NCLEX-PN Practice | Quiz #2: 25 Questions
1. 1. Question
A client with a history of emboli is receiving Lovenox (enoxaparin). Which drug is given to
... [Show More] counteract the effects of enoxaparin?
o A. Methergine
o B. Protamine sulfate
o C. Calcium gluconate
o D. Aquamephyton
Incorrect
Correct Answer: B. Protamine sulfate
• Option B: Protamine sulfate is given to counteract the effects of enoxaparin as well as heparin and is used in heparin overdose. It works by binding with heparin. It is given by injection into a vein with onset within five minutes.
• Option A: Methergine is given to increase uterine contractions following delivery.
• Option C: Calcium gluconate is given to counteract the effects of magnesium sulfate.
• Option D: Aquamephyton is given to counteract the effects of sodium warfarin.
2. 2. Question
The nurse is formulating a plan of care for a client with a cognitive disorder. Which activity is most appropriate for the client with confusion and a short attention span?
• A. Meeting with an assertiveness training group
• B. Participating in unit community goal setting
• C. Going on a field trip with a group of clients
• D. Taking part in a reality-orientation group
Incorrect
Correct Answer: D. Taking part in a reality-orientation group
• Option D: Participating in reality orientation is an appropriate activity for the client who is confused since it can improve their cognitive and psychomotor functions. It can help the client to focus on their environment so they can master essential information such as orientation to time, person, and place.
• Options A, B, and C: These activities are not suitable activities for a client who is confused.
3. 3. Question
The mother of a child with hemophilia asks the nurse which over-the-counter medication is suitable for her child’s joint discomfort. The nurse should tell the mother to purchase:
• A. Aspirin (acetylsalicylic acid)
• B. Naproxen (Naprosyn)
• C. Tylenol (acetaminophen)
• D. Advil (ibuprofen)
Incorrect
Correct Answer: C. Tylenol (acetaminophen)
• Option C: The nurse should recommend acetaminophen for the child’s joint discomfort because it will have no effect on the bleeding time.
• Options A, B, and D: Aspirin, Naproxen, and Advil are all nonsteroidal anti-inflammatory medications that can prolong bleeding time; therefore, they are not suitable for the child with hemophilia.
4. 4. Question
Which home remedy is suitable to relieve the itching associated with varicella?
• A. Applying a paste of baking soda and water
• B. Dusting the lesions with baby powder
• C. Using cool compresses of normal saline
• D. Applying gauze saturated in hydrogen peroxide
Incorrect
Correct Answer: A. Applying a paste of baking soda and water
• Option A: Applying a paste of baking soda and water soothes the itching and helps to dry the vesicles.
• Option B: The use of baby powder is not recommended for either child.
• Options C and D: Hydrogen peroxide and the saline will not relieve the itching and will prevent the vesicles from crusting.
5. 5. Question
A newborn male has been diagnosed with hypospadias with chordee. The nurse understands that the infant will have altered patterns of urination because:
• A. The bladder lies outside the abdominal cavity
• B. The ureters will reflux urine into the kidneys
• C. The urinary meatus is on the top of the penis
• D. The urinary meatus is on the dorsum of the penis
Incorrect
Correct Answer: D. The urinary meatus is on the dorsum of the penis
• Option D: The infant with hypospadias has altered patterns of urinary elimination caused by the location of the urinary meatus on the dorsum, or underside, of the penis.
• Option A: This refers to the exstrophy of the bladder.
• Option B: This refers to ureteral reflux.
• Option C: This refers to epispadias.
6. 6. Question
Jeremiah, a clinical instructor, is discussing the list of controlled substances schedules. The following are considered to be under Schedule I controlled substances, except:
• A. Cannabis
• B. Methaqualone
• C. Lysergic acid diethylamide (LSD)
• D. Oxycodone [Show Less]