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A collection of practice questions and answers for the nclex pn exam, covering various nursing topics. Each question includes a detailed rationale explaining the correct answer, aiding in understanding the underlying concepts and improving exam preparation. Designed to help nursing students and professionals prepare for the nclex pn exam by providing a comprehensive review of essential nursing knowledge.
Typology: Exams
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The nurse is assessing a multigravida, 36 weeks gestation for symptoms of pregnancy-induced hypertension and preeclampsia. The nurse should give priority to assessing the client for: A. Ankle edema B.Diminished reflexes C. Facial swelling D.Pulse deficits - ANSWER✔✔Correct Answer: C. Facial swelling Option C: The nurse should pay close attention to swelling in the client with preeclampsia. Facial swelling indicates that the client's condition is worsening and blood pressure will be increased. An adolescent with borderline personality is hospitalized with suicidal ideation and self- mutilation. Which goal is both therapeutic and realistic for this client? A. The client will remain in her room when feeling overwhelmed by sadness. B. The client will seek out a staff member to verbalize feelings of anger and sadness. C. The client will leave group activities to pace when feeling anxious. D. The client will request medication when feeling loss of emotional control. - ANSWER✔✔Correct Answer: B. The client will seek out a staff member to verbalize feelings of anger and sadness. Option B: Verbalizing feelings of anger and sadness to a staff member is an appropriate therapeutic goal for the client with a risk of self-directed violence.
A client with angina has an order for nitroglycerin ointment. Before applying the medication, the nurse should: A. Remove the previously applied ointment B. Tell the client he will experience pain relief in 15 minutes C. Apply the ointment to the previous application D. Obtain both a radial and an apical pulse - ANSWER✔✔Correct Answer: A. Remove the previously applied ointment Option A: The nurse should remove any remaining ointment before applying the medication again. This will allow the newly applied ointment to release the nitroglycerin properly. The nurse is caring for a client who is unconscious following a fall. Which comment by the nurse will help the client become reoriented when he regains consciousness? A. "I am your nurse and I will be taking care of you today." B. "Can you tell me your name and where you are?" C. "I know you are confused right now, but everything will be alright." D. "You were in an accident that hurt your head. You are in the hospital." - ANSWER✔✔Correct Answer: D. "You were in an accident that hurt your head. You are in the hospital." Option D: Telling the client what happened and where he is helps with reorientation. Following a generalized seizure, the nurse can expect the client to: A. Be unable to move the extremities B. Be drowsy and prone to sleep C. Remember events before the seizure D. Have a drop in blood pressure - ANSWER✔✔Correct Answer: B. Be drowsy and prone to sleep
Option B: When a generalized seizure ends, the client is experiencing the postictal phase, which is the recovery period following the seizure. The client in this phase shows symptoms of drowsiness, confusion, and sleepiness. A client with oxalate renal calculi should be taught to avoid eating: A. Grapefruit B. Milk C. Rhubarb D. Oranges - ANSWER✔✔Correct Answer: C. Rhubarb Option C: The client with oxalate renal calculi should avoid sources of oxalate, which include rhubarb, spinach, rice bran, almonds, and miso soup. A 6-year-old is diagnosed with Legg-Calve Perthes disease. An important part of the child's care includes instructing the parents: A. To increase the amount of dietary protein B. To prevent weight bearing on the affected leg C. About relaxation exercises to minimize pain in the shoulder D. About exercises to strengthen affected muscles - ANSWER✔✔Correct Answer: B. To prevent weight bearing on the affected leg Option B: The child with Legg-Calve Perthes disease should be prevented from bearing weight on the affected extremity until revascularization has occurred. The nurse is assessing an infant with Hirschsprung's disease. The nurse can expect the infant to: A. Fixed plantar flexion (equinus) of the ankle B. Sonorous seal-bark cough C. Strawberry tongue
D. Abdominal distention - ANSWER✔✔Correct Answer: D. Abdominal distention Option D: Hirschsprung's disease (aganglionic megacolon) is a condition where certain nerve cells in the wall of the colon do not form properly, which results in the blockage of the intestine. Symptoms in infants will show an absence of bowel movement in the first 48 hours and abdominal distention. The physician has prescribed supplemental iron for a prenatal client. The nurse should tell the client to take the medication with: A. Tomato juice, to increase absorption B. Milk, to prevent stomach upset C. Oatmeal, to prevent constipation D. Water, to increase serum iron levels - ANSWER✔✔Correct Answer: A. Tomato juice, to increase absorption Option A: Iron supplements should be taken with a source of vitamin C to promote absorption. The nurse is teaching a client with a history of obesity and hypertension regarding dietary requirements during pregnancy. Which statement indicates that the client needs further teaching? A. "I need to drink at least a quart of milk a day." B. "I need to reduce my daily intake to 1,200 calories a day." C. "I shouldn't add salt when I am cooking." D. "I need to eat more protein and fiber each day." - ANSWER✔✔Correct Answer: B. "I need to reduce my daily intake to 1,200 calories a day." Option B: The client does not need to drastically reduce her caloric intake during pregnancy. Doing so would not provide adequate nourishment for the proper development of the fetus. Jeremiah, a clinical instructor, is discussing the list of controlled substances schedules. The following are considered to be under Schedule I controlled substances, except:
