NCLEX Questions: Nursing Quiz!
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- 1.A nurse is assessing a school-age child who has appendicitis with possible perforation. The nurse should identify which of the following is a manifestation of peritonitis?
- A.
Hyperactice bowel sounds
- B.
Abdominal distention
- C.
Bradycardia
- D.
Polyuria
- 2.A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a school-age child who weights 75 lb. Available is atomoxetine 40 mg/capsule. How many capsules should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
- 3.A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury (AKI) and has a sodium level of 129. Which of the following interventions should the nurse include in the plan?
- A.
Administer ibuprofen to the child for a temperature greater than 38 C (101 F)
- B.
Assess the child's blood pressure every 8 hr
- C.
Weight the child weekly at various times of the day
- D.
Initiate seizure precautions for the child
- 4.A nurse is caring for a toddler who has acute otitis media and a temperature of 40 C (104 F). After administering acetaminophen which of the following actions should the nurse plan to reduce the toddler's temperature?
- A.
Apply a cooling blanket to the toddler
- B.
Dress the toddler in minimal clothing
- C.
Give the toddler a tepid bath
- D.
Administer diphenhydramine to the toddler
- 5.A nurse is planning care for a preschooler who has CF. Which of the following interventions should the nurse include in the plan?
- A.
Administer pancreatic enzymes 2 hours after meals
- B.
Decrease pancreatic enzymes if steatorrhea develops
- C.
Limit fluid intake to 750 mL per day
- D.
Increase fat content in the child's diet to 40% of total calories
- 6.A nurse is providing anticipatory guidance to the parents of a 2-week-old infant about risk factors for sudden infant death syndrome (SIDS). Which of the following risk factors should the nurse include in the teaching?
- A.
Covering the sleeping infant with a blanket
- B.
Supine sleeping
- C.
Maternal history of milk allergy
- D.
Pacifier use during sleep
- 7.A nurse is teaching a school-age child and his parent about postoperative care following cardiac catheterization. Which of the following instructions should the nurse include?
- A.
"Stay home from school for 1 week following the procedure."
- B.
"Follow a diet that is low in fiber for 1 week."
- C.
"Wait 3 days before taking a tub bath."
- D.
"Apply a pressure dressing to the site for 3 days."
- 8.A nurse in an ED is caring for a school-age child who has appendicitis and rates his abdominal pain at 7 on a 0 to 10 scale. Which of the following actions should the nurse take?
- A.
Instill a 500 mL tap water enema
- B.
Give morphine 0.05 mg/kg IV
- C.
Administer polyethlene glycol 1 g/kg PO
- D.
Apply a heating pad to the child's abdomen
- 9.A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of Fallot and begins to have a hypercyanotic spell. Which of the following actions should the nurse take?
- A.
Place the infant in a knee-chest position
- B.
Administer a dose of meperidine IV
- C.
Discontinue administration of IV fluids
- D.
Apply oxygen at 2 L/min via nasal cannula
- 10.A nurse is planning care for a school-age child who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plan?
- A.
Use sterile scissors to remove the dressing from the site
- B.
Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in use
- C.
Access the site using a noncoring angled needle
- D.
Use a semipermeable transparent dressing to cover the site
- 11.A nurse in an ED is caring for a school-age child who has sustained a superficial minor burn from fireworks on his forearm. Which of the following actions should the nurse take?
- A.
Administer a tetanus toxoid if more than 1 year since prior dose
- B.
Use an antimicrobial ointment on the affected area
- C.
Leave the burn open to air
- D.
Place an ice pack on the affected area
- 12.A charge nurse is preparing to make a room assignment for a newly admitted school-age child. Which of the following considerations is the nurse's priority when making a room assignment?
- A.
Length of stay
- B.
Treatment schedule
- C.
Disease process
- D.
Self-care ability
- 13.A nurse is caring for a school-age child who has acute rheumatic fever. Which of the following actions should the nurse take?
- A.
Limit the child's sodium intake
- B.
