Published - Thu, 23 Feb 2023
NCLEX-PN Exam Questions - Part 8
1. Acyclovir is the drug of choice for:
A) HIV.
B) HSV 1 and 2 and VZV.
C) CMV.
D) influenza A viruses.
2. A safety measure to implement when transferring a client with hemiparesis from a bed to a wheelchair is:
A) standing the client and walking him or her to the wheelchair.
B) moving the wheelchair close to client - s bed and standing and pivoting the client on his unaffected extremity to the wheelchair.
C) moving the wheelchair close to client - s bed and standing and pivoting the client on his affected extremity to the wheelchair.
D) having the client stand and push his body to the wheelchair.
3. Assessment of a client with a cast should include:
A) capillary refill, warm toes, no discomfort.
B) posterior tibial pulses, warm toes.
C) moist skin essential, pain threshold.
D) discomfort of the metacarpals.
4. In teaching clients with Buck - s Traction, the major areas of importance should be:
A) nutrition, ROM exercises.
B) ROM exercises, transportation.
C) nutrition, elimination, comfort, safety.
D) elimination, safety, isotonic exercises.
5. When a client informs the nurse that he is experiencing hypoglycemia, the nurse provides immediate intervention by providing:
A) one commercially prepared glucose tablet.
B) two hard candies.
C) 4 - 6 ounces of fruit juice with 1 teaspoon of sugar added.
D) 2 - 3 teaspoons of honey.
A) HIV.
B) HSV 1 and 2 and VZV.
C) CMV.
D) influenza A viruses.
2. A safety measure to implement when transferring a client with hemiparesis from a bed to a wheelchair is:
A) standing the client and walking him or her to the wheelchair.
B) moving the wheelchair close to client - s bed and standing and pivoting the client on his unaffected extremity to the wheelchair.
C) moving the wheelchair close to client - s bed and standing and pivoting the client on his affected extremity to the wheelchair.
D) having the client stand and push his body to the wheelchair.
3. Assessment of a client with a cast should include:
A) capillary refill, warm toes, no discomfort.
B) posterior tibial pulses, warm toes.
C) moist skin essential, pain threshold.
D) discomfort of the metacarpals.
4. In teaching clients with Buck - s Traction, the major areas of importance should be:
A) nutrition, ROM exercises.
B) ROM exercises, transportation.
C) nutrition, elimination, comfort, safety.
D) elimination, safety, isotonic exercises.
5. When a client informs the nurse that he is experiencing hypoglycemia, the nurse provides immediate intervention by providing:
A) one commercially prepared glucose tablet.
B) two hard candies.
C) 4 - 6 ounces of fruit juice with 1 teaspoon of sugar added.
D) 2 - 3 teaspoons of honey.
1. Right Answer: B
Explanation: Acyclovir (Zovirax) is specific for treatment of herpes virus infections. There is no cure for herpes. Acyclovir is excreted unchanged in the urine and therefore must be used cautiously in the presence of renal impairment.Drugs that treat herpes inhibit viral DNA replication by competing with viral substrates to form shorter, ineffective DNA chains. Physiological Adaptation
2. Right Answer: B
Explanation: Moving the wheelchair close to clients bed and having him stand and pivot on his unaffected extremity to the wheelchair is safer because it provides support with the unaffected limb. Basic Care and Comfort
3. Right Answer: A
Explanation: Assessment for adequate circulation is necessary. Signs of impaired circulation include slow capillary refill, cool fingers or toes, and pain. Basic Care and Comfort
4. Right Answer: C
Explanation: Nutrition, elimination, comfort, and safety are the major areas of importance. The diet should be high in protein with adequate fluids. Basic Care and Comfort
5. Right Answer: D
Explanation: The usual recommendation for treatment of hypoglycemia is 1015 grams of a fast-acting simple carbohydrate, orally, if the client is conscious and able to swallow(for example, 34 commercially prepared glucose tablets or 46 oz of fruit juice). It is not necessary to add sugar to juice, even if it is labeled as unsweetened juice because the fruit sugar in juice contains enough simple carbohydrate to raise the blood glucose level. Addition of sugar might result in a sharp rise in blood sugar that could last for several hours. Physiological Adaptation
Explanation: Acyclovir (Zovirax) is specific for treatment of herpes virus infections. There is no cure for herpes. Acyclovir is excreted unchanged in the urine and therefore must be used cautiously in the presence of renal impairment.Drugs that treat herpes inhibit viral DNA replication by competing with viral substrates to form shorter, ineffective DNA chains. Physiological Adaptation
2. Right Answer: B
Explanation: Moving the wheelchair close to clients bed and having him stand and pivot on his unaffected extremity to the wheelchair is safer because it provides support with the unaffected limb. Basic Care and Comfort
3. Right Answer: A
Explanation: Assessment for adequate circulation is necessary. Signs of impaired circulation include slow capillary refill, cool fingers or toes, and pain. Basic Care and Comfort
4. Right Answer: C
Explanation: Nutrition, elimination, comfort, and safety are the major areas of importance. The diet should be high in protein with adequate fluids. Basic Care and Comfort
5. Right Answer: D
Explanation: The usual recommendation for treatment of hypoglycemia is 1015 grams of a fast-acting simple carbohydrate, orally, if the client is conscious and able to swallow(for example, 34 commercially prepared glucose tablets or 46 oz of fruit juice). It is not necessary to add sugar to juice, even if it is labeled as unsweetened juice because the fruit sugar in juice contains enough simple carbohydrate to raise the blood glucose level. Addition of sugar might result in a sharp rise in blood sugar that could last for several hours. Physiological Adaptation
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