Practice Tests: NCLEX-PN Practice Exam #12 - 50 questions
All 50 questions are randomized each time you take the test, and do not appear in the same order here.
1. Distraction therapy is:
- focusing one's attention on stimuli other than pain
- cognitive reappraisal
- the replacement of positive images of pain with other images
- the use of medication and meditation
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2. Which of these types of fluid output is not typically measured?
- emesis
- urine
- chest tube drainage
- evaporative water from the respiratory tract
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3. A client with cirrhosis of the liver presents with ascites. The physician is to perform a parancentesis. For safety, the nurse should ask the client to:
- drink 1000 cc prior to the procedure to affect fluid loss
- eat foods low in fat
- empty his bladder prior to the procedure
- assume the prone position
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4. When cleaning a PEG tube, which of these tasks should not be performed?
- Talcum powder is applied to the tube site.
- Mild soap is used to clean around the tube site.
- The skin around the tube site is thoroughly dried with a clean towel.
- Crusty drainage is gently removed from the site.
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5. The nurse is using Cognitive-Behavioral methods of pain control and knows that these methods can be expected to do all the following except:
- completely relieve all pain
- provide benefit by restoring the client's sense of self-control
- help the client to control symptoms
- help the client actively participate in his or her own care
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6. The LPN is caring for a 32-year-old female patient who is 8 hours post-op after a tonsillectomy. Which of these would be an appropriate action taken by the nurse?
- Inform the patient that ear pain may occur and is normal.
- Monitor vitals every 15 minutes.
- Provide ice water and a straw to promote easy fluid consumption.
- Provide hot tea to soothe the throat.
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7. Which of the following NSAIDS is most commonly used for a brief time for acute pain?
- Advil
- Aleve
- Toradol
- Bextra
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8. Perineal care to a female client by the nurse can be performed.
- without gloves, pouring water from a sterile bottle
- without gloves, having the client perform all care
- with gloves, washing the perineal area from front to back
- with gloves, washing the perineal area from back to front
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9. Nail and foot care are essential in meeting basic hygiene needs of clients. Important assessments by the nurse in this area include:
- all body assessment, including the feet and nails
- the essential lab work of the client
- the nail beds and the tissue surrounding the nails
- foot corns and calluses only
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10. The LPN is receiving the report on a comatose patient at the start of the shift at 1500. What statement should be of most concern?
- The patient was bathed and skin was assessed head-to-toe at 0900 with no abnormal findings.
- The patient's indwelling urinary catheter was last changed 5 days ago.
- The patient was repositioned on his right side at 1100.
- The patient's PEG tube was changed 6 months ago.
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11. A patient is on a clear liquid diet. She drinks half of a 12-ounce juice, 4 ounces of soup, and has a 6-ounce JELL-O. How many milliliters of fluid did the patient ingest?
- 440 ml
- 22 ml
- 480 ml
- 660 ml
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12. An LPN is caring for a primarily bedridden patient. Which finding should be of least concern?
- swollen feet
- brown discoloration above the ankles
- capillary refill time of 3 seconds on the big toe
- leg pain
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13. A pregnant client has congenital heart disease. The nurse should expect to see which alterations in this client's diet during pregnancy?
- reduced calories and reduced fat
- caffeine and sodium restrictions
- decreased protein and increased complex carbohydrates
- fluid restriction and reduced calories
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14. Safety measures for using crutches must be taught to clients. Safety measures for the use of crutches include.
- properly fitting crutches with rubber tips at the end that provide a four-point gait
- properly fitting crutches, education in the appropriate gait, and strength in the arms
- crutches that fit the way the client chooses and a gait chosen by client
- both legs touching the floor for all gaits
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15. Which of the following foods present a problem for a client diagnosed with Celiac Disease?
- butter
- oats or barley cereal
- fresh vegetables
- coffee or tea
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16. Following an automobile accident that caused a head injury to an adult client, the nurse observes that the client sleeps for long periods of time. The nurse determines that the client has experienced injury to the:
- hypothalamus
- thalamus
- cortex
- medulla
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17. Client education by the nurse entails:
- telling the client everything about his disease, what is going to happen in the course of the disease, and the outcome.
- giving information to the client that is accurate and understandable.
