NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 581:

  Which of the following should not be included in the teaching for clients who take oral iron preparations?

  A. Mix the liquid iron preparation with antacids to reduce GI distress.
  B. Take the iron with meals if GI distress occurs.
  C. Liquid forms should be taken with a straw to avoid discoloration of tooth enamel.
  D. Oral forms should be taken with juice, not milk.
  A. Mix the liquid iron preparation with antacids to reduce GI distress.

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  Iron should not be mixed with antacids.

• Question 582:

  What do the following ABG values indicate:

  pH 7.38, PO2 78 mmHg, PCO2 36mmHg, HCO3 24 mEq/L?

  A. metabolic alkalosis
  B. homeostasis
  C. respiratory acidosis
  D. respiratory alkalosis
  B. homeostasis

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  These ABG values are within normal limits. Metabolic alkalosis, respiratory acidosis, respiratory alkalosis are incorrect choices because the ABG values indicate none of these acid-base disturbances.

• Question 583:

  A nurse is implementing a community awareness campaign about accidental poisoning. Which of the following should she teach in the class?

  A. The child should be given milk.
  B. The child should be given syrup of Ipecac
  C. The poison control center should be contacted
  D. The child should be taken to the ER
  C. The poison control center should be contacted

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  Explanation Explanation/Reference:The poison control center should be contacted first.

• Question 584:

  The LPN is teaching a first-time mother about breastfeeding her infant, who was born that day.

  Which statement, if made by the mother, would reflect that the teaching had been successful?

  A. "My baby should be nursing 8-12 times a day during this period."
  B. "My baby should be having at least 4-6 wet diapers a day until 1 month."
  C. "It's nice that breastfed babies eat a bit less than formula fed babies."
  D. "I'm a little nervous about my milk coming in tomorrow. I've heard it's uncomfortable."
  A. "My baby should be nursing 8-12 times a day during this period."

• Question 585:

  The nurse is teaching parents of a newborn about feeding their infant.

  Which of the following instructions should the nurse include?

  A. Use the defrost setting on microwave ovens to warm bottles.
  B. When refrigerating formula, don't feed the baby partially used bottles after 24 hours.
  C. When using formula concentrate, mix two parts water and one part concentrate.
  D. If a portion of one bottle is left for the next feeding, go ahead and add new formula to fill it.
  A. Use the defrost setting on microwave ovens to warm bottles.

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  Parents must be careful when warming bottles in a microwave oven because the milk can become superheated. When a microwave oven is used, the defrost setting should be chosen, and the temperature of the formula should be checked before giving it to the baby. Refrigerated, partially used bottles should be discarded after 4 hours because the baby might have introduced some pathogens into the formula. Returning the bottle to the refrigerator does not destroy pathogens. Formula concentrate and water are usually mixed in a 1:1 ratio of one part concentrate and one part water. Infants should be offered fresh formula at each feeding. Partially used bottles should not have fresh formula added to them. Pathogens can grow in partially used bottles of formula and be transferred to the new formula.

• Question 586:

  In hanging a parenteral IV fluid that is to be infused by gravity, rather than with an infusion pump, the nurse notes that the IV tubing is available in different drop factors.

  Which tubing is a microdrop set?

  A. 15 drops per milliliter
  B. 60 drops per milliliter
  C. 20 drops per milliliter
  D. 10 drops per milliliter
  B. 60 drops per milliliter

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  All microdrop sets are calculated to give 60 drops for each milliliter of IV fluid. Macrodrop sets are calculated to give 10, 15, or 20 drops for each milliliter of IV fluid.

• Question 587:

  Which of the following medications should be held 24-48 hours prior to an electroencephalogram (EEG)?

  A. Lasix (furosemide)
  B. Cardizem (diltiazem)
  C. Lanoxin (digoxin)
  D. Dilantin (phenytoin)
  D. Dilantin (phenytoin)

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  Anticonvulsants (such as Dilantin), tranquilizers, barbiturates, and other sedatives should be held 24-48 hours prior to an EEG. The other medications do not fall into these classifications.

• Question 588:

  American families are having difficulty adequately performing their vital health care function.

  What are the basic reasons for this difficulty?

  A. structure of the health care system and family structure
  B. psychological factors for men and women seeking health care
  C. conditions being labeled disabilities and seen as too time consuming
  D. health care organizations (HMOs) and disconnected families
  A. structure of the health care system and family structure

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  Scholars suggest that the reasons families are having difficulty providing health care for their members lies with both the structure of the health care system and the family structure. Major factors explaining differences in utilization patterns of medical services include the lack of healthcare insurance coverage, lack of services for special populations (that is, teenage males), perception by families of the health care system and the health care provider, and lack of partnership between health care providers and families in mutually addressing health care issues.

• Question 589:

  You are caring for a patient with multiple-trauma.

  Of all of these injuries and conditions, it the most serious?

  A. a deviated trachea
  B. gross deformity of a lower extremity
  C. hematuria
  D. decreased bowel sounds
  A. a deviated trachea

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  A deviated trachea is a serious life threatening condition. A deviated trachea is a symptom of tension pneumothorax which can be life threatening. All of the other symptoms will need to be addressed and treated, however, it is the deviated trachea that is the most severe and of the greatest priority.

• Question 590:

  Which of the following lab values is associated with a decreased risk of cardiovascular disease?

  A. high HDL cholesterol
  B. low HDL cholesterol
  C. low total cholesterol
  D. low triglycerides
  A. high HDL cholesterol

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  Explanation Explanation/Reference:High HDL cholesterol and low LDL cholesterol are associated with a decreased risk of cardiovascular disease.