NCLEX- PN Practice Exam 8

Practice Mode

Welcome to your NCLEX- PN Practice Exam 8! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 25 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Pregnant clients need adequate caloric intake to support fetal growth; severe calorie restriction is not recommended.

1 / 25

1. Nurse Linda is educating a pregnant client with a history of obesity and hypertension about proper nutrition during pregnancy. After the session, which statement by the client suggests a need for further teaching?

💡 Hint

This condition affects the nerves in the colon, leading to issues with stool movement and characteristic bowel patterns.

2 / 25

2. Nurse Emma is assessing an infant diagnosed with Hirschsprung’s disease. She is aware of the condition’s impact on digestion and bowel function. Which finding is the nurse most likely to observe?

💡 Hint

Benzodiazepines are commonly used to manage alcohol withdrawal symptoms, including tremors and agitation.

3 / 25

3. Nurse Jason is caring for a client experiencing alcohol withdrawal and notices the development of tremors. He prepares to administer the prescribed medication to help reduce withdrawal symptoms. Which medication is commonly used for this purpose?

💡 Hint

Regular insulin has an onset of action of about 30 minutes, so food should be available by then to prevent hypoglycemia.

4 / 25

4. Nurse Lisa is administering 10 units of regular insulin subcutaneously to a client with Type II diabetes as prescribed. To prevent hypoglycemia, she ensures that the client’s breakfast is served at the appropriate time after the injection. When should the meal be served?

💡 Hint

Consider how the position of the urethral opening affects the stream and direction of urine flow in this congenital condition.

5 / 25

5. Nurse Sophia is assessing a newborn male diagnosed with hypospadias with chordee. She explains to the parents how this condition affects urination. What is the primary reason for the altered urinary pattern in this infant?

💡 Hint

Protecting the femoral head by limiting stress on the joint is key to preventing further damage and promoting healing.

6 / 25

6. Nurse Lily is educating the parents of a 6-year-old diagnosed with Legg-Calvé-Perthes disease affecting the right femur. She provides guidance on essential aspects of care to promote healing and prevent complications. What should she emphasize?

💡 Hint

Encouraging verbal expression of emotions with a trusted staff member helps the client develop healthier coping mechanisms.

7 / 25

7. Nurse Jamie is caring for an adolescent diagnosed with borderline personality disorder who has been admitted for suicidal ideation and self-mutilation. She sets therapeutic and realistic goals to help the client develop healthier coping strategies. Which goal is most appropriate?

💡 Hint

Angina pain is typically relieved with rest or nitroglycerin, while myocardial infarction pain persists despite these interventions.

8 / 25

8. Nurse Brian is assessing a patient who reports chest pain and needs to differentiate between angina and a possible myocardial infarction. Which statement accurately describes a key difference between the two types of pain?

💡 Hint

Consider the antidote commonly used for heparin and low-molecular-weight heparins.

9 / 25

9. Nurse Daniel is caring for a patient with a history of emboli who is receiving enoxaparin therapy. During a routine assessment, the nurse reviews potential interventions in case of excessive anticoagulation. Which medication should be administered to reverse the effects of enoxaparin?

💡 Hint

This antibiotic can cause permanent discoloration of developing teeth in children under 8 years old.

10 / 25

10. Nurse Lisa is reviewing medication orders for a pediatric patient with a bacterial infection. She knows that certain antibiotics are not safe for infants and young children due to potential adverse effects. Which antibiotic should be avoided in this age group?

💡 Hint

The best location for fetal heart tone monitoring is over the fetal back, which is positioned opposite the small fetal parts.

11 / 25

11. Nurse Sophia is preparing to apply an external fetal monitor for a laboring client whose fetus is in the left occipital posterior (LOP) position. She knows proper transducer placement is essential for accurate monitoring. Where should she place the ultrasound transducer?

💡 Hint

Avoid medications that can further impair clotting and increase bleeding risk.

12 / 25

12. Nurse Julia is speaking with the mother of a child diagnosed with hemophilia. The mother is concerned about her child’s joint discomfort and asks which over-the-counter medication would be safest to use. Which option should the nurse recommend?

💡 Hint

Reducing sodium intake helps prevent fluid retention, which can contribute to inner ear disturbances and worsen Meniere’s symptoms.

13 / 25

13. Nurse Emma is educating a patient with Meniere’s disease about dietary modifications to help manage symptoms. After the teaching session, which statement by the patient indicates an understanding of dietary triggers?

💡 Hint

Reorienting a patient effectively involves providing clear, reassuring information without causing confusion or distress.

14 / 25

14. Nurse Olivia is monitoring a patient who remains unconscious after a fall. As the patient begins to regain consciousness, she wants to promote reorientation in a calm and supportive manner. Which statement would be most effective?

