NCLEX-PN Online Practice Questions and Answers

Which of the following substances need to be assessed when completing a family health assessment?

A. coffee, tea, cola, and cocoa

B. alcohol, tobacco, and illegal substances

C. medicines prescribed by a physician

D. all of the above

A client receiving preoperative instructions asks questions repeatedly about when to stop eating the night before the procedure. The nurse tries to refocus the client. The nurse notes that the client is frequently startled by noises in the hall. Assessment reveals rapid speech, trembling hands, tachypnea, tachycardia, and elevated blood pressure. The client admits to feeling nervous and having trouble sleeping.

Based on the assessment, the nurse documents that the client has __________.

A. mild anxiety

B. moderate anxiety

C. severe anxiety

D. a panic attack

A female patient is about to begin her first chemotherapy treatment. She tells the LPN, "It sounds silly, but I'm just so afraid of how people will react to me once I lose all my hair. I always had such pretty hair... I know, stupid, right?"

What is the LPN's best response?

A. "Your hair will grow back right after treatment stops. And for many women, it grows back even thicker and shinier! For now, just focus on getting better."

B. "Don't worry. The way they make wigs these days, no one will be able to tell! Would you like me to help you pick one out?"

C. "Most people are pretty understanding about chemo hair loss, but I know it's hard. Have you joined our chemotherapy support group?"

D. "Many people have a hard time with chemo-related hair loss. Tell me a little more about your concerns."

A batterer is usually someone who __________.

A. grew up in a loving, secure home

B. was an only child

C. was physically or psychologically abused

D. admits he has a problem with anger

The most common cause of injury from a house fire is __________.

A. explosion

B. falls from second-story windows

C. thermal damage to skin and body surfaces

D. inhalation injury

The nurse is using Cognitive-Behavioral methods of pain control and knows that these methods can be expected to do all the following except __________.

A. completely relieve all pain

B. provide benefit by restoring the client's sense of self-control

C. help the client to control symptoms

D. help the client actively participate in his or her own care

As part of the teaching plan for a client with type I diabetes mellitus, the nurse should include that carbohydrate needs might increase when __________.

A. an infection is present

B. there is an emotional upset

C. a large meal is eaten

D. active exercise is performed

A client goes to the Emergency Department with acute respiratory distress and the following arterial blood gases (ABGs): pH 7.35, PCO2 40 mmHg, PO2 63 mmHg, HCO3 23, and oxygenation saturation (SaO2) 93%.

Which of the following represents the best analysis of the etiology of these ABGs?

A. tuberculosis (TB)

B. pneumonia

C. pleural effusion

D. hypoxia

A client begins a regimen of chemotherapy. Her platelet counts fall to 98,000. Which action is least likely to increase the risk of hemorrhage?

A. Test all excreta for occult blood.

B. Use a soft toothbrush or foam cleaner for oral hygiene.

C. Implement reverse isolation.

D. Avoid IM injections.

A nurse is assessing a patient's breath sounds. The patient has had a pneumonectomy to the right lung performed 48 hours ago.

Which of the following conditions most likely exists?

A. Decreased breath sound volume

B. Elevated tidal volume

C. Elevated respiratory capacity

D. Wheezing