Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test-Bank (200, Exams of Nursing

Download Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test-Bank (200 and more Exams Nursing in PDF only on Docsity! Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+  The nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. The nurse should be particularly alert for: A. Nasal congestion B. Abdominal tenderness C. Muscle tetany D. Oliguria Answer A: Removal of the pituitary gland is usually done by a transsphenoidal approach, through the nose. Nasal congestion further interferes with the airway. Answers B, C, and D are not correct because they are not directly associated with the pituitary gland.  A client with cancer is admitted to the oncology unit. Stat lab values reveal Hgb 12.6, WBC 6500, K+ 1.9, uric acid 7.0, Na+ 136, and platelets 178,000. The nurse evaluates that the client is experiencing which of the following? Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ A. Hypernatremi a B. Hypokalemia C. Myelosuppression D. Leukocytosis Answer B: Hypokalemia is evident from the lab values listed. The other laboratory findings are within normal limits, making answers A, C, and D incorrect.  A 24-year-old female client is scheduled for surgery in the morning. Which of the following is the primary responsibility of the nurse? A. Taking the vital signs B. Obtaining the permit C. Explaining the procedure D. Checking the lab work Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+  The nurse is making initial rounds on a client with a C5 fracture and crutchfield tongs. Which equipment should be kept at the bedside? A. A pair of forceps B. A torque wrench C. A pair of wire cutters D. A screwdriver Answer B: A torque wrench is kept at the bedside to tighten and loosen the screws of crutchfield tongs. This wrench controls the amount of pressure that is placed on the screws. A pair of forceps, wire cutters, and a screwdriver, in answers A, C, and D, would not be used and, thus, are incorrect.  An infant weighs 7 pounds at birth. The expected weight by 1 year should be: A. 10 pounds B. 12 pounds C. 18 Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ pounds D. 21 pounds Answer D: A birth weight of 7 pounds would indicate 21 pounds in 1 year, or triple his birth weight. Answers A, B, and C therefore are incorrect.  A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due to this tumor’s location? A. Hemiplegia B. Aphasia C. Nausea D. Bone pain Answer D: Sarcoma is a type of bone cancer; therefore, bone pain would be expected. Answers A, B, and C are not specific to this type of cancer and are incorrect. Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+  The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this drug? A. Uric acid of 5mg/dL B. Hematocrit of 33% C. WBC 2,000 per cubic millimeter D. Platelets 150,000 per cubic millimeter Answer C: Tegretol can suppress the bone marrow and decrease the white blood cell count; thus, a lab value of WBC 2,000 per cubic millimeter indicates side effects of the drug. Answers A and D are within normal limits, and answer B is a lower limit of normal; therefore, answers A, B, and D are incorrect.  A 6-month-old client is admitted with possible intussuception. Which question during the nursing history is least helpful in obtaining information regarding this diagnosis? A. “Tell me about his pain.” Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+  The nurse is performing discharge teaching on a client with diverticulitis who has been placed on a low-roughage diet. Which food would have to be eliminated from this client’s diet? A. Roasted chicken B. Noodles C. Cooked broccoli D. Custard Answer C: The client with diverticulitis should avoid eating foods that are gas forming and that increase abdominal discomfort, such as cooked broccoli. Foods such as those listed in answers A, B, and D are allowed.  The nurse is caring for a new mother. The mother asks why her baby has lost weight since he was born. The best explanation of the weight loss is: A. The baby is dehydrated due to polyuria. Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ D. The baby can lose up to 10% of weight due to meconium stool, loss of Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ B. The baby is hypoglycemic due to lack of glucose. C. The baby is allergic to the formula the mother is giving him. extracellular fluid, and initiation of breast-feeding. Answer D: After birth, meconium stool, loss of extracellular fluid, and initiation of breastfeeding cause the infant to lose body mass. There is no evidence to indicate dehydration, hypoglycemia, or allergy to the infant formula; thus, answers A, B, and C are incorrect.  The nurse is caring for a client with laryngeal cancer. Which finding ascertained in the health history would not be common for this diagnosis? A. Foul breath B. Dysphagi a C. Diarrhea D. Chronic hiccups Answer C: Diarrhea is not common in clients with mouth and throat cancer. All Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ the findings in answers A, B, and D are expected findings.  A removal of the left lower lobe of the lung is performed on a client with lung cancer. Which post-operative measure would usually be included in the plan? A. Closed chest drainage B. A tracheostomy C. A mediastinal tube D. Percussion vibration and drainage Answer A: The client with a lung resection will have chest tubes and a drainage- collection device. He probably will not have a tracheostomy or mediastinal tube, and he will not have an order for percussion, vibration, or drainage. Therefore, answers B, C, and D are incorrect. Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+  A client in the cardiac step-down unit requires suctioning for excess mucous secretions. The nurse should be most careful to monitor the client for which dysrhythmia during this procedure? A. Bradycardia B. Tachycardia C. Premature ventricular beats D. Heart block Answer A: Suctioning can cause a vagal response and bradycardia. Answer B is unlikely and, therefore, not most important, although it can occur. Answers C and D can occur as well, but they are less likely.  The nurse is caring for a client scheduled for a surgical repair of a sacular abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period? A. Assessment of the client’s level of anxiety B. Evaluation of the client’s exercise Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ tolerance C. Identification of peripheral pulses D. Assessment of bowel sounds and activity Answer C: The assessment that is most crucial to the client is the identification of peripheral pulses because the aorta is clamped during surgery. This decreases blood circulation to the kidneys and lower extremities. The nurse must also assess for the return of circulation to the lower extremities. Answer A is of lesser concern, answer B is not advised at this time, and answer D is of lesser concern than answer A.  A client with suspected renal disease is to undergo a renal biopsy. The nurse plans to include which statement in the teaching session? A. “You will be sitting for the examination procedure.” B. “Portions of the procedure will cause pain or discomfort.” C. “You will be given some medication to anesthetize the area.” Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ D. “You will not be able to drink fluids for 24 hours before the study.” Answer B: Portions of the exam are painful, especially when the sample is being withdrawn, so this should be included in the session with the client. Answer A is incorrect because the client will be positioned prone, not in a sitting position, for the exam. Anesthesia is not commonly given before this test, making answer C incorrect. Answer D is incorrect because the client can eat and drink following the test.  The nurse is performing an assessment on a client with possible pernicious anemia. Which data would support this diagnosis? A. A weight loss of 10 pounds in 2 weeks B. Complaints of numbness and tingling in the extremities C. A red, beefy tongue D. A hemoglobin level of 12.0gm/dL Answer C: A red, beefy tongue is characteristic of the client with pernicious anemia. Answer A, a weight loss of 10 pounds in 2 weeks, is abnormal but is not Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ the primary tumor is Tis. The nurse should plan care for a tumor: A. That cannot be assessed B.That is in situ C. With increasing lymph node involvement D. With distant metastasis Answer B: Cancer in situ means that the cancer is still localized to the primary site. Cancer is graded in terms of tumor, grade, node involvement, and mestatasis. Answer A is incorrect because it is an untrue statement. Answer C is incorrect because T indicates tumor, not node involvement. Answer D is incorrect because a tumor that is in situ is not metastasized. Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+  A client is 2 days post-operative colon resection. After a coughing episode, the client’s wound eviscerates. Which nursing action is most appropriate? A. Reinsert the protruding organ and cover with 4×4s B. Cover the wound with a sterile 4×4 and ABD dressing C. Cover the wound with a sterile saline-soaked dressing D. Apply an abdominal binder and manual pressure to the wound Answer C: If the client eviscerates, the abdominal content should be covered with a sterile saline-soaked dressing. Reinserting the content should not be the action and will require that the client return to surgery; thus, answer A is incorrect. Answers B and D are incorrect because they are not appropriate to this case.  The nurse is preparing a client for surgery. Which item is most important to remove before sending the client to surgery? A. Hearing aid Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ B. Contact lenses C. Wedding ring D. Artificial eye Answer B: It is most important to remove the contact lenses because leaving them in can lead to corneal drying, particularly with contact lenses that are not extended-wear lenses. Leaving in the hearing aid or artificial eye will not harm the client. Leaving the wedding ring on is also allowed; usually, the ring is covered with tape. Therefore, answers A, C, and D are incorrect.  The nurse on the 3–11 shift is assessing the chart of a client with an abdominal aneurysm scheduled for surgery in the morning and finds that the consent form has been signed, but the client is unclear about the surgery and possible complications. Which is the most appropriate action? A. Call the surgeon and ask him or her to see the client to clarify the information B. Explain the procedure and complications to the client Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+  The nurse is obtaining a history of an 80-year-old client. Which statement made by the client might indicate a possible fluid and electrolyte imbalance? A. “My skin is always so dry.” B. “I often use a laxative for constipation.” C. “I have always liked to drink a lot of ice tea.” D. “I sometimes have a problem with dribbling urine.” Answer B: Frequent use of laxatives can lead to diarrhea and electrolyte loss. Answers A, C, and D are not of particular significance in this case and, therefore, are incorrect.  A client visits the clinic after the death of a parent. Which statement made by the client’s sister signifies abnormal grieving? A. “My sister still has episodes of crying, and it’s been 3 months since Daddy died.” B. “Sally seems to have forgotten the bad things that Daddy did in his lifetime.” Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ C. “She really had a hard time after Daddy’s funeral. She said that she had a sense of longing.” D. “Sally has not been sad at all by Daddy’s death. She acts like nothing has happened.” Answer D: Abnormal grieving is exhibited by a lack of feeling sad; if the client’s sister appears not to grieve, it might be abnormal grieving. This family member might be suppressing feelings of grief. Answers A, B, and C are all normal expressions of grief and, therefore, incorrect.  The nurse recognizes that which of the following would be most appropriate to wear when providing direct care to a client with a cough? A. Mask B. Gown C. Gloves D. Shoe covers Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Answer A: If the nurse is exposed to the client with a cough, the best item to wear is a mask. If the answer had included a mask, gloves, and a gown, all would be appropriate, but in this case, only one item is listed; therefore, answers B and C are incorrect. Shoe covers are not necessary, so answer D is incorrect.  The nurse is caring for a client with a diagnosis of hepatitis who is experiencing pruritis. Which would be the most appropriate nursing intervention? A. Suggest that the client take warm showers B.I.D. B. Add baby oil to the client’s bath water C. Apply powder to the client’s skin D. Suggest a hot-water rinse after bathing Answer B: Oils can be applied to help with the dry skin and to decrease itching, so adding baby oil to bath water is soothing to the skin. Answer A is incorrect because bathing twice a day is too frequent and can cause more dryness. Answer C is incorrect because powder is also drying. Rinsing with hot water, as Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ intrathecally. The nurse is aware that medications will be administered by which method? A. Intravenously B. Rectally C. Intramuscularly D. Into the cerebrospinal fluid Answer D: Intrathecal medications are administered into the cerebrospinal fluid. This method of administering medications is reserved for the client with metastases, the client with chronic pain, or the client with cerebrospinal infections. Answers A, B, and C are incorrect because intravenous, rectal, and intramuscular injections are entirely different procedures.  Which client can best be assigned to the newly licensed practical nurse? Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ A. The client receiving chemotherapy B. The client post–coronary bypass C. The client with a TURP D. The client with diverticulitis Answer D: The best client to assign to the newly licensed nurse is the most stable client; in this case, it is the client with diverticulitis. The client receiving chemotherapy and the client with a coronary bypass both need nurses experienced in these areas, so answers A and B are incorrect. Answer D is incorrect because the client with a transurethral prostatectomy might bleed, so this client should be assigned to a nurse who knows how much bleeding is within normal limits.  The nurse notes the patient care assistant looking through the personal items of the client with cancer. Which action should be taken by the registered nurse? A. Notify the police department as a robbery B. Report this behavior to the charge nurse Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ C. Monitor the situation and note whether any items are missing D. Ignore the situation until items are reported missing Answer B: The best action at this time is to report the incident to the charge nurse. Further action might be needed, but it should be determined by the charge nurse. Answers A, C, and D are incorrect because notifying the police is overreacting at this time, and monitoring or ignoring the situation is an inadequate response.  The nurse overhears the patient care assistant speaking harshly to the client with dementia. The charge nurse should: A. Change the nursing assistant’s assignment B. Explore the interaction with the nursing assistant C. Discuss the matter with the client’s family D. Initiate a group session with the nursing assistant Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ A. Maintain the client’s systolic blood pressure at 70mmHg or greater B. Maintain the client’s urinary output greater than 300cc per hour C. Maintain the client’s body temperature of greater than 33°F rectal D. Maintain the client’s hematocrit less than 30% Answer A: When the cadaver client is being prepared to donate an organ, the systolic blood pressure should be maintained at 70mmHg or greater to ensure a blood supply to the donor organ. Answers B, C, and D are incorrect because they are unnecessary actions for organ donation.  Which action by the novice nurse indicates a need for further teaching? A. The nurse fails to wear gloves to remove a dressing. B. The nurse applies an oxygen saturation monitor to the ear lobe. C. The nurse elevates the head of the bed to check the blood pressure. D. The nurse places the extremity in a dependent position to acquire a peripheral blood sample. Answer A: The nurse who fails to wear gloves to remove a contaminated Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ dressing needs further instruction. Answers B, C, and D are incorrect because they indicate an understanding of the correct method of completing these tasks.  