Number: NCLEX-
PN Passing Score:
800 Time Limit:
120 min File
Version: 12.5
NCLEX-PN
National Council Licensure Examination
This is my first share of braindumps questions. Very helpful study center it is. Best Testing VCE
NCLEX-PN
QUESTION 1
A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past
six months. The nurse should assess the woman for other symptoms of:
A. climacteric.
B. menopause.
C. perimenopause.
D. postmenopause.
Correct Answer:
C Section:
(none)
Explanation
Explanation/Reference:
Explanation:
Perimenopause refers to a period of time in which hormonal changes occur gradually, ovarian
function diminishes, and menses become irregular. Perimenopause lasts approximately five years.
Climacteric is a term
applied to the period of life in which physiologic changes occur and result in cessation of a woman's
reproductive
ability and lessened sexual activity in males. The term applies to both genders. Climacteric and
menopause are
interchangeable terms when used for females. Menopause is the period when permanent cessation
of menses has
occurred. Postmenopause refers to the period after the changes accompanying menopause are
,complete.Health
Promotion and Maintenance
QUESTION 2
When obtaining a health history on a menopausal woman, which information should a nurse
recognize as a contraindication for hormone replacement therapy?
A. family history of stroke
B. ovaries removed before age 45
C. frequent hot flashes and/or night sweats
D. unexplained vaginal bleeding
Correct Answer:
D Section:
(none)
Explanation
Explanation/Reference:
Explanation:
Unexplained vaginal bleeding is a contraindication for hormone replacement therapy. Family
history of stroke is not a contraindication for hormone replacement therapy. If the woman
herself had a history of stroke or
other blood-clotting events, hormone therapy could be contraindicated. Frequent hot flashes
and/or night sweats
can be relieved by hormone replacement therapy.Health Promotion and Maintenance
QUESTION 3
Which of the following statements, if made by the parents of a newborn, does not indicate a need
for further teaching about cord care?
A. "I should put alcohol on my baby's cord 34 times a day."
B. "I should put the baby's diaper on so that it covers the cord."
C. "I should call the physician if the cord becomes dark."
D. "I should wash my hands before and after I take care of the cord."
Correct Answer:
D Section:
(none)
Explanation
Explanation/Reference:
Explanation:
Parents should be taught to wash their hands before and after providing cord care. This prevents
transferring
pathogens to and from the cord. Folding the diaper below the cord exposes the cord to air and
allows for drying.
It also prevents wet or soiled diapers from coming into contact with the cord. Current
recommendations include
cleaning the area around the cord 34 times a day with a cotton swab but do not include putting
alcohol or other
antimicrobials on the cord. It is normal for the cord to turn dark as it dries.Health Promotion and
Maintenance
QUESTION 4
The nurse is teaching parents of a newborn about feeding their infant. Which of the following
,instructions should the nurse include?
A. Use the defrost setting on microwave ovensto warm bottles.
B. When refrigerating formula, don't feed the baby partially used bottles after 24 hours.
C. When using formula concentrate, mix two parts water and one part concentrate.
D. If a portion of one bottle is left for the next feeding, go ahead and add new formula to fill it.
Correct Answer:
A Section:
(none)
Explanation
Explanation/Reference:
Explanation:
Parents must be careful when warming bottles in a microwave oven because the milk can become
superheated.
When a microwave oven is used, the defrost setting should be chosen, and the temperature of the
formula should
be checked before giving it to the baby. Refrigerated, partially used bottles should be discarded
after 4 hours
because the baby might have introduced some pathogens into the formula. Returning the bottle to
the refrigerator
does not destroy pathogens. Formula concentrate and water are usually mixed in a 1:1 ratio of one
part concentrate
and one part water. Infants should be offered fresh formula at each feeding. Partially used bottles
should not have
fresh formula added to them. Pathogens can grow in partially used bottles of formula and be
transferred to the new
formula.Health Promotion and Maintenance
QUESTION 5
The nurse is assessing the dental status of an 18-month-old child. How many teeth should the
nurse expect to examine?
A. 6
B. 8
C. 12
D. 16
Correct Answer: C
Section:
(none)
Explanation
Explanation/Reference:
Explanation:
In general, children begin dentition around 6 months of age. During the first 2 years of life, a
quick guide to the number of teeth a child should have is as follows: Subtract the number 6 from
the number of months in the
age of the child. In this example, the child is 18 months old, so the formula is 18 6 = 12. An 18-
month-old child
should have approximately 12 teeth.Health Promotion and Maintenance
QUESTION 6
Which of the following physical findings indicates that an 1112-month-old child is at risk for
, developmental dysplasia of the hip?
A. refusal cto cwalk
B. not cpulling cto ca cstanding cposition
C. negative cTrendelenburg csign
D. negative cOrtolani csign
Correct
cAnswer: cB
cSection: c(none)
cExplanation
Explanation/Reference:
Explanation:
The cnurse cmight cbe cconcerned cabout cdevelopmental cdysplasia cof cthe chip cif can c1112-month-
old cchild cdoesn't cpull cto ca cstanding cposition. cAn cinfant cwho cdoes cnot cwalk cby c15 cmonths cof
cage cshould cbe cevaluated. cChildren cshould cstart cwalking cbetween c1115 cmonths cof cage.
cTrendelenberg csign cis crelated cto cweakness cof cthe cgluteus
medius cmuscle, cnot chip cdysplasia. cOrtolani csign cis cused cto cidentify ccongenital csubluxation cor
cdislocation cof cthe
hip cin cinfants.Health cPromotion cand cMaintenance
QUESTION c7
When cadministering cintravenous celectrolyte csolution, cthe cnurse cshould ctake cwhich cof cthe
cfollowing cprecautions?
A. Infuse chypertonic csolutions crapidly.
B. Mix cno cmore cthan c80 cmEq cof cpotassium cper cliter cof cfluid.
C. Prevent cinfiltration cof ccalcium, cwhich ccauses ctissue cnecrosis cand csloughing.
D. As cappropriate, creevaluate cthe cclient's cdigitalis cdosage. cHe cmight cneed can cincreased
cdosage cbecause cIV ccalcium cdiminishes cdigitalis's caction.
Correct
cAnswer: cC
cSection: c(none)
cExplanation
Explanation/Reference:
Explanation:
Preventing ctissue cinfiltration cis cimportant cto cavoid ctissue cnecrosis. cChoice c1 cis cincorrect
cbecause chypertonic csolutions cshould cbe cinfused ccautiously cand cchecked cwith cthe cRN cif
cthere cis ca cconcern. cChoice c2 cis cincorrect cbecause
potassium, cmixed cin cthe cpharmacy cper cphysician corder, cis cmixed cat ca cconcentration cno
chigher cthan c60 cmEq/ cL.
Physiological cAdaptation
QUESTION c8
Teaching cabout cthe cneed cto cavoid cfoods chigh cin cpotassium cis cmost cimportant cfor cwhich cclient?
A. a cclient creceiving cdiuretic ctherapy
B. a cclient cwith can cileostomy
C. a cclient cwith cmetabolic calkalosis