NCLEX-PN Practice Questions Exam Cram: Practice Exam 3 and Rationale | Quick Check Answer Key (2023)

A patient admitted to the hospital with severe depression and suicidal thoughts refuses to speak to the nurse. The nurse recognizes that the suicidal client is struggling:

• A.Express feelings of low self-esteem
• B.Discuss remorse and guilt for actions
• C.show dependence on others

• D.express anger towards others

  Quick answers:187

  Detailed answer:190

A client receiving HydroDIURIL (hydrochlorothiazide) is instructed to increase her dietary potassium intake. The best snack for clients who need more potassium is:

• A.pear
• B.Apple
• C.Orange

• D.Banana

  Quick answers:187

  Detailed answer:190

Nurse takes care of a client after thyroid removal. Immediately after the operation, the nurse should:

• A.Hold the client in a half-Fowler position, with pillows supporting the head and neck
• B.Encourage the client to turn her head from side to side to encourage the drainage of oral secretions
• C.Hold the patient supine with sandbags on either side of the head and neck

• D.Encourage the client to cough and breathe deeply every 2 hours, with the neck bent

  Quick answers:187

  Detailed answer:190

A patient hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following factors is associated with an increased incidence of gastric cancer?

• A.Dairy products
• B.Carbonated Beverages
• C.Refined Sugar

• D.lunch meat

  Quick answers:187

  Detailed answer:190

A client is admitted to the psychiatric ward for a forensic examination after being accused of arson. His preliminary diagnosis is antisocial personality disorder. When reviewing the patient record, the caregiver might expect to find:

• A.A history of consistent employment
• B.Below average intelligence
• C.A history of animal cruelty

• D.An expression of remorse for his actions

  Quick answers:187

  Detailed answer:190

The licensed professional nurse may not provide primary care to a client:

• A.In the fourth stage of labor
• B.Two days after appendectomy
• C.With a venous access device

• D.With bipolar disorder

  Quick answers:187

  Detailed answer:190

The doctor prescribed mafenid acetate (sulfamylone) cream dressings to a patient with burns on his hands and arms. Before changing the dressing, the caregiver should prioritize the following:

• A.administration of painkillers
• B.Verification of the adequacy of urination
• C.Request a daily complete blood count

• D.Obtaining a blood sugar by finger prick

  Quick answers:187

  Detailed answer:190

The nurse teaches a group of parents about the toddler's gross motor development. What behavior is an example of a toddler's normal gross motor skills?

• A.She can pull a toy behind her.
• B.It can copy a horizontal line.
• C.She can build a tower of eight blocks.

• D.She can jump far.

  Quick answers:187

  Detailed answer:190

A patient who was hospitalized with a broken lower jaw has to be discharged. Which appliance should remain on the patient with a fractured mandible?

• A.wire cutter
• B.Oral airways
• C.Never

• D.Tracheostomie-Set

  Quick answers:187

  Detailed answer:190

The nurse is to give digoxin (Lanoxin) elixir to a 6-month-old child with a congenital heart defect. The nurse listens to an apical pulse rate of 100. The caregiver should:

• A.Record the heart rate and call the doctor
• B.Record heart rate and administer medication
• C.Administer the medication and check the heart rate again after 15 minutes

• D.Hold the medication and check the heart rate again after 30 minutes

  Quick answers:187

  Detailed answer:190

A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain her daughter's treatment. The nurse's explanation is based on the knowledge that lead poisoning is treated with:

• A.gastric lavage
• B.Chelating agent
• C.Antiemetic

• D.activated charcoal

  Quick answers:187

  Detailed answer:191

A cleft palate is to be repaired in an 18-month-old child. The usual type of fixation for the child with a cleft palate is:

• A.elbow restraints
• B.Full cuffs
• C.handcuffs

• D.mummy shackles

  Quick answers:187

  Detailed answer:191

A patient with glaucoma was prescribed eye drops from Timoptic (Timolol). Timoptic should be used in patients with a history of:

• A.Diabetes
• B.stomach ulcers
• C.emphysema

• D.Pancreatitis

  Quick answers:187

  Detailed answer:191

An elderly client experiencing nighttime confusion wanders from his room to another client's room. The caregiver can best help reduce client confusion by:

• A.Assigning a nursing assistant to sit with him until he falls asleep
• B.Allowing the client to share a room with another elderly client
• C.Administering a sedative before bedtime

• D.Leave a night light on during evening and night shifts

  Quick answers:187

  Detailed answer:191

What is a common complaint of end-stage renal disease patients?

• A.weight loss
• B.itching
• C.ringing in the ears

• D.bruises

  Quick answers:187

  Detailed answer:191

Which of the following drug prescriptions require further clarification?

• A.Darvocet (Propoxyphene) 65 mg p.o. alle 4–6 Std. PRN
• B.Mysolin (Primidon) 250 mg P.O. TID
• C.Coumadin (Warfarin Sodium) 10 mg PO

• D.Premarin (conjugated estrogen) 0.625 mg po Every day

  Quick answers:187

  Detailed answer:191

The best diet for the patient with Meniere's syndrome is one that is:

• A.High in fiber
• B.low sodium
• C.Reich of the Jod

• D.Ballaststoffarm

  Quick answers:187

  Detailed answer:191

Which of the following is associated with right-sided heart failure?

• A.shortness of breath
• B.Nocturnal polyuria
• C.oliguria during the day

• D.crackling in the lungs

  Quick answers:187

  Detailed answer:191

An 8-year-old admitted with an upper respiratory tract infection has a prescription for O₂Saturation via pulse oximeter. To ensure an accurate measurement, the caregiver should:

• A.Place the probe on the child's abdomen
• B.Recalibrate the oximeter at the beginning of each shift
• C.Attach the probe and wait 15 minutes before getting a reading

• D.Place the probe on the child's finger

  Quick answers:187

  Detailed answer:191

An infant with tetralogy of Fallot is discharged with a prescription for Lanoxin Elixir. The nurse should instruct the mother:

• A.Administer the drug with a nipple
• B.Administer the medication with the calibrated dropper in the bottle
• C.Administer the medication with a plastic baby spoon

• D.Administer the medication in a 1oz baby bottle. of water

  Quick answers:187

  Detailed answer:191

The client scheduled for electroconvulsive therapy tells the nurse, “I'm so scared. What will happen to me during treatment?” Which of the following statements is most therapeutic for the nurse?

• A."During the treatment, you will be given medication to help you relax."
• B."The treatment will induce a controlled grand mal seizure."
• C."The treatment could cause nausea and headaches."

• D."You can expect to be drowsy and confused for a while after your treatment."

  Quick answers:187

  Detailed answer:191

Which of the following skin lesions is associated with Lyme disease?

• A.Bull's eye rash
• B.Papular crusts
• C.Bullae

• D.plaques

  Quick answers:187

  Detailed answer:191

Which of the following snacks would be appropriate for the child with gluten-induced enteropathy?

• A.Soft oatmeal
• B.Butterpopcorn
• C.Peanut Butter and Jelly Sandwich

• D.Cheese Pizza

  Quick answers:187

  Detailed answer:192

A client with schizophrenia is given chlorpromazine (Thorazine) 400 mg twice daily. An undesirable side effect of the drug is:

• A.sensitivity to light
• B.High temperature
• C.weight gain

• D.Elevated blood pressure

  Quick answers:187

  Detailed answer:192

What information should be given to patients taking phenytoin (Dilantin)?

• A.Taking the drug with meals increases its effectiveness.
• B.The drug can cause trouble sleeping.
• C.More frequent dental appointments are required for special gum care.

• D.The drug reduces the effect of oral contraceptives.

