NCLEX - PN EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS, Exams of Nursing

Download NCLEX - PN EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS and more Exams Nursing in PDF only on Docsity! NCLEX - PN EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS Select the member of the healthcare team that is paired with one of the main functions of this team member. A. Occupational therapist: Gait exercises B. Physical therapist: The provision of assistive devices to facilitate the activities of daily living C. Speech and language therapist: The treatment of swallowing disorders D. Case manager: Ordering medications and treatments - Precise Answer ✔✔C The recommended daily caloric intake for sedentary older men, active adult women and children is: A. 2400 calories B. 1600 calories C. 2800 calories D. 2000 calories - Precise Answer ✔✔D Ill health, malnutrition, and wasting as a result of chronic disease are all associated with: A. Surgical asepsis B. Catabolism C. Cachexia D. Venous stasis - Precise Answer ✔✔C Select all the possible opportunistic infections that adversely affect HIV/AIDS infected patients. A. Visual losses B. Kaposi's sarcoma C. Wilms' sarcoma D. Tuberculosis E. Peripheral neuropathy F. Toxoplasma gondii - Precise Answer ✔✔B F D What can help reduce a patient's anxiety and postsurgical pain? A. Preoperative teaching B. Preoperative checklist C. Psychological counseling D. Preoperative medication - Precise Answer ✔✔A Which disease decreases the metabolic rate? A. Cancer B. Hypothyroidism D. Reduction of iron intake by half or more - Precise Answer ✔✔A You are the LPN working on 2 east with adult medical surgical patients. Your unit has been instructed to perform a horizontal evacuation of your patients because there is a fire on 1 east. Where will you evacuate your patients to? A. 3 west B. 3 east C. 2 west D. 1 west - Precise Answer ✔✔C Which electrolyte is essential for enzyme and neurochemical activities? A. Chloride B. Magnesium C. Potassium D. Phosphate - Precise Answer ✔✔B Number the choices below to reflect the correct sequence for using a fire extinguisher: A. Aim at the base of the fire B. Squeeze the handle C. Sweep back and forth D. Pull the pin - Precise Answer ✔✔D A B C As you are working you suspect that another licensed practical nurse is verbally and physically abusing a patient. What is the first thing that you will do? A. Nothing because you are not certain that it is occurring B. Nothing because you only suspect the abuse C. Call the police or the security department D. Report your suspicions to the charge nurse - Precise Answer ✔✔D Which of the following is the World Health Organization's (WHO) definition of health? A. The absence of all illness and disease B. The absence of any comorbidities C. A holistic state of wellbeing D. A use of health promotion activities - Precise Answer ✔✔C Which nursing theorist believes that most patients are capable of performing self care? A. Dorothea Orem B. Madeleine Leininger C. Martha Rogers D. Sister Callista Roy - Precise Answer ✔✔A What element is minimally assessed during a basic prenatal physical examination? A. Palpation and auscultation of the abdomen B. Examination of the anus and rectum C. Urinalysis for glucose, protein and ketones D. Visual assessment of cervix and vagina - Precise Answer ✔✔C A positive over-the-counter pregnancy test is considered a: A. Possible sign of pregnancy. B. Presumptive sign of pregnancy. C. Probable sign of pregnancy. D. Positive sign of pregnancy. - Precise Answer ✔✔C Select all of the signs and symptoms of hyperthyroidism. A. Cool skin B. Thickened bodily hair C. Heat intolerance D. Constipation E. Insomnia F. Increased appetite G. Palpitations - Precise Answer ✔✔C E F G During which phase of the nursing process does data get collected and validated with the patient and/or family members by the nurse? A. The implementation phase B. The assessment phase A. When you have placed a sterile item only 1 inch and not 2 inches from the edge of the sterile field B. When you have completely finished the field. You cannot stop the set up until it is all done. C. When you have accidentally poured a sterile liquid into a container that was on the sterile field D. When you turn your upper body only away from the field because the surgeon calls your name - Precise Answer ✔✔D Avulsed teeth should be placed in: A. Normal saline. B. Cold water. C. Milk. D. Warm water. - Precise Answer ✔✔C You are working in a pediatric unit of the hospital and caring for a six year old boy who is hospitalized with cystic fibrosis and respiratory compromise. Which developmental task is the challenge for this boy