NCLEX-PN Online Practice Questions and Answers

A client describes her cervical mucus as clear, thin, and elastic. Upon examination, the nurse demonstrates that the cervical mucus can be stretched 8-10 cm.

The nurse correctly documents the finding as ___________.

A. ferning capacity

B. lack of ferning

C. spinnbarkheit

D. inhospitable

During the work phase of the nurse-client relationship, the client says to her primary nurse, "You think that I could walk if I wanted to, don't you?"

What is the best response by the nurse?

A. "Yes, if you really wanted to, you could."

B. "Tell me why you're concerned about what I think."

C. "Do you think you could walk if you wanted to?"

D. "I think you're unable to walk now, whatever the cause."

The nurse is caring for a female patient who has recently been diagnosed with cancer and will soon begin chemotherapy.

Which of these statements would require additional follow-up and education?

A. I will be most susceptible to an infection between 7 and 12 days after chemotherapy.

B. I should try to get my annual teeth cleaning in before beginning chemotherapy.

C. I should wait until all my hair falls out to purchase a wig.

D. I should try to drink 8-10 glasses of water a day.

The stages of infection in correct sequential order are __________.

A. the prodromal, incubation, illness and convalescence stages

B. the incubation, prodromal, illness and convalescence stages

C. the prodromal, primary, secondary and tertiary stages

D. the inflammation, infection and immunity stages

Referral for client education in the community can be accomplished through all of the following except __________.

A. community agencies such as the American Heart Association

B. parish nurses

C. home health care agencies

D. unlicensed massage therapists

The LPN on shift notices a patient come in to the clinic with bruises on his arm. The patient seems very afraid and doesn't speak much which concerns the nurse because these are signs of physical abuse.

The nurse should __________.

A. report the suspected abuse to one of the other nurses and work together on how to handle it

B. ignore the bruises, as this is not why the patient is being treated and is not appropriate for the nurse to address

C. report the findings to the appropriate authorities based on the state requirements and protocols

D. use therapeutic communication to talk to the patient and attempt to get evidence of suspected abuse

A primigravida begins labor when her family is unavailable and she is alone. She is very upset that her family is not with her.

Which approach can the nurse take to meet the client's needs at this time?

A. asking whether another individual wants to be her support person

B. assuring her that the nursing triage group will be with her at all times

C. telling her you will try to locate her family

D. reinforcing the woman's confidence in her own abilities to cope and maintain a sense of control

A nurse is assessing a patient that has undergone a recent CABG. The nurse notices a mole with irregular edges with a bluish color.

The nurse should __________.

A. recommend a dermatological consult to the MD

B. note the location of the mole and contact the physician via the telephone

C. note the location of the mole and follow-up with the attending physician via the medical record and phone call

D. remove the mole with a sharp's debridement technique, following charge nurse approval

A hospitalized adult client who routinely works from midnight until 8 a.m. has a temperature of 99.1?F at 4

a.m.

The nurse determines that this is most likely due to __________.

A. delta sleep

B. slow brain waves

C. pneumonia

D. circadian rhythm

A patient has recently been prescribed Lidocaine Hydrochloride. Which of the following symptoms may occur with over dosage?

A. Memory loss and lack of appetite

B. Confusion and fatigue

C. Heightened reflexes

D. Tinnitus and spasticity