Pass Your NCLEX-PN Exam Easily - Real NCLEX-PN Practice Dump Updated Nov 08, 2021
2021 Realistic Verified Free NCLEX NCLEX-PN Exam Questions
NEW QUESTION 181
What happens if folic acid is given to treat anemia without determining its underlying cause?
- A. The symptoms of pernicious anemia might be masked, delaying treatment.
- B. Excessive levels of folic acid might accumulate, causing toxicity.
- C. Erythropoiesis is inhibited.
- D. Intrinsic factor is destroyed.
Answer: A
Explanation:
Section: Physiological Integrity
Explanation:
Folic acid should not be used if pernicious anemia is suspected because it does not protect the client from CNS changes common to this type of anemia. Folic acid is usually given with Vitamin B12. Both are part of the Vitamin B complex and are essential for cell growth and division.
Folic acid is sometimes used as a rescue drug for cells exposed to some toxic chemotherapeutic agents.
The nature of the anemia must be confirmed to ensure that the proper drug regimen is being used.
NEW QUESTION 182
An advance directive is written and notarized according to law in the state of Colorado. This document is legal and binding:
- A. in the county of origination only.
- B. in the continental United States.
- C. in the state of Colorado only.
- D. internationally.
Answer: C
Explanation:
Choices 1, 3, and 4 are incorrect. Advance directive protocols and documents are defined by each state.
Coordinated Care
NEW QUESTION 183
Which statement best describes electrolytes in intracellular and extracellular fluid?
- A. There is an equal concentration of sodium and potassium in extracellular fluid.
- B. There is a greater concentration of potassium in extracellular fluid and sodium in intracellular fluid.
- C. There is an equal concentration of sodium and potassium between intracellular and extracellular fluid.
- D. There is a greater concentration of sodium in extracellular fluid and potassium in intracellular fluid.
Answer: D
Explanation:
Explanation/Reference:
Explanation:
There is a greater concentration of sodium in extracellular fluid and potassium in intracellular fluid.
Physiological Adaptation
NEW QUESTION 184
When a client needs oxygen therapy, what is the highest flow rate that oxygen can be delivered via nasal cannula?
- A. 2 liters/minute
- B. 8 liters/minute
- C. 4 liters/minute
- D. 6 liters/minute
Answer: D
Explanation:
The highest flow rate that oxygen can be delivered via nasal cannula is 6 liters/minute. Higher flow rates must be delivered by mask.Reduction of Risk Potential
NEW QUESTION 185
The nurse is teaching a teenage female about preventing the transmission of genital herpes.
Which of the following statements should the nurse include?
- A. "Oral sex does not transmit the virus."
- B. "This infection can be transmitted via intercourse even when you do not feel ill."
- C. "Do not sit on toilet seats without protection."
- D. "Try to drink lots of fluids after sex to flush the reproductive tract."
Answer: B
Explanation:
Section: Safe and Effective Care Environment
Explanation:
Genital herpes can be transmitted by oral, genital, and anal sex.
The other statements are myths.
NEW QUESTION 186
The school nurse is conducting health screenings on schoolchildren. During the screening, she identifies a child with the behavioral characteristics of attention deficit disorder. Which of the following behaviors is consistent with this disorder?
- A. inability to carry on a conversation
- B. concrete thinking
- C. slow speech development
- D. overreaction to stimuli from the surroundings
Answer: D
Explanation:
Explanation/Reference:
Explanation:
Children with attention deficit disorder are easily distracted but are able to carry on a conversation.
Concrete thinking is more indicative of age, and slow speech development has more to do with other learning disabilities. Health Promotion and Maintenance
NEW QUESTION 187
After securing the client's safety from a faulty electric bed, the nurse should take which action?
- A. Discuss the matter with the client's significant others.
- B. Notify the physician.
- C. Document the incident in the client's record in detail.
- D. Prepare an incident report.
Answer: D
Explanation:
Explanation/Reference:
Explanation:
After the situation is safe for the client, the nurse should record the occurrence on an incident form according to the agency protocol. Safety and Infection Control
NEW QUESTION 188
A wrong committed by one person against another (or against the property of another) that might result in a civil trial is:
- A. a felony.
- B. a misdemeanor.
- C. a crime.
- D. a tort.
Answer: D
Explanation:
Explanation/Reference:
Explanation:
Torts are wrongs committed by one person against another person (or against the property of another), which might result in civil trials. A crime is also defined as a wrong against a person or their property but is considered to be against the public as well. Misdemeanors are crimes that are commonly punishable with fines or imprisonment for less than one year, with both or with parole. A felony is a serious crime punishable by imprisonment in a State or Federal penitentiary for more than one year. Coordinated Care
NEW QUESTION 189
When a client has a chest drainage system in place, where should the system be placed?
