NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 701:

  All of the following are clinical manifestations indicating male climacteric except __________.

  A. hot flashes
  B. loss of reproductive ability
  C. headaches
  D. heart palpitations
  B. loss of reproductive ability

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  The likelihood of fathering children does decrease with aging and decreased testosterone production, but men do not lose their ability to reproduce during the climacteric. Many men do not experience any physical symptoms of climacteric but some men do report hot flashes, headaches, and heart palpitations, among other symptoms.

• Question 702:

  Select the member of the healthcare team that is paired with one of the main functions of this team member.

  A. Occupational therapist: Gait exercises
  B. Physical therapist: The provision of assistive devices to facilitate the activities of daily living
  C. Speech and language therapist: The treatment of swallowing disorders
  D. Case manager: Ordering medications and treatments
  C. Speech and language therapist: The treatment of swallowing disorders

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  Explanation Explanation/Reference:Speech and language therapists assess and treat patients with a swallowing disorder; they also assess and treat patients with speech and communication problems as often occurs after a cerebrovascular accident, or stroke. Occupational therapists assist patients with their activities of daily living and they also provide patients with assistive devices to facilitate eating and dressing. Physical therapists perform rehabilitation and restorative care including help with ambulation and balance/gait exercises. Lastly, case managers coordinate care along the continuum of care and they manage insurance reimbursements.

• Question 703:

  A 28-year-old male has a diagnosis of AIDS. The patient has had a two-year history of AIDS. The most likely cognitive deficits include __________.

  A. Disorientation
  B. Sensory changes
  C. Inability to produce sound
  D. Hearing deficits
  A. Disorientation

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  Explanation Explanation/Reference:Cognitive changes may include confusion and disorientation.

• Question 704:

  Which of these patients should the LPN/LVN see first?

  A. a patient with a newly placed NG who is complaining of pain around the face and a plugged nose
  B. a patient in an arm cast who is 2 days post-op and reports feelings of numbness and tingling in her affected arm
  C. a patient newly diagnosed with Hepatitis A who reports stomach pain and itchy skin
  D. a post-op prostatectomy patient who complains of bladder spasms and blood in his foley bag
  B. a patient in an arm cast who is 2 days post-op and reports feelings of numbness and tingling in her affected arm

• Question 705:

  The nurse seeks to assess the renal function of an elderly client who is about to receive a nephrotoxic medication. Which of the following labs provides the best indicator for renal function?

  A. urinalysis
  B. creatinine and blood urea nitrogen
  C. chemistry of electrolytes
  D. creatinine clearance
  D. creatinine clearance

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  Explanation Explanation/Reference:Due to decreases in lean body mass, blood creatinine is not as good an indicator of the elderly client's renal function as creatinine clearance. Urinalysis and blood urea nitrogen reflect hydration status and other clues to health but are not specific for renal function. The electrolytes might be deranged in renal failure but are not a direct correlation to the kidneys' capability to eliminate waste. Therefore, the best lab for renal function in the elderly is thought to be creatinine clearance, which is a widely used test for glomerular filtration rate.

• Question 706:

  The primary difference between practical nursing licensure and a nursing certification in an area of practice is that nursing licensure is __________.

  A. Insures competency and a nursing certification validates years of experience.
  B. Mandated by the American Nurses Association and a nursing certification are not.
  C. Is legally mandated by the states and a nursing certification is not.
  D. Renewed every two years and a nursing certification is renewed every five years.
  C. Is legally mandated by the states and a nursing certification is not.

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  Explanation Explanation/Reference:The primary difference between practical nursing licensure and a nursing certification in an area of practice is that nursing licensure is legally mandated by the states and NOT the American Nurses Association and a nursing certification is not mandated. To practice nursing without a current and valid license is contrary to the law. Nursing licenses are renewed every two years and nursing certifications are typically renewed every three years, however, this may vary according to the particular certification. Passing the NCLEX examination and receiving a nursing license indicates that the graduate has at least the minimal competency necessary to provide safe patient care. Nursing certifications, on the other hand, validate expertise in a particular area of nursing practice.

• Question 707:

  Rehabilitation services begin __________.

  A. when the client enters the health care system
  B. after the client requests rehabilitation services
  C. after the client's physical condition stabilizes
  D. when the client is discharged from the hospital
  A. when the client enters the health care system

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  Explanation Explanation/Reference:Rehabilitation services should begin when the client enters the health care system.

• Question 708:

  What can help reduce a patient's anxiety and postsurgical pain?

  A. Preoperative teaching
  B. Preoperative checklist
  C. Psychological counseling
  D. Preoperative medication
  A. Preoperative teaching

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  Patient teaching before surgery not only helps to reduce a patient's anxiety and postsurgical pain but it also decreases the amount of anesthesia needed and a lack of anxiety additionally speeds up wound healing. Preoperative checklists are a form of nursing documentation that is used to guide and document the care of the patient before surgery. Psychological counseling is typically NOT necessary except under highly unusual circumstances and preoperative medication can decrease the amount of anesthetic needed and respiratory tract secretions but it does not help with postoperative pain.

• Question 709:

  During a well-baby check of a 6-month-old infant, the nurse notes abrasions and petechaie of the palate.

  The nurse should __________.

  A. inquire about foods the child is eating
  B. ask about the possibility of sexual abuse
  C. request to see the type of bottle used for feedings
  D. question the parent about objects the child plays with
  B. ask about the possibility of sexual abuse

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  Generally oral sex leaves little physical evidence. Injury to the soft palate (such as bruising, abrasions, and petechaie) and pharyngeal gonorrhea are the only signs. Infants are at risk for sexual abuse.

• Question 710:

  A client is given an opiate drug for pain relief following general anesthesia. The client becomes extremely somnolent with respiratory depression.

  The physician is likely to order the administration of __________.

  A. naloxone (Narcan)
  B. labetalol (Normodyne)
  C. neostigmine (Prostigmin)
  D. thiothixene (Navane)
  B. labetalol (Normodyne)

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  Tolerance is the capacity to ingest an increasing amount of a substance without effect and the experience of decreased sensitivity to the substance. Tolerance can develop with long-term use of many drugs. Naloxone (Narcan) is the dose required to produce a defined magnitude of drug effect. Neostigmine (Prostigmin) binds to a receptor and causes an action. Thiothixene (Navane) is the maximal response produced by a drug.