NCLEX-PN 150 Questions with Answers and Rationale

NCLEX-PN 150 Questions with Answers and Rationale

• An infant weighs 7 pounds at birth. The expected weight by 1 year should

Be:

• 10 pounds
• 12 pounds
• 18 pounds
• 21 pounds

Answer D: A birth weight of 7 pounds would indicate 21 pounds in 1 year, or triple his birth weight. Answers A, B, and C therefore are incorrect.

• A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due to

this tumor’s location?

• Hemiplegia
• Aphasia
• Nausea
• Bone pain

Answer D: Sarcoma is a type of bone cancer; therefore, bone pain would be expected. Answers A, B, and C are not specific to this type of cancer and are incorrect.

• A client arrives in the emergency room with a possible fractured femur. The nurse should

anticipate an order for:

• Trendelenburg position
• Ice to the entire extremity
• Buck’s traction
• An abduction pillow

Answer C: The client with a fractured femur will be placed in Buck’s traction to realign the leg and to decrease spasms and pain. The Trendelenburg position is the wrong position for this client, so answer A is incorrect. Ice might be ordered after repair, but not for the entire extremity, so answer B is incorrect. An abduction pillow is ordered after a total hip replacement, not for a fractured femur; therefore, answer D is incorrect.

• Which action by the novice nurse indicates a need for further teaching?

• The nurse fails to wear gloves to remove a dressing.
• The nurse applies an oxygen saturation monitor to the ear lobe.
• The nurse elevates the head of the bed to check the blood pressure.
• The nurse places the extremity in a dependent position to acquire a peripheral blood sample.

Answer A: The nurse who fails to wear gloves to remove a contaminated dressing needs further instruction. Answers B, C, and D are incorrect because they indicate an understanding of the correct method of completing these tasks.

• The nurse is preparing a client for mammography. To prepare the client for a mammogram,

the nurse should tell the client:

• To restrict her fat intake for 1 week before the test
• To omit creams, powders, or deodorants before the exam
• That mammography replaces the need for self-breast exams
• That mammography requires a higher dose of radiation than an x-ray

Answer B: The client having a mammogram should be instructed to omit deodorants or powders beforehand because powders and deodorants can be interpreted as abnormal. Answer A is incorrect because there is no need for dietary restrictions before a mammogram. Answer C is incorrect because the mammogram does not replace the need for self-breast exams. Answer D is incorrect because a mammogram does not require higher doses of radiation than an x-ray.

• The nurse employed in the emergency room is responsible for triage of four clients injured

in a motor vehicle accident. Which of the following clients should receive priority in care?

• A 10-year-old with lacerations of the face
• A 15-year-old with sternal bruises
• A 34-year-old with a fractured femur
• A 50-year-old with dislocation of the elbow

Answer B: The teenager with sternal bruising might be experiencing airway and oxygenation problems and, thus, should be seen first. In answer A, the 10-year-old with lacerations might look bad but is not in distress. The client in answer C with a fractured femur should be immobilized but can be seen after the client with sternal bruising. The client in answer D with the dislocated elbow can be seen later as well.

• The client is receiving peritoneal dialysis. If the dialysate returns cloudy, the nurse should:

• Document the finding
• Send a specimen to the lab
• Strain the urine
• Obtain a complete blood count

Answer B: If the dialysate returns cloudy, infection might be present and must be evaluated.Documenting the finding, as stated in answer A, is not enough; straining the urine, in answer C, is incorrect; and dialysate, in answer D, is not urine at all. However, the physician might order a white blood cell count.

• The client with cirrhosis of the liver is receiving Lactulose. The nurse is aware that the

rationale for the order for Lactulose is:

• To lower the blood glucose level
• To lower the uric acid level
• To lower the ammonia level
• To lower the creatinine level

Answer C: Lactulose is administered to the client with cirrhosis to lower ammonia levels. Answers A, B, and D are incorrect because this does not have an effect on the other lab values.

• The client with diabetes is preparing for discharge. During discharge teaching, the nurse

assesses the client’s ability to care for himself. Which statement made by the client would indicate a need for follow-up after discharge?

• “I live by myself.”
• “I have trouble seeing.”
• “I have a cat in the house with me.”
• “I usually drive myself to the doctor.”

Answer B: A client with diabetes who has trouble seeing would require follow-up after discharge.The lack of visual acuity for the client preparing and injecting insulin might require help. Answers A, C, and D will not prevent the client from being able to care for himself and, thus, are incorrect.

• The client is receiving total parenteral nutrition (TPN). Which lab test should be evaluated

while the client is receiving TPN?

• Hemoglobin
• Creatinine
• Blood glucose
• White blood cell count

Answer C: When the client is receiving TPN, the blood glucose level should be drawn. TPN is a solution that contains large amounts of glucose. Answers A, B, and Dare not directly related to the question and are incorrect.

• The nurse is making assignments for the day. Which client should be assigned to the

nursing assistant?

• A client with Alzheimer’s disease