A. Cannabis B. Methaqualone C. Lysergic acid diethylamide (LSD) D. Oxycodone - ANSWER✔✔Option D: Oxycodone falls under Schedule II. The substances that belong to this category have a high potential for abuse which may result in severe physical or psychological dependence. Which statement best describes the difference between the pain of angina and the pain of myocardial infarction? A. Pain associated with myocardial infarction is referred to the left arm B. Pain associated with angina is confined to the chest area C. Pain associated with myocardial infarction can last for 5-7 minutes D. Pain associated with angina is relieved by nitroglycerin - ANSWER✔✔Option D: Pain associated with angina is relieved by nitroglycerin since the medication can relax the coronary arteries, decreasing the amount of blood that flows back to the heart thus easing the workload of the heart. The nurse is developing a bowel-retraining plan for a client with multiple sclerosis. Which measure is likely to be least helpful to the client: A. Elevating the toilet seat for easy access B. Limiting fluid intake to 1000 mL per day C. Establishing a regular schedule for toileting D. Providing a high-roughage diet - ANSWER✔✔Option B: Bowel retraining plan is a behavioral program that helps people with chronic constipation or bowel loss control such as in multiple sclerosis. The program includes increasing fluid intake to at least 6 to 8 glasses of water, fiber therapy, and kegel exercise. The nurse is providing dietary teaching for a client with Meniere's disease. Which statement indicates that the client understands the role of diet in triggering her symptoms?
A. "I can help control problems with vertigo if I avoid breads and cereals." B. "I need to eat fewer foods that are high in potassium, such as raisins and bananas." C. "I need to limit foods that taste salty or that contain a lot of sodium." D. "I can expect to see more problems with tinnitus if I eat a lot of dairy products." - ANSWER✔✔Option C: Since sodium attracts water retention, foods high in salt will make the symptoms worse. The recommended daily intake of sodium of a patient with Meniere's disease is 1500mg/day. An elderly client with dementia is admitted to the psychiatric unit from the nursing home. Transfer information indicates that the client has become confused and disoriented, with behavioral problems. The client will also likely show a loss of ability in: A. Balance B. Speech C. Judgment D. Endurance - ANSWER✔✔Correct Answer: C. Judgment Option C: Dementia affects a person's ability to make appropriate decisions or judgments since the part of the brain that is involved in processing information, remembering, and understanding is affected. The physician has ordered an external monitor for a laboring client. If the fetus is in the left occipital posterior (LOP) position, the nurse knows that the ultrasound transducer will be located: A. Over the fetal back B. Over the fetal abdomen C. Near the symphysis pubis D. Near the umbilicus - ANSWER✔✔Correct Answer: A. Over the fetal back
Option A: In the left occipito posterior position, the heart sounds will be heard loudest through the fetal back. A 4-year old child is brought by her grandmother in the emergency room due to fever, chills, and difficulty walking. The nurse tries to remove the excessive clothing of the child but is reluctant. After a thorough assessment, the nurse also noted bruises around the genital area. Which of the following interventions should the nurse do first? A. Collect the clothing and underwear of the child B. Provide privacy and disregard the behavior of the child C. Inform the law enforcement for a possible child abuse D. Record all the findings - ANSWER✔✔Inform the law enforcement for a possible child abuse A client receiving hydrochlorothiazide is instructed to increase her dietary intake of potassium. The best snack for the client requiring increased potassium is: A. Pear B. Apple C. Orange D. Avocado - ANSWER✔✔Avocado The nurse is caring for a client following the removal of the thyroid. Immediately post-op, the nurse should: A. Maintain the client in a semi-Fowler's position with the head and neck supported by pillows B. Encourage the client to turn her head side to side, to promote drainage of oral secretions C. Maintain the client in a supine position with sandbags placed on either side of the head and neck D. Encourage the client to cough and breathe deeply every 2 hours, with the neck in a flexed position - ANSWER✔✔Maintain the client in a semi-Fowler's position with the head and neck supported by pillows.
