NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 661:

  A standard walker is used when clients __________.

  A. have poor balance, cannot stand up, have weak arms, and have good hand strength.
  B. have poor balance, have a broken leg, or have experienced amputation.
  C. have poor balance, have cardiac problems, or cannot use crutches or a cane.
  D. have poor balance, have an autoimmune disease, or have weak arms.
  C. have poor balance, have cardiac problems, or cannot use crutches or a cane.

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  Explanation Explanation/Reference:A walker is used for clients who have balance problems, cardiac problems, or cannot use crutches or a cane. The client needs to bear partial weight and have strength in her wrists and arms. The client uses her upper body to propel the walker forward.

• Question 662:

  In performing a psychosocial assessment, the nurse begins by asking questions that encourage the client to describe problematic behaviors and situations. The next step is to elicit the client's __________.

  A. feelings about what has been described
  B. thoughts about what has been described
  C. possible solutions to the problem
  D. intent in sharing the description
  B. thoughts about what has been described

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  Explanation Explanation/Reference:Questions should be asked in a precise order (specifically, from the most-simple description to the more difficult disclosure of feelings). When the problems have been described, eliciting the client's thoughts about the dilemmas provides further assessment data as well as the client's interpretation of what has happened. Feelings, solutions and articulating intent are more complex processes.

• Question 663:

  Your patient has a blood potassium level of 9.2 mEq/L.

  What intervention should you anticipate for this patient?

  A. Intravenous potassium supplementation
  B. Intravenous calcium supplementation
  C. Kidney dialysis
  D. Parenteral nutrition
  C. Kidney dialysis

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  The normal potassium level is 3.7 to 5.2 mEq/L. A patient with a blood potassium level of 9.2 mEq/L is affected with severe hyperkalemia which can be life threatening. Medications, such as Kayexalate, are administered to rid the body of excessive potassium and emergency kidney dialysis may also be done to prevent life threatening cardiac arryhythmia and death. Potassium supplementation is used with hypokalemia and not hyperkalemia; calcium supplementation and parenteral nutrition have no therapeutic effects for the treatment of hyperkalemia.

• Question 664:

  Which legal document will most likely contain the patient's decision to not get cardiopulmonary resuscitation?

  A. Healthcare surrogacy
  B. Healthcare proxy
  C. Advance directives
  D. Durable power of attorney
  C. Advance directives

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  Advance medical care directives, also referred to as living wills, contain the wishes of the client in terms of treatments and interventions that they do and do not want carried out when they are no longer able to competently provide these consents and rejections of treatment. These legal documents typically include choices relating to cardiopulmonary resuscitation (CPR), mechanical ventilation, intravenous solution administration, life support measures and tube feedings.

• Question 665:

  A Hispanic client brings her father to the clinic because he is becoming more forgetful. He is diagnosed with Alzheimer's disease. The woman tells the nurse that she wants to try ginkgo biloba for her father, before using prescription medications.

  Which of the following is an appropriate response by the nurse?

  A. "It is wiser to start a prescription."
  B. "That herb won't do your father any good."
  C. "You can't expect an herb to treat Alzheimer's."
  D. "I will let the physician know of your wishes."
  D. "I will let the physician know of your wishes."

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  Explanation Explanation/Reference:The culturally sensitive response is to notify the physician of the family member's wishes and to determine whether it is feasible. Ginkgo biloba has been shown to be of some benefit in treating dementia. The other statements are not culturally sensitive.

• Question 666:

  Chemotherapeutic agents often produce a degree of myelosuppression including leukopenia.

  Leukopenia does not present immediately but is delayed several days or weeks because __________.

  A. the client's hemoglobin and hematocrit are normal
  B. red blood cells are affected first
  C. folic acid levels are normal
  D. the current white cell count is not affected by chemotherapy
  D. the current white cell count is not affected by chemotherapy

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  Time is required to clear circulating cells before the effect that chemotherapeutic drugs have on precursor cell maturation in the bone marrow becomes evident. Leukopenia is an abnormally low white blood cell count. "The client's hemoglobin and hematocrit are normal", "red blood cells are affected first" and "folic acid levels are normal" pertain to red blood cells.

• Question 667:

  A 15-year-old high school wrestler has been taking diuretics to lose weight to compete in a lower weight class. Which of the following medical tests is most like to be given?

  A. Lab values of Potassium and Sodium
  B. Lab values of glucose and hemoglobin
  C. ECG
  D. CT scan
  A. Lab values of Potassium and Sodium

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  Explanation Explanation/Reference:Diuretics can disturb the sodium and potassium balance resulting in cardiac complications. An ECG is not indicated without evidence of cardiac conditions.

• Question 668:

  Which of the following instructions should the nurse give a client who will be undergoing mammography?

  A. Be sure to use underarm deodorant.
  B. Do not use underarm deodorant.
  C. Do not eat or drink after midnight.
  D. Have a friend drive you home.
  B. Do not use underarm deodorant.

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  Underarm deodorant should not be used because it might cause confusing shadows on the X-ray film. There are no restrictions on food or fluid intake. No sedation is used, so the client can drive herself home.

• Question 669:

  Which of the following allergies might be a contraindication for a client to receive contrast enhancement for intracranial computed tomography?

  A. penicillin
  B. iodine
  C. erythromycin
  D. aspirin
  B. iodine

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  Explanation Explanation/Reference:Iodine allergy might be a contraindication for contrast media, not the other allergies.

• Question 670:

  The major electrolytes in the extracellular fluid are __________.

  A. potassium and chloride
  B. potassium and phosphate
  C. sodium and chloride
  D. sodium and phosphate
  C. sodium and chloride

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  Sodium and chloride are the major electrolytes in the extracellular fluid.