NCLEX Pn Practice Questions 7 (Exam Mode) By Rnpedia.Com
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- 1.
The physician has ordered aspirin therapy for a client with severe rheumatoid arthritis. A sign of acute aspirin toxicity is:
- A.
Anorexia
- B.
Diarrhea
- C.
Tinnitus
- D.
Pruritis
Correct Answer
C. TinnitusExplanation
Tinnitus is a sign of aspirin toxicity. Answers A, B, and D are not related to aspirin toxicity; therefore, they are incorrect.Rate this question:
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- 2.
A client is admitted to the emergency room with symptoms of delirium tremens. After admitting the client to a private room, the priority nursing intervention is to:
- A.
Obtain a history of his alcohol use
- B.
Provide seizure precautions
- C.
Keep the room cool and dark
- D.
Administer thiamine and zinc
Correct Answer
B. Provide seizure precautionsExplanation
The client with delirium tremens has an increased risk for seizures; therefore, the nurse should provide seizure precautions. Answer A is not a priority in the client’s care; therefore, it is incorrect. Answer C is incorrect because the client should be kept in a dimly lit, not dark, room. Answer D is incorrect because thiamine and multivitamins are given to prevent Wernicke’s encephalopathy, not delirium tremens.Rate this question:
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- 3.
The physician has ordered a low-potassium diet for a child with acute glomerulonephritis. Which snack is suitable for the child with potassium restrictions?
- A.
Raisins
- B.
Oranges
- C.
Apricots
- D.
Bananas
Correct Answer
C. ApricotsExplanation
Apricots are low in potassium; therefore, it is a suitable snack of the client on a potassium-restricted diet. Raisins, oranges, and bananas are all good sources of potassium; therefore, are incorrect.Rate this question:
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- 4.
The physician has ordered a blood test for H. pylori. The nurse should prepare the client by:
- A.
Withholding intake after midnight
- B.
Telling the client that no special preparation is needed
- C.
Explaining that a small dose of radioactive isotope will be used
- D.
Giving an oral suspension of glucose 1 hour before the test
Correct Answer
B. Telling the client that no special preparation is neededExplanation
No special preparation is needed for the blood test for H. pylori. Withholding intake after midnight is incorrect because the client is not NPO before the test. Explaining that a small dose of radioactive isotope will be used is incorrect because it refers to preparation for the breath test. Giving an oral suspension of glucose 1 hour before the test is incorrect because glucose is not administered before the test.Rate this question:
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- 5.
The nurse is preparing to give an oral potassium supplement. The nurse should:
- A.
Give the medication without diluting it
- B.
Give the medication with 4oz. of juice
- C.
Give the medication with water only
- D.
Give the medication on an empty stomach
Correct Answer
B. Give the medication with 4oz. of juiceExplanation
Oral potassium supplements should be given in at least 4oz. of juice or other liquid, to prevent gastric upset and to disguise the unpleasant taste. Other answer choices are incorrect because they cause gastric upset.Rate this question:
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- 6.
The physician has ordered cultures for cytomegalovirus (CMV). Which statement is true regarding collection of cultures for cytomegalovirus?
- A.
Stool cultures are preferred for definitive diagnosis.
- B.
Pregnant caregivers may obtain cultures
- C.
Collection of one specimen is sufficient.
- D.
Accurate diagnosis depends on fresh specimens.
Correct Answer
D. Accurate diagnosis depends on fresh specimens.Explanation
Fresh specimens are essential for accurate diagnosis of CMV.Urine, sputum, and oral swab are preferred. Pregnant caregivers should not be assigned to care for clients with suspected or known infection with CMV. A convalescent culture is obtained 2–4 weeks after diagnosis.Rate this question:
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- 7.
A pediatric client with burns to the hands and arms has dressing changes with Sulfamylon (mafenide acetate) cream. The nurse is aware that the medication:
- A.
Will cause dark staining of the surrounding skin
- B.
Produces a cooling sensation when applied
- C.
Can alter the function of the thyroid
- D.
Produces a burning sensation when applied
Correct Answer
D. Produces a burning sensation when appliedExplanation
The client should receive pain medication 30 minutes before the application of Sulfamylon. Staining of the surrounding skin refers to silver nitrate. Produces a cooling sensation when applied refers to Silvadene. Can alter the function of the thyroid it refers to Betadine.Rate this question:
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- 8.
The physician has ordered Dilantin (phenytoin) for a client with generalized seizures. When planning the client’s care, the nurse should:
- A.
Maintain strict intake and output
- B.
Check the pulse before giving the medication
- C.
Administer the medication 30 minutes before meals
- D.
Provide oral hygiene and gum care every shift
Correct Answer
D. Provide oral hygiene and gum care every shiftExplanation
Gingival hyperplasia is a side effect of Dilantin; therefore, the nurse should provide oral hygiene and gum care every shift. Other answer choices do not apply to the medication; therefore, they are incorrect.Rate this question:
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- 9.
