Published - Fri, 03 Mar 2023

NCLEX-RN Exam Questions - Part 10

1. Discharge teaching was effective if the parents of a child with atopic dermatitis could state the importance of:

A) Maintaining a high-humidified environment
B) Furry, soft stuffed animals for play
C) Showering 3 - 4 times a day
D) Wrapping hands in soft cotton gloves

2. The priority nursing goal when working with an autistic child is:

A) To establish trust with the child
B) To maintain communication with the family
C) To promote involvement in school activities
D) To maintain nutritional requirements

3. The child with iron poisoning is given IV deforoxamine mesylate (Desferal). Following administration, the child suffers hypotension, facial flushing, and urticaria.The initial nursing intervention would be to:

A) Discontinue the IV
B) Stop the medication, and begin a normal saline infusion
C) Take all vital signs, and report to the physician
D) Assess urinary output, and if it is 30 mL an hour, maintain current treatment

4. As the nurse assesses a male adolescent with chlamydia, the nurse determines that a sign of chlamydia is:

A) Enlarged penis
B) Secondary lymphadenitis
C) Epididymitis
D) Hepatomegaly

5. When teaching a mother of a 4-month-old with diarrhea about the importance of preventing dehydration, the nurse would inform the mother about the importance of feeding her child:

A) Fruit juices
B) Diluted carbonated drinks
C) Soy-based, lactose-free formula
D) Regular formulas mixed with electrolyte solutions

1. Right Answer: D
Explanation: (A) Maintaining a low-humidified environment. (B) Avoiding furry, soft stuffed animals for play, which may increase symptoms of allergy. (C) Avoiding showering, which irritates the dermatitis, and encouraging bathing 4 times a day in colloid bath for temporary relief. (D) Wrapping hands in soft cotton gloves to prevent skin damage during scratching.

2. Right Answer: A
Explanation: (A) The priority nursing goal when working with an autistic child is establishing a trusting relationship. (B) Maintaining a relationship with the family is important but having the trust of the child is a priority. (C) To promote involvement in school activities is inappropriate for a child who is autistic. (D) Maintaining nutritional requirements is not the primary problem of the autistic child.

3. Right Answer: B
Explanation: (A) The IV line should not be discontinued because other IV medications will be needed. (B) Stop the medication and begin a normal saline infusion. The child is exhibiting signs of an allergic reaction and could go into shock if the medication is not stopped. The line should be kept opened for other medication. (C) Taking vital signs and reporting to the physician is not an adequate intervention because the IV medication continues to flow. (D) Assessing urinary output and, if it is 30 mL an hour, maintaining current treatment is an inappropriate intervention owing to the childs obvious allergic reaction.

4. Right Answer: C
Explanation: (A) An enlarged penis is not a sign of chlamydia. (B) Secondary lymphadenitis is a complication of lymphogranuloma venereum. (C) Untreated chlamydial infection can spread from the urethra, causing epididymitis, which presents as a tender, scrotal swelling. (D) Hepatomegaly is not a complication.

5. Right Answer: C
Explanation: (A) Diluted fruit juices are not recommended for rehydration because they tend to aggravate the diarrhea. (B) Diluted soft drinks have a high-carbohydrate content, which aggravates the diarrhea. (C) Soy-based, lactose-free formula reduces stool output and duration of diarrhea in most infants. (D) Regular formulas contain lactose, which can increase diarrhea.

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