💡 Hint

Adequate hydration is essential for preventing constipation, especially when increasing dietary fiber.

15 / 25

15. Nurse Lisa is creating a bowel-retraining program for a patient with multiple sclerosis who struggles with bowel irregularities. She selects interventions that promote regular bowel movements and prevent complications. Which measure would be the least beneficial?

💡 Hint

A soothing topical application can help relieve itching without irritating the lesions.

16 / 25

16. Nurse Megan is providing home care instructions to the parents of a child diagnosed with varicella. The parents ask for a safe and effective home remedy to help relieve the child’s itching. Which option should the nurse recommend?

💡 Hint

Cognitive decline in conditions like dementia often affects decision-making and problem-solving skills before physical abilities are impacted.

17 / 25

17. Nurse Kevin is assessing an elderly client recently transferred from a nursing home to the psychiatric unit due to confusion, disorientation, and behavioral changes. Given these symptoms, the nurse anticipates the client will also demonstrate a decline in which ability?

💡 Hint

This H2 receptor antagonist is often given at a time that helps suppress nocturnal acid production.

18 / 25

18. Nurse Jake is educating a patient prescribed ranitidine for acid reflux. He explains the importance of proper timing to maximize the medication's effectiveness. When should the patient take ranitidine?

💡 Hint

After a seizure, the brain needs time to recover, often leading to fatigue, confusion, and a strong urge to sleep.

19 / 25

19. Nurse Jake is monitoring a patient who has just experienced a generalized seizure. He prepares to assess the patient’s postictal state and anticipates common aftereffects. What is the nurse most likely to observe?

💡 Hint

Vitamin C enhances iron absorption, while dairy products can interfere with it.

20 / 25

20. Nurse Rachel is providing education to a pregnant patient who has been prescribed supplemental iron. She advises the patient on how to take the medication for optimal absorption. What should the nurse recommend?

💡 Hint

Certain fruits, nuts, and leafy greens are high in oxalates and can contribute to kidney stone formation.

21 / 25

21. Nurse Sarah is educating a patient with oxalate renal calculi about dietary modifications to prevent stone formation. She advises the patient to avoid foods high in oxalates. Which food should the patient eliminate from their diet?

💡 Hint

To prevent excessive absorption and skin irritation, the old ointment must be removed before applying a new dose.

22 / 25

22. Nurse Daniel is preparing to apply nitroglycerin ointment for a patient with angina. Before administering the medication, he ensures proper application to maximize effectiveness and prevent complications. What is the nurse’s priority action?

💡 Hint

Use the formula: (Prescribed Dose ÷ Concentration) to determine the correct volume.

23 / 25

23. Nurse Kelly is preparing to administer an intramuscular dose of meperidine for an 11-year-old patient experiencing pain. The prescribed dose is 35 mg, and the available concentration is 50 mg per mL. How many mL should Nurse Kelly administer?

💡 Hint

While some swelling is common in pregnancy, sudden facial edema may indicate worsening preeclampsia and requires immediate attention.

24 / 25

24. Nurse Hannah is evaluating a multigravida patient at 36 weeks gestation for signs of pregnancy-induced hypertension and preeclampsia. She knows that identifying the most concerning symptom is crucial for early intervention. Which assessment finding should take priority?

💡 Hint

Focus on an intervention that helps maintain awareness of time, place, and situation in a structured setting.

25 / 25

25. Nurse Carla is developing a care plan for a patient with a cognitive disorder who exhibits confusion and a short attention span. She wants to select an activity that will provide appropriate support while promoting engagement. Which activity would be the most suitable?

Exam Mode

Welcome to your NCLEX- PN Practice Exam 8! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 25 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 37 minutes and 30 seconds.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career.

 

Click 'Start Exam' when you're ready to begin. Good luck!

1 / 25

1. Nurse Lily is educating the parents of a 6-year-old diagnosed with Legg-Calvé-Perthes disease affecting the right femur. She provides guidance on essential aspects of care to promote healing and prevent complications. What should she emphasize?

2 / 25

2. Nurse Brian is assessing a patient who reports chest pain and needs to differentiate between angina and a possible myocardial infarction. Which statement accurately describes a key difference between the two types of pain?

3 / 25

3. Nurse Emma is assessing an infant diagnosed with Hirschsprung’s disease. She is aware of the condition’s impact on digestion and bowel function. Which finding is the nurse most likely to observe?

4 / 25

4. Nurse Julia is speaking with the mother of a child diagnosed with hemophilia. The mother is concerned about her child’s joint discomfort and asks which over-the-counter medication would be safest to use. Which option should the nurse recommend?

