NCLEX-PN Test #23 2

Question 1

A nurse is caring for a 4-year-old child admitted with nephrotic syndrome. Which assessment finding is most consistent with this diagnosis?

Accepted Answer

Generalized edema and proteinuria

Answer

Hematuria and hypertension

Answer

Decreased weight and dehydration

Answer

Polyuria and glycosuria

Question 2

A client is prescribed metformin (Glucophage) for type 2 diabetes. Which instruction should the nurse emphasize?

Accepted Answer

Discontinue the medication before any procedure requiring contrast dye

Answer

Take the medication on an empty stomach for better absorption

Answer

Report any muscle pain or dark-colored urine immediately

Answer

Increase the dose if blood sugar remains elevated after one week

Question 3

A nurse is preparing to administer ear drops to a 2-year-old child. Which technique is correct?

Accepted Answer

Pull the pinna down and back

Answer

Pull the pinna up and back

Answer

Insert the dropper deep into the ear canal

Answer

Have the child sit upright with head tilted forward

Question 4

A client who is 28 weeks pregnant reports severe headache, visual disturbances, and epigastric pain. Her blood pressure is 168/110 mmHg. Which condition should the nurse suspect?

Accepted Answer

Preeclampsia with severe features

Answer

Gestational diabetes

Answer

Normal pregnancy discomfort

Answer

Placenta previa

Question 5

A nurse is teaching a client about preventing urinary tract infections. Which instruction is most appropriate?

Accepted Answer

Urinate after sexual intercourse

Answer

Limit fluid intake to reduce urinary frequency

Answer

Wipe from back to front after using the toilet

Answer

Use scented feminine hygiene products for cleanliness

Question 6

A nurse is assessing a client receiving morphine sulfate via patient-controlled analgesia (PCA). Which finding requires immediate intervention?

Accepted Answer

Respiratory rate of 8 breaths per minute

Answer

Pain level of 4/10

Answer

Drowsiness after pressing the PCA button

Answer

Blood pressure of 118/72 mmHg