  Quick answers:187

  Detailed answer:192

A client has returned to his room after an esophagoscopy. Before offering fluids, the caregiver should prioritize patient assessment:

• A.level of consciousness
• B.Würgereflex
• C.urination

• D.movement of the extremities

  Quick answers:187

  Detailed answer:192

What instruction should be included in the discharge chart for the cataract surgery client?

• A.Over-the-counter eye drops can be used to treat redness and irritation.
• B.Eye protection should be worn at night.
• C.It is necessary to wear special cataract glasses.

• D.A prescription for medication to control postoperative pain is required.

  Quick answers:187

  Detailed answer:192

An 8-year-old comes in with drooling, stunted voice and a temperature of 102°F. The nurse should immediately notify the doctor, since the child's symptoms indicate:

• A.sore throat
• B.Epiglottitis
• C.Laryngotracheobronchitis

• D.Bronchiolitis

  Quick answers:187

  Detailed answer:192

Phototherapy is prescribed for a newborn with physiological jaundice. The caregiver caring for the infant should:

• A.Offer the baby sterile water between feedings of the infant formula
• B.Apply an emollient to the baby's skin to prevent it from drying out
• C.Wear a gown, gloves, and mask while caring for the child

• D.Place the baby on enteric isolation

  Quick answers:187

  Detailed answer:192

A teenager hospitalized with anorexia nervosa is now allowed out of his room and eat in the dining room. Which of the following nursing interventions should be included in the client's care plan?

• A.Weighing the customer after the meal
• B.Have a staff member stay with her for 1 hour after the meal
• C.Place high-protein foods in the center of the customer's plate

• D.Provision of child-sized utensils for the customer

  Quick answers:187

  Detailed answer:192

According to Erickson's growth and development stage, the developmental task associated with middle childhood is:

• A.trust
• B.Initiative
• C.independence

• D.Industry

  Quick answers:187

  Detailed answer:192

Caregivers should be aware of side effects associated with bronchodilator use. A common side effect of bronchodilators is:

• A.Tinnitus
• B.nausea
• C.Ataxia

• D.hypotension

  Quick answers:187

  Detailed answer:192

The 5-minute Apgar of a baby delivered by caesarean section is recorded as 9. The most likely reason for this score is:

• A.The mottled appearance of the trunk
• B.The presence of conjunctival hemorrhage
• C.Cyanosis of the hands and feet

• D.Respiratory rate of 20-28 per minute

  Quick answers:187

  Detailed answer:193

A 5-month-old infant presents to the emergency room with a temperature of 103.6°F and irritability. The mother states that the child has been listless for a few hours and had a seizure on the way to the hospital. A lumbar puncture confirms the diagnosis of bacterial meningitis. The nurse should examine the infant for the following:

• A.Periorbital Edema
• B.Tension of the anterior fontanel
• C.Positiver Babinski-Reflex

• D.Negative scarf sign

  Quick answers:187

  Detailed answer:193

A patient with a bowel resection and anastamosis returns to his room with an NG tube attached to an intermittent suction. Which of the following observations indicates that nasogastric suction is working properly?

• A.The client's abdomen is tender.
• B.The client can swallow.
• C.The client has active bowel sounds.

• D.The client's abdominal bandage is dry and intact.

  Quick answers:187

  Detailed answer:193

Nurse teaches insulin dependent diabetic patient signs of hypoglycemia. Which of the following signs is associated with hypoglycemia?

• A.Tremble
• B.Slow pulse
• C.nausea

• D.flushed skin

  Quick answers:187

  Detailed answer:193

Which of the following symptoms is associated with an exacerbation of multiple sclerosis?

• A.Anorexia
• B.seizures
• C.diplopia

• D.insomnia

  Quick answers:187

  Detailed answer:193

Which of the following conditions is most likely associated with the development of kidney stones?

• A.gout
• B.Pancreatitis
• C.Broken Thigh

• D.disc disease

  Quick answers:187

  Detailed answer:193

A patient with AIDS is admitted for treatment of Wasting Syndrome. Which of the following changes in diet can be used to compensate for the limited absorption capacity of the intestinal tract?

• A.Prepare all dishes thoroughly
• B.Offer yogurt and buttermilk between meals
• C.forcing liquids

• D.Provision of small, frequent meals

  Quick answers:187

  Detailed answer:193

The treatment protocol for a patient with acute lymphocytic leukemia includes prednisone, methotrexate and cimetadine. The purpose of cimetadine is:

• A.Decrease the secretion of pancreatic enzymes
• B.Improve the effectiveness of methotrexate
• C.promotion of peristalsis

• D.Prevent a common side effect of prednisone

  Quick answers:187

  Detailed answer:193

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Which of the following meals is suitable for a 6 month old infant?

• A.Egg whites, formula and orange juice
• B.Apple Juice, Carrots, Whole Milk
• C.Rice Cereal Apple Juice Formula

• D.Melba toast, egg yolk, whole milk

  Quick answers:187

  Detailed answer:193

The LPN prepares to give the newborn a vitamin K injection. The nurse should give the injection in:

• A.Rectus femoris muscle
• B.Contralateralis Muscle
• C.Deltoidmuskel

• D.Dorsoglutealer Muskel

  Quick answers:187

  Detailed answer:193

The doctor prescribed Cytoxan (cyclophosphamide) to a patient with nephotic syndrome. The nurse should:

• A.Encourage the customer to drink additional fluids
• B.Request a low-protein diet for the customer
• C.Bathe the client with mild soap and water only

• D.Extra warmth for swollen, inflamed joints

  Quick answers:187

  Detailed answer:193

The nurse attends to a client on an alcohol detox. What medications are used to treat alcohol withdrawal?

• A.Antabuse (Disulfiram)
• B.Romazicon (Flumazenil)
• C.Dolophin (Method)

• D.Ativan (Lorazepam)

  Quick answers:187

  Detailed answer:194

A patient with insulin-dependent diabetes takes 20 units of NPH insulin at 7 a.m. The caregiver should monitor the patient for signs of hypoglycemia if:

• A.8 o'clock
• B.10 am.
• C.3 pm.

• D.5 am.

  Quick answers:187

  Detailed answer:194

The Licensed Practical Nurse assists the Nurse-in-Charge in planning the care of a client with a retinal detachment. Which of the following nursing diagnoses should be given priority?

• A.change in comfort
• B.change in mobility
• C.change in skin integrity

• D.Change in O₂blood flow

  Quick answers:187

  Detailed answer:194

The primary purpose of using a CPM device for the client having a total knee repair is to assist in:

• A.prevent contractures
• B.Promote the flexion of the artificial joint
• C.Decrease the pain associated with early walking ability

• D.Alleviation of lactic acid production in the leg muscles

  Quick answers:187

  Detailed answer:194

Which of the following statements reflects Kohlberg's theory of the moral development of the preschool child?

• A.Obeying adults is considered correct behavior.
• B.Respect for parents is considered important.
• C.Pleasing others is considered good manners.

• D.Behavior is determined by consequences.

  Quick answers:187

  Detailed answer:194

A toddler with an otitis media has just completed antibiotic therapy. A follow-up appointment should be made at:

• A.Determine if the ear infection has affected their hearing
• B.Make sure she has taken all of the antibiotic
• C.Document that the infection has cleared completely

• D.Get a new prescription in case the infection comes back

  Quick answers:187

  Detailed answer:194

A factory worker is brought to the nurse's office after a splinter of metal entered his right eye. The nurse should:

• A.Cover the right eye with a sterile 4×4
• B.Try to remove the metal with a cotton swab
• C.Flush the eye with running water for 10 minutes

• D.Cover both eyes and transport the client to the emergency room

  Quick answers:187

  Detailed answer:194

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The nurse takes care of a patient with systemic lupus erythematosus (SLE). The main complication associated with systemic lupus erythematosus is:

• A.Nephritis
• B.Cardiomegaly
• C.desquamation

• D.Meningitis

  Quick answers:187

  Detailed answer:194

What diet is associated with an increased risk of colon cancer?

