NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 641:

  To remove a client's gown when she has an intravenous line, the nurse should __________.

  A. temporarily disconnect the intravenous tubing at a point close to the client and thread it through the gown
  B. cut the gown with scissors
  C. thread the bag and tubing through the gown sleeve, keeping the line intact
  D. temporarily disconnect the tubing from the intravenous container and thread it through the gown
  C. thread the bag and tubing through the gown sleeve, keeping the line intact

  ---

  Threading the bag and tubing through the gown sleeve keeps the system intact. Opening an intravenous line causes a break in a sterile system and introduces the potential for infection. Cutting a gown off is not an alternative except in an emergency. IV gowns, which open along sleeves, are widely available.

• Question 642:

  A patient is currently having a petit mal seizure in the clinic on the floor. Which of the following criteria has the highest priority in this situation?

  A. Provide a safe environment free of obstructions in the immediate area
  B. Call a code
  C. Contact the patient's physician
  D. Prevent excessive movement of the extremities
  A. Provide a safe environment free of obstructions in the immediate area

  ---

  Explanation Explanation/Reference:Patient safety should be the top concern about this patient.

• Question 643:

  When caring for pediatric patients, the nurse should pay special attention to the psychosocial development stages credited to __________?

  A. Erik Erikson
  B. Robert Peck
  C. Jean Piaget
  D. Sigmund Freud
  A. Erik Erikson

• Question 644:

  In alcoholics with anemia __________.

  A. pernicious anemia is more common than folic acid deficiency
  B. iron deficiency and folic acid deficiency can coexist
  C. the alcohol interferes with iron absorption
  D. oral vitamin replacement is contraindicated
  B. iron deficiency and folic acid deficiency can coexist

  ---

  The ingestion of nonfood substances (alcohol) can lead to a clinical iron deficiency and might actually be the first sign of a problem. The client might substitute alcohol for a nutrition program that fosters a positive health habit.

• Question 645:

  A nurse witnesses a patient sign the consent form for surgery with the surgeon. As the surgeon leaves, the patient starts to speak and then stops. The nurse asks if the patient has further questions and he says, "I don't want to bother the surgeon."

  The nurse should __________.

  A. acknowledge the patient's wish not to bother the surgeon and answer all of their questions, as appropriate
  B. acknowledge the patient's wish not to bother the surgeon and tell the patient to let you know if they change their mind
  C. go get the surgeon to answer all of the patient's questions
  D. answer any questions as appropriate as well as have the surgeon come back to answer any questions if needed
  D. answer any questions as appropriate as well as have the surgeon come back to answer any questions if needed

• Question 646:

  Acyclovir (Zovirax) is the agent of choice for which of the following infections?

  A. HIV
  B. AIDS
  C. candida
  D. herpes
  D. herpes

  ---

  Explanation Explanation/Reference:Acyclovir is an antiviral effective in shortening the duration of infection in herpes. It is used in HIV and AIDS to treat opportunistic, viral infections but is not a primary AIDS drug. Candida is a fungus and is responsive to antifungal medication.

• Question 647:

  All of the following clients are in need of an emergency assessment except __________.

  A. a bleeding client who has an injury from falling debris
  B. an unresponsive client
  C. a client with an old injury
  D. a pregnant woman with imminent delivery
  C. a client with an old injury

  ---

  Explanation Explanation/Reference:The client with an old injury does not need an emergency assessment because this is not a life-threatening or new situation or condition.

• Question 648:

  For which condition might a client's antidiuretic hormone (ADH) level be increased?

  A. diabetes mellitus
  B. diabetes insipidus
  C. hypothyroidism
  D. hyperthyroidism
  B. diabetes insipidus

  ---

  ADH level is increased in the client with nephrogenic diabetes insipidus.

• Question 649:

  A client with cirrhosis of the liver presents with ascites. The physician is to perform a parancentesis. For safety, the nurse should ask the client to __________.

  A. drink 1000 cc prior to the procedure to affect fluid loss
  B. eat foods low in fat
  C. empty his bladder prior to the procedure
  D. assume the prone position
  C. empty his bladder prior to the procedure

  ---

  When performing a parancentesis, the client must be sitting up to allow the fluid to settle to the lower abdomen. To prevent trauma to the bladder while inserting a needle to aspirate the fluid, the bladder must be empty.

• Question 650:

  Delegation of tasks to appropriate personnel allows the nurse to __________.

  A. take a break
  B. keep other members of the team productive
  C. maintain tight control of all aspects of the workflow
  D. realize the importance of her role by making all decisions
  B. keep other members of the team productive

  ---

  Explanation Explanation/Reference:Maintaining the productivity of all team members by delegating tasks appropriate to the job descriptions of the personnel increases work effectiveness and efficiency.