Tested & Approved NCLEX-PN Study Materials Download Free Updated 725 Questions [Q128-Q150]

Tested & Approved NCLEX-PN Study Materials Download Free Updated 725 Questions

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How to Prepare for NCLEX-RN® Examination

Preparation Guide for NCLEX-RN® Examination

Introduction for NCLEX-RN® Examination

The act of nursing is controlled by the authorizing specialists inside every one of the National Council of State Boards of Nursing (NCSBN®) part board wards (state, district, and regional sheets of nursing). To guarantee public security, every locale requires possibility for licensure to meet set prerequisites that incorporate finishing an assessment that actions the abilities expected to perform securely and viably as a recently authorized, section level NCLEX ensured competitor. NCSBN builds up a licensure assessment, the National Council Licensure Examination for Registered Nurses (NCLEX affirmed candidate®), which is utilized by part board wards and most Canadian nursing administrative bodies, to help with settling on licensure choices.

A few stages happen in the advancement of the NCLEX guaranteed applicant Test Plan. The initial step is leading a training investigation that is utilized to gather information on the current act of the section level medical attendant (Report of Findings from the 2017 NCLEX guaranteed up-and-comer Practice Analysis: Linking the NCLEX confirmed candidate® Examination to Practice, NCSBN, 2018). Twelve thousand recently authorized NCLEX guaranteed applicants are gotten some information about the recurrence and significance of performing nursing care exercises. Nursing care exercises are then examined comparable to the recurrence of execution, sway on keeping up customer wellbeing, and customer care settings where the exercises are performed. This investigation manages the

improvement of a system for section level nursing practice that joins explicit customer needs just as cycles principal to the act of nursing. The subsequent advance is the improvement of the NCLEX confirmed applicant Test Plan, which manages the choice of substance and practices to be tried.

The NCLEX confirmed applicant Test Plan gives a succinct rundown of the substance and extent of the authorizing assessment. It fills in as a guide for assessment improvement just as up-and-comer arrangement. The NCLEX® surveys the information, abilities and capacities that are fundamental for the section level medical caretaker to use to address the issues of customers requiring the advancement, support or reclamation of wellbeing. The accompanying segments portray convictions about individuals and nursing that are fundamental to the assessment, intellectual capacities that will be tried in the assessment and explicit segments of the NCLEX guaranteed applicant Test Plan. To anticipate NCLEX-RN® Examination, we offer the most start to finish NCLEX PN practice exam and NCLEX PN practice exams.

Difficulty in Attempting NCLEX-RN® Examination

While the content of the exams remains consistent from form to form, questions used in the exams are written by industry professionals and continually updated. This means that a test form taken on one occasion will contain different questions from a test form taken on another occasion. Because of this, the level of difficulty will vary slightly from form to form. To compensate for these variations, a statistical procedure known as “test equating” is used to correct for differences in test-form difficulty. You can use our NCLEX PN exam dumps pdf to start right now.

To maintain consistency in test scoring, a second statistical procedure called “scaling” is used. Scaling on the NCLEX exams converts all scores to a scale from 100-600, with the passing score set at 400. Scores received from ISM are reported as scaled scores in increments of 10. If your scaled score on any exam is from 100-390, you've failed that exam. If your scaled score is 400 or above, you've passed that exam. Scaling on the CPSD Essentials in Supplier Diversity exam converts all scores to a scale ranging from 100-400, with the passing score set at 300. For example, if your scaled score on the CPSD Essentials in Supplier Diversity Exam is from 100-290, you failed. If the scaled score is 300 or above, you passed.

It is highly recommended that candidates get hands-on experience with supply chain systems in an enterprise environment before attempting a certification exam. By enhancing the developing applications skills and data models or running administration projects, candidates will gain valuable knowledge.

QUESTION 128
Which of the following is the primary force in sex education in a child’s life?

 school nurse

 peers

 parents

 media

Section: Health Promotion and Maintenance
Explanation:
Parents are the primary force in sex education in a child’s life.
The school nurse is involved with formal sex education and counseling.
Peers become more important in sex education during adolescence but might lack correct information.
The media play a powerful role in what children learn about sex through movies, TV, and video games.

QUESTION 129
A nurse has been instructed to place an IV line in a patient that has active TB and HIV. The nurse should wear which of the following safety equipment?

 Sterile gloves, mask, and goggles

 Surgical cap, gloves, mask, and proper shoewear

 Double gloves, gown, and mask

 Goggles, mask, gloves, and gown

All protective measures must be worn, it is not required to double glove.

QUESTION 130
The most common cause of injury from a house fire is:

 explosion.

 falls from second-story windows.

 thermal damage to skin and body surfaces.

 inhalation injury.

Inhalation is the most common cause of injury from a house fire.Accident Prevention

QUESTION 131
A nurse is assessing a patient in the ICU. The patient has the following signs: weak pulse, quick respiration, acetone breath, and nausea. Which of the following conditions is most likely occurring?

 Hypoglycemic patient

 Hyperglycemic patient

 Cardiac arrest

 End-stage renal failure

Explanation/Reference:
Explanation:
All of the clinical signs indicate a hyperglycemic condition.

