NCLEX-PN Test #22

Question 1

A high school student returns to school following a 3-week absence due to mononucleosis. The school nurse knows it will be important for the client:

Accepted Answer

To avoid contact sports for 1–2 months

Answer

To drink additional fluids throughout the day

Answer

To have a snack twice a day to prevent hypoglycemia

Answer

To continue antibiotic therapy for 6 months

Question 2

A 6-year-old with cystic fibrosis has an order for Creon (pancrelipase). The nurse knows that the medication will be given:

Accepted Answer

With meals and snacks

Answer

At bedtime

Answer

Twice daily

Answer

Daily in the morning

Question 3

The doctor has prescribed a diet high in vitamin B12 for a client with pernicious anemia. Which foods are highest in B12?

Accepted Answer

Meat, eggs, dairy products

Answer

Peanut butter, raisins, molasses

Answer

Broccoli, cauliflower, cabbage

Answer

Shrimp, legumes, bran cereals

Question 4

A client with hypertension has begun an aerobic exercise program. The nurse should tell the client that the recommended exercise regimen should begin slowly and build up to:

Accepted Answer

20–30 minutes three times a week

Answer

45 minutes two times a week

Answer

1 hour four times a week

Answer

1 hour two times a week

Question 5

A client with breast cancer is returned to the room following a right total mastectomy. The nurse should:

Accepted Answer

Elevate the client’s right arm on pillows

Answer

Place the client’s right arm in a dependent sling

Answer

Keep the client’s right arm on the bed beside her

Answer

Place the client’s right arm across her body

Question 6

A neurological consult has been ordered for a pediatric client with suspected petit mal seizures. The client with petit mal seizures can be expected to have:

Accepted Answer

A brief lapse in consciousness

Answer

Short, abrupt muscle contraction

Answer

Quick, bilateral severe jerking movements

Answer

Abrupt loss of muscle tone

Question 7

A client with schizoaffective disorder is exhibiting Parkinsonian symptoms. Which medication is responsible for the development of Parkinsonian symptoms?

Accepted Answer

Zyprexa (olanzapine)

Answer

Cogentin (benztropine mesylate)

Answer

Benadryl (diphenhydramine)

Answer

Depakote (divalproex sodium)

Question 8

Which activity is best suited to the 12-year-old with juvenile rheumatoid arthritis?

Accepted Answer

Swimming

Answer

Playing video games

Answer

Working crossword puzzles

Answer

Playing slow-pitch softball

Question 9

The glycosylated hemoglobin of a 40-year-old client with diabetes mellitus is 2.5%. The nurse understands that:

Accepted Answer

The client has good control of her diabetes.

Answer

The client can have a higher-calorie diet.

Answer

The client requires adjustment in her insulin dose.

Answer

The client has poor control of her diabetes.