NCLEX-PN Practice Exam #3 -> answers with explanation

Details
Category: NCLEX-PN Practice Exam.
Hits: 88

Practice Tests: NCLEX-PN Practice Exam #3 - 50 questions

All 50 questions are randomized each time you take the test, and do not appear in the same order here.

1. What percentage of term newborns has a congenital heart disease due to environmental risk factors such as maternal alcoholism or drug ingestion?

  • 2% to 4%
  • 10% to 20%
  • 5% to 10%
  • 7% to 9%

Answer: Only for registered users. Please login!

 

2. A positive over-the-counter pregnancy test is considered a:

  • possible sign of pregnancy
  • presumptive sign of pregnancy
  • probable sign of pregnancy
  • positive sign of pregnancy

Answer: Only for registered users. Please login!

 

3. A nurse is caring for a retired MD. The MD asks the question, "What type of cells secrete insulin?" The correct answer is:

  • alpha cells
  • beta cells
  • CD4 cells
  • helper cells

Answer: Only for registered users. Please login!

4. Avulsed teeth should be placed in.

  • normal saline
  • cold water
  • milk
  • warm water

Answer: Only for registered users. Please login!

 

5. A patient has been diagnosed with diabetes mellitus. Which of the following is not a clinical sign of diabetes mellitus?

  • Polyphagia
  • Polyuria
  • Metabolic acidosis
  • Lower extremity edema

Answer: Only for registered users. Please login!

6. Which type of cancer has the poorest prognosis?

  • Squamous cell carcinoma
  • Breast cancer
  • Pancreatic cancer
  • Gastric cancer

Answer: Only for registered users. Please login!

 

7. The embryonic period during pregnancy takes place from:

  • weeks 1 to 12
  • weeks 1 to 10
  • weeks 3 to 5
  • weeks 6 to 10

Answer: Only for registered users. Please login!

 

8. Your patient has just returned from the diagnostic imaging department and the doctor has told the patient that they have a Mallory-Weiss tear. The patient asks you what a Mallory-Weiss tear is. How should you respond to this patient?

  • "A Mallory-Weiss tear is a kind of diverticulitis."
  • "A Mallory-Weiss tear is an esophageal tear"
  • "A Mallory-Weiss tear is a lacrimal gland disorder."
  • "A Mallory-Weiss tear is a tear that results from a peptic ulcer."

Answer: Only for registered users. Please login!

 

9. Low birth weight is defined as a newborn's weight of:

  • 2500 grams or less at birth,regardless of gestational age
  • 1500 grams or less at birth,regardless of gestational age
  • 2500 grams or less at birth,according to gestational age
  • 1500 grams or less at birth,according to gestational age

Answer: Only for registered users. Please login!

 

10. A nurse is screening patients for immunizations. Which of following is not a contraindication for immunization?

  • Seizures
  • Fever > 3 days
  • Malignancy > 3 months
  • Illness > 6 months

Answer: Only for registered users. Please login!

 

11. Which nursing diagnosis is the most commonly used among patients who are affected with fibromyalgia?

  • Decreased self-care in the activities of daily living related to fatigue.
  • Impaired mental functioning related to electrolyte imbalances.
  • Increased vigilance secondary to electrolyte imbalances.
  • At risk for a swallowing disorder related to fibromyalgia.

Answer: Only for registered users. Please login!

 

12. Ill health, malnutrition, and wasting as a result of chronic disease are all associated with:

  • Surgical asepsis
  • Catabolism
  • Cachexia
  • Venous stasis

Answer: Only for registered users. Please login!

 

13. The nurse is caring for a patient who has dysphagia related to a stroke. The nurse works with the patient to explain what food and beverages might minimize aspiration. What is this an example of?

  • primary prevention
  • tertiary prevention
  • health promotion
  • secondary prevention

Answer: Only for registered users. Please login!

 

14. Which electrolyte is essential for enzyme and neurochemical activities?

  • Chloride
  • Magnesium
  • Potassium
  • Phosphate

Answer: Only for registered users. Please login!

 

15. Alcohol, caffeine, or drugs are high risk factors that all fall under which broad classification of risk factors?

  • Social demographic
  • Environmental
  • Biophysical
  • Psychosocial

Answer: Only for registered users. Please login!

 

16. Which nursing theorist believes that most patients are capable of performing self-care?

  • Dorothea Orem
  • Madeleine Leininger
  • Martha Rogers
  • Sister Callista Roy

Answer: Only for registered users. Please login!

 

17. A nurse is setting up a vision-screening program for a new school. At what age will vision be 20/20 in children?

  • 4-year-old
  • 5-year-old
  • 6-year-old
  • 7-year-old

Answer: Only for registered users. Please login!

