NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 651:

  The nurse's first action upon discovery of an electrical fire should be which of the following?

  A. Disconnect the electrical power if it can be performed safely.
  B. Smother the source with an object such as a blanket.
  C. Saturate the source with water or other readily available liquid.
  D. Activate the fire alarm immediately.
  A. Disconnect the electrical power if it can be performed safely.

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  If it is safe to do so, the nurse should disconnect electrical devices from the power source. Smothering with a blanket is not indicated in an electrical fire and might serve to fuel the fire, just as water or other liquids might incite an explosion or flames. The fire alarm should be activated promptly, and this should be the next action after disconnecting the electrically powered equipment.

• Question 652:

  Which of the following statements should the nurse use to best describe a very low-calorie diet (VLCD) to a client?

  A. "This diet can be used when there is close medical supervision."
  B. "This is a long-term treatment measure that assists obese people who can't lose weight."
  C. "The VLCD consists of solid food items that are pureed to facilitate digestion and absorption."
  D. "A VLCD contains very little protein."
  A. "This diet can be used when there is close medical supervision."

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  VLCDs are used in the clinical treatment of obesity under close medical supervision. The diet is low in calories, high in quality of protein, and has a minimum of carbohydrates to spare protein and prevent ketosis.

• Question 653:

  You are performing a neurological assessment of your adolescent patient. The patient has the Moro reflex.

  How should you interpret this neurological assessment finding?

  A. It is normal among adolescents.
  B. It indicates that the patient has an intact peripheral nervous system.
  C. It indicates that the patient has an intact central nervous system.
  D. It is not a normal finding.
  D. It is not a normal finding.

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  The Moro reflex is a primitive, childhood reflex that disappears long before adolescence and at about 3 months after birth. The Moro reflex is also referred to as the startle reflex. Other primitive, infant reflexes are the sucking, rooting, step, tonic neck, Galant, grasp and parachute reflexes.

• Question 654:

  Melissa Smith came to the Emergency Department in the last week before her estimated date of confinement complaining of headaches, blurred vision, and vomiting. Suspecting PIH. With which of the following statements should the nurse best respond to Melissa's complaints?

  A. "The physician will probably want to admit you for observation."
  B. "The physician will probably order bed rest at home."
  C. "These are really dangerous signs."
  D. "The physician will probably prescribe some medicine for you."
  B. "The physician will probably order bed rest at home."

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  Explanation Explanation/Reference:Pregnancy-induced hypertension (PIH) is a hypertensive disorder of pregnancy, developing after 20 weeks gestation. It is characterized by edema, hypertension, and proteinuria (preclampsia and eclampsia). The cause is unknown. The client with advanced PIH needs rest, and home is the best place to get it. Hospitalization is not necessary in this situation. Medication is not indicated.

• Question 655:

  Hazards of improper splinting include ___________.

  A. aggravation of a bone or joint injury
  B. reduced distal circulation
  C. delay in transport of a client with a lifethreatening injury
  D. all of the above
  D. all of the above

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  Explanation Explanation/Reference:Hazards of improper splinting include aggravation of a bone or joint injury, reduced distal circulation, and delay in transport of a client with a life-threatening injury.

• Question 656:

  A client taking isotretinoin (Accutane) tells the nurse that she is pregnant.

  What should the nurse teach this client?

  A. Her pregnancy is threatened, and the fetus is at risk for teratogenesis.
  B. She has a reportable condition, and the pregnancy must be terminated.
  C. Accutane is a Category D drug, which means it is unsafe in pregnancy.
  D. Her pregnancy must be followed carefully by a genetic specialist.
  A. Her pregnancy is threatened, and the fetus is at risk for teratogenesis.

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  Accutane is a Category X drug, which means pregnancy is contraindicated due to teratogenesis associated with the medication. The pharmaceutical manufacturer should be notified of any pregnancy occurring while taking the drug, but reporting is voluntary. Choosing to terminate the pregnancy is a personal decision that requires full information. Consultation with a genetic specialist or OB physician is indicated.

• Question 657:

  During the work phase of the nurse-client relationship, the client says to her primary nurse, "You think that I could walk if I wanted to, don't you?"

  What is the best response by the nurse?

  A. "Yes, if you really wanted to, you could."
  B. "Tell me why you're concerned about what I think."
  C. "Do you think you could walk if you wanted to?"
  D. "I think you're unable to walk now, whatever the cause."
  D. "I think you're unable to walk now, whatever the cause."

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  This response answers the question honestly and nonjudgmentally and helps to preserve the client's self-esteem. Choice "Yes, if you really wanted to, you could." is an open and candid response but diminishes the client's self-esteem. Choice "Tell me why you're concerned about what I think." doesn't answer the client's question and is not helpful. Choice "Do you think you could walk if you wanted to?" increases the client's anxiety because her inability to walk might be directly related to an unconscious psychological conflict that has not been resolved.

• Question 658:

  An adult who had been abused as a child is discussing the group therapy program.

  Which statement indicates that the client has gained insight?

  A. "I think I was a lonely child because I could not tell anyone about my abuse."
  B. "I am now aware of how deep-seated my anger is. Before I did not realize I was angry."
  C. "The program has given me the courage to tell my mother how I felt about her role in my hurt."
  D. "There are so many people just like me, who are just normal people that had bad things happen to them."
  B. "I am now aware of how deep-seated my anger is. Before I did not realize I was angry."

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  Children who are abused learn to cope with the painful experiences by ignoring painful feelings and avoiding getting close to people. As adults, victims of abuse usually continue to repress feelings, avoid close interpersonal relationships, and frequently use alcohol or drugs to block painful memories. Long-term effects in adults might include criminal/violent behavior (for adult males), substance abuse, and a variety of social and emotional problems (including suicidal thoughts, anxiety, hostility, dissociation, and interpersonal difficulties).

• Question 659:

  A pregnant Asian client who is experiencing morning sickness wants to take ginger to relieve the nausea. Which of the following responses by the nurse is appropriate?

  A. "I will call your physician to see if we can start some ginger."
  B. "We don't use home remedies in this clinic."
  C. "Herbs are not as effective as regular medicines."
  D. "Just eat some dry crackers instead."
  A. "I will call your physician to see if we can start some ginger."

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  Explanation Explanation/Reference:This statement reveals cultural sensitivity. Ginger is sometimes used to relieve nausea. The other statements are culturally insensitive and do not show an awareness of herbal pharmacology.

• Question 660:

  A patient has recently been prescribed Albuterol.

  Which of the following changes are not associated with Albuterol?

  A. Tachycardia
  B. Hypertension
  C. Bronchodilation
  D. Sensory changes
  D. Sensory changes

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  Explanation Explanation/Reference:Tachycardia, hypertension, and bronchodilation can all occur with Albuterol.