A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is associated with an increased incidence of gastric cancer? A. Dairy products B. Carbonated beverages C. Refined sugars D. Luncheon meats - ANSWER✔✔Luncheon meats A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client's record, the nurse would expect to find: A. A history of consistent employment B. A below-average intelligence C. A history of cruelty to animals D. An expression of remorse for his actions - ANSWER✔✔A history of cruelty to animal The licensed vocational nurse may not assume the primary care for a client: A. In the fourth stage of labor B. Two days post-appendectomy C. With a venous access device D. With bipolar disorder - ANSWER✔✔With a venous access device. The physician has ordered dressings with Sulfamylon cream for a client with full-thickness burns of the hands and arms. Before dressing changes, the nurse should give priority to: A. Administering pain medication
B. Checking the adequacy of urinary output C. Requesting a daily complete blood count D. Obtaining a blood glucose by finger stick - ANSWER✔✔Administering pain medication Option A: Sulfamylon produces a painful sensation when applied to the burn wound; therefore, the client should receive pain medication before dressing changes. Options B, C, and D: These do not pertain to dressing changes for the client with burns, so they are incorrect. The nurse is teaching a group of parents about gross motor development of the toddler. Which behavior is an example of the normal gross motor skill of a toddler? A. She can pull a toy behind her B. She can copy a horizontal line C. She can build a tower of eight blocks D. She can broad-jump - ANSWER✔✔Correct Answer: A. She can pull a toy behind her Option A: The Denver Developmental Screening Test (DDST) is a tool used to screen for the development of gross motor, language, fine-motor, and personal- social in infants and preschool children. According to the test, the child can pull a toy behind her by the age of 2 years. A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment should be kept on the client with a fractured mandible? A. Wire cutters B. Oral airway C. Pliers D. Tracheostomy set - ANSWER✔✔Correct Answer: A. Wire cutters Option A: The client with a fractured mandible should keep a pair of wire cutters with him at all times to release the device in case of choking or aspiration. Option B: The wires would prevent the insertion of an oral airway.
Option C: Pliers would be of no use in releasing the wires. Option D: Tracheostomy set would be used only as a last resort in case of airway obstruction. The nurse is to administer digoxin elixir to a 6-month-old with a congenital heart defect. The nurse auscultates an apical pulse rate of 100 beats per minute. The nurse should: A. Record the heart rate and call the physician B. Record the heart rate and administer the medication C. Administer the medication and recheck the heart rate in 15 minutes D. Hold the medication and recheck the heart rate in 30 minutes - ANSWER✔✔Correct Answer: B. Record the heart rate and administer the medication Option B: The infant's apical heart rate is within the accepted range for administering the medication. Options A, C, and D: The apical heart rate is suitable for giving the medication. A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain the treatment for her daughter. The nurse's explanation is based on the knowledge that lead poisoning is treated with: A. Gastric lavage B. Chelating agents C. Antiemetics D. Activated charcoal - ANSWER✔✔Correct Answer: B. Chelating agents Option B: Chelating agents are used to treat the client with poisonings from heavy metals such as lead and iron. Options A and D: Gastric lavage and activated charcoal are used to remove noncorrosive poisons. Option C: Antiemetics prevents vomiting only and would not treat lead poisoning.
