NCLEX Pn Practice Questions 6 (Exam Mode) By Rnpedia.Com

25 Questions | Total Attempts: 1922

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NCLEX Pn Practice Questions 6 (Exam Mode) By Rnpedia.Com - Quiz

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Questions and Answers
  • 1. 
    The physician has ordered Stadol (butorphanol) for a post-operative client. The nurse knows that the medication is having its intended effect if the client:
    • A. 

      Is asleep 30 minutes after the injection

    • B. 

      Asks for extra servings on his meal tray

    • C. 

      Has an increased urinary output

    • D. 

      States that he is feeling less nauseated

  • 2. 
    The mother of a child with cystic fibrosis tells the nurse that her child makes "snoring" sounds when breathing. The nurse is aware that many children with cystic fibrosis have:
    • A. 

      Choanal atresia

    • B. 

      Nasal polyps

    • C. 

      Septal deviations

    • D. 

      Enlarged adenoids

  • 3. 
    A client is hospitalized with hepatitis A. Which of the client’s regular medications is contraindicated due to the current illness?
    • A. 

      Prilosec (omeprazole)

    • B. 

      Synthroid (levothyroxine)

    • C. 

      Premarin (conjugated estrogens)

    • D. 

      Lipitor (atorvastatin)

  • 4. 
    The nurse has been teaching the role of diet in regulating blood pressure to a client with hypertension. Which meal selection indicates that the client understands his new diet?
    • A. 

      Cornflakes, whole milk, banana, and coffee

    • B. 

      Scrambled eggs, bacon, toast, and coffee

    • C. 

      Oatmeal, apple juice, dry toast, and coffee

    • D. 

      Pancakes, ham, tomato juice, and coffee

  • 5. 
    An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse’s discharge teaching?
    • A. 

      The child should not play on his rocking horse.

    • B. 

      Applying warm compresses to decrease pain.

    • C. 

      Diapering should be avoided for 1–2 weeks.

    • D. 

      The child will need a special diet to promote healing.

  • 6. 
    An obstetrical client calls the clinic with complaints of morning sickness. The nurse should tell the client to:
    • A. 

      Keep crackers at the bedside for eating before she arises

    • B. 

      Drink a glass of whole milk before going to sleep at night

    • C. 

      Skip breakfast but eat a larger lunch and dinner

    • D. 

      Drink a glass of orange juice after adding a couple of teaspoons of sugar

  • 7. 
    The nurse has taken the blood pressure of a client hospitalized with methicillin-resistant staphylococcus aureus. Which action by the nurse indicates an understanding regarding the care of clients with MRSA?
    • A. 

      The nurse leaves the stethoscope in the client’s room for future use.

    • B. 

      The nurse cleans the stethoscope with alcohol and returns it to the exam room.

    • C. 

      The nurse uses the stethoscope to assess the blood pressure of other assigned clients.

    • D. 

      The nurse cleans the stethoscope with water, dries it, and returns it to the nurse’s station.

  • 8. 
    The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. The nurse can reinforce the physician’s teaching by telling the parents that:
    • A. 

      The medication will be needed only during times of rapid growth.

    • B. 

      The medication will be needed throughout the child’s lifetime.

    • C. 

      The medication schedule can be arranged to allow for drug holidays.

    • D. 

      The medication is given one time daily every other day.

  • 9. 
    A client with diabetes mellitus has a prescription for Glucotrol XL (glipizide). The client should be instructed to take the medication:
    • A. 

      At bedtime

    • B. 

      With breakfast

    • C. 

      Before lunch

    • D. 

      After dinner

  • 10. 
    The nurse is caring for a client admitted with suspected myasthenia gravis. Which finding is usually associated with a diagnosis of myasthenia gravis?
    • A. 

      Visual disturbances, including diplopia

    • B. 

      Ascending paralysis and loss of motor function

    • C. 

      Cogwheel rigidity and loss of coordination

    • D. 

      Progressive weakness that is worse at the day’s end

  • 11. 
    The nurse is teaching the parents of a newborn with osteogenesis imperfecta. The nurse should tell the parents:
    • A. 

      That the baby will need daily calcium supplements

    • B. 

      To lift the baby by the buttocks when diapering

    • C. 

      That the condition is a temporary one

    • D. 

      That only the bones are affected by the disease

  • 12. 
    Physician’s orders for a client with acute pancreatitis include the following: strict NPO, NG tube to low intermittent suction. The nurse recognizes that these interventions will: 
    • A. 

      Reduce the secretion of pancreatic enzymes

    • B. 

      Decrease the client’s need for insulin

    • C. 

