NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 871:

  How many daily feedings are considered normal for a newborn?

  A. 8 to 10
  B. 10 to 12
  C. 6 to 8
  D. 12 to 14
  B. 10 to 12

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  An average newborn's stomach empties every 1.5 hours, so common feeding times occur about every 2 hours during a 24-hour period; therefore, 10 to 12 feedings per day is typical. Frequent breastfeeds increase a mother's prolactin levels, and high prolactin levels are required to establish an adequate milk supply. A higher-frequency of feedings help babies compensate for the lower caloric density of the milk.

• Question 872:

  A nurse is caring for an elderly patient and realizes she made an error by administering an antibiotic at the drip rate ordered for normal saline. What is the most appropriate action?

  A. Tell the patient that a medication error occurred and about the potential side effects.
  B. File an incident report giving objective data about what happened.
  C. Do nothing. There are no serious risks or side effects to this type of medication error.
  D. Tell the charge nurse the medication error occurred and that it was due to the previous nurse mislabeling the IV tubing from the antibiotic and normal saline bags.
  B. File an incident report giving objective data about what happened.

• Question 873:

  A 45-year-old client with type I diabetes is in need of support services upon discharge from a skilled rehabilitation unit.

  Which of the following services is an example of a skilled support service?

  A. shopping for groceries
  B. house cleaning
  C. transportation to physician's visits
  D. medication instruction
  D. medication instruction

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  The only skilled service listed is medication instruction. Grocery shopping, house-cleaning services, and transportation services are all examples of unskilled services offered by volunteer and fee-for-service agencies.

• Question 874:

  Why is it often necessary to draw a complete blood count and differential (CBC/differential) when a client is being treated with an antiepileptic drug (AED)?

  A. The hematocrit is adversely affected because of an increased vascular volume.
  B. AEDs affect immune modulators increasing the risk of infection.
  C. AEDs induce white blood cell reduction.
  D. A side effect of some AEDs is blood dyscrasia.
  D. A side effect of some AEDs is blood dyscrasia.

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  Explanation Explanation/Reference:Some AEDs cause aplastic anemia and megaloblastic anemia. "The hematocrit is adversely affected because of an increased vascular volume.", "AEDs affect immune modulators increasing the risk of infection." and "AEDs induce white blood cell reduction." are not side effects of AEDs.

• Question 875:

  Diagnostic genetic counseling, for procedures such as amniocentesis and chorionic villus sampling, allows clients to make all of the following choices except __________.

  A. terminating the pregnancy
  B. preparing for the birth of a child with special needs
  C. accessing support services before the birth
  D. completing the grieving process before the birth
  D. completing the grieving process before the birth

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  If findings are ominous, the grieving process will not be completed before birth. If the couple elects to terminate a pregnancy based on diagnostic tests, there will be grief and concerns for future pregnancies. Couples might choose to access support services and prepare for the birth of an infant with special needs. Some fetal conditions can be treated in utero.

• Question 876:

  Priorities to be considered intermediate are __________.

  A. the nonemergency, non-life-threatening needs of the client.
  B. those tasks that can be delegated to assistive personnel.
  C. those tasks that can be performed at the end of the shift.
  D. those task that can be performed at any time.
  A. the nonemergency, non-life-threatening needs of the client.

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  Priorities designated as intermediate by the nurse are those that are not urgent. They do not affect the client's immediate physiological status. This does not imply that they are not important or not necessary. Intermediate priorities might still require the skill level of an RN for completion. There might be specific time requirements for completion as well.

• Question 877:

  Which of the following represents a normal serum potassium level?

  A. 1.5 mEq/L
  B. 3.0 mEq/L
  C. 4.0 mEq/L
  D. 6.0 mEq/L
  C. 4.0 mEq/L

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  Normal serum potassium levels fall in a range of 3.5?.5mEq/L. The other choices listed fall below or above this range.

• Question 878:

  Neural tube defects in the fetus have been primarily associated with which deficiency in the mother?

  A. iron
  B. folic acid
  C. vitamin B12
  D. vitamin E
  B. folic acid

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  Folic acid is essential for the development of the neural tube and might prevent the defect or failure of the tube to close (congenital anomalies).

• Question 879:

  Which of the following organs of the digestive system has a primary function of absorption?

  A. stomach
  B. pancreas
  C. small intestine
  D. gallbladder
  C. small intestine

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  The small intestine has a primary function of absorption. The remaining digestive organs have other primary functions.

• Question 880:

  An LPN is caring for a primarily bedridden patient. Which finding should be of least concern?

  A. swollen feet
  B. brown discoloration above the ankles
  C. capillary refill time of 3 seconds on the big toe
  D. leg pain
  C. capillary refill time of 3 seconds on the big toe