NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 901:

  The PN receives a call from a mother caring for her infant.

  The PN should inform the mother that __________ medications should be used with extreme caution.

  A. Diphenhydramine
  B. Simethicone
  C. Acetaminophen
  D. Bacitracin
  C. Acetaminophen

• Question 902:

  States throughout our nation vary somewhat in terms of things that nursing assistants can and cannot legally do.

  Which statements about these state to state differences are accurate? (Choose all that apply.)

  A. Nursing assistants can change catheter tubings but not catheters
  B. Nursing assistants can change sterile dressings
  C. Nursing assistants have an expanding role in many states.
  D. Nursing assistants cannot assess the physical status of the patients.
  E. Nursing assistants can apply topical medication lotions to intact skin.
  F. The trend is moving toward nurses only staffing patterns.
  C. Nursing assistants have an expanding role in many states.
  D. Nursing assistants cannot assess the physical status of the patients.

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  Nursing assistants have an expanding role in many states. For example, some states permit nursing assistants to take ECGs, or EKGs, and to perform phlebotomy when they are given the necessary training and have been deemed competent to do so. Only nurses assess; nursing assistants cannot assess the physical status of the patients.

• Question 903:

  When making an occupied bed, it is important for the nurse to ___________.

  A. keep the bed in the low position
  B. use a bath blanket or top sheet for warmth and privacy
  C. constantly keep side rails raised on both sides
  D. move back and forth from one side to the other when adjusting the linens
  B. use a bath blanket or top sheet for warmth and privacy

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  Using a bath blanket or top sheet keeps the client warm and provides privacy. Keeping the bed in the low position and working above raised side rails might strain the nurse's back. Continually moving back and forth to tuck and arrange linen is time-consuming and disorganized.

• Question 904:

  When a middle-age woman says to the nurse, "I'm really worried about menopause. When my mom went through it, she got really depressed."

  The nurse's best response is __________.

  A. "It is a myth that women get depressed because of menopause."
  B. "Menopause is a normal developmental process."
  C. "It sounds like you are worried that you might become depressed during menopause."
  D. "When women experience depression during menopause it is usually because of social stresses."
  C. "It sounds like you are worried that you might become depressed during menopause."

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  Choice "It sounds like you are worried that you might become depressed during menopause." not only acknowledges the client's fear but invites more disclosure and discussion. Reflective listening is very therapeutic and in this case acknowledges the woman's unspoken fear that she might become depressed like her mother. When her fears have been acknowledged and she feels that the nurse understands, she will be more open to the teaching or interventions to follow. It is a myth that menopause causes depression, but to say that to this client does not acknowledge the fear she shared with the nurse and gives the impression the nurse doesn't care about her concern. It closes down communication. It is also true that menopause is a normal developmental process. This can certainly be used in teaching but not to address her immediate concern; the client might feel the nurse doesn't think her concern is appropriate because menopause is normal. If women experience depression during menopause, it is usually due to social stresses such as loss of loved ones, loss of roles, caregiver demands, and physical problems. Choice "When women experience depression during menopause it is usually because of social stresses." is true but is a nontherapeutic response in this situation.

• Question 905:

  Herbal therapy has several indications for use.

  Primarily, herbal therapy is __________.

  A. used to treat many common complaints and diseases.
  B. used to promote certain types of low-carb diets.
  C. used as an adjunct to medications.
  D. used to create a diet without salt and carbohydrates.
  A. used to treat many common complaints and diseases.

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  Herbal therapy is used to treat many common complaints and diseases.

• Question 906:

  The PN is on a home visit with a patient taking Amiodarone.

  Which of these statements would indicate that the patient understands the potential drug side effects?

  A. "I need to take supplemental vitamin B12."
  B. "I need to make sure I wear sunblock when going outdoors."
  C. "I should avoid eating leafy vegetables."
  D. "It is normal if I have numbing or tingling in my feet."
  B. "I need to make sure I wear sunblock when going outdoors."

• Question 907:

  The doctor has ordered 20 cc an hour of normal saline intravenously for your pediatric patient. You will be using a pediatric intravenous tubing that delivers 60 cc per drop.

  How many drops per minute will you administer using this pediatric intravenous set?

  A. 30 drops per minute
  B. 25 drops per minute
  C. 20 drops per minute
  D. 22 drops per minute
  C. 20 drops per minute

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  You would adjust the intravenous fluid rate to deliver 20 drops of the normal saline every minute.

• Question 908:

  Which of the following observations is most important when assessing a client's breathing?

  A. presence of breathing and pulse rate
  B. breathing pattern and adequacy of breathing
  C. presence of breathing and adequacy of breathing
  D. patient position and adequacy of breathing
  C. presence of breathing and adequacy of breathing

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  Explanation Explanation/Reference:It is not enough to simply make sure the client is breathing. The client must be breathing adequately.

• Question 909:

  Your patient has just returned from the diagnostic imaging department and the doctor has told the patient that they have a Mallory-Weiss tear. The patient asks you what a Mallory-Weiss tear is.

  How should you respond to this patient?

  A. "A Mallory-Weiss tear is a kind of diverticulitis."
  B. "A Mallory-Weiss tear is an esophageal tear"
  C. "A Mallory-Weiss tear is a lacrimal gland disorder."
  D. "A Mallory-Weiss tear is a tear that results from a peptic ulcer."
  B. "A Mallory-Weiss tear is an esophageal tear"

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  A Mallory-Weiss tear is a linear tear of the esophageal mucosa. Alcohol use and abuse are the most commonly occurring risk factors. These tears are not associated with peptic ulcers or diverticulitis. The lacrimal glands in the eyes produce tears to lubricate the eyes.

• Question 910:

  Which procedures necessitate the use of surgical asepsis techniques? (Choose all that apply.)

  A. Intramuscular medication administration.
  B. Central line intravenous medication administration.
  C. Donning gloves in the operating room.
  D. Neonatal bathing.
  E. Foley catheter insertion.
  F. Emptying a urinary drainage bag.
  B. Central line intravenous medication administration.
  C. Donning gloves in the operating room.
  E. Foley catheter insertion.

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  Explanation Explanation/Reference:Surgical asepsis is used when managing central line intravenous medication administration, when donning sterile gloves in the operating room and when inserting an indwelling Foley catheter. Medical asepsis, or clean technique, is used when bathing a neonate, when emptying a urinary drainage bag and when administering an intramuscular medication injection.