• A.Low protein, complex carbohydrates
• B.High in protein, simple carbohydrates
• C.High-fat, refined carbohydrates

• D.Low carbohydrates, complex proteins

  Quick answers:187

  Detailed answer:194

Nurse takes care of an infant after cleft lip surgery. When comforting the infant, the caregiver should avoid:

• A.holding the infant
• B.Offer a pacifier
• C.Provision of a mobile phone

• D.Offer of sterile water

  Quick answers:187

  Detailed answer:194

The doctor has ordered Amoxil (Amoxicillin) 500 mg capsules for a client with esophageal varices. The caregiver can best attend to the client's needs by:

• A.Administer medication as prescribed
• B.Providing additional water with the medication
• C.Administration of the drug with an antacid

• D.Requesting an alternative form of the drug

  Quick answers:187

  Detailed answer:195

Nurse gives diet instructions to a patient with iron deficiency anemia. What foods are a bad source of iron?

• A.tomatoes
• B.legumes
• C.Dried fruit

• D.nuts

  Quick answers:187

  Detailed answer:195

Nurse teaches a patient with Parkinson's disease ways to prevent spinal curvature associated with the disease. To prevent spinal flexion, the caregiver should encourage the patient to:

• A.Lie regularly on your stomach without a neck pillow
• B.Only sleep on your back
• C.Lie on your back with your head elevated

• D.Sleep on both sides but keep your back straight

  Quick answers:187

  Detailed answer:195

The nurse plans a diet change for a patient after an episode of pancreatitis. Which diet is suitable for the customer?

• A.Low calorie, low carb
• B.High in calories, low in fat
• C.High in protein, high in fat

• D.Low protein, high carbohydrates

  Quick answers:187

  Detailed answer:195

A client with hypothyroidism often complains of feeling cold. The caregiver should tell the client that she feels more comfortable if she:

• A.Uses an electric blanket at night
• B.Dresses in additional layers of clothing
• C.Attaches a heating pad to her feet

• D.Takes a hot bath in the morning and evening

  Quick answers:187

  Detailed answer:195

A client was hospitalized with a diagnosis of throat cancer. What is the most important factor in the development of throat cancer?

• A.A family history of throat cancer
• B.Chronic inhalation of noxious fumes
• C.Frequent straining of the vocal cords

• D.A history of alcohol and tobacco use

  Quick answers:187

  Detailed answer:195

The nurse completes the medical history of a patient with pernicious anemia. What is the difference between pernicious anemia and other forms of anemia?

• A.Difficulty breathing after exertion
• B.Numbness and tingling in extremities
• C.A faster than usual heart rate

• D.feelings of drowsiness

  Quick answers:187

  Detailed answer:195

The chart of a client with schizophrenia states that the client has echolalia. The caregiver can expect the client to:

• A.Speak with words that rhyme
• B.Repeat words or phrases used by others
• C.Include irrelevant details in the conversation

• D.Form new words with new meanings

  Quick answers:187

  Detailed answer:195

What early morning activity helps relieve symptoms associated with rheumatoid arthritis?

• A.Brush teeth
• B.Drink a glass of juice
• C.To drink a cup of coffee

• D.brush hair

  Quick answers:187

  Detailed answer:195

A newborn weighed 7 pounds at birth. By the age of 6 months, the child is expected to weigh:

• A.14 pounds
• B.18 pounds
• C.25 pounds

• D.30 pounds

  Quick answers:187

  Detailed answer:195

A client with nontropic sprue has a worsening of symptoms. What food choices are responsible for the client's recurrence of symptoms?

• A.Braised salad with oil and vinegar dressing
• B.Baked potatoes with sour cream and chives
• C.Cream of tomato soup and crackers

• D.Mixed fruit and yogurt

  Quick answers:187

  Detailed answer:196

A patient with congestive heart failure was given digoxin (Lanoxin). What finding indicates that the drug is having the desired effect?

• A.Increased urination
• B.Stabilized weight
• C.Improved appetite

• D.Increased pedal edema

  Quick answers:187

  Detailed answer:196

What play activity is best for toddler's gross motor skills?

• A.Coloring book and colored pencils
• B.Ball
• C.build cube

• D.Swing

  Quick answers:187

  Detailed answer:196

The doctor has ordered basal gel (aluminum carbonate gel) for a client with recurring indigestion. The nurse should educate the patient about common side effects of the drug, including:

• A.constipation
• B.urinary retention
• C.Diarrhea

• D.confusion

  Quick answers:187

  Detailed answer:196

A patient is admitted with suspected abdominal aortic aneurysm (AAA). A common complaint of the patient with an abdominal aortic aneurysm is:

• A.Loss of feeling in the lower extremities
• B.Back pain that relieves when standing
• C.Decreased urination

• D.Pulsations in the periumbilical area

  Quick answers:187

  Detailed answer:196

A client is admitted with an acute adrenal crisis. During the admissions assessment, the caregiver may expect the client to have:

• A.Low blood pressure
• B.Slow, regular pulse
• C.Warm, flushed skin

• D.Increased urination

  Quick answers:187

  Detailed answer:196

An elderly patient is hospitalized for a transurethral prostatectomy. Which findings should be reported to the doctor immediately?

• A.Hourly urine output of 40-50 cc
• B.Bright red urine with many clots
• C.Dark red urine with few clots

• D.Requests for painkillers every 4 hours

  Quick answers:187

  Detailed answer:196

A 9-year-old is admitted with suspected rheumatic fever. What finding suggests polymigratory arthritis?

• A.Irregular movements of the extremities and grimacing of the face
• B.Painless swelling over the extensor surfaces of the joints
• C.Faint red demarcations over back and belly

• D.Swelling, inflammation and effusion of the joints

  Quick answers:187

  Detailed answer:196

A child with croup is placed in a cool, high-humidity tent connected to room air. The main purpose of the tent is:

• A.Prevent imperceptible water loss
• B.Provide a humid environment with 30% oxygen
• C.Prevent dehydration and reduce fever

• D.Liquify secretions and relieve laryngeal spasms

  Quick answers:187

  Detailed answer:196

A client is admitted with a diagnosis of hypothyroidism. An initial assessment by the client would result in:

• A.Slow pulse, weight loss, diarrhea and heart failure
• B.Weight gain, lethargy, slowed speech, and decreased breathing rate
• C.Rapid pulse, constipation and bulging eyes

• D.Decreased body temperature, weight loss and increased breathing

  Quick answers:187

  Detailed answer:196

Which statement describes the contagious stage of chickenpox?

• A.The contagious stage is 1 day before the rash appears until blisters appear.
• B.The contagious stage persists through the vesicular and sloughing stages of the lesions.
• C.The contagious stage lasts from the onset of the rash until the rash disappears.

• D.The contagious stage is 1 day before the rash starts until all the lesions are crusted over.

  Quick answers:187

  Detailed answer:197

A client admitted to the psychiatric ward claims to be the Son of God and insists he is not kept away from his followers. The most likely explanation for the client's delusion is:

• A.A religious experience
• B.A stressful event
• C.Low self esteem

• D.Overwhelming Fear

  Quick answers:187

  Detailed answer:197

Nurse cares for an 8-year-old boy after a routine tonsillectomy. Which finding should be reported immediately?

