NCLEX-PN Practice Exam Part 7

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1.      The physician has ordered a low-potassium diet for a child with acute glomerulonephritis. Which snack is suitable for the child with potassium restrictions?

a.       Raisins

b.      Oranges

c.       Apricots

d.      Bananas

2.      The physician has ordered a blood test for H. pylori. The nurse should prepare the client by:

a.       Withholding intake after midnight

b.      Telling the client that no special preparation is needed

c.       Explaining that a small dose of radioactive isotope will be used

d.      Giving an oral suspension of glucose 1 hour before the test

3.      The nurse is preparing to give an oral potassium supplement. The nurse should:

a.       Give the medication without diluting it

b.      Give the medication with 4oz. of juice

c.       Give the medication with water only

d.      Give the medication on an empty stomach

4.      The physician has ordered cultures for cytomegalovirus (CMV). Which statement is true regarding collection of cultures for cytomegalovirus?

a.       Stool cultures are preferred for definitive diagnosis.

b.      Pregnant caregivers may obtain cultures.

c.       Collection of one specimen is sufficient.

d.      Accurate diagnosis depends on fresh specimens.

5.      A pediatric client with burns to the hands and arms has dressing changes with Sulfamylon (mafenide acetate) cream. The nurse is aware that the medication:

a.       Will cause dark staining of the surrounding skin

b.      Produces a cooling sensation when applied

c.       Can alter the function of the thyroid

d.      Produces a burning sensation when applied

6.      The physician has ordered Dilantin (phenytoin) for a client with generalized seizures. When planning the client’s care, the nurse should:

a.       Maintain strict intake and output

b.      Check the pulse before giving the medication

c.       Administer the medication 30 minutes before meals

d.      Provide oral hygiene and gum care every shift

7.      A client receiving chemotherapy for breast cancer has an order for Zofran (ondansetron) 8mg PO to be given 30 minutes before induction of the chemotherapy. The purpose of the medication is to:

a.       Prevent anemia

b.      Promote relaxation

c.       Prevent nausea

d.      Increase neutrophil counts

8.      The physician has ordered cortisporin ear drops for a 2-year-old. To administer the ear drops, the nurse should:

a.       Pull the ear down and back

b.      Pull the ear straight out

c.       Pull the ear up and back

d.      Leave the ear undisturbed

9.      A client with schizophrenia has been taking Thorazine (chlorpromazine) 200mg four times a day. Which finding should be reported to the doctor immediately?

a.       The client complains of thirst

b.      The client has gained 4 pounds in the past 2 months

c.       The client complains of a sore throat

d.      The client naps throughout the day

10.  A client with iron-deficiency anemia is taking an oral iron supplement. The nurse should tell the client to take the medication with:

a.       Orange juice

b.      Water only

c.       Milk

d.      Apple juice

11.  A client is admitted with burns of the right arm, chest, and head. According to the Rule of Nines, the percent of burn injury is:

a.       18%

b.      27%

c.       36%

d.      45%

12.  A client who was admitted with chest pain and shortness of breath has a standing order for oxygen via mask. Standing orders for oxygen mean that the nurse can apply oxygen at:

a.       2L per minute

b.      6L per minute

c.       10L per minute

d.      12L per minute

13.  The nurse is caring for a client with an ileostomy. The nurse should pay careful attention to care around the stoma because:

a.       Digestive enzymes cause skin breakdown.

b.      Stools are less watery and contain more solid matter.

c.       The stoma will heal more slowly than expected.

d.      It is difficult to fit the appliance to the stoma site.

14.  The physician has ordered aspirin therapy for a client with severe rheumatoid arthritis. A sign of acute aspirin toxicity is:

a.       Anorexia

b.      Diarrhea

c.       Tinnitus

d.      Pruritis

15.  A client is admitted to the emergency room with symptoms of delirium tremens. After admitting the client to a private room, the priority nursing intervention is to:

a.       Obtain a history of his alcohol use

b.      Provide seizure precautions

c.       Keep the room cool and dark

d.      Administer thiamine and zinc

16.  The nurse is providing dietary teaching for a client with gout. Which dietary selection is suitable for the client with gout?

a.       Broiled liver, macaroni and cheese, spinach

b.      Stuffed crab, steamed rice, peas

c.       Baked chicken, pasta salad, asparagus casserole

d.      Steak, baked potato, tossed salad

17.  A newborn has been diagnosed with exstrophy of the bladder. The nurse should position the newborn:

a.       Prone

b.      Supine

c.       On either side

d.      With the head elevated

18.  The mother of a 3-month-old with esophageal reflux asks the nurse what she can do to lessen the baby’s reflux. The nurse should tell the mother to:

a.       Feed the baby only when he is hungry

b.      Burp the baby after the feeding is completed

c.       Place the baby supine with head elevated

d.      Burp the baby frequently throughout the feeding

19.  A child is hospitalized with a fractured femur involving the epiphysis. Epiphyseal fractures are serious because:

a.       Bone marrow is lost through the fracture site.

b.      Normal bone growth is affected.

c.       Blood supply to the bone is obliterated.

d.      Callus formation prevents bone healing.

20.  Before administering a nasogastric feeding to a client hospitalized following a CVA, the nurse aspirates 40mL of residual. The nurse should:

a.       Replace the aspirate and administer the feeding

b.      Discard the aspirate and withhold the feeding

c.       Discard the aspirate and begin the feeding

d.      Replace the aspirate and withhold the feeding

21.  A client has an order for Dilantin (phenytoin) .2g orally twice a day. The medication is available in 100mg capsules. For the morning medication, the nurse should administer:

a.       1 capsule

b.      2 capsules

c.       3 capsules

d.      4 capsules

22.  The LPN is reviewing the lab results of an elderly client when she notes a specific gravity of 1. The nurse recognizes that:

a.       The client has impaired renal function.

b.      The client has a normal specific gravity.

c.       The client has mild to moderate dehydration.

d.      The client has diluted urine from fluid overload.

23.  A client with pancreatitis has requested pain medication. Which pain medication is indicated for the client with pancreatitis?

a.       Demerol (meperidine)

b.      Toradol (ketorolac)

c.       Morphine (morphine sulfate)

d.      Codeine (codeine)

24.  A client with a hiatal hernia has been taking magnesium hydroxide for relief of heartburn. Overuse of magnesium-based antacids can cause the client to have:

a.       Constipation

b.      Weight gain

c.       Anorexia

d.      Diarrhea

25.  When performing a newborn assessment, the nurse measures the circumference of the neonate’s head and chest. Which assessment finding is expected in the normal newborn?

a.       The head and chest circumference are the same.

b.      The head is 2cm larger than the chest.

c.       The head is 3cm smaller than the chest.

d.      The head is 4cm larger than the chest.

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