NCLEX Practice Exam 23 (10 Questions)
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The nurse is caring for a 6-year-old client admitted with a diagnosis of conjunctivitis. Before administering eye drops. the nurse should recognize that it is essential to consider which of the following?
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The eye should be cleansed with warm water. removing any exudate. before instilling the eyedrops.
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The child should be allowed to instill his own eye drops.
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The mother should be allowed to instill the eyedrops.
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If the eye is clear from any redness or edema. the eyedrops should be held.
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All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
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- 2.
The nurse is discussing meal planning with the mother of a 2-year-old toddler. Which of the following statements. if made by the mother. would require a need for further instruction?
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“It is okay to give my child white grape juice for breakfast.”
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“My child can have a grilled cheese sandwich for lunch.”
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“We are going on a camping trip this weekend. and I have bought hot dogs to grill for his lunch.”
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“For a snack. my child can have ice cream.”
Correct Answer
A. “We are going on a camping trip this weekend. and I have bought hot dogs to grill for his lunch.”Explanation
Remember the ABCs (airway. breathing. circulation) when answering this question. Answer C because a hotdog is the size and shape of the child’s trachea and poses a risk of aspiration. Answers A. B. and C are incorrect because white grape juice. a grilled cheese sandwich. and ice cream do not pose a risk of aspiration for a child.Rate this question:
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- 3.
A 2-year-old toddler is admitted to the hospital. Which of the following nursing interventions would you expect?
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Ask the parent/guardian to leave the room when assessments are being performed.
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Ask the parent/guardian to take the child’s favorite blanket home because anything from the outside should not be brought into the hospital.
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Ask the parent/guardian to room-in with the child.
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If the child is screaming. tell him this is inappropriate behavior.
Correct Answer
A. Ask the parent/guardian to room-in with the child.Explanation
The nurse should encourage rooming-in to promote parent-child attachment. It is okay for the parents to be in the room for assessment of the child. Allowing the child to have items that are familiar to him is allowed and encouraged; therefore. answers A and B are incorrect. Answer D is not part of the nurse’s responsibilities.Rate this question:
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- 4.
Which instruction should be given to the client who is fitted for a behind-the-ear hearing aid?
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Remove the mold and clean every week.
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Store the hearing aid in a warm place.
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Clean the lint from the hearing aid with a toothpick.
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Change the batteries weekly.
Correct Answer
A. Store the hearing aid in a warm place.Explanation
The hearing aid should be stored in a warm. dry place. It should be cleaned daily but should not be moldy. so answer A is incorrect. A toothpick is inappropriate to use to clean the aid; the toothpick might break off in the hearing aide. making answer C incorrect. Changing the batteries weekly. as in answer D. is not necessary.Rate this question:
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- 5.
A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:
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Body image disturbance
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Impaired verbal communication
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Risk for aspiration
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Pain
Correct Answer
A. Risk for aspirationExplanation
Always remember your ABCs (airway. breathing. circulation) when selecting an answer. Although answers B and D might be appropriate for this child. answer C should have the highest priority. Answer A does not apply for a child who has undergone a tonsillectomy.Rate this question:
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- 6.
A client with bacterial pneumonia is admitted to the pediatric unit. What would the nurse expect the admitting assessment to reveal?
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High fever
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Nonproductive cough
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Rhinitis
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Vomiting and diarrhea
Correct Answer
A. High feverExplanation
If the child has bacterial pneumonia. a high fever is usually present. Bacterial pneumonia usually presents with a productive cough. not a nonproductive cough. making answer B incorrect. Rhinitis is often seen with viral pneumonia. and vomiting and diarrhea are usually not seen with pneumonia. so answers C and D are incorrect.Rate this question:
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- 7.
The nurse is caring for a client admitted with epiglottitis. Because of the possibility of complete obstruction of the airway. which of the following should the nurse have available?
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Intravenous access supplies
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A tracheostomy set
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Intravenous fluid administration pump
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Supplemental oxygen
Correct Answer
A. A tracheostomy setExplanation
For a child with epiglottitis and the possibility of complete obstruction of the airway. emergency tracheostomy equipment should always be kept at the bedside. Intravenous supplies. fluid. and oxygen will not treat an obstruction; therefore. answers A. C. and D are incorrect.Rate this question:
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- 8.
A 25-year-old client with Grave’s disease is admitted to the unit. What would the nurse expect the admitting assessment to reveal?
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Bradycardia
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Decreased appetite
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Exophthalmos
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Weight gain
Correct Answer
A. ExophthalmosExplanation
Exophthalmos (protrusion of eyeballs) often occurs with hyperthyroidism. The client with hyperthyroidism will often exhibit tachycardia. increased appetite. and weight loss; therefore. answers A. B. and D are incorrect.Rate this question:
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- 9.
The nurse is providing dietary instructions to the mother of an 8-year-old child diagnosed with celiac disease. Which of the following foods. if selected by the mother. would indicate her understanding of the dietary instructions?
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Ham sandwich on whole-wheat toast
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Spaghetti and meatballs
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Hamburger with ketchup
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Cheese omelet
Correct Answer
A. Cheese omeletExplanation
The child with celiac disease should be on a gluten-free diet. Answers A. B. and C all contain gluten. while answer D gives the only choice of foods that does not contain gluten.Rate this question:
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- 10.
The nurse is caring for an 80-year-old with chronic bronchitis. Upon the morning rounds. the nurse finds an O2 sat of 76%. Which of the following actions should the nurse take first?
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Notify the physician
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Recheck the O2 saturation level in 15 minutes
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Apply oxygen by mask
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Assess the pulse
Correct Answer
A. Apply oxygen by maskExplanation
Remember the ABCs (airway. breathing. circulation) when answering this question. Before notifying the physician or assessing the pulse. oxygen should be applied to increase the oxygen saturation. so answers A and D are incorrect. The normal oxygen saturation for a child is 92%–100%. making answer B incorrect.Rate this question:
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Aug 22, 2023Quiz Edited by
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Jul 07, 2017Quiz Created by
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