Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 149
Questions 1. The initial focus when providing nursing care for a child with rheumatic fever during the acute phase of the illness should be to:A) Maintain contact with her parentsB) Provide for physical and psychological restC) Provide a nutritious dietD) Maintain her interest in school2. During discharge planning, parents of a child with rheumatic fever should be able to identify which of the following as toxic symptoms of sodium salicylate?A) Tinnitus and nauseaB) Dermatitis and blurred visionC) Unconsciousness and acetone odor of the breathD) Chills and an elevation of temperature3. Parents of a child with rheumatic fever express concern that she will always be arthritic. The nurse discusses their concerns and tells them the joint pain usually:A) Subsides in
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 150
Questions 1. A 4 year old has an imaginary playmate, which concerns the mother. The nurse - s best response would be:A) 'I understand your concern and will assist you with a referral.'B) 'Try not to worry because you will just upset your child.'C) 'Just ignore the behavior and it should disappear by age 8.'D) 'This is appropriate behavior for a preschooler and should not be a concern.'2. When assessing a female child for Turner - s syndrome, the nurse observes for which of the following symptoms?A) Tall statureB) AmenorrheaC) Secondary sex characteristicsD) Gynecomastia3. The mother of a client is apprehensive about taking home her 2 year old who was diagnosed with asthma after being admitted to the emergency room with difficulty breathing and cyanosis. She asks the nurse what symptoms she should look for so that this problem will not happen again. The nurse instructs her to watch for the following early symptoms:A) Fever, runny nose, and hyperactivityB) Changes in breathing pattern, moodiness, fatigue, and edema of eyesC) Fatigue, dark circles under the eyes, changes in breathing pattern, glassy eyes, and moodinessD) Fever, cough, paleness, and wheezing4. A 3-year-old female client is brought into the pediatric clinic because she limps. She has not been to the clinic since she was 9 months old. The nurse practitioner describes the limp as a 'Trendelenburg gait.' This gait is characteristic of:A) ScoliosisB) Dislocated hipC) Fractured femurD) Fractured pelvis5. A child has a nursing diagnosis of fluid volume excess related to compromised regulatory mechanisms. Which of the following nursing interventions is the most accurate measure to include in his care?A) Weigh the child twice daily on the same scale.B) Monitor intake and output.C) Check urine specific gravity of each voiding.D) Observe for edema. Right Answer and Explanation: 1. Right Answer: DExplanation: (A) This is normal for a preschooler, and a referral is not appropriate. (B) Telling a parent not to worry is unhelpful. This response does not address the mothers concern. (C) This response is incorrect. The behavior is normal and will usually disappear by the time the child enters school. (D) This behavior is normal development for a preschooler.2. Right Answer: BExplanation: (A) This syndrome is caused by absence of one of the X chromosomes. These children are short in stature. (B) Amenorrhea is a symptom of Turners syndrome, which appears at puberty. (C) Sexual infantilism is characteristic of this syndrome. (D) Gynecomastia is a symptom in Klinefelters syndrome.3. Right Answer: CExplanation: (A) The child with asthma may not have fever unless there is an underlying infection. (B) Edema of the eyes will not be present because the child with asthma is more likely to have dehydration related to excessive water loss during the work of breathing. (C) All of these symptoms indicate decreased oxygenation and are early symptoms of asthma. (D) Coughing and wheezing are not early signs of difficulty.4. Right Answer: BExplanation: (A, C, D) A Trendelenburg gait is not characteristic of any of these disorders. (B) The downward slant of one hip is a positive sign of dislocation in the weight- bearing hip. If one hip is dislocated, the child walks with a characteristic limp known as the Trendelenburg gait.5. Right Answer: AExplanation: (A) Although all of these interventions are important aspects of care, weight is the most sensitive indicator of fluid balance. (B) Although monitoring intake and output is important, weight is a more accurate indicator of fluid status. (C) Urine specific gravity does not necessarily indicatefluid volume excess. (D) Edema may not be apparent, yet the client may have fluid volume excess. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 151