- A. at the client's shoulders
- B. below the level of the chest
- C. at the level of the chest
- D. above the client's head
Answer: B
Explanation:
A chest drainage system should be placed below the level of the client's chest so that the drainage flows out of the chest into the system. The remaining choices are too high and do not allow fluid to drain out of the chest.Reduction of Risk Potential
NEW QUESTION 190
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 confidentiality.
- B. the right to reasonable response to requests.
- C. the right to examine and question the bill.
- D. the right to refuse treatment.
Answer: A
Explanation:
Explanation/Reference:
Explanation:
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. Coordinated Care
NEW QUESTION 191
Which of the following developmental milestones for a 6-month-old child should be screened by the nurse during a routine office visit?
- A. standing while holding something
- B. creeping
- C. rolling over
- D. sitting up
Answer: C
Explanation:
Section: Health Promotion and Maintenance
Explanation:
Rolling over occurs between 4 and 6 months of age. Sitting up occurs between 7 and 8 months, creeping between 9 and 10 months, and standing between 8 and 10 months.
NEW QUESTION 192
Which intervention should the nurse take first to assist a woman who states that she feels incompetent as the mother of a teenage daughter?
- A. Explore with the mother what the daughter can do to improve her behavior.
- B. Make a list of things her husband can do to help her improve.
- C. Recommend that she discipline her daughter more strictly and consistently.
- D. Assist the mother to identify what she believes is preventing her success and what she can do to improve.
Answer: D
Explanation:
Explanation/Reference:
Explanation:
The intervention priority with a mother who feels incompetent to parent a teenage daughter is to assist the mother to identify what she feels her crisis events are and to help her develop better coping skills and improve her mothering skills. With a teenager, the growth and development parameters have to be concentrated on self as well as acquiring an added event. Choices 1, 2, and 4 do not directly address the mother's feelings of inadequacy. Psychosocial Integrity
NEW QUESTION 193
Which of the following is not a function of parathyroid hormone?
- A. promoting renal tubular reabsorption of phosphorus
- B. moving calcium from bones to the bloodstream
- C. promoting renal tubular reabsorption of calcium
- D. enhancing renal production of vitamin D metabolites
Answer: A
Explanation:
Explanation/Reference:
Explanation:
Parathyroid hormone depresses renal tubular reabsorption of phosphorus. All of the other choices are functions of parathyroid hormone. Reduction of Risk Potential
NEW QUESTION 194
A client is having a seizure; his blood oxygen saturation drops from 92% to 82%. What should the nurse do first?
- A. Open the airway.
- B. Check for breathing.
- C. Administer oxygen.
- D. Suction the client.
Answer: A
Explanation:
Explanation/Reference:
Explanation:
The nurse needs to open the airway first when the oxygen saturation drops. The other actions might be appropriate, but the airway must be patent. Reduction of Risk Potential
NEW QUESTION 195
A nursing advocate is one who:
- A. is the legal representative for a person.
- B. makes decisions for others.
- C. encourages persons to make decisions for themselves and acts with or on behalf of the person to support those decisions.
- D. manages the care of others.
Answer: C
Explanation:
Nurse advocates work with clients to provide information and assistance is decision-making. The decisions and care that occur from these decisions are based on the right of the client to self-determination and the work of the nurse advocate supports this right.
Coordinated Care
NEW QUESTION 196
The nurse is assessing an elder who the nurse suspects is being physically abused. The most important question for nurse to ask is:
- A. "What form of transportation do you use?"
- B. "How much money do you keep around the house?"
- C. "How close does your nearest relative live?"
- D. "Who provides your physical care?"
Answer: D
Explanation:
Explanation/Reference:
Explanation:
The most common abuser is a caregiver living with the client. Research reveals that the spouse is currently the most common abuser, followed by an adult child. Psychosocial Integrity
NEW QUESTION 197
A 13 year old girl is admitted to the ER with lower right abdominal discomfort. The admitting nursing should take which the following measures first?
- A. Provide pain reduction techniques without administering medication.
- B. Place the patient in right sidelying position for pressure relief.
- C. Administer Loritab to the patient for pain relief.
- D. Start a Central Line.
Answer: A
Explanation:
Explanation/Reference:
Explanation:
Do not administer pain medication or start a central line without MD orders.