- telling the client that the pain he experiences might not be real.
- giving the client medication when pain is experienced.
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18. Which of these would be an appropriate meal for a patient with Celiac disease?
- egg noodles with cream sauce and broccoli, oat cookie, almond milk
- chicken and rice, apple, and tapioca pudding
- turkey sandwich with rye bread, carrots
- granola and dried apricots with cow's milk
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19. A client is to have an enema to reduce flatus. The enema tube should be inserted.
- 4 inches
- 6 inches
- 2 inches
- 8 inches
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20. A patient with dysphagia is ready to eat lunch. Which of these foods on the tray would be best to start with when assisting the patient?
- toast
- diced fruit
- Jell-O
- apple juice with a liquid thickener
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21. In administering NSAID adjunctive therapy to an elderly client with cancer, the nurse must monitor:
- BUN and creatinine
- creatinine and calcium
- Hgb and Het
- BUN and CFT
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22. In managing nausea related to Morphine epidural analgesia, the nurse should administer.
- Indocin
- Codeine
- Motrin
- Compazine
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23. A spinal change occurring with pregnancy that alters mobility is:
- scoliosis
- kyphosis
- lordosis
- ankylosing spondylitis
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24. A client's postoperative pain seems to be getting worse instead of better. When the nurse asks the client, "Why do you think it's getting worse?" the client replies, "My wife died last month. It's all I can think about." The nurse must now consider:
- calling the physician for an increased dosage of pain medication
- calling the physician for a sedative
- referring the client for a psychiatric consult
- developing interventions for grief and loss
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25. The LPN is observing a patient using crutches for a leg injury. Which of these would indicate that the patient needs to be reinforced on the proper use of crutches?
- When going down the stairs, the patient leads with the injured leg.
- The patient rests the axilla on the top padding and loosely grips the handles with hands.
- The patient has a slight bend in the elbow when using the handles.
- The patient places the top padding 1 -2 inches below the axilla with a firm grip on the handles.
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26. The nurse provides a postoperative client with an analgesic medication and darkens the room before the client goes to sleep for the night. The nurse's actions:
- help the client's circadian rhythm
- stimulate hormonal changes in the brain
- decrease stimuli from the cerebral cortex
- alert the hypothalamus in the brain
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27. The nurse is turning a client who has a new prosthetic hip. Which position should be avoided to prevent injury to the new prosthetic hip?
- abduction of the hip
- adduction of the hip
- flexing the hip at 80° flexion
- flexing the hip at 90°
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28. For a client requiring total oral care, it is important for the nurse to:
- assemble all equipment, assist the client to semi-Fowler's position, and place a towel on his chest
- place client in Fowler's position, prepare the equipment, and tell the client what to do
- assemble all equipment, place the client in a side-lying position, and place a towel under his chin
- use gloves and clean the client's mouth, including the tongue
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29. Which is an appropriate outcome for the nursing diagnosis of Body Image Disturbance for a client with anorexia nervosa?
- The client verbalizes knowledge of a maintenance diet.
- The client demonstrates assertiveness with family.
- The client verbalizes her body size accurately.
- The client demonstrates control of obsessive behaviors.
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30. Which type of diet should the nurse provide to help a client who has major burns maintain a positive nitrogen balance?
- high protein
- high carbohydrate
- low carbohydrate
- low protein
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31. The LPN is assisting the patient with an NG tube with activities of daily living. Which of these statements would indicate need for teaching reinforcement?
- "I should remain sitting up at a 45-degree angle or higher for 30 minutes after a feeding."
- "I should avoid using Vaseline around the nostril and tube."
- "I can clean around the tube with water and mild soap."
- "Since I'm not eating or drinking by mouth, I do not need to brush my teeth as often."
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32. Accurate documentation of assessment findings regarding pressure ulcers is very important because.
- the law requires the nurse to document lesions
- the hospital requires the nurse to document lesions
- the physician requires the nurse to document lesions
- the nursing assessment of ulcers is a standard of nursing practice
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33. The nurse has completed client teaching about introducing solid foods to an infant. To evaluate teaching, the nurse asks the mother to identify an appropriate first solid food. Which of the following is an appropriate response?