• A.reluctance to swallow
• B.Drooling bloody saliva
• C.An armpit temperature of 99°F

• D.Respiratorischer Stridor

  Quick answers:187

  Detailed answer:197

The nurse takes in a patient with a suspected duodenal ulcer. The client will most likely report that their abdominal discomfort subsides if they:

• A.Skips a meal
• B.Rests in a lying position
• C.Eat a meal

• D.Sits upright after eating

  Quick answers:187

  Detailed answer:197

Which of the following meals is suitable for the customer 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

  Quick answers:187

  Detailed answer:197

A patient with hyperthyroidism takes lithium carbonate to inhibit the release of thyroid hormones. What client complaint 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 about an increased weight gain in the last year.

• D.The customer complains about changes in taste.

  Quick answers:187

  Detailed answer:197

A 2 month old baby has just received his first Tetraimmune injection. The nurse should tell the mother that the vaccination:

• A.Must be repeated when the child is 4 years old
• B.Given to determine if the child is prone to whooping cough
• C.Belongs to a series of injections that protect against dpt and hib

• D.Is a one-time injection that protects against MMR and chickenpox

  Quick answers:187

  Detailed answer:197

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The nurse attends to a patient hospitalized with bipolar disorder in the manic phase. Which of the following snacks would be best for the client with mania?

• A.Potato Chips
• B.Diet Coke
• C.Apple

• D.Milchshake

  Quick answers:187

  Detailed answer:197

A 2-year-old is hospitalized with suspected intussusception. What finding is associated with an intussusception?

• A.Hocker „Johannisbeergelee“.
• B.Projectile Vomiting
• C."Ribbon" stools

• D.Palpable mass over the flank

  Quick answers:187

  Detailed answer:197

A patient is being treated with linear acceleration radiation for cancer. The doctor marked the radiation site with a blue marker. The nurse should:

• A.Remove the unsightly marks with acetone or alcohol
• B.Cover the radiation site with a loose gauze bandage
• C.Sprinkle baby powder over the exposed area

• D.Do not use soap or lotion on the marked area

  Quick answers:187

  Detailed answer:197

The nurse attends to a client with acromegaly. After a transphenoidal hypophysectomy, the caregiver should:

• A.Monitor the customer's blood sugar
• B.Vacuum mouth and throat hourly
• C.Place the client in a low Trendelenburg position

• D.Encourage the client to cough

  Quick answers:187

  Detailed answer:197

A patient with newly diagnosed diabetes is started on Precose (acarbose). The caregiver should tell the patient to take the medication:

• A.1 hour before meals
• B.30 minutes after meals
• C.With the first bite of a meal

• D.Every day at bedtime

  Quick answers:187

  Detailed answer:198

A client with deep decubitus is treated in the hyperbaric oxygen chamber. Prior to therapy, the caregiver should:

• A.Apply a lanolin-based lotion to the skin
• B.Wash the skin with water and pat dry
• C.Cover the area with petroleum gauze

• D.Place an occlusive bandage on the site

  Quick answers:187

  Detailed answer:198

A laryngectomy client returns from surgery with a nasogastric tube. The main reason for nasogastric tube placement is:

• A.Prevent swelling and dysphagia
• B.Decompress the stomach with suction
• C.Prevent seam line contamination

• D.Promote healing of the oral mucosa

  Quick answers:187

  Detailed answer:198

The diagram shows that a patient has expressive aphasia after a stroke. The nurse understands that the client will have difficulties with:

• A.Speak and write
• B.understand spoken words
• C.Conducting a goal-directed motor activity

• D.Recognize and use an object correctly

  Quick answers:188

  Detailed answer:198

A camp nurse applies sunscreen to a group of children taking swimming lessons. Chemical sunscreens are most effective when applied to:

• A.Just before sun exposure
• B.5 minutes before sun exposure
• C.15 minutes before sun exposure

• D.30 minutes before sun exposure

  Quick answers:188

  Detailed answer:198

A postoperative client has an order of Demerol (Meperidine) 75 mg and Phenergan (Promethazine) 25 mg IM every 3-4 hours as needed for pain. The combination of the two drugs gives a/a:

• A.agonistic effect
• B.synergistic effect
• C.antagonistic effect

• D.Exciting effect

  Quick answers:188

  Detailed answer:198

Before administering the morning dose of Lanoxin (Digoxin) to a patient, the nurse checks the apical pulse rate and notes a rate of 54. The appropriate nursing intervention is:

• A.Record the pulse rate and administer the medication
• B.Administer the medication and monitor the heart rate
• C.Withhold the drug and inform the doctor

• D.Discontinue medication until heart rate increases

  Quick answers:188

  Detailed answer:198

What information should the caregiver give a new mother about introducing solid foods to her infant?

• A.Solid food should not be given until the extrusion reflex has resolved by 8 to 10 months of age.
• B.Solid foods should be introduced one at a time at 4 to 7 day intervals.
• C.Solid food can be mixed in a bottle or formula to make feeding easier.

• D.Solid foods should start with fruits and vegetables.

  Quick answers:188

  Detailed answer:198

A client with schizophrenia is started on Zyprexa (olanzapine). Three weeks later the client develops severe muscle stiffness and elevated temperature. The nurse should prioritize:

• A.Waiver of all morning medications
• B.Order a CBC and CPK
• C.Administration of prescribed anti-Parkinsonian medication

• D.Transfer of the client to a medical ward

  Quick answers:188

  Detailed answer:198

A patient with human immunodeficiency syndrome has gastrointestinal symptoms, including diarrhea. The caregiver should teach the patient to avoid:

• A.Foods rich in calcium
• B.Canned or frozen vegetables
• C.Processed Meat

• D.Raw fruits and vegetables

  Quick answers:188

  Detailed answer:198

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 paleness

• D.Petechiae and mucosal ulcers

  Quick answers:188

  Detailed answer:199

Atopic dermatitis is diagnosed in a 5-month-old child. Nursing interventions focus on:

• A.prevent infection
• B.Administer antipyretics
• C.Keeps skin moisture-free

• D.Limiting oral fluid intake

  Quick answers:188

  Detailed answer:199

The nurse attends to a client with a history of diverticulitis. The client complains of abdominal pain, fever and diarrhea. What food was responsible for the client's symptoms?

• A.Mashed potatoes
• B.Steamed carrots
• C.Baked fish

• D.whole grain muesli

  Quick answers:188

  Detailed answer:199

The doctor planned a Whipple procedure for a patient with pancreatic cancer. The nurse recognizes that the client's cancer is in:

• A.The tail of the pancreas
• B.The head of the pancreas
• C.The body of the pancreas

• D.The entire pancreas

  Quick answers:188

  Detailed answer:199

A child with cystic fibrosis is treated with inhaled therapy with Pulmozyme (dornase alfa). A side effect of the drug is:

• A.weight gain
• B.hair loss
• C.Sore throat

• D.Brittle nails

  Quick answers:188

  Detailed answer:199

The doctor prescribed Percocet (oxycodone) to a patient after abdominal surgery. The primary goal of care for the patient receiving an opiate analgesic is:

• A.prevent addiction
• B.reduce pain
• C.facilitate mobility

• D.prevent nausea

  Quick answers:188

  Detailed answer:199

Which finding is the best indication that a patient with ineffective airway clearance needs suctioning?

• A.oxygen saturation
• B.respiratory rate
• C.breathing sounds

• D.Arterial blood gases

  Quick answers:188

  Detailed answer:199

A client with tuberculosis has a prescription for Myambutol (Ethambutol HCl). The nurse should instruct the patient to notify the doctor immediately if they notice:

• A.upset stomach
• B.changes in hearing
• C.Red coloring of body fluids

• D.changes in color vision

  Quick answers:188

  Detailed answer:199

The main cause of anemia in a patient with chronic renal failure is:

• A.Poor iron absorption
• B.destruction of red blood cells
• C.Intrinsic factor deficiency

• D.Insufficient erythropoietin

  Quick answers:188

  Detailed answer:199

Which of the following nursing procedures has the highest priority for the patient scheduled for an intravenous pyelogram?