Questions 1. The pediatric nurse charts that the parents of a 4-yearold child are very anxious. Which observation would indicate to the nurse unhealthy coping by these parents:A) Discussing their needs with the nursing staffB) Discussing their needs with other family membersC) Seeking support from their ministerD) Refusing to participate in the child - s care2. A 9-week-old female infant has a diagnosis of bilateral cleft lip and cleft palate. She has been admitted to the pediatric unit after surgical repair of the cleft lip.Which of the following nursing interventions would be appropriate during the first 24 hours?A) Position on side or abdomen.B) Maintain elbow restraints in place unless she is being directly supervised.C) Clean suture line every shift.D) Offer pacifier when she cries.3. A 6-month-old infant who was diagnosed at 4 weeks of age with a ventricular septal defect, was admitted today with a diagnosis of failure to thrive. His mother stated that he had not been eating well for the past month. A cardiac catheterization reveals congestive heart failure. All of the following nursing diagnoses are appropriate. Which nursing diagnosis should have priority?A) Altered nutrition: less than body requirements related to inability to take in adequate caloriesB) Altered growth and development related to decreased intake of foodC) Activity intolerance related to imbalance between oxygen supply and demandD) Decreased cardiac output related to ineffective pumping action of the heart4. A 9-year-old child was in the garage with his father, who was repairing a lawnmower. Some gasoline ignited and caused an explosion. His father was killed, and the child has split-thickness and full-thickness burns over 40% of his upper body, face, neck, and arms. All of the following nursing diagnoses are included on his care plan. Which of these nursing diagnoses should have top priority during the first 2448 hours postburn?A) Pain related to tissue damage from burnsB) Potential for infection related to contamination of woundsC) Fluid volume deficit related to increased capillary permeabilityD) Potential for impaired gas exchange related to edema of respiratory tract5. A female baby was born with talipes equinovarus. Her mother has requested that the nurse assigned to the baby come to her room to discuss the babys condition. The nurse knows that the pediatrician has discussed the babys condition with her mother and that an orthopedist has been consulted but has not yet seen the baby. What should the nurse do first?A) Call the orthopedist and request that he come to see the baby now.B) Question the mother and find out what the pediatrician has told her about the baby - s condition.C) Tell the mother that this is not a serious condition.D) Tell the mother that this condition has been successfully treated with exercises, casts, and/or braces. Right Answer and Explanation: 1. Right Answer: DExplanation: (A, B, C) These methods are healthy ways of dealing with anxiety. (D) Participation minimizes feelings of helplessness and powerlessness. It is important that parents have accurate information and that they seek support from sources available to them.2. Right Answer: BExplanation: (A) Placing the infant on her abdomen may allow for injury to the suture line. (B) Elbow restraints prevent the infant from touching the suture line and yet leaves hands free. (C) The suture line is cleaned as often as every hour to prevent crusting and scarring. (D) Sucking of a bottle or pacifier places pressure on the suture line and may delay healing and cause scarring.3. Right Answer: DExplanation: (A) Altered nutrition occurs owing to the fatigue from decreased cardiac output associated with congestive heart failure. (B) The decreased intake occurs due to fatigue from the altered cardiac output. (C) Fatigue occurs due to the decreased cardiac output. (D) The ineffective action of the myocardium leads to inadequateO2 to the tissues, which produces activity intolerance, altered nutrition, and altered growth and development.4. Right Answer: DExplanation: (A, B, C) These answers are all correct; however, maintenance of airway is the top priority. (D) Persons burned about the face and neck during an explosion are also likely to suffer burns of the respiratory tract, which can lead to edema and respiratory arrest.5. Right Answer: BExplanation: (A) The nurse should call the orthopedist after assessing the mothers knowledge. (B) The nurse must first assess the knowledge of the parent before attempting any explanation. (C) The nurse should assess the mothers knowledge of the babys condition as the first priority. (D) This answer is correct, but the priority is B. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 152
