NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 801:

  The three universal spiritual needs include all of the following except __________.

  A. meaning and purpose
  B. love and relatedness
  C. forgiveness
  D. God's permission
  D. God's permission

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  Religious teachings help to present a meaningful philosophy and system of practices within a system of social controls having specific values, norms, and ethics. God is the center of many religions (major), but not all.

• Question 802:

  Which of these is not a sign of early hyperglycemia?

  A. polyphagia
  B. polyketonia
  C. polyuria
  D. polydipsia
  B. polyketonia

• Question 803:

  Which cranial nerves assesses the gag reflex test?

  A. IX and X
  B. V and VII
  C. IX and XII
  D. V and X
  A. IX and X

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  Gagging during the gag reflex test indicates that cranial nerves IX and X (the glossopharyngeal and vagus nerves) are intact.

• Question 804:

  When assessing a client with early impairment of oxygen perfusion, such as pulmonary embolus, the nurse should expect to find restlessness and __________ symptoms.

  A. warm, dry skin
  B. bradychardia
  C. tachycardia
  D. eupnea
  C. tachycardia

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  The cardinal signs of respiratory problems and hypoxia are restlessness, diaphoresis, tachycardia, and cool skin. Bradycardia might occur much later in the process when the condition is severe. Eupnea is normal respirations in rate and depth.

• Question 805:

  The patient should be sitting when deep breathing and coughing because this position __________.

  A. is physically more comfortable for the patient
  B. helps the patient to support their incision with a pillow
  C. loosens respiratory secretions
  D. allows the patient to observe their area and relax
  B. helps the patient to support their incision with a pillow

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  The patient should be sitting when deep breathing and coughing because this position allows the patient to be better able to splint the incision with a pillow which provides abdominal support during coughing. It also allows the lungs to more fully expand because the diaphragm drops. The most comfortable position for the patient is the supine position; however, this position does not permit the lungs to fully expand. There is no association or correlation between loosening respiratory secretions or relaxation with this sitting position.

• Question 806:

  Which of the following is an appropriate nursing goal for a client at risk for nutritional problems?

  A. provide oxygen
  B. promote healthy nutritional practices
  C. treat complications of malnutrition
  D. increase weight
  B. promote healthy nutritional practices

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  Promoting healthy nutritional practices is an appropriate nursing goal for a client at risk for nutritional problems. To provide oxygen is incorrect because it is a nursing intervention, not a goal statement. To treat complications of malnutrition is incorrect because it is a therapeutic treatment. To increase weight is incorrect because weight gain is an appropriate goal only if the client is underweight.

• Question 807:

  A twenty-one-year-old man suffered a concussion and the MD ordered a MRI. The patient asks, "Will they allow me to sit up during the MRI?" The correct response by the nurse should be __________.

  A. "I will have to talk to the doctor about letting you sit upright during the test."
  B. "You will be positioned in the reverse Trendelenburg position to maximize the view of the brain."
  C. "The radiologist will let you know."
  D. "You will have to lie down on your back during the test."
  D. "You will have to lie down on your back during the test."

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  Explanation Explanation/Reference:The MRI will require supine positioning.

• Question 808:

  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
  C. 22 gauge

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

• Question 809:

  A nurse observes a client sitting alone and talking. When asked, the client reports that he is "talking to the voices."

  The nurse's next action should be __________.

  A. touching the client to help him return to reality
  B. leaving the client alone until reality returns
  C. asking the client to describe what is happening
  D. telling the client there are no voices
  C. asking the client to describe what is happening

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  Nurses might observe behavioral cues that can indicate the presence of hallucinations. Talking about the hallucinations is reassuring and validating to the client who has them. Focusing on the symptoms and asking about the hallucinations helps the client gain control.

• Question 810:

  A patient has suffered a left CVA and has developed severe hemiparesis resulting in a loss of mobility. The nurse notices on assessment that an area over the patient's left elbow appears as non-blanchable erythema and the skin is intact. The nurse should score the patient as having __________.

  A. stage I pressure ulcer
  B. stage II pressure ulcer
  C. stage III pressure ulcer
  D. stage IV pressure ulcer
  A. stage I pressure ulcer

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  Explanation Explanation/Reference:Erythema with the skin intact can indicate a Stage I pressure ulcer.