NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 671:

  Which of the following NSAIDS is most commonly used for a brief time for acute pain?

  A. Advil
  B. Aleve
  C. Toradol
  D. Bextra
  C. Toradol

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  Explanation Explanation/Reference:Toradol is an NSAID found to be very effective for brief periods of time for acute pain. It can be given IM, IV, or PO.

• Question 672:

  Your long term care patient has chronic pain and at this point in time the patient needs increasing dosages to adequately control this pain.

  What is this patient most likely to be affected with?

  A. Drug addiction
  B. Drug interactions
  C. Drug side effects
  D. Drug tolerance
  D. Drug tolerance

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  Patients with chronic pain are often affected with drug tolerance. Drug tolerance occurs when the patient needs increasing dosages of analgesic medications to adequately control their pain in order to produce the same effect that was produced when the drug was originally begun. Drug addiction, on the other hand, is a constant and compulsive need for a drug even when the use of the drug causes harm to the person. Addiction can occur with or without physical dependence. The need for increasing dosages is not the result of medication side effects or food/drug or drug/drug interactions.

• Question 673:

  The nurse is caring for an elderly patient and providing education.

  Which of the following would be least appropriate?

  A. The nurse breaks up the education into multiple shorter sessions.
  B. The nurse provides supplemental written resources.
  C. The nurse allows additional time after each instruction to allow the patient to process.
  D. The nurse speaks in a loud voice.
  D. The nurse speaks in a loud voice.

• Question 674:

  Nail and foot care are essential in meeting basic hygiene needs of clients. Important assessments by the nurse in this area include __________.

  A. all body assessment, including the feet and nails
  B. the essential lab work of the client
  C. the nail beds and the tissue surrounding the nails
  D. foot corns and calluses only
  C. the nail beds and the tissue surrounding the nails

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  Explanation Explanation/Reference:The nail beds and the tissue surrounding the nails should be assessed for abnormal discoloration, lesions, paronychia (infection of tissue surrounding the nail), tissue dryness, breaks in the skin, pressure areas, or other abnormal appearances.

• Question 675:

  The PN is preparing a patient for discharge and the discharge medications include phenobarbital. Which of these patient statements would indicate a need for reinforced teaching about this medication?

  A. "It's best to take this medication with food."
  B. "I can't wait to get back to my nightly glass of wine."
  C. "I should try to take this medication at the same time every day."
  D. "I will need to avoid eating excessive leafy greens."
  B. "I can't wait to get back to my nightly glass of wine."

• Question 676:

  A patient being treated for sickle cell disease has an order for pain medication. Morphine was ordered, but the nurse is having difficulty deciphering the dose.

  The nurse should __________.

  A. call the charge nurse to reach out to the ordering physician to verify the order including the correct medication, dose, route, and frequency
  B. call the physician to verbally verify the order including correct medication, dose, route, and frequency
  C. just go with his or her gut on what the typical dose is for this medication and administer to the patient so they do not have to wait on the physician
  D. ask the attending physician to come back to the unit and to help read what the order states regarding the correct medication, dose, route, and frequency
  B. call the physician to verbally verify the order including correct medication, dose, route, and frequency

• Question 677:

  Which of the following statements is correct regarding rape?

  A. Most rapes are reported.
  B. Legally, a woman can be raped by her spouse.
  C. Prosecution and conviction for rape is easy.
  D. The most common location of rape is the victim's own home.
  B. Legally, a woman can be raped by her spouse.

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  Explanation Explanation/Reference:The definition of rape is sexual intercourse against someone's will. It is a degrading, brutal crime of violence and can occur between any two persons regardless of their marital status.

• Question 678:

  People who live in poverty are most likely to obtain health care from __________.

  A. their primary care physician (family doctor)
  B. a neighborhood clinic
  C. specialists
  D. Emergency Departments or urgent care centers
  D. Emergency Departments or urgent care centers

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  Statistical patterns of health care utilization indicate that Emergency Departments and urgent care centers provide a large portion of health care to those who live in poverty.

• Question 679:

  The mnemonic "PERLA" is useful for the assessment of the eyes.

  What does PERLA stand for?

  A. Pupils equally reactive to light and accommodation
  B. Patient eyes are equally recessed and responsive to light and acuity
  C. Patient eyes are equally responsive to light and acuity
  D. Pupils equally reactive to light and acuity
  A. Pupils equally reactive to light and accommodation

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  The mnemonic "PERLA" stands for pupils equally reactive to light and accommodation, not acuity. Visual acuity is tested with the Snellen Chart among adult patients.

• Question 680:

  A 12-year-old male is brought to his primary care provider to determine whether sexual abuse has occurred. The mother states, "Because there is no permanent physical damage, he does not need any more treatment." The nurse's response should be based on which of the following pieces of information?

  A. Male victims of sexual abuse seldom have long-term psychological problems.
  B. Survivors of male sexual abuse might become confused about their sexual identity.
  C. Unless treated, all male sex abuse survivors grow up to abuse other children.
  D. All children who have been sexually abused have the same needs, regardless of gender.
  B. Survivors of male sexual abuse might become confused about their sexual identity.

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  Explanation Explanation/Reference:Male children are sexually abused nearly as often as female children. Perpetrators are usually men but can be women. Needs of male children who have been sexually abused might be different from the needs of female survivors. Male survivors might respond in anger, question their sexuality, use alcohol and other drugs, and might try to prove their masculinity by performing daring acts.