NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 81:

  A client is having problems with her ankles.

  To assess her ankles' ROM, which ROM exercises should the nurse have her perform?

  A. flexion, extension, hyperextension
  B. flexion, extension, abduction, adduction
  C. external rotation, internal rotation
  D. extension, flexion, inversion, eversion
  D. extension, flexion, inversion, eversion

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  Explanation Explanation/Reference:Moving a joint through the full range of motion identifies limitation of movement.

• Question 82:

  A 13-year-old girl is admitted to the ER with lower right abdominal discomfort. Which the following measures should the admitting nursing take first?

  A. Administer Loritab to the patient for pain relief.
  B. Place the patient in right sidelying position for pressure relief.
  C. Start a Central Line.
  D. Provide pain reduction techniques without administering medication.
  D. Provide pain reduction techniques without administering medication.

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  Explanation Explanation/Reference:Do not administer pain medication or start a central line without MD orders.

• Question 83:

  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
  A. negative culture results

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  Explanation Explanation/Reference:Negative culture results would indicate absence of infection.

• Question 84:

  A legal right to confidentiality of client information is waived when __________.

  A. a court system subpoenas information
  B. a family member requests health care information of a client
  C. a living will takes effect
  D. the client is declared incompetent by the legal system
  A. a court system subpoenas information

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  Explanation Explanation/Reference:The legal right to confidentiality is waived when the court requires information to be given to the court for legal proceedings to occur (summonses, court orders, litigation information necessary for the court, subpoenas, and so on), when the state requires mandatory reporting of certain illnesses, when sharing information is necessary because a client has revealed an intent to harm himself or others, or when a client cannot make a safe and rational decision (competence).

• Question 85:

  Which of these patients would be most likely to have an elevated glucose reading?

  A. a 43-year-old female who is fasting awaiting a knee arthroscopy
  B. a 34-year-old male with pancreatitis
  C. a 56-year-old male with Addison's disease
  D. a 29-year-old female with Sickle Cell Anemia
  B. a 34-year-old male with pancreatitis

• Question 86:

  Assessment of a client with a cast should include __________.

  A. capillary refill, warm toes, no discomfort
  B. posterior tibial pulses, warm toes
  C. moist skin essential, pain threshold
  D. discomfort of the metacarpals
  A. capillary refill, warm toes, no discomfort

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  Assessment for adequate circulation is necessary. Signs of impaired circulation include slow capillary refill, cool fingers or toes, and pain.

• Question 87:

  Most water leaves the body by way of the __________.

  A. lungs
  B. intestines
  C. skin
  D. kidneys
  D. kidneys

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  Explanation Explanation/Reference:The kidneys, via urine, excrete approximately 60% of all water. Water, in lesser volumes, also leaves the body by way of lung expiration, skin perspiration, and through the intestines.

• Question 88:

  A female having her first child is experiencing __________ crisis event.

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

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  A maturational crisis occurs when an individual arrives at a new stage of development and must develop new coping strategies. Situational arises from sources external to individuals. Adventitious occurs when some event external to a person (floods, hurricanes) disrupts his or her coping behaviors. Reactive is not a crisis intervention.

• Question 89:

  A family member of a client with a diagnosis of Schizophrenia asks about the prognosis. The nurse's response is based on the knowledge that schizophrenia __________.

  A. affects women more often than men
  B. is usually diagnosed between the ages of 15 and 45
  C. is a chronic, deteriorating disease with periods of remission
  D. is diagnosed later in women due to a protective hormone effect
  C. is a chronic, deteriorating disease with periods of remission

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  Explanation Explanation/Reference:Although all of the choices are true about schizophrenia, only Choice "is a chronic, deteriorating disease with periods of remission" answers the question asked.

• Question 90:

  The ICU nurse caring for a client who has just been declared brain dead can expect to find evidence of the client's wishes regarding organ donation __________.

  A. on the driver's license of the client
  B. in the client's safety deposit box
  C. in the client's last will and testament
  D. on the client's insurance card
  A. on the driver's license of the client

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  In most states, indication of organ donor status is found on the driver's license. Evidence in a last will and testament or in a safety deposit box is not readily accessible for decision-making if the need arises. Insurance cards do not contain such information. Another source might be the client's primary care physician's health record documentation.