Questions 1. Cystic fibrosis is transmitted as an autosomal recessive trait. This means that:A) Mothers carry the gene and pass it to their sonsB) Fathers carry the gene and pass it to their daughtersC) Both parents must have the disease for a child to have the diseaseD) Both parents must be carriers for a child to have the disease2. Diabetes mellitus is a disorder that affects 3.1 out of every 1000 children younger than 20 years old. It is characterized by an absence of, or marked decrease in, circulating insulin. When teaching a newly diagnosed diabetes client, the nurse includes information on the functions of insulin:A) Transport of glucose into body cells and storage of glycogen in the liverB) Glycogenolysis and facilitation of glucose use for energyC) Glycogenolysis and catabolismD) Catabolism and hyperglycemia3. A 14-year-old boy has had diabetes for 7 years. He takes 30 U of NPH insulin and 10 U of regular insulin every morning at 7 AM. He eats breakfast at 7:30 AM and lunch at noon. What time should he expect the greatest risk for hypoglycemia?A) 9 AMB) 1 PMC) 11 AMD) 3 PM4. A 16-year-old diabetic girl has been selected as a cheerleader at her school. She asks the nurse whether she should increase her insulin when she is planning to attend cheerleading practice sessions lasting from 8 to 11 AM. The most appropriate answer would be:A) 'You should ask your doctor about this.'B) 'Yes, increase your insulin by 1 U for each hour of practice because exercise causes the body to need more insulin.'C) 'No, do not increase your insulin. Exercise will not affect your insulin needs.'D) 'No, do not increase your insulin, but eating a snack prior to practice exercise will make insulin more effective and move more glucose into the cells.'5. The physician decides to prescribe both a short-acting insulin and an intermediate-acting insulin for a newly diagnosed 8-year-old diabetic client. An example of a short-acting insulin is:A) Novolin RegularB) Humulin NPHC) Lente BeefD) Protamine zinc insulin Right Answer and Explanation: 1. Right Answer: DExplanation: (A) Cystic fibrosis is not an X-linked or sex-linked disease. (B) The only characteristic on the Y chromosome is the trait for hairy ears. (C) Both parents do not need to have the disease but must be carriers. (D) If a trait is recessive, two genes (one from each parent) are necessary to produce an affected child.2. Right Answer: AExplanation: (A) Lack of insulin causes glycogenolysis, catabolism, and hyperglycemia. (B) Insulin promotes the conversion of glucose to glycogen for storage and regulates the rate at which carbohydrates are used by cells for energy. (C) Insulin is anabolic in nature. (D) Glucose stimulates protein synthesis within the tissue and inhibits the breakdown of protein into amino acids.3. Right Answer: CExplanation: (A) This time is incorrect because regular insulin would peak after the teenager has eaten breakfast. (B) This time is incorrect because it is after lunch when theNPH peaks. (C) Regular insulin peaks in 23 hours and has a duration of 46 hours. NPH insulins onset is 46 hours and peaks in 816 hours. Blood sugar would peak after meals and be lowest before meals and during the night. (D) This time is incorrect because it is before the NPH and after the regular insulin peak times.4. Right Answer: DExplanation: (A) A nurse can give this information to a client. (B) Exercise makes insulin more efficient in moving more glucose into the cells. No more insulin is needed. (C)Exercise makes insulin more efficient unless the diabetes is poorly controlled. (D) Exercise makes insulin more efficient in moving more glucose into the cells.5. Right Answer: AExplanation: (A) Novolin is a short-acting insulin. (B, C) NPH and Lente are intermediate-acting insulins. (D) Protamine zinc insulin is a long-acting insulin preparation. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 153
Questions 1. When preparing insulin for IV administration, the nurse identifies which kind of insulin to use?A) NPHB) Human or porkC) RegularD) Long acting2. A 33-year-old client is diagnosed with bipolar disorder, acute phase. This is her first psychiatric hospitalization, and she is being evaluated for treatment with lithium. Which of the following diagnostic tests are essential prior to the initiation of lithium therapy with this client?A) Hematocrit, hemoglobin, and white blood cell (WBC) countB) Blood urea nitrogen, electrolytes, and creatinineC) Glucose, glucose tolerance test, and random blood sugarD) X-rays, electroencephalogram, and electrocardiogram(ECG)3. A client has been taking lithium 300 mg po bid for the past two weeks. This morning her lithium level was 1 mEq/L. The nurse should:A) Notify the physician immediatelyB) Hold the morning lithium dose and continue to observe