• A.Providing the customer with a favorite food for dinner
• B.Ask if the customer has any allergies to shellfish
• C.Energizing liquid the night before the test

• D.Tell the customer what to expect during the test

  Quick answers:188

  Detailed answer:199

The doctor prescribed 325 mg of aspirin daily to a patient with transient ischemic attacks. The nurse knows that aspirin has been prescribed:

• A.prevent headaches
• B.Increase clotting
• C.Prevent cerebral anoxia

• D.Prevent platelets from clumping together

  Quick answers:188

  Detailed answer:199

A patient with tuberculosis who was on combination therapy with INH and rifampin asks the nurse how long he has to take medication. The nurse should tell the client that:

• A.Medication is rarely required after 2 weeks.
• B.He has to take medication for the rest of his life.
• C.The course of combined therapy is usually 6 months.

• D.He will be re-examined in 1 month to see if further medication is needed.

  Quick answers:188

  Detailed answer:199

At what developmental milestone is the 4-month-old infant most at risk of injury?

• A.Switch objects from one hand to the other
• B.Crawl
• C.Stand

• D.roll over

  Quick answers:188

  Detailed answer:199

A client taking Dilantin (phenytoin) for tonic-clonic seizures prepares for discharge. What information should be included in the client's discharge plan?

• A.The drug can cause tooth discoloration.
• B.The client must avoid a high carbohydrate diet.
• C.The customer requires a regularly scheduled CBC.

• D.The drug can cause problems with drowsiness.

  Quick answers:188

  Detailed answer:200

Evaluation of a newborn male shows that the infant has hypospadias. The nurse knows:

• A.The infant should not be circumcised.
• B.Surgical correction is carried out at the age of 6 months.
• C.Surgical correction is postponed until the age of 6 years.

• D.The infant should be circumcised to facilitate evacuation.

  Quick answers:188

  Detailed answer:200

The nurse provides nutrition classes to a client with high cholesterol. Which cooking oil is not recommended for customers on a low-cholesterol diet?

• A.safflower oil
• B.sunflower oil
• C.Coconut beer

• D.rapeseed oil

  Quick answers:188

  Detailed answer:200

The nurse takes care of a patient with stage III Alzheimer's disease. Characteristic of this phase is:

• A.memory loss
• B.Not recognizing familiar objects
• C.hiking at night

• D.failure in communication

  Quick answers:188

  Detailed answer:200

The doctor prescribed Cortone (cortisone) for a client with systemic lupus erythematosus. What instruction should be given to the customer?

• A.Take the drug 30 minutes before eating.
• B.Report changes in appetite and weight.
• C.Wear sunglasses to prevent cataracts.

• D.Schedule a time for the influenza vaccination.

  Quick answers:188

  Detailed answer:200

Nurse attends to a patient with an above the knee amputation (AKA). To prevent contractures, the caregiver should:

• A.Place the client in the prone position for 15-30 minutes twice daily
• B.Keep the foot of the bed elevated on butt blocks
• C.Place trochanteric rollers on either side of the affected leg

• D.Hold the client's leg up on two pillows

  Quick answers:188

  Detailed answer:200

The mother of a 6 month old child asks when her child will have all the baby teeth. The nurse knows that by age most children all have milk teeth:

• A.12 Fun
• B.18 Fun
• C.24 Fun

• D.30 Fun

  Quick answers:188

  Detailed answer:200

While caring for a patient with cervical cancer, the nurse discovers that the radioactive implant is lying on the bed. The nurse should:

• A.Place the implant in a biohazard bag and ship it back to the lab
• B.Give the client a pair of gloves and ask her to put the implant back in
• C.Pick up the implant with forceps and place it back in a lead-lined container

• D.Discard the implant in the dresser and rinse twice

  Quick answers:188

  Detailed answer:200

Nurse prepares to discharge patient after laparoscopic cholecystectomy. The nurse should:

• A.Tell the client not to take a bath for 5 to 7 days
• B.Tell the client to expect clay-colored stool
• C.Tell the client to expect lower abdominal pain for the next week

• D.Tell the client that she can resume normal eating immediately

  Quick answers:188

  Detailed answer:200

A high school student returns to school after a three-week absence due to mononucleosis. The school nurse knows that it will be important for the client:

• A.Consume additional fluids throughout the day
• B.Avoid contact sports for 1-2 months
• C.Eat a snack twice a day to prevent hypoglycemia

• D.To continue antibiotic therapy for 6 months

  Quick answers:188

  Detailed answer:200

A pancreas replacement was ordered for a 6-year-old with cystic fibrosis. The nurse knows the drug is being administered:

• A.At bedtime
• B.With meals and snacks
• C.Twice daily

• D.Daily in the morning

  Quick answers:188

  Detailed answer:201

The doctor prescribed a diet high in vitamin B12 to a patient with pernicious anemia. Which foods have the highest B12 content?

• A.Meat, eggs, dairy products
• B.Peanut Butter, Raisins, Molasses
• C.Broccoli, cauliflower, cabbage

• D.Prawns, Legumes, Bran Cereals

  Quick answers:188

  Detailed answer:201

A patient with high blood pressure has started an aerobic exercise program. The caregiver should advise the patient that the recommended exercise program should start slowly and build up to:

• A.20-30 minutes three times a week
• B.45 minutes twice a week
• C.1 hour four times a week

• D.1 hour twice a week

  Quick answers:188

  Detailed answer:201

  (Video) NCLEX Practice Exam for RN and PN New Format 2023 NCLEX Practice Exam | NCSBN New-Format Questions

A patient with breast cancer is returned to the right room after a total mastectomy. The nurse should:

• A.Raise client's right arm on pillow
• B.Place the client's right arm in a dependent sling
• C.Keep the client's right arm on the bed beside her

• D.Place the client's right arm across her body

  Quick answers:188

  Detailed answer:201

A neurological consultation was ordered for a pediatric patient with suspected absence seizures. The client with absence seizures can be expected to have:

• A.Short, abrupt muscle contraction
• B.Rapid, bilateral violent jerky movements
• C.Abrupt loss of muscle tone

• D.A brief disturbance of consciousness

  Quick answers:188

  Detailed answer:201

A client with schizoaffective disorder presents with Parkinson's symptoms. Which drug is responsible for the development of Parkinson's symptoms?

• A.Zyprexa (Olanzapin)
• B.Cogentin (Benzatropinmesylat)
• C.Benadryl (Diphenhydramin)

• D.Depakote (Divalproex-Natrium)

  Quick answers:188

  Detailed answer:201

What activity is best for the 12-year-old with Juvenile Rheumatoid Arthritis?

• A.playing video games
• B.To swim
• C.work crosswords

• D.Slow-Pitch-Softball spielen

  Quick answers:188

  Detailed answer:201

The glycosylated hemoglobin of a 40-year-old patient with diabetes mellitus is 2.5%. The nurse understands that:

• A.The client can eat more calories.
• B.The client has her diabetes under control.
• C.The client needs an adjustment of her insulin dose.

• D.The client has poor control of her diabetes.

  Quick answers:188

  Detailed answer:201

The doctor has prescribed Stadol (Butorphanol) for a post-operative client. The caregiver knows the medication is having its intended effect when the client:

• A.Fall asleep 30 minutes after injection
• B.Asks for extra portions on his tray
• C.Has increased urination

• D.States that he is less nauseous

  Quick answers:188

  Detailed answer:201

Mother of child with cystic fibrosis tells nurse her child makes "snoring" noises when breathing. The nurse is aware that many children with cystic fibrosis:

• A.Choanalatresie
• B.nasal polyps
• C.septum deviations

• D.Enlarged polyps

  Quick answers:188

  Detailed answer:202

A client is hospitalized with hepatitis A. Which of the client's usual medications is contraindicated due to the current medical condition?

