NCLEX-PN Practice Exam #11 -> answers with explanation - Free NCLEX Exam Practice

5. Select the type of skeletal fracture that is correctly paired with its description:

• A complete fracture: The fractured bone penetrates through the skin to the skin surface.
• A pathological fracture: A fracture that results from some physical trauma.
• A greenstick fracture: This bends but does not fracture the bone.
• An avulsion fracture: A fracture that pulls a part of the bone from the tendon or ligament

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6. You will be reinforcing teaching and instructing the patient. Which basic principle of teaching should you follow?

• Sequence the instruction from the least complex to the most complex.
• Assume that the patient knows little or nothing about the topic.
• Tell the patient to call their significant other so you can instruct them.
• Use medically oriented terms so the patient will be able to speak with the doctor.

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7. Which of the following is an appropriate nursing goal for a client at risk for nutritional problems?

• provide oxygen
• promote healthy nutritional practices
• treat complications of malnutrition
• increase weight

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8. Major competencies for the nurse giving end-of-life care include:

• demonstrating respect and compassion, and applying knowledge and skills in care of the family and the client.
• assessing and intervening to support total management of the family and client.
• setting goals, expectations, and dynamic changes to care for the client.
• keeping all sad news away from the family and client.

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9. Which healthcare associated infection is the greatest risk for patients?

• Pneumonia
• Catheter related infections
• Intravenous line infections
• C difficile

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10. Which of the following is a vector of infection?

• A contaminated ball
• A contaminated thermometer
• An infected person
• An infectious fly

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11. A 4-year-old client is unable to go to sleep at night in the hospital. Which nursing intervention best promotes sleep for the child?

• turning out the room light and closing the door
• tiring the child during the evening with play exercises
• identifying the child's home bedtime rituals and following them
• encouraging visitation by friends during the evening

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12. The nurse is transferring a client from a wheelchair to the bed. Which is the correct procedure?

• Pull the client toward you, and pivot him on the unaffected limb.
• Pull the client toward you, and pivot him on the affected limb.
• Push the client toward the bed, and pivot him on the affected limb.
• Stand the client on both legs, and push him toward the bed.

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13. Which of the following foods should be avoided by clients who are prone to develop heartburn as a result of gastroesophgeal reflux disease (GERD)?

• lettuce
• eggs
• chocolate
• butterscotch

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14. To ensure proper immobilization and increase client comfort when using a rigid splint:

• place the client on a stretcher before splinting
• place the client on a long spine board before splinting
• pad the spaces between the body part and the splint
• ensure that the splint conforms to the body curves

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15. A client turns her ankle. She is diagnosed as having a pulled ligament. This should be documented as a:

• sprain
• strain
• subluxation
• distoration

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16. Which is considered an internal disaster?

• A patient fall.
• The massive spread of pneumonia.
• A computer hacking episode.
• Unexpected staff absences due to illness.

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17. The goals of palliative care include all of the following except:

• giving clients with life-threatening illnesses the best quality of life possible
• taking care of the whole person - body, mind, spirit, heart, and soul
• no interventions are needed because the client is near death
• support of needs of the family and client

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18. You have just learned that another nurse was fired for taking photographs of patients without their permission using a cell phone and posting them on Facebook. This nurse was fired because the nurse has.

• violated the law
• acted in a negligent manner
• not completed the proper documentation
• violated an ethical principle

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19. A client with an ileus is placed on intestinal tube suction. Which of the following electrolytes is lost with intestinal suction?

• calcium
• magnesium
• potassium
• sodium chloride

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20. A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding as.

• plantar fasciitis
• hallux valgus
• hammertoe
• Morton's neuroma

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21. A client with major head trauma is receiving bolus enteral feeding. The most important nursing order for this client is:

• measure intake and output
• check albumin level
• monitor glucose levels
• increase enteral feeding

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22. Pulling is easier than pushing. So pulling a client rather than pushing him or her has which of the following advantages?

• reduces workload
• decreases opposition from gravity
• maintains stability
• prevents muscle strain

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23. Your 32-year-old female patient has erythema marginatum, Sydenham chorea, epistaxis, abdominal pain, fever, cardiac problems and skin nodules. What disorder would you most likely suspect based on these signs and symptoms?

• Leukemia
• Histoplasmosis
• Pneumocystis jirovec
• Rheumatoid arthritis

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24. Select the method of special precautions that is accurately paired with the personal protective equipment that is minimally required in order to prevent the spread of infection.

• Contact precautions: Gowns, gloves and mask.
• Droplet precautions: Face mask.
• Airborne transmission precautions: Negative pressure room.
• Contact precautions: Gloves.

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25. Who should document care?

• The LPNs should document the care that they provided and the care that was given by unlicensed assistive staff.
• The registered nurse must document all of the care that is provided by the nursing assistants because they are accountable for all care.
• All staff members should document all of the care that they have provided.
• All staff should document all of the care that they have provided but the registered nurse, as the only independent practitioner, signs it.

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26. Which skin disorder most closely resembles and mimics dandruff?

• Lice infestation
• Scabies
• Dematitis
• Acne vulgaris

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27. What is the single most important thing that nurses do in order to prevent the spread of infection?

• Applying standard precautions.
• Using personal protective equipment.
• Adhering to the principles of asepsis.
• Handwashing.

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28. A client who is immobilized secondary to traction is complaining of constipation. Which of the following medications should the nurse expect to be ordered?

