NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 71:

  An allergic reaction is classified as what type of pharmacological effect?

  A. a side effect
  B. an adverse effect
  C. a therapeutic effect
  D. an incompatibility
  B. an adverse effect

• Question 72:

  Which is considered an internal disaster?

  A. A patient fall.
  B. The massive spread of pneumonia.
  C. A computer hacking episode.
  D. Unexpected staff absences due to illness.
  C. A computer hacking episode.

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  A computer hacking episode is considered an internal disaster. It threatens patient privacy of information and the secure ongoing manner of communication within the healthcare facility. Other internal disasters include utility failures, a power outage, workplace violence and a tornado or other environmental threat. A fall is an incident, accident and sentinel event. The spread of infections, like pneumonia, is an infection control concern but not considered an internal disaster. Unexpected staff absences disrupt the facility but they are not considered internal disaster.

• Question 73:

  After 12 months of cessation of menses, which of the following assessment findings in a client who is taking hormone replacement therapy should the nurse report to the physician immediately?

  A. breast tenderness
  B. weight gain
  C. fluid retention
  D. uterine bleeding
  D. uterine bleeding

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  Uterine bleeding on combination hormone replacement therapy, after 12 months of menses cessation, indicates an increased risk of carcinoma and should be reported to the physician immediately. Breast tenderness, weight gain, and fluid retention are all routine side effects of hormone replacement therapy. They should be noted in the record and reported to the physician, but they are not urgent.

• Question 74:

  Which of the following nursing diagnoses is most appropriate for a client with a new colostomy?

  A. Excess Fluid Volume
  B. Risk for Aspiration
  C. Disturbed Body Image
  D. Urinary Retention
  C. Disturbed Body Image

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  Explanation Explanation/Reference:Disturbed Body Image is the most appropriate nursing diagnosis for a client with a new colostomy, due to the adjustments that need to be made with the physical alteration of a colostomy. The other diagnoses are not applicable.

• Question 75:

  When performing an abdominal assessment, what is the correct order of the tasks?

  A. inspect, palpate, auscultate, percuss
  B. inspect, palpate, percuss, auscultate
  C. inspect, auscultate, percuss, palpate
  D. inspect, percuss, palpate, auscultate
  C. inspect, auscultate, percuss, palpate

• Question 76:

  Erythropoietin used to treat anemia in clients with renal failure should be given in conjunction with __________.

  A. iron, folic acid, and B12
  B. an increase of protein in the diet
  C. vitamins A and C
  D. an increase of calcium in the diet
  A. iron, folic acid, and B12

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  Explanation Explanation/Reference:The kidneys of a client in renal failure produce no erythropoietin, a hormone necessary for RBC production. Erythropoietin can be given as replacement, but the client needs adequate iron, folate, and B12 to increase the effectiveness of EPO. Choice "an increase of protein in the diet" is not necessary for RBC production and can increase uremia. Choices "vitamins A and C" and "an increase of calcium in the diet" are not necessary for RBC production.

• Question 77:

  The LPN is auscultating for bowel sounds and hears between 3 and 4 bowel sounds per minute. This is a somewhat expected finding for __________ patients.

  A. a 45-year-old male recovering from a knee replacement under general anesthesia
  B. a 56-year-old female with dementia undergoing a swallow study
  C. a 63-year-old female undergoing chemotherapy for breast cancer
  D. a 34-year-old male with a PEG tube newly admitted for diabetic ketoacidosis
  A. a 45-year-old male recovering from a knee replacement under general anesthesia

• Question 78:

  An LPN works on an adult medical/surgical unit and has been pulled to work on the burn unit, which cares for patients of all ages. What should he do?

  A. He should take the assignment, but explain the situation to the charge nurse and ask for a quick orientation before starting.
  B. He should refuse to take the assignment, as caring for infant and child population is not within his scope of practice.
  C. He should take the assignment, but ask to be paired with a more experienced LPN.
  D. He should take the assignment, but make it clear he will only care for adult patients.
  A. He should take the assignment, but explain the situation to the charge nurse and ask for a quick orientation before starting.

• Question 79:

  Issues addressed in ethics committees include all of the following except __________.

  A. nonpayment of bills
  B. euthanasia
  C. starting or stopping treatment
  D. use of feeding tubes
  A. nonpayment of bills

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  Ethics committees do not deal with financial matters of payment. Euthanasia, starting or stopping treatment, and use of feeding tubes to maintain nutritional status are topics within the ethical scope of the committee's function.

• Question 80:

  A client is going to have an endoscopy performed.

  Which of the following is not a probable reason for an endoscopy procedure?

  A. Aspiration noted on honey thick diet.
  B. Pain with a bowel movement
  C. Pain felt in the left upper quadrant
  D. Right shoulder pain
  B. Pain with a bowel movement

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  Explanation Explanation/Reference:Bowel movement pain should be examined with a colonoscopy not an endoscopy.