NCLEX-PN Online Practice Questions and Answers

The nurse is assessing the dental status of an 18-month-old child.

How many teeth should the nurse expect to examine?

A. 6

B. 8

C. 12

D. 16

A client tells the nurse that his wife's nagging really gets on his nerves. He asks the nurse to talk with her

about her nagging during their family session tomorrow afternoon.

Which of the following responses is the most therapeutic for the client?

A. "Tell me more specifically about her complaints."

B. "Can you think why she might nag you so much?"

C. "I'll help you think about how to bring this up yourself tomorrow afternoon."

D. "Why do you want me to initiate this in tomorrow's session rather than you?"

The difference between spirituality and religion is that spirituality is __________.

A. a belief about a higher power

B. an individual's relationship with a higher power

C. organized worship

D. a belief in an invisible energy or ideal

What is the primary goal of family education?

A. symptom reduction

B. improved quality of life

C. increased knowledge about mental illness

D. improved caregiving skills

Which type of cancer has the poorest prognosis?

A. Squamous cell carcinoma

B. Breast cancer

C. Pancreatic cancer

D. Gastric cancer

Legal protection of confidentiality __________.

A. extends only to written documentation

B. extends to the electronic dissemination of information not identifiable to a specific client

C. is important only within the court system

D. extends to both written and verbal information

Which of these tasks would be inappropriate for an LPN to take?

A. teaching a 24-year-old first-time mother how to properly care for her new baby

B. adjustment of a 68-year-old patient's cervical traction as ordered by the attending doctor

C. obtaining an occult blood sample from a 16-year-old patient with ulcerative colitis

D. an assessment of a 36-year-old man newly admitted for chest pain

What does client and family communication and education concerning restraints do?

A. confuses both groups more

B. helps with coping and stress levels

C. encourages cooperation with the client and family

D. puts the responsibility on the client and family, not the nurse

Which of the following statements describes the purpose of client restraint?

A. Restraints are a nursing measure used to maintain client control.

B. Restraints are an emergency intervention taken as a last resort to protect a client from imminent danger.

C. Restraints are a therapeutic measure designed to positively reinforce client behavior.

D. Restraints are an emergency measure that can only be taken by a nurse under the direct supervision of a physician.

A gunshot wound victim has been brought to your unit. He has chosen to be marked as confidential due to safety concerns.

Which of these actions would be inappropriate for you to do as the nurse?

A. Tell the patient's mother he is okay when she calls to ask about him being on the unit.

B. Keep the patient's name/information out of public areas such as the nurses' station.

C. Remove the patient from confidential status when he asks to be removed.

D. Deny that the patient is on the unit when visitors come or call.

You will be reinforcing teaching and instructing the patient.

Which basic principle of teaching should you follow?

A. Sequence the instruction from the least complex to the most complex.

B. Assume that the patient knows little or nothing about the topic.

C. Tell the patient to call their significant other so you can instruct them.

D. Use medically oriented terms so the patient will be able to speak with the doctor.

For a client requiring total oral care, it is important for the nurse to __________.

A. assemble all equipment, assist the client to semi-Fowler's position, and place a towel on his chest

B. place client in Fowler's position, prepare the equipment, and tell the client what to do

C. assemble all equipment, place the client in a side-lying position, and place a towel under his chin

D. use gloves and clean the client's mouth, including the tongue

The LPN is placing a foley in a female patient.

What is the correct order of procedure?

A. Prepare sterile field. Check catheter balloon for patency. Place lubricant on catheter. Place the patient in a supine position with flexed knees. Separate labia with non-dominant hand. Clean the urinary meatus using cleansing solution and forceps. Place catheter in meatus with non-dominant hand. Inflate catheter balloon.

B. Place the patient in a supine position with flexed knees. Prepare sterile field. Check catheter balloon for patency. Place lubricant on catheter. Separate labia with non-dominant hand. Clean the urinary meatus using cleansing solution and forceps. Place catheter in meatus with dominant (sterile) hand. Inflate catheter balloon.

C. Place the patient in a supine position with flexed knees. Prepare sterile field. Place lubricant on catheter. Check catheter balloon for patency. Separate labia with dominant hand. Clean the urinary meatus using cleansing solution and forceps. Inflate catheter balloon. Place catheter in meatus with dominant (sterile) hand.

D. Prepare sterile field. Place the patient in a supine position with flexed knees. Check catheter balloon for patency. Place lubricant on catheter. Clean the urinary meatus using cleansing solution and forceps. Separate labia with non- dominant hand. Place catheter in meatus with dominant (sterile) hand. Inflate catheter balloon.

The LPN is caring for a patient with an NG tube, and the RN administers evening medications through the NG tube. The patient asks if he can lie down when the nurse leaves the room.

What is the most appropriate response?

A. Yes, feel free to lie down.

B. You can lie down in 5 minutes if your NG residual is below 50 mLs.

C. You can lie down in about 30 minutes.

D. You can lie down in 1 hour.

When administering intravenous electrolyte solution, the nurse should take which of the following precautions?

A. Infuse hypertonic solutions rapidly.

B. Mix no more than 80 mEq of potassium per liter of fluid.

C. Prevent infiltration of calcium, which causes tissue necrosis and sloughing.

D. As appropriate, reevaluate the client's digitalis dosage. He might need an increased dosage because IV calcium diminishes digitalis's action.