NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 601:

  The LPN is caring for a 9 month-old infant.

  Which of these behaviors exhibited by the child warrants further investigation?

  A. She prefers crawling and is making no attempt to walk.
  B. She seems distressed with new adults.
  C. She only babbles "mama" and "dada."
  D. She does not respond to her own name.
  D. She does not respond to her own name.

• Question 602:

  The PN participates in a home visit for a patient with Type 2 Diabetes who has been taking Metformin for 3 years. The patient states that for the past 3 months, they have been trying a vegan diet and experiencing fatigue, confusion, and mood changes.

  What is a likely cause of the new symptoms?

  A. vitamin B12 deficiency
  B. vitamin D deficiency
  C. chronic hypoglycemia
  D. increased tolerance to Metformin
  A. vitamin B12 deficiency

• Question 603:

  The patient has an order for 0.45mg Diltiazem. The medication vial has a concentration of 3 mg/mL.

  How many mL of the drug should be administered?

  A. 0.65 mL
  B. 1.5 mL
  C. 0.15 mL
  D. 6.6 mL
  C. 0.15 mL

• Question 604:

  The PN is selecting a meal from the cart for a pediatric Jewish patient who follows a kosher diet.

  Which of these meals would be most appropriate for the patient?

  A. pepperoni pizza slice
  B. salmon and broccoli
  C. shrimp tacos and chips
  D. cheeseburger and side salad
  B. salmon and broccoli

• Question 605:

  While undergoing fetal heart monitoring, a pregnant Native-American woman requests that a medicine woman be present in the examination room. Which of the following is an appropriate response by the nurse?

  A. "I will assist you in arranging to have a medicine woman present."
  B. "We do not allow medicine women in exam rooms."
  C. "That does not make any difference in the outcome."
  D. "It is old-fashioned to believe in that."
  A. "I will assist you in arranging to have a medicine woman present."

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  Explanation Explanation/Reference:This statement reflects cultural awareness and acceptance that receiving support from a medicine woman is important to the client. The other statements are culturally insensitive and unprofessional.

• Question 606:

  Ms. Petty is having difficulty falling asleep.

  Which of the following measures promote sleep?

  A. exercising vigorously for 20 minutes each night beginning at 9:30 p.m.
  B. taking a cool shower and drinking a hot cup of tea
  C. watching TV nightly until midnight
  D. getting a back rub and drinking a glass of warm milk
  D. getting a back rub and drinking a glass of warm milk

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  Explanation Explanation/Reference:These are appropriate measure to promote sleep. Exercising vigorously for 20 minutes each night beginning at 9:30 p.m., taking a cool shower and drinking a hot cup of tea, watching TV nightly until midnight are all stimulation actions that increase arousal and wakefulness.

• Question 607:

  How often should the nurse change the intravenous tubing on total parenteral nutrition solutions?

  A. every 24 hours
  B. every 36 hours
  C. every 48 hours
  D. every 72 hours
  A. every 24 hours

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  The nurse should change the intravenous tubing on total parenteral nutrition solutions every 24 hours, due to the high risk of bacterial growth.

• Question 608:

  Which of the following is the primary force in sex education in a child's life?

  A. school nurse
  B. peers
  C. parents
  D. media
  C. parents

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  Parents are the primary force in sex education in a child's life. The school nurse is involved with formal sex education and counseling. Peers become more important in sex education during adolescence but might lack correct information. The media play a powerful role in what children learn about sex through movies, TV, and video games.

• Question 609:

  Which intervention should the nurse take first to assist a woman who states that she feels incompetent as the mother of a teenage daughter?

  A. Recommend that she discipline her daughter more strictly and consistently.
  B. Make a list of things her husband can do to help her improve.
  C. Assist the mother to identify what she believes is preventing her success and what she can do to improve.
  D. Explore with the mother what the daughter can do to improve her behavior.
  C. Assist the mother to identify what she believes is preventing her success and what she can do to improve.

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  The intervention priority with a mother who feels incompetent to parent a teenage daughter is to assist the mother to identify what she feels her crisis events are and to help her develop better coping skills and improve her mothering skills. With a teenager, the growth and development parameters have to be concentrated on self as well as acquiring an added event. Choices "Recommend that she discipline her daughter more strictly and consistently.", "Make a list of things her husband can do to help her improve." and "Explore with the mother what the daughter can do to improve her behavior." do not directly address the mother's feelings of inadequacy.

• Question 610:

  On which of the following aspects of the assessment should a nurse who is assessing the health-related physical fitness of a client as part of a health assessment be focused?

  A. agility
  B. speed
  C. body composition
  D. risk factors
  D. risk factors

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  Explanation Explanation/Reference:A health assessment should focus on possible risk factors of the client. A risk factor is something that increases a person's chance for illness or injury. A health-risk appraisal is an assessment of the total person, including lifestyle and health behaviors.