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NCLEX-PN Practice Questions

National Council Licensure Examination(NCLEX-PN)

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Total Questions : 725

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Question # 31

Which of the following vaccines are not part of the regular schedule of immunizations for children?

Options:

A.  

DTaP

B.  

MMR

C.  

Hib

D.  

hepatitis A

Discussion 0
Question # 32

A client has sustained a hyphema. What intervention should the nurse take?

Options:

A.  

Have the client wear ear protectors in the future.

B.  

Keep the client at bed rest, typically with the head of the bed propped up.

C.  

Apply atropine eye drops.

D.  

Apply an ice pack to the site of injury.

Discussion 0
Question # 33

A woman is in the active phase of labor. An external monitor has been applied, and a fetal heart deceleration of uniform shape is observed, beginning just as the contraction is under way and returning to the baseline at the end of the contraction. Which of the following nursing actions is most appropriate?

Options:

A.  

Administer O2.

B.  

Turn the client on her left side.

C.  

Notify the physician.

D.  

No action is necessary.

Discussion 0
Question # 34

The gag reflex test assesses which cranial nerves?

Options:

A.  

IX and X

B.  

V and VII

C.  

IX and XII

D.  

V and X

Discussion 0
Question # 35

A client with a diagnosis of Schizophrenia has been released from an acute care setting. The client had a prolonged recovery from relapse. One of the parents says to the discharge nurse, “I do not understand what is going on. The hospital said she was better, but all she does is sit around all day and smoke. We cannot get her to go to the vocational training you arranged.” The nurse recognizes that more teaching is needed about:

Options:

A.  

the pathophysiology and acting out behaviors of schizophrenia.

B.  

support groups that can help the parents release their feelings of frustration.

C.  

the prolonged recovery time and depressive effects of medicines to prevent relapse.

D.  

motivational techniques that are effective in clients with schizophrenia.

Discussion 0
Question # 36

A 50 milliliter (ml) bolus of normal saline fluid is ordered by the physician. The physician wants it to infuse in 30 minutes. The nurse should set the pump rate at:

Options:

A.  

100 ml per hour for one hour.

B.  

60 ml per hour for one-half hour.

C.  

120 ml per hour for one hour.

D.  

50 ml per hour for one hour.

Discussion 0
Question # 37

If a client is suffering from thyroid storm, the PN can expect to find on assessment:

Options:

A.  

tachycardia and hyperthermia.

B.  

bradycardia and hypothermia.

C.  

a large goiter.

D.  

a calm, quiet client.

Discussion 0
Question # 38

A client has been admitted in septic shock. Her nursing care plan includes the diagnosis High Risk for Injury (related to clotting disorder). Based on this diagnosis, all the following are appropriate entries in the nursing care plan except:

Options:

A.  

obtain an order for a stool softener.

B.  

administer packed RBCs, if ordered.

C.  

encourage the client to rinse her mouth with mouthwash and scrub her teeth with an oral sponge.

D.  

dress venipuncture sites immediately to prevent infection.

Discussion 0
Question # 39

What is the appropriate ratio of cardiac compressions to ventilations in an adult client for one-person CPR?

Options:

A.  

5:1

B.  

1:5

C.  

15:2

D.  

2:15

Discussion 0
Question # 40

A case management clinical pathway for congestive heart failure might include all of the following except:

Options:

A.  

physician follow-up appointments with transportation.

B.  

client education regarding medication use.

C.  

a nutritional consult for diet review and accommodation.

D.  

insurance review for reimbursement.

Discussion 0
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