the clientC) Administer the morning lithium dose as scheduledD) Obtain an order for benztropine (Cogentin)4. A 23-year-old male client is admitted to the chemical dependency unit with a medical diagnosis of alcoholism. He reports that the last time he drank was 3 days ago, and that now he is starting to 'feel kind of shaky.' Based on the information given above, nursing care goals for this client will initially focus on:A) Self-concept problemsB) Interpersonal issuesC) Ineffective coping skillsD) Physiological stabilization5. One afternoon 3 weeks into his alcohol treatment program, a client says to the nurse, 'It - s really not all my fault that I have a drinking problem. Alcoholism runs in my family. Both my grandfather and father were heavy drinkers.' The nurse - s best response would be:A) 'That might be a problem. Tell me more about them.'B) 'Risk factors can often be controlled by self-responsibility.'C) 'It sounds like you - re intellectualizing your drinking problem.'D) 'Your grandfather and father were both alcoholics?' Right Answer and Explanation: 1. Right Answer: CExplanation: (A, B, D) Intermediate-acting and long-acting preparations contain materials that increase length of absorption time from the subcutaneous tissues but cause the preparation to be cloudy and unsuitable for IV use. Human insulin must be given SC. (C) Only regular insulin can be given IV.2. Right Answer: BExplanation: (A) These are general diagnostic blood studies (usually done on admission), but they are not reliable indicators of lithium therapy clearance. (B) These are the primary diagnostic tests to determine kidney functioning. Because lithium is excreted through the kidneys and because it can be very toxic, adequate renal function must be ascertained before therapy begins. (C) These are diagnostic blood tests used to determine the presence of endocrine (not renal) dysfunction. (D)These are other types of diagnostic procedures used to determine musculoskeletal, neural, and cardiac (rather than renal) functioning.3. Right Answer: CExplanation: (A) There is no need to phone the physician because the lithium level is within therapeutic range and because there are no indications of toxicity present. (B)There is no reason to withhold the lithium because the blood level is within therapeutic range. Also, it is necessary to give the medication as scheduled to maintain adequate blood levels. (C) The lab results indicate that the clients lithium level is within therapeutic range (0.21.4 mEq/L), so the medication should be given as ordered. (D) Benztropine is an antiparkinsonism drug frequently given to counteractextrapyramidal symptoms associated with the administration of antipsychotic drugs (not lithium).4. Right Answer: DExplanation: (A) Self-concept and self-esteem problems may emerge during the clients treatment, but these are not immediate concerns. (B) Interpersonal issues may become evident during the course of the clients treatment, but these are also not immediate areas of concern. (C) Improving individual coping skills is generally a primary focus in the treatment and nursing care of persons with substance abuse problems. However, this is still not the immediate concern in this client situation. (D)Correction of fluid and electrolyte status and vitamin deficiencies, as well as prevention of delirium, is the immediate concern in the care of this client.5. Right Answer: BExplanation: (A) Focusing is an effective therapeutic strategy. This response, however, allows the client to 'defocus' off the topic of learning how to accept responsibility for his behavior and future growth. (B) The nurse can educate the client about both the 'genetic risk' for the development of alcoholism and ways to make long-term healthy lifestyle changes. (C) This response is inappropriately confrontational and condescending to the client. (D) Reflection of content can be an effective verbal therapeutic technique. It is used inappropriately here. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 154
Questions 1. A 14-year-old teenager is hospitalized for anorexia nervosa. She is admitted to the adolescent mental health unit and placed on a behavior modification program.Nursing interventions for the teenager will most likely include:A) Establishing routine tasks and activities around mealtimesB) Administering medications such as lithiumC) Requiring the client to eat more during mealsD) Checking the client - s room frequently2. A measurable outcome criterion in the nursing care of an adolescent with anorexia nervosa would be:A) Accepting her present body imageB) Verbalizing realistic feelings about her bodyC) Having an improved perception of her body imageD) Exhibiting increased self-esteem3. A 23-year-old