NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 81:

  A 27-year-old woman has delivered twins in the OB unit. The patient develops a condition of 5 centimeter diastasis recti abdominis.

  Which of the following statements is the most accurate when instructing the patient?

  A. Sit-ups are o.k. to do as long as you don't strain

  B. This condition leads to surgery in 80% of cases.

  C. Guarding the abdominal region is important at this time.

  D. Antibiotics are required for this condition in 70% of patients.

  Correct Answer: C

  Protection of the abdominal wall is critical at this point in time.

• Question 82:

  A nurse is assessing a patient's breath sounds. The patient has had a pneumonectomy to the right lung performed 48 hours ago.

  Which of the following conditions most likely exists?

  A. Decreased breath sound volume

  B. Elevated tidal volume

  C. Elevated respiratory capacity

  D. Wheezing

  Correct Answer: A

  Breath sounds would be softer.

• Question 83:

  A nurse is instructing a patient about the warning signs of (Digitalis) side effects.

  Which of the following side effects should the nurse tell the patient are sometimes associated with excessive levels of Digitalis?

  A. Seizures

  B. Muscle weakness

  C. Depression

  D. Anxiety

  Correct Answer: B

  Palpitations and muscle weakness are found with excessive levels of Digitalis.

• Question 84:

  Which of the following adverse effects have sometimes Tricyclics (Antidepressants) on patients that have a diagnosis of depression?

  A. Shortness of breath

  B. Fainting

  C. Large Intestine ulcers

  D. Distal muscular weakness

  Correct Answer: B

  Fainting and hypotension can be caused by Tricyclics.

• Question 85:

  A nurse assesses an 83-year-old female's venous ulcer for the second time that is located near the right medial malleolus. The wound is exhibiting purulent drainage and the patient has limited mobility in her home.

  Which of the options is the best course of action?

  A. Encourage warm water soaks to the right foot.

  B. Notify the case manager of the purulent drainage.

  C. Determine the patient's pulse in the right ankle.

  D. Recommend increased activity to reduce the purulent drainage.

  Correct Answer: A

  A determination of arterial blood flow should be made, prior to encouraging increased activity, or notifying additional team members.

• Question 86:

  A nurse reviewed the arterial blood gas reading of a 25-year-old male.

  Bicarbonate ion - 25 mEq/l PH - 7.41 PaCO2 - 29 mmHg PaO2 - 54 mmHg FiO2 -22

  The nurse should be able to conclude the patient is experiencing __________ conditions.

  A. metabolic acidosis

  B. respiratory acidosis

  C. metabolic alkalosis

  D. respiratory alkalosis

  Correct Answer: D

  Respiratory alkalosis-elevated pH, and low carbon dioxide levels, no compensation noted.

• Question 87:

  A nurse is instructing a patient on the order of sensations with the application of an ice water bath for a swollen right ankle.

  Which of the following is the correct order of sensations experienced with an ice water bath?

  A. cold, burning, aching, and numbness

  B. burning, aching, cold, and numbness

  C. aching, cold, burning and numbness

  D. cold, aching, burning and numbness

  Correct Answer: A

  CBAN, cold, burn, ache, numbness

• Question 88:

  A nurse teaching a patient with COPD pulmonary exercises should __________.

  A. teach pursed-lip breathing techniques

  B. encourage repetitive heavy lifting exercises that will increase strength

  C. limit exercises based on respiratory acidosis

  D. take breaks every 10-20 minutes with exercises

  Correct Answer: A

  Purse lip breathing will help decrease the volume of air expelled by increased bronchial airways.

• Question 89:

  A twenty-one-year-old man suffered a concussion and the MD ordered a MRI. The patient asks, "Will they allow me to sit up during the MRI?"

  The correct response by the nurse should be __________.

  A. "I will have to talk to the doctor about letting you sit upright during the test."

  B. "You will be positioned in the reverse Trendelenburg position to maximize the view of the brain."

  C. "The radiologist will let you know."

  D. "You will have to lie down on your back during the test."

  Correct Answer: D

  The MRI will require supine positioning.

• Question 90:

  A patient that has TB can be taken off restrictions after __________ parameters have been met.

  A. negative culture results

  B. after 30 days of isolation

  C. normal body temperature for 48 hours

  D. non-productive cough for 72 hours

  Correct Answer: A

  Negative culture results would indicate absence of infection.