at his age? A. To cough, deep breathe and improve respiratory status B. To establish industry and self confidence C. To develop autonomy and self control D. To develop initiative and a sense of purpose - Precise Answer ✔✔D The embryonic period during pregnancy takes place from: A. Weeks 1 to 12. B. Weeks 1 to 10. C. Weeks 3 to 5. D. Weeks 6 to 10. - Precise Answer ✔✔D Place these human needs in order from the greatest priority to the least priority using # 1 as the greatest priority and # 5 as the least of all in terms of priority. A. Self esteem and esteem by others B. Self actualization C. Psychological needs D. Love and belonging E. Physiological needs - Precise Answer ✔✔E C D A B During which week does the fetal heart begin pumping its own blood? A. 3rd week B. 5th week C. 9th week D. 6th week - Precise Answer ✔✔A Which of the following is a vector of infection? A. A contaminated ball B. A contaminated thermometer C. An infected person D. An infectious fly - Precise Answer ✔✔D Which oral disorder appears as yellow or white spots on the oral mucosa that are not possible to scrape off without bleeding? A. Herpes simplex B. Candidiasis C. Alphthous ulcers D. Leukoplakia - Precise Answer ✔✔B Which type of cancer has the poorest prognosis? A. Squamous cell carcinoma B. Breast cancer C. Pancreatic cancer D. Gastric cancer - Precise Answer ✔✔C States throughout our nation vary somewhat in terms of things that nursing assistants can and cannot legally do. Which statements about these state to state differences are accurate? Select all that apply. A. Nursing assistants can change catheter tubings but not catheters B. Nursing assistants can change sterile dressings C. Nursing assistants have an expanding role in many states. D. Nursing assistants cannot assess the physical status of the patients. E. Nursing assistants can apply topical medication lotions to intact skin. Which patient is at greatest risk for cholelithiasis and choledocholithiasis? A. A 70 year old male patient who has liver disease B. A 70 year old female patient who has liver disease C. A 50 year old male patient who is Asian D. A 50 year old female patient who is Asian - Precise Answer ✔✔B 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. A. Contact precautions: Gowns, gloves and mask B. Droplet precautions: Face mask C. Airborne transmission precautions: Negative pressure room D. Contact precautions: Gloves - Precise Answer ✔✔B Which statement about Meniere's disease is accurate and true? A. Meniere's disease most commonly occurs among members of the elderly population. B. Meniere's disease is insidious and it always affects both ears. C. Meniere's disease occurs with an impairment of the second cranial nerve. D. Antiemetic drugs are used for the treatment of patients affected with Meniere's disease. - Precise Answer ✔✔D Which of these patients is affected with a healthcare acquired infection? A. A 18 year old male patient who developed a intravenous line infection two days after insertion B. A 72 year old male patient who is at risk for infection secondary to AIDS/HIV C. A 67 year old female patient who was admitted with a urinary tract infection D. A 5 year old pediatric patient who develops the measles rash 3 days after admission - Precise Answer ✔✔A The stages of infection in correct sequential order are: A. The prodromal, incubation, illness and convalescence stages B. The incubation, prodromal, illness and convalescence stages C. The prodromal, primary, secondary and tertiary stages D. The inflammation, infection and immunity stages - Precise Answer ✔✔A What is the single most important thing that nurses do in order to prevent the spread of infection? A. Applying standard precautions B. Using personal protective equipment C. Adhering to the principles of asepsis D. Handwashing - Precise Answer ✔✔D Rh negative maternal blood indicates: A. An incompatibility in the blood between the mother and fetus. B. That antibodies in the mother's blood are attacking her baby's blood. C. The mother will require a blood transfusion at the time of delivery. D. The mother does not have a specific marker on her red blood cells. - Precise Answer ✔✔D Low birth weight is defined as a newborn's weight of: A. 2500 grams or less at birth, regardless of gestational age. B. 1500 grams or less at birth, regardless of gestational age. C. 2500 grams or less at birth, according to gestational age. D. 1500 grams or less at birth, according to gestational age. - Precise Answer ✔✔A 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: A. 8 to 12 months of age. B. 20 to 24 months of age. C. 16 to 20 months of age. D. 12 to 16 months of age. - Precise Answer ✔✔A