NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 821:

  The LPN is receiving report on a newly admitted 14-year-old boy. He is described as being very bright and a good communicator, but his social interactions seem a bit "off." He spends much of his time playing with his baseball card collection, which he has organized in a meticulous fashion.

  Given this information, which diagnosis does the nurse suspect the patient may have?

  A. autism spectrum disorder

  B. Asperger's syndrome

  C. ADHD

  D. Rett syndrome

  Correct Answer: A

• Question 822:

  An LPN learns her newly admitted female patient is of the Muslim faith.

  Which of these actions would not be appropriate to take before meeting the patient?

  A. look up the number for the hospital Imam

  B. obtain a long-sleeved gown, hair covering, and long hospital pants

  C. ask the charge nurse if there is a private space conducive to prayer

  D. check to see if the cafeteria offers Halal options

  Correct Answer: B

• Question 823:

  An LPN is having a serious discussion with a patient who is facing a major surgery. During their conversation, the LPN is careful to pause and allow for silence.

  Which of these is the best reason for him to do this?

  A. It is designed to make sure the patient is actually paying attention.

  B. It gives the patient an opportunity to think about what is being discussed and ask related questions.

  C. It allows the patient to have a break from discussing such a serious topic.

  D. It allows the patient to write down questions he or she has for the doctor.

  Correct Answer: B

• Question 824:

  A patient walks to the nurse's desk and casually mentions he is "going for a smoke" outside. When the LPN reminds him that the hospital has a strict no-smoking policy everywhere on campus, including outside, he becomes verbally abusive.

  What should the nurse's first response be?

  A. Tell him if he insists, he must go off hospital grounds or he may incur a fine.

  B. Tell the patient he is being inappropriate and that he should lower his voice.

  C. Calmly walk the patient back to his room.

  D. Call the attending doctor for a nicotine patch.

  Correct Answer: C

• Question 825:

  An LPN student nurse is assigned to shadow you for the day. When she learns one of the patients you are caring for has Hepatitis C, she states, "I might find another nurse to shadow. I really don't feel comfortable

  caring for anyone with Hepatitis C." What is your best response?

  A. "As a nurse, you will take care of patients with many types of illnesses. I think it's best you stay with me."

  B. "Don't worry. I've taken care of this guy many times. He's super nice and pretty independent, so you won't have any physical contact with him."

  C. "Why are you so afraid of Hepatitis C? If you take proper precautions, you will not get it."

  D. "What do you know about Hepatitis C?"

  Correct Answer: D

• Question 826:

  A patient says to the LPN/LVN, "I think you're really cute and we get along so well. Once I'm out of here, would you like to go on a date sometime?"

  Which response by the LPN/LVN is the most appropriate?

  A. "I'm glad you feel we get along, but I am here to take care of you during your stay in the hospital."

  B. "I cannot discuss this with you during my shift. I will come by when I'm done working and give you my number."

  C. "Wow, that is very flattering, but I'm engaged."

  D. "That is inappropriate, and I am going to have to report this conversation to my manager."

  Correct Answer: A

• Question 827:

  An appropriate question when assessing a client's self-expectations about weight loss is ___________.

  A. "What makes you think you can change your eating habits?"

  B. "How do you feel about losing weight?"

  C. "How important is it that you lose weight?"

  D. "What do you think is a realistic weekly weight loss for you?"

  Correct Answer: D

  Nurses should assist clients to evaluate themselves and make behavior changes.

  Listening to clients, supporting clients' strengths, assisting clients to look at themselves in totality, and

  encouraging clients to set attainable goals should be part of the nurse-client relationship.

• Question 828:

  A 60-year-old widower is hospitalized after complaining of difficulty sleeping, extreme apprehension, shortness of breath, and a sense of impending doom.

  What is the best response by the nurse?

  A. "You have nothing to worry about. You are in a safe place. Try to relax."

  B. "Has anything happened recently or in the past that might have triggered these feelings?"

  C. "We have given you a medication that helps to decrease feelings of anxiety."

  D. "Take some deep breaths and try to calm down."

  Correct Answer: B

  Choice "Has anything happened recently or in the past that might have triggered these feelings?" provides support, reassurance, and an opportunity to gain insight into the cause of the anxiety. Choice "You have nothing to worry about. You are in a safe place. Try to relax." dismisses the client's feelings and offers false reassurance. Choices "We have given you a medication that helps to decrease feelings of anxiety." and "Take some deep breaths and try to calm down." do not allow the client to discuss his feelings, which he must do in order to understand and resolve the cause of his anxiety.

• Question 829:

  A 26-year-old single woman is knocked down and robbed while walking her dog one evening. Three months later, she presents at the crisis clinic, stating that she cannot put this experience out of her mind. She complains of nightmares, extreme fear of being outside or alone, and difficulty eating and sleeping.

  What is the best response by the nurse?

  A. "I will ask the physician to prescribe medication for you."

  B. "That must have been a very difficult and frightening experience. It might be helpful to talk about it."

  C. "In the future, you might walk your dog in a more populated area or hire someone else to take over this task."

  D. "Have you thought of moving to a safer neighborhood?"

  Correct Answer: B

  Choice "That must have been a very difficult and frightening experience. It might be helpful to talk about it." gives the client support and an opportunity to discuss the experience. Choices "I will ask the physician to prescribe medication for you.", "In the future, you might walk your dog in a more populated area or hire someone else to take over this task.", and "Have you thought of moving to a safer neighborhood?" do not validate her experience or permit discussion of her feelings.

• Question 830:

  The mother of a newborn child is very upset. The child has a cleft lip and palate.

  The type of crisis this mother is experiencing is __________.

  A. reactive

  B. maturational

  C. situational

  D. adventitious

  Correct Answer: C

  The arrival of the imperfect child that the mother had not envisioned places the mother in a situational

  crisis.

  Reactive is not an option.

  Maturational is an identified specific time period in normal development when anxiety and stress increase.

  Adventitious is a crisis that occurs outside the person's control so that the person has a disruption in social

  norms.