female client is brought to the emergency room by her roommate for repeatedly making superficial cuts on her wrists and experiencing wide mood swings. She is very angry and hostile. Her medical diagnosis is adjustment disorder versus borderline personality disorder. The client comments to the nurse,'Nobody in here seems to really care about the clients. I thought nurses cared about people!' The client is exhibiting the ego defense mechanism:A) Reaction formationB) RationalizationC) SplittingD) Sublimation4. A client hospitalized with a medical diagnosis of adjustment disorder versus personality disorder states, 'Nobody cares about the clients.' The nurse - s most effective response would be:A) 'How can you say that I don - t care? We just met.'B) 'What makes you think the nurses don - t care?'C) 'You will feel differently about us in a few days.'D) 'You seem angry. Tell me more about how you feel.'5. A 45-year-old client diagnosed with major depression is scheduled for electroconvulsive therapy (ECT) in the morning. Which of the following medications are routinely administered either before or during ECT?A) Thioridazine (Mellaril), lithium, and benztropineB) Atropine, sodium brevitol, and succinylcholine chloride (Anectine)C) Sodium, potassium, and magnesiumD) Carbamazepine (Tegretol), haloperidol, and trihexyphenidyl (Artane) Right Answer and Explanation: 1. Right Answer: AExplanation: (A) Providing a more structured, supportive environment addresses safety and comfort needs, thereby helping the anorexic client develop more internal control.(B) Medications (commonly antidepressants) are frequently ordered for the anorexic client. However, lithium (used primarily with bipolar disorder) is not commonly used to treat the anorexic client. (C) Requiring and/or demanding that the anorexic client 'eat more' at mealtimes increases the client s feelings of powerlessness.(D) Like the previous strategy, checking the clients room frequently contributes to the clients feelings of powerlessness.2. Right Answer: BExplanation: (A) This outcome criterion is inadequate because the term 'accepts' is not directly measurable. (B) This outcome criterion is directly measurable because specific goal-related verbalizations can be heard and verified by the nurse. (C) 'Improved perception of body image' is not directly measurable and is therefore open to many interpretations. (D) Although long-term goals for the anorexic client should focus on increased self-esteem, this outcome criterion (as stated) does not include specific indicators or behaviors for which to observe.3. Right Answer: CExplanation: (A) Reaction formation is the development and demonstration of attitudes and/or behaviors opposite to what an individual actually feels. The clients comment does reveal her anger and hostility. (B) Rationalization, another ego defense mechanism, is offering a socially acceptable or seemingly logical explanation to justify ones feelings, behaviors, or motives. The clients comment does not reflect rationalization. (C) Splitting, the viewing of people or situations as either all good or all bad, is frequently used by persons experiencing a disruption in self-concept. This ego defense mechanism is reflective of the individuals inability to integrate the positive and negative aspects of self. (D) Sublimation, the channeling of socially unacceptable impulses and behaviors into more acceptable patterns of behavior, is another ego defense mechanism. The clients comment reveals that she is not engaging in sublimation.4. Right Answer: DExplanation: (A) This statement is a defensive response that places the nurse in a vulnerable countertransference position, and at the same time, fails to challenge the clients'splitting' behavior. (B) This statement is a defensive response by the nurse. In addition, this type of nontherapeutic statement requests that the client explain the reasons for her behavior, a difficult task for an individual with limited insight. (C) This statement is a nontherapeutic response that both ignores the intensity of the client s emotions and the dynamics underlying 'splitting' behavior. (D) By simultaneously acknowledging the client s emotional intensity and gently challenging her'splitting' behavior, the nurse addresses the client s current distortions and prepares for further interventions with angry or ambivalent feelings.5. Right Answer: BExplanation: (A) Thioridazine (an antipsychotic drug), lithium (an antimanic drug), and benztropine (an antiparkinsonism agent) are generally administered to treat schizophrenic and bipolar disorders. (B) Atropine (a cholinergic blocker), sodium brevitol (a shortacting anesthetic), and succinylcholine (a neuromuscular blocker) are administered either before or during ECT to coun teract bradycardia and to provide anesthesia and total muscle relaxation. (C) These are electrolyte substances administered to correct fluid and electrolyte imbalances in the body. (D) Carbamazepine (an anticonvulsant), haldoperidol (an antipsychotic), and trihexyphenydyl (an antiparkinsonism agent) are usually administered in psychiatric settings to control problems associated with psychotic behavior. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 155
