[Q123-Q146] Exam Questions and Answers for NCLEX-PN Study Guide Questions and Answers!

QUESTION 123
A nurse observes a client sitting alone and talking. When asked, the client reports that he is “talking to the voices.” The nurse’s next action should be:

QUESTION 124
Accurate documentation of assessment findings regarding pressure ulcers is very important because
___________.

QUESTION 125
The mother of a newborn child is very upset. The child has a cleft lip and palate.
The type of crisis this mother is experiencing is __________.

QUESTION 126
Which of the following is considered normal for the neonate?

QUESTION 127
Padding on a restraint helps:

QUESTION 128
Signs of internal bleeding include all of the following except __________.

QUESTION 129
Your patient has been diagnosed with giant cell arteritis.
What medication will this patient most likely be given?

QUESTION 130
A nurse is working in an outpatient orthopedic clinic. During the patient’s history the patient reports, “I tore 3 of my 4 Rotator cuff muscles in the past.” Which of the following muscles cannot be considered as possibly being torn?

QUESTION 131
In an emergency situation, the nurse determines whether a client has an airway obstruction. Which of the following does the nurse assess?

QUESTION 132
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?

QUESTION 133
When medications have an additive, synergistic, or antagonistic effect on a tissue, a ________ reaction has occurred.

QUESTION 134
The acts enacted by states to provide immunity from liability to persons who provide emergency care at an accident scene are called:

QUESTION 135
Your 32-year-old female patient has erythema marginatum, Sydenham chorea, epistaxis, abdominal pain, fever, cardiac problems and skin nodules.
What disorder would you most likely suspect based on these signs and symptoms?

QUESTION 136
Which physiologic mechanism best describes the function of the sodium-potassium pump?

QUESTION 137
Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is an advantage of using CVADs for chemotherapeutic agent administration?

QUESTION 138
The power a nurse exerts when he or she works to accomplish goals and effect change in an agency or in policy is considered what type of power?

QUESTION 139
Which of the following vaccines is a live virus?

QUESTION 140
The hormone produces mother’s milk is __________.

QUESTION 141
A client was involved in a motor vehicle accident in which the seat belt was not worn. The client is exhibiting crepitus, decreased breath sounds on the left, complains of shortness of breath, and has a respiratory rate of 34/min. Which of the following assessment findings should concern the nurse the most?

QUESTION 142
During the health screening of an adolescent, which finding by the nurse requires further teaching?

QUESTION 143
The death of a beloved spouse places the surviving partner in __________ type of crisis.

QUESTION 144
A 93 year-old female with a history of Alzheimer’s Disease gets admitted to an Alzheimer’s unit. The patient has exhibited signs of increased confusion and limited stability with gait. Moreover, the patient is refusing to use a w/c. Which of the following is the most appropriate course of action for the nurse?

QUESTION 145
A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding as:

QUESTION 146
A client with massive chest and head injuries is admitted to the ICU from the Emergency Department.
All of the following are true except __________.