NCLEX Pn Practice Questions 3 (Exam Mode) By Rnpedia

The infant’s birth weight should double by 6 months of age. Other answer choices are incorrect because they are greater than the expected weight gain by 6 months of age.

The nurse should avoid giving the infant a pacifier or bottle because sucking is not permitted. Holding the infant cradled in the arms, providing a mobile, and offering sterile water using a Breck feeder are permitted.

Dressing in layers and using extra covering will help decrease the feeling of being cold that is experienced by the client with hypothyroidism. Decreased sensation and decreased alertness are common in the client with hypothyroidism; therefore, the use of electric blankets and heating pads can result in burns, making it incorrect. The client with hypothyroidism has dry skin, and a hot bath morning and evening would make her condition worse.

The client with echolalia repeats words or phrases used by others. Speaking using words that rhyme is incorrect because it refers to clang association. Including irrelevant details in conversation is incorrect because it refers to circumstantiality. Making up new words with new meanings is incorrect because it refers to neologisms.

A history of frequent alcohol and tobacco use is the most significant factor in the development of cancer of the larynx. Other answer choices are also factors in the development of laryngeal cancer, but they are not the most significant; therefore, they are incorrect.

Bright red bleeding with many clots indicates arterial bleeding that requires surgical intervention. Hourly urinary output of 40–50cc is within normal limits; therefore, it is incorrect. Dark red urine with few clots indicates venous bleeding, which can be managed by nursing intervention; therefore, it is incorrect. Requests for pain med q 4 hrs does not indicate excessive need for pain management that requires the doctor’s attention; therefore, it is incorrect.

A diet that is high in fat and refined carbohydrates increases the risk of colorectal cancer. High fat content results in an increase in fecal bile acids, which facilitate carcinogenic changes. Refined carbohydrates increase the transit time of food through the gastrointestinal tract and increase the exposure time of the intestinal mucosa to cancer-causing substances. Other answer choices do not relate to the question; therefore, they are incorrect.

Lanoxin slows and strengthens the contraction of the heart. An increase in urinary output shows that the medication is having a desired effect by eliminating excess fluid from the body. Stabilized weight is incorrect because the weight would decrease. Improved appetite might occur but is not directly related to the question; therefore, it is incorrect. Increased pedal edema is incorrect because pedal edema would decrease, not increase.

The child with polymigratory arthritis will exhibit swollen, painful joints. Painless swelling over the extensor surfaces of the joints is incorrect because it describes subcutaneous nodules. Faint areas of red demarcation over the back and abdomen is incorrect because it describes erythema marginatum. Irregular movements of the extremities and facial grimacing is incorrect because it describes Syndeham’s chorea.

Symptoms of hypothyroidism include weight gain, lethargy, slow speech, and decreased respirations. Slow pulse rate, weight loss, diarrhea, cardiac failure ,decreased body temperature, weight loss, and increased respirations do not describe symptoms associated with myxedema; therefore, they are incorrect. Rapid pulse, constipation, and bulging eyes describes symptoms associated with Graves’s disease; therefore, it is incorrect.

Numbness and tingling in the extremities is common in the client with pernicious anemia, but not those with other types of anemia. Other answer choices are incorrect because they are symptoms of all types of anemia.

Tomatoes are a poor source of iron, although they are an excellent source of vitamin C, which increases iron absorption. Other answer choices are good sources of iron; therefore, they are incorrect.

The primary reason for placing a child with croup under a mist tent is to liquefy secretions and relieve laryngeal spasms. Preventing insensible water loss is incorrect because it does not prevent insensible water loss. Providing a moist environment with oxygen at 30% is incorrect because the oxygen concentration is too high. Preventing dehydration and reduce fever is incorrect because the mist tent does not prevent dehydration or reduce fever.

The toddler has gross motor skills suited to playing with a ball, which can be kicked forward or thrown overhand. Coloring book and crayons and building cubes are incorrect because they require fine motor skills. Swinging set is incorrect because the toddler lacks gross motor skills for play on the swing set.

Antacids containing aluminum and calcium tend to cause constipation. Urinary retention refers to the side effects of anticholinergic medications used to treat ulcers; therefore, it is incorrect. Diarrhea refers to antacids containing magnesium; therefore, it is incorrect. Confusion refers to dopamine antagonists used to treat ulcers; therefore, it is incorrect.

The client with an abdominal aortic aneurysm frequently complains of pulsations or "feeling my heart beat" in the abdomen. Loss of sensation in the lower extremities and decreased urinary output are incorrect because they occur with rupture of the aneurysm. Back pain that lessens when standing is incorrect because back pain is not affected by changes in position.

The client recovering from pancreatitis needs a diet that is high in calories and low in fat. Other answer choices are incorrect because they can increase the client’s discomfort.

The major complication of SLE is lupus nephritis, which results in end-stage renal disease. SLE affects the musculoskeletal, integumentary, renal, nervous, and cardiovascular systems, but the major complication is renal involvement; therefore, cardiomegaly and meningitis are incorrect. Desquamation is incorrect because the SLE produces a "butterfly" rash, not desquamation.

The contagious stage of varicella begins 24 hours before the onset of the rash and lasts until all the lesions are crusted. Other answer choices are inaccurate regarding the time of contagion; therefore, they are incorrect.

Periodically lying in a prone position without a pillow will help prevent the flexion of the spine that occurs with Parkinson’s disease. Sleeping only in dorsal recumbent position and resting in supine position with his head elevated flex the spine; therefore, they are incorrect. Sleeping on either side but keep his back straight is not realistic because of position changes during sleep; therefore, it is incorrect.

Holding a cup of coffee or hot chocolate helps to relieve the pain and stiffness of the hands. Other answer choices do not relieve the symptoms of rheumatoid arthritis; therefore, they are incorrect.

Delusions of grandeur are associated with low self-esteem. A religious experience is incorrect because conversion is expressed as sensory or motor deficits. A stressful event and overwhelming anxiety can cause an increase in the client’s delusions but do not explain their purpose; therefore, they are incorrect.

The client with esophageal varices can develop spontaneous bleeding from the mechanical irritation caused by taking capsules; therefore, the nurse should request the medication in a suspension. Giving the medication as ordered is incorrect because it does not best meet the client’s needs. Providing extra water with the medication is incorrect because it is not the best means of preventing bleeding. Giving the medication with an antacid is incorrect because the medications should not be given with milk or antacids.

The client with acute adrenal crisis has symptoms of hypovolemia and shock; therefore, the blood pressure would be low. Slow, regular pulse is incorrect because the pulse would be rapid and irregular. Warm, flushed skin is incorrect because the skin would be cool and pale. Increased urination is incorrect because the urinary output would be decreased.

The symptoms of nontropical sprue and celiac are caused by the ingestion of gluten, which is found in wheat, oats, barley, and rye. Creamed soup and crackers contain gluten. Other answer choices do not contain gluten; therefore, they are incorrect.