NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 751:

  Which of the following differentiates ulcerative colitis from Crohn's disease?

  A. Crohn's disease primarily affects the left colon and rectum and ulcerative colitis most often affects the right colon and distal ileum.
  B. Crohn's disease presents with shallow ulcerations and ulcerative colitis presents with a cobblestone appearance of the mucosal lining.
  C. The extent of involvement is noncontiguous and segmented with Crohn's disease and it is contiguous and diffuse with ulcerative colitis.
  D. Crohn's disease has primarily mucosal involvement and it is transmural with ulcerative colitis.
  C. The extent of involvement is noncontiguous and segmented with Crohn's disease and it is contiguous and diffuse with ulcerative colitis.

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  The extent of involvement is noncontiguous and segmented with Crohn's disease; and it is contiguous and diffuse with ulcerative colitis.

• Question 752:

  A day care center has asked the nurse to provide education for parents regarding safety in the home.

  What type of preventive care does this represent?

  A. primary
  B. secondary
  C. tertiary
  D. health promotion
  A. primary

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  Primary prevention involves activities that are utilized to promote wellness or prevent illness or injury. There are many dangers in the home for small children. Providing education regarding the need for safety measures to prevent injury in the home is considered primary prevention. Secondary prevention involves early detection of a disease or illness and quick intervention to aid the client in maintenance of the disease or injury. Tertiary prevention involves the reduction of a disability and the promotion of the highest level of functioning for a client in relation to his or her disease or injury. Health promotion is any activity that increases a client's health and wellness.

• Question 753:

  Appropriate nursing strategies to assist a client in maintaining a sense of self include __________.

  A. using the client's first name when addressing the client
  B. treating the client with dignity
  C. explaining procedures only if the client is attentive
  D. discouraging the use of personal items
  B. treating the client with dignity

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  Explanation Explanation/Reference:All clients must be treated with dignity. Rather than a strategy, treating clients with dignity is a basic core value universal to nursing.

• Question 754:

  Which is the proper hand position for performing chest percussion?

  A. cup the hands
  B. use the side of the hands
  C. flatten the hands
  D. spread the fingers of both hands
  A. cup the hands

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  Explanation Explanation/Reference:The hands are cupped for performing percussion, producing a vibration that helps loosen respiratory secretions. The other hand positions do not accomplish this task.

• Question 755:

  Which of the following are necessary elements of malpractice? (Choose all that apply.)

  A. A breach of duty
  B. An intentional act
  C. A nonintentional act
  D. Foreseeability
  E. Patient harm
  F. Causation
  A. A breach of duty
  D. Foreseeability
  E. Patient harm
  F. Causation

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  The necessary elements of malpractice are a duty to the patient, a breach of duty, foreseeability, causation, and patient harm. The breach of duty can be intentional or nonintentional.

• Question 756:

  In the United States, several definitions of death are currently being used.

  The definition that uses apnea testing and pupillary responses to light is termed __________.

  A. whole brain death
  B. heart-lung death
  C. circulatory death
  D. higher brain death
  A. whole brain death

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  Most protocols require two separate clinical examinations, including induction of painful stimuli, papillary responses to light, oculovestibular testing, and apnea testing. Choices "heart-lung death" and "higher brain death" have no specific test required. Choice "circulatory death" is not a current definition of death in the United States.

• Question 757:

  Which statement best describes electrolytes in intracellular and extracellular fluid?

  A. There is a greater concentration of sodium in extracellular fluid and potassium in intracellular fluid.
  B. There is an equal concentration of sodium and potassium in extracellular fluid.
  C. There is a greater concentration of potassium in extracellular fluid and sodium in intracellular fluid.
  D. There is an equal concentration of sodium and potassium between intracellular and extracellular fluid.
  A. There is a greater concentration of sodium in extracellular fluid and potassium in intracellular fluid.

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  Explanation Explanation/Reference:There is a greater concentration of sodium in extracellular fluid and potassium in intracellular fluid.

• Question 758:

  A client is having a seizure; his blood oxygen saturation drops from 92% to 82%. What should the nurse do first?

  A. Open the airway.
  B. Administer oxygen.
  C. Suction the client.
  D. Check for breathing.
  A. Open the airway.

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  Explanation Explanation/Reference:The nurse needs to open the airway first when the oxygen saturation drops. The other actions might be appropriate, but the airway must be patent.

• Question 759:

  During which phase of the nursing process does data get collected and validated with the patient and/or family members by the nurse?

  A. The implementation phase.
  B. The assessment phase.
  C. The evaluation phase.
  D. The planning phase.
  B. The assessment phase.

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  Subjective, objective, primary and secondary data is collected and validated with the patient and/or family members by the nurse during the assessment phase of the nursing process. The implementation phase is the actual care of the patient; the evaluation phase includes the comparison of current data to expected outcomes to determine if the patient has achieved the pre-established goals and the planning phase consists of priority setting and care planning.

• Question 760:

  Signs of internal bleeding include all of the following except __________.

  A. painful or swollen extremities
  B. a tender, rigid abdomen
  C. vomiting bile
  D. bruising
  C. vomiting bile

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  Explanation Explanation/Reference:Vomiting bile is usually not a sign of internal bleeding. Signs of internal bleeding include painful or swollen extremities; a tender, rigid abdomen; and bruising.