NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 591:

  The PN has been asked to help a patient taking Risperdal with activities of daily living in the morning. Which of these tasks is most likely to be potentially impacted by this medication?

  A. eating breakfast
  B. getting out of bed to use the bathroom
  C. brushing teeth
  D. drinking fluids
  B. getting out of bed to use the bathroom

• Question 592:

  Following a classic cholecystectomy resection for multiple stones, the PACU nurse observes a serosanguious drainage on the dressing. The most appropriate intervention is to __________.

  A. notify the physician of the drainage
  B. change the dressing
  C. reinforce the dressing
  D. apply an abdominal binder
  C. reinforce the dressing

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  Explanation Explanation/Reference:Serosanguious drainage is expected at this time. The dressing should be reinforced. Changing a new postop dressing increases the risk of infection. An abdominal binder interferes with visualization of the dressing.

• Question 593:

  Which of the following clients require airborne precautions?

  A. a client with fever, chills, vomiting, and diarrhea
  B. a client suspected of varicella (chickenpox)
  C. a client with abdominal pain and purpura
  D. a client diagnosed with AIDS
  B. a client suspected of varicella (chickenpox)

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  Explanation Explanation/Reference:Chickenpox (varicella) is an acute, infectious, airborne illness that requires others in direct contact to wear a respirator mask.

• Question 594:

  A client newly diagnosed with Diabetes Mellitus needs education.

  Which of the following statements should the nurse include in this education?

  A. "You can eat anything you want, but no foods with sugar."
  B. "You need to lose weight, so your diet must be a restricted one."
  C. "You need a diet and exercise program."
  D. "You must eliminate all salt, fat, and sugar from your diet."
  C. "You need a diet and exercise program."

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  A client newly diagnosed with Diabetes Mellitus needs teaching about diet and exercise.

• Question 595:

  The nurse is caring for a patient who has dysphagia related to a stroke. The nurse works with the patient to explain what food and beverages might minimize aspiration.

  What is this an example of?

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

• Question 596:

  Which of these is true regarding advance directives?

  A. An advanced directive is legally valid in every state, no matter which state it was created in.
  B. A physician must determine when a patient is unable to make medical decisions for himself.
  C. They must be reviewed and re-signed every 10 years in order to remain valid.
  D. They cannot be honored by EMTs (emergency medical technicians) unless signed by a doctor.
  D. They cannot be honored by EMTs (emergency medical technicians) unless signed by a doctor.

• Question 597:

  A small amount of bubbling is seen in the water seal of a pleural drainage system when a client coughs. What should the nurse do?

  A. Consider it a normal finding.
  B. Check the system for leaks.
  C. Clamp the chest tube.
  D. Change the drainage system.
  A. Consider it a normal finding.

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  Explanation Explanation/Reference:A small amount of bubbling is a normal finding in the water seal of a pleural drainage system when a client coughs. It is only a problem to find continuous, excessive bubbling in the water seal, which indicates a leak.

• Question 598:

  Which of the following diseases or conditions is least likely to be associated with increased potential for bleeding?

  A. metastatic liver cancer
  B. gram-negative septicemia
  C. pernicious anemia
  D. iron-deficiency anemia
  C. pernicious anemia

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  Pernicious anemia results from vitamin B12 deficiency due to lack of intrinsic factor. This can result from inadequate dietary intake, faulty absorption from the GI tract due to a lack of secretion of intrinsic factor normally produced by gastric mucosal cells and certain disorders of the small intestine that impair absorption. The nurse should instruct the client in the need for lifelong replacement of vitamin B12, as well as the need for folic acid, rest, diet, and support.

• Question 599:

  When discussing the patterns of use of alcohol and other drugs, which piece of information should the nurse include?

  A. Lifetime prevalence and intensity of alcohol use is greater in women than men.
  B. Hispanics and African Americans have higher levels of alcohol use than Caucasians.
  C. Overuse of alcohol and other drugs increases into the mid-20s, then levels off and decreases with age.
  D. Heavy use is more common in higher socioeconomic groups because they can afford to buy the drugs.
  C. Overuse of alcohol and other drugs increases into the mid-20s, then levels off and decreases with age.

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  Recent research reveals that 83% of all persons in the United States, age 12 or older, report using alcohol sometime in their lives. Use of alcohol and illicit drugs appears to increase into the mid-20s, and then levels off and decreases with age. Both lifetime prevalence and intensity of alcohol use are greater in males. Caucasians report higher levels of alcohol use than African Americans or Hispanics. Those with more education are more likely to use alcohol, but heavy use is more common among the less educated and the unemployed.

• Question 600:

  Your patient has been diagnosed with giant cell arteritis.

  What medication will this patient most likely be given?

  A. High doses of aspirin
  B. High doses of prednisone
  C. Methotrexate
  D. Albuterol
  B. High doses of prednisone

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  Patients with giant cell arteritis are treated low dose aspirin and high-dose prednisone. Giant cell arteritis is an inflammatory condition that affects medium and large vessels, including the temporal artery and the carotid artery. Methotrexate is used for the treatment of rheumatoid arthritis, not arteritis; and albuterol is an inhaled medication that is used for the treatment of bronchitis and chronic obstructive pulmonary disease (COPD).