NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 941:

  Common problems for supervisors include all of the following except __________.

  A. the supervisor facilitates development of staff members.
  B. the supervisor micromanages staff members.
  C. the supervisor wants to control the style in which a staff member correctly performs a task.
  D. the supervisor does not delegate.
  A. the supervisor facilitates development of staff members.

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  Facilitating the development of staff members is an important goal for a supervisor. Micromanagement, intolerance for individual differences in style, and inability to delegate all interfere with team building and overall effectiveness.

• Question 942:

  Teaching the client with gonorrhea how to prevent reinfection and further spread is an example of __________.

  A. primary prevention
  B. secondary prevention
  C. tertiary prevention
  D. primary health care prevention
  B. secondary prevention

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  Explanation Explanation/Reference:Secondary prevention targets the reduction of disease prevalence and disease morbidity through early diagnosis and treatment.

• Question 943:

  The PN enters the room of a patient who is having a tonic-clonic seizure.

  What is the first action the nurse should take?

  A. Place a tongue depressor in between the patient's teeth.
  B. Secure the airway.
  C. Elevate the head of the bed.
  D. Prepare Lorazepam for administration.
  B. Secure the airway.

• Question 944:

  A 57-year-old woman is recently widowed. She states, "I will never be able to learn how to manage the finances. My husband did all of that." Select the nurse's response that could help raise the client's self-esteem.

  A. "You feel inadequate because you have never learned to balance a checkbook."
  B. "You should have insisted your husband teach you about the finances."
  C. "You are strong and will learn how to manage your finances after a while."
  D. "Why don't you take a class in basic finance from the local college?"
  C. "You are strong and will learn how to manage your finances after a while."

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  Explanation Explanation/Reference:The nurse can raise the client's self-esteem by communicating confidence the client can participate in actively finding solutions to the problem. The nurse also conveys the client is a worthwhile person by listening and accepting the client's feelings and praising the client for seeking assistance.

• Question 945:

  The mother of a newborn child is very upset. The child has a cleft lip and palate.

  The type of crisis this mother is experiencing is __________.

  A. reactive
  B. maturational
  C. situational
  D. adventitious
  C. situational

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  The arrival of the imperfect child that the mother had not envisioned places the mother in a situational crisis. Reactive is not an option. Maturational is an identified specific time period in normal development when anxiety and stress increase. Adventitious is a crisis that occurs outside the person's control so that the person has a disruption in social norms.

• Question 946:

  All of the following are causes of vaginal bleeding in late pregnancy except __________.

  A. placenta previa
  B. eclampsia
  C. abruptio placentae
  D. uterine rupture
  B. eclampsia

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  Eclampsia is a disorder of pregnancy characterized by hypertension, proteinuria, and edema. This condition can cause seizure and/or coma. Placenta previa and abruptio placentae are abnormal conditions that can cause bleeding, particularly in the third trimester. Uterine rupture is a major obstetrical emergency that can cause bleeding internally and externally.

• Question 947:

  The nurse is transferring a client from a wheelchair to the bed. Which is the correct procedure?

  A. Pull the client toward you, and pivot him on the unaffected limb.
  B. Pull the client toward you, and pivot him on the affected limb.
  C. Push the client toward the bed, and pivot him on the affected limb.
  D. Stand the client on both legs, and push him toward the bed.
  A. Pull the client toward you, and pivot him on the unaffected limb.

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  Explanation Explanation/Reference:Pulling the client toward the nurse lowers the workload force. Pivoting on the unaffected limb offers strength to support the affected limb while pivoting to the bed.

• Question 948:

  The LPN is caring for a postoperative patient who had an open appendectomy.

  Where would he look to check the incision site?

  A. the right lower quadrant
  B. the left upper quadrant
  C. the right upper quadrant
  D. the left lower quadrant
  A. the right lower quadrant

• Question 949:

  Which activity is best employed to perform Milieu therapy?

  A. Investigating the client's view of the world.
  B. Promoting socialization skills.
  C. Focusing on inappropriate behavior.
  D. Providing repetitive ordinary experiences on a daily basis.
  D. Providing repetitive ordinary experiences on a daily basis.

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  Milieu therapy provides repetitive ordinary experiences on a daily basis, controls the environment by minimizing change as much as possible, and decreases disruptive behavior by keeping tasks simple.

• Question 950:

  Your 54-year-old male HIV positive patient has just expired. How should you care for this deceased patient?

  A. Bathe the patient but it is no longer necessary to use standard precautions because the patient is deceased.
  B. Place the patient in a negative pressure isolated area of the morgue.
  C. Double shroud the patient to prevent the spread of infection.
  D. Bathe the patient using the same standard precautions you used when he was alive.
  D. Bathe the patient using the same standard precautions you used when he was alive.

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  Explanation Explanation/Reference:You should bathe your patient as part of post mortem care using the same standard precautions that you did when the patient was alive. The patient is still infectious. Similarly, all patients are bathed after death using standard precautions. Double shrouding and an isolation area in the morgue with negative air pressure are not necessary.