The nurse is preparing a client for mammography. To prepare the client for a mammogram, the nurse should tell the client: A. To restrict her fat intake for 1 week before the test B. To omit creams, powders, or deodorants before the exam C. That mammography replaces the need for self-breast exams D. That mammography requires a higher dose of radiation than an x-ray Answer B: The client having a mammogram should be instructed to omit deodorants or powders beforehand because powders and deodorants can be interpreted as abnormal. Answer A is incorrect because there is no need for Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ dietary restrictions before a mammogram. Answer C is incorrect because the mammogram does not replace the need for self-breast exams. Answer D is incorrect because a mammogram does not require higher doses of radiation than an x-ray.  Which of the following roommates would be best for the client newly admitted with gastric resection? A. A client with Crohn’s disease B. A client with pneumonia C. A client with gastritis D. A client with phlebitis Answer D: The most suitable roommate for the client with gastric resection is the client with phlebitis because phlebitis is an inflammation of the blood vessel and is not infectious. Crohn’s disease clients, in answer A, have frequent stools that might spread infections to the surgical client. The client in answer B with pneumonia is coughing and will disturb the gastric client. The client with gastritis, in answer C, is vomiting and has diarrhea, which also will disturb the Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ A. A client with hypothyroidism B. A client with Crohn’s disease C. A client with pylonephritis D. A client with bronchitis Answer A: The most suitable roommate for the client with myasthenia gravis is the client with hypothyroidism because he is quiet. The client with Crohn’s disease in answer B will be up to the bathroom frequently; the client with pylonephritis in answer C has a kidney infection and will be up to urinate frequently. The client in answer D with bronchitis will be coughing and will disturb any roommate.  The nurse employed in the emergency room is responsible for triage of four clients injured in a motor vehicle accident. Which of the following clients should receive priority in care? A. A 10-year-old with lacerations of the face Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ B. A 15-year-old with sternal bruises C. A 34-year-old with a fractured femur D. A 50-year-old with dislocation of the elbow Answer B: The teenager with sternal bruising might be experiencing airway and oxygenation problems and, thus, should be seen first. In answer A, the 10-year- old with lacerations might look bad but is not in distress. The client in answer C with a fractured femur should be immobilized but can be seen after the client with sternal bruising. The client in answer D with the dislocated elbow can be seen later as well.  The client is receiving peritoneal dialysis. If the dialysate returns cloudy, the nurse should: A. Document the finding B. Send a specimen to the lab C. Strain the urine D. Obtain a complete blood count Answer B: If the dialysate returns cloudy, infection might be present and must Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ be evaluated. Documenting the finding, as stated in answer A, is not enough; straining the urine, in answer C, is incorrect; and dialysate, in answer D, is not urine at all. However, the physician might order a white blood cell count.  The client with cirrhosis of the liver is receiving Lactulose. The nurse is aware that the rationale for the order for Lactulose is: A. To lower the blood glucose level B. To lower the uric acid level C. To lower the ammonia level D. To lower the creatinine level Answer C: Lactulose is administered to the client with cirrhosis to lower ammonia levels. Answers A, B, and D are incorrect because this does not have an effect on the other lab values. Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ D. Conversion reaction Answer B: The client who says he has nothing wrong is in denial about his myocardial infarction. Rationalization is making excuses for what happened, projection is projecting feeling or thoughts onto others, and conversion reaction is converting a psychological trauma into a physical illness; thus, answers A, C, and D are incorrect.  Which laboratory test would be the least effective in making the diagnosis of a myocardial infarction? A. AST B. Troponin C. CK-MB D. Myoglobin Answer A: Answer A, AST, is not specific for myocardial infarction. Troponin, CK- MB, and myoglobin, in answers B, C, and D, are more specific, although myoglobin is also elevated in burns and trauma to muscles. Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+  The licensed practical nurse assigned to the post-partal unit is preparing to administer Rhogam to a postpartum client. Which woman is not a candidate for RhoGam? A. A gravida IV para 3 that is Rh negative with an Rh-positive baby B. A gravida I para 1 that is Rh negative with an Rh-positive baby C. A gravida II para 0 that is Rh negative admitted after a stillbirth delivery D. A gravida IV para 2 that is Rh negative with an Rh-negative baby Answer D: The mothers in answers A, B, and C all require RhoGam and, thus, are incorrect. The mother in answer D is the only one who does not require a RhoGam injection. Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+  The first exercise that should be performed by the client who had a mastectomy is: A. Walking the hand up the wall B. Sweeping the floor C. Combing her hair D. Squeezing a ball Answer D: The first exercise that should be done by the client with a mastectomy is squeezing the ball. Answers A, B, and C are incorrect as the first step; they are implemented later.  The client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication should be kept available during the test? A. Atropine sulfate B. Furosemide C. Prostigmin Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ might abrade the area. Answer C is incorrect because washing with hot water will vasodilate and increase absorption. The patches should be applied to areas above the waist, making answer D incorrect.  