A client receiving chemotherapy for breast cancer has an order for Zofran (ondansetron) 8mg PO to be given 30 minutes before induction of the chemotherapy. The purpose of the medication is to:
- A.
Prevent anemia
- B.
Promote relaxation
- C.
Prevent nausea
- D.
Increase neutrophil counts
Correct Answer
C. Prevent nauseaExplanation
Zofran is given before chemotherapy to prevent nausea. Other answer choices are not associated with the medication; therefore, they are incorrect.Rate this question:
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- 10.
The physician has ordered cortisporin ear drops for a 2-year-old. To administer the ear drops, the nurse should:
- A.
Pull the ear down and back
- B.
Pull the ear straight out
- C.
Pull the ear up and back
- D.
Leave the ear undisturbed
Correct Answer
A. Pull the ear down and backExplanation
When administering ear drops to a child under 3 years of age, the nurse should pull the ear down and back to straighten the ear canal. Pullig the ear straight out and leaving the ear undisturbed are incorrect positions for administering ear drops.Pulling the ear up and back is used for administering ear drops to an adult client.Rate this question:
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- 11.
A client with schizophrenia has been taking Thorazine (chlorpromazine) 200mg four times a day. Which finding should be reported to the doctor immediately?
- A.
The client complains of thirst
- B.
The client has gained 4 pounds in the past 2 months
- C.
The client complains of a sore throat
- D.
The client naps throughout the day
Correct Answer
C. The client complains of a sore throatExplanation
The nurse should carefully monitor the client taking Thorazine for signs of infection that can quickly become overwhelming. Other answer choices are incorrect because they are expected side effects of the medication.Rate this question:
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- 12.
A client with iron-deficiency anemia is taking an oral iron supplement. The nurse should tell the client to take the medication with:
- A.
Orange juice
- B.
Water only
- C.
Milk
- D.
Apple juice
Correct Answer
A. Orange juiceExplanation
Iron is better absorbed when taken with ascorbic acid. Orange juice is an excellent source of ascorbic acid. The medication should be taken with orange juice or tomato juice. Iron should not be taken with milk because it interferes with absorption. Apple juice does not contain high amounts of ascorbic acid.Rate this question:
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- 13.
A client is admitted with burns of the right arm, chest, and head. According to the Rule of Nines, the percent of burn injury is:
- A.
18%
- B.
27%
- C.
36%
- D.
45%
Correct Answer
B. 27%Explanation
Burn injury of the arm (9%), chest (9%), and head (9%) accounts for burns covering 27% of the total body surface area.Rate this question:
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- 14.
A client who was admitted with chest pain and shortness of breath has a standing order for oxygen via mask. Standing orders for oxygen mean that the nurse can apply oxygen at:
- A.
2L per minute
- B.
6L per minute
- C.
10L per minute
- D.
12L per minute
Correct Answer
B. 6L per minuteExplanation
With standing orders, the nurse can administer oxygen at 6L per minute via mask. 2L per minute is incorrect because the amount is too low to help the client with chest pain and shortness of breath. 10 L per minute and 12 L per minute have oxygen levels requiring a doctor’s order.Rate this question:
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- 15.
The nurse is caring for a client with an ileostomy. The nurse should pay careful attention to care around the stoma because:
- A.
Digestive enzymes cause skin breakdown.
- B.
Stools are less watery and contain more solid matter.
- C.
The stoma will heal more slowly than expected.
- D.
It is difficult to fit the appliance to the stoma site.
Correct Answer
A. Digestive enzymes cause skin breakdown.Explanation
Stool from the ileostomy contains digestive enzymes that can cause severe skin breakdown.Rate this question:
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- 16.
The nurse is providing dietary teaching for a client with gout. Which dietary selection is suitable for the client with gout?
- A.
Broiled liver, macaroni and cheese, spinach
- B.
Stuffed crab, steamed rice, peas
- C.
Baked chicken, pasta salad, asparagus casserole
- D.
Steak, baked potato, tossed salad
Correct Answer
D. Steak, baked potato, tossed saladExplanation
Steak, baked potato, and tossed salad are lower in purine than the other choices. Liver, crab, and chicken are high in purine.Rate this question:
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- 17.
A newborn has been diagnosed with exstrophy of the bladder. The nurse should position the newborn:
- A.
Prone
- B.
Supine
- C.
On either side
- D.
With the head elevated
Correct Answer
C. On either sideExplanation
Placing the newborn in a side-lying position helps the urine to drain from the exposed bladder. Prone is incorrect because it would position the child on the exposed bladder. Supine and head elevated are incorrect because they would allow the urine to pool.Rate this question:
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- 18.
The mother of a 3-month-old with esophageal reflux asks the nurse what she can do to lessen the baby’s reflux. The nurse should tell the mother to:
- A.
Feed the baby only when he is hungry
- B.
