NCLEX Pn Practice Questions 4 (Exam Mode) By Rnpedia
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- 1.The nurse is caring for an 8-year-old following a routine tonsillectomy. Which finding should be reported immediately?
- A.
Reluctance to swallow
- B.
Drooling of blood-tinged saliva
- C.
An axillary temperature of 99°F
- D.
Respiratory stridor
- 2.The nurse is admitting a client with a suspected duodenal ulcer. The client will most likely report that his abdominal discomfort lessens when he:
- A.
Skips a meal
- B.
Rests in recumbent position
- C.
Eats a meal
- D.
Sits upright after eating
- 3.Which of the following meal selections is appropriate for the client with celiac disease?
- A.
Toast, jam, and apple juice
- B.
Peanut butter cookies and milk
- C.
Rice Krispies bar and milk
- D.
Cheese pizza and Kool-Aid
- 4.A client with hyperthyroidism is taking lithium carbonate to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client’s medication?
- A.
The client complains of blurred vision.
- B.
The client complains of increased thirst and increased urination.
- C.
The client complains of increased weight gain over the past year.
- D.
The client complains of ringing in the ears.
- 5.A 2-month-old infant has just received her first Tetramune injection. The nurse should tell the mother that the immunization:
- A.
Will need to be repeated when the child is 4 years of age
- B.
Is given to determine whether the child is susceptible to pertussis
- C.
Is one of a series of injections that protects against dpt and Hib
- D.
Is a one-time injection that protects against MMR and varicella
- 6.The nurse is caring for a client hospitalized with bipolar disorder, manic phase. Which of the following snacks would be best for the client with mania?
- A.
Potato chips
- B.
Diet cola
- C.
Apple
- D.
Milkshake
- 7.A 2-year-old is hospitalized with suspected intussusception. Which finding is associated with intussusception?
- A.
"Currant jelly" stools
- B.
Projectile vomiting
- C.
"Ribbonlike" stools
- D.
Palpable mass over the flank
- 8.A client is being treated for cancer with linear acceleration radiation. The physician has marked the radiation site with a blue marking pen. The nurse should:
- A.
Remove the unsightly markings with acetone or alcohol
- B.
Cover the radiation site with loose gauze dressing
- C.
Sprinkle baby powder over the radiated area
- D.
Refrain from using soap or lotion on the marked area
- 9.The nurse is caring for a client with acromegaly. Following a transphenoidal hypophysectomy, the nurse should:
- A.
Monitor the client’s blood sugar
- B.
Suction the mouth and pharynx every hour
- C.
Place the client in low Trendelenburg position
- D.
Encourage the client to cough
- 10.A client newly diagnosed with diabetes is started on Precose (acarbose). The nurse should tell the client that the medication should be taken:
- A.
1 hour before meals
- B.
30 minutes after meals
- C.
With the first bite of a meal
- D.
Daily at bedtime
- 11.A client with a deep decubitus ulcer is receiving therapy in the hyperbaric oxygen chamber. Before therapy, the nurse should:
- A.
Apply a lanolin-based lotion to the skin
- B.
Wash the skin with water and pat dry
- C.
Cover the area with a petroleum gauze
- D.
Apply an occlusive dressing to the site
- 12.A client with a laryngectomy returns from surgery with a nasogastric tube in place. The primary reason for placement of the nasogastric tube is to:
- A.
Prevent swelling and dysphagia
- B.
Decompress the stomach via suction
- C.
Prevent contamination of the suture line
- D.
Promote healing of the oral mucosa
- 13.The chart indicates that a client has expressive aphasia following a stroke. The nurse understands that the client will have difficulty with:
- A.
Speaking and writing
- B.
Comprehending spoken words
- C.
Carrying out purposeful motor activity
- D.
Recognizing and using an object correctly
- 14.A camp nurse is applying sunscreen to a group of children enrolled in swim classes. Chemical sunscreens are most effective when applied:
- A.
Just before sun exposure
- B.
5 minutes before sun exposure
- C.
15 minutes before sun exposure
- D.
30 minutes before sun exposure
- 15.A post-operative client has an order for Demerol (meperidine) 75mg and Phenergan (promethazine) 25mg IM every 3–4 hours as needed for pain. The combination of the two medications produces a/an:
- A.
Agonist effect
- B.
Synergistic effect
- C.
Antagonist effect
- D.
Excitatory effect
- 16.Before administering a client’s morning dose of Lanoxin (digoxin), the nurse checks the apical pulse rate and finds a rate of 54. The appropriate nursing intervention is to:
- A.
Record the pulse rate and administer the medication
- B.
Administer the medication and monitor the heart rate
- C.
Withhold the medication and notify the doctor
- D.
Withhold the medication until the heart rate increases
- 17.What information should the nurse give a new mother regarding the introduction of solid foods for her infant?
- A.
Solid foods should not be given until the extrusion reflex disappears, at 8–10 months of age.
- B.
Solid foods should be introduced one at a time, with 4- to 7-day intervals.
- C.
Solid foods can be mixed in a bottle or infant feeder to make feeding easier.
- D.
Solid foods should begin with fruits and vegetables.
- 18.A client with schizophrenia is started on Zyprexa (olanzapine). Three weeks later, the client develops severe muscle rigidity and elevated temperature. The nurse should give priority to:
- A.
Withholding all morning medications
- B.
Ordering a CBC and CPK
- C.
Administering prescribed anti-Parkinsonian medication
- D.
Transferring the client to a medical unit
- 19.A client with human immunodeficiency syndrome has gastrointestinal symptoms, including diarrhea. The nurse should teach the client to avoid:
- A.
Calcium-rich foods
- B.
Canned or frozen vegetables
- C.
Processed meat
- D.
Raw fruits and vegetables
- 20.A 4-year-old is admitted with acute leukemia. It will be most important to monitor the child for:
- A.
Abdominal pain and anorexia
- B.
Fatigue and bruising
- C.
Bleeding and pallor
- D.
Petechiae and mucosal ulcers
- 21.A 5-month-old is diagnosed with atopic dermatitis. Nursing interventions will focus on:
- A.
Preventing infection
- B.
Administering antipyretics
- C.
Keeping the skin free of moisture
- D.
Limiting oral fluid intake
- 22.The nurse is caring for a client with a history of diverticulitis. The client complains of abdominal pain, fever, and diarrhea. Which food was responsible for the client’s symptoms?
- A.
Mashed potatoes
- B.
Steamed carrots
- C.
Baked fish
- D.
Whole-grain cereal
- 23.The physician has scheduled a Whipple procedure for a client with pancreatic cancer. The nurse recognizes that the client’s cancer is located in:
- A.
The tail of the pancreas
- B.
The head of the pancreas
- C.
The body of the pancreas
- D.
The entire pancreas
- 24.A child with cystic fibrosis is being treated with inhalation therapy with Pulmozyme (dornase alfa). A side effect of the medication is:
- A.
Weight gain
- B.
Hair loss
- C.
Sore throat
- D.
Brittle nails
- 25.The doctor has ordered Percocet (oxycodone) for a client following abdominal surgery. The primary objective of nursing care for the client receiving an opiate analgesic is to:
- A.
Prevent addiction
- B.
Alleviate pain
- C.
Facilitate mobility
- D.
Prevent nausea
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