NCLEX-PN Test prep Questions and Correct Answers
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Select the member of the healthcare team that is paired with one of the
main functions of this team member.
A. Occupational therapist: Gait exercises
B. Physical therapist: The provision of assistive devices to facilitate the
activities of daily living
C. Speech and language therapist: The treatment of swallowing disorders
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D. Case manager: Ordering medications and treatments
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Ans: Correct Response: C
Speech and language therapists assess and treat patients with a
swallowing disorder; they also assess and treat patients with speech and
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communication problems as often occurs after a cerebrovascular
accident, or stroke. *Occupational therapists assist patients with their
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activities of daily living and they also provide patients with assistive
devices to facilitate eating and dressing.
*Physical therapists perform rehabilitation and restorative care including
help with ambulation and balance/gait exercises.
*Lastly, case managers coordinate care along the continuum of care and
they manage insurance reimbursements.
The recommended daily caloric intake for sedentary older men, active
adult women and children is:
A. 2400 calories
B. 1600 calories
C. 2800 calories
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D. 2000 calories
Ans: Correct Response: D
Sedentary older men, active adult women and children should all have 6
ounces of grains, 2½ cups of vegetables, 2 cups of fruits, and 3 cups of
milk to help make up their 2000 calorie requirement. Sedentary
adolescents require 2400 calories, sedentary women and children require
1600 calories and active adolescents need 2800 calories daily.
Ill health, malnutrition, and wasting as a result of chronic disease are all
associated with:
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A. Surgical asepsis
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B. Catabolism
C. Cachexia
D. Venous stasis
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Ans: Correct Response: C
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Ill health, malnutrition, and wasting as a result of chronic disease are all
associated with cachexia. Cachexia can also result from dehiscence of a
surgical incision or rupture of wound closure.
Surgical asepsis refers to using a sterile technique to protect against
infection before, during, and after surgery. The breakdown of tissue,
especially after severe trauma or crush injuries is known as catabolism.
*Venous stasis is a disorder related to pooling of blood in a vein of the
body; venous stasis typically occurs in the lower extremities and it is one
of the many hazards, or complications, of immobilization.
Select all the possible opportunistic infections that adversely affect
HIV/AIDS infected patients:
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A. Visual losses
B. Kaposi's sarcoma
C. Wilms' sarcoma
D. Tuberculosis
E. Peripheral neuropathy
F. Toxoplasma gondii
Ans: Correct Response: B, D, F
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Kaposi's sarcoma, tuberculosis, toxoplasma gondii, mycobacterium
avium, herpes simplex, histoplasmosis and salmonella infections are
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HIV/AIDS associated opportunistic infections.
*Although many affected patients can experience blindness and
peripheral neuropathy, these disorders result from impaired nervous
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system damage rather than an infection.
*Lastly, Wilms' tumor (sarcoma) is a pediatric form of kidney cancer and
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it is neither an infection nor something that typically affects the patient
with HIV/AIDS
What can help reduce a patient's anxiety and postsurgical pain?
A. Preoperative teaching
B. Preoperative checklist
C. Psychological counseling
D. Preoperative medication
Ans: Correct Response: A
Patient teaching before surgery not only helps to reduce a patient's
anxiety and postsurgical pain but it also decreases the amount of
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anesthesia needed and a lack of anxiety additionally speeds up wound
healing. Preoperative checklists are a form of nursing documentation that
is used to guide and document the care of the patient before surgery.
Psychological counseling is typically NOT necessary except under highly
unusual circumstances and preoperative medication can decrease the
amount of anesthetic needed and respiratory tract secretions but it does
not help with postoperative pain.
Which disease decreases the metabolic rate?
A. Cancer
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B. Hypothyroidism
C. Chronic obstructive pulmonary disease
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D. Cardiac failure
Ans: Answer: B- hypothyroidism.
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When caring for an infant during cardiac arrest, which pulse must be
palpated to determine cardiac function?
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A. Carotid
B. Brachial
C. Pedal
D. Radial
Ans: Brachial (B).
The patient after surgery should be sitting when deep breathing and
coughing because this position:
A. Is physically more comfortable for the patient
B. Helps the patient to support their incision with a pillow