A 25-year-old male is brought to the emergency room with a piece of metal in his eye. Which action by the nurse is correct? A. Use a magnet to remove the object. B. Rinse the eye thoroughly with saline. C. Cover both eyes with paper cups. D. Patch the affected eye only. Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Answer C: Covering both eyes prevents consensual movement of the affected eye. The nurse should not attempt to remove the object from the eye because this might cause trauma, as stated in answer A. Rinsing the eye, as stated in answer B, might be ordered by the doctor, but this is not the first step for the nurse. Answer D is not correct because often when one eye moves, the other also does.  The physician has ordered sodium warfarin (Coumadin) for the client with thrombophlebitis. The order should be entered to administer the medication at: A. 0900 B. 1200 C. 1700 D. 2100 Answer C: Sodium warfarin is administered in the late afternoon, at approximately 1700 hours. This allows for accurate bleeding times to be drawn in the morning. Therefore, answers A, B, and D are incorrect. Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+  The schizophrenic client has become disruptive and requires seclusion. Which staff member can institute seclusion? A. The security guard B. The registered nurse C. The licensed practical nurse D. The nursing assistant Answer B: The registered nurse is the only one of these who can legally put the client in seclusion. The only other healthcare worker who is allowed to initiate seclusion is the doctor; therefore, answers A, C, and D are incorrect.  The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal pH 7.36, CO2 45, O2 84, HCO3 28. The nurse would assess the client to be in: A. Uncompensated acidosis B. Compensated alkalosis Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Answer C: A sitz bath will help with swelling and improve healing. Ice packs, in answer D, can be used immediately after delivery. Answers A and B are not used in this instance.  Which of the following post-operative diets is most appropriate for the client who has had a hemorroidectomy? A. High-fiber B. Low-residue C. Bland D. Clear-liquid Answer D: After surgery, the client will be placed on a clear-liquid diet and progressed to a regular diet. Stool softeners will be included in the plan of care, to avoid constipation. Later, a high-fiber diet, in answer A, is encouraged, but this is not the first diet after surgery. Answers B and C are not diets for this type of surgery.  The physician has ordered a culture for the client with suspected gonorrhea. The nurse should obtain which type of culture? Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ A. Blood B. Nasopharyngeal secretions C. Stool D. Genital secretions Answer D: A culture for gonorrhea is taken from the genital secretions. The culture is placed in a warm environment, where it can grow nisseria gonorrhea. Answers A, B, and C are incorrect because these cultures do not test for gonorrhea.  The nurse is caring for a client with cerebral palsy. The nurse should provide frequent rest periods because: A. Grimacing and writhing movements decrease with relaxation and rest. Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ B. Hypoactive deep tendon reflexes become more active with rest. C. Stretch reflexes are increased with rest. D. Fine motor movements are improved. Answer A: Frequent rest periods help to relax tense muscles and preserve energy. Answers B, C, and D are incorrect because they are untrue statements.  The nurse is making assignments for the day. Which client should be assigned to the nursing assistant? A. A client with Alzheimer’s disease B. A client with pneumonia C. A client with appendicitis D. A client with thrombophebitis Answer A: The client with Alzheimer’s disease is the most stable of these clients and can be assigned to the nursing assistant, who can perform duties such as feeding and assisting the client with activities of daily living. The clients in answers B, C, and D are less stable and should be attended by a registered Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Answer D: The fresh peach is the lowest in sodium of these choices. Answers A, B, and C have much higher amounts of sodium.  Due to a high census, it has been necessary for a number of clients to be transferred to other units within the hospital. Which client should be transferred to the postpartum unit? A. A 66-year-old female with a gastroenteritis B. A 40-year-old female with a hysterectomy C. A 27-year-old male with severe depression D. A 28-year-old male with ulcerative colitis Answer B: The best client to transport to the postpartum unit is the 40-year- old female with a hysterectomy. The nurses on the postpartum unit will be aware of Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ normal amounts of bleeding and will be equipped to care for this client. The clients in answers A and D will be best cared for on a medical- surgical unit. The client with depression in answer C should be transported to the psychiatric unit.  During the change of shift, the oncoming nurse notes a discrepancy in the number of Percocet (Oxycodone) listed and the number present in the narcotic drawer. The nurse’s first action should be to: A. Notify the hospital pharmacist B. Notify the nursing supervisor C. Notify the Board of Nursing D. Notify the director of nursing Answer B: The first action the nurse should take is to report the finding to the nurse supervisor and follow the chain of command. If it is found that the pharmacy is in error, it should be notified, as stated in answer A. Answers C and D, notifying the director of nursing and the Board of Nursing, might be necessary if theft is found, but not as a first step; thus, these are incorrect answers. Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+  The nurse is assigning staff for the day. Which assignment should be given to the nursing assistant? A. Taking the vital signs of the 5-month-old with bronchiolitis B. Taking the vital signs of the 10-year-old with a 2-day post-appendectomy C. Administering medication to the 2-year-old with periorbital cellulites D. Adjusting the traction of the 1-year-old with a fractured tibia Answer B: The client with the appendectomy is the most stable of these clients and can be assigned to a nursing assistant. The client with bronchiolitis has an alteration in the airway, the client with periorbital cellulitis has an infection, and the client with a fracture might be an abused child. Therefore, answers A, C, and D are incorrect. Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ C. The client is unable to complete a range of vision without turning his head side to side. D. The client is unable to carry out cognitive and motor activity at the same time. Answer A: The client with unilateral neglect will neglect one side of the body. Answers B, C, and D are not associated with unilateral neglect.  The nurse is providing discharge teaching for a client taking disulfiram (Antabuse). The nurse should instruct the client to avoid eating: A. Peanuts, dates, raisins B. Figs, chocolate, eggplant C. Pickles, salad with vinaigrette dressing, beef D. Milk, cottage cheese, ice cream Answer C: The client taking antabuse should not eat or drink anything containing alcohol or vinegar. The other foods in answers A, B, and D are allowed. Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+  A client has been receiving cyanocobalamine (B12) injections for the past 6 weeks. Which laboratory finding indicates that the medication is having the desired effect? A. Neutrophil count of 60% B. Basophil count of 0.5% C. Monocyte count of 2% D. Reticulocyte count of 1% Answer D: Cyanocolamine is a B12 medication that is used for pernicious anemia, and a reticulocyte count of 1% indicates that it is having the desired effect. Answers A, B, and C are white blood cells and have nothing to do with this medication. Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+  The nurse has just received a change-of-shift report. Which client should the nurse assess first? A. A client 2 hours post-lobectomy with 150ccs drainage B. A client 2 days post-gastrectomy with scant drainage C. A client with pneumonia with an oral temperature of 102°F D. A client with a fractured hip in Buck’s traction Answer A: The first client to be seen is the one who recently returned from surgery. The other clients in answers B, C, and D are more stable and can be seen later.  Several clients are admitted to the emergency room following a three- car vehicle accident. Which clients can be assigned to share a room in the emergency department during the disaster? A. The schizophrenic client having visual and auditory hallucinations and the client with ulcerative colitis B. The client who is 6 months pregnant with abdominal pain and the client with facial lacerations and a broken arm Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ for thyroid cancer D. The client who returned from placement of iridium seeds for prostate cancer Answer A: The pregnant nurse should not be assigned to any client with radioactivity present. Therefore, the client receiving linear accelerator therapy is correct because this client travels to the radium department for therapy, and the radiation stays in the department; the client is not radioactive. The client in answer B does pose a risk to the pregnant client. The client in answer C is radioactive in very small doses. For approximately 72 hours, the client should dispose of urine and feces in special containers and use plastic spoons and forks. The client in answer D is also radioactive in small amounts, especially upon return from the procedure. Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+  The client is receiving heparin for thrombophlebitis of the left lower extremity. Which of the following drugs reverses the effects of heparin? A. Cyanocobalamin e B. Protamine sulfate C. Streptokinase D. Sodium warfarin Answer B: The antidote for heparin is protamine sulfate. Cyanocobalamine is B12, Streptokinase is a thrombolytic, and sodium warfarin is an anticoagulant. Therefore, answers A, C, and D are incorrect.  The client is admitted with a BP of 210/120. Her doctor orders furosemide (Lasix) 40mg IV stat. How should the nurse administer the prescribed furosemide to this client? A. By giving it over 1–2 minutes B. By hanging it IV piggyback Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ C. With normal saline only D. By administering it through a venous access device Answer A: Lasix should be given approximately 1mL per minute to prevent hypotension. Answers B, C, and D are incorrect because it is not necessary to be given in an IV piggyback, with saline, or through a venous access device (VAD).  The physician prescribes captopril (Capoten) 25mg po tid for the client with hypertension. Which of the following adverse reactions can occur with administration of Capoten? A. Tinnitus B. Persistent cough C. Muscle weakness D. Diarrhea Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ response rate of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for: A. Peaked P wave B. Elevated ST segment C. Inverted T wave D. Prolonged QT interval Answer D: Quinidine can cause widened Q-T intervals and heart block. Other signs of myocardial toxicity are notched P waves and widened QRS complexes. The most common side effects are diarrhea, nausea, and vomiting. The client might experience tinnitus, vertigo, headache, visual disturbances, and confusion. Answers A, B, and C are not related to the use of quinidine.  