NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 761:

  A nurse has been assigned a patient who has recently been diagnosed with Guillain-Barre' Syndrome.

  Which of the following statements is the most applicable when discussing the impairments with Guillain-Barre' Syndrome with the patient?

  A. Guillain-Barre' Syndrome gets better after 5 years in almost all cases.
  B. Guillain-Barre' Syndrome causes limited sensation in the abdominal region.
  C. Guillain-Barre' Syndrome causes muscle weakness in the legs.
  D. Guillain-Barre' Syndrome does not effect breathing in severe cases.
  C. Guillain-Barre' Syndrome causes muscle weakness in the legs.

  ---

  Explanation Explanation/Reference:Muscle weakness in the lower extremities is found in acute cases of Guillain-Barre' Syndrome.

• Question 762:

  The highest incident of child abuse occurs in children in which age group?

  A. 3-year-old
  B. 4-6-year-old
  C. 6-10-year-old
  D. more than 10-year-old
  A. 3-year-old

  ---

  Children between birth and 3 years of age have the highest rates of victimization (at 16 per 1,000 children). Girls are slightly more likely to be victims than boys.

• Question 763:

  The nurse should teach a client in the Emergency Department, who has suffered an ankle sprain, to __________.

  A. use cold applications to the sprain during the first 24-48 hours
  B. expect disability to decrease within the first 24 hours of injury
  C. expect pain to decrease within 3 hours after injury
  D. begin progressive passive and active range of motion exercises immediately
  A. use cold applications to the sprain during the first 24-48 hours

  ---

  Cold applications are believed to produce vasoconstriction and reduce development of edema. Disability and pain are anticipated to increase during the first 2-3 hours after injury. Progressive passive and active exercises may begin in 2-5 days, according to the physician's recommendation. A sprain is a traumatic injury to the tendons, muscles, or ligaments around a joint, characterized by pain, swelling, and discoloration of the skin over the joint. The duration and severity of the symptoms vary with the extent of damage to the supporting tissues. Treatment requires support, rest, and alternating cold and heat. X-ray pictures are often indicated to be certain that no fracture has occurred.

• Question 764:

  Which of the following describes the stages of domestic violence in an intimate relationship?

  A. happiness, crisis, angry outburst, intervention
  B. honeymoon period, escalation of stress, outburst, reconciliation
  C. acting out and making up
  D. peace and calm, angry outburst, peace and calm, denial
  B. honeymoon period, escalation of stress, outburst, reconciliation

  ---

  Explanation Explanation/Reference:A pattern of behavior known as the cycle of abuse has been described in the literature. It involves a honeymoon stage, followed by a buildup of stress, an angry outburst that might involve beating, reconciliation, and another honeymoon phase. Clients who do not receive help are at increased risk of harm, which might include homicide.

• Question 765:

  A client has been diagnosed with Disseminated Intravascular Coagulation (DIC) and transferred to the medical intensive care unit (ICU) subsequent to an acute bleeding episode. In the ICU, continuous Heparin drip therapy is initiated.

  Which of the following assessment findings indicates a positive response to Heparin therapy?

  A. increased platelet count
  B. increased fibrinogen
  C. decreased fibrin split products
  D. decreased bleeding
  B. increased fibrinogen

  ---

  Effective Heparin therapy should stop the process of intravascular coagulation and result in increased availability of fibrinogen. Heparin administration interferes with thrombin-induced conversion of fibrinogen to fibrin. Bleeding should cease due to the increased availability of platelets and coagulation factors.

• Question 766:

  When teaching a client about anti-retroviral therapy for human immunodeficiency virus (HIV), the PN should emphasize ___________.

  A. when started, therapy must not be interrupted to prevent viral resistance
  B. when started, therapy must not be interrupted to prevent opportunistic infection
  C. therapy should be interrupted for one day each month to prevent toxicity
  D. therapy should be interrupted for one week every three months to prevent toxicity
  A. when started, therapy must not be interrupted to prevent viral resistance

  ---

  HIV mutates very rapidly, and any interruption of therapy can allow viral resistance to emerge ?even taking a dose late. Choice "when started, therapy must not be interrupted to prevent opportunistic infection" is incorrect because, when the virus is kept in check with anti-retrovirals, the client's own immune system is able to keep opportunistic infections at bay. Choices "therapy should be interrupted for one day each month to prevent toxicity" and "therapy should be interrupted for one week every three months to prevent toxicity" are incorrect because therapy should not be interrupted for any reason. If the client develops toxicity, another anti-retroviral drug might be prescribed.

• Question 767:

  Which physiologic mechanism best describes the function of the sodium-potassium pump?

  A. active transport
  B. diffusion
  C. filtration
  D. osmosis
  A. active transport

  ---

  Explanation Explanation/Reference:Active transport is a process requiring energy to transport ions against a concentration gradient, as is needed in the sodium-potassium pump. Diffusion, filtration and osmosis are other regulatory mechanisms involved in fluid and electrolyte balance.

• Question 768:

  A nurse is reviewing a patient's ECG report. The patient exhibits a flat T wave, depressed ST segment and short QT interval. Which of the following medications can cause all of the above effects?

  A. Morphine
  B. Atropine
  C. Procardia
  D. Digitalis
  D. Digitalis

  ---

  Explanation Explanation/Reference:Digitalis can cause all of the listed symptoms.

• Question 769:

  Which of the following home-care strategies is most likely to negatively impact the body image of a client with Cushing's syndrome?

  A. providing safety measures to prevent falls
  B. taking medications as prescribed
  C. wearing a medical ID indicating Cushing's syndrome
  D. having regular health assessments
  C. wearing a medical ID indicating Cushing's syndrome

  ---

  All of the strategies listed are included in home care for the client with Cushing's syndrome. Choice "wearing a medical ID indicating Cushing's syndrome" is the best answer because wearing a medical ID is a visible sign that something is wrong and a constant reminder to the client that he or she has a loss of body function. Choice "providing safety measures to prevent falls" might enhance body image because it prevents falls that could cause further injury and debilitation. Taking medications as prescribed should enhance body image because it decreases the symptoms present. Having regular health assessments indicates an enhanced body image because it signals the desire to take care of the body and keep it at its best.

• Question 770:

  Which of the following is not considered one of the main mechanisms of Type II Diabetes treatment?

  A. Medications
  B. Nutrition
  C. Increased activity
  D. Continuous Insulin
  D. Continuous Insulin

  ---

  Insulin is not required in continuous treatment for every Type II diabetic.