NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 891:

  While repositioning a comatose client, the nurse senses a tingling sensation as she lowers the bed.

  What action should she take?

  A. Unplug the bed's power source.
  B. Remove the client from the bed immediately.
  C. Notify the biomedical department at once.
  D. Turn off the oxygen.
  A. Unplug the bed's power source.

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  Shutting off the bed's electricity should be the initial step. The nurse should not touch the client until the bed is checked for faulty grounding. An electrician should assess the equipment. Oxygen should be discontinued until the equipment is cleared.

• Question 892:

  The LPN is caring for a 32-year-old female patient who is 8 hours post-op after a tonsillectomy. Which of these would be an appropriate action taken by the nurse?

  A. Inform the patient that ear pain may occur and is normal.
  B. Monitor vitals every 15 minutes.
  C. Provide ice water and a straw to promote easy fluid consumption.
  D. Provide hot tea to soothe the throat.
  A. Inform the patient that ear pain may occur and is normal.

• Question 893:

  A 50 milliliter (ml) bolus of normal saline fluid is ordered by the physician. The physician wants it to infuse in 30 minutes.

  The nurse should set the pump rate at __________.

  A. 100 ml per hour for one hour
  B. 60 ml per hour for one-half hour
  C. 120 ml per hour for one hour
  D. 50 ml per hour for one hour
  A. 100 ml per hour for one hour

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  One hundred ml in one hour equals 50 ml in 30 minutes, which is what the physician prescribed. 60 ml per hour for one-half hour is 10 ml more than the physician prescribed for 30 minutes. 120 ml per hour for one hour is the same as 60 ml per hour for one-half hour; it is 10 ml more than the physician prescribed for 30 minutes. 50 ml per hour for one hour only provides 25 ml over 30 minutes, or half the volume prescribed.

• Question 894:

  Acute hyphema is associated with what type of injury?

  A. orthopedic
  B. eye
  C. insect sting or snakebite
  D. gynecological trauma
  B. eye

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  An acute hyphema occurs as a result of a blunt injury to the eye and is manifested by a half-moon appearance or a horizontal line across the globe when the client is upright (due to blood collected in the anterior chamber).

• Question 895:

  A nurse is caring for a client with an elevated cortisol level.

  The nurse can expect the client to exhibit symptoms of __________.

  A. urinary excess
  B. hyperpituitarism
  C. urinary deficit
  D. hyperthyroidism
  C. urinary deficit

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  High levels of cortisol can produce sodium and fluid retention and potassium deficit, thus creating urinary deficit.

• Question 896:

  When a client has a chest drainage system in place, where should the system be placed?

  A. above the client's head
  B. at the client's shoulders
  C. at the level of the chest
  D. below the level of the chest
  D. below the level of the chest

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  Explanation Explanation/Reference:A chest drainage system should be placed below the level of the client's chest so that the drainage flows out of the chest into the system. The remaining choices are too high and do not allow fluid to drain out of the chest.

• Question 897:

  The nurse is caring for a patient who has a peripheral IV in her hand and a PICC line in the opposite arm.

  Which of these medications would be appropriate to administer in the peripheral IV?

  A. Erythromycin
  B. Tetracycline
  C. Vancomycin
  D. Cefazolin
  D. Cefazolin

• Question 898:

  When questioning an elder about suspected abuse, the nurse should keep the questions __________.

  A. nonjudgmental
  B. probing
  C. confrontational
  D. indirect
  A. nonjudgmental

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  Questions about suspected should be direct and nonconfrontational. Indirect questions encourage denial.

• Question 899:

  Which of the following foods needs to avoid a client with urinary tract calculi?

  A. lettuce
  B. cheese
  C. apples
  D. broccoli
  B. cheese

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  Explanation Explanation/Reference:The client with urinary tract calculi needs to avoid cheese, which has high calcium content. The other foods do not.

• Question 900:

  Who should document care?

  A. The LPNs should document the care that they provided and the care that was given by unlicensed assistive staff.
  B. The registered nurse must document all of the care that is provided by the nursing assistants because they are accountable for all care.
  C. All staff members should document all of the care that they have provided.
  D. All staff should document all of the care that they have provided but the registered nurse, as the only independent practitioner, signs it.
  C. All staff members should document all of the care that they have provided.

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  All staff members, including unlicensed assistive staff like nursing assistants, document and sign, all of the care that they have personally provided. For example, the nursing assistants will document the vital signs that they have taken; the licensed practical nurses will document all of the treatments and medications that they have given to the patient; and the registered nurse will document nursing diagnoses and assessments that they have completed.