NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 851:

  A Roman Catholic client is preparing to have magnetic resonance imaging. He wants to wear his metal crucifix pendant while he is receiving the test. Which of the following is an appropriate response by the nurse?

  A. "Because it gives you comfort, you may wear it."
  B. "It is a violation of religious rights to forbid it."
  C. "I am sorry, but it is not safe for you to wear the crucifix during this test."
  D. "You may wear it because it is important to you."
  C. "I am sorry, but it is not safe for you to wear the crucifix during this test."

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  Explanation Explanation/Reference:No metal objects may be worn while receiving magnetic resonance imaging, due to safety risks involved with the strong magnet. Other options for spiritual support should be explored with the client.

• Question 852:

  Teaching about the need to avoid foods high in potassium is most important for which client?

  A. a client receiving diuretic therapy
  B. a client with an ileostomy
  C. a client with metabolic alkalosis
  D. a client with renal disease
  D. a client with renal disease

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  Clients with renal disease are predisposed to hyperkalemia and should avoid foods high in potassium. A client receiving diuretic therapy, a client with an ileostomy and a client with metabolic alkalosis are incorrect choices because clients receiving diuretics with ileostomy or with metabolic alkalosis are at risk for hypokalemia and should be encouraged to eat foods high in potassium.

• Question 853:

  The nurse is working with families who have been displaced by a fire in an apartment complex.

  What is the priority intervention during the initial assessment?

  A. Provide a liaison to meet housing needs.
  B. Attentively listen when clients describe their feelings.
  C. Offer nurturing support for clients who are confused by the events.
  D. Provide structure for clients exhibiting moderate to severe anxiety.
  A. Provide a liaison to meet housing needs.

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  After physical needs of housing, clothing and food are met, the nurse should focus on assisting clients to manage the psychological effects of loss.

• Question 854:

  An appropriate intervention for the client with suspected genitourinary trauma and visible blood at the urethral meatus is __________.

  A. insertion of a Foley catheter
  B. in and out catheter specimen for urinalysis
  C. a voided urine specimen for urinalysis
  D. a urologist consult
  D. a urologist consult

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  Explanation Explanation/Reference:A urologist consult is appropriate for a client with visible blood at the urethral meatus and suspected trauma. Choices "insertion of a Foley catheter" and "in and out catheter specimen for urinalysis" are contraindicated. A urinalysis might be ordered by the physician, but the question does not provide enough information to make "a voided urine specimen for urinalysis" the correct answer.

• Question 855:

  Which of the following factors can impact an individual's ability to give informed consent?

  A. IQ
  B. educational level
  C. pain medications
  D. financial status
  C. pain medications

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  Explanation Explanation/Reference:Pain medications might alter alertness, thought processes, and reactions. It is recommended that a client be approached for consent at least 4 hours after the last dose of pain medicine to allow minimal impact. IQ, educational level and financial status are incorrect choices. IQ and educational levels might have a bearing on how information is presented through the discussion process, but they do not have a bearing on informed-consent decision-making.

• Question 856:

  16 The PN is caring for a patient who has received a diagnosis of a terminal illness recently. When the PN checks on the patient during meal time, he finds that the patient has slammed his food tray against the wall in anger.

  What ego defense mechanism is this an example of?

  A. regression
  B. sublimation
  C. projection
  D. displacement
  D. displacement

• Question 857:

  The death of a beloved spouse places the surviving partner in __________ type of crisis.

  A. maturational
  B. reactive
  C. nonreactive
  D. situational
  D. situational

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  A situational crisis is an unexpected, unplanned event, such as the death of a spouse. Reactive is a normal maturational crisis; reactive and nonreactive are not recognized crisis states.

• Question 858:

  Support systems during the grieving process include all of the following except __________.

  A. a despondent friend
  B. a nurse
  C. a social worker
  D. a family member
  A. a despondent friend

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  A despondent friend, even though this could be a support to the grieving person, is in a state of despondency. Therefore, he or she might not do well with a grieving friend.

• Question 859:

  A nurse has been ordered to set-up Buck's traction on a patient's lower extremity due to a femur fracture. Which of the following applies to Buck's traction?

  A. A weight greater than 10 lbs. should be used.
  B. The line of pull is upward at an angle.
  C. The line of pull is straight.
  D. A weight greater than 20 lbs. should be used.
  C. The line of pull is straight.

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  Explanation Explanation/Reference:A straight line of pull is indicated with Buck's traction.

• Question 860:

  James returns home from school angry and upset because his teacher gave him a low grade on an assignment. After returning home from school, he kicks the dog.

  This coping mechanism is known as __________.

  A. denial
  B. suppression
  C. displacement
  D. fantasy
  C. displacement

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  Displacement is the transference of anger to another. Anger is displaced on the dog as a convenient object.