NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 791:

  Which electrolyte is essential for enzyme and neurochemical activities?

  A. Chloride

  B. Magnesium

  C. Potassium

  D. Phosphate

  Correct Answer: B

  Magnesium is essential for enzyme and neurochemical activities and it is also needed for cardiac and

  skeletal muscle excitability. Chloride is the most abundant negatively charged ion in extracellular fluid with

  potassium being the most abundant positively charge ion.

  Phosphate assists in acid-base regulation.

• Question 792:

  What is the ultimate purpose and goal of performance improvement activities?

  A. To increase efficiency.

  B. To contain costs.

  C. To improve processes.

  D. To improve policies.

  Correct Answer: C

  The ultimate purpose of quality improvement activities is to identify process flaws and then to change the

  process so that it is fail proof. Fail proof processes prevent human error and possible patient harm.

  Although these process improvements and changes may also increase efficiency and decrease costs, the

  ultimate goal of quality improvement activities is to prevent future occurrences with process changes and

  not costs and efficiency.

  Lastly, it is known that processes, not policies, are the root cause of many medical errors.

• Question 793:

  Which disease decreases the metabolic rate?

  A. Cancer

  B. Hypothyroidism

  C. Chronic obstructive pulmonary disease

  D. Cardiac failure

  Correct Answer: B

  Hypothyroidism causes a decreased metabolic demand, so fewer calories are required.

  Cancer, chronic obstructive pulmonary disease, or cardiac failure all increase the metabolic demands and

  the need for added calories.

• Question 794:

  Ill health, malnutrition, and wasting as a result of chronic disease are all associated with __________.

  A. Surgical asepsis

  B. Catabolism

  C. Cachexia

  D. Venous stasis

  Correct Answer: C

  Ill health, malnutrition, and wasting as a result of chronic disease are all associated with cachexia.

  Cachexia can also result from dehiscence of a surgical incision or rupture of wound closure.

  Surgical asepsis refers to using a sterile technique to protect against infection before, during, and after

  surgery.

  The breakdown of tissue, especially after severe trauma or crush injuries is known as catabolism.

  Venous stasis is a disorder related to pooling of blood in a vein of the body; venous stasis typically occurs

  in the lower extremities and it is one of the many hazards, or complications, of immobilization.

• Question 795:

  Select the member of the healthcare team that is paired with one of the main functions of this team member.

  A. Occupational therapist: Gait exercises

  B. Physical therapist: The provision of assistive devices to facilitate the activities of daily living

  C. Speech and language therapist: The treatment of swallowing disorders

  D. Case manager: Ordering medications and treatments

  Correct Answer: C

  Speech and language therapists assess and treat patients with a swallowing disorder; they also assess and treat patients with speech and communication problems as often occurs after a cerebrovascular accident, or stroke. Occupational therapists assist patients with their activities of daily living and they also provide patients with assistive devices to facilitate eating and dressing. Physical therapists perform rehabilitation and restorative care including help with ambulation and balance/gait exercises. Lastly, case managers coordinate care along the continuum of care and they manage insurance reimbursements.

• Question 796:

  A nurse is implementing a community awareness campaign about accidental poisoning.

  Which of the following should she teach in the class?

  A. The child should be given milk.

  B. The child should be given syrup of Ipecac

  C. The poison control center should be contacted

  D. The child should be taken to the ER

  Correct Answer: C

  The poison control center should be contacted first.

• Question 797:

  When choosing a needle gauge for an intramuscular injection in a 12-year-old boy. Which of the following gauges would you choose?

  A. 27 gauge

  B. 25 gauge

  C. 22 gauge

  D. 20 gauge

  Correct Answer: C

  22 gauge is recommended for school age children, toddlers, and adolescents while 23-25 gauge is recommended for infants.

• Question 798:

  When giving an intramuscular injection to an infant. Which of the following sites is preferred?

  A. Ventrogluteal region

  B. Deltoid

  C. Vastus lateralis

  D. Dorsogluteal region

  Correct Answer: C

  Vastus lateralis is the ideal choice for infants.

• Question 799:

  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

  Correct Answer: D

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

• Question 800:

  Which of the following motions is identified with the corresponding action?

  (Action ?Turning palm of hand over to face in the anterior direction, dorsum of the hand is pointed downward toward the floor.)

  A. Pronation

  B. Supination

  C. Abduction

  D. Adduction

  Correct Answer: B

  Supination ?"Holding a bowl of soup in your hand."