Questions 1. A 35-year-old client is receiving psychopharmacological treatment of his major depression with tranylcypromine sulfate (Parnate), a monoamine oxidase (MAO) inhibitor. The nurse teaches the client that while he is taking this type of antidepressant, he needs to restrict his dietary intake of:A) Potassium-rich foodsB) TryptophanC) TyramineD) Saturated fats2. The nurse will be alert to the most potentially lifethreatening side effect associated with the administration of monoamine oxidase (MAO) inhibitor. This is:A) Oculogyric crisisB) Hypertensive crisisC) Orthostatic hypotensionD) Tardive dyskinesia3. A 38-year-old female client with a history of chronic schizophrenia, paranoid type, is currently an outpatient at the local mental health and mental retardation clinic.The client comes in once a week for medication evaluation and/or refills. She self-administers haloperidol 5 mg twice a day and benztropine 1 mg once a day.During a recent clinic visit, she says to the nurse, 'I can - t stay still at night. I toss and turn and can - t fall asleep.' The nurse suspects that she may be experiencing:A) AkathisiaB) AkinesiaC) DystoniaD) Opisthotonos4. On assessment, the nurse learns that a chronic paranoid schizophrenic has been taking 'the blue pill' (haloperidol) in the morning and evening, and 'the white pill'(benztropine) right before bedtime. The nurse might suggest to the client that she try:A) Doubling the daily dose of benztropineB) Decreasing the haloperidol dosage for a few daysC) Taking the benztropine in the morningD) Taking her medication with food or milk5. A 27-year-old male client is admitted to the acute care mental health unit for observation. He has recently lost his job, and his wife told him yesterday that she wants a divorce. The client is placed on suicide precautions. In assessing suicide potential, the nurse should pay close attention to the clients:A) Level of insightB) Thought processesC) Mood and affectD) Abstracting abilities Right Answer and Explanation: 1. Right Answer: CExplanation: (A) The client may need to avoid some potassium-rich foods (such as bananas, raisins, etc.). However, this is not because of the potassium content of these foods. (B) Tryptophan is an essential amino acid that is present in high concentrations in animal and fish protein. (C) The client will need to watch his dietary intake of tyramine. Tyramine is a by-product of the conversion of tyrosine to epinephrine. Tyramine is found in a variety of foods and beverages, ranging from aged cheese to caffeine drinks. Ingestion of tyramine-rich foods while taking a MAO inhibitor may lead to an increase in blood pressure and/or a life-threatening hypertensive crisis. (D) To maintain a healthy lifestyle, restriction of dietary saturated fats is advisable.2. Right Answer: BExplanation: (A) Oculogyric crisis, involuntary upward deviation and fixation of the eyeballs, is usually associated with either postencephalitic parkinsonian or drug-induced extrapyramidal symptoms (EPS). (B) Hypertensive crisis is a potentially life-threatening side effect. This may occur if the client ingests foods, beverages, or medications containing tyramine. (C) Orthostatic hypotension, a drop in blood pressure resulting from a rapid change of body position, can occur with the administration of antidepressants. (D) Tardive dyskinesia, characterized by slow, rhythmical, automatic or stereotyped muscular movements, usually is associated with the administration of certain antipsychotic medications.3. Right Answer: AExplanation: (A) Akathisia, or motor restlessness, is a reversible EPS frequently associated with the administration of antipsychotic drugs such as haloperidol. (B) Akinesia, or muscular or motor retardation, is an example of reversible EPS frequently associated with the administration of major tranquilizers such as haloperidol. (C) Acute dystonic reactions, bizarre and severe muscle contractions usually of the tongue, face, neck or extraocular muscles, are examples of EPS. (D) Opisthotonos, a severe type of whole-body dystonic reaction in which the head and heels are bent backward while the body is bowed forward, is an example of EPS.4. Right Answer: CExplanation: (A) Suggesting that a