Exam (elaborations)
NCLEX-PN Comprehensive Test
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NCLEX-PN Comprehensive Test
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NCLEX-PNComprehensive
Test
The
nurse
reinforces
home
care
instructions
to
the
parents
of
a
child
hospitalized
with
pertussis.
The
child
is
in
the
convalescent
stage
and
is
being
prepared
for
discharge.
Which
statement
by
the
parents
indicates
a
need
for
further
teaching?
1.
We
need
to
encourage
adequate
fluid
intake
2.
Coughing
spells
may
be
triggered
by
dust
or
smoke
3.
We
need
to
maintain
respiratory
precautions
&
a
quiet
environment
for
at
least
2
weeks
4.
Good
hand-washing
techniques
need
to
be
instituted
to
prevent
spreading
the
disease
to
others
-
ANS-3.
We
need
to
maintain
respiratory
precautions
&
a
quiet
environment
for
at
least
2
weeks
A
client
enters
the
emergency
department
confused,
twitching,
&
having
seizures.
His
family
states
he
recently
was
placed
on
corticosteroids
for
arthritis
&
was
feeling
better
&
exercising
daily.
Upon
assessment,
he
has
flushed
skin,
dry
mucous
membranes,
an
elevated
temperature,
&
poor
skin
turgor.
His
serum
sodium
level
is
172
mEq/L.
Which
interventions
would
the
health
care
provider
likely
prescribe?
select
all
that
apply.
1.
Monitor
the
vital
signs
2.
Monitor
intake
&
output
3.
Increase
water
intake
orally
4.
Monitor
the
electrolyte
levels
5.
Provide
a
sodium-reduced
diet
6.
Administer
sodium
replacements
-
ANS-1.
Monitor
the
vital
signs
2.
Monitor
intake
&
output
3.
Increase
water
intake
orally
4.
Monitor
the
electrolyte
levels
5.
Provide
a
sodium-reduced
diet
The
nurse
is
monitoring
a
client
receiving
glipizide
(glucotrol).
Which
outcome
indicates
an
ineffective
response
from
the
medication.
1.
A
decrease
in
polyuria
2.
A
decrease
in
polyphagia
3.
A
fasting
plasma
glucose
of
100
mg/dL
4.
A
glycosylated
hemoglobin
level
of
12%
-
ANS-4.
A
glycosylated
hemoglobin
level
of
12%
The
nurse
is
reinforcing
discharge
instructions
to
a
client
receiving
sulfisoxazole.
Which
should
be
included
in
the
plan
of
care
for
instructions?
1.
Maintain
a
high
fluid
intake 2.
Discontinue
the
medication
when
feeling
better
3.
If
the
urine
turns
dark
brown,
call
the
health
care
provider
immediately
4.
Decrease
the
dosage
when
symptoms
are
improving
to
prevent
an
allergic
response
-
ANS-1.
Maintain
a
high
fluid
intake
Before
administering
an
intermittent
tube
feeding
through
a
nasogastric
tube,
the
nurse
checks
for
gastric
residual
volume.
Which
is
the
best
rationale
for
checking
gastric
residual
volume
before
administering
the
tube
feeding?
1.
Observe
the
digestion
of
formula
2.
Check
fluid
&
electrolyte
status
3.
Evaluate
absorption
of
the
last
feeding
4.
Confirm
proper
nasogastric
tube
placement
-
ANS-3.
Evaluate
absorption
of
the
last
feeding
A
postoperative
client
requests
medication
for
flatulence
(gas
pains).
Which
medication
from
the
following
PRN
list
should
the
nurse
administer
to
this
client
1.
Ondansetron
(zofran)
2.
Simethicone
(mylicon)
3.
Acetaminophen
(tylenol)
4.
Magnesium
hydroxide
(
milk
of
mag)
-
ANS-2.
Simethicone
(mylicon)
A
client
is
admitted
to
the
hospital
with
a
diagnosis
of
major
depression.
During
the
admission
interview,
the
nurse
determines
that
a
major
concern
is
the
client's
altered
nutrition
related
to
poor
nutritional
intake.
Which
nursing
intervention
related
to
altered
nutrition
should
be
the
initial
choice?
1.
Weigh
the
client
three
times
per
week,
before
breakfast.
2.
Explain
to
the
client
the
importance
of
a
good
nutritional
intake
3.
Report
the
nutritional
concern
to
the
psychiatrist
&
obtain
a
nutritional
consult
as
soon
as
possible
4.
Offer
the
client
several
small,
frequent
meals
daily,
and
schedule
brief
nursing
interactions
with
the
client
during
these
times
-
ANS-4.
Offer
the
client
several
small,
frequent
meals
daily,
and
schedule
brief
nursing
interactions
with
the
client
during
these
times
A
client
received
20
units
of
NPH
insulin
subcutaneously
at
8:00
am.
The
nurse
should
check
the
client
for
a
potential
hypoglycemic
reaction
at
which
time?
1.
5:00
pm
2.
10:00
am
3.
11:00
am
4.
11:00
pm
-
ANS-1.
5:00
pm The
nurse
assist
in
developing
a
plan
of
care
for
a
client
with
hyperparathyroidism
receiving
calcitonin-human
(Cibacalcin).
Which
outcome
has
the
highest
priority
regarding
this
medication?
1.
Relief
of
pain
2.
Absence
of
side
effects
3.
Reaching
normal
serum
calcium
levels
4.
Verbalization
of
appropriate
medication
knowledge
-
ANS-3.
Reaching
normal
serum
calcium
levels
The
nursing
instructor
asks
a
nursing
student
about
the
cause
of
hemophilia.
The
student
correctly
responds
by
telling
the
instructor
which
fact
about
hemophilia.
1.
Hemophilia
is
a
Y-linked
hereditary
disorder
2.
A
splenectomy
resolves
the
bleeding
disorders
3.
Hemophilia
A
results
from
deficiency
of
factor
VIII
4.
A
bone
marrow
transplant
is
the
treatment
of
choice
-
ANS-3.
Hemophilia
A
results
from
deficiency
of
factor
VIII
A
4
year
old
child
is
admitted
to
the
hospital
with
suspected
acute
lymphocytic
leukemia
(ALL).
The
nurse
understands
that
which
diagnostic
study
should
confirm
this
diagnosis?
1.
A
platelet
count
2.
A
lumbar
puncture
3.
Bone
marrow
biopsy
4.
White
blood
cell
(WBC)
count
-
ANS-3.
Bone
marrow
biopsy
A
child
with
leukemia
is
experiencing
nausea
related
to
medication
therapy.
The
nurse,
concerned
about
the
child's
nutritional
status,
should
offer
which
during
an
episode
of
nausea?
1.
Low-calorie
foods
2.
Cool,
clear
liquid
3.
Low-protein
foods
4.
The
child's
favorite
foods
-
ANS-2.
Cool,
clear
liquid
To
ensure
a
safe
environment
for
a
child
admitted
to
the
hospital
for
a
crainotomy
to
remove
a
brain
tumor,
the
nurse
should
include
which
in
the
plan
of
care
1.
Initiating
seizure
precautions
2.
Using
a
wheelchair
for
out
of
bed
activities
3.
Assisting
the
child
with
ambulation
at
all
times
4.
Avoiding
contact
with
other
children
on
the
nursing
unit
-
ANS-1.
Initiating
seizure
precautions
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