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Free NCLEX NCLEX-PN Practice Exam with Questions & Answers | Set: 7

Questions 91

When assessing a client with amytrophic lateral sclerosis (ALS), the nurse should expect which of the following findings?

Options:
A.

mental confusion

B.

muscular weakness

C.

sensory loss

D.

emotional liability

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Questions 92

Which of the following statements by a client indicates adequate understanding of preparation for a lipoprotein fractionation test?

Options:
A.

“I cannot eat or drink after midnight.”

B.

“I cannot eat for 12 hours before the test.”

C.

“I need to limit my fluid intake.”

D.

“I need to ingest a lipid solution.”

Questions 93

Which of the following is true concerning human immunodeficiency virus (HIV)?

Options:
A.

HIV infection involves CD4 receptor protein on the surface of helper T-cells.

B.

The presence of circulating antibodies that neutralize HIV is evidence that the individual has immunity-HIV.

C.

HIV replication occurs extracellularly.

D.

DNA replication

Questions 94

A hospital discharge planning nurse is making arrangements for a client who has an epidural catheter for continuous infusion of opioids to be placed in a long-term care facility. The family prefers a facility in its neighborhood to facilitate visiting. The neighborhood facility has never cared for a client with this type of need. What is the most appropriate action by the discharge planning nurse?

Options:
A.

B.Arrange for immediate in-services for the long-term care facility staff on pain management using epidural catheters.

B.

C.Explain the situation to the client and family and seek another long-term care facility for discharge from the hospital.

C.

D.Encourage the family to hire private duty nurses skilled in epidural catheter pain management to allow the client to be transferred to the neighborhood facility.

Questions 95

Appropriate nursing strategies to assist a client in maintaining a sense of self include:

Options:
A.

using the client’s first name when addressing the client.

B.

treating the client with dignity.

C.

explaining procedures only if the client is attentive.

D.

discouraging the use of personal items.

Questions 96

A preschooler has successfully completed the test item “counts 5 blocks” on the Denver II test. This pass is evidence of which of the following developmental concepts?

Options:
A.

centration

B.

causality

C.

C.nonreversibility

D.

D.conservation

Questions 97

Which of the following is not a reason for pelvic ultrasonography?

Options:
A.

to measure uterine size

B.

to detect multiple pregnancies

C.

to measure renal size

D.

to detect foreign bodies

Questions 98

Regardless of their practice area, nurses should be concerned with:

Options:
A.

all drug-resistant bacteria.

B.

microorganisms that are critical.

C.

transmission of microorganisms.

D.

overprescription of bacteriostatic drugs.

Questions 99

Two staff nurses were considered for promotion to head nurse. The promotion is announced via a memo on the unit bulletin board. When the nurse who was not promoted first read the memo and learned that the other nurse had received the promotion, she left the room in tears. This behavior is an example of:

Options:
A.

conversion.

B.

regression.

C.

introjection.

D.

rationalization.

Questions 100

Which of the following medications might cause upper-gastrointestinal (UGI) bleeding?

Options:
A.

Cardizem (diltiazem)

B.

Naprosyn (naproxen)

C.

Elavil (amitryptiline)

D.

Corgard (nadolol)

Questions 101

Which of the following tests is commonly performed on newborns with jaundice?

Options:
A.

blood urea nitrogen

B.

magnesium

C.

bilirubin

D.

prolactin

Questions 102

Which of the following describes the stages of domestic violence in an intimate relationship?

Options:
A.

happiness, crisis, angry outburst, intervention

B.

honeymoon period, escalation of stress, outburst, reconciliation

C.

acting out and making up

D.

peace and calm, angry outburst, peace and calm, denial

Questions 103

To ensure proper immobilization and increase client comfort when using a rigid splint:

Options:
A.

place the client on a stretcher before splinting.

B.

place the client on a long spine board before splinting.

C.

pad the spaces between the body part and the splint.

D.

ensure that the splint conforms to the body curves.

Questions 104

Which of the following is a predisposing factor for cancer of the tongue?

Options:
A.

tobacco use

B.

obesity

C.

sun exposure

D.

eating sweets

Questions 105

Which of the following lab values is elevated first after a client has a myocardial infarction?

Options:
A.

LDH

B.

troponin

C.

CPK

D.

SGOT