client increase a medication dosage is an inappropriate (and illegal) nursing action. This action requires a physicians order. (B) To suggest that a client decrease a medication dosage is an inappropriate (and illegal) nursing action. This action requires a physicians order. (C) This response is an appropriate independent nursing action. Because motorrestlessness can also be a side effect of cogentin, the nurse may suggest that the client try taking the drug early in the day rather than at bedtime. (D) Certain medications can cause gastric irritation and may be taken with food or milk to prevent this side effect.5. Right Answer: CExplanation: (A) Assessing the clients level of insight is an important part of the mental status exam (MSE), but it does not reflect suicide potential. (B) Assessing the clients thought processes is an important part of the MSE, but it does not reflect suicide potential. (C) Assessing the clients mood and affect is an important part of theMSE, and it can be a very valuable indicator of suicide potential. Frequently a client who has decided to proceed with suicide plans will exhibit a suddenly improved mood and affect. (D) Assessing a clients abstracting abilities is an important part of the MSE, but it does not reflect suicide potential. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 156
Questions 1. The nurse knows that children are more susceptible to respiratory tract infections owing to physiological differences. These childhood differences, when compared to an adult, include:A) Fewer alveoli, slower respiratory rateB) Diaphragmatic breathing, larger volume of airC) Larger number of alveoli, diaphragmatic breathingD) Rounded shape of chest, smaller volume of air2. A 2-year-old toddler is hospitalized with epiglottitis. In assessing the toddler, the nurse would expect to find:A) A productive coughB) Expiratory stridorC) DroolingD) Crackles in the lower lobes3. Which of the following nursing care goals has the highest priority for a child with epiglottitis?A) Sleep or lie quietly 10 hr/day.B) Consume foods from all four food groups.C) Be afebrile throughout her hospital stay.D) Participate in play activities 4 hr/day.4. Which of the following nursing orders has the highest priority for a child with epiglottitis?A) Vital signs every shiftB) Tracheostomy set at bedsideC) Intake and outputD) Specific gravity every shift5. Often children are monitored with pulse oximeter. The pulse oximeter measures the:A) O2 content of the bloodB) Oxygen saturation of arterial bloodC) PO2D) Affinity of hemoglobin for O2 Right Answer and Explanation: 1. Right Answer: DExplanation: (A) Although a child has fewer alveoli than an adult, the childs respiratory rate is faster. (B) Although a child may use diaphragmatic breathing, the adult exchanges a larger volume of air. (C) The adult has a larger number of alveoli than a child. (D) The childs chest is rounded whereas the adult chest is more of an oval shape, and the child does exchange a smaller volume of air than an adult.2. Right Answer: CExplanation: (A) A productive cough is not associated with epiglottitis. (B) Children with epiglottitis seldom have expiratory stridor. Inspiratory stridor is more common due to edema of the supraglottic tissues. (C) Because of difficulty with swallowing, drooling often accompanies epiglottitis. (D) Crackles are not heard in the lower lobes with epiglottitis because the infection is usually confined to the supraglottic structures.3. Right Answer: AExplanation: (A) Of these four goals, maintenance of a calm, quiet atmosphere to reduce anxiety and to allow for rest is the most important. (B) Although nutrition is important, the child needs fluids to maintain fluid and electrolyte balance more than solid foods. In addition, the child may not be able to swallow solid foods owing to epiglottic swelling. (C) This goal is unrealistic because fever is a common symptom of the infection associated with epiglottitis. (D) If overexerted, the child will need more O2 and energy than available, and these requirements may exacerbate the condition.4. Right Answer: BExplanation: (A) Because of the possibility of fever or respiratory failure, vital signs should be done more often than every eight hours. (B) If the epiglottitis worsens, the edema and laryngospasm may close the airway and an emergency tracheostomy may be necessary. (C) Although intake and output are a part of the nursing care of a child with epiglottitis, it is not as important as the safety measure of keeping the tracheostomy set at the bedside. (D) Specific gravity will indicate hydration status, but it is not as important as keeping the tracheostomy set at the bedside.5. Right Answer: BExplanation: (A) The O2 content of whole blood is determined by the partial pressure of oxygen (PO2) and the oxygen saturation. The pulse oximeter does not measure thePO2. (B) The pulse oximeter is a noninvasive method of measuring the arterial oxygen saturation. (C) The PO2 is the amount of O2 dissolved in plasma, which the pulse oximeter does not measure. (D) The affinity of hemoglobin for O2 is the relationship between oxygen saturation and PO2 and is not measured by the pulse oximeter. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 157
