NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 921:

  An LPN is taking care of an elderly patient who experiences the effects of Sundowner's Syndrome almost every evening.

  Which of these interventions implemented by the nurse would be the most helpful?

  A. Administer the PRN sedative prescribed by the attending physician.

  B. Remind the patient the things and people they are seeing are not real and that they are safe.

  C. Turn on the TV or radio to a station the patient enjoys.

  D. Place a nightlight in the patient's room.

  Correct Answer: D

• Question 922:

  You are caring for a 78-year-old woman who is wondering why she was diagnosed with glaucoma.

  Although she has several risk factors, which of these is not one of them?

  A. Mexican-American heritage

  B. blood pressure reading of 143/89

  C. age

  D. 20/80 vision

  Correct Answer: D

• Question 923:

  The LPN is caring for a 9 month-old infant.

  Which of these behaviors exhibited by the child warrants further investigation?

  A. She prefers crawling and is making no attempt to walk.

  B. She seems distressed with new adults.

  C. She only babbles "mama" and "dada."

  D. She does not respond to her own name.

  Correct Answer: D

• Question 924:

  A pregnant patient asks how she can prevent getting Group B Strep.

  What is the LPN's best response?

  A. "You cannot prevent getting Group B Strep, you can only treat it."

  B. "The Group B Strep vaccine is the only proven way to prevent the disease."

  C. "You should be extra vigilant about hand-washing, especially in the third trimester."

  D. "You should have your partner wear a condom every time you have intercourse."

  Correct Answer: A

• Question 925:

  The LPN is caring for a patient newly diagnosed with HIV.

  Which statement made by the patient regarding antiretroviral therapy (ART) would require correction from

  the nurse?

  A. "I will need to be on ART indefinitely."

  B. "I know I will need to come back for blood draws so that I can begin ART when my CD4 count is over 1,000 cells/mm3."

  C. "I can still use ART even though I am Hepatitis C positive."

  D. "If I start ART and use condoms, I'm less likely to transmit HIV to my partner."

  Correct Answer: B

• Question 926:

  The LPN is performing an assessment on a 4-day-old 8-pound, 6-ounce newborn with a head circumference of 33 cm.

  Given this information, what would the nurse expect the child's chest circumference to be?

  A. about 29 cm

  B. about 36 cm

  C. about 33 cm

  D. about 31 cm

  Correct Answer: D

• Question 927:

  If Ms. Barrett's distance vision is 20/30, which of the following statements is true?

  A. The client can read from 20' what a person with normal vision can read at 30'.

  B. The client can read from 30' what a person with normal vision can read at 20'.

  C. The client can read the entire chart from 30'.

  D. The client can read the chart from 20' with the left eye and from 30' with the right eye.

  Correct Answer: A

  The numerator, which is always 20, is the distance in feet between the chart and the client.

  The denominator, which ranges from 10 to 200, indicates the distance at which a normal eye can read the

  chart.

  The eye chart the nurse uses is the Snellen chart, which assesses distance vision.

• Question 928:

  Mr. Lee comes to the clinic with thick green drainage around his eyelids. The nurse examiner takes his history and performs a physical examination, beginning with an eye history.

  General information the nurse should seek is __________.

  A. type of employment

  B. burning or itchy sensation in the eyes

  C. position of the eyelids

  D. existence of floaters

  Correct Answer: A

  Data belonging in a general health history of the eye includes employment, activities, allergies,

  medications, lenses, and protective devices used.

  Exposure to irritants and activity risks should be delineated. Routine care of eyes and eye devices should

  be explored.

• Question 929:

  A nurse is trying to motivate a client toward more effective management of a therapeutic regimen.

  Which of the following actions by the nurse is most likely to be effective in increasing the client's motivation?

  A. determining whether the client has any family or friends living nearby

  B. developing a lengthy discharge plan and reviewing it carefully with the client

  C. teaching the client about the disorder at the client's level of understanding

  D. making a referral to an area agency for client follow up

  Correct Answer: C

  For maximum effectiveness, teach the client about the disorder at the client's level of understanding.

• Question 930:

  Which of the following vaccines is a live virus?

  A. varicella

  B. IPV

  C. DTaP

  D. hepatitis B

  Correct Answer: A

  Varicella is a live virus, as is OPV. IPV is an inactivated polio vaccine.