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

Mononucleosis can cause splenomegaly (enlarged spleen), making it vulnerable to rupture with trauma. To prevent this serious and potentially life-threatening complication, clients are advised to avoid contact sports and strenuous activities for at least 1-2 months, or until the spleen returns to normal size as confirmed by a physician.

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

Creon (pancrelipase) is a pancreatic enzyme replacement therapy used in cystic fibrosis to aid in the digestion and absorption of fats, proteins, and carbohydrates. To be effective, it must be taken immediately before or with all meals and snacks. This ensures the enzymes are present in the digestive tract when food arrives, optimizing nutrient absorption.

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

Vitamin B12 is primarily found in animal products. Meat (especially liver), eggs, and dairy products are excellent natural sources of B12. While clients with pernicious anemia require B12 injections due to absorption issues, dietary intake of these foods is still important for overall nutrition and to ensure adequate intake for any remaining absorption capacity.

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

For cardiovascular health and blood pressure management, current guidelines recommend engaging in moderate-intensity aerobic exercise for at least 30 minutes on most days of the week. For beginners, building up to 20-30 minutes three times a week is a safe and effective starting point. This regimen helps improve cardiovascular fitness and can contribute to lowering blood pressure.

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

After a mastectomy, elevating the affected arm on pillows helps to promote lymphatic drainage and reduce swelling (lymphedema) in the arm and hand. This position also helps to prevent fluid accumulation in the surgical area and improves client comfort. Keeping the arm elevated is a crucial post-operative intervention.

NCLEX Practice Test

NCLEX Practice Test

NCLEX-PN Test #22