Naxlex exam 1(B) Questions With Complete Solutions
A 15-year-old adolescent male with a mild mental disability is
hospitalized for minor surgery and tells the practical nurse (PN),
"Wow! You have big breasts."
Which response is best for the PN to provide?
A. The size of my breasts is of no concern to you.
B. That language is not allowed.
C. Do you really think so?
D. If you talk like that again, I will tell your parents. Correct
Answers B.That language is not allowed.
A 15-year-old adolescent male with a mild mental disability is
hospitalized for minor surgery and tells the practical nurse (PN),
"Wow! You have big breasts." Which response is best for the
PN to provide?
A. The size of my breasts is of no concern to you.
B. That language is not allowed.
C. Do you really think so?
D. If you talk like that again, I will tell your parents. Correct
Answers B.That language is not allowed.
A 16-year-old client is asking the practical nurse (PN) what can
be done about acne. Which recommendation should the PN
provide?
A. Omit chocolate, carbonated drinks, and fried foods from the
diet.
,B. Refer to the dermatologist for prescribed long-term therapy.
C. Express blackheads and follow with an exfoliating scrub.
D. Express blackheads and follow with an exfoliating scrub.
Correct Answers B.Refer to the dermatologist for prescribed
long-term therapy.
A 70-year-old male client who is convalescing from a hip
replacement is identified as being at risk for developing a
pressure ulcer. Which physical characteristic of aging
contributes most to this risk factor?
A. A decreased ability to communicate.
B. Thinning of the skin with loss of elasticity.
C. A 16 percent increase in overall body fat.
D. Calcium loss in the bones. Correct Answers B.Thinning of
the skin with loss of elasticity.
A chronically depressed older male resident of a long-term care
facility has become more reclusive and today refuses to leave his
room. His family has moved away and are unable to visit as
much as in the past. Which comment by the practical nurse (PN)
is likely to be most helpful to this client?
A. "Come into the recreation area. We have your favorite card
game and I will play it with you."
B. "Why do you want to stay in your room today?"
C. "I know you are sad about not seeing your family as often,
but they are visiting as much as they can."
D. "May I sit with you for a while?" Correct Answers D. "May
I sit with you for a while?"
,A client has a prescription for NPH insulin 25 units before
breakfast and insulin aspart before meals and hour of sleep per
sliding scale. The sliding scale parameters are:. 0 units for finger
stick glucose less than 170 mg/dL;. 5 units for finger stick
glucose 171 to 219 mg/dL;. 10 units for finger stick glucose 220
to 269 mg/dL;. 15 units for finger stick glucose 270 to 300
mg/dL.
Call healthcare provider for finger stick glucose greater than 300
mg/dL. The client's 0730 finger stick glucose is 271 mg/dL.
What is the total amount of insulin this client should receive?
(Enter numeric value only.). Correct Answers 40
A client in the psychiatric unit's dayroom is becoming agitated,
talking incessantly, and starting to yell and swear at the other
clients.
Which action should the practical nurse (PN) implement first?
A. Instruct an unlicensed assistive personnel (UAP) to stay with
the client.
B. Notify the client's healthcare provider
C. Administer an as needed (PRN) medication for agitation
D. Escort the client to a calm and quiet place. Correct Answers
D.Escort the client to a calm and quiet place.
A client is admitted for treatment of Addison's crisis. Which
finding is most important for the practical nurse (PN) to report
to the charge nurse? Reference Range: Glucose [Reference
Range: 0 to 50 years: less than 140 mg/dL or less than 7.8
mmol/L].
, A. The client reports feeling nauseous.
B. Has not voided in four hours.
C. IV infusion site is infiltrated
D. Serum glucose level of 85 mg/dL. Correct Answers C.IV
infusion site is infiltrated
A client is being treated for chronic kidney disease (CKD). On
examination, the client has an elevated blood pressure (BP) and
is exhibiting changes in mental status. Which intervention in the
plan of care should the practical nurse (PN) implement?
A. Use a cushion when sitting.
B. Perform range of motion exercises.
C. Document abdominal girth.
D. Weigh every morning. Correct Answers D.Weigh every
morning.
A client is being treated for hepatic failure. On examination, the
client has an elevated pulse rate and exhibited changes in mental
status. Which intervention in the plan of care should the
practical nurse (PN) implement?
A. Offer a high protein diet.
B. Perform range of motion exercises.
C. Weigh every morning.
D. Provide only distilled water. Correct Answers C.Weigh
every morning.