What percentage of term newborns has a congenital heart disease due to environmental risk factors such as maternal alcoholism or drug ingestion? A. 2% to 4% B. 10% to 20% B. Environmental C. Biophysical D. Psychosocial - Precise Answer ✔✔D Multifetal pregnancies with triplets occur at a rate of 1 in 8,100 births, but twins occur much more frequently with a rate of: A. 1 in 85 births. B. 1 in 5400 births. C. 1 in 2700 births. D. 1 in 540 births. - Precise Answer ✔✔A When a woman has miscarried in three or more consecutive pregnancies, it is referred to as which type of spontaneous abortion? A. Inevitable B. Missed C. Habitual D. Septic - Precise Answer ✔✔C Your long term care patient has chronic pain and at this point in time the patient needs increasing dosages to adequately control this pain. What is this patient most likely to be affected with? A. Drug addiction B. Drug interactions C. Drug side effects D. Drug tolerance - Precise Answer ✔✔D The normal sodium level in the body is: A. 135 to 145 milliequivalents. B. 3 to 5 milliequivalents. C. 135 to 145 microequivalents. D. 3 to 5 microequivalents. - Precise Answer ✔✔A Which type of practice is most similar to research based practice? A. Best practices B. Evidence based practice C. Benchmark practices D. Standard based practice - Precise Answer ✔✔B Select the ethical principles that are paired with their description. Select all that apply. A. Justice: Being honest and fair B. Fidelity: Being faithful C. Veracity: Truthfulness D. Autonomy: Facilitating patient choices E. Beneficence: Do good F. Nonmaleficence: Do not harm - Precise Answer ✔✔B C D E F You are caring for a patient with multiple-trauma. Of all of these injuries and conditions, it the most serious? A. A deviated trachea B. Gross deformity of a lower extremity C. Hematuria D. Decreased bowel sounds - Precise Answer ✔✔A Which statement about appendicitis is accurate and true? A. Appendicitis is more common among females than males. B. A high fiber diet is a risk factor associated with appendicitis. C. Left lower quadrant pain is suggestive of appendicitis. D. Mc Burney's point tenderness is suggestive of appendicitis. - Precise Answer ✔✔D Which skin disorder most closely resembles and mimics dandruff? A. Lice infestation B. Scabies C. Dematitis D. Acne vulgaris - Precise Answer ✔✔A 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 Face book. This nurse was fired because the nurse has: A. Violated the law E. A quality assurance nurse collecting data for a performance improvement activity - Precise Answer ✔✔A C D E Which cardiac arrhythmia can be either acquired or congenital and can spontaneously disappear on its own or lead to ventricular fibrillation? A. Wenckebach B. Premature arterial contractions C. Torsades de pointes D. Premature ventricular contractions - Precise Answer ✔✔C Which quality assurance or performance improvement technique is used to identify underlying process flaws? A. Small group process B. Root cause analysis C. People at fault process D. Cause and effect - Precise Answer ✔✔B Which legal document will most likely contain the patient's decision to not get cardiopulmonary resuscitation? A. Healthcare surrogacy B. Healthcare proxy C. Advance directives D. Durable power of attorney - Precise Answer ✔✔C Select the stage of a pressure ulcer that is accurately pair with its characteristics. A. Stage I: Only slight blanching when pressure is applied to the skin. B. Stage II: The epidermis and part of the dermis is damaged or lost. C. Stage III: The wound has slough and eschar. D. Stage IV: The loss of skin usually exposes some fat. - Precise Answer ✔✔B You have been assigned to care for a neonate who has been diagnosed with the Tetralogy of Fallot. The mother asks you what the Tetralogy of Fallot is. How should you respond to this mother? A. "The Tetralogy of Fallot is a congenital gastrointestinal disorder" B. "The Tetralogy of Fallot is a congenital cardiac disorder" C. "The Tetralogy of Fallot will affect the baby's reflexes" D. "The Tetralogy of Fallot will affect the baby's ability to breastfeed" - Precise Answer ✔✔B The protrusion of an internal organ through a wound or surgical incision is referred to as: A. Serosanguineous. B. Dehiscence. C. Evisceration. D. Exuded. - Precise Answer ✔✔C Which pain assessment scale is used exclusively for infants and neonates from 32 weeks of gestation to six months of age? A. The PEPPS pain scale B. The FLACC pain scale C. The Faces pain scale D. The CRIES pain scale - Precise Answer ✔✔D Which of the following is a hazard of immobility? A. Loss of bone calcium B. Increased vital capacity C. Venous vasoconstriction D. A positive nitrogen