QUESTION 132
A stool culture reveals Shigella. What corollary should the nurse recognize regarding this bacterial infection?

 People who have been in contact with the client need to be tested.

 Shigella is an airborne infection.

 Shigella is a bacteria sometimes found in stagnant water.

 The nurse should wear a one-way breathing apparatus when giving client care.

Shigella is a bacteria sometimes found in stagnant water. Transmission of Shigella is typically oral-fecal, so good hand washing and the use of gloves are the best means of prevention when caring for a client with Shigella. The bacteria can be found in food and water contaminated by fecal material. Incidences of Shigella are reportable in many states.
Safety and Infection Control

QUESTION 133
Which of the following developmental milestones for a 6-month-old child should be screened by the nurse during a routine office visit?

 standing while holding something

 rolling over

 sitting up

 creeping

Section: Health Promotion and Maintenance
Explanation:
Rolling over occurs between 4 and 6 months of age. Sitting up occurs between 7 and 8 months, creeping between 9 and 10 months, and standing between 8 and 10 months.

QUESTION 134
While walking in the hallway of an acute care unit of the hospital, the nurse overhears the change of shift report. The nurse should:

 make the charge nurse on the unit aware of the situation so that he or she can take the necessary steps to maintain the confidentiality of the information being reported.

 disregard the information because it changes quickly on the acute care unit and is outdated within 2-3 hours anyway.

 return to his or her own unit and not disclose that confidential information has been overheard.

 ignore the situation.

Explanation/Reference:
Explanation:
To protect the confidentiality of the information being reported, the nurse should make the charge nurse on the unit aware of the situation so that the information can be communicated in an appropriate way in privacy. Coordinated Care

QUESTION 135
Paula is a 32-year-old woman seeking evaluation and treatment of major depressive symptoms. A major nursing priority during the assessment process includes which of the following?

 meaning of current stressors

 possibility of self-harm

 motivation to participate in treatment

 presence of alcohol or other drug use

Unless the client is first assessed for self-harm or suicide potential, the staff might not observe the necessary degree of vigilance needed in the client’s environment. Physical needs are the second most critical concern with a depressive client. Though the client may be encouraged to attend group therapy as part of the treatment plan, the client’s safety takes precedence. Response to medication takes time and is not an initial concern.
Physiological Adaptation

QUESTION 136
A nurse is teaching a client about self-administration of Haldol 15 mg po hs. For which side effect/s must the client seek medical attention?

 SOB and fatigue

 restlessness and muscle spasms

 dry mouth

 diarrhea

Explanation/Reference:
Explanation:
Muscle spasms and restlessness are side effects of Haldol

QUESTION 137
The orientation nurse educator reviewing the biohazard legend with a class of new employees states that the emblem is affixed to containers whenever:

 there is presence of blood and body fluids.

 there is the need for droplet precaution.

 there is contact isolation.

 there is the potential for airborne transmission.

When body substances are handled, the potential for transmission is increased; therefore, federal regulations require warning labels to communicate with other employees and/or waste collectors. The biohazard alert is a three-ring symbol overlaying a central concentric ring. Blood, drainagefrom wounds, feces, and urine are all body fluids that can transfer infection and disease to others.Safety and Infection Control

QUESTION 138
Which is considered an internal disaster?

 A patient fall.

 The massive spread of pneumonia.

 A computer hacking episode.

 Unexpected staff absences due to illness.

Section: Safe and Effective Care Environment
Explanation:
A computer hacking episode is considered an internal disaster. It threatens patient privacy of information and the secure ongoing manner of communication within the healthcare facility.
Other internal disasters include utility failures, a power outage, workplace violence and a tornado or other environmental threat.
A fall is an incident, accident and sentinel event.
The spread of infections, like pneumonia, is an infection control concern but not considered an internal disaster.
Unexpected staff absences disrupt the facility but they are not considered internal disaster.

QUESTION 139
An 8-year-old Asian child is being examined during a school screening. The nurse notices small bruises on the anterior and posterior ribs. The nurse should ask the child:

 if the family practices coining.

 who hit him.

 if the child has fallen.

 how long the abuse has been occurring.

The nurse must be aware of cultural practices that resemble child abuse. These practices include coining, cupping, and fallen fontanella. Coining and cupping are thought to draw infections from the body. Coining involves rubbing a heated coin on the chest and torso and might cause bruising. Cupping uses heated glasses that can produce erythematous and ecchymotic rounded lesions or linear streaks on the body from the suction. Fallen fontanella involves turning a child upside down to correct a depressed fontanelle; it can cause vomiting, diarrhea, and dehydration in infants. Retinal hemorrhages can also occur, and sometimes Shaken-Baby Syndrome is erroneously diagnosed.Psychosocial Integrity

QUESTION 140
A month after receiving a blood transfusion, an immunocompromised client develops fever, liver abnormalities, a rash, and diarrhea. The nurse should suspect this client has:

 nothing related to the blood transfusion.

 graft-versus-host disease (GVHD).

 myelosuppression.

 an allergic response to a recent medication.

