NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 611:

  Which of these would be the most appropriate way to document a patient's refusal of medication?

  A. "Subcutaneous Heparin injection was attempted to be given to the patient per the physician's order. Patient refused, stating, `I do not want that injection.' Potential risks for refusing the medication were reviewed with the patient and patient verbalized understanding."
  B. "Pt stated she did not want the SQ heparin inj at this time. Risks of not taking this med were reviewed with the pt and pt verbalized understanding."
  C. "The patient refused the heparin injection when I tried to administer it. She yelled at me saying, `I do not want that injection right now!' and told me to leave the room. I explained the risks of not taking the medication. She seemed very annoyed that I tried to give it at that time. I will attempt again later in my shift."
  D. "Heparin refused during shift. Risks reviewed."
  A. "Subcutaneous Heparin injection was attempted to be given to the patient per the physician's order. Patient refused, stating, `I do not want that injection.' Potential risks for refusing the medication were reviewed with the patient and patient verbalized understanding."

• Question 612:

  A female prostitute enters a clinic for treatment of a sexually transmitted disease. This disease is the most prevalent STD in the United States. The nurse can anticipate that the woman has __________.

  A. herpes
  B. chlamydia
  C. gonorrhea
  D. syphilis
  B. chlamydia

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  Explanation Explanation/Reference:Epidemiological studies indicate that chlamydia is the most prevalent sexually transmitted disease in the United States.

• Question 613:

  Which of the following lab values would indicate symptomatic AIDS in the medical chart? (T4 cell count per deciliter)

  A. Greater than 1000 cells per deciliter.
  B. Less than 500 cells per deciliter.
  C. Greater than 2000 cells per deciliter.
  D. Less than 200 cells per deciliter.
  D. Less than 200 cells per deciliter.

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  Explanation Explanation/Reference:< 200 T4 cells/deciliter

• Question 614:

  The PN is caring for a patient in early labor lying supine in bed. The patient states that she is feeling light-headed and nauseous, and the patient's blood pressure is lower than baseline.

  What is the most appropriate action?

  A. Administer oxygen.
  B. Elevate the foot of the bed.
  C. Ask the patient to lie on the left side.
  D. Continue to monitor the patient as labor progresses.
  C. Ask the patient to lie on the left side.

• Question 615:

  An LPN is taking care of an adult male diabetic patient who complains of feeling shaky and sweaty. What is the first thing she should do?

  A. Offer him 15 grams to 20 grams of simple carbohydrates, such as raisins or crackers.
  B. Give him his insulin dose.
  C. Check his blood sugar.
  D. Notify the RN on duty.
  C. Check his blood sugar.

• Question 616:

  When a client with a major burn experiences body image disturbance, which of the following is an appropriate nursing intervention classification?

  A. grief work facilitation
  B. vital signs monitoring
  C. medication administration: skin
  D. anxiety reduction
  A. grief work facilitation

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  Grief work facilitation is a nursing intervention classification for disturbed body image in burn clients. The expected outcome is grief resolution. Vital signs monitoring is a nursing intervention classification for deficient fluid volume in clients with major burns. Medication administration: skin is a nursing intervention classification for impaired skin integrity for clients with major burns. Anxiety reduction is a nursing intervention classification for anxiety experienced by clients with major burns.

• Question 617:

  A nurse is instructing a patient about the warning signs of (Digitalis) side effects.

  Which of the following side effects should the nurse tell the patient are sometimes associated with excessive levels of Digitalis?

  A. Seizures
  B. Muscle weakness
  C. Depression
  D. Anxiety
  B. Muscle weakness

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  Explanation Explanation/Reference:Palpitations and muscle weakness are found with excessive levels of Digitalis.

• Question 618:

  The normal sodium level in the body is __________.

  A. 135 to 145 milliequivalents
  B. 3 to 5 milliequivalents
  C. 135 to 145 microequivalents
  D. 3 to 5 microequivalents
  A. 135 to 145 milliequivalents

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  The normal sodium level in the body is from 135 to 145 milliequivalents, not from 135 to 145 microequivalents.

• Question 619:

  Which of the following foods present a problem for a client diagnosed with Celiac Disease?

  A. butter
  B. oats or barley cereal
  C. fresh vegetables
  D. coffee or tea
  B. oats or barley cereal

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  Explanation Explanation/Reference:Celiac disease, orceliac sprue, is a malabsorption disorder affecting the small intestine in which there is a problem with the ingestion of gluten, a protein normally found in grain products such as wheat, rye, oats, or barley. The other choices reflect substances that do not contain gluten and should not pose problems for a client with this disorder.

• Question 620:

  Which of the following foods might a client with a hypercholesterolemia need to decrease his or her intake of?

  A. broiled catfish
  B. hamburgers
  C. wheat bread
  D. fresh apples
  B. hamburgers

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  Explanation Explanation/Reference:Due to the high cholesterol content of red meats, such as hamburger, intake needs to be decreased. The other options do not have high cholesterol content, so they do not need to be decreased.