NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 841:

  A concern regarding maternal and infant mortality and morbidity is that __________.

  A. a segment of the population is not receiving prenatal care
  B. families appear unconcerned about quality health care
  C. the personnel shortage in the maternity field will increase
  D. maternal-child health workers are not adequately prepared
  A. a segment of the population is not receiving prenatal care

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  Explanation Explanation/Reference:There is a concern that a segment of the population is not accessing prenatal care, affecting infant and maternal mortality and morbidity.

• Question 842:

  During which week does the fetal heart begin pumping its own blood?

  A. 3rd week
  B. 5th week
  C. 9th week
  D. 6th week
  A. 3rd week

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  The embryonic heart begins pumping its own blood, often a different blood type than the mother's, during week 3. Week 5 includes the development of eyes, legs, and hands. Brain waves become detectable during week 6 and teeth begin to develop during week 9 of gestation.

• Question 843:

  Which nonpharmacological technique entails the use of electronic monitoring equipment while the patient controls basic bodily mechanisms?

  A. Meditation
  B. Visualization
  C. Biofeedback
  D. Chiropractic
  C. Biofeedback

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  Biofeedback is a nonpharmacological technique that entails the use of electronic monitoring equipment while the patient controls basic bodily mechanisms such as body temperature, sweating, heart rate, blood pressure, muscle tension and sweating.

• Question 844:

  Medical records indicate a patient has developed a condition of respiratory alkalosis. Which of the following clinical signs would not apply to a condition of respiratory alkalosis?

  A. Muscle tetany
  B. Syncope
  C. Numbness
  D. Anxiety
  D. Anxiety

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  Explanation Explanation/Reference:Anxiety is a clinical sign associated with respiratory acidosis.

• Question 845:

  A nurse runs into the significant other of a patient with end stage AIDS crying during her smoke break. Which of the following is most appropriate action for the nurse to take?

  A. Allow her to grieve by herself.
  B. Tell her go ahead and cry, after all your husband's pretty bad off.
  C. Tell her you realize how upset she is, but you don't want to talk about it now.
  D. Approach her, offering tissues and encourage her to verbalize her feelings.
  D. Approach her, offering tissues and encourage her to verbalize her feelings.

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  Explanation Explanation/Reference:Being left alone during the grief process, isolates individuals. These individuals need an outlet for their feelings and to talk to someone who is empathetic.

• Question 846:

  A client who is immobilized secondary to traction is complaining of constipation. Which of the following medications should the nurse expect to be ordered?

  A. Advil
  B. Anasaid
  C. Clinocil
  D. Colace
  D. Colace

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  Explanation Explanation/Reference:Colace is a stool softener that acts by pulling more water into the bowel lumen, making the stool soft and easier to evacuate.

• Question 847:

  A client has been admitted in septic shock. Her nursing care plan includes the diagnosis High Risk for Injury (related to clotting disorder).

  Based on this diagnosis, all the following are appropriate entries in the nursing care plan except __________.

  A. obtain an order for a stool softener
  B. administer packed RBCs, if ordered
  C. encourage the client to rinse her mouth with mouthwash and scrub her teeth with an oral sponge
  D. dress venipuncture sites immediately to prevent infection
  D. dress venipuncture sites immediately to prevent infection

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  Firm, direct pressure should be applied to venipuncture sites for 3-7 minutes before final dressing because of the clotting abnormality. Septic shock is a systemic infection of the bloodstream producing clinical manifestations ?warm, flushed skin; high urine output; tachycardia; edema; respiratory problems; restlessness; altered level of consciousness; life-threatening form of shock.

• Question 848:

  Activities of effective supervisors can be task-related or people-related activities. An example of a task-related supervisory activity is __________.

  A. coaching
  B. evaluating
  C. delegating
  D. facilitating
  C. delegating

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  Delegating is the act (or task) of assigning work to those that are capable and competent to do the work. Coaching, evaluating, and facilitating are supervisory activities that are people related.

• Question 849:

  A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, "I need this surgery because nothing else I have done has helped me to lose weight." Which response by the nurse is most appropriate?

  A. "If you eat less, you can save some money."
  B. "Exercise is a healthier way to lose weight."
  C. "You should try the Atkins diet first."
  D. "I respect your decision to choose surgery."
  D. "I respect your decision to choose surgery."

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  Explanation Explanation/Reference:This statement is most appropriate, as it shows respect and empathy. The other statements are both insensitive and unprofessional.

• Question 850:

  Which nursing diagnosis is the most commonly used among patients who are affected with fibromyalgia?

  A. Decreased self-care in the activities of daily living related to fatigue.
  B. Impaired mental functioning related to electrolyte imbalances.
  C. Increased vigilance secondary to electrolyte imbalances.
  D. At risk for a swallowing disorder related to fibromyalgia.
  A. Decreased self-care in the activities of daily living related to fatigue.

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  The signs and symptoms of fibromyalgia include widespread aching, muscle stiffness, fatigue and sleep disorders. The degree of fatigue can be so severe that the patient is unable to even perform the activities of daily living. Fibromyalgia, a chronic disorder associated with periods of exacerbation and remission is not associated with a swallowing disorder, hypervigilance, mental functioning alterations or electrolyte imbalances.