NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 681:

  A nursing advocate is one who __________.

  A. makes decisions for others
  B. encourages persons to make decisions for themselves and acts with or on behalf of the person to support those decisions
  C. manages the care of others
  D. is the legal representative for a person
  B. encourages persons to make decisions for themselves and acts with or on behalf of the person to support those decisions

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  Explanation Explanation/Reference:Nurse advocates work with clients to provide information and assistance is decision-making. The decisions and care that occur from these decisions are based on the right of the client to self-determination and the work of the nurse advocate supports this right.

• Question 682:

  A patient has a history of cardiac arrhythmia. A nurse has been ordered to give 2 units of blood to this patient. Which of the following actions should The nurse take?

  A. Prep the patient with pain medication.
  B. Notify the patient's family about the procedure via the telephone.
  C. Decrease the temperature of the blood to be given.
  D. Increase the temperature of the blood to be given.
  D. Increase the temperature of the blood to be given.

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  Explanation Explanation/Reference:Warming the blood will reduce the risk of additional cardiac arrhythmia.

• Question 683:

  How many temporary teeth should the nurse expect to find in a 5-year-old client's mouth?

  A. up to 10
  B. up to 15
  C. up to 20
  D. up to 32
  C. up to 20

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  A child can have up to 20 temporary (deciduous or baby) teeth. The first tooth usually erupts by age 6 months and the last by age 30 months. All temporary teeth usually are shed between 6 and 13 years of age.

• Question 684:

  A patient 3 hours post-op from a hysterectomy is complaining of intense pain at the incision site. When assessing the patient the nurse notes a BP of 169/93, pulse 145 bpm and regular. What action should the nurse take?

  A. Reassure patient that pain is normal following surgery.
  B. Administer prn Nifedipine and assess client's response.
  C. Administer prn Meperidine HCL and assess client's response.
  D. Recheck BP and pulse rate every 20 minutes for the next hour.
  C. Administer prn Meperidine HCL and assess client's response.

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  Explanation Explanation/Reference:A sinus tachycardia is a physiological response to pain. Treating the cause of the increased pulse rate requires pain medication.

• Question 685:

  An LPN student nurse is assigned to shadow you for the day. When she learns one of the patients you are caring for has Hepatitis C, she states, "I might find another nurse to shadow. I really don't feel comfortable caring for anyone with Hepatitis C."

  What is your best response?

  A. "As a nurse, you will take care of patients with many types of illnesses. I think it's best you stay with me."
  B. "Don't worry. I've taken care of this guy many times. He's super nice and pretty independent, so you won't have any physical contact with him."
  C. "Why are you so afraid of Hepatitis C? If you take proper precautions, you will not get it."
  D. "What do you know about Hepatitis C?"
  D. "What do you know about Hepatitis C?"

• Question 686:

  A contraindication for topical corticosteroid use in a client with atopic dermatitis (eczema) is ___________.

  A. parasite infection
  B. viral infection
  C. fungal infection
  D. spirochete infection
  B. viral infection

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  Topical agents produce a localized, rather than systemic, effect. When treating atopic dermatitis with a steroidal preparation, the site is vulnerable to invasion by organisms. Viruses, such as herpes simplex or varicella zoster, present a risk of disseminated infection. Educate the client using topical corticosteroids to avoid crowds or people known to have infections and to report even minor signs of an infection. Topical corticosteroid use results in little danger of concurrent infection with parasite infection, fungal infection and spirochete infection.

• Question 687:

  The PN enters the patient's room and finds the patient unresponsive and not breathing. The PN determines that the scene is safe. What step should the PN take next?

  A. Apply AED pads.
  B. Administer oxygen via an ambu-bag.
  C. Begin chest compressions.
  D. Activate the emergency response system.
  D. Activate the emergency response system.

• Question 688:

  The nurse is teaching a client about communicable diseases and explains that a portal of entry is __________.

  A. a vector
  B. a source, like contaminated water
  C. food
  D. the respiratory system
  D. the respiratory system

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  Explanation Explanation/Reference:The path by which a microorganism enters the body is the portal of entry. A vector is a carrier of disease, a source (like bad water or food) can be a reservoir of disease.

• Question 689:

  A hospitalized adult client who routinely works from midnight until 8 a.m. has a temperature of 99.1?F at 4 a.m. The nurse determines that this is most likely due to __________.

  A. delta sleep
  B. slow brain waves
  C. pneumonia
  D. circadian rhythm
  D. circadian rhythm

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  Explanation Explanation/Reference:Biological rhythms that follow a cycle lasting about 24 hours are termed circadian rhythm. The sleep-wake cycle is closely linked with cardiac rhythms, such as body temperature. While a person sleeps, core body temperature drops, often reaching the 24-hour low at 4 a.m. When the sleep period shifts, temperature fluctuations also shift to match the new sleep patterns.

• Question 690:

  The parents of a 2-year-old child ask the nurse how they can teach their child to quit taking toys away from other children.

  Which of the following statements by the nurse offers the parents the best explanation of their child's behavior?

  A. "Your child is egocentric. Egocentricity is normal for 2-year-old children. He believes other children want him to have their toys."
  B. "Your child is showing negativity. He doesn't want other children to have the toys he wants."
  C. "Your child is demonstrating magical thinking. He believes he can make the other children want him to play with their toys."
  D. "Your child is engaging in domestic imitation. He is doing what he has seen other children do."
  A. "Your child is egocentric. Egocentricity is normal for 2-year-old children. He believes other children want him to have their toys."

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  Two-year-old children are very egocentric. They believe everything and everyone is concerned about them. They believe other children want them to have their toys. This is different than believing they can make other children want them to have all the toys, as in magical thinking, which normally occurs in preschool-age children. Toddlers are very negative, but this is expressed by refusal of requests made to them. Domestic imitation does occur in preschool-age children, but it refers to the imitation of household chores and roles performed by adults, not the imitation of other children.