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