• A.Prilosec (Omeprazol)
• B.Synthroid (Levothyroxin)
• C.Premarin (conjugated estrogens)

• D.Lipitor (Atorvastatin)

  Quick answers:188

  Detailed answer:202

The nurse taught a hypertensive patient the role of diet in regulating blood pressure. What food choices show that the customer understands their 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

  Quick answers:188

  Detailed answer:202

An 18-month-old child is discharged after hypospadias repair. What instruction should be included in the nurse's discharge instruction?

• A.The child should not play on his rocking horse.
• B.Application of warm compresses for pain relief.
• C.Diapers should be avoided for 1-2 weeks.

• D.The child requires special nutrition to promote healing.

  Quick answers:188

  Detailed answer:202

An obstetric client calls the clinic complaining of morning sickness. The caregiver should tell the client:

• A.Keep crackers by the bedside to eat before she gets up
• B.Drink a glass of whole milk in the evening before bed
• C.Skip breakfast but eat a larger lunch and dinner

• D.Drink a glass of orange juice after adding a few teaspoons of sugar

  Quick answers:188

  Detailed answer:202

Nurse took blood pressure of patient hospitalized with methicillin-resistant Staphylococcus aureus.What action by the nurse indicates an understanding of the care of patients with MRSA?

• A.The nurse leaves the stethoscope in the patient's room for later use.
• B.The nurse will clean the stethoscope with alcohol and return it to the exam room.
• C.The nurse uses the stethoscope to assess the blood pressure of other assigned patients.

• D.The nurse cleans the stethoscope with water, dries it and returns it to the nursing station.

  Quick answers:188

  Detailed answer:202

The doctor spoke to the parents of an infant with congenital hypothyroidism about the need for medication. The nurse can reinforce the doctor's teachings by telling the parents:

• A.The drug is needed only during periods of rapid growth.
• B.The drug is needed throughout the child's life.
• C.The medication schedule can be arranged to accommodate medication holidays.

• D.The drug is administered once a day every other day.

  Quick answers:188

  Detailed answer:202

A patient 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

  Quick answers:188

  Detailed answer:202

The nurse attends to a client admitted with suspected myasthenia gravis. What finding is usually associated with the diagnosis of myasthenia gravis?

• A.Visual disturbances, including diplopia
• B.Ascending paralysis and loss of motor skills
• C.Gear rigidity and loss of coordination

• D.Progressive weakness that gets worse at the end of the day

  Quick answers:188

  Detailed answer:202

Nurse teaches parents of infant with osteogenesis imperfecta. The nurse should tell the parents:

• A.That the infant needs daily calcium supplements
• B.For lifting the baby by the buttocks when changing diapers
• C.That the condition is temporary

• D.That only the bones are affected by the disease

  Quick answers:188

  Detailed answer:202

The doctor's orders for a patient with acute pancreatitis include the following: strict NPO, NG tube to low intermittent suction. The caregiver recognizes that these interventions:

• A.Reduce the secretion of pancreatic enzymes
• B.Reduce the patient's need for insulin
• C.Prevent gastric acid secretion

• D.Eliminate the need for analgesia

  Quick answers:188

  Detailed answer:203

A client with diverticulitis is admitted with nausea, vomiting, and dehydration. What finding indicates a complication of diverticulitis?

• A.Pain in left lower quadrant
• B.Boardy belly
• C.Light fever

• D.abdominal distention

  Quick answers:188

  Detailed answer:203

Diagnostic evaluation of a patient admitted to the hospital with complaints of progressive weakness and fatigue confirms the diagnosis of myasthenia gravis. The drug used to treat myasthenia gravis is:

• A.Prostigmin (Neostigmin)
• B.Atropin (Atropinsulfat)
• C.Didronel (Etidronat)

• D.Tensilon (Edrophonium)

  Quick answers:188

  Detailed answer:203

A client with AIDS complains of losing 20 pounds in the past month. What diet is suggested for the client with AIDS?

• A.High in calories, high in protein, high in fat
• B.High in calories, high in carbohydrates, low in protein
• C.High calorie, low carb, high fat

• D.High in calories, high in protein, low in fat

  Quick answers:188

  Detailed answer:203

The nurse takes care of a 4 year old with cerebral palsy. What nursing intervention will help the child prepare for rehabilitative services?

• A.Patch one of the eyes to strengthen the muscles
• B.Providing suction cups and pinwheels to strengthen tongue movement
• C.providing music tapes for auditory training

• D.Encouragement to play with a video game to improve muscle coordination

  Quick answers:188

  Detailed answer:203

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 depending on their age, most infants sleep all night:

• A.1 month
• B.2 Sweet
• C.3–4 Sweet

• D.5–6 Sweet

  Quick answers:188

  Detailed answer:203

Which of the following pediatric patients is at greatest risk for latex allergy?

• A.The child with mielomeningocele
• B.The child with epispadias
• C.The child with coxa plana

• D.The child with rheumatic fever

  Quick answers:188

  Detailed answer:203

Nurse teaches mother of child with cystic fibrosis how to do chest percussion. The nurse should tell the mother:

• A.Use the heel of your hand during percussion
• B.Change the child's position every 20 minutes
• C.Suggest after meals and before bed

• D.Use cupped hands during percussion

  Quick answers:188

  Detailed answer:203

The nurse calculates the amount of an antibiotic for injection to give an infant. The amount of medication to be administered is 1.25 ml. The nurse should:

• A.Divide the amount into two injections and inject into each vastus lateralis muscle
• B.Give the drug in one injection into the dorso-gluteal muscle
• C.Divide the amount into two injections, one in the ventrogluteal muscle and one in the vastus lateralis muscle

• D.Give the drug in an injection into the ventrogluteal muscle

  Quick answers:188

  Detailed answer:203

A client with schizophrenia is given depot injections of Haldol Deconate (haloperidol decanoate). The patient should be told to return for their next injection to:

• A.1 week
• B.2 weeks
• C.4 weeks

• D.6 weeks

  Quick answers:188

  Detailed answer:203

A 3 year old is immobilized in a hip spica cast. What dismissal instructions should the parents be given?

• A.Keep the bed flat, with a small pillow under the cast
• B.Provide crayons and coloring book for play activities
• C.Increase your intake of high-calorie foods for healing

• D.Tuck a disposable diaper under the cast at the perineal opening

  Quick answers:188

  Detailed answer:204

Nurse attends to a patient after thumb and index finger reimplantation. Which findings should be reported to the doctor immediately?

• A.temperature of 100°F
• B.Coolness and discoloration of the digits
• C.Complaints about pain

• D.Difficulty moving digits

  Quick answers:188

  Detailed answer:204

When assessing the urinary output of a patient who has undergone extracorporeal lithotripsy, the caregiver can expect:

• A.Cherry red urine gradually clearing
• B.Orange colored urine with stone particles
• C.Dark red urine that becomes cloudy

• D.Dark, smoke-colored urine with a high specific gravity

  Quick answers:188

  Detailed answer:204

The doctor has prescribed Cognex (Tacrine) to a client with dementia. The nurse should monitor the patient for side effects, including:

• A.hypoglycemia
• B.jaundice
• C.urinary retention

• D.Tinnitus

  Quick answers:188

  Detailed answer:204

The doctor prescribed a low-potassium diet for a child with acute glomerulonephritis. Which snack is suitable for the child with potassium limitations?

