NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 771:

  Low birth weight is defined as a newborn's weight of __________.

  A. 2500 grams or less at birth, regardless of gestational age

  B. 1500 grams or less at birth, regardless of gestational age

  C. 2500 grams or less at birth, according to gestational age

  D. 1500 grams or less at birth, according to gestational age

  Correct Answer: A

  Low birth weight (LBW) is considered to be a birth weight of less than 2,500 grams regardless of

  gestational age.

  Very low birth weight (VLBW) is less than 1500 grams and extremely low birth weight (ELBW) which is

  less than 1000 grams.

  Normal weight for a full term neonate is 2500-4200 grams.

• Question 772:

  Rh negative maternal blood indicates __________.

  A. an incompatibility in the blood between the mother and fetus

  B. that antibodies in the mother's blood are attacking her baby's blood

  C. the mother will require a blood transfusion at the time of delivery

  D. the mother does not have a specific marker on her red blood cells

  Correct Answer: D

  The mother's red blood cells lacking a specific marker indicate that she is Rh negative. However, incompatibility only occurs if the baby is Rh positive and the mother is Rh negative. This is typically not a problem with a first pregnancy, but in a subsequent pregnancy, the incompatibility can cause the antibodies created during the first pregnancy to attack the new fetus' red blood cells. A blood transfusion would have no effect on this problem.

• Question 773:

  Which statement about Meniere's disease is accurate and true?

  A. Meniere's disease most commonly occurs among members of the elderly population.

  B. Meniere's disease is insidious and it always affects both ears.

  C. Meniere's disease occurs with an impairment of the second cranial nerve.

  D. Antiemetic drugs are used for the treatment of patients affected with Meniere's disease.

  Correct Answer: D

  Antiemetic drugs as well as other drugs to treat the vertigo, like Antivert, as well as diuretics are used for

  the treatment of patients affected with Meniere's disease.

  Meniere's disease typically affects only one ear; it is not the result of second cranial nerve damage.

  Lastly, people in their 40s and 50s are at greater risk for Meniere's disease and not the elderly.

• Question 774:

  Which patient is at greatest risk for cholelithiasis and choledocholithiasis?

  A. A 70 year old male patient who has liver disease.

  B. A 70 year old female patient who has liver disease.

  C. A 50 year old male patient who is Asian.

  D. A 50 year old female patient who is Asian.

  Correct Answer: B

  The 70 year old female patient who has liver disease is at the greatest risk because the female gender, advancing age and the liver disease are known risk factors for cholelithiasis and choledocholithiasis. Other risk factors include obesity, oral contraceptive use, diseases and disorders of the ileum, hypercholesterolemia and races like the Hispanic, Native American and Caucasian races.

• Question 775:

  Periwound maceration occurs when __________.

  A. The skin around the wound softens and is damaged.

  B. Selecting a dressing individualized to the type of wound.

  C. Negative-pressure to "air out" the wound is used.

  D. The skin around the wound dries out and hardens.

  Correct Answer: A

  Periwound maceration, also classified as moisture associated skin damage, is the softening of the skin

  and damaging of connective fibers which leads to the wound drying out and hardening.

  Dressing selection can help prevent this complication, and negative pressure may reduce it by reducing

  edema.

• Question 776:

  How many minims are contained in 1 milliliter?

  A. Between 10-11

  B. 12

  C. 20

  D. Between 15 or 16

  Correct Answer: D

  A minim is 1/480 of a fluid ounce or 0.0020833333333333 oz. 1 milliliter equals 0.033814 ounces.

• Question 777:

  You have been asked to speak at a new nursing assistants' orientation class about infection control and handwashing techniques.

  What would you include in this teaching?

  A. Demonstrate the correct 1-minute handwashing procedure using soap and running water.

  B. Demonstrate the correct 2-minute handwashing procedure using soap and running water.

  C. Using hot water so that the natural fats on the skins are emulsified with the soap.

  D. Using cold water so that the natural fats on the skins are emulsified with the soap.

  Correct Answer: B

  The best way to teach the techniques of handwashing is to actually demonstrate the correct handwashing

  procedure.

  Proper handwashing must be done for a minimum of two minutes.

  Warm not cold water or hot water is used for handwashing.

• Question 778:

  Your patient has just returned from the diagnostic imaging department and the doctor has told the patient that they have a Mallory-Weiss tear. The patient asks you what a Mallory-Weiss tear is.

  How should you respond to this patient?

  A. "A Mallory-Weiss tear is a kind of diverticulitis."

  B. "A Mallory-Weiss tear is an esophageal tear"

  C. "A Mallory-Weiss tear is a lacrimal gland disorder."

  D. "A Mallory-Weiss tear is a tear that results from a peptic ulcer."

  Correct Answer: B

  A Mallory-Weiss tear is a linear tear of the esophageal mucosa. Alcohol use and abuse are the most

  commonly occurring risk factors.

  These tears are not associated with peptic ulcers or diverticulitis.

  The lacrimal glands in the eyes produce tears to lubricate the eyes.

• Question 779:

  How many bones make up a newborn's skull?

  A. 8

  B. 4

  C. 6

  D. 5

  Correct Answer: D

  The typical newborns skull will consist of two frontal bones, two parietal bones, and an occipital bone for 5

  total bones.

  Sutures divide these bones and there are 6 fontanelles, or soft spots, where the sutures intersect one

  another.

• Question 780:

  A cesarean mode of delivery, often utilized for various reasons, is the most common mode for females with __________ pelvic type.

  A. android

  B. anthropoid

  C. gynecoid

  D. platypelloid

  Correct Answer: A

  Android pelvic types are heart shaped and found among 23% of all women. Gynecoids are round pelvic types and the most common type at about 50%. Oval shaped pelvic types are anthropoid and found at a rate of 24%. Platypelloids are flat and the least common pelvic type at 3%.