Questions 1. A 4-year-old boy is brought to the emergency room with bruises on his head, face, arms, and legs. His mother states that he fell down some steps. The nurse suspects that he may have been physically abused. In accordance with the law, the nurse must:A) Tell the physician her concernsB) Report her suspicions to the authoritiesC) Talk to the child - s fatherD) Confront the child - s mother2. The mother of a preschooler reports to the nurse that he frequently tells lies. The admission assessment of the child indicates possible child abuse. The nurse knows that his:A) Behavior is not normal, and a child psychiatrist should be consulted.B) Mother is lying to protect herself.C) Lying is normal behavior for a preschool child who is learning to separate fantasy from reality.D) Behavior indicates a developmental delay, because preschoolers should be able to tell right from wrong.3. A family by court order undergoes treatment by a family therapist for child abuse. The nurse, who is the childs case manager knows that treatment has been effective when:A) The child is removed from the home and placed in foster careB) The child - s parents identify the ways in which he is different from the rest of the familyC) The child - s father is arrested for child abuseD) The child - s parents can identify appropriate behaviors for children in his age group4. Nursing assessment of early evidence of septic shock in children at risk includes:A) Fever, tachycardia, and tachypneaB) Respiratory distress, cold skin, and pale extremitiesC) Elevated blood pressure, hyperventilation, and thready pulsesD) Normal pulses, hypotension, and oliguria5. A 3-year-old child is in the burn unit following a home accident. The first sign of sepsis in burned children is:A) DisorientationB) Low-grade feverC) DiarrheaD) Hypertension Right Answer and Explanation: 1. Right Answer: BExplanation: (A) Although the nurse probably would talk to the physician about these concerns, the nurse is not required by law to do so. (B) All healthcare workers are required by the Federal Child Abuse Prevention and Treatment Act of 1974 to report suspected and actual cases of child abuse and/or neglect. (C) Talking to the childs father may or may not help the child, and the nurse is not required by law to do so. (D) Confrontation may not be indicated; the nurse is not required by law to confront the childs mother with these suspicions.2. Right Answer: CExplanation: (A) Because preschoolers often tell 'stories' as they learn to differentiate fantasy from reality, the child s behavior is normal. (B) The nurse has no reason to believe the child s mother is lying, because children of his age often tell lies. (C) The child s lying is actually 'storytelling' as he learns to separate fantasy from reality, a normal developmental task for his age group. (D) The childs behavior is consistent with his age and does not indicate a developmental delay.3. Right Answer: DExplanation: (A) Removing an abused child from the home and placement in a foster home are not the desired outcome of treatment. (B) Children who are perceived as'different' from the rest of the family are more likely to be abused. (C) Although legal action may be taken against abusive parents, it is not an indicator of an effective treatment program. (D) Identification of age-appropriate behaviors is essential to the role of parents, because misunderstanding childrens normal developmental needs often contributes to abuse or neglect.4. Right Answer: AExplanation: (A) Fever, tachycardia, and tachypnea are the classic early signs of septic shock in children. (B) Respiratory distress, cold skin, and pale extremities are later signs of septic shock. (C) Elevated blood pressure, hyperventilation, and thready pulses are later signs of septic shock. (D) Normal pulses, hypotension, and oliguria are not early signs of septic shock.5. Right Answer: AExplanation: (A) Disorientation is the first sign of sepsis in burn children. (B) Low-grade fever is not indicative of sepsis. (C) Diarrhea is not indicative of sepsis. (D)Hypertension is not indicative of sepsis. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
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