      Prevent secretion of gastric acid

    • D. 

      Eliminate the need for analgesia

  • 13. 
    A client with diverticulitis is admitted with nausea, vomiting, and dehydration. Which finding suggests a complication of diverticulitis?
    • A. 

      Pain in the left lower quadrant

    • B. 

      Boardlike abdomen

    • C. 

      Low-grade fever

    • D. 

      Abdominal distention

  • 14. 
    The diagnostic work-up of a client hospitalized with complaints of progressive weakness and fatigue confirms a diagnosis of myasthenia gravis. The medication used to treat myasthenia gravis is:
    • A. 

      Prostigmine (neostigmine)

    • B. 

      Atropine (atropine sulfate)

    • C. 

      Didronel (etidronate)

    • D. 

      Tensilon (edrophonium)

  • 15. 
    A client with AIDS complains of a weight loss of 20 pounds in the past month. Which diet is suggested for the client with AIDS?
    • A. 

      High calorie, high protein, high fat

    • B. 

      High calorie, high carbohydrate, low protein

    • C. 

      High calorie, low carbohydrate, high fat

    • D. 

      High calorie, high protein, low fat

  • 16. 
    The nurse is caring for a 4-year-old with cerebral palsy. Which nursing intervention will help ready the child for rehabilitative services?
    • A. 

      Patching one of the eyes to strengthen the muscles

    • B. 

      Providing suckers and pinwheels to help strengthen tongue movement

    • C. 

      Providing musical tapes to provide auditory training

    • D. 

      Encouraging play with a video game to improve muscle coordination

  • 17. 
    At the 6-week check-up, the mother asks when she can expect the baby to sleep all night. The nurse should tell the mother that most infants begin to sleep all night by age:
    • A. 

      1 month

    • B. 

      2 months

    • C. 

      3–4 months

    • D. 

      5–6 months

  • 18. 
    Which of the following pediatric clients is at greatest risk for latex allergy?
    • A. 

      The child with a myelomeningocele

    • B. 

      The child with epispadias

    • C. 

      The child with coxa plana

    • D. 

      The child with rheumatic fever

  • 19. 
    The nurse is teaching the mother of a child with cystic fibrosis how to do postural drainage. The nurse should tell the mother to:
    • A. 

      Use the heel of her hand during percussion

    • B. 

      Change the child’s position every 20 minutes

    • C. 

      Do percussion after the child eats and at bedtime

    • D. 

      Use cupped hands during percussion

  • 20. 
    The nurse calculates the amount of an antibiotic for injection to be given to an infant. The amount of medication to be administered is 1.25mL. The nurse should:
    • A. 

      Divide the amount into two injections and administer in each vastus lateralis muscle

    • B. 

      Give the medication in one injection in the dorsogluteal muscle

    • C. 

      Divide the amount in two injections and give one in the ventrogluteal muscle and one in the vastus lateralis muscle

    • D. 

      Give the medication in one injection in the ventrogluteal muscle

  • 21. 
    A client with schizophrenia is receiving depot injections of Haldol Deconate (haloperidol decanoate). The client should be told to return for his next injection in:
    • A. 

      1 week

    • B. 

      2 weeks

    • C. 

      4 weeks

    • D. 

      6 weeks

  • 22. 
    A 3-year-old is immobilized in a hip spica cast. Which discharge instruction should be given to the parents?
    • A. 

      Keep the bed flat, with a small pillow beneath the cast

    • B. 

      Provide crayons and a coloring book for play activity

    • C. 

      Increase her intake of high-calorie foods for healing

    • D. 

      Tuck a disposable diaper beneath the cast at the perineal opening

  • 23. 
    The nurse is caring for a client following the reimplantation of the thumb and index finger. Which finding should be reported to the physician immediately?  
    • A. 

      Temperature of 100°F

    • B. 

      Coolness and discoloration of the digits

    • C. 

      Complaints of pain

    • D. 

      Difficulty moving the digits

  • 24. 
    When assessing the urinary output of a client who has had extracorporeal lithotripsy, the nurse can expect to find:
    • A. 

      Cherry-red urine that gradually becomes clearer

    • B. 

      Orange-tinged urine containing particles of calculi

    • C. 

      Dark red urine that becomes cloudy in appearance

    • D. 

      Dark, smoky-colored urine with high specific gravity

  • 25. 
    The physician has prescribed Cognex (tacrine) for a client with dementia. The nurse should monitor the client for adverse reactions, which include:
    • A. 

      Hypoglycemia

    • B. 

      Jaundice

    • C. 

      Urinary retention

    • D. 

      Tinnitus

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