NCLEX-PN Practice Quiz

NCLEX-PN Practice Quiz Leave the first rating Students also studied Terms in this set (100) Science MedicineNursing Save Exam Cram NCLEX-PN PRACTICE Q...103 terms summer3266Preview NCLEX PN- Actual Exam for 2024-2...Teacher 16 terms TutorDkPreview uworld Nclex - pn test 1 2025 96 terms tammy_roganPreview NCLEX 75 terms awi Teaching the client with gonorrhea how to prevent

reinfection and further spread is an example of:

Secondary prevention - targets the reduction of disease prevalence and disease morbidity through early diagnosis and treatment.Which of the following foods is a complete protein? Eggs - are a complete protein.Broccoli, oranges, dark greens, and dark yellow

vegetables can be eaten to:

Help improve body defenses - Certain foods can help improve body defenses to possibly prevent certain diseases.The major electrolytes in the extracellular fluid are: Sodium and chloride - major electrolytes in the extracellular fluid.Which of the following nursing diagnoses might be appropriate as Parkinsons disease progresses and complications develop?Impaired physical disease - can develop a shuffling gait and rigidity.Which of the following is an inappropriate item to include in planning care for a severely neutropenic client?Transfuse neutrophils (granulocytes) to prevent infection - Granulocyte transfusion is not indicated to prevent infection. Produced in the bone marrow, granulocytes normally comprise 70% of all WBCs. They are subdivided into three types based on staining properties: neutrophils, eosinophils, and basophils. They can be beneficial in a selected population of infected, severly granulocytopenic clients (less than 500/mm3) who do not respond to antibiotic therapy and who are expected to experience prolonged suppression of granulocyte production.A primary belief of psychiatric mental health nursing is: Every person is worthy of dignity and respect - Every person has the potential to change and grow. All people have basic human needs in common with others. All behavior has meaning and can be understood from the clients perspective.

A teenage client is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs?Liver - acetaminophen is extensively metabolized in the liver.All of the following factors, when identified in the history

of a family, are correlated with poverty except:

Low incidence of dental problems - prevalent because of the lack of preventive care and access to care. High infant mortality is one of the most significant problems correlated with poverty. pregnant women who do not have access to care might come to the Emergency Department when in labor. Those in poverty are likely to use Emergency Departments because they may not be turned away.Those in poverty might also turn to folk healers or other persons in their community for care who might be easier to access and might not demand payment.Acyclovir is the drug of choice for:HSV 1 and 2 and VZV - specific for treatment of herpes virus infections. There is no cure for herpes. Acyclovir is excreted unchanged in the urine and therefore must be used cautiously in the presence of renal impairment. Drugs that treat herpes inhibit viral DNA replication by competing with viral substrates to form shorter, ineffective DNA chains.Ashley and her boyfriend Chris, both 19 years old, are transported to the Emergency Department after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent injuries, though she appears confused and has trouble focusing on what is going on around her. She complains of dizziness and nausea. Her pulse is rapid, and she is hyperventilating. The nurse

should assess Ashleys level of anxiety as:

Severe - unable to solve problems and has a poor grasp of whats happening in his or her environment. Somatic symptoms such as those described by Ashley are usually present. Vital sign changes are observed. The individual with mild anxiety might report being mildly uncomfortable and might even find performance enhanced. The individual with moderate anxiety grasps less information about the situation, has some difficulty problem-solving, and might have mild changes in vital signs. The individual in panic demonstrates markedly disturbed behavior and might lose touch with reality.Which of the following methods of contraception is able to reduce the transmission of HIV and other STDs?Vaginal sponge - barrier method of contraception that, when used with foam or jelly contraception, reduces the transmission of HIV and other STDs as well as reducing the risk of pregnancy. IUDs, Norplant, and oral contraceptives can prevent pregnancy but not the transmission HIV and STDs.Which fetal heart monitor pattern can indicate cord compression?variable deceleration's - can be related to cord compression.The nurse teaching about preventable diseases should emphasize the importance of getting the following

vaccines:

Polio, pertussis, measles - vaccines are one of the most effective methods of preventing and controlling certain communicable diseases. The smallpox vaccine is not currently in use because the smallpox virus has been declared eradicated from the worlds population. Diseases such as polio, diphtheria, pertussis, and measles are mostly controlled by routine childhood immunization. They have not, however, been eradicated, so children need to be immunized against these diseases.Which of the following conditions is mammography used to detect?tumor - detects tumors or cysts in the breasts.When the nurse is determining the appropriate size of an oropharyngeal airway to insert, what part of a clients body should she measure.corner of the clients mouth, to the tragus of the ear.

