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

Reluctance to swallow

Answer

Drooling of blood-tinged saliva

Answer

An axillary temperature of 99°F

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

Skips a meal

Answer

Rests in recumbent position

Answer

Sits upright after eating

Question 3

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

Accepted Answer

Rice Krispies bar and milk

Answer

Toast, jam, and apple juice

Answer

Peanut butter cookies and milk

Answer

Cheese pizza and Kool-Aid

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

The client complains of blurred vision.

Answer

The client complains of increased weight gain over the past year.

Answer

The client complains of ringing in the ears.

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

Will need to be repeated when the child is 4 years of age

Answer

Is given to determine whether the child is susceptible to pertussis

Answer

Is a one-time injection that protects against MMR and varicella

Question 6

The nurse is caring for a client hospitalized with bipolar disorder, manic phase. Which of the following snacks would be best for the client with mania?

Accepted Answer

Milkshake

Answer

Potato chips

Answer

Diet cola

Answer

Apple

Question 7

A 2-year-old is hospitalized with suspected intussusception. Which finding is associated with intussusception?

Accepted Answer

“Currant jelly” stools

Answer

Projectile vomiting

Answer

“Ribbon-like” stools

Answer

Palpable mass over the flank

Question 8

A client is being treated for cancer with linear acceleration radiation. The physician has marked the radiation site with a blue marking pen. The nurse should:

Accepted Answer

Refrain from using soap or lotion on the marked area

Answer

Remove the unsightly markings with acetone or alcohol

Answer

Cover the radiation site with loose gauze dressing

Answer

Sprinkle baby powder over the irradiated area

Question 9

The nurse is caring for a client with acromegaly. Following a transsphenoidal hypophysectomy, the nurse should:

Accepted Answer

Monitor the client’s blood sugar

Answer

Suction the mouth and pharynx every hour

Answer

Place the client in low Trendelenburg position

Answer

Encourage the client to cough