NCLEX-PN Practice Exam 12

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A client develops tremors while withdrawing from alcohol. Which medication is routinely administered to lessen physiological effects of alcohol withdrawal?

Correct! Wrong!

Benzodiazepines such as clonazepam and lorazepam are given to the client withdrawing from alcohol. Answer A is incorrect because methodone is given to the client withdrawing from opiates. Answer C is incorrect because naloxone is an antidote for narcotic overdose. Answer D is incorrect because disufiram is used in aversive therapy for alcohol addiction.

A client with Type II diabetes has an order for regular insulin 10 units SC each morning. The client’s breakfast should be served within:

Correct! Wrong!

The client’s breakfast should be served within 30 minutes to coincide with the onset of the client’s regular insulin.

A 10-year-old has an order for Demerol (meperidine) 35 mg IM for pain. The medication is available as Demerol 50mg per ml. How much should the nurse administer?

Correct! Wrong!

The nurse should administer 0.7mL of the medication. Answers A, B, and D are incorrect because the dosage is incorrect.

Which antibiotic is contraindicated for the treatment of infections in infants and young children?

Correct! Wrong!

Tetracycline is contraindicated for use in infants and young children because it stains the teeth and arrests bone development. Answers B, C, and D are incorrect because they can be used to treat infections in infants and children.

The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to:

Correct! Wrong!

The client with echolalia repeats words or phrases used by others. Answer A is incorrect because it refers to clang association. Answer C is incorrect because it refers to circumstantiality. Answer D is incorrect because it refers to neologisms.

Which early morning activity helps to reduce the symptoms associated with rheumatoid arthritis?

Correct! Wrong!

Holding a cup of coffee or hot chocolate helps to relieve the pain and stiffness of the hands. Answers A, B, and D do not relieve the symptoms of rheumatoid arthritis; therefore, they are incorrect.

A newborn weighed 7 pounds at birth. At 6 months of age, the infant could be expected to weigh:

Correct! Wrong!

The infant’s birth weight should double by 6 months of age. Answers B, C, and D are incorrect because they are greater than the expected weight gain by 6 months of age.

A client with nontropical sprue has an exacerbation of symptoms. Which meal selection is responsible for the recurrence of the client’s symptoms?

Correct! Wrong!

The symptoms of nontropical sprue and celiac are caused by the ingestion of gluten, which is found in wheat, oats, barley, and rye. Creamed soup and crackers contain gluten. Answers A, B, and D do not contain gluten; therefore, they are incorrect.

A client with congestive heart failure has been receiving Digoxin (lanoxin). Which finding indicates that the medication is having a desired effect?

Correct! Wrong!

Lanoxin slows and strengthens the contraction of the heart. An increase in urinary output shows that the medication is having a desired effect by eliminating excess fluid from the body. Answer B is incorrect because the weight would decrease. Answer C might occur but is not directly related to the question; therefore, it is incorrect. Answer D is incorrect because pedal edema would decrease, not increase.