NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 931:

  Which of the following microorganisms is easily transmitted from client to client on the hands of health care workers?

  A. mycobacterium tuberculosis
  B. clostridium tetani
  C. staphylococcus aureus
  D. human immunodeficiency virus
  C. staphylococcus aureus

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  Explanation Explanation/Reference:Staphylococcus aureus microorganisms are ubiquitous and easily transmitted by health care workers who fail to conduct routine hand washing between clients. Tuberculosis is almost always transmitted by the airborne route, and tetanus usually results from exposure to dirt. HIV is a weak virus that does not live long outside the body.

• Question 932:

  A client is taking the fluoroquinolone Ciprofloxin for acute prostatitis. After a few doses of the agent, he develops severe muscle pain. The most likely cause of the adverse reaction is __________.

  A. electrolyte imbalance
  B. impending tendon rupture
  C. calcium deposits
  D. antibiotic-associated colitis
  B. impending tendon rupture

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  Explanation Explanation/Reference:An untoward, adverse drug reaction associated with the quinolones is tendon rupture. Electrolyte imbalance has not been associated with the group, and antibiotic-associated colitis is most common in augmentin and penicillin groups.

• Question 933:

  Mr. H. is upset regarding being in the hospital for another day because he states it costs too much. The rights he is likely to demand include all of the following except __________.

  A. the right to examine and question the bill
  B. the right to reasonable response to requests
  C. the right to refuse treatment
  D. the right to confidentiality
  D. the right to confidentiality

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  Explanation Explanation/Reference:Confidentiality is the maintenance of privacy of information. The question does not suggest that confidentiality has been breached. The client is likely to demand the other rights and may exercise them in choosing to leave the hospital early.

• Question 934:

  Carrying a donor card for organ donation means that __________.

  A. medical care is altered in the event of serious injuries to get organs for donation
  B. the family or legally responsible party of a client has no decision-making authority in the event that the client is considered for organ donation
  C. a client is allowed to revoke his decision for organ donation at any time
  D. a client is considered an organ donor for only one organ or tissue
  C. a client is allowed to revoke his decision for organ donation at any time

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  Explanation Explanation/Reference:Revocation of the decision for organ donation may occur at any time, by either the client or his responsible party. When organ donation is considered, as many organs as the donor wished to donate are considered and accepted for donation if found appropriate. Medical care for an individual during immediate care and/or resuscitation is not altered to declare a client dead and ready for organ donation.

• Question 935:

  Support-system enhancement includes all of the following except __________.

  A. determining the barriers to using support systems
  B. discussing ways to help with others who are concerned
  C. exploring life problems of the support-team members
  D. involving spouse, family, and friends in the care and planning
  C. exploring life problems of the support-team members

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  Explanation Explanation/Reference:The exploration of life problems of support-team members is not necessary to enhance the support system. Choices "determining the barriers to using support systems", "discussing ways to help with others who are concerned" and "involving spouse, family, and friends in the care and planning" are all enhancements for a support system.

• Question 936:

  The PN is caring for a client with diabetes insipidus.

  The nurse can expect the lab work to show __________.

  A. elevated urine osmolarity and elevated serum osmolarity
  B. decreased urine osmolarity and decreased serum osmolarity
  C. elevated urine osmolarity and decreased serum osmolarity
  D. decreased urine osmolarity and elevated serum osmolarity
  D. decreased urine osmolarity and elevated serum osmolarity

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  In diabetes insipidus, the pituitary releases too much antidiuretic hormone (ADH) causing the client to produce a large amount of dilute (decreased osmolarity) urine and causing dehydration (elevated serum osmolarity). Elevated urine osmolarity and decreased serum osmolarity might be seen in a client with SIADH (syndrome of inappropriate ADH). Elevated urine osmolarity and elevated serum osmolarity, decreased urine osmolarity and decreased serum osmolarity generally don't occur ?urine and serum osmolarity typically move in opposite directions.

• Question 937:

  An LPN is having conflict with another nurse during her shift. She has tried to discuss the issues with the nurse with no resolution.

  What is the most appropriate way for the nurse to proceed?

  A. Report the conflict to the nurse manager of the unit.
  B. Report the conflict to the assigned charge nurse of the unit.
  C. Discuss the conflict with the other nurse to attempt resolution of issue.
  D. Report the conflict to the director of nursing over the unit.
  B. Report the conflict to the assigned charge nurse of the unit.

• Question 938:

  The goals of palliative care include all of the following except __________.

  A. giving clients with life-threatening illnesses the best quality of life possible
  B. taking care of the whole person ?body, mind, spirit, heart, and soul
  C. no interventions are needed because the client is near death
  D. support of needs of the family and client
  C. no interventions are needed because the client is near death

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  The goals of palliative care include choices "giving clients with life-threatening illnesses the best quality of life possible", "taking care of the whole person ?body, mind, spirit, heart, and soul" and "support of needs of the family and client". "No interventions are needed because the client is near death" is not part of palliative care. All aspects of medical, emotional, social, and spiritual needs of the dying client should be focused on until the end of life.

• Question 939:

  Your client has a doctor's order that reads "advance diet as tolerated". This client has returned from the recovery room after an appendectomy and he states, "I am hungry".

  What would you offer this client to consume?

  A. Cheese and crackers
  B. Apple sauce
  C. Chicken broth
  D. A peanut butter sandwich
  C. Chicken broth

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  Clear liquids are the most appropriate choice for any postoperative patient. If the client tolerates these choices well, the diet may proceed to full liquids. Eventually, solid foods will be added to his diet.

• Question 940:

  Which of the following is the most appropriate diet for a client who is unable to swallow?

  A. nothing by mouth
  B. nasogastric feedings
  C. clear liquids
  D. total parenteral nutrition
  B. nasogastric feedings

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  Explanation Explanation/Reference:Nasogastric feedings are most appropriate for a client who is unable to swallow. Nothing by mouth leads to nutritional deficiencies. The client might aspirate a clear liquid diet. TPN is not necessary as long as the gut is still functioning.