• Advil
• Anasaid
• Clinocil
• Colace

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29. Hazards of improper splinting include:

• aggravation of a bone or joint injury
• reduced distal circulation
• delay in transport of a client with a lifethreatening injury
• all of the above

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30. Ms. Petty is having difficulty falling asleep. Which of the following measures promote sleep?

• exercising vigorously for 20 minutes each night beginning at 9:30 p.m.
• taking a cool shower and drinking a hot cup of tea
• watching TV nightly until midnight
• getting a back rub and drinking a glass of warm milk

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31. Which legal document will most likely contain the patient's decision to not get cardiopulmonary resuscitation?

• Healthcare surrogacy
• Healthcare proxy
• Advance directives
• Durable power of attorney

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32. To remove a client's gown when she has an intravenous line, the nurse should:

• temporarily disconnect the intravenous tubing at a point close to the client and thread it through the gown
• cut the gown with scissors
• thread the bag and tubing through the gown sleeve, keeping the line intact
• temporarily disconnect the tubing from the intravenous container and thread it through the gown

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33. Assessment of a client with a cast should include.

• capillary refill, warm toes, no discomfort
• posterior tibial pulses, warm toes
• moist skin essential, pain threshold
• discomfort of the metacarpals

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34. Clumsiness, difficulty running, climbing, and riding a bicycle are some of the earliest signs and symptoms of.

• duchennes's muscular dystrophy
• osteomyelitis
• talipes or clubfoot
• septic joint, suppurative arthritis

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35. You are preparing a sterile field for an operating room surgical procedure. When should you stop the preparation of this sterile field?

• When you have placed a sterile item only 1 inch and not 2 inches from the edge of the sterile field.
• When you have completely finished the field. You cannot stop the set up until it is all done.
• When you have accidentally poured a sterile liquid into a container that was on the sterile field.
• When you turn your upper body only away from the field because the surgeon calls your name.

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36. Nurses caring for clients who have cancer and are taking opioids need to assess for all of the following except.

• tolerance
• constipation
• sedation
• addiction

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37. The method of splinting is always dictated by:

• location of the injury and whether it is open or closed
• the severity of the client's condition and the priority decision
• the number of available rescuers and the type of splints
• all of the above

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38. A client is having problems with her ankles. To assess her ankles' ROM, which ROM exercises should the nurse have her perform?

• flexion, extension, hyperextension
• flexion, extension, abduction, adduction
• external rotation, internal rotation
• extension, flexion, inversion, eversion

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39. A client with dumping syndrome should while a client with GERD should:

• sit up 1 hour after meals; lie flat 30 minutes after meals
• lie down 1 hour after eating; sit up at least 30 minutes after eating
• sit up after meals; sit up after meals
• lie down after meals; lie down after meals

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40. Wilms' tumor is a form of:

• renal cancer
• liver cancer
• basal cell carcinoma
• brain cancer

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41. When making an occupied bed, it is important for the nurse to:

• keep the bed in the low position
• use a bath blanket or top sheet for warmth and privacy
• constantly keep side rails raised on both sides
• move back and forth from one side to the other when adjusting the linens

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42. What is a major difference between a problem oriented medical record and a source oriented medical record?

• The problem oriented medical system has a centralized part of the chart for interdisciplinary progress notes and the source oriented medical record has separate areas for each profession's progress notes.
• The problem oriented medical system consists of narrative progress notes and the source oriented medical record uses SOAP.
• The source oriented medical system uses charting by exception and the source oriented medical record system does not.
• D. The source oriented medical system has a centralized part of the chart for interdisciplinary progress notes and the problem oriented medical record has separate areas for each profession's progress notes.

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43. Assessment of the client with an arteriovenous fistula for hemodialysis should include:

• inspection for visible pulsation
• palpation of thrill
• percussion for dullness
• auscultation of blood pressure

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

• nutrition, ROM exercises
• ROM exercises, transportation
• nutrition, elimination, comfort, safety
• elimination, safety, isotonic exercises

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45. A client has a nasogastric (NG) tube in place following abdominal surgery. The purpose of this tube immediately following surgery is to:

• simplify medication administration
• measure accurate input and output
• prevent accumulation of fluids and gas
• facilitate collection of specimens

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46. Which patient is exercising their right to autonomy in the context of patient rights?

• An unemancipated 16-year-old who chooses to not have an intravenous line.
• An 86-year-old female who remains independent in terms of the activities of daily living.
• A 32-year-old who does not need the help of the nurse to bathe and groom themselves.
• A 99-year-old who wants CPR despite the fact that the nurse and doctor do not think that it would be successful.

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47. Your client is adversely affected with fever, night sweats, occult hematuria, tenderness of the spleen and Osier's nodes. What disorder would you most likely suspect?

• Tuberculosis
• AIDS/HIV
• Pericarditis
• Endocarditis

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48. Idiopathic thrombocytopenia purpura is:

• highly similar to disseminated intravascular coagulation (DIC)
• caused by the over production of platelets
• a bleeding disorder that is characterized with too few platelets
• treated with immune system boosting medications

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49. The 24-hour day-night cycle is known as:

• circadian rhythm
• infradium rhythm
• ultradian rhythm
• non-REM rhythm

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50. Following a classic cholecystectomy resection for multiple stones, the PACU nurse observes a serosanguious drainage on the dressing. The most appropriate intervention is to:

• notify the physician of the drainage
• change the dressing
• reinforce the dressing
• apply an abdominal binder

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NCLEX-PN Practice Exam #11 - 50 questions