NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 691:

  You are caring for a neonate who has a cleft palate.

  You should inform the mother that surgical correction will be done when the infant is __________.

  A. 8 to 12 months of age
  B. 20 to 24 months of age
  C. 16 to 20 months of age
  D. 12 to 16 months of age
  A. 8 to 12 months of age

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  Repairs of cleft palates are typically done before 12 months because this allows for palatal changes associated with normal growth to occur. While repairs can still be performed after one year of age but this increases the likelihood of needing longer-termed treatments and increased risks for poor language development and facial appearance.

• Question 692:

  The nurse is developing a care plan for a client with severe anxiety.

  An appropriate outcome for the client is that within 4 days the client should __________.

  A. Have decreased anxiety
  B. Talk to the nurse for 10 minutes
  C. Sit quietly for 30 minutes
  D. Develop an adaptive coping mechanism
  B. Talk to the nurse for 10 minutes

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  Explanation Explanation/Reference:Outcome criteria need to be specific, measurable, and realistic. Talking for 10 minutes meets all of these conditions. It is not realistic to expect a severely anxious client to sit quietly for 30 minutes. The other statements are vague and not measurable.

• Question 693:

  Select the tactile sensation that is accurately paired with its description or procedure for testing.

  A. Fine motor coordination: The use of the fingers.
  B. Stereognosis: Equal hearing in both ears.
  C. Two-point discrimination: The nurse gently pricks the patient's skin.
  D. Gross motor function: The use of the lower limbs.
  C. Two-point discrimination: The nurse gently pricks the patient's skin.

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  In order to determine one and two-point discrimination, the nurse gently pricks areas of the skin and the client states whether or not they feel these pricks while their eyes are closed. Both fine and gross motor coordination are not tactile sensations but instead indications of muscular function. Lastly, stereognosis is a tactile sensation and it has no role in hearing. A familiar item like a button, a pen or a paper clip is placed in the person's hand with their eyes shut. The nurse then asks the person to identify the familiar object.

• Question 694:

  A 10-month-old child is brought to the Emergency Department because he is difficult to awaken. The nurse notes bruises on both upper arms.

  These findings are most consistent with __________.

  A. wearing clothing that is too small for the child
  B. the child being shaken
  C. falling while learning to walk
  D. parents trying to awaken the child
  B. the child being shaken

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  Children who are shaken are frequently grasped by both upper arms. Symptoms of brain injury associated with shaking include decreased level of consciousness.

• Question 695:

  Which of the following strategies should the nurse include when planning care for children of migrant workers?

  A. Delay immunization because of acute illness.
  B. Provide parents with copies of medical records.
  C. Schedule preventive services at acute illness visits.
  D. Stress the importance of using one primary care provider.
  B. Provide parents with copies of medical records.

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  Migrant workers should be provided with the medical records and immunization records for their children, including growth charts. The parents should also be encouraged to take those records with them to every health care visit, including Emergency Department visits. It is important to provide immunizations even when the child is there for an acute illness because preventive care is often not obtained. Preventive services should also be provided, not scheduled, when a child presents for an acute illness. Using a single primary care provider is not an option for most migrant families. The nurse should ask the parents about where they are going next and give them the name, address, and phone numbers of providers there.

• Question 696:

  A client has just returned from surgery where a femoral-popliteal bypass was performed. The nurse has assessed the client and is unable to feel a pulse at either the dorsalis pedis or the posterior tibial sites of the left foot. The foot feels warm and the color is pink.

  What action should the nurse perform next to prevent ischemia?

  A. Notify the physician immediately.
  B. Obtain a Doppler device to check for pulses, and notify the physician if they are still absent.
  C. Wait 30 minutes and recheck the pulses.
  D. Document the finding.
  B. Obtain a Doppler device to check for pulses, and notify the physician if they are still absent.

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  The nurse should immediately obtain a Doppler device and recheck the pulses. The dorsalis pedis and posterior tibial can be difficult to assess and might need to be verified with a Doppler. Because the client just had a surgery in which a complication is arterial insufficiency, the client must be monitored carefully. If the pulses are not found, the nurse should recognize that this is an emergent situation, and the physician must be notified immediately. If the nurse waits 30 minutes before determining if the pulses can be felt, this could compromise the viability of the client's foot due to ischemia. Documenting the findings is important but must be performed after the nurse locates the dorsalis pedis and posterior tibial pulses or any necessary interventions are made.

• Question 697:

  A 20-year-old male client had a diving accident with subsequent paraplegia. He says to the nurse, "No woman will ever want to marry me now." Which of the following responses by the nurse is most therapeutic?

  A. "Don't worry. Maybe you'll meet a paraplegic woman."
  B. "There is someone for everyone in this world."
  C. "You are still an attractive man, even though you can't walk."
  D. "Tell me more about your feelings on this issue."
  D. "Tell me more about your feelings on this issue."

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  Explanation Explanation/Reference:This response is the most therapeutic because it allows the client to discuss his anxieties and fears with the nurse. The other responses do not allow for such a dialogue, so they are not as therapeutic.

• Question 698:

  A nurse is instructing a patient on the order of sensations with the application of an ice water bath for a swollen right ankle. Which of the following is the correct order of sensations experienced with an ice water bath?

  A. cold, burning, aching, and numbness
  B. burning, aching, cold, and numbness
  C. aching, cold, burning and numbness
  D. cold, aching, burning and numbness
  A. cold, burning, aching, and numbness

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  Explanation Explanation/Reference:CBAN, cold, burn, ache, numbness

• Question 699:

  The family carries out its health care functions in which of the following ways?

  A. Family provides very little preventive health care to its members at home.
  B. Family provides sick care to its members.
  C. Family pays for most health services.
  D. Family decides when and where to hospitalize its members.
  B. Family provides sick care to its members.

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  Explanation Explanation/Reference:The family provides sick care to its members. The other options are incorrect.

• Question 700:

  A gastroenterologist should be consulted for clients suffering from __________.

  A. digestive system diseases
  B. urinary system diseases
  C. female reproductive system diseases
  D. nervous system diseases
  A. digestive system diseases

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  Explanation Explanation/Reference:A gastroenterologist cares for clients with digestive system diseases. A urologist cares for clients with urinary system diseases. A gynecologist cares for clients with female reproductive system diseases. A neurologist cares for clients with nervous system diseases.