The physician has prescribed tranylcypromine sulfate (Parnate) 10mg bid. The nurse should teach the client to refrain from eating foods containing tyramine because it may cause: A. Hypertension Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ B. Hyperthermia C. Melanoma D. Urinary retention Answer A: If the client eats foods high in tyramine, he might experience malignant hypertension. Tyramine is found in cheese, sour cream, Chianti wine, sherry, beer, pickled herring, liver, canned figs, raisins, bananas, avocados, chocolate, soy sauce, fava beans, and yeast. These episodes are treated with Regitine, an alpha- adrenergic blocking agent. Answers B, C, and D are not related to the question.  The child with seizure disorder is being treated with Dilantin (phenytoin). Which of the following statements by the patient’s mother indicates to the nurse that the patient is experiencing a side effect of Dilantin therapy? A. “She is very irritable lately.” B. “She sleeps quite a bit of the time.” Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ C. “Her gums look too big for her teeth.” D. “She has gained about 10 pounds in the last 6 months.” Answer C: Hyperplasia of the gums is associated with Dilantin therapy. Answer A is not related to the therapy; answer B is a side effect, and answer D is not related to the question.  A 5-year-old is admitted to the unit following a tonsillectomy. Which of the following would indicate a complication of the surgery? A. Decreased appetite B. A low-grade fever C. Chest congestion D. Constant swallowing Answer D: A complication of a tonsillectomy is bleeding, and constant swallowing may indicate bleeding. Decreased appetite is expected after a tonsillectomy, as is a low-grade temperature; thus, answers A and B are incorrect. In answer C, chest congestion is not normal but is not associated with the tonsillectomy. Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ tachycardia, so checking the pulse is important. Extreme tachycardia should be reported to the doctor. Answers A, B, and D are not necessary.  An elderly client is diagnosed with ovarian cancer. She has surgery followed by chemotherapy with a fluorouracil (Adrucil) IV. What should the nurse do if she notices crystals and cloudiness in the IV medication? A. Discard the solution and order a new bag B. Warm the solution C. Continue the infusion and document the finding D. Discontinue the medication Answer A: Crystals in the solution are not normal and should not be administered to the client. Discard the bad solution immediately. Answer B is incorrect because Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ warming the solution will not help. Answer C is incorrect, and answer D requires a doctor’s order.  The client is diagnosed with multiple myoloma. The doctor has ordered cyclophosphamide (Cytoxan). Which instruction should be given to the client? A. “Walk about a mile a day to prevent calcium loss.” B. “Increase the fiber in your diet.” C. “Report nausea to the doctor immediately.” D. “Drink at least eight large glasses of water a day.” Answer D: Cytoxan can cause hemorrhagic cystitis, so the client should drink at least eight glasses of water a day. Answers A and B are not necessary and, so, are incorrect. Nausea often occurs with chemotherapy, so answer C is incorrect.  The client is taking rifampin 600mg po daily to treat his tuberculosis. Which action by the nurse indicates understanding of the medication? Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ A. Telling the client that the medication will need to be taken with juice B. Telling the client that the medication will change the color of the urine C. Telling the client to take the medication before going to bed at night D. Telling the client to take the medication if night sweats occur Answer B: Rifampin can change the color of the urine and body fluid. Teaching the client about these changes is best because he might think this is a complication. Answer A is not necessary, answer C is not true, and answer D is not true because this medication should be taken regularly during the course of the treatment.  The client is taking prednisone 7.5mg po each morning to treat his systemic lupus errythymatosis. Which statement best explains the reason for taking the prednisone in the morning? A. There is less chance of forgetting the medication if taken in the morning. B. There will be less fluid retention if taken in the morning. C. Prednisone is absorbed best with the breakfast meal. Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+  The physician prescribes regular insulin, 5 units subcutaneous. Regular insulin begins to exert an effect: A. In 5–10 minutes B. In 10–20 minutes C. In 30–60 minutes D. In 60–120 minutes Answer C: The time of onset for regular insulin is 30–60 minutes; therefore, answers A, B, and D are incorrect.  The client is admitted from the emergency room with multiple injuries sustained from an auto accident. His doctor prescribes a histamine blocker. The reason for this order is: A. To treat general discomfort B. To correct electrolyte imbalances C. To prevent stress ulcers Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ D. To treat nausea Answer C: Histamine blockers are frequently ordered for clients who are hospitalized for prolonged periods and who are in a stressful situation. They are not used to treat discomfort, correct electrolytes, or treat nausea; therefore, answers A, B, and D are incorrect.  