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

Nephrotic syndrome is characterized by massive proteinuria, hypoalbuminemia, generalized edema (anasarca), and hyperlipidemia.

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

Metformin must be discontinued before procedures involving iodinated contrast dye due to the risk of contrast-induced nephropathy and lactic acidosis.

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

For children under 3 years old, the pinna is pulled down and back to straighten the ear canal for proper medication instillation.

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

Severe headache, visual changes, epigastric pain, and blood pressure of 168/110 mmHg are classic signs of preeclampsia with severe features.

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

Urinating after sexual intercourse helps flush bacteria from the urethra that may have been introduced during intercourse.

NCLEX Practice Test

NCLEX Practice Test

NCLEX-PN Test #23 2