Burp the baby after the feeding is completed
- C.
Place the baby supine with head elevated
- D.
Burp the baby frequently throughout the feeding
Correct Answer
D. Burp the baby frequently throughout the feedingExplanation
Burping the baby frequently throughout the feeding will help prevent gastric distention that contributes to esophageal reflux. Feeding the baby only when he is hungry and burping the baby after the feeding is completed are incorrect because they allow air to collect in the baby’s stomach, which contributes to reflux. Placing the baby supine with head elevated is incorrect because the baby should be placed side-lying with the head elevated, to prevent aspiration.Rate this question:
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- 19.
A child is hospitalized with a fractured femur involving the epiphysis. Epiphyseal fractures are serious because:
- A.
Bone marrow is lost through the fracture site.
- B.
Normal bone growth is affected.
- C.
Blood supply to the bone is obliterated.
- D.
Callus formation prevents bone healing.
Correct Answer
B. Normal bone growth is affected.Explanation
Growth plates located in the epiphysis can be damaged by epiphyseal fractures. Other answer choices are untrue statements; therefore, they are incorrect.Rate this question:
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- 20.
Before administering a nasogastric feeding to a client hospitalized following a CVA, the nurse aspirates 40mL of residual. The nurse should:
- A.
Replace the aspirate and administer the feeding
- B.
Discard the aspirate and withhold the feeding
- C.
Discard the aspirate and begin the feeding
- D.
Replace the aspirate and withhold the feeding
Correct Answer
A. Replace the aspirate and administer the feedingExplanation
The nurse should replace the aspirate and administer the feeding because the amount aspirated was less than 50mL. The aspirate should not be discarded. The feeding should not be withheld.Rate this question:
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- 21.
A client has an order for Dilantin (phenytoin) .2g orally twice a day. The medication is available in 100mg capsules. For the morning medication, the nurse should administer:
- A.
1 capsule
- B.
2 capsules
- C.
3 capsules
- D.
4 capsules
Correct Answer
B. 2 capsulesExplanation
The nurse should administer two capsules. Other answer choices contain inaccurate amounts; therefore, they are incorrect.Rate this question:
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- 22.
A client with pancreatitis has requested pain medication. Which pain medication is indicated for the client with pancreatitis?
- A.
Demerol (meperidine)
- B.
Toradol (ketorolac)
- C.
Morphine (morphine sulfate)
- D.
Codeine (codeine)
Correct Answer
A. Demerol (meperidine)Explanation
To prevent spasms of the sphincter of Oddi, the client with pancreatitis should receive nonopiate analgesics for pain. The client with pancreatitis might be prone to bleed; therefore, Toradol is not a drug of choice for pain control. Morphine and codeine, opiate analgesics, are contraindicated for the client with pancreatitis.Rate this question:
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- 23.
The LPN is reviewing the lab results of an elderly client when she notes a specific gravity of 1.006. The nurse recognizes that:
- A.
The client has impaired renal function.
- B.
The client has a normal specific gravity.
- C.
The client has mild to moderate dehydration.
- D.
The client has diluted urine from fluid overload.
Correct Answer
B. The client has a normal specific gravity.Explanation
The normal specific gravity is 1.005-1.030.Rate this question:
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- 24.
A client with a hiatal hernia has been taking magnesium hydroxide for relief of heartburn. Overuse of magnesium-based antacids can cause the client to have:
- A.
Constipation
- B.
Weight gain
- C.
Anorexia
- D.
Diarrhea
Correct Answer
D. DiarrheaExplanation
Overuse of magnesium-containing antacids results in diarrhea. Antacids containing calcium and aluminum cause constipation. Weight gain and anorexia are not associated with the use of magnesium antacids; therefore, they are incorrect.Rate this question:
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- 25.
When performing a newborn assessment, the nurse measures the circumference of the neonate’s head and chest. Which assessment finding is expected in the normal newborn?
- A.
The head and chest circumference are the same.
- B.
The head is 2cm larger than the chest.
- C.
The head is 3cm smaller than the chest.
- D.
The head is 4cm larger than the chest.
Correct Answer
B. The head is 2cm larger than the chest.Explanation
The head circumference of the normal newborn is approximately 33cm, while the chest circumference is 31cm. The head and chest are not the same circumference. The head is larger in circumference than the chest. The difference in head circumference and chest circumference is too great.Rate this question:
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- 26.
The physician has ordered aspirin therapy for a client with severe rheumatoid arthritis. A sign of acute aspirin toxicity is:
- A.
Anorexia
- B.
Diarrhea
- C.
Tinnitus
- D.
Pruritis
Correct Answer
C. TinnitusExplanation
Tinnitus is a sign of aspirin toxicity. Other answer choices are not related to aspirin toxicity; therefore, they are incorrect.Rate this question:
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Current Version
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Mar 21, 2023Quiz Edited by
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Feb 14, 2011Quiz Created by
RNpedia.com
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