NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 61:

  Which of the following medications might cause upper-gastrointestinal (UGI) bleeding?

  A. Cardizem (diltiazem)
  B. Naprosyn (naproxen)
  C. Elavil (amitryptiline)
  D. Corgard (nadolol)
  B. Naprosyn (naproxen)

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  Explanation Explanation/Reference:Naprosyn might cause upper-gastrointestinal (UGI) bleeding.

• Question 62:

  A client turns her ankle. She is diagnosed as having a Pulled Ligament. This should be documented as a __________.

  A. sprain
  B. strain
  C. subluxation
  D. distoration
  B. strain

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  Explanation Explanation/Reference:A strain is excessive stretching of a ligament. A sprain involves a twisting motion involving muscles.

• Question 63:

  Select the method of special precautions that is accurately paired with the personal protective equipment that is minimally required in order to prevent the spread of infection.

  A. Contact precautions: Gowns, gloves and mask.
  B. Droplet precautions: Face mask.
  C. Airborne transmission precautions: Negative pressure room.
  D. Contact precautions: Gloves.
  B. Droplet precautions: Face mask.

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  The minimal personal protective equipment that is required for droplet precautions is a face mask. Contact precautions minimally require the use of gloves and gowns; and airborne transmission precautions minimally require the use of a negative pressure room, a HEPA mask, gowns and gloves.

• Question 64:

  A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six months.

  The nurse should assess the woman for other symptoms of ___________.

  A. climacteric
  B. menopause
  C. perimenopause
  D. postmenopause
  C. perimenopause

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  Perimenopause refers to a period of time in which hormonal changes occur gradually, ovarian function diminishes, and menses become irregular. Perimenopause lasts approximately five years. Climacteric is a term applied to the period of life in which physiologic changes occur and result in cessation of a woman's reproductive ability and lessened sexual activity in males. The term applies to both genders. Climacteric and menopause are interchangeable terms when used for females. Menopause is the period when permanent cessation of menses has occurred. Postmenopause refers to the period after the changes accompanying menopause are complete.

• Question 65:

  What percentage of term newborns has a congenital heart disease due to environmental risk factors such as maternal alcoholism or drug ingestion?

  A. 2% to 4%
  B. 10% to 20%
  C. 5% to 10%
  D. 7% to 9%
  C. 5% to 10%

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  It is estimated that 5% to 10% of term newborns are born with a congenital heart disease due to environmental risk factors such as maternal alcoholism or drug ingestion. This rate is higher in infants born prematurely. Other environmental risk factors include intrauterine rubella exposure, diabetes mellitus and advanced maternal age in addition to genetic factors.

• Question 66:

  The protrusion of an internal organ through a wound or surgical incision is referred to as __________.

  A. serosanguineous
  B. dehiscence
  C. evisceration
  D. exuded
  C. evisceration

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  Evisceration, or the protrusion of an organ through a wound, most often occurs in the abdominal wall. Serosanguineous describes the thin, red exudate produced by a surgical wound and dehiscence is the separation of a surgical incision. Exuded is another name for discharged in reference to the exudate.

• Question 67:

  The LPN needs to determine the patient's respiratory rate.

  What is the best technique to do this?

  A. Count respirations while pretending to check the patient's pulse.
  B. Subtly watch the patient from across the room when they are doing an activity.
  C. Ask the patient to sit still for 30 seconds.
  D. Tell the patient you need to count their respiratory rate.
  A. Count respirations while pretending to check the patient's pulse.

• Question 68:

  A high school nurse observes a 14-year-old female rubbing her scalp excessively in the gym. The most appropriate course of action for the nurse to do is ___________.

  A. Request a private evaluation of the female's scalp from her parents.
  B. Contact the female's parents about the observations.
  C. Observe the hairline and scalp for possible signs of lice.
  D. Contact the student's physician.
  C. Observe the hairline and scalp for possible signs of lice.

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  Explanation Explanation/Reference:Observation of the student's hair is the next step.

• Question 69:

  A 62-year-old female is being seen on a home visit by a nurse. The patient reports she has been taking Premarin for years. Which of the following would indicate an over-dosage?

  A. Lower extremity edema
  B. Sensory changes in the upper extremities
  C. Increased occurrence of fractures
  D. Decreased peripheral blood flow
  A. Lower extremity edema

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  Explanation Explanation/Reference:Edema in the lower extremities may indicate a Premarin (over-dosage).

• Question 70:

  Select the ethical principles that are paired with their description. (Choose all that apply.)

  A. Justice: Being honest and fair
  B. Beneficence: Do no harm
  C. Veracity: Treating all patients equally
  D. Self-determination: Facilitating patient choices
  E. Beneficence: Do good
  F. Nonmaleficence: Do no harm
  G. Self-determination: Accountability
  D. Self-determination: Facilitating patient choices
  E. Beneficence: Do good
  G. Self-determination: Accountability

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  The principle of justice requires us to be fair and just to all. Fidelity is being faithful to one's promises. By the very nature of the implicit nurse-client relationship, the nurse must be faithful and true to their professional promises and responsibilities by providing high quality, safe care in a competent, scientifically grounded manner while upholding the clients' choices, desires and innate rights. Beneficence means doing good, it is more than not doing harm. Nonmaleficence is "Do not harm", as stated in the historical Hippocratic Oath. Patient self-determination and autonomy is the ethical principle that supports the patient's right to make their own choices without coercion or the undue influence of others. Lastly, veracity is truthfulness and being honest with the patients.