NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 51:

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

• Question 52:

  When the nurse is determining the appropriate size of an oropharyngeal airway to insert, what part of a client's body should she measure?

  A. corner of the mouth to the tragus of the ear
  B. corner of the eye to the top of the ear
  C. tip of the chin to the sternum
  D. tip of the nose to the earlobe
  A. corner of the mouth to the tragus of the ear

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  Explanation Explanation/Reference:An oropharyngeal airway is measured from the corner of the client's mouth, to the tragus of the ear.

• Question 53:

  Nursing care for a client undergoing chemotherapy includes assessment for signs of bone marrow depression.

  Which finding accounts for some of the symptoms related to bone marrow depression?

  A. erythrocytosis
  B. leukocytosis
  C. polycythemia
  D. thrombocytopenia
  D. thrombocytopenia

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  Thrombocytopenia is an abnormal decrease in the number platelets, which results in bleeding tendencies. Erythrocytosis is an abnormal increase in the number of circulating red blood cells. Leukocytosis is an increase in the number of white blood cells in the blood. Polycythemia is also an excess of red blood cells and is a synonym for erythrocytosis. With chemotherapy there is a decrease in red and white blood cells, not an increase.

• Question 54:

  A client describes her cervical mucus as clear, thin, and elastic. Upon examination, the nurse demonstrates that the cervical mucus can be stretched 8-10 cm.

  The nurse correctly documents the finding as ___________.

  A. ferning capacity
  B. lack of ferning
  C. spinnbarkheit
  D. inhospitable
  C. spinnbarkheit

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  Spinnbarkheit is the correct terminology to identify the cervical mucus described. This type of mucus occurs at ovulation and its assessment is used to help couples determine the time they are most likely to conceive. Ferning capacity or crystallization also increases as ovulation approaches. The only way that ferning can be identified is to place the cervical mucus on a microscope slide, let it air dry, and then examine it for a fern-type appearance. Lack of ferning cannot be determined without microscopic examination. Inhospitable cervical mucus refers to mazelike patterns of mucoid strands in cervical mucus that prohibit sperm motility. Other characteristics that make the mucus inhospitable relate to hormone levels, infection, and so on. These conditions cannot be determined by the description supplied in the question.

• Question 55:

  A two-year old has been in the hospital for 3 weeks and seldom seen family members due to isolation precautions. Which of the following hospitalization changes is most like to be occurring?

  A. Guilt
  B. Trust
  C. Separation anxiety
  D. Shame
  C. Separation anxiety

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  Explanation Explanation/Reference:Separation anxiety can easily occur after six months during hospitalization.

• Question 56:

  A mother has just given birth to a baby who died soon after. The mother has been crying and states, "I can't believe this has happened to me. I did everything right during this pregnancy."

  How should the nurse respond to this mother?

  A. Tell her she did nothing wrong; it was God's will.
  B. Tell her she can have another baby.
  C. Tell her that her behavior is not going to solve anything.
  D. Tell her nothing and let her mourn this loss in the manner she chooses.
  D. Tell her nothing and let her mourn this loss in the manner she chooses.

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  Perinatal loss is a great tragedy for the parents. A bereaved mother must resolve the crisis of perinatal loss in addition to the crisis of pregnancy. Such a loss is described as losing part of one's self ?loss of self-worth. The perinatal grief response must involve attachment and detachment as a part of the mourning process.

• Question 57:

  After the client discusses her relationship with her father, the nurse says, "Tell me whether I am understanding your relationship with your father. You feel dominated and controlled by him?"

  This is an example of __________.

  A. verbalizing the implied
  B. seeking consensual validation
  C. encouraging evaluation
  D. suggesting collaboration
  B. seeking consensual validation

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  Consensual validation is a technique used to check one's understanding of what the client has said. Consensual validation is the process by which people come to agreement about the meaning and significance of specific symbols. Through this experience, individuals develop the ability to relate effectively.

• Question 58:

  Nursing considerations when caring for African-American clients include that __________.

  A. families are generally distant and unsupportive
  B. special hair, skin, and nail care might be required
  C. fad diets are a cultural norm
  D. clients are generally future-oriented
  B. special hair, skin, and nail care might be required

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  Explanation Explanation/Reference:Special hair, skin, and nail care might be required for African-American clients.

• Question 59:

  Which patient is at greatest risk for cholelithiasis and choledocholithiasis?

  A. A 70 year old male patient who has liver disease.
  B. A 70 year old female patient who has liver disease.
  C. A 50 year old male patient who is Asian.
  D. A 50 year old female patient who is Asian.
  B. A 70 year old female patient who has liver disease.

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  The 70 year old female patient who has liver disease is at the greatest risk because the female gender, advancing age and the liver disease are known risk factors for cholelithiasis and choledocholithiasis. Other risk factors include obesity, oral contraceptive use, diseases and disorders of the ileum, hypercholesterolemia and races like the Hispanic, Native American and Caucasian races.

• Question 60:

  Which medication might the physician order if the client expresses discomfort with being in the enclosed space of a CT scanner?

  A. Valium (diazepam)
  B. Clozaril (clozapine)
  C. Catapress (clonidine)
  D. Lasix (furosemide)
  A. Valium (diazepam)

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  Valium is a sedative that might be given prior to receiving a CT scan. The other medications are not sedatives.