An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for the child with a cleft palate repair are: A. Elbow restraints B. Full arm restraints C. Wrist restraints D. Mummy restraints - ANSWER✔✔Correct Answer: A. Elbow restraints Option A: The least restrictive restraint for the infant with cleft lip and cleft palate repair is elbow restraints. Options B, C, and D: These restraints are more restrictive and unnecessary. A client with glaucoma has been prescribed Timoptic (timolol) eye drops. Timolol should be used with caution in the client with a history of: A. Benign Prostatic Hyperplasia B. Gastric Ulcers C. Diabetes Mellitus D. Pancreatitis - ANSWER✔✔Correct Answer: C. Diabetes Mellitus Option C: Beta-blockers such as timolol (Timoptic) may mimic the signs and symptoms of hypoglycemia and therefore are used in caution with patients with diabetes mellitus. Options A, B, and D: Timoptic is not contraindicated for use in clients with benign prostatic hyperplasia, gastric ulcers, or pancreatitis. An elderly client who experiences nighttime confusion wanders from his room into the room of another client. The nurse can best help decrease the client's confusion by: A. Assigning a nursing assistant to sit with him until he falls asleep B. Allowing the client to room with another elderly client C. Administering a bedtime sedative
D. Leaving a nightlight on during the evening and night shifts - ANSWER✔✔Correct Answer: D. Leaving a nightlight on during the evening and night shifts Option D: Leaving a nightlight on during the evening and night shifts help the client remain oriented to the environment and fosters independence. Options A and B: Assigning a nursing assistant to sit with him and allowing the client to room with another client will not decrease the client's confusion. Which of the following is a common complaint of the client with end-stage renal failure? A. Weight loss B. Itching C. Ringing in the ears D. Bruising - ANSWER✔✔Correct Answer: B. Itching Option B: Pruritus or itching is caused by the presence of uric acid crystals on the skin, which is common in the client with end-stage renal failure. Options A, C, and D: Weight loss, ringing in the ear, and bruising are not associated with end- stage renal failure. Which of the following medication orders needs further clarification? A. Darvocet 65 mg PO q 4-6 hrs. PRN B. Nembutal 100 mg PO at bedtime C. Coumadin 10mg PO D. Estrace 2 mg PO q day - ANSWER✔✔Correct Answer: C. Coumadin 10mg PO Option C: There is no specified time or frequency for the ordered medication. Options A, B, and D: These medications are completely and correctly written. Angela has been experiencing tinnitus, vertigo and ear stuffiness caused by Meniere's disease. The following food items she is discouraged to eat, except:
A. Green tea B. Unsalted pretzels C. Grapefruit D. Smoked fish - ANSWER✔✔Correct Answer: B. Unsalted pretzels Option B: Meniere's disease causes fluid build up in the inner ear, a diet rich in sodium can make the symptoms worse since the salt attracts water retention which can increase inner ear fluid pressure, therefore food such as unsalted pretzel which is low in sodium is allowed. Which of the following findings is associated with right-sided heart failure? A. Shortness of breath B. Nocturnal polyuria C. Daytime oliguria D. Crackles in the lungs - ANSWER✔✔Correct Answer: B. Nocturnal polyuria Option B: A decreased renal perfusion during the day leads to excessive fluid retention. As the patient lies down to sleep, renal perfusion improves, and the kidney starts working by excreting the retained fluid, thus experiencing nocturnal polyuria. Options A and D: Shortness of breath and crackles in the lungs are symptoms of left-sided heart failure. Option C: Daytime oliguria does not relate to the client's diagnosis. n 8-year-old admitted with an upper-respiratory infection has an order for O2 saturation via pulse oximeter. To ensure an accurate reading, the nurse should: A. Place the probe on the child's abdomen B. Calibrate the oximeter at the beginning of each shift C. Apply the probe and wait 15 minutes before obtaining a reading
D. Place the probe on the child's finger - ANSWER✔✔Correct Answer: D. Place the probe on the child's finger Option D: The pulse oximeter should be placed on the child's finger or earlobe because blood flow to these areas is most accessible for measuring oxygen concentration. Option A: The probe cannot be secured to the abdomen. Option B: Pulse oximeter should be recalibrated before application. Option C: Reading from a pulse oximeter is obtained within seconds, not minutes. An infant with Tetralogy of Fallot is discharged with a prescription of lanoxin elixir 0.5 mL once a day PO. The nurse should instruct the mother to: A. Administer the medication using a nipple B. Administer the medication using the calibrated dropper in the bottle C. Administer the medication using a plastic baby spoon D. Administer the medication in a baby bottle with 1oz. of water - ANSWER✔✔Correct Answer: B. Administer the medication using the calibrated dropper in the bottle Option B: Lanoxin elixir should be administered using the calibrated dropper to provide accurate administration of medication. For doses less than 0.2 mL, use another calibrated measuring device. Options A and C: Using less precise measuring tools such as nipple and plastic baby spoon may provide an inaccurate dosage of medication. Option D: Part or all of the medication will not be administered if the child does not finish the bottle. The client scheduled for electroconvulsive therapy tells the nurse, "I'm so afraid. What will happen to me during the treatment?" Which of the following statements is most therapeutic for the nurse to make? A. "You will be given medicine to relax you during the treatment." B. "The treatment will produce a controlled grand mal seizure."