NEW QUESTION 198
A patient that has delivered a 8.2 lb. baby boy 3 days ago via c-section, reports white patches on her breast that aren't going away. Which of the following medications may be necessary?
- A. Loritab
- B. Atropine
- C. Nystatin
- D. Amoxil
Answer: C
Explanation:
Explanation/Reference:
Explanation:
Thrush may be occurring and the patient may need Nystatin.
NEW QUESTION 199
A client with Parkinson's disease has difficulty performing voluntary movements. This is known as:
- A. akinesia.
- B. dystonia.
- C. dyskinesia.
- D. chorea.
Answer: C
Explanation:
Explanation/Reference:
Explanation:
Dyskinesia is an impairment of the ability to execute voluntary muscles. Physiological Adaptation
NEW QUESTION 200
Which of the following needs immediate medical attention and emergency intervention? The client who:
- A. has a shift of the trachea to the left, with no breath sounds on the right.
- B. exhibits yellow, productive sputum, lowgrade fever, and crackles.
- C. has asthma and complains of an inability to catch her breath after exercise.
- D. complains of sharp pain upon taking a deep breath and excessive coughing.
Answer: A
Explanation:
Explanation/Reference:
Explanation:
Choice 3 is indicative of a tension pneumothorax, which is considered a medical emergency. The respiratory system is severely compromised and venous return to the heart is affected. The mediastinal shift is to the unaffected side. Choice 1 contains symptoms of pleurisy, and Choice 2 lists symptoms of bronchitis. Neither are emergencies. The client in Choice 4 should expect difficulty breathing after exercise when asthma is an existing condition and might need immediate attention if his rescue inhaler is ineffective. Physiological Adaptation
NEW QUESTION 201
An advance directive is written and notarized according to law in the state of Colorado. This document is legal and binding:
- A. in the county of origination only.
- B. in the continental United States.
- C. in the state of Colorado only.
- D. internationally.
Answer: C
Explanation:
Explanation/Reference:
Explanation:
Choices 1, 3, and 4 are incorrect. Advance directive protocols and documents are defined by each state.
Coordinated Care
NEW QUESTION 202
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What is the scoring of NCLEX-RNî Examination
The NCLEX is different from a traditional fixed-length examination, which administers the same items to every candidate. Fixed-length examinations ensure that the difficulty of the examination is constant for every candidate; therefore, the percentage correct is the indicator of the candidateâÂÂs ability. This approach requires high ability candidates to answer all easy items on the examination and low ability candidates to guess on difficult items. This method provides less accurate information about the candidateâÂÂs true ability. The NCLEX uses CAT to administer items. CAT is able to produce exam results that are more precise and efficient, using fewer items by targeting items to the candidateâÂÂs ability. The computer (i.e. CAT scoring algorithm) estimates the ability of the candidate in relation to the passing standard. Every time the candidate answers an item, the computer re-estimates the candidateâÂÂs ability. With each additional answered item, the ability estimate becomes more precise.
The benefit in Obtaining the NCLEX-RNî Examination
The NCLEX certified candidate provides a unique, comprehensive assessment of the health status of the client. The NCLEX certified candidate applies principles of ethics, client safety, health promotion and the nursing process to develop and implement an explicit plan of care that reflects unique cultural and spiritual client preferences, the applicable standard of care and legal considerations. The nurse assists clients to promote health, cope with health problems, adapt to and/or recover from the effects of disease or injury, and support the right to a dignified death. The NCLEX certified candidate is accountable for abiding by all applicable member board jurisdiction statutes and regulations/rules related to nursing practice.
Understanding functional and technical aspects of NCLEX-RNî Examination Identify Requirements
The following will be discussed in NCLEX PN dumps:
- Assess and instruct customers about wellbeing hazards dependent on family, populace, and local area qualities
- Plan or potentially take an interest in local area wellbeing schooling
- Provide pre-birth care and schooling
- Give care and schooling to the up-and-comer, baby from birth through 2 years
- Provide post pregnancy care and training
- Perform exhaustive wellbeing evaluations
- Educate customer about avoidance and treatment of high danger wellbeing practices (e.g., smoking end, safe sexual practices, needle trade)
- Provide care and schooling for the grown-up ages 18 through 64 years
- Provide care and schooling for the grown-up ages 65 years and over
- Provide care and schooling to an antepartum or in labor
- Assess customer capacity to oversee care in home climate and plan care in like manner
- Perform focused on screening appraisals (e.g., vision, nourishment)
- Provide care and training for the preschool, young and juveniles ages 3 through 17 years
- Educate customer about wellbeing advancement and support proposals (e.g., doctor visits, vaccinations)
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