balance - Precise Answer ✔✔A How many daily feedings are considered normal for a newborn: A. 8 to 10 B. 10 to 12 C. 6 to 8 D. 12 to 14 - Precise Answer ✔✔B The hormone produces mother's milk is: A. Progesterone B. Estrogen. C. Prolactin. Which anatomic malformations are associated with the Tetralogy of Fallot? A. A sub-aortic septal defect, an overriding aorta, left ventricular hypertrophy, and right ventricular outflow B. A sub-aortic septal defect, an overriding aorta, right ventricular hypertrophy, and left ventricular outflow C. A sub-aortic septal defect, an overriding aorta, pulmonary atresia, and right ventricular outflow D. A sub-aortic septal defect, an overriding aorta, right ventricular hypertrophy, and right ventricular outflow - Precise Answer ✔✔D 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? A. Leukemia B. Histoplasmosis C. Pneumocystis jirovec D. Rheumatoid arthritis - Precise Answer ✔✔D Select the cranial nerve that is accurately paired with its name. A. The first cranial nerve: The trochlear nerve B. The twelfth cranial nerve: The hypoglossal nerve C. The tenth cranial nerve: The olfactory nerve D. The thirteenth cranial nerve: The auditory nerve - Precise Answer ✔✔B What is the name of the section marked: A. Left ventricle B. Right ventricle C. Left atrium D. Right atrium E. Coronary artery F. Pulmonary artery - Precise Answer ✔✔F Round off these numbers to the nearest hundredth. Fill in the blanks. A. 5.5778 = _________ B. 1.027 = _________ C. 62.999 = _________ D. 55.123 = _________ E. 96.679 = _________ - Precise Answer ✔✔A: 5.58 B: 1.03 C: 63 D: 55.12 E: 96.68 Label the following bones of the pelvis: - Precise Answer ✔✔A: Pelvis B: Sacrum C: Coccyx D: Symphysis Pubis Round off these numbers to the nearest tenth: A. 5.5778 = _________ B. 1.027 = _________ C. 62.999 = _________ D. 55.123 = _________ E. 96.676 = _________ - Precise Answer ✔✔A: 5.6 B: 1 C: 63 D: 55.1 E: 96.7 The doctor has ordered 500 mg of a medication po once a day. The tablets on hand are labeled as 1 tablet = 250 mg. How many tablets will you administer to your patient? A. 1 Tablet B. 2 Tablets C. 3 Tablets D. 4 Tablets - Precise Answer ✔✔B Which patient is exercising their right to autonomy in the context of patient rights? A. A surgical incision of the perineum to prevent tearing during delivery. B. Releasing the red plug from the cervix just before crowning occurs. C. An incision in the abdomen with which the baby can be delivered through. D. The severance of the umbilical cord between mother and child. - Precise Answer ✔✔A How many calories per kilogram does an average full term infant require when the infants is around 1-2 months old? A. 140 calories per kilogram per day B. 120 calories per kilogram per day C. 100 calories per kilogram per day D. 160 calories per kilogram per day - Precise Answer ✔✔B What are the six levels of consciousness from the most to the least responsive level of consciousness. Number all six using 1 as the most conscious and 6 as the least conscious. A. Obtunded B. Confused C. Lethargic D. Comatose E. Stuporous F. Alert - Precise Answer ✔✔A: 4 B: 2 C: 3 D: 6 E: 5 F: 1 Select the stage of shock that is accurately paired with its characteristic. A. The initial stage of shock: Hyperventilation occurs and the blood pH rises. B. The compensatory stage of shock: Hypoxia occurs and lactic acid rises. C. The progressive stage of shock: Histamine is released; fluid and proteins leak into surrounding tissues and the blood thickens. D. The refractory stage of shock: Potassium ions leak out, sodium ions build up and metabolic acidosis increases. - Precise Answer ✔✔C The doctor has ordered 1,000 cc of intravenous fluid every 8 hours. You will be using intravenous tubing that delivers 20 cc/drop. At what rate will you adjust the intravenous fluid flow? _____ gtts per minute. - Precise Answer ✔✔B During which stage of anesthesia is a patient most likely to experience involuntary motor activity? A. Stage I B. Stage II C. Stage III D. Stage VI - Precise Answer ✔✔B Select all of the risk factors that are associated with deep vein thrombosis. A. The use of oral contraceptives B. Type B and O blood C. Rh negative blood D. Obesity E. Nulliparity F. Leukemia - Precise Answer ✔✔A D Most water leaves the body by way of the: A. Lungs. B. Intestines. C. Skin. D. Kidneys. - Precise Answer ✔✔D Which statement about glaucoma is true and accurate? A. Acute angle-closure glaucoma is an ocular emergency. B. Acute angle-closure glaucoma leads to the loss of peripheral vision and tunnel vision. C. Primary open-angle glaucoma leads to eye pain, nausea and vomiting, blurry vision and halos. A. Decrease the rate