NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 741:

  Regardless of their practice area, nurses should be concerned with __________.

  A. all drug-resistant bacteria
  B. microorganisms that are critical
  C. transmission of microorganisms
  D. overprescription of bacteriostatic drugs
  C. transmission of microorganisms

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  All nurses should be concerned with preventing the transmission of microorganisms to themselves as well as to others. One way to accomplish this goal is by asepsis. Nursing practice focuses on providing a safe and therapeutic environment to protect clients, family members, and health care providers from acquiring infections.

• Question 742:

  A client has been placed in isolation because he is diagnosed with a contagious illness.

  The nurse should be aware that ___________.

  A. Linens from the client's bed should be double-bagged
  B. Meals should be served on washable dishes
  C. Extensive isolation rarely causes psychological problems
  D. Paper trays and plastic utensils prevent disease transmission
  A. Linens from the client's bed should be double-bagged

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  Explanation Explanation/Reference:Linens should be double-bagged. Isolation refers to techniques used to prevent or to limit the spread of infection. Some form of isolation has been used for centuries, whether to protect a high-risk person from exposure to pathogens or to prevent the transmission of pathogens from an infected person to others. Special handling of articles and linen soiled by anybody fluid is indicated. These articles should be placed in impervious bags before they are removed from the client's bedside. Bagging in watertight containers is indicated to prevent exposure of personnel and contamination of the environment. The outside of the bag should not be contaminated when placing articles inside it. Each hospital and community agency has procedures for labeling and decontaminating exposed articles. Items that are visibly soiled with body substances should be rinsed and placed in plastic bags or clearly marked containers, often labeled "Contaminated." If the outside of the bag becomes contaminated, placing that bag in another bag (double-bagging) is required.

• Question 743:

  Someone who has received a recent tattoo should be screened for __________.

  A. tuberculosis
  B. herpes
  C. hepatitis
  D. syphilis
  C. hepatitis

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  Explanation Explanation/Reference:Tattooing puts a client at risk for blood-borne hepatitis B or C if strict sterile procedures are not followed. Tuberculosis is an airborne pathogen, while herpes and syphilis are spread directly (such as through sexual contact).

• Question 744:

  Alcohol, caffeine, or drugs are high risk factors that all fall under which broad classification of risk factors?

  A. Social demographic
  B. Environmental
  C. Biophysical
  D. Psychosocial
  D. Psychosocial

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  Psychosocial risk factors include life style choices like the use or abuse of alcohol, caffeine and illicit drugs in addition to smoking and psychological status. Low income, age, and ethnicity are social demographic risk factors. Second hand smoke and air pollution are environmental risk factors; and biophysical risk factors include genetic considerations, nutritional status and disorders such as diabetes.

• Question 745:

  Which of the following statements by a client indicates adequate understanding of preparation for a lipoprotein fractionation test?

  A. "I cannot eat or drink after midnight."
  B. "I cannot eat for 12 hours before the test."
  C. "I need to limit my fluid intake."
  D. "I need to ingest a lipid solution."
  B. "I cannot eat for 12 hours before the test."

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  Explanation Explanation/Reference:For lipid fractionation, the client cannot eat for 12 hours prior to the test, but he or she can drink an unrestricted amount of water. No lipid solution is given. Thus, the other choices are incorrect.

• Question 746:

  Your patient has been diagnosed with orchiditis.

  What information about this disorder should you inform the patient about?

  A. This disorder often occurs as the result of a streptococcus.
  B. This disorder can be symptomatically treated with ice.
  C. This disorder can be symptomatically treated with heat.
  D. This disorder is typically treated with surgery.
  B. This disorder can be symptomatically treated with ice.

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  The pain associated with orchiditis, an inflammation of the testicles, is symptomatically treated with the application of ice, not heat, to the groin area. It is not treated with surgery. This infection most often occurs as the result of mumps, the paramyxovirus and some sexually transmitted diseases, not streptococcus.

• Question 747:

  A 93-year-old female with a history of Alzheimer's Disease gets admitted to an Alzheimer's unit. The patient has exhibited signs of increased confusion and limited stability with gait. Moreover, the patient is refusing to use a w/c. Which of the following is the most appropriate course of action for the nurse?

  A. Recommend the patient remain in her room at all times.
  B. Recommend family members bring pictures to the patient's room.
  C. Recommend a speech therapy consult to the doctor.
  D. Recommend the patient attempt to walk pushing the w/c for safety.
  B. Recommend family members bring pictures to the patient's room.

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  Explanation Explanation/Reference:Stimulation in the form of pictures may decrease signs of confusion.

• Question 748:

  The LPN is caring for a patient with an NG tube, and the RN administers evening medications through the NG tube. The patient asks if he can lie down when the nurse leaves the room. What is the most appropriate response?

  A. Yes, feel free to lie down.
  B. You can lie down in 5 minutes if your NG residual is below 50 mLs.
  C. You can lie down in about 30 minutes.
  D. You can lie down in 1 hour.
  C. You can lie down in about 30 minutes.

• Question 749:

  A client with asthma develops respiratory acidosis.

  Based on this diagnosis, what should the nurse expect the client's serum potassium level to be?

  A. normal
  B. elevated
  C. low
  D. unrelated to the pH
  B. elevated

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  Explanation Explanation/Reference:Hyperkalemia occurs in a state of acidosis because potassium moves from injured cells into the bloodstream.

• Question 750:

  At what point in the nurse-client relationship should termination first be addressed?

  A. in the working phase
  B. in the termination phase
  C. in the orientation phase
  D. when the client initially brings up the topic
  C. in the orientation phase

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  The client has a right to know the parameters of the nurse-client relationship. If the relationship is to be time limited, the client should be informed of the number of sessions. If it is open-ended, the termination date is not known at the outset, and the client should know that this is an issue that is negotiated at a later date.