NCLEX PN TEST PREP V4 ACTUAL QUESTION AND

NCLEX PN TEST PREP V4 ACTUAL QUESTION AND

ANSWERS WITH EXPLANATIONS PRACTICE EXAM 1

ALREADY GRADED A+.

• A client scheduled for surgery has a preoperative order for atropine on call. The nurse should tell the client that the

medication will:

• Make him drowsy
• Make his mouth dry
• Help him to relax
• Prevent infection

Answer B: Atropine is given to dry secretions and lessens the

likelihood of aspiration. Answers A, C, and D are inaccurate statements; therefore, they are incorrect.

• The nurse is assessing a primgravida 12 hours after a Caesarean section. The nurse notes that the client’s fundus is at

the umbilicus and is firm. The nurse should:

• Prepare to catheterize the client
• Obtain an order for an oxytocic
• Chart the finding
• Tell the client to remain in bed

Answer C: The client’s assessment findings are within normal 12

hours after a Caesarean section; therefore, the nurse should chart the finding. Answer A is incorrect because the assessment does not reveal the presence of bladder distention. Answer B is incorrect because the assessment does not reveal uterine atony.Answer D is incorrect because the client needs to ambulate.

• Which of the following observations in a 4-year-old suggests the possibility of child abuse?

• The presence of “rainbow” bruises
• Sucking the thumb when going to sleep
• Crying during painful procedures
• Eagerness to talk to strangers 1 / 4

NCLEX PN TEST PREP V4 ACTUAL QUESTION AND

ANSWERS WITH EXPLANATIONS PRACTICE EXAM 1

ALREADY GRADED A+.

Answer A: “Rainbow” bruises refer to bruises in various stages of

healing. Although they are not conclusive proof of physical abuse, they do suggest the possibility. Answer B is incorrect because the 4-year-old might still suck the thumb when going to sleep. The victim of child abuse usually endures painful procedures with little expression of emotion; therefore, answer C is incorrect. Victims of child abuse are usually reluctant to talk to strangers; therefore, answer D is incorrect.

• A client with a history of alcoholism cannot remember the events of the past week even though he has receipts from various places of business. The client’s inability to recall events

is known as:

• Alcoholic hallucinosis
• A hangover
• A blackout
• Sunday morning paralysis

Answer C: An alcoholic blackout refers to the inability to

remember what occurred before or after a period of alcohol intake.Answer A is incorrect because it occurs after a period of heavy drinking or when the usual alcohol intake is reduced. Alcoholic hallucinosis is characterized by hallucinations. Answer B is incorrect because it refers to the headache and gastrointestinal symptoms experienced after drinking alcohol. Sunday morning paralysis refers to radial nerve palsy commonly observed when a stuporous person lies with his arm pressed over a projecting surface; therefore, answer D is incorrect.

• The nurse is caring for a client with degenerative joint disease. Which 2 / 4

NCLEX PN TEST PREP V4 ACTUAL QUESTION AND

ANSWERS WITH EXPLANATIONS PRACTICE EXAM 1

ALREADY GRADED A+.

finding is associated with degenerative joint disease?

• Joint pain that intensifies with activity and diminishes with rest
• Bilateral and symmetric joint involvement
• Involvement of the fingers and hands
• Complaints of early-morning stiffness

Answer A: Degenerative joint disease (osteoarthritis) is

characterized by joint pain that intensifies with activity and diminishes with rest. Answers B, C, and D are typical findings in the client with rheumatoid arthritis; therefore, they are incorrect.

• The physician has ordered an injection of Demerol

(meperidine) for a client with pancreatitis. The nurse should:

• Administer the injection using the Z track method
• Hold pressure on the injection site for 3–5 minutes
• Administer the medication subcutaneously in the arm
• Prep the skin using a betadine wipe

Answer B: The client with pancreatitis has decreased levels of

vitamin K, making him more likely to have prolonged bleeding with injections; therefore, the nurse should hold pressure on the injection site for 3–5 minutes. Answer A is incorrect because the medication is not administered using the Z track method. Answer C is incorrect because the medication is not administered subcutaneously. Answer D is incorrect because alcohol, not betadine, is used to prep the skin.

• The nurse is preparing a client with Addison’s disease for discharge. The nurse should explain that the client can help

prevent complications by:

• Avoiding dietary sources of sodium
• Dressing in lightweight clothing
• Restricting foods rich in potassium 3 / 4

NCLEX PN TEST PREP V4 ACTUAL QUESTION AND

ANSWERS WITH EXPLANATIONS PRACTICE EXAM 1

ALREADY GRADED A+.

• Staying out of crowds

Answer D: The client with Addison’s disease is treated with

corticosteroid therapy that reduces the client’s immunity. The client needs to stay out of crowds to prevent complications posed by infection. Answers A and C are incorrect because the client needs additional sources of sodium and

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