NCLEX PN EXAM QUESTION AND ANSWERS 2023
QUESTION AND ANSWERS WITH EXPLANATION.
Question No : 1 -
Teaching the client with gonorrhea how to prevent reinfection and further spread is
an example of:
A. primary prevention.
B. secondary prevention.
C. tertiary prevention.
D. primary health care prevention.
Answer: B
Explanation:
Secondary prevention targets the reduction of disease prevalence and disease morbidity
through early diagnosis and treatment. Physiological Adaptation
Question No : 2 -
Which of the following foods is a complete protein?
A. corn
B. eggs
C. peanutsDsunflower seeds
Answer: B
Explanation:
Eggs are a complete protein. The remaining options are incomplete proteins. Health
Promotion and Maintenance
,Question No : 3 -
Broccoli, oranges, dark greens, and dark yellow vegetables can be eaten to:
A. supplement vitamin pills.
B. balance body molecules.
C. cure many diseases.
D. help improve body defenses.
Answer: D
Explanation:
Controversy over what types of food to eat and not eat is still under
investigation. Certain foods can help
improve body defenses to possibly prevent certain diseases.
Nonpharmacological Therapies
Question No : 4 -
The major electrolytes in the extracellular fluid are:
A. potassium and chloride.
B. potassium and phosphate.
C. sodium and chloride.
D. sodium and phosphate.
Answer: C
Explanation:
Sodium and chloride are the major electrolytes in the extracellular fluid.
Physiological Adaptation
Question No : 5 -
Which of the following nursing diagnoses might be appropriate as Parkinson’s
disease progresses and complications develop?
A. Impaired Physical Mobility
B. Dysreflexia
,C. Hypothermia
D. Impaired Dentition
Answer: A
Explanation:
The client with Parkinson’s disease can develop a shuffling gait and rigidity, causing
impaired physical mobility. The other diagnoses do not necessarily relate to a client
with Parkinson’s disease. Reduction of Risk Potential
Question No : 6 -
Which of the following is an inappropriate item to include in planning care for a severely
neutropenic client?
A. Transfuse netrophils (granulocytes) to prevent infection.
B. Exclude raw vegetables from the diet.
C. Avoid administering rectal suppositories.
D. Prohibit vases of fresh flowers and plants in the client’s room.
Answer: A
Explanation:
Granulocyte transfusion is not indicated to prevent infection. Produced in the bone
marrow, granulocytes normally comprise 70% of all WBCs. They are subdivided into
three types based on staining properties: neutrophils, eosinophils, and basophils. They
can be beneficial in a selected population of infected, severely granulocytopenic clients
(less than 500/mm3) who do not respond to antibiotic therapy and who are expected to
experience prolonged suppression of granulocyte production. Physiological Adaptation
Question No : 7 -
A primary belief of psychiatric mental health nursing is:
A. most people have the potential to change and grow.
B. every person is worthy of dignity and respect.
C. human needs are individual to each person.
, D. some behaviors have no meaning and cannot be understood.
Answer: B
Explanation:
Every person is worthy of dignity and respect. Every person has the potential to change
and grow. All people have basic human needs in common with others. All behavior has
meaning and can be understood from the client’s perspective. Psychosocial Integrity
Question No : 8 -
A teenage client is admitted to the hospital because of acetaminophen (Tylenol)
overdose. Overdoses of acetaminophen can precipitate life- threatening
abnormalities in which of the following organs?
A. lungs
B. liver
C. kidneys
D. adrenal glands
Answer: B
Explanation:
Acetaminophen is extensively metabolized in the liver. Choices 1, 3, and 4 are incorrect
because prolonged use of acetaminophen might result in an increased risk of renal
dysfunction, but a single overdose does not precipitate life-threatening problems in the
respiratory system, renal system, or adrenal glands. Pharmacological Therapies
Question No : 9 -
All of the following factors, when identified in the history of a family, are correlated
with poverty except:
A. high infant mortality rate.
B. frequent use of Emergency Departments.
C. consultation with folk healers.
QUESTION AND ANSWERS WITH EXPLANATION.