Place a "no visitors" sign on the child's door
- C.
Maintain the child on bed rest
- D.
Avoid administering salicylates to the child
- 14.A nurse is admitting a school-age child who has pertussis. Which of the following actions should the nurse take?
- A.
Place the child in a room with positive-pressure airflow
- B.
Place the child in a room with negative-pressure airflow
- C.
Initiate contact precautions for the child
- D.
Initiate droplet precautions for the child
- 15.A community health nurse is assessing an 18-month-old toddler in a community day care. Which of the following findings should the nurse identify as a potential indication of physical neglect?
- A.
Resists having an axillary temperature taken
- B.
Exhibits withdrawal behaviors when her parent leaves
- C.
Has multiple bruises on her knees
- D.
Poor personal hygeine
- 16.A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings should the nurse address first?
- A.
Skin breakdown
- B.
Hypotension
- C.
Hyperpyrexia
- D.
Tachypnea
- 17.A nurse is reviewing the laboratory report of a 6-year-old child who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider?
- A.
Hgb 8.5
- B.
WBC 9500
- C.
Prealbumin 18
- D.
Platelets 300,000
- 18.A nurse in a health clinic is reviewing contraceptive use with a group of adolescent clients. Which of the following statements by an adolescent reflects and understanding of the teaching?
- A.
"A water-soluble lubricant should be used with condoms."
- B.
"A diaphragm should be removed 2 hours after intercourse."
- C.
"Oral contraceptives can worsen a case of acne."
- D.
"A contraceptive patch is replaced once a month."
- 19.A nurse is instructing a client who is taking an oral contraceptive about danger signs to report to her provider. The nurse determines the client understands the teaching when the client states the need to report which of the following?
- A.
Reduced menstrual flow
- B.
Breast tenderness
- C.
Shortness of breath
- D.
Headaches
- 20.A nurse in an obstetrical clinic is teaching a client about using an IUD for contraception. Which of the following statements by the client indicates an understanding of the teaching?
- A.
"An IUD should be replaced annually during a pelvic exam."
- B.
"I cannot get an IUD until after I've had a child."
- C.
"I should plan on regaining fertility 5 months after the IUD is removed."
- D.
"I will check to be sure the strings of the IUD are still present after my periods."
- 21.A nurse is teaching a client about potential adverse effects of implantable progestins. Which of the following adverse effects should the nurse include? Select all that apply.
- A.
Tinnitus
- B.
Irregular vaginal bleeding
- C.
Weight gain
- D.
Breast changes
- E.
Gingival hyperplasia
- 22.A nurse in a clinic is teaching a client about her new prescription for medroxyprogesterone. Which of the following information should the nurse include in the teaching? Select all that apply.
- A.
"Weight loss can occur."
- B.
"You are protected against STIs."
- C.
"You should increase your intake of calcium."
- D.
"You should avoid taking antibiotics."
- E.
"Irregular vaginal spotting can occur."
- 23.A nurse is teaching a group of women who are pregnant about measures to relieve backache during pregnancy. Which of the following measures should the nurse include in the teaching? Select all that apply.
- A.
Avoid any lifting
- B.
Perform Kegel exercises twice a day
- C.
Perform the pelvic rock exercise every day
- D.
Use proper body mechanics
- E.
Avoid constrictive clothing
- 24.A nurse is caring for a client who is pregnant and reviewing signs of complications the client should promptly report to the provider. Which of the following complications should the nurse include in the teaching?
- A.
Vaginal bleeding
- B.
Swelling of the ankles
- C.
Heartburn after eating
- D.
Lightheadedness when lying on back
- 25.A client who is at 7 weeks gestation is experiencing n/v in the morning. Which of the following information should the nurse include in the teaching?
- A.
Eat crackers or plain toast before getting out of bed
- B.
Awaken during the night to eat a snack
- C.
Skip breakfast and eat lunch after nausea has subsided
- D.
Eat a large evening meal
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