NCLEX-PN Online Practice Questions and Answers

Correct Answer: B

The nurse should immediately obtain a Doppler device and recheck the pulses. The dorsalis pedis and posterior tibial can be difficult to assess and might need to be verified with a Doppler. Because the client just had a surgery in which a complication is arterial insufficiency, the client must be monitored carefully. If the pulses are not found, the nurse should recognize that this is an emergent situation, and the physician must be notified immediately. If the nurse waits 30 minutes before determining if the pulses can be felt, this could compromise the viability of the client's foot due to ischemia. Documenting the findings is important but must be performed after the nurse locates the dorsalis pedis and posterior tibial pulses or any necessary interventions are made.

Correct Answer: C

The Transaction-Based Model is, according to R.S. Lazarus, a state that Stimulus theory and Response theory do not consider individual differences. He takes into account cognitive processes that intervene between the encounter and the reaction and the factors that affect the nature of this process. He includes mental and psychological components or responses as part of his concept of stress (Person ?Environment Transactions).

Correct Answer: C

It is essential that the treatment program be followed exactly for clients with antisocial personality disorder because they are very manipulative and attempt to divide staff. However, confronting the staff member in front of the client enhances the division of staff. Talking with the staff member in private allows the person to develop skills to work with this client population.

Correct Answer: B

An average full-term newborn requires 120 calories per kilogram of weight each day to grow into a healthy child. For example, if a newborn weighs 4.55 kilograms, multiply 4.55 by 120. 546 calories would be what an infant should consume in one day.

Correct Answer: B

The use of restraints as an emergency measure is taken primarily as a last resort to protect a client from harm. Typically, the nurse acts under a physician's order, but in an emergency, the nurse may restrain a client out of necessity for one hour prior to the client being seen by a physician or an advanced practice mental health provider.

Correct Answer: D

Duodenal intestinal fluid is rich in K+, NA+, and bicarbonate.

Suctioning to remove excess fluids decreases the client's K+ and NA+ levels.

Correct Answer: B

Caffeine might increase heart rate that is already stressed due to pregnancy. Sodium can cause fluid retention. Both might need to be restricted. The other choices are incorrect because calories, fat, and protein are not usually decreased due to the risk of nutrient deficiencies.

Correct Answer: D

Small volumes of medication or fluids are delivered and sometimes at slow rates to neonates and pediatric clients. The syringe pump allows precise infusion of small volumes. Solutions administered in obstetrics is incorrect because a syringe pump can be used in almost any setting, but is not generally for adult clients. Dilute antibiotics and large volumes of IV solution are incorrect because large volumes of fluids are not administered with a syringe pump.

Correct Answer: B

Pharmacodynamics pertain to the effect of a drug on receptors.

Pharmaceutical reactions are chemical reactions between drugs prior to administration or absorption.

Pharmacokinetic reactions refer to the body's effect on the drug.

Drug incompatibilities are another term for pharmaceutical reactions.

Correct Answer: B

Hypoglycemia is an acute complication of diabetes which can be life threatening.

The immediate treatment with glucose is necessary to preserve life.

Retinopathy, neuropathy and impaired microcirculation are examples of the long term, rather than acute,

complications of diabetes.