NCLEX-PN Exam Practice Test Instant Access

Question 1

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 2

An appropriate question when assessing a client's self-expectations about weight loss is:

A''What makes you think you can change your eating habits?''

B''How do you feel about losing weight?''

C''How important is it that you lose weight?''

D''What do you think is a realistic weekly weight loss for you?''

Answer : D

Nurses should assist clients to evaluate themselves and make behavior changes. Listening to clients, supporting clients' strengths, assisting clients to look at themselves in totality, and encouraging clients to set attainable goalsshould be part of the nurse-client relationship.Psychosocial Integrity

Question 3

Major competencies for the nurse giving end-oflife care include:

Ademonstrating respect and compassion, and applying knowledge and skills in care of the family and the client.

Bassessing and intervening to support total management of the family and client.

Csetting goals, expectations, and dynamic changes to care for the client.

Dkeeping all sad news away from the family and client.

Answer : A

There are many competencies that the nurse must have to care for families and clients at the end of life.

Demonstration of respect and compassion as well as using knowledge and skills in the care of the client and

family are major competencies.Basic Care and Comfort

Question 4

The teaching plan for gay or lesbian parents who want to disclose their homosexuality to their children should include all of the following instructions except:

Adisclose the information before the child knows or suspects.

Bbe comfortable with your sexual preference first.

Chave the discussion in a quiet place where interruptions are unlikely.

Dexplain how your relationship with the child changes because of the discussion.

Answer : D

Children of gay and lesbian parents should be reassured that their relationship with their parent will not change because of the discussion. Choices 1, 2, and 3 are all important aspects of the disclosure. As children grow, they might have additional questions. Preschool children might not understand the absence of a father or mother. Schoolage children might be troubled that their family isn't like their friends' families. Adolescents might become reluctant to discuss it or accept it even though they expressed acceptance at an earlier age. In general the earlier children are informed, the easier it is for them to accept and assimilate the information. Nurses need to be nonjudgmental and learn how to express and accept these differences so that they can keep the nurse-child-family relationship intact.Health Promotion and Maintenance

Question 5

In teaching clients with Buck's Traction, the major areas of importance should be:

Anutrition, ROM exercises.

BROM exercises, transportation.

Cnutrition, elimination, comfort, safety.

Delimination, safety, isotonic exercises.

Answer : C

Nutrition, elimination, comfort, and safety are the major areas of importance. The diet should be high in

protein with adequate fluids.Basic Care and Comfort

Question 6

Which of the following is true concerning human immunodeficiency virus (HIV)?

AHIV infection involves CD4 receptor protein on the surface of helper T-cells.

BThe presence of circulating antibodies that neutralize HIV is evidence that the individual has immunity-HIV.

CHIV replication occurs extracellularly.

DDNA replication

Answer : A

The virus makes a DNA copy of its own RNA using the reverse transcriptase enzyme, and the DNA copy is

inserted into the genetic material of the infected cell.Physiological Adaptation

Question 7

Priorities to be considered intermediate are:

Athe nonemergency, non-life-threatening needs of the client.

Bthose tasks that can be delegated to assistive personnel.

Cthose tasks that can be performed at the end of the shift.

Dthose task that can be performed at any time.

Answer : A

Priorities designated asintermediateby the nurse are those that are not urgent. They do not affect the client's immediate physiological status. This does not imply that they are not important or not necessary. Intermediate priorities might still require the skill level of an RN for completion. There might be specific time requirements for completion as well.Coordinated Care

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