. The client should have a raised toilet seat and grab bars available in the bathroom to aid in movement in this potential slippery area of the home. Some clients find it difficult to rise up and down from the toilet and to get in and out of the shower. These items are all important in maintaining safety in the home. The client should not limit her movement within the home unless ordered by the physician. This decreases the ability of the client to perform activities of daily living and hinders the client's return to a normal lifestyle after surgery. The client should not wear baggy clothing such as long robes, and the client should not wear socks on slippery floors. These items can cause the client to trip, slip, or fall.

• Question 579:

  A client has sustained a hyphema.

  What intervention should the nurse take?

  A. Have the client wear ear protectors in the future.
  B. Keep the client at bed rest, typically with the head of the bed propped up.
  C. Apply atropine eye drops.
  D. Apply an ice pack to the site of injury.
  B. Keep the client at bed rest, typically with the head of the bed propped up.

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  Initial care of the client involves preventing further damage and rebleeding. Clients are kept at bed rest if possible, usually with the head of the bed raised. TV watching is permitted but not reading. The use of atropine, ice, and eye shields are controversial, and a nurse should not administer a pharmacologic agent or thermal therapy without a physician's order.

• Question 580:

  A client has a nasogastric (NG) tube in place following abdominal surgery. The purpose of this tube immediately following surgery is to ___________.

  A. simplify medication administration
  B. measure accurate input and output
  C. prevent accumulation of fluids and gas
  D. facilitate collection of specimens
  C. prevent accumulation of fluids and gas

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  Explanation Explanation/Reference:Immediately postop abdominal surgery, the NG tube keeps the stomach decompressed to prevent surgical-site disruption and fluid loss through vomiting.