NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 911:

  Which of these types of fluid output is not typically measured?

  A. emesis
  B. urine
  C. chest tube drainage
  D. evaporative water from the respiratory tract
  D. evaporative water from the respiratory tract

• Question 912:

  Which sign might the nurse see in a client with a high ammonia level?

  A. coma
  B. edema
  C. hypoxia
  D. polyuria
  A. coma

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  Coma might be seen in a client with a high ammonia level.

• Question 913:

  A nurse is screening patients for immunizations.

  Which of following is not a contraindication for immunization?

  A. Seizures
  B. Fever > 3 days
  C. Malignancy > 3 months
  D. Illness > 6 months
  D. Illness > 6 months

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  Explanation Explanation/Reference:Chronic conditions are not considered a contraindication for immunization.

• Question 914:

  Which of the following statements by a client with gastroesophageal reflux disease (GERD) indicates adequate understanding?

  A. "I should eat right before bedtime."
  B. "I should eat large meals."
  C. "I should sit up after eating."
  D. "I should lie flat after eating."
  C. "I should sit up after eating."

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  Explanation Explanation/Reference:The client with GERD needs to sit up after eating or have the head of the bed elevated to avoid reflux. Thus, choices "I should eat right before bedtime." and "I should lie flat after eating." are incorrect. Choice "I should eat large meals." is incorrect because the client needs to eat small, frequent meals.

• Question 915:

  A client asks the nurse if all donor blood products are cross-matched with the recipient to prevent a transfusion reaction.

  Which of the following always requires cross-matching?

  A. packed red blood cells
  B. platelets
  C. plasma
  D. granulocytes
  A. packed red blood cells

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  Packed red blood cells contain antigens and antibodies that must be matched between donor and recipient. Platelets, plasma and granulocytes do not contain red cells; thus, they require no cross-matching.

• Question 916:

  Ethical and moral issues concerning restraints include all of the following except __________.

  A. emotional impact on the client and family
  B. dignity of the client
  C. client's quality of life
  D. policies and procedures
  D. policies and procedures

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  Explanation Explanation/Reference:Policies and procedures, though important, are not in the category of ethical and moral issues. The other options are ethical and moral issues.

• Question 917:

  A nurse has been ordered to administer Morphine to a patient.

  Which of the following effects is unrelated to Morphine's effects on the patient?

  A. Depressed function of the CNS
  B. Increased blood flow
  C. Decreased venous capacity
  D. Pain relief
  C. Decreased venous capacity

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  Explanation Explanation/Reference:Venous capacity increases with morphine use.

• Question 918:

  A client with a nasogastric (NG) tube begins vomiting. What action should the nurse take?

  A. Retape the NG tube.
  B. Clamp the NG tube.
  C. Remove the NG tube.
  D. Check the NG tube placement.
  D. Check the NG tube placement.

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  Explanation Explanation/Reference:For the client with an NG tube who begins vomiting, the nurse should check the tube placement because it might be displaced, thereby leading to vomiting. The other responses are not appropriate.

• Question 919:

  Why might breast implants interfere with mammography?

  A. They might cause additional discomfort.
  B. They are contraindications to mammography.
  C. They are likely to be dislodged.
  D. They might prevent detection of masses.
  D. They might prevent detection of masses.

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  Explanation Explanation/Reference:Breast implants can prevent detection of masses. Choices "They might cause additional discomfort.", "They are contraindications to mammography." And "They are likely to be dislodged." are not ways in which breast implants interfere with mammography.

• Question 920:

  A month after receiving a blood transfusion, an immunocompromised client develops fever, liver abnormalities, a rash, and diarrhea.

  The nurse should suspect this client has __________.

  A. nothing related to the blood transfusion
  B. graft-versus-host disease (GVHD)
  C. myelosuppression
  D. an allergic response to a recent medication
  B. graft-versus-host disease (GVHD)

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  GVHD occurs when white blood cells in donor blood attack the tissues of an immunocompromised recipient. This process can occur within a month of the transfusion. Choices "nothing related to the blood transfusion" and "an allergic response to a recent medication" are possible, but the nurse must remember that immunocompromised transfusion recipients are at risk for GVHD.