of the intravenous medication flow. B. Increase the rate of the intravenous medication flow. C. Call the doctor. D. Stop the intravenous flow. - Precise Answer ✔✔D Your patient has a blood potassium level of 9.2 mEq/L. What intervention should you anticipate for this patient? A. Intravenous potassium supplementation B. Intravenous calcium supplementation C. Kidney dialysis D. Parenteral nutrition - Precise Answer ✔✔C Which of the following foods enhances the absorption of an iron supplement? A. Orange juice B. Green beans C. Fortified Milk D. Baked potato - Precise Answer ✔✔A Select a myth or falsehood relating to pain, pain management and addiction. A. Addiction can be accurately predicted. B. Withdrawal, drug tolerance and physical dependence do not indicate addiction. C. Pain medications can be used with patients who have a substance abuse history. D. Addiction is signaled when the client employs deception and stockpiling. - Precise Answer ✔✔B What is the expected date of delivery for the woman who has had their last menstrual period on April 20th? A. January 20th B. January 27th C. January 29th D. January 31st - Precise Answer ✔✔B Clumsiness, difficulty running, climbing, and riding a bicycle are some of the earliest signs and symptoms of: A. Duchennes's muscular dystrophy B. Osteomyelitis C. Talipes or clubfoot D. Septic joint, suppurative arthritis - Precise Answer ✔✔A Which statement about adjuvant medications is true and accurate? A. Licensed practical nurses cannot administer adjuvant medications. B. Adjuvant medications are schedule 2 narcotics. C. Adjuvant medications are schedule 1 narcotics. D. Adjuvant medications can be purchased over the counter. - Precise Answer ✔✔D Which nonpharmacological technique entails the use of electronic monitoring equipment while the patient controls basic bodily mechanisms? A. Meditation B. Visualization C. Biofeedback D. Chiropractic - Precise Answer ✔✔C Which of the following is considered normal for the neonate? A. Chest Circumference: 10 to 13 inches B. Length: 16 to 22 inches C. Weight: 1,500 to 4,000 g D. Head Circumference: 12.6 to 14.5 inches - Precise Answer ✔✔D Your patient has been diagnosed with giant cell arteritis. What medication will this patient most likely be given? A. High doses of aspirin B. High doses of prednisone C. Methotrexate D. Albuterol - Precise Answer ✔✔B D. Small for gestational age: The neonate's weight is below the 20th percentile. - Precise Answer ✔✔B Diabetes insipidus is the result of: A. A diet high in sugar and carbohydrates. B. A complicated pregnancy. C. A disorder of the pancreas. D. A disorder of the pituitary gland. - Precise Answer ✔✔D Which position will you place your patient in when they are demonstrating the signs and symptoms of hypovolemic shock? A. The Trendelenberg position B. The supine position C. The left lateral position D. The right lateral position - Precise Answer ✔✔A The fine, down-like hairs on the newborn's ears, shoulders, lower back, and/or forehead are known as: A. Vernix. B. Lanugo. C. Milia. D. Vibrissea. - Precise Answer ✔✔B What is the softening and thinning of the cervix during labor known as? A. Dilation B. Symphysis C. Effacement D. Hyperplasia - Precise Answer ✔✔C Which of the following joints normally has 360 degree circumflexion? A. The knee B. The shoulder C. The elbow D. The finger tips - Precise Answer ✔✔B Which healthcare associated infection is the greatest risk for patients? A. Pneumonia B. Catheter related infections C. Intravenous line infections D. C. difficile - Precise Answer ✔✔B Select the nursing theorist who is accurately paired with the theory or model of nursing that they are credited with. A. The Twelve Nursing Problems: Faye Glenn Abdellah B. The Nature of Nursing: Imogene King C. The Goal Attainment Theory: Virginia Henderson D. The Interpersonal Relations Model: Hildegard Peplau - Precise Answer ✔✔D Which technique or method is used to determine whether or not the patient has an irregular pulse? A. Apical pulse B. Inspection C. Auscultation D. Percussion - Precise Answer ✔✔C Select the tactile sensation that is accurately paired with its description or procedure for testing. A. Fine motor coordination: The use of the fingers B. Stereognosis: Equal hearing in both ears C. Two point discrimination: The nurse gently pricks the patient's skin D. Gross motor function: The use of the lower limbs - Precise Answer ✔✔C Which is considered an internal disaster? A. A patient fall B. The massive spread of pneumonia C. A computer hacking episode D. Unexpected staff absences due to illness - Precise Answer ✔✔C Who is credited with the stages of cognitive development? A. Erikson