National Council Licensure Examination(NCLEX-PN) v5.0

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Exam contains 725 questions

A pregnant Asian client who is experiencing morning sickness wants to take ginger to relieve the nausea. Which of the following responses by the nurse is appropriate?

  • A. “I will call your physician to see if we can start some ginger.”
  • B. “We don’t use home remedies in this clinic.”
  • C. “Herbs are not as effective as regular medicines.”
  • D. “Just eat some dry crackers instead.”

Answer : A

This statement reveals cultural sensitivity. Ginger is sometimes used to relieve nausea.

The other statements -
are culturally insensitive and do not show an awareness of herbal pharmacology.

Which of the following medications is a serotonin antagonist that might be used to relieve nausea and vomiting?

  • A. metoclopramide (Reglan)
  • B. onedansetron (Zofran)
  • C. hydroxyzine (Vistaril)
  • D. prochlorperazine (Compazine)

Answer : B

Zofran is a serotonin antagonist that can be used to relieve nausea and vomiting. The other medications can be used for nausea and vomiting, but they have different mechanisms of action.

Which of the following is likely to increase the risk of sexually transmitted disease?

  • A. alcohol use
  • B. certain types of sexual practices
  • C. oral contraception use
  • D. all of the above

Answer : D

STDs affect certain groups in groups in greater numbers. Factors associated with risk include being younger than 25 years of age, being a member of a minority group, residing in an urban setting, being impoverished, and

Teaching the client with gonorrhea how to prevent reinfection and further spread is an example of:

  • A. primary prevention.
  • B. secondary prevention.
  • C. tertiary prevention.
  • D. primary health care prevention.

Answer : B

Secondary prevention targets the reduction of disease prevalence and disease morbidity through early

The nurse teaching about preventable diseases should emphasize the importance of getting the following vaccines:

  • A. human papilloma virus, genital herpes, measles.
  • B. pneumonia, HIV, mumps.
  • C. syphilis, gonorrhea, pneumonia.
  • D. polio, pertussis, measles.

Answer : D

Vaccines are one of the most effective methods of preventing and controlling certain communicable diseases.
The smallpox vaccine is not currently in use because the smallpox virus has been declared eradicated from the worlds population. Diseases such as polio, diphtheria, pertussis, and measles are mostly controlled by routine childhood immunization. They have not, however, been eradicated, so children need to be immunized against

Acyclovir is the drug of choice for:

  • A. HIV.
  • B. HSV 1 and 2 and VZV.
  • C. CMV.
  • D. influenza A viruses.

Answer : B

Acyclovir (Zovirax) is specific for treatment of herpes virus infections. There is no cure for herpes. Acyclovir is excreted unchanged in the urine and therefore must be used cautiously in the presence of renal impairment.
Drugs that treat herpes inhibit viral DNA replication by competing with viral substrates to form shorter,

A safety measure to implement when transferring a client with hemiparesis from a bed to a wheelchair is:

  • A. standing the client and walking him or her to the wheelchair.
  • B. moving the wheelchair close to clients bed and standing and pivoting the client on his unaffected extremity to the wheelchair.
  • C. moving the wheelchair close to clients bed and standing and pivoting the client on his affected extremity to the wheelchair.
  • D. having the client stand and push his body to the wheelchair.

Answer : B

Moving the wheelchair close to clients bed and having him stand and pivot on his unaffected extremity to the

Assessment of a client with a cast should include:

  • A. capillary refill, warm toes, no discomfort.
  • B. posterior tibial pulses, warm toes.
  • C. moist skin essential, pain threshold.
  • D. discomfort of the metacarpals.

Answer : A

Assessment for adequate circulation is necessary. Signs of impaired circulation include slow capillary refill,

In teaching clients with Buck’s Traction, the major areas of importance should be:

  • A. nutrition, ROM exercises.
  • B. ROM exercises, transportation.
  • C. nutrition, elimination, comfort, safety.
  • D. elimination, safety, isotonic exercises.

