NCLEX PN Exam 2023 | Actual Questions Bank
A 4-year old child is brought by her grandmother in the emergency room due to fever, chills, and difficulty
... [Show More] walking. The nurse tries to remove the excessive clothing of the child but is reluctant. After a thorough assessment, the nurse also noted bruises around the genital area. Which of the following interventions should the nurse do first?
A. Collect the clothing and underwear of the child
B. Provide privacy and disregard the behavior of the child
C. inform the law enforcement for a possible child abuse
D. Record all the findings {{Correct Ans:- C. inform the law enforcement for a possible child abuse
A client receiving hydrochlorothiazide is instructed to increase her dietary intake of potassium. The best snack for the client requiring increased potassium is:
A. Pear
B. Apple
C. Orange
D. Avocado {{Correct Ans:- D. Avocado
The nurse is caring for a client following the removal of the thyroid. Immediately post-op, the nurse should:
A. maintain the client in a semi-Fowler's position with the head and neck supported by pillows
B. Encourage the client to turn her neck side to side, to promote drainage of oral secretions
C. Maintain the client in a supine position with sandbags placed on either side of the head and neck
D. Encourage the client to cough and breathe deeply every 2 hours, with the neck in a flexed position {{Correct Ans:- A. Maintain the client in a semi-Fowler's position with the head and neck supported by pillows
A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is associated with an increased incidence of gastric cancer?
A. Dairy Products
B Carbonated beverages
C. Refined sugars
D. Luncheon meats {{Correct Ans:- D. luncheon meats
A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client's record, the nurse would expect to find
A. A history of consistent employment
B. a below-average intelligence
C. a history of cruelty to animals
D. an expression of remorse for his actions {{Correct Ans:- C a history of cruelty to animals
The licensed vocational nurse may not assume the primary care for a client:
A. in the fourth stage of labor
B. 2 days post-appendectomy
C. with a venous access device
D. with bipolar disorder {{Correct Ans:- C. with a venous access device
The physician has ordered dressings with Sulfamylon cream for a client with full-thickness burns of the hands and arms. Before dressing changes, the nurse should give priority to:
A. Administering pain medication
B. checking the adequacy of urinary output
C. Requesting a daily complete blood count
D. Obtaining a blood glucose by finger stick {{Correct Ans:- A. Administering pain medication
The nurse is teaching a group of parents about gross motor development of the toddler. Which behavior is an example of the normal gross motor skill of a toddler?
A. She can pull a toy behind her
B. she can copy a horizontal line
C. She can build a tower of eight blocks
D. She can broad-jump {{Correct Ans:- A. She can pull a toy behind her
A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment should be kept on the client with a fractured mandible?
A. wire cutters
B. oral airway
C. Pilers
D. Tracheostomy set {{Correct Ans:- A. wire cutters
The nurse is to administer digoxin elixir to a 6-month-old with a congenital heart defect. The nurse auscultates an apical pulse rate of 100 beats per minute. The nurse should:
A. Record the HR and call the physician
B. Record the HR and administer the medication
C. Administer the medication and recheck the HR in 15 minutes
D. hold the medication and recheck the HR in 30 minutes {{Correct Ans:- B. Record the HR and administer the medication
A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain the treatment for her daughter. The nurse's explanation is based on the knowledge that lead poisoning is treated with:
A. gastric lavage
B. Chelating agents
C. antiemetics
D. Activated charcoal {{Correct Ans:- B. Chelating agents [Show Less]