Question No : 1 -
Teaching the client with gonorrhea how to prevent reinfection and further spread is
an example of:
A. primary prevention.
B. secondary prevention.
C. tertiary prevention.
D. primary health care prevention.
Answer: B
Explanation:
Secondary prevention targets the reduction of disease prevalence and disease morbidity
through early diagnosis and treatment. Physiological Adaptation
Question No : 2 -
Which of the following foods is a complete protein?
A. corn
B. eggs
C. peanutsDsunflower seeds
Answer: B
Explanation:
Eggs are a complete protein. The remaining options are incomplete proteins. Health
Promotion and Maintenance
,Question No : 3 -
Broccoli, oranges, dark greens, and dark yellow vegetables can be eaten to:
A. supplement vitamin pills.
B. balance body molecules.
C. cure many diseases.
D. help improve body defenses.
Answer: D
Explanation:
Controversy over what types of food to eat and not eat is still under
investigation. Certain foods can help
improve body defenses to possibly prevent certain diseases.
Nonpharmacological Therapies
Question No : 4 -
The major electrolytes in the extracellular fluid are:
A. potassium and chloride.
B. potassium and phosphate.
C. sodium and chloride.
D. sodium and phosphate.
Answer: C
Explanation:
Sodium and chloride are the major electrolytes in the extracellular fluid.
Physiological Adaptation
Question No : 5 -
Which of the following nursing diagnoses might be appropriate as Parkinson’s
disease progresses and complications develop?
A. Impaired Physical Mobility
B. Dysreflexia
,C. Hypothermia
D. Impaired Dentition
Answer: A
Explanation:
The client with Parkinson’s disease can develop a shuffling gait and rigidity, causing
impaired physical mobility. The other diagnoses do not necessarily relate to a client
with Parkinson’s disease. Reduction of Risk Potential
Question No : 6 -
Which of the following is an inappropriate item to include in planning care for a severely
neutropenic client?
A. Transfuse netrophils (granulocytes) to prevent infection.
B. Exclude raw vegetables from the diet.
C. Avoid administering rectal suppositories.
D. Prohibit vases of fresh flowers and plants in the client’s room.
Answer: A
Explanation:
Granulocyte transfusion is not indicated to prevent infection. Produced in the bone
marrow, granulocytes normally comprise 70% of all WBCs. They are subdivided into
three types based on staining properties: neutrophils, eosinophils, and basophils. They
can be beneficial in a selected population of infected, severely granulocytopenic clients
(less than 500/mm3) who do not respond to antibiotic therapy and who are expected to
experience prolonged suppression of granulocyte production. Physiological Adaptation
Question No : 7 -
A primary belief of psychiatric mental health nursing is:
A. most people have the potential to change and grow.
B. every person is worthy of dignity and respect.
C. human needs are individual to each person.
, D. some behaviors have no meaning and cannot be understood.
Answer: B
Explanation:
Every person is worthy of dignity and respect. Every person has the potential to change
and grow. All people have basic human needs in common with others. All behavior has
meaning and can be understood from the client’s perspective. Psychosocial Integrity
Question No : 8 -
A teenage client is admitted to the hospital because of acetaminophen (Tylenol)
overdose. Overdoses of acetaminophen can precipitate life- threatening
abnormalities in which of the following organs?
A. lungs
B. liver
C. kidneys
D. adrenal glands
Answer: B
Explanation:
Acetaminophen is extensively metabolized in the liver. Choices 1, 3, and 4 are incorrect
because prolonged use of acetaminophen might result in an increased risk of renal
dysfunction, but a single overdose does not precipitate life-threatening problems in the
respiratory system, renal system, or adrenal glands. Pharmacological Therapies
Question No : 9 -
All of the following factors, when identified in the history of a family, are correlated
with poverty except:
A. high infant mortality rate.
B. frequent use of Emergency Departments.
C. consultation with folk healers.
