1
PN NCLEX EXAM 160 QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
A woman in labor has been pushing for one hour and is not making
progress. Which of the following conditions could be hindering the
descent of the fetus in the second stage of labor?
A. A full bladder
B. A paracervical block administered during the first stage of labor
C. Mother lying in a side-lying position
D. Fetus in left occiput anterior position - ANSWER - >A. A full bladder
,2
During a one-to-one conversation with a nurse, a client says, "I'm
worried about my medication.'' The nurse replies, "Tell me more
about that." The nurse's response is an example of: A. Focusing B.
Clarifying
C. Reflecting
D. Refocusing - ANSWER - >A. Focusing
You are caring for a child with cerebral palsy. You notice that the child's
movements are very stiff, and it is very difficult for him to move his
joints. What types of cerebral palsy does this child exhibit? A. Spastic
cerebral palsy
B. Ataxic cerebral palsy
C. Athetoid cerebral palsy
D. Coritcate cerebral palsy - ANSWER - >A. Spastic cerebral palsy
Rationale: Spastic cerebral palsy causes stiffness and movement
difficulties. Athetoid cerebral palsy leads to involuntary and
uncontrolled movements. Ataxic cerebral palsy causes a disturbed
sense of balance and depth perception.
The nurse is caring for a patient with multiple sclerosis. Which of the
following symptoms is NOT indicative of the disease?
A. Muscle weakness
,3
B. Trouble with coordination and balance
C. Thinking and memory problems
D. Hearing Loss - ANSWER - >D. Hearing Loss
Rationale: Hearing Loss. Common symptoms of MS include fatigue,
weakness, spasticity, balance problems, bladder and bowel problems,
numbness, thinking/memoray problems, vision loss, tremors and
depression.
A patient is diagnosed with acute pancreatitis. Which of the following is
the best choice for pain control?
A. Morphine
B. Ibuprofen
C. Fentanyl
D. Demerol - ANSWER - >D. Demerol
Rationale: Pain in acute pancreatitis is caused by irritation and edema
of the inflamed pancreas as well as spasm due to obstruction of the
pancreatic ducts. Demerol is the drug of choice because it is less likely
to cause spasm of the Sphincter of Oddi unlike Morphine which is
spasmogenic.
A patient has recently been diagnosed with a peptic ulcer. Upon
reviewing lab data, the nurse notices that the patient's Helicobacter
pylori titer is elevated. Which of the following would indicate the best
understanding of the data?
, 4
A. Treatment will be to continue to assess and monitor Helicobacter
pylori titers
B. Treatment involves educating the patient to avoid solid foods
C. Treatment will consist of Ranitidine and Antibiotics
D. Treatment will involve surgical intervention - ANSWER - >C.
Treatment will consist of Ranitidine and Antibiotics
Rationale: One of the causes of peptic ulcer is H. Pylori infection. It
releases toxin that destroys the gastric and duodenal mucosa which
decreases the gastric epithelium's resistance to acid digestion.
Giving antibiotics will control the infection and Ranitidine, which is a
histamine-2 blocker, will reduce acid secretion that can lead to an ulcer.
A client with congestive heart failure is being discharged home on a diet
restricting sodium to 2000 milligrams per day. The client demonstrates
adequate knowledge of the discharge instructions by avoiding which of
the following foods?
A. Plain nuts
B. Canned sardines
C. Spinach
D. Whole milk - ANSWER - >B. Canned sardines
Rationale: Canned sardines have the highest sodium content.
A symptom that a client is developing a complication of heart failure is:
A.Increased weight gain
PN NCLEX EXAM 160 QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
A woman in labor has been pushing for one hour and is not making
progress. Which of the following conditions could be hindering the
descent of the fetus in the second stage of labor?
A. A full bladder
B. A paracervical block administered during the first stage of labor
C. Mother lying in a side-lying position
D. Fetus in left occiput anterior position - ANSWER - >A. A full bladder
,2
During a one-to-one conversation with a nurse, a client says, "I'm
worried about my medication.'' The nurse replies, "Tell me more
about that." The nurse's response is an example of: A. Focusing B.
Clarifying
C. Reflecting
D. Refocusing - ANSWER - >A. Focusing
You are caring for a child with cerebral palsy. You notice that the child's
movements are very stiff, and it is very difficult for him to move his
joints. What types of cerebral palsy does this child exhibit? A. Spastic
cerebral palsy
B. Ataxic cerebral palsy
C. Athetoid cerebral palsy
D. Coritcate cerebral palsy - ANSWER - >A. Spastic cerebral palsy
Rationale: Spastic cerebral palsy causes stiffness and movement
difficulties. Athetoid cerebral palsy leads to involuntary and
uncontrolled movements. Ataxic cerebral palsy causes a disturbed
sense of balance and depth perception.
The nurse is caring for a patient with multiple sclerosis. Which of the
following symptoms is NOT indicative of the disease?
A. Muscle weakness
,3
B. Trouble with coordination and balance
C. Thinking and memory problems
D. Hearing Loss - ANSWER - >D. Hearing Loss
Rationale: Hearing Loss. Common symptoms of MS include fatigue,
weakness, spasticity, balance problems, bladder and bowel problems,
numbness, thinking/memoray problems, vision loss, tremors and
depression.
A patient is diagnosed with acute pancreatitis. Which of the following is
the best choice for pain control?
A. Morphine
B. Ibuprofen
C. Fentanyl
D. Demerol - ANSWER - >D. Demerol
Rationale: Pain in acute pancreatitis is caused by irritation and edema
of the inflamed pancreas as well as spasm due to obstruction of the
pancreatic ducts. Demerol is the drug of choice because it is less likely
to cause spasm of the Sphincter of Oddi unlike Morphine which is
spasmogenic.
A patient has recently been diagnosed with a peptic ulcer. Upon
reviewing lab data, the nurse notices that the patient's Helicobacter
pylori titer is elevated. Which of the following would indicate the best
understanding of the data?
, 4
A. Treatment will be to continue to assess and monitor Helicobacter
pylori titers
B. Treatment involves educating the patient to avoid solid foods
C. Treatment will consist of Ranitidine and Antibiotics
D. Treatment will involve surgical intervention - ANSWER - >C.
Treatment will consist of Ranitidine and Antibiotics
Rationale: One of the causes of peptic ulcer is H. Pylori infection. It
releases toxin that destroys the gastric and duodenal mucosa which
decreases the gastric epithelium's resistance to acid digestion.
Giving antibiotics will control the infection and Ranitidine, which is a
histamine-2 blocker, will reduce acid secretion that can lead to an ulcer.
A client with congestive heart failure is being discharged home on a diet
restricting sodium to 2000 milligrams per day. The client demonstrates
adequate knowledge of the discharge instructions by avoiding which of
the following foods?
A. Plain nuts
B. Canned sardines
C. Spinach
D. Whole milk - ANSWER - >B. Canned sardines
Rationale: Canned sardines have the highest sodium content.
A symptom that a client is developing a complication of heart failure is:
A.Increased weight gain