Which sign might the nurse see in a client with a high ammonia level?coma

What do the following ABG values indicate: pH 7.38, PO2

78 mmHg, and HCO3 24 mEq/L?homeostasis - ABG values are within normal limits.Which of the following is the primary force in sex education in a child's life?Parents - primary force. The school nurse is involved with formal sex education and counseling. Peers become more important in sex education during adolescence but might lack correct information. The media play a powerful role in what children learn about sex through movies, TV, and video games.The nurse is assessing the dental status of an 18-month- old child. How many teeth should the nurse expect to examine?12 - In general, children begin dentition around 6 months of age. During the first 2 years of life, a quick guide to the number of teeth a child should have is follows: Subtract the number 6 from the number of months in the age of the child. In this example, the child is 18 months old, so the formula is 18-6=12. An 18-month-old child should have approximately 12 teeth.Which of the following medications is a serotonin antagonist that might be used to relieve nausea and vomiting?onedansetron (Zofran) - Zofran is a serotonin antagonist that can be used to relieve nausea and vomiting.A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding

as:

Mortons neuroma - small mass or tumor in a digital nerve of the foot. Hallux valgus is reffered to in lay terms as abunion. Hammertoe is where one tow is cocked up over another toe. Plantar fasciitis is an inflammation of, or pain in, the arch of the foot.For a client with suspected appendicitis, the nurse should expect to find abdominal tenderness in which quadrant?Lower right - Nurse should expect to find abdominal tenderness in the lower-right quadrant in a client with appendicitis.Assessment of a client with a cast should include: Capillary refill, warm toes, no discomfort - Assessment for adequate circulation is necessary. Signs of impaired circulation include slow capillary refill, cool fingers or toes, and pain.Which of the following injuries, if demonstrated by a client entering the Emergency Department, is the highest priority?Stab wound to the chest - might result in lung collapse and mediastinal shift that, if untreated, could lead to death. Treatment o fan obstructed airway or a chest wound is a higher priority than hemorrhage. The principle of ABC (airway, breathing, circulation) prioritizes care decisions.Why must the nurse be careful not to cut through or disrupt any tears, holes, bloodstains, or dirt present on the clothing of a client who has experienced trauma?The clothing of a trauma victim is potential evidence with legal implications. - Trauma in any client, living or dead, has potential legal and/or forensic implications. Clothing, patters of stains, and debris are sources of potential evidence and must be preserved. Nurses must be aware of state and local regulations that require mandatory reporting of cases of suspected child and elder abuse, accidental death, and suicide. Each Emergency Department has written policies and procedures to assist nurses and other HCP in making appropriate reports. Physical evidence is real, tangible, or latent matter that can be visualized, measured, or analyzed. Emergency Department nurses can be called on to collect evidence. HCF have policies governing the collection of forensic evidence. The chain of evidence custody is the pathway that evidence follows from the time it is collected until it has served its purpose in the legal investigation of an incident.

Which of the following statements, if made by the parents of a newborn, does not indicate a need for further teaching about cord care?"I should wash my hands before and after I take care of the cord." - This prevents transferring pathogens to and from the cord. Folding the diaper below the cord exposes the cord to air and allows for drying. It also prevents wet or soiled diapers from coming into contact with the cord. Current recommendations include cleaning the area around the cord 3 to 4 times a day with a cotton swab but do not include putting alcohol or other antimicrobials on the cord. It is normal for the cord to turn dark as it dries.A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past 6 months. The

nurse should assess the woman for other symptoms of:

Perimenopause - refers to a period of time in which hormonal changes occur gradually, ovarian function diminishes, and menses become irregular.Perimenopause lasts approximately 5 years. Climacteric is a term applied to the period of life in which physiologic changes occur and result in cessation of a womans reproductive ability and lessened sexual activity in males. The term applies to both genders. Climacteric and menopause are interchangeable terms when used for females. Menopause is the period when permanent cessation of menses has occurred. Post menopause refers to the period after the changes accompanying menopause are complete.Which of the following might be an appropriate nursing diagnosis for an epileptic client?Risk for injury - due to the complications of seizure activity, such as possible head trauma associated with a fall.Which of the following diseases or conditions is least likely to be associated with increased potential for bleeding?Pernicious anemia - results from vitamin B12 deficiency due to lack of intrinsic actor. This can result from inadequate dietary intake, faulty absorption from the GI tract due to a lack of secretion of intrinsic factor normally produced by gastric mucosal cells and certain disorders of the small intestine that impair absorption.The nurse should instruct the client in the need for lifelong replacement of vitamin B12, as well as the need for folic acid, rest, diet, and support.When a client needs oxygen therapy, what is the highest flow rate that oxygen can be delivered via nasal cannula?

• liters/minute - Higher flow rates must be delivered by mask.

The kind of man who beats a woman is:from any walk of life, race, income group, or profession - batterers cannot be predicted by demographic features related to age, ethnicity, race, religious denomination, education, socioeconomic status, or class. 95% of domestic abuse cases involve male perpetrators and female victims.Which of the following should be performed when fetal

heart monitoring indicates fetal distress except:

Decreasing maternal fluids - only intervention that should not be performed when fetal distress is indicated.What interpersonal relief behavior is Ashley using? Somatizing - means one experiences an emotional conflict as a physical symptom. Ashley manifests several physical symptoms associated with severe anxiety. Acting out refers to behaviors such as anger, crying, laughter, and physical or verbal abuse. Withdrawal is a reaction in which psychic energy is withdrawn from the environment and focused on the self in response to anxiety.Problem-solving takes place when anxiety is identified and the unmet need is met.A client comes to the clinic for assessment of his physical status and guidelines for starting a weight-reduction diet.The clients weight is 216 pounds and his height is 66

inches. The nurse identifies the BMI (body mass index) as:

indicating obesity because the BMI is 35 - obesity is defined by a BMI of 30 or more with no co-morbid conditions. It is calculated by utilizing a chart or nomogram that plots height and weight. This clients BMI is 35, indicating obesity.Goals of diet therapy are aimed at decreasing weight and increasing activity to healthy levels based on a clients BMI, activity status, and energy requirements.