• A.raisins
• B.oranges
• C.apricots

• D.bananas

  Quick answers:188

  Detailed answer:204

The doctor ordered a blood testH.pylori. The caregiver should prepare the client by:

• A.Withholding intake after midnight
• B.Tell the customer that no special preparation is required
• C.Explain that a small dose of a radioactive isotope is used

• D.Administration of an oral glucose suspension 1 hour before the test

  Quick answers:188

  Detailed answer:204

The nurse prepares an oral potassium supplement. The nurse should:

• A.Give the drug undiluted
• B.Give the drug with 4oz. Juice
• C.Give the medicine with water only

• D.Give the drug on an empty stomach

  Quick answers:188

  Detailed answer:204

The doctor ordered cultures for cytomegalovirus (CMV). Which statement is true about collecting cultures for cytomegalovirus?

• A.Stool cultures are preferred for definitive diagnosis.
• B.Pregnant caregivers can receive cultures.
• C.Collection of one sample is sufficient.

• D.An accurate diagnosis depends on fresh samples.

  Quick answers:188

  Detailed answer:204

A pediatric patient with burns to his hands and arms has a dressing change with sulphamylon (mafenide acetate) cream. The nurse is aware that the drug:

• A.Causes dark spots on the surrounding skin
• B.Creates a cooling sensation when applied
• C.May alter thyroid function

• D.Produces a burning sensation when applied

  Quick answers:188

  Detailed answer:204

The doctor prescribed Dilantin (phenytoin) for a client with generalized seizures. When planning patient care, the caregiver should:

• A.Maintain a strict feed and output
• B.Check the pulse before administering the medication
• C.Administer the drug 30 minutes before meals

• D.Ensure oral hygiene and gum care in every shift

  Quick answers:188

  Detailed answer:204

A patient receiving chemotherapy for breast cancer is given Zofran (ondansetron) intravenously 30 minutes before the start of chemotherapy. The purpose of the drug is:

• A.prevent anemia
• B.promote relaxation
• C.prevent nausea

• D.Increase the neutrophil count

  Quick answers:188

  Detailed answer:204

The doctor prescribed cortisporin ear drops for a 2 year old. To administer the ear drops, the caregiver should:

• A.Pull the ear down and back
• B.Pull your ear straight out
• C.Pull the ear up and back

• D.Leave the ear undisturbed

  Quick answers:188

  Detailed answer:205

A client with schizophrenia took Thorazine (chlorpromazine) 200 mg four times a day. Which findings should be reported to the doctor immediately?

• A.The client complains of thirst.
• B.The client has gained 4 pounds in the last 2 months.
• C.The client complains of a sore throat.

• D.The client sleeps all day.

  Quick answers:188

  Detailed answer:205

A patient with iron deficiency anemia takes an oral iron supplement. The nurse should tell the patient to take the drug with:

• A.orange juice
• B.Only water
• C.Milch

• D.Apple juice

  Quick answers:188

  Detailed answer:205

  (Video) nclex questions and answers #nclex

A patient is admitted with burns to his right arm, chest and head. According to the Rule of Nine, the burn injury percentage is:

• A.18%
• B.27%
• C.36%

• D.45%

  Quick answers:188

  Detailed answer:205

A patient admitted with chest pain and shortness of breath has a standing order for oxygen via a mask. Standing orders for oxygen mean that the caregiver can administer oxygen when:

• A.2 Liter pro Minute
• B.6 Liter pro Minute
• C.10 Liter pro Minute

• D.12 Liter pro Minute

  Quick answers:188

  Detailed answer:205

The nurse takes care of a patient with an ileostomy. The caregiver should pay special attention to care around the stoma because:

• A.Digestive enzymes cause skin damage.
• B.The stool is less watery and contains more solids.
• C.The stoma is healing more slowly than expected.

• D.It is difficult to apply the device to the stoma site.

  Quick answers:188

  Detailed answer:205

The doctor has prescribed aspirin therapy for a patient with severe rheumatoid arthritis. A sign of acute aspirin toxicity is:

• A.Anorexia
• B.Diarrhea
• C.Tinnitus

• D.itching

  Quick answers:188

  Detailed answer:205

A patient presents to the emergency department with symptoms of delirium tremens. After admitting the client to a single room, the primary nursing intervention is:

• A.Get a history of his alcohol consumption
• B.Take seizure precautions
• C.Keep the room cool and dark

• D.Administer thiamine and zinc

  Quick answers:188

  Detailed answer:205

The nurse provides nutrition classes to a client with gout. What diet choices are appropriate for the client with gout?

• A.Fried liver, macaroni and cheese, spinach
• B.Stuffed crabs, steamed rice, peas
• C.Baked chicken, pasta salad, asparagus casserole

• D.Steak, baked potato, mixed salad

  Quick answers:188

  Detailed answer:205

A newborn was diagnosed with bladder exstrophy. The nurse should position the newborn:

• A.Subsceptible
• B.supine position
• C.On both sides

• D.With head held high

  Quick answers:188

  Detailed answer:205

Mother of 3 month old with esophageal reflux asks nurse what she can do to reduce baby's reflux. The nurse should tell the mother:

• A.Only feed the baby when it is hungry
• B.Burp the baby after feeding is complete
• C.Lay the baby on his back with his head elevated

• D.Burp the baby frequently while feeding

  Quick answers:188

  Detailed answer:205

A child is hospitalized with a femur fracture affecting the epiphysis. Epiphyseal fractures are serious because:

• A.Bone marrow is lost through the fracture site.
• B.Normal bone growth is impaired.
• C.The blood supply to the bone is extinguished.

• D.Callus formation prevents bone healing.

  Quick answers:188

  Detailed answer:206

Before administering nasogastric feeding to a patient hospitalized following CVA, the nurse aspirates 40 mL of residue. The nurse should:

• A.Replace the aspirate and give the food
• B.Discard the aspirate and withhold feeding
• C.Discard the aspirate and begin feeding

• D.Replace the aspirate and hold back feeding

  Quick answers:188

  Detailed answer:206

A customer has an order for Dilantin (phenytoin) 0.2g orally twice a day. The drug is available in 100 mg capsules. For morning medication, the caregiver should administer:

• A.1 Hairstyle
• B.2 capsules
• C.3 capsules

• D.4 capsules

  Quick answers:188

  Detailed answer:206

The LPN is reviewing an elderly client's lab results when she finds a specific gravity of 1.025. The Nurse acknowledges that:

• A.The client has impaired kidney function.
• B.The customer has a normal specific gravity.
• C.The client has mild to moderate dehydration.

• D.The client has diluted urine due to fluid overload.

  Quick answers:188

  Detailed answer:206

A client with acute pancreatitis requested pain medication. What analgesic is indicated for the client with acute pancreatitis?

• A.Demerol (Meperidin)
• B.Toradol (Ketorolac)
• C.Morphin (Morphinsulfat)

• D.codeine (codeine)

  Quick answers:188

  Detailed answer:206

A patient with hiatal hernia took magnesium hydroxide to relieve heartburn. Excessive use of magnesium-based antacids may cause the client to:

• A.constipation
• B.weight gain
• C.Anorexia

• D.Diarrhea

  Quick answers:188

  Detailed answer:206

During the newborn exam, the nurse measures the newborn's head and chest circumference. What finding is expected in the normal newborn?

• A.Head and chest circumference are the same.
• B.The head is 2 cm larger than the chest.
• C.The head is 3 cm smaller than the chest.

• D.The head is 4 cm larger than the chest.

  Quick answers:188

  Detailed answer:206

A client with a history of blood clots is given Lovenox (enoxaparin). What drug is given to counteract the effects of enoxaparin?

• A.Calciumgluconat
• B.Aquamephyton
• C.Methergine

• D.Protamine sulfate

  Quick answers:188

  Detailed answer:206

The nurse formulates a care plan for a client with a cognitive disorder. What activity is best for the client with confusion and a short attention span?