 

18. You have been asked to speak at a new nursing assistants' orientation class about infection control and handwashing techniques. What would you include in this teaching?

  • Demonstrate the correct 1-minute handwashing procedure using soap and running water.
  • Demonstrate the correct 2-minute handwashing procedure using soap and running water.
  • Using hot water so that the natural fats on the skins are emulsified with the soap.
  • Using cold water so that the natural fats on the skins are emulsified with the soap.

Answer: Only for registered users. Please login!

 

19. During which week does the fetal heart begin pumping its own blood?

  • 3rd week
  • 5th week
  • 9th week
  • 6th week

Answer: Only for registered users. Please login!

 

20. 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?

  • I will be most susceptible to an infection between 7 and 12 days after chemotherapy.
  • I should try to get my annual teeth cleaning in before beginning chemotherapy.
  • I should wait until all my hair falls out to purchase a wig.
  • I should try to drink 8-10 glasses of water a day.

Answer: Only for registered users. Please login!

 

21. A newborn baby exhibits a reflex that includes: hand opening, abducted and extended extremities following a jarring motion. Which of the following correctly identifies the reflex?

  • ATNR reflex
  • Startle reflex
  • Grasping reflex
  • Moro reflex

Answer: Only for registered users. Please login!

 

22. When choosing a needle gauge for an intramuscular injection in a 12-year-old boy. Which of the following gauges would you choose?

  • 27 gauge
  • 25 gauge
  • 22 gauge
  • 20 gauge

Answer: Only for registered users. Please login!

 

23. How many bones make up a newborn's skull?

  • 8
  • 4
  • 6
  • 5

Answer: Only for registered users. Please login!

 

24. Which of these is not one of the items in the APGAR Score?

  • skin color
  • muscle tone
  • respiratory rate
  • reflex irritability

Answer: Only for registered users. Please login!

 

25. Around what age do children start to develop "stranger anxiety"?

  • 3 months
  • 9 months
  • 6 months
  • 12 months

Answer: Only for registered users. Please login!

 

26. Multifetal pregnancies with triplets occur at a rate of 1 in 8,100 births, but twins occur much more frequently with a rate of.

  • 1 in 85 births
  • 1 in 5400 births
  • 1 in 2700 births
  • 1 in 540 births

Answer: Only for registered users. Please login!

 

27. A nurse is implementing a community awareness campaign about accidental poisoning. Which of the following should she teach in the class?

  • The child should be given milk.
  • The child should be given syrup of Ipecac
  • The poison control center should be contacted
  • The child should be taken to the ER

Answer: Only for registered users. Please login!

 

28. After your patient has been told that they have Cushing's syndrome, the patient asks you what Cushing's syndrome is. How would you respond to this patient's question?

  • "Cushing's syndrome is a type of irritable bowel syndrome."
  • "Cushing's syndrome is a disorder of the adrenal gland."
  • "Cushing's syndrome often occurs among patients who are getting radiation therapy."
  • "Cushing's syndrome often occurs among patients who are chemotherapy."

Answer: Only for registered users. Please login!

 

29. A patient has fallen off a bicycle and fractured the head of the proximal fibula. A cast was placed on the patient's lower extremity. Which of the following is the most probable result of the fall?

  • Peroneal nerve injury
  • Tibial nerve injury
  • Sciatic nerve injury
  • Femoral nerve injury

Answer: Only for registered users. Please login!

 

30. Which statement about Meniere's disease is accurate and true?

  • Meniere's disease most commonly occurs among members of the elderly population.
  • Meniere's disease is insidious and it always affects both ears.
  • Meniere's disease occurs with an impairment of the second cranial nerve.
  • Antiemetic drugs are used for the treatment of patients affected with Meniere's disease.

Answer: Only for registered users. Please login!

 

31. When giving an intramuscular injection to an infant. Which of the following sites is preferred?

  • Ventrogluteal region
  • Deltoid
  • Vastus lateralis
  • Dorsogluteal region

Answer: Only for registered users. Please login!

 

32. Which of the following is the World Health Organization's (WHO) definition of health?

  • The absence of all illness and disease
  • The absence of any comorbidities
  • A holistic state of wellbeing
  • A use of health promotion activities

Answer: Only for registered users. Please login!

 

33. Select the member of the healthcare team that is paired with one of the main functions of this team member.

  • Occupational therapist: Gait exercises
  • Physical therapist: The provision of assistive devices to facilitate the activities of daily living
  • Speech and language therapist: The treatment of swallowing disorders
  • Case manager: Ordering medications and treatments

Answer: Only for registered users. Please login!

 

34. You are caring for a neonate who has a cleft palate. You should inform the mother that surgical correction will be done when the infant is.

