NCLEX-PN Practice | Quiz #6: 25 Questions
1. 1. Question
The nurse is caring for an 8-year-old following a routine tonsillectomy. Which finding should
... [Show More] be reported immediately?
o A. Reluctance to swallow
o B. Drooling of blood-tinged saliva
o C. An axillary temperature of 99°F
o D. High-pitched sound when breathing
Incorrect
Correct Answer: D. High-pitched sound when breathing
• Options D: One complication from a tonsillectomy is respiratory stridor (a high-pitched sound) which is a sign of airway obstruction and is considered to be an emergency.
• Options A, B, and C: These are expected findings following a tonsillectomy.
2. 2. Question
The nurse is admitting a client with a suspected duodenal ulcer. The client will most likely report that his abdominal discomfort lessens when he:
• A. Skips a meal
• B. Rests in low fowler’s position
• C. Eats a meal
• D. Sits upright after eating
Incorrect
Correct Answer: C. Eats a meal
• Option C: Food stimulates the release of digestive juices, these substances neutralize the acidic ph, as the acidic food reaches the duodenum, it neutralized to normal ph hence relief of pain is experienced.
• Option A: Skipping a meal will make the pain worse.
• Option B: Patients suffering from dumping syndrome are placed in low fowler’s position for 30 minutes after a meal to lessen symptoms.
• Option D: Sitting upright after eating helps relieve symptoms of gastroesophageal reflux disease.
3. 3. Question
Which of the following meal selections is appropriate for the client with celiac disease?
• A. Ramen noodles and dumplings
• B. French croissants and donuts
• C. Bacon and egg
• D. Pepperoni pizza and ginger ale
Incorrect
Correct Answer: C. Bacon and egg
• Option C: Celiac disease is an autoimmune digestive disease that is characterized by a poor immune response to foods that contain gluten. All types of meat (such as bacon) and eggs are gluten-free so it is permitted to a client with this kind of disease.
• Options A, B, and D: These food items are not allowed because they contain flour made from wheat, which exacerbates the symptoms of celiac disease.
4. 4. Question
A client with hyperthyroidism is taking lithium carbonate to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client’s medication?
• A. The client complains of difficulty in urination
• B. The client is unable to control his or her leg
• C. The client complains of hyperventilation
• D. The client is unable to sleep
Incorrect
Correct Answer: B. The client is unable to control his or her leg
• Option B: The client is experiencing signs of lithium toxicity. Symptoms include ataxia (uncoordinated muscle movement), fine tremors, lack of coordination, tinnitus, blurred vision, nausea, vomiting, and slurred speech.
• Options A, C, and D: Dysuria, hyperventilation, and insomnia are not seen with lithium toxicity.
5. 5. Question
A 2-month-old infant has just received her first Tetramune injection. The nurse should tell the mother that the immunization:
• A. Will need to be repeated when the child is 4 years of age
• B. Is given to determine whether the child is susceptible to pertussis
• C. Is one of a series of injections that protects against DPT and Hib
• D. Is a one-time injection that protects against MMR and varicella
Incorrect
Correct Answer: C. Is one of a series of injections that protects against DPT and Hib
• Option C: Tetramune is administered as a primary series of three immunizations at 2, 4, and 6 months of age, a booster is given at 12-15 months of age. It protects the child against diphtheria, pertussis, tetanus, and H. influenza b.
• Option A: A second injection is given before 4 years of age.
• Option B: This immunization is not used as a diagnostic tool for pertussis.
• Option D: This is not a one-time injection, nor does it protect against measles, mumps, rubella, or varicella.
6. 6. Question
The nurse is caring for a client hospitalized with bipolar disorder, manic phase. Which of the following meals would be best for the client with mania?
• A. Canned beans
• B. Grapefruit juice
• C. Coffee
• D. Cold-water fish
Incorrect
Correct Answer: D. Cold-water fish
• Option D: High levels of omega-3 fats can improve conditions such as bipolar disorder, depression, mania, and other mental health diseases. Cold-water fish such as salmon and mackerel are rich in omega-3 fats which can benefit the client
• Option A: Canned beans are high in sodium, which causes the client to excrete the lithium ( a medication that helps decrease manic symptoms). [Show Less]