Answer : C

Nutrition, elimination, comfort, and safety are the major areas of importance. The diet should be high in

When a client informs the nurse that he is experiencing hypoglycemia, the nurse provides immediate intervention by providing:

  • A. one commercially prepared glucose tablet.
  • B. two hard candies.
  • C. 4–6 ounces of fruit juice with 1 teaspoon of sugar added.
  • D. 2–3 teaspoons of honey.

Answer : D

The usual recommendation for treatment of hypoglycemia is 1015 grams of a fast-acting simple carbohydrate, orally, if the client is conscious and able to swallow (for example, 34 commercially prepared glucose tablets or 46 oz of fruit juice). It is not necessary to add sugar to juice, even if it is labeled as unsweetened juice because the fruit sugar in juice contains enough simple carbohydrate to raise the blood glucose level.
Addition of sugar might result in a sharp rise in blood sugar that could last for several

A client comes to the clinic for assessment of his physical status and guidelines for starting a weight-reduction diet. The clients weight is 216 pounds and his height is 66 inches. The nurse identifies the BMI (body mass index) as:

  • A. within normal limits, so a weight-reduction diet is unnecessary.
  • B. lower than normal, so education about nutrient-dense foods is needed.
  • C. indicating obesity because the BMI is 35.
  • D. indicating overweight status because the BMI is 27.

Answer : C

Obesity is defined by a BMI of 30 or more with no co-morbid conditions. It is calculated by utilizing a chart or nomogram that plots height and weight. This clients BMI is 35, indicating obesity. Goals of diet therapy are aimed at decreasing weight and increasing activity to healthy levels based on a clients

BMI, activity status, and -

Which of the following injuries, if demonstrated by a client entering the Emergency
Department, is the highest priority?

  • A. open leg fracture
  • B. open head injury
  • C. stab wound to the chest
  • D. traumatic amputation of a thumb

Answer : C

A stab wound to the chest might result in lung collapse and mediastinal shift that, if untreated, could lead to death. Treatment of an obstructed airway or a chest wound is a higher priority than hemorrhage. The principle of

Why must the nurse be careful not to cut through or disrupt any tears, holes, bloodstains, or dirt present on the clothing of a client who has experienced trauma?

  • A. The clothing is the property of another and must be treated with care.
  • B. Such care facilitates repair and salvage of the clothing.
  • C. The clothing of a trauma victim is potential evidence with legal implications.
  • D. Such care decreases trauma to the family members receiving the clothing.

Answer : C

Trauma in any client, living or dead, has potential legal and/or forensic implications.

Clothing, patterns of -
stains, and debris are sources of potential evidence and must be preserved. Nurses must be aware of state and local regulations that require mandatory reporting of cases of suspected child and elder abuse, accidental death, and suicide. Each Emergency Department has written policies and procedures to assist nurses and other health care providers in making appropriate reports. Physical evidence is real, tangible, or latent matter that can be visualized, measured, or analyzed. Emergency Department nurses can be called on to collect evidence. Health care facilities have policies governing the collection of forensic evidence. The chain of evidence custody must be followed to ensure the integrity and credibility of the evidence. The chain of evidence custody is the pathway that evidence follows from the time it is collected until is has served its purpose in the legal investigation of an

Which of the following terms refers to soft-tissue injury caused by blunt force?

  • A. contusion
  • B. strain
  • C. sprain
  • D. dislocation

Answer : A

A contusion is a soft-tissue injury caused by blunt force. It is an injury that does not break the skin, is caused by a blow and is characterized by swelling, discoloration, and pain. The immediate application of cold might limit the development of a contusion. A strain is a muscle pull from overuse, overstretching, or excessive stress.
A sprain is caused by a wrenching or twisting motion. A dislocation is a condition in which the articular surfaces

A client with dumping syndrome should ___________ while a client with GERD should

  • A. sit up 1 hour after meals; lie flat 30 minutes after meals
  • B. lie down 1 hour after eating; sit up at least 30 minutes after eating
  • C. sit up after meals; sit up after meals
  • D. lie down after meals; lie down after meals

Answer : B

Clients with dumping syndrome should lie down after eating to decrease dumping syndrome. GERD clients

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Exam contains 725 questions

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