  • 8 to 12 months of age
  • 20 to 24 months of age
  • 16 to 20 months of age
  • 12 to 16 months of age

Answer: Only for registered users. Please login!

 

35. The nurse is caring for a 4-year-old patient. What is the most appropriate pain scale for the nurse to use during the assessment?

  • CRIES Pain Scale
  • FLACC Pain Scale
  • McGill Pain Scale
  • Wong-Baker Pain Scale

Answer: Only for registered users. Please login!

 

36. Which disease decreases the metabolic rate?

  • Cancer
  • Hypothyroidism
  • Chronic obstructive pulmonary disease
  • Cardiac failure

Answer: Only for registered users. Please login!

 

37. How many minims are contained in 1 milliliter?

  • Between 10-11
  • 12
  • 20
  • Between 15 or 16

Answer: Only for registered users. Please login!

 

38. When a woman has miscarried in three or more consecutive pregnancies, it is referred to a type of spontaneous abortion.

  • Inevitable
  • Missed
  • Habitual

Answer: Only for registered users. Please login!

 

39. A cesarean mode of delivery, often utilized for various reasons, is the most common mode for females with pelvic type:

  • android
  • anthropoid
  • gynecoid
  • platypelloid

Answer: Only for registered users. Please login!

 

40. A mother that has never breast-feed a child before is having trouble getting the baby to latch on to the breast. The baby has lost 3% of its' birth weight within the first 2 days of life. The best statement is:

  • the baby will eventually take to the breast
  • I can fix up a bottle if you want to try that
  • a small amount of weight loss in the first few days is normal
  • I can get the charge nurse to come and talk to you about breast-feeding

Answer: Only for registered users. Please login!

 

41. The nurse is assessing an 18-month-old. Which of these statements made by the parent or caregiver would require follow-up?

  • I'm worried that my child is not using two-word phrases yet.
  • I’m letting my child use a spoon to eat.
  • My child has recently taken a few steps but does not seem stable when standing.
  • My child seems to have developed separation anxiety when I leave.

Answer: Only for registered users. Please login!

 

42. The nurse is caring for an elderly patient and providing education. Which of the following would be least appropriate?

  • The nurse breaks up the education into multiple shorter sessions.
  • The nurse provides supplemental written resources.
  • The nurse allows additional time after each instruction to allow the patient to process.
  • The nurse speaks in a loud voice.

Answer: Only for registered users. Please login!

 

43. The nurse is assessing the newborn's respirations. Which of these findings would indicate a need for follow-up and further intervention?

  • irregular respirations
  • shallow respirations
  • 70 breaths per minute
  • abdominal respirations

Answer: Only for registered users. Please login!

 

44. Periwound maceration occurs when:

  • The skin around the wound softens and is damaged.
  • Selecting a dressing individualized to the type of wound.
  • Negative-pressure to "air out" the wound is used.
  • The skin around the wound dries out and hardens.

Answer: Only for registered users. Please login!

 

45. Which of the following is not considered one of the main mechanisms of Type II Diabetes treatment?

  • Medications
  • Nutrition
  • Increased activity
  • Continuous Insulin

Answer: Only for registered users. Please login!

 

46. Which patient is at greatest risk for cholelithiasis and choledocholithiasis?

  • A 70 year old male patient who has liver disease.
  • A 70 year old female patient who has liver disease.
  • A 50 year old male patient who is Asian.
  • A 50 year old female patient who is Asian.

Answer: Only for registered users. Please login!

 

47. Rh negative maternal blood indicates:

  • an incompatibility in the blood between the mother and fetus
  • that antibodies in the mother's blood are attacking her baby's blood
  • the mother will require a blood transfusion at the time of delivery
  • the mother does not have a specific marker on her red blood cells

Answer: Only for registered users. Please login!

 

48. What is the ultimate purpose and goal of performance improvement activities?

  • To increase efficiency.
  • To contain costs.
  • To improve processes.
  • To improve policies.

Answer: Only for registered users. Please login!

 

49. Which of the following motions is identified with the corresponding action? (Action - Turning palm of hand over to face in the anterior direction, dorsum of the hand is pointed downward toward the floor.)

  • Pronation
  • Supination
  • Abduction
  • Adduction

Answer: Only for registered users. Please login!

 

50. What element is minimally assessed during a basic prenatal physical examination?

  • Palpation and auscultation of the abdomen.
  • Examination of the anus and rectum.
  • Urinalysis for glucose, protein and ketones.
  • Visual assessment of cervix and vagina.

Answer: Only for registered users. Please login!

 

NCLEX-PN Practice Exam #3 - 50 questions

Answer: Only for registered users. Please login!