NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 861:

  The nurse is teaching a client about erythema infectiosum. Which of the following factors are not correct?

  A. There is no rash.
  B. The disorder is uncommon in adults.
  C. There is no fever.
  D. There is sometimes a "slapped face" appearance.
  B. The disorder is uncommon in adults.

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  Explanation Explanation/Reference:Fifth's disease, erythema infectiosum, is uncommon in adults. All the other statements are correct.

• Question 862:

  You will be reinforcing teaching and instructing the patient.

  Which basic principle of teaching should you follow?

  A. Sequence the instruction from the least complex to the most complex.
  B. Assume that the patient knows little or nothing about the topic.
  C. Tell the patient to call their significant other so you can instruct them.
  D. Use medically oriented terms so the patient will be able to speak with the doctor.
  A. Sequence the instruction from the least complex to the most complex.

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  You should sequence the instruction from the least complex to the most complex when reinforcing teaching and instructing the patient. For example, if you are instructing the patient about coughing and deep breathing, you should begin the instruction by demonstrating normal breathing, then deep breathing and finally combining deep breathing with coughing. You should not assume that the patient knows little or nothing about the topic, you should determine what they know. It is not necessary to have the patient call their significant other so you can instruct them; this is only necessary when the patient is not able to understand the instructions. Lastly, you should not use medically oriented terms and medical jargon, but instead, terms that the patient understands.

• Question 863:

  Accurate documentation of assessment findings regarding pressure ulcers is very important because ___________.

  A. the law requires the nurse to document lesions
  B. the hospital requires the nurse to document lesions
  C. the physician requires the nurse to document lesions
  D. the nursing assessment of ulcers is a standard of nursing practice
  D. the nursing assessment of ulcers is a standard of nursing practice

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  Explanation Explanation/Reference:Documentation of assessments by the nurse promotes continuity of care and helps prevent further progression of the ulcer.

• Question 864:

  Which patient is most at risk for Osgood-Schlatter disease?

  A. An elderly female who is hospitalized with a hip fracture and on bedrest
  B. A middle aged male patient who has been exposed to asbestos in the shipping industry
  C. An adolescent who is physically active and the captain of their soccer team
  D. An infant of low birth weight and a gestational age of 28 weeks
  C. An adolescent who is physically active and the captain of their soccer team

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  An adolescent who is physically active and the captain of their soccer team is at greatest risk for Osgood-Schlatter disease which results from the overuse of the knee and is characterized with patellar tendon inflammation. Other sports that can lead to this disease include running, basketball and gymnastics. Mesothelioma results from asbestos exposure. Lastly, immobility, low birth weight and low gestational age are not associated with Osgood-Schlatter disease.

• Question 865:

  The LPN is performing an assessment on a 4-day-old 8-pound, 6-ounce newborn with a head circumference of 33 cm. Given this information, what would the nurse expect the child's chest circumference to be?

  A. about 29 cm
  B. about 36 cm
  C. about 33 cm
  D. about 31 cm
  D. about 31 cm

• Question 866:

  What element is minimally assessed during a basic prenatal physical examination?

  A. Palpation and auscultation of the abdomen.
  B. Examination of the anus and rectum.
  C. Urinalysis for glucose, protein and ketones.
  D. Visual assessment of cervix and vagina.
  C. Urinalysis for glucose, protein and ketones.

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  A urinalysis is considered routine during the prenatal examination. Assessment of the cervix, vagina, anus, rectum, and palpation and auscultation of the abdomen may not be checked until a complete gynecologic examination is done by the doctor.

• Question 867:

  The stages of infection in correct sequential order are __________.

  A. the prodromal, incubation, illness and convalescence stages
  B. the incubation, prodromal, illness and convalescence stages
  C. the prodromal, primary, secondary and tertiary stages
  D. the inflammation, infection and immunity stages
  A. the prodromal, incubation, illness and convalescence stages

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  The incubation, prodromal, illness and convalescence stages are the stages of infection in correct sequential order. Inflammation, infection and immunity are commonly used terms in infection control but they are not stages of the infection process. Primary, secondary and tertiary are levels of prevention and not stages of the infection process.

• Question 868:

  Which healthcare associated infection is the greatest risk for patients?

  A. Pneumonia
  B. Catheter related infections
  C. Intravenous line infections
  D. C difficile
  B. Catheter related infections

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  Catheter related infection is the most commonly occurring healthcare associated infection, therefore, these infections are the greatest risk for patients. For this reason, indwelling urinary catheters are used only when necessary and, then, they remain in place for the briefest period of time possible. Pneumonia, intravenous line catheters and C difficile are all healthcare associated infections, however, they do not occur as frequently as indwelling urinary catheters do.

• Question 869:

  A patient has recently been prescribed Zidovudine (Retrovir). The patient has AIDS. Which of the following side effects should the patient specifically watch out for?

  A. Weakness and SOB
  B. Fever and anemia
  C. Hypertension and SOB
  D. Fever and hypertension
  B. Fever and anemia

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  Explanation Explanation/Reference:Anemia and fever are associated with Zidovudine's side effects.

• Question 870:

  Two staff nurses were considered for promotion to head nurse. The promotion is announced via a memo on the unit bulletin board. When the nurse who was not promoted first read the memo and learned that the other nurse had received the promotion, she left the room in tears.

  This behavior is an example of ___________.

  A. conversion
  B. regression
  C. introjection
  D. rationalization
  B. regression

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  Crying is a regressive behavior. The ego returned to an earlier, comforting, and less-mature way of behaving in the face of disappointment. Conversion involves the transformation of anxiety into a physical symptom. Introjection involves intense unconscious identification with another person. Rationalization involves the unconscious process of developing acceptable explanations to justify unacceptable ideas, actions, or feelings.