NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 821:

  A nurse is assessing a patient in the rehab unit at shift change. The patient has suffered a TBI 3 weeks ago. Which of the following is the most distinguishing characteristic of a neurological disturbance?

  A. LOC (level of consciousness)
  B. Short term memory
  C. + Babinski sign
  D. + Clonus sign
  A. LOC (level of consciousness)

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  Explanation Explanation/Reference:LOC is the most critical indicator of impaired neurological capabilities.

• Question 822:

  People-related supervisory tasks include all of the following except __________.

  A. coaching
  B. encouraging
  C. target setting
  D. rewarding
  D. rewarding

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  Target-setting is the projection of goals or objectives to be accomplished and is considered to be a task-centered, supervisory responsibility. Coaching, encouraging, rewarding, evaluating, and facilitating are supervisory activities that are people related as they involve direct interaction with those doing the work.

• Question 823:

  A mother that has never breast-feed a child before is having trouble getting the baby to latch on to the breast. The baby has lost 3% of its' birth weight within the first 2 days of life. The best statement is __________.

  A. the baby will eventually take to the breast
  B. I can fix up a bottle if you want to try that
  C. a small amount of weight loss in the first few days is normal
  D. I can get the charge nurse to come and talk to you about breast-feeding
  C. a small amount of weight loss in the first few days is normal

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  Explanation Explanation/Reference:5-10% of birth weight loss following birth is normal for the first few days of life.

• Question 824:

  A stool culture reveals Shigella.

  What corollary should the nurse recognize regarding this bacterial infection?

  A. People who have been in contact with the client need to be tested.
  B. Shigella is an airborne infection.
  C. Shigella is a bacteria sometimes found in stagnant water.
  D. The nurse should wear a one-way breathing apparatus when giving client care.
  C. Shigella is a bacteria sometimes found in stagnant water.

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  Explanation Explanation/Reference:Shigella is a bacteria sometimes found in stagnant water. Transmission of Shigella is typically oral-fecal, so good hand washing and the use of gloves are the best means of prevention when caring for a client with Shigella. The bacteria can be found in food and water contaminated by fecal material. Incidences of Shigella are reportable in many states.

• Question 825:

  A psychiatric patient asks, "Are we at my apartment in New York City? I don't want to leave my room because I'm afraid of getting mugged!"

  What is the LPN's best response?

  A. "No, we are in a hospital in Seattle, Washington. Why are you worried about being mugged? Have you been mugged before?"
  B. "Tell me a little more about how you're feeling. Did you have an apartment in New York once?"
  C. "It sounds like you are feeling scared or anxious. We are not at an apartment in New York, we are at a hospital in Seattle, Washington."
  D. "Are you feeling anxious? Don't worry, you are safe and I won't let anything bad happen to you."
  C. "It sounds like you are feeling scared or anxious. We are not at an apartment in New York, we are at a hospital in Seattle, Washington."

• Question 826:

  Which of the following is considered normal for the neonate?

  A. Chest Circumference: 10 to 13 inches
  B. Length: 16 to 22 inches
  C. Weight: 1,500 to 4,000 g
  D. Head Circumference: 12.6 to 14.5 inches
  D. Head Circumference: 12.6 to 14.5 inches

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  Explanation Explanation/Reference:The normal and expected parameters for the neonate in terms of head circumference is 12.6 to 14.5 inches.

• Question 827:

  Nurses caring for clients who have cancer and are taking opioids need to assess for all of the following except __________.

  A. tolerance
  B. constipation
  C. sedation
  D. addiction
  D. addiction

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  Addiction is not of primary concern when treating the pain of terminally ill clients. Clients with cancer who are taking opioid analgesics can develop tolerance, constipation, and sedation.

• Question 828:

  The client on Floxin must be alerted to which of the following adverse effects?

  A. stunting of height in teens and young adults
  B. propensity of anovulatory uterine bleeding
  C. intractable diarrhea
  D. tendon rupture
  D. tendon rupture

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  Explanation Explanation/Reference:Floxin is a quinolone antibiotic used in respiratory infections and pelvic and reproductive infections. Rarely, quinolones can cause tendon sheath rupture, usually of the Achilles. At the first indication of tendon pain, the antibiotic should be discontinued.

• Question 829:

  The LPN is asked to perform an occult blood test.

  What type of sample should be collected?

  A. sputum sample
  B. arterial blood sample
  C. venous blood sample
  D. stool sample
  D. stool sample

• Question 830:

  The most effective way to perform hand hygiene is __________.

  A. washing hands after gloves are removed post patient care
  B. using hand sanitizer and rubbing hands together for 30 seconds
  C. either washing your hands for 30 seconds in warm, soapy water or using hand sanitizer if hands are not visibly soiled
  D. holding hands down after washing to prevent water from rolling down your arm while drying
  C. either washing your hands for 30 seconds in warm, soapy water or using hand sanitizer if hands are not visibly soiled