5 / 25

5. Nurse Carla is developing a care plan for a patient with a cognitive disorder who exhibits confusion and a short attention span. She wants to select an activity that will provide appropriate support while promoting engagement. Which activity would be the most suitable?

6 / 25

6. Nurse Lisa is reviewing medication orders for a pediatric patient with a bacterial infection. She knows that certain antibiotics are not safe for infants and young children due to potential adverse effects. Which antibiotic should be avoided in this age group?

7 / 25

7. Nurse Jake is educating a patient prescribed ranitidine for acid reflux. He explains the importance of proper timing to maximize the medication's effectiveness. When should the patient take ranitidine?

8 / 25

8. Nurse Jason is caring for a client experiencing alcohol withdrawal and notices the development of tremors. He prepares to administer the prescribed medication to help reduce withdrawal symptoms. Which medication is commonly used for this purpose?

9 / 25

9. Nurse Sophia is preparing to apply an external fetal monitor for a laboring client whose fetus is in the left occipital posterior (LOP) position. She knows proper transducer placement is essential for accurate monitoring. Where should she place the ultrasound transducer?

10 / 25

10. Nurse Megan is providing home care instructions to the parents of a child diagnosed with varicella. The parents ask for a safe and effective home remedy to help relieve the child’s itching. Which option should the nurse recommend?

11 / 25

11. Nurse Sarah is educating a patient with oxalate renal calculi about dietary modifications to prevent stone formation. She advises the patient to avoid foods high in oxalates. Which food should the patient eliminate from their diet?

12 / 25

12. Nurse Daniel is caring for a patient with a history of emboli who is receiving enoxaparin therapy. During a routine assessment, the nurse reviews potential interventions in case of excessive anticoagulation. Which medication should be administered to reverse the effects of enoxaparin?

13 / 25

13. Nurse Daniel is preparing to apply nitroglycerin ointment for a patient with angina. Before administering the medication, he ensures proper application to maximize effectiveness and prevent complications. What is the nurse’s priority action?

14 / 25

14. Nurse Lisa is administering 10 units of regular insulin subcutaneously to a client with Type II diabetes as prescribed. To prevent hypoglycemia, she ensures that the client’s breakfast is served at the appropriate time after the injection. When should the meal be served?

15 / 25

15. Nurse Olivia is monitoring a patient who remains unconscious after a fall. As the patient begins to regain consciousness, she wants to promote reorientation in a calm and supportive manner. Which statement would be most effective?

16 / 25

16. Nurse Kevin is assessing an elderly client recently transferred from a nursing home to the psychiatric unit due to confusion, disorientation, and behavioral changes. Given these symptoms, the nurse anticipates the client will also demonstrate a decline in which ability?

17 / 25

17. Nurse Jamie is caring for an adolescent diagnosed with borderline personality disorder who has been admitted for suicidal ideation and self-mutilation. She sets therapeutic and realistic goals to help the client develop healthier coping strategies. Which goal is most appropriate?

18 / 25

18. Nurse Hannah is evaluating a multigravida patient at 36 weeks gestation for signs of pregnancy-induced hypertension and preeclampsia. She knows that identifying the most concerning symptom is crucial for early intervention. Which assessment finding should take priority?

19 / 25

19. Nurse Rachel is providing education to a pregnant patient who has been prescribed supplemental iron. She advises the patient on how to take the medication for optimal absorption. What should the nurse recommend?

20 / 25

20. Nurse Sophia is assessing a newborn male diagnosed with hypospadias with chordee. She explains to the parents how this condition affects urination. What is the primary reason for the altered urinary pattern in this infant?

21 / 25

21. Nurse Kelly is preparing to administer an intramuscular dose of meperidine for an 11-year-old patient experiencing pain. The prescribed dose is 35 mg, and the available concentration is 50 mg per mL. How many mL should Nurse Kelly administer?

22 / 25

22. Nurse Lisa is creating a bowel-retraining program for a patient with multiple sclerosis who struggles with bowel irregularities. She selects interventions that promote regular bowel movements and prevent complications. Which measure would be the least beneficial?

23 / 25

23. Nurse Linda is educating a pregnant client with a history of obesity and hypertension about proper nutrition during pregnancy. After the session, which statement by the client suggests a need for further teaching?

24 / 25

24. Nurse Jake is monitoring a patient who has just experienced a generalized seizure. He prepares to assess the patient’s postictal state and anticipates common aftereffects. What is the nurse most likely to observe?

25 / 25

25. Nurse Emma is educating a patient with Meniere’s disease about dietary modifications to help manage symptoms. After the teaching session, which statement by the patient indicates an understanding of dietary triggers?