NCLEX-PN Exam Questions Instant Access - No Installation Required

Question 1

Which of the following is not a function of parathyroid hormone?

Amoving calcium from bones to the bloodstream

Bpromoting renal tubular reabsorption of phosphorus

Cpromoting renal tubular reabsorption of calcium

Denhancing renal production of vitamin D metabolites

Answer : B

Parathyroid hormone depresses renal tubular reabsorption of phosphorus. All of the other choices are functions of parathyroid hormone.Reduction of Risk Potential

Question 2

Signs of impaired breathing in infants and children include all of the following except:

Anasal flaring.

Bgrunting.

Cseesaw breathing.

Dquivering lips.

Answer : D

Lip quivering is a distracter. Signs of impaired breathing in infants and children include all the other options.

Physiological Adaptation

Question 3

An 80-year-old aphasic CVA client had abdominal surgery 2 days ago. Which of the following puts this client at the highest risk for inadequate pain management?

Ainability to turn, cough, and breathe deeply

Binability to communicate pain

Cinability to ambulate freely

Dinability to use a bedside commode

Answer : B

The client cannot speak to alert the nurse to his pain state. The nurse needs to provide alternate methods of communication with the client.Basic Care and Comfort

Question 4

When a client needs oxygen therapy, what is the highest flow rate that oxygen can be delivered via nasal cannula?

A2 liters/minute

B4 liters/minute

C6 liters/minute

D8 liters/minute

Answer : C

The highest flow rate that oxygen can be delivered via nasal cannula is 6 liters/minute. Higher flow rates

must be delivered by mask.Reduction of Risk Potential

Question 5

A nursing care plan for a client with sleep problems has been implemented. All of the following should be expected outcomes except:

Athe client reports no episodes of awakening during the night.

Bthe client falls asleep within 1 hour of going to bed.

Cthe client reports satisfaction with his amount of sleep.

Dthe client rates sleep as an 8 or more on the visual analog scale.

Answer : B

An expected outcome is that the client falls asleep shortly after going to bed. The stages of sleep are defined by 4 stages. By stage 3 or 4 (within a short period of time---usually 1 hour) the client is considered to be in the deep part of sleep.Basic Care and Comfort

Question 6

A female having her first child is experiencing which type of crisis event?

Asituational

Bmaturational

Cadventitious

Dreactive

Answer : B

A maturational crisis occurs when an individual arrives at a new stage of development and must develop new coping strategies. Choice 1 arises from sources external to individuals. Choice 3 occurs when some event external to a person (floods, hurricanes) disrupts his or her coping behaviors. Choice 4 is not a crisis intervention.Psychosocial Integrity

Question 7

The physician orders the antibiotics ampicillin (Omnipen) and gentamicin (Garamycin) for a newly admitted client with an infection. The nurse should:

Aadminister both medications simultaneously.

Bgive the medications sequentially, and flush well between them.

Cask the physician or pharmacy which medication to give first and how long to wait before giving the other drug.

Dstart one medication now and begin the other medication in 2--4 hours.

Answer : B

A client with an infection needs both antibiotics as soon a possible. However, the pH of ampicillin is 8--10,

and the pH of gentamicin is 3--5.5 (making them incompatible when given together). Flushing well between

drugs is necessary. Choice 3 is incorrect because the PN determines the correct steps and consults with the

pharmacist and the physician as necessary. Choice 4 is incorrect because delaying the second medication by

several hours slows the treatment of the client's infection.Pharmacological Therapies

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