C. "The treatment might produce nausea and headache." D. "You can expect to be sleepy and confused for a time after the treatment." - ANSWER✔✔Correct Answer: A. "You will be given medicine to relax you during the treatment." Option A: Electroconvulsive therapy (ECT) is a medical procedure that is used as a treatment for mental illnesses such as depression and other mood disorders. Before the procedure, the client will receive medication that relaxes skeletal muscles and produces mild sedation. Options B and D: These statements may increase the client's anxiety level. Option C: Nausea and headache are not associated with ECT. Which of the following skin lesions is associated with Lyme's disease? A. Bull's eye rash B. Spider veins C. Bullae D. Scaly, silvery skin patches - ANSWER✔✔Correct Answer: A. Bull's eye rash Option A: Lyme's disease produces a characteristic annular or circular rash sometimes described as a "bull's eye" rash. Option B: Telangiectasia (spider veins) are dilated blood vessels that appear near the skin surface and are often associated with lupus, scleroderma, and dermatomyositis. Option C: Bullae are clear fluid-filled blisters that are associated with burns, drug reactions, allergic contact dermatitis, or bites. Option D: Scaly, silvery, sharply defined skin patches are associated with psoriasis. Which of the following snacks would be suitable for the child with gluten-induced enteropathy? A. Ice cold ale B. Pumpkin loaf cake C. Buckwheat kasha D. Oatmeal cookies
E. Linguine with lemon and tomatoes - ANSWER✔✔Correct Answer: C. Buckwheat kasha Option C: Gluten-induced enteropathy also known as celiac disease is a digestive disorder caused by an intolerance to gluten, a protein found in wheat, oats, barley, or rye. Buckwheat is a grain-like seed and is gluten-free. Options A, B, D, and E: These foods are rich in gluten that can worsen the client's condition. A client with schizophrenia is receiving Thorazine (chlorpromazine) 400mg twice a day. An adverse side effect of the medication is: A. Photosensitivity B. High fever C. Weight gain D. Elevated blood pressure - ANSWER✔✔Correct Answer: B. High fever Option B: The client is experiencing neuroleptic malignant syndrome, which is a life-threatening adverse reaction of neuroleptics such as chlorpromazine that is characterized by extreme elevations in temperature. Options A and C: Photosensitivity and weight gain are expected side effects. Option D: Elevations in blood pressure are associated with reactions between foods containing tyramine and MAOI. Which information should be given to the client taking Dilantin (phenytoin)? A. Taking the medication with meals will increase its effectiveness B. The medication decreases the effects of oral contraceptives C. The medication can cause sleep disturbances D. More frequent dental appointments will be needed for special gum care - ANSWER✔✔Correct Answer: D. More frequent dental appointments will be needed for special gum care. Option D: Gingival hyperplasia is a side effect of phenytoin. The client will need more frequent dental visits.
Options A, B, and C: These do not apply to the medication. A client with a history of emboli is receiving Lovenox (enoxaparin). Which drug is given to counteract the effects of enoxaparin? A. Methergine B. Protamine sulfate C. Calcium gluconate D. Aquamephyton - ANSWER✔✔Correct Answer: B. Protamine sulfate The nurse is formulating a plan of care for a client with a cognitive disorder. Which activity is most appropriate for the client with confusion and a short attention span? A. Meeting with an assertiveness training group B. Participating in unit community goal setting C. Going on a field trip with a group of clients D. Taking part in a reality-orientation group - ANSWER✔✔Correct Answer: D. Taking part in a reality-orientation group The mother of a child with hemophilia asks the nurse which over-the-counter medication is suitable for her child's joint discomfort. The nurse should tell the mother to purchase: A. Aspirin (acetylsalicylic acid) B. Naproxen (Naprosyn) C. Tylenol (acetaminophen) D. Advil (ibuprofen) - ANSWER✔✔Co Option C: The nurse should recommend acetaminophen for the child's joint discomfort because it will have no effect on the bleeding time.
