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Pass the NCLEX Certification NCLEX-PN Questions and answers with ExamsMirror

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Questions # 1:

A 46 year-old has returned from a heart catheterization and wants to get up to start walking 3 hours after the procedure. The nurse should:

Options:

A.

Tell the patient to remain with the leg straight for at least another hour and check the chart for activity orders.

B.

Allow the patient to begin limited ambulation with assistance.

C.

Recommend a physical therapy consultation for ambulation.

D.

Tell the patient to remain with leg straight for another 6 hours and check the chart for activity orders.

Questions # 2:

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:

Options:

A.

electrolyte imbalance.

B.

impending tendon rupture.

C.

calcium deposits.

D.

antibiotic-associated colitis.

Questions # 3:

A nurse is covering a pediatric unit and is responsible for a 15 year-old male patient on the floor. The mother of the child states, “I think my son is sexually interested in girls.” The most appropriate course of action of the nurse is to respond by stating:

Options:

A.

“I will talk to the doctor about it.”

B.

“Has this been going on for a while?”

C.

“How do you know this?”

D.

“Teenagers often exhibit signs of sexual interest in females.”

Questions # 4:

A patient is currently having a petit mal seizure in the clinic on the floor. Which of the following criteria has the highest priority in this situation?

Options:

A.

Provide a safe environment free of obstructions in the immediate area

B.

Call a code

C.

Contact the patient’s physician

D.

Prevent excessive movement of the extremities

Questions # 5:

A nurse is caring for a patient who has experienced burns to the right lower extremity. According to the Rule of Nines which of the following percents most accurately describes the severity of the injury?

Options:

A.

36%

B.

27%

C.

18%

D.

9%

Questions # 6:

A patient has a history of cardiac arrhythmia. A nurse has been ordered to give 2 units of blood to this patient. The nurse should take which of the following actions?

Options:

A.

Prep the patient with pain medication.

B.

Notify the patient’s family about the procedure via the telephone.

C.

Decrease the temperature of the blood to be given.

D.

Increase the temperature of the blood to be given.

Questions # 7:

In hanging a parenteral IV fluid that is to be infused by gravity, rather than with an infusion pump, the nurse notes that the IV tubing is available in different drop factors. Which tubing is a microdrop set?

Options:

A.

15 drops per milliliter

B.

60 drops per milliliter

C.

20 drops per milliliter

D.

10 drops per milliliter

Questions # 8:

The physician wants to know if a client is tolerating his total parenteral nutrition. Which of the following laboratory tests is likely to be ordered?

Options:

A.

triglyceride level

B.

liver function tests

C.

a glucose tolerance test

D.

a complete blood count

Questions # 9:

A client needs to rapidly achieve a therapeutic plasma drug concentration of a medication. Rather than wait for steady state to be achieved, the physician might order:

Options:

A.

a maintenance dose.

B.

a loading dose.

C.

a medication with no first-pass effect.

D.

the medication to be given intravenously.

Questions # 10:

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

Options:

A.

Conveying calmness with one on one interaction

B.

Recognizing and dealing with your own feelings to prevent escalation of thepatient’s anxiety level

C.

Encourage client participation in group therapy

D.

Listen and identify causes of their behavior

Questions # 11:

A nurse is assessing a patient’s breath sounds. The patient has had a pneumonectomy to the right lung performed 48 hours ago. Which of the following conditions most likely exists?

Options:

A.

Decreased breath sound volume

B.

Elevated tidal volume

C.

Elevated respiratory capacity

D.

Wheezing

Questions # 12:

Issues addressed in ethics committees include all of the following except:

Options:

A.

nonpayment of bills.

B.

euthanasia.

C.

starting or stopping treatment.

D.

use of feeding tubes.

Questions # 13:

Which of the following statements should the nurse use to best describe a very low-calorie diet (VLCD) to a client?

Options:

A.

“This diet can be used when there is close medical supervision.”

B.

“This is a long-term treatment measure that assists obese people who can’t lose weight.”

C.

“The VLCD consists of solid food items that are pureed to facilitate digestion and absorption.”

D.

“A VLCD contains very little protein.”

Questions # 14:

When a client describes their family as having multiple wives, all of whom are sisters, married to one man, the nurse documents the family structure as?

Options:

A.

polyandry

B.

soronal

C.

nonsororal

D.

sororate

Questions # 15:

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

Options:

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.

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