Published - Fri, 03 Mar 2023

NCLEX-RN Exam Questions - Part 34

1. A postpartum client complains of rectal pressure and severe pain in her perineum; this may be indicative of:

A) Afterbirth pains
B) Constipation
C) Cystitis
D) A hematoma of the vagina or vulva

2. After a 10-year-old child with insulin-dependent diabetes mellitus receives her dinner tray, she tells the nurse that she hates broccoli and wants some corn on the cob. The nurses appropriate response is:

A) 'No vegetable exchanges are allowed.'
B) 'Corn and other starchy vegetables are considered to be bread exchanges.'
C) 'Yes, you may exchange any vegetable for any other vegetable.'
D) 'Yes, but only one-half ear is allowed.'

3. The nurse is teaching a 10-year-old insulin-dependent diabetic how to administer insulin. Which one of the following steps must be taught for insulin administration?

A) Never use abdominal site for a rotation site.
B) Pinch the skin up to form a subcutaneous pocket.
C) Avoid applying pressure after injection.
D) Change needles after injection.

4. In assessing the nature of the stool of a client who has cystic fibrosis, what would the nurse expect to see?

A) Clay-colored stools
B) Steatorrhea stools
C) Dark brown stools
D) Blood-tinged stools

5. A group of nursing students at a local preschool day care center are going to screen each childs fine and gross motor, language, and social skills. The students will use which one of the most widely used screening tests?

A) Revised Prescreening Developmental Questionnaire
B) Goodenough Draw-a-Person Screening Test
C) Denver Development Screening Test
D) Caldwell Home Inventory

1. Right Answer: D
Explanation: (A) Afterbirth pains are a common complaint in the postpartum client, but they are located in the uterus. (B) Constipation may cause rectal pressure but is not usually associated with 'severe pain.' (C) Cystitis may cause pain, but the location is different. (D) Hematomas are frequently associated with severe pain and pressure. Further assessments are indicated for this client.

2. Right Answer: B
Explanation: (A) Sites for injection need to be rotated, including abdominal sites, to enhance insulin absorption. (B) The pinch technique is the most effective method for obtaining skin tightness to allow easy entrance of the needle to subcutaneous tissues. (C) Massaging the site of injectionfacilitates absorption of the insulin. (D)Changing the needle will break the sterility of the system. It has become acceptable practice to reuse disposable needles and syringes for 37 days.

3. Right Answer: B
Explanation: (A) Sites for injection need to be rotated, including abdominal sites, to enhance insulin absorption. (B) The pinch technique is the most effective method for obtaining skin tightness to allow easy entrance of the needle to subcutaneous tissues. (C) Massaging the site of injection facilitates absorption of the insulin. (D)Changing the needle will break the sterility of the system. It has become acceptable practice to reuse disposable needles and syringes for 37 days.

4. Right Answer: B
Explanation: (A) Clay-colored stools indicate dysfunction of the liver or biliary tract. (B) In the early stages of cystic fibrosis, fat absorption is primarily affected resulting in fat, foul, frothy, bulky stools. (C) Dark brown stools indicate normal passage through the colon. (D) Blood-tinged stools indicate dysfunction of the gastrointestinal (GI) tract.

5. Right Answer: C
Explanation: (A) The Revised Prescreening Developmental Questionnaire is more age appropriate and offers simplified parent scoring and easier comparison. It is used by parents instead of professionals. (B) The Goodenough Draw-a-Person test is used to assess intellectual development. (C) The Denver Developmental ScreeningTest is one of the most widely used screening tests. It offers a concise, easy-to-administer, systematic approach to assessing the preschool child. It is widely used because of its reliability and validity. (D) The Caldwell Home Inventory is used to assess the home environment in areas of social, emotional, and cognitive supports.

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