NCLEX-PN Exam Questions Instant Access - No Installation Required

Question 1

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

ADTaP

BMMR

CHib

Dhepatitis A

Answer : D

Hepatitis A is not part of the regular immunization schedule for children. DTaP, MMR, and Hib are all regularly scheduled vaccines for children.Health Promotion and Maintenance

Question 2

An assessment of the skull of a normal 10-monthold baby should identify which of the following?

Aclosure of the posterior fontanel.

Bclosure of the anterior fontanel.

Coverlap of cranial bones.

Dossification of the sutures.

Answer : A

The posterior fontanel should close by the age of 2 months.Health Promotion and Maintenance

Question 3

Mrs. Owens is the 81-year-old mother of Jonathan, who is 54 years old. Jonathan has had schizophrenia since he was 16 years old. Which of Mrs. Owens's concerns is likely to predominate?

A''Will my retirement funds outlast me?''

B''Who will handle my funeral arrangements?''

C''What will become of Jonathan when I am gone?''

D''How can I get Jonathan's physician to talk to me?''

Answer : C

The mother's most prominent concern is likely to be what becomes of her son after she dies. Choice 1 is important but is not likely to be her most prominent concern. Choice 2 is also not likely to be her primary concern because the welfare of her son with schizophrenia is more important. Choice 4 is incorrect because Mrs. Owens has likely confronted and handled concerns about getting the physician to talk to her after 38 years of managing her son's care.Psychosocial Integrity

Question 4

A teenage client is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs?

Alungs

Bliver

Ckidneys

Dadrenal glands

Answer : B

Acetaminophen is extensively metabolized in the liver. Choices 1, 3, and 4 are incorrect because prolonged

use of acetaminophen might result in an increased risk of renal dysfunction, but a single overdose does not

precipitate life-threatening problems in the respiratory system, renal system, or adrenal glands.Pharmacological

Therapies

Question 5

Which direction given to the nursing assistant is most likely to accomplish the task of getting a urine specimen delivered to the lab immediately after collection?

A''Make it a stat delivery.''

B''Please do it as soon as you can after break.''

C''This client is delirious, and we're worried about a urinary sepsis.''

D''Take this client to the bathroom now and collect a urine specimen from this voiding. Take the specimen to the lab immediately.''

Answer : D

Effective delegation depends on clear, concise direction that leaves no room for question or interpretation on

the part of the one being delegated to. Nursing assistants have a limited understanding of medical conditions and

terminology, and should not be relied on to prioritize such tasks.Coordinated Care

Question 6

What do the following ABG values indicate: pH 7.38, PO2 78 mmHg, PCO2 36mmHg, and HCO3 24 mEq/L?

Ametabolic alkalosis

Bhomeostasis

Crespiratory acidosis

Drespiratory alkalosis

Answer : B

These ABG values are within normal limits. Choices 1, 3, and 4 are incorrect because the ABG values

indicate none of these acid-base disturbances.Physiological Adaptation

Question 7

A client has just returned from surgery where a femoral-popliteal bypass was performed. The nurse has assessed the client and is unable to feel a pulse at either the dorsalis pedis or the posterior tibial sites of the left foot. The foot feels warm and the color is pink. What action should the nurse perform next to prevent ischemia?

ANotify the physician immediately.

BObtain a Doppler device to check for pulses, and notify the physician if they are still absent.

CWait 30 minutes and recheck the pulses.

DDocument the finding.

Answer : B

The nurse should immediately obtain a Doppler device and recheck the pulses. The dorsalis pedis and posterior tibial can be difficult to assess and might need to be verified with a Doppler. Because the client just had a surgery in which a complication is arterial insufficiency, the client must be monitored carefully. If the pulses are not found, the nurse should recognize that this is an emergent situation, and the physician must be notified immediately. If the nurse waits 30 minutes before determining if the pulses can be felt, this could compromise the viability of the client's foot due to ischemia. Documenting the findings is important but must be performed after the nurse locates the dorsalis pedis and posterior tibial pulses or any necessary interventions are made.Health Promotion and Maintenance

NCLEX National Council Licensure Examination(NCLEX-PN) NCLEX-PN Exam Questions