- pureed canned squash
- pureed apples
- yogurt
- infant rice cereal
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34. The nurse is teaching a client about sleep and gives background information on normal sleep patterns. Which of the following substances promotes sleep?
- serotonin
- cortisone
- alcohol
- narcotics
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35. Pressure ulcers usually occur.
- when clients are left in one position in bed for extended periods of time
- when clients are underweight
- when clients are overweight
- only in underweight and overweight clients
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36. Mrs. B. complains of difficulty falling asleep, awakening earlier than desired, and not feeling rested. She attributes these problems to leg pain that is secondary to her arthritis. What is the most appropriate nursing diagnosis for her?
- Sleep Pattern Disturbances (related to arthritis)
- Fatigue (related to leg pain)
- Knowledge Deficit (regarding sleep hygiene measures)
- Sleep Pattern Disturbances (related to chronic leg pain)
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37. Which of these statements from the caregiver of a palliative care patient indicates a proper understanding?
- The main therapeutic goals are comfort and better quality of life.
- This treatment plan usually means the prognosis is less than 6 months.
- The medications to treat the underlying disease will be stopped.
- We will need to stay in the hospital to receive this level of care.
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38. The hydraulic lift (Hoyer lift) is:
- used for all clients who've had orthopedic surgery
- used for all clients who are not able to stand and for extremity obese clients
- used for all clients, both old and young, in a hospital setting
- not an assistive device for special needs
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39. An LPN is caring for a new admission recovering from a knee replacement. In assisting the patient to the bathroom, what step would best prevent a patient fall?
- Ask the patient if he or she prefers crutches or a walker.
- Ask the patient to stand and extend his or her arms for 5 seconds.
- Ask the patient to march in place before walking toward the bathroom.
- Ask the patient to shake hands while in bed.
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40. Nonpharmacological pain management involves all of the following except.
- hypnosis alone.
- psychological care, including support groups.
- physical and psychological modalities.
- pain-reducing drugs only.
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41. A hospitalized adult client who routinely works from midnight until 8 a.m. has a temperature of 99.1° F at 4 a.m. The nurse determines that this is most likely due to:
- delta sleep
- slow brain waves
- pneumonia
- circadian rhythm
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42. Which of these does not need to be included when calculating a patient's fluid intake?
- pudding
- IV fluid from an antibiotic piggyback
- ice chips
- Jell-O
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43. 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?
- inability to turn, cough, and breathe deeply
- inability to communicate pain
- inability to ambulate freely
- inability to use a bedside commode
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44. The NSAID that is comparable to morphine in efficacy is:
- Feldene
- Stodal
- Toradol
- Elavil
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45. As part of the teaching plan for a client with type I diabetes mellitus, the nurse should include that carbohydrate needs might increase when:
- an infection is present
- there is an emotional upset
- a large meal is eaten
- active exercise is performed
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46. Client room environments should include:
- a made bed, fresh water, thermostat regulation, and clean floors in all occupied client areas
- a made bed, comfort and safety, a clutter-free area, hygiene articles nearby
- accident prevention, comfort, a room (including furniture) that has been cleaned with chloroseptic wash, a bed that is made every other day
- odor control (by spraying the room with deodorizers), closet storage of all client objects, a clean room. (Gloves should be worn when cleaning.)
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47. A nursing care plan for a client with sleep problems has been implemented. All of the following should be expected outcomes except:
- the client reports no episodes of awakening during the night
- the client falls asleep within 1 hour of going to bed
- the client reports satisfaction with his amount of sleep
- the client rates sleep as an 8 or more on the visual analog scale
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48. Pain tolerance in an elderly client with cancer should:
- Stay the same
- Decrease
- Increase
- Cancer should have no effect on pain tolerance for an elderly client
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49. A standard walker is used when clients:
- have poor balance, cannot stand up, have weak arms, and have good hand strength.
- have poor balance, have a broken leg, or have experienced amputation.
- have poor balance, have cardiac problems, or cannot use crutches or a cane.
- have poor balance, have an autoimmune disease, or have weak arms.
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50. Physical examination of a client regarding mobility status should:
- begin with gait
- be oriented to time, place, and person
- begin with the Romberg test
- begin with the Tandem Walk test
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