NCLEX Pn Practice Questions 1(Exam Mode)

Other answer choices are incorrect because they contain lower amounts of potassium. (Note that the banana contains 450mg K+, the orange contains 235mg K+, the pear contains 208mg K+, and the apple contains 165mg K+.)

Sulfamylon produces a painful sensation when applied to the burn wound; therefore, the client should receive pain medication before dressing changes. Other answer choices do not pertain to dressing changes for the client with burns, so they are incorrect.

The pulse oximeter should be placed on the child’s finger or earlobe because blood flow to these areas is most accessible for measuring oxygen concentration. Placing the probe on the child’s abdomen is incorrect because the probe cannot be secured to the abdomen. Recalibrating the oximeter at the beginning of each shift is incorrect because it should be recalibrated before application. Applying the probe and wait 15 minutes before obtaining a reading is incorrect because a reading is obtained within seconds, not minutes.

There is no specified time or frequency for the ordered medication. Other answer choices contain specified time and frequency.

Leaving a nightlight on during the evening and night shifts helps the client remain oriented to the environment and fosters independence. Assigning a nursing assistant to sit with him until he falls asleep and allowing the client to room with another elderly client will not decrease the client’s confusion. Administering a bedtime sedative will increase the likelihood of confusion in an elderly client.

The medication should be administered using the calibrated dropper that comes with the medication. Administering the medication using a nipple and administering the medication using a plastic baby spoon are incorrect because part or all of the medication could be lost during administration. Administering the medication in a baby bottle with 1oz. of water is incorrect because part or all of the medication will be lost if the child does not finish the bottle.

Following a thyroidectomy, the client should be placed in semi-Fowler’s position to decrease swelling that would place pressure on the airway. Other answer choices are incorrect because they would increase the chances of post-operative complications that include bleeding, swelling, and airway obstruction.

A history of cruelty to people and animals, truancy, setting fires, and lack of guilt or remorse are associated with a diagnosis of conduct disorder in children, which becomes a diagnosis of antisocial personality disorder in adults. The client with antisocial personality disorder does not hold consistent employment, IQ is usually higher than average and lack of guilt or remorse for wrong-doing.

Lyme’s disease produces a characteristic annular or circular rash sometimes described as a "bull’s eye" rash. Other answer choices are incorrect because they are not symptoms associated with Lyme’s disease.

A low-sodium diet is best for the client with Meniere’s syndrome. Other answer choices do not relate to the care of the client with Meniere’s syndrome; therefore, they are incorrect.

Gingival hyperplasia is a side effect of phenytoin. The client will need more frequent dental visits. Other answer choices do not apply to the medication; therefore, they are incorrect.

According to the Denver Developmental Screening Test, the child can pull a toy behind her by age 2 years. Other answer choices are not accomplished until ages 4–5 years; therefore, they are incorrect.

The client will receive medication that relaxes skeletal muscles and produces mild sedation. "The treatment will produce a controlled grand mal seizure." and "You can expect to be sleepy and confused for a time after the treatment." statements are incorrect because it increase the client’s anxiety level. Nausea and headache are not associated with ECT.

The licensed vocational nurse may not assume primary care of the client with a central venous access device. The licensed vocational nurse may care for the client in labor, the client post-operative client, and the client with bipolar disorder.

The client with a fractured mandible should keep a pair of wire cutters with him at all times to release the device in case of choking or aspiration. Answer B is incorrect because the wires would prevent insertion of an oral airway. Answer C is incorrect because it would be of no use in releasing the wires. Answer D is incorrect because it would be used only as a last resort in case of airway obstruction.

The least restrictive restraint for the infant with cleft lip and cleft palate repair is elbow restraints. Other answer choices are more restrictive and unnecessary; therefore, they are incorrect.

Pruritis or itching is caused by the presence of uric acid crystals on the skin, which is common in the client with end-stage renal failure. Other answer choices are not associated with end-stage renal failure.

The client with gluten-induced enteropathy experiences symptoms after ingesting foods containing wheat, oats, barley, or rye. Corn or millet are substituted in the diet. Other answer choices are incorrect because they contain foods that worsen the client’s condition.

Luncheon meats contain preservatives such as nitrites that have been linked to gastric cancer. Other answer choices have not been found to increase the risk of gastric cancer; therefore, they are incorrect.

The infant’s apical heart rate is within the accepted range for administering the medication. Other answer choices are incorrect because the apical heart rate is suitable for giving the medication.

Chelating agents are used to treat the client with poisonings from heavy metals such as lead and iron. Gastric lavage and activated charcoal are used to remove noncorrosive poisons; therefore, they are incorrect. Antiemetics prevents vomiting; therefore, it is an incorrect response.

Beta blockers such as timolol (Timoptic) can cause bronchospasms in the client with chronic obstructive lung disease. Timoptic is not contraindicated for use in clients with diabetes, gastric ulcers, or pancreatitis.

The suicidal client has difficulty expressing anger toward others. The depressed suicidal client frequently expresses feelings of low self-worth, feelings of remorse and guilt, and a dependence on others.

Increased voiding at night is a symptom of right-sided heart failure. Shortness of breath and crackles in the lungs are incorrect because they are symptoms of left-sided heart failure. Daytime oliguria does not relate to the client’s diagnosis; therefore, it is incorrect.

Neuroleptic malignant syndrome is an adverse reaction that is characterized by extreme elevations in temperature. Photosensitivity and weight gain are incorrect because they are expected side effects. Elevations in blood pressure are associated with reactions between foods containing tyramine and MAOI.