Published - Thu, 23 Feb 2023
NCLEX-PN Exam Questions - Part 53
1. Which of the following is a predisposing factor for cancer of the tongue?
A) tobacco use
B) obesity
C) sun exposure
D) eating sweets
2. Which of the following statements by a client with gastroesophageal reflux disease (GERD) indicates adequate understanding?
A) 'I should eat right before bedtime.'
B) 'I should eat large meals.'
C) 'I should sit up after eating.'
D) 'I should lie flat after eating.'
3. Which of the following medications might cause upper-gastrointestinal (UGI) bleeding?
A) Cardizem (diltiazem)
B) Naprosyn (naproxen)
C) Elavil (amitryptiline)
D) Corgard (nadolol)
4. A contraindication for topical corticosteroid use in a client with atopic dermatitis (eczema) is:
A) parasite infection.
B) viral infection.
C) fungal infection.
D) spirochete infection.
5. A client - s postoperative pain seems to be getting worse instead of better. When the nurse asks the client, 'Why do you think it - s getting worse?' the client replies,'My wife died last month. It - s all I can think about.' The nurse must now consider:
A) calling the physician for an increased dosage of pain medication.
B) calling the physician for a sedative.
C) referring the client for a psychiatric consult.
D) developing interventions for grief and loss.
A) tobacco use
B) obesity
C) sun exposure
D) eating sweets
2. Which of the following statements by a client with gastroesophageal reflux disease (GERD) indicates adequate understanding?
A) 'I should eat right before bedtime.'
B) 'I should eat large meals.'
C) 'I should sit up after eating.'
D) 'I should lie flat after eating.'
3. Which of the following medications might cause upper-gastrointestinal (UGI) bleeding?
A) Cardizem (diltiazem)
B) Naprosyn (naproxen)
C) Elavil (amitryptiline)
D) Corgard (nadolol)
4. A contraindication for topical corticosteroid use in a client with atopic dermatitis (eczema) is:
A) parasite infection.
B) viral infection.
C) fungal infection.
D) spirochete infection.
5. A client - s postoperative pain seems to be getting worse instead of better. When the nurse asks the client, 'Why do you think it - s getting worse?' the client replies,'My wife died last month. It - s all I can think about.' The nurse must now consider:
A) calling the physician for an increased dosage of pain medication.
B) calling the physician for a sedative.
C) referring the client for a psychiatric consult.
D) developing interventions for grief and loss.
1. Right Answer: A
Explanation: Tobacco use is a predisposing factor for cancer of the tongue; the other choices are not. Reduction of Risk Potential
2. Right Answer: C
Explanation: The client with GERD needs to sit up after eating or have the head of the bed elevated to avoid reflux. Thus, choices 1 and 4 are incorrect. Choice 2 is incorrect because the client needs to eat small, frequent meals. Reduction of Risk Potential
3. Right Answer: B
Explanation: Naprosyn might cause upper-gastrointestinal (UGI) bleeding. Reduction of Risk Potential
4. Right Answer: B
Explanation: Topical agents produce a localized, rather than systemic, effect. When treating atopic dermatitis with a steroidal preparation, the site is vulnerable to invasion by organisms. Viruses, such as herpes simplex or varicella zoster, present a risk of disseminated infection. Educate the client using topical corticosteroids to avoid crowds or people known to have infections and to report even minor signs of an infection. Topical corticosteroid use results in little danger of concurrent infection with the agents in choices 1, 3, and 4. Pharmacological Therapies
5. Right Answer: D
Explanation: The clients pain is affective as well as sensory. Grieving his wifes death is a normal response that does not necessarily require psychiatric consult. Choices 1 and2 address the sensory, not the affective component of his pain. Basic Care and Comfort
Explanation: Tobacco use is a predisposing factor for cancer of the tongue; the other choices are not. Reduction of Risk Potential
2. Right Answer: C
Explanation: The client with GERD needs to sit up after eating or have the head of the bed elevated to avoid reflux. Thus, choices 1 and 4 are incorrect. Choice 2 is incorrect because the client needs to eat small, frequent meals. Reduction of Risk Potential
3. Right Answer: B
Explanation: Naprosyn might cause upper-gastrointestinal (UGI) bleeding. Reduction of Risk Potential
4. Right Answer: B
Explanation: Topical agents produce a localized, rather than systemic, effect. When treating atopic dermatitis with a steroidal preparation, the site is vulnerable to invasion by organisms. Viruses, such as herpes simplex or varicella zoster, present a risk of disseminated infection. Educate the client using topical corticosteroids to avoid crowds or people known to have infections and to report even minor signs of an infection. Topical corticosteroid use results in little danger of concurrent infection with the agents in choices 1, 3, and 4. Pharmacological Therapies
5. Right Answer: D
Explanation: The clients pain is affective as well as sensory. Grieving his wifes death is a normal response that does not necessarily require psychiatric consult. Choices 1 and2 address the sensory, not the affective component of his pain. Basic Care and Comfort
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