NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 921:

  Which of the following actions should a nurse take first for a client who has just vomited 300 cc of bright red blood?

  A. Document the vomiting.
  B. Increase the IV fluids.
  C. Get a complete blood count.
  D. Check the blood pressure.
  D. Check the blood pressure.

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  The blood pressure should be checked first for a client who has just vomited 300 cc of bright red blood, to determine whether the client is hypotensive. The other actions can be taken later.

• Question 922:

  The PN is caring for a patient undergoing peritoneal dialysis, and the output seems low.

  What should the PN do first?

  A. Stop the peritoneal dialysis and notify the physician.
  B. Check the patient's blood glucose level.
  C. Remove and replace the peritoneal dialysis catheter.
  D. Turn the patient side-to-side.
  D. Turn the patient side-to-side.

• Question 923:

  The nurse is caring for a client who is dying.

  While assessing the client for signs of impending death, the nurse observes the client for __________.

  A. elevated blood pressure
  B. Cheyne-Stokes respiration
  C. elevated pulse rate
  D. decreased temperature
  B. Cheyne-Stokes respiration

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  Explanation Explanation/Reference:Cheyne-Stokes respirations are rhythmic waxing and waning of respirations from very deep breathing to very shallow breathing with periods of temporary apnea, often associated with cardiac failure. This can be a sign of impending death.

• Question 924:

  The nurse and a colleague are on the elevator after their shift, and they hear a group of health caregivers discussing a recent client scenario.

  Which client right might be breached?

  A. right to refuse treatment
  B. right to continuity of care
  C. right to confidentiality
  D. right to reasonable responses to requests
  C. right to confidentiality

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  The right to confidentiality of client information might be breached when client care situations are discussed in public areas or without regard to maintaining the information as private and confidential. The other rights listed have not been breached in this instance.

• Question 925:

  If your patient is acutely psychotic, which of the following independent nursing interventions would not be appropriate?

  A. Conveying calmness with one on one interaction.
  B. Recognizing and dealing with your own feelings to prevent escalation of the patient's anxiety level.
  C. Encourage client participation in group therapy.
  D. Listen and identify causes of their behavior.
  C. Encourage client participation in group therapy.

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  Explanation Explanation/Reference:Acutely psychotic patients will disrupt group activities.

• Question 926:

  A safety measure to implement when transferring a client with hemiparesis from a bed to a wheelchair is __________.

  A. standing the client and walking him or her to the wheelchair.
  B. moving the wheelchair close to client's bed and standing and pivoting the client on his unaffected extremity to the wheelchair.
  C. moving the wheelchair close to client's bed and standing and pivoting the client on his affected extremity to the wheelchair.
  D. having the client stand and push his body to the wheelchair.
  B. moving the wheelchair close to client's bed and standing and pivoting the client on his unaffected extremity to the wheelchair.

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  Moving the wheelchair close to client's bed and having him stand and pivot on his unaffected extremity to the wheelchair is safer because it provides support with the unaffected limb.

• Question 927:

  Which of the following diseases places a client at risk for developing cirrhosis?

  A. type I diabetes
  B. alcoholism
  C. leukemia
  D. glaucoma
  B. alcoholism

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  Explanation Explanation/Reference:Alcoholism places a client at risk for developing cirrhosis. None of the other choices are related to cirrhosis.

• Question 928:

  Several passengers aboard an airliner suddenly become weak and suffer breathing difficulty. The diagnosis is likely to be __________.

  A. outbreak of Asian flu
  B. Chemical exposure
  C. bacterial pneumonia
  D. allergic reaction
  B. Chemical exposure

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  Explanation Explanation/Reference:The most likely cause of groups of individuals suddenly experiencing similar signs of illness all at once is a chemical exposure.

• Question 929:

  Sutures and staples are typically removed following surgery within __________.

  A. 7 to 10 days if healing is considered adequate
  B. 10 to 14 days if healing is considered adequate
  C. 7 to 10 days if no further dressings are needed
  D. 10 to 14 days if no further dressings are needed
  A. 7 to 10 days if healing is considered adequate

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  Sutures and staples can be removed within 7 to 10 days if healing has been sufficient and while this removal tends to reduce the amount of dressing supplies needed after removal, a light dressing may still be necessary.

• Question 930:

  How many feet should separate the nurse and the source when extinguishing a small, wastebasket fire with an appropriate extinguisher?

  A. 1 foot
  B. 2 feet
  C. 4 feet
  D. 6 feet
  D. 6 feet

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  The nurse should stand about 6 feet from the source of the fire. Getting closer might put the nurse in danger.