NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 721:

  Idiopathic thrombocytopenia purpura is __________.

  A. highly similar to disseminated intravascular coagulation (DIC)
  B. caused by the over production of platelets
  C. a bleeding disorder that is characterized with too few platelets
  D. treated with immune system boosting medications
  C. a bleeding disorder that is characterized with too few platelets

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  Idiopathic thrombocytopenia purpura is bleeding disorder that is characterized with too few platelets, not the over production of platelets. Disseminated intravascular coagulation (DIC) is characterized with blood coagulation and not bleeding. The treatments of idiopathic thrombocytopenia purpura can include immune system depressants, not stimulants, prednisone, high-dose gamma globulin and anti RhD therapy.

• Question 722:

  Some drugs are excreted into bile and delivered to the intestines. Prior to elimination from the body, the drug might be absorbed.

  This process is known as __________.

  A. hepatic clearance
  B. total clearance
  C. enterohepatic cycling
  D. first-pass effect
  C. enterohepatic cycling

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  Drugs and drug metabolites with molecular weights higher than 300 can be excreted via the bile, stored in the gallbladder, delivered to the intestines by the bile duct, and then reabsorbed into the circulation. This process reduces the elimination of drugs and prolongs their half-life and duration of action in the body. Hepatic clearance is the amount of drug eliminated by the liver. Total clearance is the sum of all types of clearance including renal, hepatic, and respiratory. First-pass effect is the amount of drug absorbed from the GI tract, then metabolized by the liver (reducing the amount of drug that makes it into circulation).

• Question 723:

  A 24-year-old man has been admitted to the hospital due to work-related back injury. The patient's wife would like to see the patient's chart. The nurse should __________.

  A. provide the chart to the patient's wife following verbal approval by the patient
  B. provide the chart to the patient's wife after consulting with the patient's physician
  C. get written approval from the patient prior to providing the wife with chart information and call the MD about the patient's request
  D. tell the patient' wife, a copy of the patient's medical record is on-file with medical records
  C. get written approval from the patient prior to providing the wife with chart information and call the MD about the patient's request

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  Explanation Explanation/Reference:Some facilities require the physician to be notified about a patient's request and written permission from the husband is required for the wife to view the chart.

• Question 724:

  There are many types of torts that can be committed against clients. They include all of the following except __________.

  A. assault
  B. battery
  C. negligence
  D. felony
  D. felony

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  Explanation Explanation/Reference:Felonies are serious crimes punishable by time in prison. Types of torts are assault, battery, and negligence in addition to slander, invasion of privacy, false imprisonment, and fraud.

• Question 725:

  Which of the following statements by a client with spinal cord injury indicates a need for further teaching by the nurse regarding bowel management?

  A. "I should avoid eating foods that produce gas."
  B. "I should drink more fluids like coffee and cola."
  C. "I should set a regular schedule for bowel movements."
  D. "I should sit in an upright position for bowel movements."
  B. "I should drink more fluids like coffee and cola."

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  Explanation Explanation/Reference:This statement is incorrect because caffeinated fluids, such as coffee and cola, stimulate fluid loss through urination. Instead, fluids such as water and fruit juices should be taken. The remaining choices indicate correct understanding of bowel management.

• Question 726:

  When a client needs oxygen therapy, what is the highest flow rate that oxygen can be delivered via nasal cannula?

  A. 2 liters/minute
  B. 4 liters/minute
  C. 6 liters/minute
  D. 8 liters/minute
  C. 6 liters/minute

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  Explanation Explanation/Reference:The highest flow rate that oxygen can be delivered via nasal cannula is 6 liters/minute. Higher flow rates must be delivered by mask.

• Question 727:

  A client with jaundice has which skin color?

  A. pale
  B. ruddy
  C. yellow
  D. pink
  C. yellow

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  Jaundice turns the skin yellow. The other skin colors are not symptoms of jaundice.

• Question 728:

  In an emergency situation, the nurse determines whether a client has an airway obstruction. Which of the following does the nurse assess?

  A. ability to speak
  B. ability to hear
  C. oxygen saturation
  D. adventitious breath sounds
  A. ability to speak

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  Explanation Explanation/Reference:Ability to speak is a major way to identify an airway obstruction.

• Question 729:

  Which of these statements from the caregiver of a palliative care patient indicates a proper understanding?

  A. The main therapeutic goals are comfort and better quality of life.
  B. This treatment plan usually means the prognosis is less than 6 months.
  C. The medications to treat the underlying disease will be stopped.
  D. We will need to stay in the hospital to receive this level of care.
  A. The main therapeutic goals are comfort and better quality of life.

• Question 730:

  A patient is having an abortion in a women's clinic and the nurse caring for the patient does not think the reasoning is appropriate. The nurse asks, "Are you sure you want to do this, it can't be undone. Have you read about your other options? Adoption is always a good choice." The patient states she understands all options and is comfortable with her choice. The nurse nods and leaves the room to discuss the procedure with the physician.

  Which patient right did the nurse violate with her actions?

  A. the patient's right to confidentiality, as the nurse is talking to the physician about the patient and the abortion
  B. the patient's right to be left alone without unsolicited attention, as the nurse inserted herself in the patient's healthcare scenario and offered uninvited advice
  C. the patient's right to respectful care, as the nurse clearly made it known that she did not approve of the abortion
  D. the patient's right to make personal health decisions without interference, as the nurse tried to sway the patient's decision-making and healthcare choice in the direction of not having an abortion
  D. the patient's right to make personal health decisions without interference, as the nurse tried to sway the patient's decision-making and healthcare choice in the direction of not having an abortion