NCLEX PN TEST PRACTICE QUESTIONS AND ANSWERS

NCLEX PN TEST PRACTICE QUESTIONS AND ANSWERS 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 - CORRECT ANSWER- *Correct Response: C* Speech and language therapists assess and treat patients with a swallowing disorder; they also assess and treat patients with speech and communication problems as often occurs after a cerebrovascular accident, or stroke. *Occupational therapists assist patients with their activities of daily living and they also provide patients with assistive devices to facilitate eating and dressing. *Physical therapists perform rehabilitation and restorative care including help with ambulation and balance/gait exercises. *Lastly, case managers coordinate care along the continuum of care and they manage insurance reimbursements. 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 - CORRECT ANSWER-*Correct Response: D* Sedentary older men, active adult women and children should all have 6 ounces of grains, 2½ cups of vegetables, 2 cups of fruits, and 3 cups of milk to help make up their 2000 calorie requirement. Sedentary adolescents require 2400 calories, sedentary women and children require 1600 calories and active adolescents need 2800 calories daily. 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 - CORRECT ANSWER-*Correct Response: C* Ill health, malnutrition, and wasting as a result of chronic disease are all associated with cachexia. Cachexia can also result from dehiscence of a surgical incision or rupture of wound closure. *Surgical asepsis refers to using a sterile technique to protect against infection before, during, and after surgery. The breakdown of tissue, especially after severe trauma or crush injuries is known as *catabolism. *Venous stasis is a disorder related to pooling of blood in a vein of the body; venous stasis typically occurs in the lower extremities and it is one of the many hazards, or complications, of immobilization. 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 - CORRECT ANSWER-*Correct Response: B, D, F* Kaposi's sarcoma, tuberculosis, toxoplasma gondii, mycobacterium avium, herpes simplex, histoplasmosis and salmonella infections are HIV/AIDS associated opportunistic infections. *Although many affected patients can experience blindness and peripheral neuropathy, these disorders result from impaired nervous system damage rather than an infection. *Lastly, Wilms' tumor (sarcoma) is a pediatric form of kidney cancer and it is neither an infection nor something that typically affects the patient with HIV/AIDS What can help reduce a patient's anxiety and postsurgical pain? A. Preoperative teaching B. Preoperative checklist C. Psychological counseling D. Preoperative medication - CORRECT ANSWER-*Correct Response: A* Patient teaching before surgery not only helps to reduce a patient's anxiety and postsurgical pain but it also decreases the amount of anesthesia needed and a lack of anxiety additionally speeds up wound healing. Preoperative checklists are a form of nursing documentation that is used to guide and document the care of the patient before surgery. Psychological counseling is typically NOT necessary except under highly unusual circumstances and preoperative medication can decrease the amount of anesthetic needed and respiratory tract secretions but it does not help with postoperative pain. Which disease decreases the metabolic rate? A. Cancer B. Hypothyroidism C. Chronic obstructive pulmonary disease D. Cardiac failure - CORRECT ANSWER-Answer: B- hypothyroidism. When caring for an infant during cardiac arrest, which pulse must be palpated to determine cardiac function? A. Carotid B. Brachial C. Pedal D. Radial - CORRECT ANSWER-Brachial (B). The patient after surgery should be sitting when deep breathing and coughing because this position: A. Is physically more comfortable for the patient B. Helps the patient to support their incision with a pillow C. Loosens respiratory secretions D. Allows the patient to observe their area and relax - CORRECT ANSWER-Supports their incision! (B) Which procedures necessitate the use of surgical asepsis techniques? Select all that apply. A. Intramuscular medication administration B. Central line intravenous medication administration C. Donning gloves in the operating room D. Neonatal bathing E. Foley catheter insertion F. Emptying a urinary drainage bag - CORRECT ANSWER-B, C, F. What is the ultimate purpose and goal of performance improvement activities? A.To increase efficiency B.To contain costs C.To improve processes D.To improve policies - CORRECT ANSWER-C. Even if you don't know the information in the question, be sure to use common sense & process of elimination. Example: "goal performance *IMPROVEMENT* activities". The key word here is improvement. You can instantly remove A & B. Now, read further into the question. Your next hint is going to be the word performance. so, performance improvement matches with improve process the best. The primary difference between practical nursing licensure and a nursing certification in an area of practice is that nursing licensure is: A. Insures competency and a nursing certification validates years of experience. B. Mandated by the American Nurses Association and a nursing certification are not. C. Is legally mandated by the states and a nursing certification is not. D. Renewed every two years and a nursing certification is renewed every five years. - CORRECT ANSWER-C. What intervention is the best to relieve constipation during pregnancy? A.Increasing the consumption of fruits and vegetables