Which home remedy is suitable to relieve the itching associated with varicella? A. Applying a paste of baking soda and water B. Dusting the lesions with baby powder C. Using cool compresses of normal saline D. Applying gauze saturated in hydrogen peroxide - ANSWER✔✔Option A: Applying a paste of baking soda and water soothes the itching and helps to dry the vesicles. A newborn male has been diagnosed with hypospadias with chordee. The nurse understands that the infant will have altered patterns of urination because: A. The bladder lies outside the abdominal cavity B. The ureters will reflux urine into the kidneys C. The urinary meatus is on the top of the penis D. The urinary meatus is on the dorsum of the penis - ANSWER✔✔Option D: The infant with hypospadias has altered patterns of urinary elimination caused by the location of the urinary meatus on the dorsum, or underside, of the penis. A client develops tremors while withdrawing from alcohol. Which medication is routinely administered to lessen physiological effects of alcohol withdrawal? A. Dolophine (methadone) B. Ativan (lorazepam) C. Narcan (Naloxone) D. Antabuse (disulfiram) - ANSWER✔✔Correct Answer: B. Ativan (lorazepam) Option B: Benzodiazepines such as clonazepam and lorazepam are given to the client withdrawing from alcohol.
A client with Type II diabetes has an order for regular insulin 10 units SC each morning. The client's breakfast should be served within: A. 15 minutes B. 20 minutes C. 30 minutes D. 45 minutes - ANSWER✔✔Correct Answer: C. 30 minutes Option C: The client's breakfast should be served within 30 minutes to coincide with the onset of the client's regular insulin. A nurse is caring for a 5th month old boy who suffered physical injuries from fall. Which of the following is the most appropriate pain assessment that the nurse will use? A. Numerical pain scale B. Mcgill pain scale C. CRIES scale D. Mankoski pain scale - ANSWER✔✔Correct Answer: C. CRIES scale Option C: CRIES scale is a commonly used pain scale appropriate for clients ages 6 months and below. It assesses crying, oxygenation, vital signs, facial expression, and sleeplessness of an infant. Which antibiotic is contraindicated for the treatment of infections in infants and young children? A. E-Mycin (erythromycin) B. Amoxil (amoxicillin) C. Cefotan (cefotetan) D. Tetracyn (tetracycline) - ANSWER✔✔er: D. Tetracyn (tetracycline)
Option D: Tetracycline is contraindicated for use in infants and young children because it stains the teeth and arrests bone development. The nurse is caring for a client with systemic lupus erythematosus (SLE). The major complication associated with systemic lupus erythematosus is: A. Meningitis B. Nephritis C. Cardiomegaly D. Desquamation - ANSWER✔✔Correct Answer: B. Nephritis Option B: Systemic lupus erythematosus is a form of lupus and an autoimmune disease in which the antibodies attack the body's own cells and tissue causing inflammation and damage to organs such as the kidneys resulting in complications such as nephritis. Which diet is associated with an increased risk of colorectal cancer? A. High protein, simple carbohydrates B. High fat, refined carbohydrates C. Low carbohydrates, complex proteins D. Low protein, complex carbohydrates - ANSWER✔✔Correct Answer: B. High fat, refined carbohydrates The nurse is caring for an infant following a cleft lip repair. While comforting the infant, the nurse should avoid: A. Offering sterile water B. Holding the infant C. Offering a pacifier D. Providing a mobile - ANSWER✔✔Correct Answer: C. Offering a pacifier
The physician has ordered Amoxil (amoxicillin) 500 mg capsules for a client with esophageal varices. The nurse can best care for the client's needs by: A. Giving the medication as ordered B. Providing extra water with the medication C. Requesting an alternate form of the medication D. Giving the medication with an antacid - ANSWER✔✔Correct Answer: C. Requesting an alternate form of the medication The nurse is providing dietary instructions for a client with hemochromatosis. Which food items should the client consume, except? A. Grains B. Coffee C. Lamb D. Legumes - ANSWER✔✔Correct Answer: C. Lamb The nurse is teaching a client with Parkinson's disease ways to prevent curvatures of the spine associated with the disease. The nurse should tell the client to: A. Sleep on either side but keep his back straight B. Periodically lie prone without a neck pillow C. Sleep only in dorsal recumbent position D. Rest in supine position with his head elevated - ANSWER✔✔Correct Answer: B. Periodically lie prone without a neck pillow The nurse is planning dietary changes for a client following an episode of pancreatitis. Which diet is suitable for the client?
