NCLEX-PN Practice Questions and Answers Graded A

NCLEX-PN Practice Questions and Answers Graded A The LPN is aware that state boards of nursing share what common componenets? Select all that apply. A) Establish requirements for entry into practice for RNs and LPNS. B) Determine each states pay scale for licensed nurses. C) Oversee the discipline for all licensed healthcare workers in each state. D) Define the scope of practice for RNs and LPNs E) Identify legal titles for nurses A, D, E The nurse administers the prescribed dose of NPH insulin to a patient at 0700. What time should the peak effects be expected to take place? A) 1700 B) 2100 C) 1400 D) 1100 A Which of the following would provide the best information as to whether hemodialysis has been efffective therapy for a client with renal failure? A) Checking the patients weight B) Measuring intake and output C) Checking potassium level of the pts blood D) Monitoring a clients tolerance to exercise A Which of the following pressure points is most likely to be at risk for developing a pressure wound while a pt is in the prone position? A) Occiput B) Elbows C) Toes D) Coccyx C A 49 year old male client is admitted to the unit for alcohol withdrawal. The client insists that he had his last drink four hours prior. Which of the following medications would the nurse expect to administer? A) Naloxone hydrochloride (Narcan) B) Chlordiazepoxide Hydrochloride (Librium) C) Disulfiram (Antabuse) D) Chlorpromazine (Thorazine) B Of the following symptoms, which would indicate that a client has a deficiency of riboflavin? A) Ecchymosis B) Dry, cracked lips and mouth C) Night blindness D) Anorexia, weight loss, and fatigue B A neonate is delivered after a full term pregnancy with an intact omphalocele. Which of the following is NOT an intervention for the management of the omphalocele prior to surgical repair? A) Apply saline-soaked pads to the sac B) Insert a NG tube C) Cover the defect and the abdomen in a plastic wrap D) Offer a pacifier to the infant. D Pt was severely burned in an automobile accident. The burns cover her entire anterior chest and right arm. Using the Rule of Nines, the nurse would calculate the BSA that is burned to be: A) 9% B) 18% C) 27% D) 36% C The physician diagnoses a client with septicemia. Which of the following assessment findings would support this diagnosis? A) Bilateral knee pain B) Reddened tissue surrounding an injury site C) Drainage from an injury site D) Temperature of 101 F D Which of the following are conditions associated with Cushing's Syndrome? Select all that apply. A) Easy bruising B) Buffalo Hump C) Hyperglycemia D) Excessive scalp hair growth E) Hyponatremia F) Trunk obesity A, B, C, F Which of the following is the most important information obtained from a client that presents to the physician's office with right calf tenderness? A) High levels of work related stress B) Use of oral contraceptives C) Left femur fracture 18 months prior D) Plays in a soccer league B Pt thinks she might be pregnant. Following a urine sample, the elevation of which hormone would indicate that the pt is indeed pregnant? A) hGH B) hCH C) Estrogen D) Oxytocin B Diuretics are often prescribed for treatment of acute glomerulonephritis to treat fluid overload and hypertension. Which of the following is least likely to be prescribed for this purpose in glomerulonephritis? A) Bumex B) Lasix C) Demadex D) Aldactone D A biophysical profile is a diagnostic procedure that combines which of the following? A) Non stress test & sonogram B) Contraction stress test & sonogram C) Amniocentesis & contraction stress test D) Amniocentesis and non stress test A Pt on chemo for throat cancer is experiencing severe nausea. Which of these medications would provide relief of this symptom? A) Alprazolam B) Promethazine C) Loperamine D) Meperidine B A client with actively bleeding esophageal varices is being admitted to the unit. Which type of NG tube will most likely be inserted as a part of the treatment for this condition? A) Levin B) Gastric sump C) Moss D) Sangstaken-Blakemore` D Which of the following should be initiated for a client suspected of having meningitis? A) Standard Precautions B) Contact Precautions C) Droplet Precautions D) Airborne Precautions C Which of the following assessments is the most important when examining a client who is suspected to be experiencing a CVA? A) Vital Signs B) Motor response C) Integrity of the airway D) LOC D Pts physician diagnosed that she has rheumatoid arthritis. With this condition, the client's chief complaint is persistent joint pain and stiffness. Pain and stiffness associated with RA is most often first noticed in the joints of which of the following? A) Hands B) Arms C) Legs D) Neck A A 55 year old pt presents stiffness and pain in joints that never seems to go away. After lab tests, the physician diagnoses RA. Which lab test most likely led to the physicians diagnoses? A) Serum Creatinine B) ESR C) INR D) Fasting lipid profile B Pt has just returned from a liver biopsy. Which of the following is a complication should the nurse be aware could occur within the first few hours following this procedure? A) Hemorrhage B) Infection C) Tension Pneumothorax D) Anaphylaxis A Valium is a type of benzodiazepine. Which of the following is NOT a prescriptive use of benzodiazepines? A) Tx of seizures B) Muscle relaxant C) Tx of anxiety D) Tx of psychosis D An inpatient client at the psychiatric facility is placed on Haldol for treatment of a psychotic disorder. Which of the following client symptoms should be immediately reported to the physician? A) Dizziness B) Tremors C) Sensitivity to light D) Constipation B A female pt complains of dysuria, frequency, and urgency. After diagnostic testing, the pt is dx with a UTI. Which of the following anti-infective classifications would most likely be prescribed? A) Sulfonamides B) Tetracyclines C) Aminoglycosides D) Vancomycin A