Explanation/Reference:
Explanation:
GVHD occurs when white blood cells in donor blood attack the tissues of an immunocompromised recipient. This process can occur within a month of the transfusion. Choices 1 and 4 are possible, but the nurse must remember that immunocompromised transfusion recipients are at risk for GVHD.
Pharmacological Therapies

QUESTION 141
All of the following factors, when identified in the history of a family, are correlated with poverty except:

 high infant mortality rate.

 frequent use of Emergency Departments.

 consultation with folk healers.

 low incidence of dental problems.

Explanation/Reference:
Explanation:
Dental problems are prevalent because of the lack of preventive care and access to care. High infant mortality is one of the most significant problems correlated with poverty. Pregnant women who do not have access to care might come to the Emergency Department when in labor. Those in poverty are likely to use Emergency Departments because they may not be turned away. Those in poverty might also turn to folk healers or other persons in their community for care who might be easier to access and might not demand payment. Health Promotion and Maintenance

QUESTION 142
A patient that has delivered an 8.2 lb. baby boy 3 days ago via c-section, reports white patches on her breast that aren’t going away.
Which of the following medications may be necessary?

 Nystatin

 Atropine

 Amoxil

 Loritab

Section: Physiological Integrity
Explanation:
Thrush may be occurring and the patient may need Nystatin.

QUESTION 143
Which of these is not a stage of group therapy development?

 termination stage

 discovery stage

 working stage

 initial stage

Section: Psychosocial Integrity

QUESTION 144
A physician orders a serum creatinine for a hospitalized client. The nurse should explain to
the client and his family that this test:

 is normal if the level is 4.0 to 5.5 mg/dl.

 can be elevated with increased protein intake.

 is a better indicator of renal function than the BUN.

 reflects the fluid volume status of a person.

A serum creatinine level should be 0.7 to 1.5 mg/dl, and it does not vary with increased protein intake, so it is a better indicator of renal function than the BUN.Physiological Adaptation

QUESTION 145
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?

 Ask the physician for an extension of hospitalization until the epidural catheter is discontinued to allow for placement at the neighborhood facility.

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

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

 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.

Section: Physiological Integrity
Explanation:
Safety demands that a client be transferred to a facility that can deliver care equal to the hospital.

QUESTION 146
An 80-year-old aphasic CVA client had abdominal surgery 2 days ago. Which of the following puts this client at the highest risk for inadequate pain management?

 inability to turn, cough, and breathe deeply

 inability to communicate pain

 inability to ambulate freely

 inability to use a bedside commode

Explanation/Reference:
Explanation:
The client cannot speak to alert the nurse to his pain state. The nurse needs to provide alternate methods of communication with the client. Basic Care and Comfort

QUESTION 147
A positive over-the-counter pregnancy test is considered a __________.

 possible sign of pregnancy

 presumptive sign of pregnancy

 probable sign of pregnancy

 positive sign of pregnancy

Section: Health Promotion and Maintenance
Explanation
Explanation/Reference:
A positive pregnancy test and changes in the reproductive organs are both considered probable signs of pregnancy.
Presumptive signs include amenorrhea, frequent urination and pigment changes in skin.
Determining the estimated day of birth or delivery (EDB or EDD) is considered to be a positive sign of pregnancy.

QUESTION 148
An elevation in which of the following enzymes is indicative of pancreatitis?

 alkaline phosphatase

 acid phosphatase

 creatine phosphokinase

 amylase

Amylase is elevated in conditions of pancreatic inflammation, such as pancreatitis. The other enzymes are
associated with other types of tissue damage.Reduction of Risk Potential

QUESTION 149
Accurate documentation of assessment findings regarding pressure ulcers is very important because:

 the law requires the nurse to document lesions.

 the hospital requires the nurse to document lesions.

 the physician requires the nurse to document lesions.

 the nursing assessment of ulcers is a standard of nursing practice.

Explanation/Reference:
Explanation:
Documentation of assessments by the nurse promotes continuity of care and helps prevent further progression of the ulcer. Basic Care and Comfort

QUESTION 150
One of the major functions of the kidneys in maintaining normal fluid balance is:

 the manufacture of antidiuretic hormone.

 the regulation of calcium and phosphate balance.

 the regulation of the pH of the extracellular fluid.

 the control of aldosterone levels.

Major functions of the kidneys in maintaining normal fluid balance include regulation of extracellular fluid and osmolarity by selective retention and excretion of fluids, regulation of pH of the extracellular fluid by retention of hydrogen ions, and excretion of metabolic wastes and toxic substances. ADH is manufactured by the pituitary, and the parathyroid regulates calcium and phosphate balance.Physiological Adaptation

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NCLEX National Council Licensure Examination

National Council Licensure Examination is a professional organization that licenses nurses in the US and Canada. NCLEX issues 2 types of certifications: the NCLEX-RN and the NCLEX-PN. Every graduate from a nursing school needs to take the NCLEX exams to obtain their license and be able to start practicing nursing.

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