NCLEX-PN Test #6

Question 1

The nurse is caring for an 8-year-old following a routine tonsillectomy. Which finding should be reported immediately?

Accepted Answer

Respiratory stridor

Answer

Respiratory stridor in a child following a tonsillectomy is a critical finding that indicates airway obstruction. This could be due to swelling, hematoma formation, or laryngospasm, which are life-threatening complications. Immediate reporting is necessary to prevent respiratory distress and potential arrest, making it the most urgent concern among the options.

Question 2

The nurse is admitting a client with a suspected duodenal ulcer. The client will most likely report that his abdominal discomfort lessens when he:

Accepted Answer

Eats a meal

Answer

Duodenal ulcers are typically characterized by pain that is relieved by eating food. Food acts as a buffer against stomach acid, which then moves into the duodenum, temporarily alleviating the discomfort. The pain usually recurs 2-3 hours after a meal or in the middle of the night when the stomach is empty, a pattern distinct from gastric ulcers.

Question 3

Which of the following meal selections is appropriate for the client with celiac disease?

Accepted Answer

Rice Krispies bar and milk

Answer

Celiac disease requires a strict gluten-free diet, meaning the avoidance of wheat, barley, and rye. Rice Krispies are made from rice, which is naturally gluten-free, making a Rice Krispies bar a safe and appropriate snack. The other options (toast, peanut butter cookies, cheese pizza) all contain wheat or other gluten-containing ingredients.

Question 4

A client with hyperthyroidism is taking lithium carbonate to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client’s medication?

Accepted Answer

The client complains of increased thirst and increased urination.

Answer

Increased thirst (polydipsia) and increased urination (polyuria) are classic signs of lithium toxicity, specifically nephrogenic diabetes insipidus, a common adverse effect. Lithium has a narrow therapeutic range, and these symptoms indicate a need for immediate assessment of lithium levels and kidney function. This is a critical indicator of a problem with the medication.

Question 5

A 2-month-old infant has just received her first Tetramune injection. The nurse should tell the mother that the immunization:

Accepted Answer

Is one of a series of injections that protects against dpt and Hib

Answer

Tetramune is a combination vaccine that provides protection against Diphtheria, Tetanus, Pertussis (DTaP), and Haemophilus influenzae type b (Hib). It is administered as part of a series of injections during infancy and early childhood. This multi-component vaccine helps protect against several serious childhood diseases with fewer injections.

NCLEX Practice Test

NCLEX Practice Test

NCLEX-PN Test #6