NCLEX-PN Exam Practice Test Instant Access

Question 1

A 35-year-old Latin-American client wishes to lose weight to reduce her chances of developing heart disease and diabetes. The client states, ''I do not know how to make my diet work with the kind of foods that my family eats.'' What should the nurse do first to help the client determine a suitable diet for disease prevention?

AProvide her with copies of the approved dietary guidelines for the American Diabetic Association and the American Heart Association.

BAsk the client to provide a list of the types of foods she eats to determine how to best meet her needs.

CProvide a high-protein diet plan for the client.

DProvide the client with information related to risk factors for heart disease and diabetes.

Answer : B

Assessment is the first step. Assessing what the client eats helps the nurse determine a plan for dietary

recommendations based on the ADA and AHA guidelines. Providing the client with a copy of the guidelines is

important but is not the first priority. Based on the client's wish to reduce her chances of heart disease and

diabetes, a high-protein diet plan might not be appropriate. Providing information to the client related to risk

factors for heart disease and diabetes is important but is not the first step.Health Promotion and Management

Question 2

Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is an advantage of using CVADs for chemotherapeutic agent administration?

ACVADs are less expensive than a peripheral IV.

BWeekly administration is possible.

CChemotherapeutic agents can be caustic to smaller veins.

DThe client or family can administer the drug at home.

Answer : C

Many chemotherapeutic drugs are vesicants (highly active corrosive materials that can produce tissue damage

even in low concentrations). Administration into a large vein is optimal. Choice 1 is incorrect because CVADs

are more expensive than a peripheral IV. Choice 2 is incorrect because dosing depends on the drug. Choice 4 is

incorrect because IV chemotherapeutic agents are not routinely administered at home; they are usually given in

a hospital or in an outpatient or clinic setting.Pharmacological Therapies

Question 3

Neural tube defects in the fetus have been primarily associated with which deficiency in the mother?

Airon

Bfolic acid

Cvitamin B12

Dvitamin E

Answer : B

Folic acid is essential for the development of the neural tube and might prevent the defect or failure of the tube to close (congenital anomalies).Physiological Adaptation

Question 4

At what point in the nurse-client relationship should termination first be addressed?

Ain the working phase

Bin the termination phase

Cin the orientation phase

Dwhen the client initially brings up the topic

Answer : C

The client has a right to know the parameters of the nurse-client relationship. If the relationship is to be time

limited, the client should be informed of the number of sessions. If it is open-ended, the termination date is not

known at the outset, and the client should know that this is an issue that is negotiated at a later date.Coordinated

Care

Question 5

The nurse is developing a care plan for a client with severe anxiety. An appropriate outcome for the client is that within 4 days the client should:

AHave decreased anxiety.

BTalk to the nurse for 10 minutes.

CSit quietly for 30 minutes.

DDevelop an adaptive coping mechanism.

Answer : B

Outcome criteria need to be specific, measurable, and realistic. Talking for 10 minutes meets all of these

conditions. It is not realistic to expect a severely anxious client to sit quietly for 30 minutes. The other statements

are vague and not measurable.Psychosocial Integrity

Question 6

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

Acommunity agencies such as the American Heart Association.

Bparish nurses.

Chome health care agencies.

Dunlicensed massage therapists.

Answer : D

Client education should be completed by an individual or individuals with acknowledged expertise in the subject area and credentials to support activity within the health care community.Coordinated Care

Question 7

A client is taking the fluoroquinolone Ciprofloxin for acute prostatitis. After a few doses of the agent, he develops severe muscle pain. The most likely cause of the adverse reaction is:

Aelectrolyte imbalance.

Bimpending tendon rupture.

Ccalcium deposits.

Dantibiotic-associated colitis.

Answer : B

An untoward, adverse drug reaction associated with the quinolones is tendon rupture. Electrolyte imbalance has not been associated with the group, and antibiotic-associated colitis is most common in augmentin and penicillin groups.Safety and Infection Control

NCLEX-PN National Council Licensure Examination(NCLEX-PN) Exam Practice Test