A 15-year-old adolescent male with a mild mental disability is
hospitalized for minor surgery and tells the practical nurse (PN),
"Wow! You have big breasts."
Which response is best for the PN to provide?
A. The size of my breasts is of no concern to you.
B. That language is not allowed.
C. Do you really think so?
D. If you talk like that again, I will tell your parents. Correct
Answers B.That language is not allowed.
A 15-year-old adolescent male with a mild mental disability is
hospitalized for minor surgery and tells the practical nurse (PN),
"Wow! You have big breasts." Which response is best for the
PN to provide?
A. The size of my breasts is of no concern to you.
B. That language is not allowed.
C. Do you really think so?
D. If you talk like that again, I will tell your parents. Correct
Answers B.That language is not allowed.
A 16-year-old client is asking the practical nurse (PN) what can
be done about acne. Which recommendation should the PN
provide?
A. Omit chocolate, carbonated drinks, and fried foods from the
diet.
,B. Refer to the dermatologist for prescribed long-term therapy.
C. Express blackheads and follow with an exfoliating scrub.
D. Express blackheads and follow with an exfoliating scrub.
Correct Answers B.Refer to the dermatologist for prescribed
long-term therapy.
A 70-year-old male client who is convalescing from a hip
replacement is identified as being at risk for developing a
pressure ulcer. Which physical characteristic of aging
contributes most to this risk factor?
A. A decreased ability to communicate.
B. Thinning of the skin with loss of elasticity.
C. A 16 percent increase in overall body fat.
D. Calcium loss in the bones. Correct Answers B.Thinning of
the skin with loss of elasticity.
A chronically depressed older male resident of a long-term care
facility has become more reclusive and today refuses to leave his
room. His family has moved away and are unable to visit as
much as in the past. Which comment by the practical nurse (PN)
is likely to be most helpful to this client?
A. "Come into the recreation area. We have your favorite card
game and I will play it with you."
B. "Why do you want to stay in your room today?"
C. "I know you are sad about not seeing your family as often,
but they are visiting as much as they can."
D. "May I sit with you for a while?" Correct Answers D. "May
I sit with you for a while?"
,A client has a prescription for NPH insulin 25 units before
breakfast and insulin aspart before meals and hour of sleep per
sliding scale. The sliding scale parameters are:. 0 units for finger
stick glucose less than 170 mg/dL;. 5 units for finger stick
glucose 171 to 219 mg/dL;. 10 units for finger stick glucose 220
to 269 mg/dL;. 15 units for finger stick glucose 270 to 300
mg/dL.
Call healthcare provider for finger stick glucose greater than 300
mg/dL. The client's 0730 finger stick glucose is 271 mg/dL.
What is the total amount of insulin this client should receive?
(Enter numeric value only.). Correct Answers 40
A client in the psychiatric unit's dayroom is becoming agitated,
talking incessantly, and starting to yell and swear at the other
clients.
Which action should the practical nurse (PN) implement first?
A. Instruct an unlicensed assistive personnel (UAP) to stay with
the client.
B. Notify the client's healthcare provider
C. Administer an as needed (PRN) medication for agitation
D. Escort the client to a calm and quiet place. Correct Answers
D.Escort the client to a calm and quiet place.
A client is admitted for treatment of Addison's crisis. Which
finding is most important for the practical nurse (PN) to report
to the charge nurse? Reference Range: Glucose [Reference
Range: 0 to 50 years: less than 140 mg/dL or less than 7.8
mmol/L].
, A. The client reports feeling nauseous.
B. Has not voided in four hours.
C. IV infusion site is infiltrated
D. Serum glucose level of 85 mg/dL. Correct Answers C.IV
infusion site is infiltrated
A client is being treated for chronic kidney disease (CKD). On
examination, the client has an elevated blood pressure (BP) and
is exhibiting changes in mental status. Which intervention in the
plan of care should the practical nurse (PN) implement?
A. Use a cushion when sitting.
B. Perform range of motion exercises.
C. Document abdominal girth.
D. Weigh every morning. Correct Answers D.Weigh every
morning.
A client is being treated for hepatic failure. On examination, the
client has an elevated pulse rate and exhibited changes in mental
status. Which intervention in the plan of care should the
practical nurse (PN) implement?
A. Offer a high protein diet.
B. Perform range of motion exercises.
C. Weigh every morning.
D. Provide only distilled water. Correct Answers C.Weigh
every morning.
