NCLEX-PN Test #23 Flashcards
6 cards from real NCLEX practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 NCLEX-PN Test #23 flashcards as text
A nurse is caring for a 4-year-old child admitted with nephrotic syndrome. Which assessment finding is most consistent with this diagnosis?
Answer: Generalized edema and proteinuria
Nephrotic syndrome is characterized by massive proteinuria, hypoalbuminemia, generalized edema (anasarca), and hyperlipidemia.
A client is prescribed metformin (Glucophage) for type 2 diabetes. Which instruction should the nurse emphasize?
Answer: Discontinue the medication before any procedure requiring contrast dye
Metformin must be discontinued before procedures involving iodinated contrast dye due to the risk of contrast-induced nephropathy and lactic acidosis.
A nurse is preparing to administer ear drops to a 2-year-old child. Which technique is correct?
Answer: Pull the pinna down and back
For children under 3 years old, the pinna is pulled down and back to straighten the ear canal for proper medication instillation.
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?
Answer: Preeclampsia with severe features
Severe headache, visual changes, epigastric pain, and blood pressure of 168/110 mmHg are classic signs of preeclampsia with severe features.
A nurse is teaching a client about preventing urinary tract infections. Which instruction is most appropriate?
Answer: Urinate after sexual intercourse
Urinating after sexual intercourse helps flush bacteria from the urethra that may have been introduced during intercourse.
A nurse is assessing a client receiving morphine sulfate via patient-controlled analgesia (PCA). Which finding requires immediate intervention?
Answer: Respiratory rate of 8 breaths per minute
A respiratory rate of 8 breaths per minute indicates respiratory depression, a serious side effect of opioid medications requiring immediate intervention.