The client with a recent liver transplant asks the nurse how long he will have to take cyclosporine (Sandimmune). Which response is correct? A. 1 year B. 5 years C. 10 years D. The rest of his life Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Answer D: Cyclosporin is an immunosuppressant, and the client with a liver transplant will be on immunosuppressants for the rest of his life. Answers A, B, and C, therefore, are incorrect.  Shortly after the client was admitted to the postpartum unit, the nurse notes heavy lochia rubra with large clots. The nurse should anticipate an order for: A. Methergine B. Stadol C. Magnesium sulfate D. Phenergan Answer A: Methergine is a drug that causes uterine contractions. It is used for postpartal bleeding that is not controlled by Pitocin. Answers B, C, and D are incorrect: Stadol is an analgesic; magnesium sulfate is used for preeclampsia; and phenergan is an antiemetic.  The client is scheduled to have an intravenous cholangiogram. Before Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ D. 30 minutes after the fourth dose Answer B: Trough levels are the lowest blood levels and should be done 30 minutes before the third IV dose or 30 minutes before the fourth IM dose. Answers A, C, and D are incorrect.  A 4-year-old with cystic fibrosis has a prescription for Viokase pancreatic enzymes to prevent malabsorption. The correct time to give pancreatic enzyme is: A. 1 hour before meals B. 2 hours after meals C. With each meal and snack D. On an empty stomach Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Answer C: Viokase is a pancreatic enzyme that is used to facilitate digestion. It should be given with meals and snacks, and it works well in foods such as applesauce. Answers A, B, and D are incorrect times to administer this medication.  Isoniazid (INH) has been prescribed for a family member exposed to tuberculosis. The nurse is aware that the length of time that the medication will be taken is: A. 6 months B. 3 months C. 18 months D. 24 months Answer A: The expected time for contact to tuberculosis is 1 year. Therefore, answers B, C, and D are incorrect.  The client is admitted to the postpartum unit with an order to continue the infusion of Pitocin. Which finding indicates that the Pitocin is Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ having the desired effect? A. The fundus is deviated to the left. B. The fundus is firm and in the midline. C. The fundus is boggy. D. The fundus is two finger breadths below the umbilicus. Answer B: Pitocin is used to cause the uterus to contract and decrease bleeding. A uterus deviated to the left, as stated in answer A, indicates a full bladder. It is not desirable to have a boggy uterus, making answer C incorrect. This lack of muscle tone will increase bleeding. Answer D is incorrect because the position of the uterus is not related to the use of Pitocin.  The nurse is teaching a group of new graduates about the safety needs of the client receiving chemotherapy. Before administering chemotherapy, the nurse should: Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ vitamin K is not directly given to prevent dehydration, but will facilitate clotting. Answers B and C are incorrect because vitamin K does not prevent infection or replace electrolytes.  The nurse is ready to begin an exam on a 9-month-old infant. The child is sitting in his mother’s lap. What should the nurse do first? A. Check the Babinski reflex B. Listen to the heart and lung sounds C. Palpate the abdomen D. Check tympanic membranes Answer B: The first action that the nurse should take when beginning to examine the infant is to listen to the heart and lungs. If the nurse elicits the Babinski reflex, palpates the abdomen, or looks in the child’s ear first, the child will begin to cry and it will be difficult to obtain an objective finding while listening to the heart and lungs. Therefore, answers A, C, and D are incorrect. Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+  Which of the following examples represents parallel play? A. Jenny and Tommy share their toys. B. Jimmy plays with his car beside Mary, who is playing with her doll. C. Kevin plays a game of Scrabble with Kathy and Sue. D. Mary plays with a handheld game while sitting in her mother’s lap. Answer B: Parallel play is play that is demonstrated by two children playing side by side but not together. The play in answers A and C is participative play because the children are playing together. The play in answer D is solitary play because the mother is not playing with Mary.  Assuming that all have achieved normal cognitive and emotional development, which of the following children is at greatest risk for accidental poisoning? A. A 6-month- old B. A 4-year-old Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+ C. A 10-year-old D. A 13-year-old Answer B: The 4-year-old is more prone to accidental poisoning because children at this age are much more mobile and this makes them more likely to ingest poisons than the other children. Answers A, C, and D are incorrect because the 6-month-old is still too small to be extremely mobile, the 10- year- old has begun to understand risk, and the 13-year-old is also aware of the risks of poisoning and is less likely to ingest poisons than the 4-year-old.  An important intervention in monitoring the dietary compliance of a client with bulimia is: A. Allowing the client privacy during mealtimes Walden University NCLEX-PN Test-Bank NURS Fundamentals Of Nursing NCLEX-PN Test- Bank (200 Questions with Answers and Explanation)Latest update DOWNLOAD A+