A. Low calorie, low carbohydrate B. High fiber, low fat C. High protein, high fat D. Low protein, high carbohydrate - ANSWER✔✔Correct Answer: B. High fiber, low fat A client with hypothyroidism frequently complains of feeling cold. The nurse should tell the client that she will be more comfortable if she: A. Uses an electric blanket at night B. Dresses in extra layers of clothing C. Applies a heating pad to her feet D. Takes a hot bath morning and evening - ANSWER✔✔Correct Answer: B. Dresses in extra layers of clothing A client has been hospitalized with a diagnosis of laryngeal cancer. Which factor is most significant in the development of laryngeal cancer? A. A family history of laryngeal cancer B. Chronic inhalation of noxious fumes C. Frequent straining of the vocal cords D. A history of alcohol and tobacco use - ANSWER✔✔Correct Answer: D. A history of alcohol and tobacco use The nurse is completing an assessment history of a client with pernicious anemia. Which complaint differentiates pernicious anemia from other types of anemia? A. Difficulty in breathing after exertion B. Numbness and tingling in the extremities C. A faster-than-usual heart rate
D. Feelings of lightheadedness - ANSWER✔✔Correct Answer: B. Numbness and tingling in the extremities The chart of a client with schizophrenia states that the client has perseveration. The nurse can expect the client to: A. Speak using words that rhyme B. Say the same thing over and over C. Include irrelevant details in conversation D. Make up new words with new meanings - ANSWER✔✔Correct Answer: B. Say the same thing over and over Which early morning activity helps to reduce the symptoms associated with rheumatoid arthritis? A. Cold shower B. Plyometrics C. Using wide-gripped utensils during breakfast D. Running in the park - ANSWER✔✔Correct Answer: C. Using wide-gripped utensils during breakfast A newborn weighed 7 pounds at birth. At 6 months of age, the infant could be expected to weigh: A. 14 pounds B. 18 pounds C. 25 pounds D. 30 pounds - ANSWER✔✔Correct Answer: A. 14 pounds
A client with nontropical sprue has an exacerbation of symptoms. Which meal selection is responsible for the recurrence of the client's symptoms? A. Mixed fruit and yogurt B. Cream of tomato soup and crackers C. Baked potato with sour cream and chives D. Tossed salad with oil and vinegar dressing - ANSWER✔✔Correct Answer: B. Cream of tomato soup and crackers A client with congestive heart failure has been receiving Digoxin (lanoxin). Which finding indicates that the medication is having a desired effect? A. Increased urinary output B. Stabilized weight C. Improved appetite D. Increased pedal edema - ANSWER✔✔Correct Answer: A. Increased urinary output Which play activity is best suited to the gross motor skills of the toddler? A. Ball B. Coloring book and crayons C. Building cubes D. Swing set - ANSWER✔✔Correct Answer: A. Ball The physician has ordered Basaljel (aluminum carbonate gel) for a client with recurrent indigestion. The nurse should teach the client common side effects of the medication, which include: A. Constipation
B. Diarrhea C. Urinary retention D. Confusion - ANSWER✔✔Correct Answer: A. Constipation A client is admitted with suspected abdominal aortic aneurysm (AAA). A common complaint of the client with an abdominal aortic aneurysm is: A. Loss of sensation in the lower extremities B. Back pain that lessens when standing C. Decreased urinary output D. Pulsations in the periumbilical area - ANSWER✔✔Correct Answer: D. Pulsations in the periumbilical area A client is admitted with acute adrenal crisis. During the intake assessment, the nurse can expect to find that the client has: A. Low blood pressure B. Slow, regular pulse C. Warm, flushed skin D. Increased urination - ANSWER✔✔Correct Answer: A. Low blood pressure An elderly client is hospitalized for transurethral resection of the prostate (TURP). Which finding postoperatively should be reported to the doctor immediately? A. Hourly urinary output of 40-50 cc B. Bright red urine output with many clots C. Dark red urine output with few clots D. Requests for pain med q 4 hrs. - ANSWER✔✔Correct Answer: B. Bright red urine with many clots