NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 981:

  Referral for client education in the community can be accomplished through all of the following except __________.

  A. community agencies such as the American Heart Association
  B. parish nurses
  C. home health care agencies
  D. unlicensed massage therapists
  D. unlicensed massage therapists

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  Explanation Explanation/Reference:Client education should be completed by an individual or individuals with acknowledged expertise in the subject area and credentials to support activity within the health care community.

• Question 982:

  A client tells the nurse that his wife's nagging really gets on his nerves. He asks the nurse to talk with her about her nagging during their family session tomorrow afternoon. Which of the following responses is the most therapeutic for the client?

  A. "Tell me more specifically about her complaints."
  B. "Can you think why she might nag you so much?"
  C. "I'll help you think about how to bring this up yourself tomorrow afternoon."
  D. "Why do you want me to initiate this in tomorrow's session rather than you?"
  C. "I'll help you think about how to bring this up yourself tomorrow afternoon."

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  The client needs to learn how to communicate directly with his wife about her behavior. The nurse's assistance enables him to practice a new skill and communicates confidence in his ability to confront this situation. Choices "Tell me more specifically about her complaints." and "Can you think why she might nag you so much?" inappropriately direct attention away from the client and toward his wife, who isn't present. Choice "Why do you want me to initiate this in tomorrow's session rather than you?" implies that there might be a legitimate reason for the nurse to assume responsibility for something that rightfully belongs to the client. Instead of focusing on his problems, he'll waste precious time convincing the nurse that he or she should do his work.

• Question 983:

  A batterer is usually someone who __________.

  A. grew up in a loving, secure home
  B. was an only child
  C. was physically or psychologically abused
  D. admits he has a problem with anger
  C. was physically or psychologically abused

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  Many batterers report having been abused as children.

• Question 984:

  Which of these breath sounds is considered normal and not adventitious?

  A. Vesicular breath sounds
  B. Fine rales
  C. Rhonchi
  D. Wheezes
  A. Vesicular breath sounds

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  Vesicular breath sounds are normal breath sounds. Rales, fine and coarse, rhonchi and wheezes are all abnormal, adventitious breath sounds.

• Question 985:

  An LPN is caring for a new admission recovering from a knee replacement.

  In assisting the patient to the bathroom, what step would best prevent a patient fall?

  A. Ask the patient if he or she prefers crutches or a walker.
  B. Ask the patient to stand and extend his or her arms for 5 seconds.
  C. Ask the patient to march in place before walking toward the bathroom.
  D. Ask the patient to shake hands while in bed.
  D. Ask the patient to shake hands while in bed.

• Question 986:

  As part of a routine health screening, the nurse notes the play of a 2-year-old child. Which of the following is an example of age-appropriate play at this age?

  A. builds towers with several blocks
  B. tries to color within the lines
  C. says "Mine!" when playing with toys
  D. tries to jump rope
  C. says "Mine!" when playing with toys

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  Explanation Explanation/Reference:Toddlers are possessive and struggle for independence. The other play activities are too advanced for a 2-year-old child.

• Question 987:

  The LPN is receiving report on a newly admitted 14-year-old boy. He is described as being very bright and a good communicator, but his social interactions seem a bit "off." He spends much of his time playing with his baseball card collection, which he has organized in a meticulous fashion.

  Given this information, which diagnosis does the nurse suspect the patient may have?

  A. autism spectrum disorder
  B. Asperger's syndrome
  C. ADHD
  D. Rett syndrome
  A. autism spectrum disorder

• Question 988:

  When medications have an additive, synergistic, or antagonistic effect on a tissue, a __________ reaction has occurred.

  A. pharmaceutical
  B. pharmacodynamic
  C. pharmacokinetic
  D. drug incompatibility
  B. pharmacodynamic

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  Pharmacodynamics pertain to the effect of a drug on receptors. Pharmaceutical reactions are chemical reactions between drugs prior to administration or absorption. Pharmacokinetic reactions refer to the body's effect on the drug. Drug incompatibilities are another term for pharmaceutical reactions.

• Question 989:

  The PN is caring for a patient who had been the family breadwinner with a wife and multiple children prior to an accident that has left the patient bedridden.

  Which of these would indicate that the patient has not yet adapted to this situational role change?

  A. The patient comments that eventually he will be able to return home and be present for his family.
  B. The patient notes that his spouse has always been capable of caring for the majority of the children's needs.
  C. The patient sets a realistic goal of when he will return to work.
  D. The patient refuses the majority of assistance in an attempt to maintain control.
  D. The patient refuses the majority of assistance in an attempt to maintain control.

• Question 990:

  A nurse is teaching a client newly diagnosed with Emphysema about the disease process.

  Which of the following statements best explains the problems associated with emphysema and could be adapted for use in the nurse's discussion with the client?

  A. Hyperactivity of the medium-sized bronchi caused by an inflammatory response leads to wheezing and tightness in the chest.
  B. Larger than normal air spaces and loss of elastic recoil cause air to be trapped in the lung and collapse airways.
  C. Vasodilation, congestion, and mucosal edema cause a chronic cough and sputum production.
  D. Chloride is not being transported properly, producing excess absorption of water and sodium, and thick viscous mucus.
  B. Larger than normal air spaces and loss of elastic recoil cause air to be trapped in the lung and collapse airways.

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  Larger-than-normal air spaces and loss of elastic recoil cause air to be trapped in the lung and collapse airways. Emphysema is a breakdown of the elastin and fiber network of the alveoli where the alveoli enlarge or the walls are destroyed. This alveolar destruction leads to the formation of larger-than-normal air spaces. Emphysema is one of a group of pulmonary diseases of a chronic nature characterized by increased resistance to airflow; the entity is part of chronic obstructive pulmonary disease (COPD).