NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 771:

  What is the primary theory that explains a family's concept of health and illness?

  A. Health Belief Model
  B. Education-School-Completing Factor
  C. Family Health Expert Factor
  D. Disconnected Family Factor
  A. Health Belief Model

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  The Health Belief Model describes readiness factors; the perceived feelings of susceptibility and seriousness of the health problem (the threat); and positive motivation to maintain, regain, or attain wellness.

• Question 772:

  Which of these is not a focus when attempting to orient a disoriented and confused patient to reality?

  A. the last meal the patient ate
  B. the patient's current location
  C. the current day or time
  D. the patient's identity
  A. the last meal the patient ate

• Question 773:

  A nurse walks into a client's room to do an assessment and discovers that the client is unresponsive. The nurse shakes the client and calls his name, but he does not arouse. What should the nurse do next?

  A. Open the airway.
  B. Give defibrillation.
  C. Check the pulse.
  D. Call for help.
  D. Call for help.

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  Explanation Explanation/Reference:The first step after determining unresponsiveness is to call for help. The remaining steps might be indicated afterward.

• Question 774:

  Which of the following attitudes is essential in a nurse who assists clients during crises?

  A. viewing crisis intervention as the first step in solving bigger problems
  B. wanting to help clients solve all problems identified
  C. taking an active role in guiding the process
  D. feeling that work requires identification with all of a client's problems
  A. viewing crisis intervention as the first step in solving bigger problems

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  Viewing crisis intervention as the first step in solving bigger problems is essential in a nurse who assists clients during crises. Assessment of the present problem should be viewed as necessary. Time and limitations of crisis work need to be remembered. Complete diagnostic assessment is unnecessary, and unrelated material should not be explored. Referrals might be necessary for other identified problems.

• Question 775:

  The nurse sustains a needle puncture that requires HIV prophylaxis. Which of the following medication regimens should be used?

  A. an antibiotic such as Metronidazole and a protease inhibitor (Saquinivir)
  B. two non-nucleoside reverse transcriptase inhibitors
  C. one protease inhibitor such as Nelfinavir
  D. two protease inhibitors
  B. two non-nucleoside reverse transcriptase inhibitors

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  Explanation Explanation/Reference:Unless there is drug resistance, the initial prophylaxis based on CDC recommendations is 2 NNRTIs.

• Question 776:

  All of the following should be performed when fetal heart monitoring indicates fetal distress except __________.

  A. increase maternal fluids
  B. administer oxygen
  C. decrease maternal fluids
  D. turn the mother
  C. decrease maternal fluids

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  Explanation Explanation/Reference:Decreasing maternal fluids is the only intervention that should not be performed when fetal distress is indicated.

• Question 777:

  A nurse working in a pediatric clinic and observes the following situations. Which of the following may indicate a delayed child to the nurse?

  A. A 12-month old that does not "cruise".
  B. A 8-month old that can sit upright unsupported.
  C. A 6-month old that is rolling prone to supine.
  D. A 3-month old that does not roll supine to prone.
  A. A 12-month old that does not "cruise".

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  Explanation Explanation/Reference:At 12 months a child should at least be "cruising" (holding on to objects to walk). Cruising is considered pre-walking.

• Question 778:

  As you are administering penicillin intravenously, you determine that the patient becomes hypotensive and with a bounding, rapid pulse rate.

  What is the first thing that you would do?

  A. Decrease the rate of the intravenous medication flow.
  B. Increase the rate of the intravenous medication flow.
  C. Call the doctor.
  D. Stop the intravenous flow.
  D. Stop the intravenous flow.

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  This patient is experiencing the signs and symptoms of anaphylactic shock which is a severe life threatening allergic response that is often associated with a penicillin allergy or hypersensitivity. The first thing you should do is stop the intravenous flow and respond to this medical emergency which can lead to death. After this you should call the doctor about this episode and inform the doctor of the patient's current medical status.

• Question 779:

  The nurse is teaching a teenage female about preventing the transmission of genital herpes. Which of the following statements should the nurse include?

  A. "Do not sit on toilet seats without protection."
  B. "Oral sex does not transmit the virus."
  C. "This infection can be transmitted via intercourse even when you do not feel ill."
  D. "Try to drink lots of fluids after sex to flush the reproductive tract."
  C. "This infection can be transmitted via intercourse even when you do not feel ill."

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  Explanation Explanation/Reference:Genital herpes can be transmitted by oral, genital, and anal sex. The other statements are myths.

• Question 780:

  Which type of exercises might be prescribed to strengthen the pelvic floor muscles of a client with urinary incontinence?

  A. Kegel
  B. resistance
  C. passive
  D. stretching
  A. Kegel

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  Explanation Explanation/Reference:Kegel exercises might be prescribed to strengthen the pelvic floor muscles of a client with urinary incontinence.