• A.Participation in a reality orientation group
• B.Participate in the purpose of unity community
• C.Go on a field trip with a group of clients

• D.Meeting with an assertiveness training group

  Quick answers:188

  Detailed answer:206

The mother of a child with hemophilia asks the nurse what over-the-counter medication is right for her child's joint problems. The nurse should tell the mother to buy:

• A.Advil (Ibuprofen)
• B.Tylenol (Acetaminophen)
• C.Aspirin (acetylsalicylic acid)

• D.Naproxen (Naprosyn)

  Quick answers:188

  Detailed answer:206

Which home remedy is suitable to relieve the itching associated with chickenpox?

• A.Dusting the lesions with baby powder
• B.Applying gauze saturated with hydrogen peroxide
• C.Use cool compresses with regular saline solution

• D.Applying a paste of baking soda and water

  Quick answers:188

  Detailed answer:206

The nurse takes care of a newborn baby with hypospadias. Which statement describes hypospadias?

• A.The urethra is located at the base of the penis rather than at the top.
• B.The ureters allow urine to flow back into the kidneys.
• C.The urethra is on the top of the penis, not the tip.

• D.The bladder is outside the abdominal cavity.

  Quick answers:188

  Detailed answer:207

The recommended time for daily administration of Tagamet (cimetidine) is:

• A.Before breakfast
• B.afternoon
• C.After dinner

• D.At bedtime

  Quick answers:188

  Detailed answer:207

Which statement best describes the difference between the pain of angina pectoris and the pain of myocardial infarction?

• A.Pain associated with angina pectoris is relieved by rest.
• B.Pain associated with myocardial infarction is always more severe.
• C.Pain associated with angina pectoris is limited to the chest area.

• D.Pain associated with myocardial infarction is transmitted to the left arm.

  Quick answers:188

  Detailed answer:207

The nurse develops a bowel retraining plan for a multiple sclerosis patient. Which measure is likely to be the least helpful for the customer:

• A.Limit fluid intake to 1000ml per day
• B.Providing a high-fiber diet
• C.Raising the toilet seat for easy access

• D.Establishing a regular schedule for going to the toilet

  Quick answers:188

  Detailed answer:207

The nurse provides nutrition classes to a patient with Meniere's disease. Which statement shows that the client understands the role of diet in triggering her symptoms?

• A."I can expect more problems with tinnitus if I eat a lot of dairy products."
• B."I have to limit foods that taste salty or are high in sodium."
• C."I can help control dizziness problems if I avoid bread and cereal."

• D."I need to eat less high-potassium foods like raisins and bananas."

  Quick answers:189

  Detailed answer:207

Nurse examines a multigravida at 36 weeks gestation for symptoms of pregnancy-induced hypertension and pre-eclampsia. The caregiver should prioritize the client's assessment of:

• A.facial swelling
• B.pulse deficits
• C.ankle edema

• D.Decreased reflexes

  Quick answers:189

  Detailed answer:207

A youth with borderline personality disorder is hospitalized with suicidal thoughts and self-mutilation. What goal is both therapeutic and realistic for this client?

• A.The client stays in her room when she feels overwhelmed by sadness.
• B.The client will request medication when experiencing loss of emotional control.
• C.Client slows group activities to pace when feeling anxious.

• D.The client will seek out a co-worker to verbalize feelings of anger and sadness.

  Quick answers:189

  Detailed answer:207

A customer with angina has an order for nitroglycerin ointment. Before using the drug, the caregiver should:

• A.Apply the ointment to the previous application
• B.Get both radial and apical pulses
• C.Remove the previously applied ointment

• D.Tell the client they will feel pain relief in 15 minutes

  Quick answers:189

  Detailed answer:207

The nurse attends to a patient who is unconscious after a fall. What comment from the caregiver helps the client reorient themselves as they regain consciousness?

• A."I am your nurse and I will take care of you today."
• B."Can you tell me your name and where you are?"
• C."I know you're confused right now, but everything will be fine."

• D.“You had an accident that hurt your head. You're in the hospital."

  Quick answers:189

  Detailed answer:207

After a generalized seizure, the caregiver can expect the patient to:

• A.Being unable to move the extremities
• B.Be sleepy and tend to sleep
• C.Recall events before the seizure

• D.Have a drop in blood pressure

  Quick answers:189

  Detailed answer:207

A patient with oxylate kidney stones should be taught to limit their intake of foods such as the following:

• A.strawberries
• B.oranges
• C.apples

• D.pears

  Quick answers:189

  Detailed answer:208

A 6-year-old boy is diagnosed with Legg-Calve-Perthes disease of the right femur. An important part of caring for the child is teaching the parents:

• A.To increase the amount of dietary protein
• B.About exercises to strengthen affected muscles
• C.About relaxation exercises to minimize joint pain

• D.To avoid strain on the affected leg

  Quick answers:189

  Detailed answer:208

The nurse examines an infant with Hirschsprung's disease. The nurse can expect the infant to:

• A.Weigh less than expected for height and age
• B.Rarely have a bowel movement
• C.Demonstrate finger and toe tapping

• D.Have hyperactive deep tendon reflexes

  Quick answers:189

  Detailed answer:208

The doctor has prescribed extra iron for a prenatal client. The nurse should tell the patient to take the drug with:

• A.Milk to prevent stomach upset
• B.Tomato juice to increase absorption
• C.Oatmeal to prevent constipation

• D.Water to increase serum iron levels

  Quick answers:189

  Detailed answer:208

The nurse educates a client with a history of obesity and high blood pressure regarding nutritional requirements during pregnancy. Which statement indicates that the client needs further instruction?

• A."I need to reduce my daily intake to 1,200 calories a day."
• B."I have to drink at least a liter of milk every day."
• C."I shouldn't add salt when cooking."

• D."I need to eat more protein and fiber every day."

  Quick answers:189

  Detailed answer:208

An elderly client is admitted to the psychiatric ward from the nursing home. Transfer information indicates that the client has become confused, disoriented and has behavioral problems. The client is also likely to show a loss of ability in:

• A.Network
• B.judgement
• C.persistence

• D.balance

  Quick answers:189

  Detailed answer:208

The doctor has ordered an external monitor for a working client. When the fetus is in the left occipital posterior (LOP) position, the caregiver knows the ultrasound probe is in:

• A.Near the symphysis
• B.Near the navel
• C.Across the fetal back

• D.Over the abdomen of the fetus

  Quick answers:189

  Detailed answer:208

A client develops tremors during alcohol withdrawal. What medications are routinely administered to lessen the physiological effects of alcohol withdrawal?

• A.Dolophin (Method)
• B.Klonopin (Clonazepam)
• C.Narcan (Naloxon)

• D.Antabuse (Disulfiram)

  Quick answers:189

  Detailed answer:208

A client with type II diabetes has a prescription for regular insulin 10 units SC each morning. The customer's breakfast should be served within:

• A.15 minutes
• B.20 minutes
• C.30 minutes

• D.45 minutes

  Quick answers:189

  Detailed answer:208

A 10 year old has a prescription for Demerol (meperidine) 35 mg IM for pain. The drug is available as Demerol 50 mg per ml. How much should the caregiver administer?

• A.0.5 ml
• B.0,6 ml
• C.0,7 ml

• D.0,8 ml

  Quick answers:189

  Detailed answer:208

Which antibiotic is contraindicated to treat infections in infants and young children?

• A.Tetracyn (Tetracyclin)
• B.Amoxil (Amoxicillin)
• C.Cefotan (Cefotetan)

• D.E-Mycin (Erythromycin)

  Quick answers:189

  Detailed answer:208

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