NCLEX-PN Practice | Quiz #7: 25 Questions
1. 1. Question
The physician has ordered Stadol (butorphanol) for a postoperative client. The nurse knows that
... [Show More] the medication is having its intended effect if the client:
o A. States that he is feeling less nauseated
o B. Has an increased urinary output
o C. Asks for extra servings on his meal tray
o D. Is asleep 30 minutes after the injection
Incorrect
Correct Answer: D. Is asleep 30 minutes after the injection
• Option D: Stadol reduces the perception of pain, which allows the post-operative client to rest.
• Option A: Relief of pain generally results in less nausea, but it is not the intended effect of the medication.
• Options B and C: Urinary output and appetite are not affected by the medication.
2. 2. Question
The mother of a child with cystic fibrosis tells the nurse that her child makes “snoring” sounds when breathing. The nurse is aware that many children with cystic fibrosis have:
• A. Enlarged adenoids
• B. Choanal atresia
• C. Chronic sinusitis
• D. Septal deviations
Incorrect
Correct Answer: C. Chronic sinusitis
• Option C: Children with cystic fibrosis are susceptible to chronic sinusitis and nasal polyps, which might require surgical removal.
• Option B: Choanal atresia is a congenital condition in which there is a bony obstruction between the nares and the pharynx.
• Options A and D: Enlarged adenoids and septal deviations are not specific to the child with cystic fibrosis.
3. 3. Question
A client is hospitalized with hepatitis A. Which of the client’s regular medications is contraindicated due to the current illness?
• A. Premarin (conjugated estrogens)
• B. Lipitor (atorvastatin)
• C. Prilosec (omeprazole)
• D. Synthroid (levothyroxine)
Incorrect
Correct Answer: B. Lipitor (atorvastatin)
• Option B: Lipid-lowering agents are contraindicated in the client with active liver disease due to risk for hepatotoxicity.
• Options A, C, and D: These are not contraindicated in the client with active liver disease.
4. 4. Question
The nurse has been teaching the role of diet in regulating blood pressure to a client with hypertension. Which meal selection indicates that the client understands his new diet?
• A. Oatmeal, apple juice, dry toast, and coffee
• B. Pancakes, ham, tomato juice, and coffee
• C. Cornflakes, whole milk, banana, and coffee
• D. Scrambled eggs, bacon, toast, and coffee
Incorrect
Correct Answer: A. Oatmeal, apple juice, dry toast, and coffee
• Option A: Oatmeal is low in sodium and high in fiber. Limiting sodium intake and increasing fiber helps to lower cholesterol levels, which reduces blood pressure.
• Answers B and D: They contain animal proteins that are high in both cholesterol and sodium.
• Option C: Cornflakes and whole milk are higher in sodium and are poor sources of fiber.
5. 5. Question
An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse’s discharge teaching?
• A. Diapering or supportive underwear should be avoided for 7 days
• B. Refrain from giving Tylenol
• C. The child should not play on his rocking horse
• D. The child will need a special diet to promote healing
Incorrect
Correct Answer: C. The child should not play on his rocking horse
• Option C: The child will need to avoid straddle toys, swimming, and rough play for at least 3-4 weeks until allowed by the surgeon. This will prevent trauma to the surgical area.
• Option A: Diapers are encouraged for added cushioning and protection.
• Option B: Once the anesthesia wears off, children may experience pain.
• Option D: The child can resume a normal diet as tolerated at home.
6. 6. Question
An obstetrical client calls the clinic with complaints of morning sickness. The nurse should tell the client to:
• A. Drink a glass of whole milk before going to sleep at night
• B. Keep a dry toast at the bedside for eating before she arises
• C. Skip breakfast but eat a larger lunch and dinner
• D. Drink a glass of orange juice after adding a couple of teaspoons of sugar
Incorrect
Correct Answer: B. Keep a dry toast at the bedside for eating before she arises
• Option B: Eating a carbohydrate source such as dry crackers or toast before arising helps alleviate symptoms of morning sickness.
• Option A: Additional fa might increase the client’s nausea.
• Option C: It is more helpful to have small frequent meals instead of skipping meals.
• Option D: This is a treatment of hypoglycemia, not morning sickness.
7. 7. Question
The nurse has taken the blood pressure of a client hospitalized with methicillin-resistant staphylococcus aureus (MRSA). Which action by the nurse indicates an understanding regarding the care of clients with MRSA?
• A. The nurse cleans the stethoscope with alcohol and returns it to the exam room.
• B. The nurse leaves the stethoscope in the client’s room for future use.
• C. The nurse uses the stethoscope to assess the blood pressure of other assigned clients.
• D. The nurse cleans the stethoscope with water, dries it, and returns it to the nurse’s station.
Incorrect
Correct Answer: B. The nurse leaves the stethoscope in the client’s room for future use.
• Option B: The stethoscope should be left in the client’s room for future use and would not be used by other patients to help prevent the spread of infection.
• Options A and D: The stethoscope should not be returned to the exam room or the nurse’s station.
• Option C: The stethoscope should not be used to assess other clients.
8. 8. Question
The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. The nurse can reinforce the physician’s teaching by telling the parents that:
• A. The medication is given one time daily every other day
• B. The medication schedule can be arranged to allow for drug holidays
• C. The medication will be needed throughout the child’s lifetime
• D. The medication will be needed only during times of rapid growth
Incorrect
Correct Answer: C. The medication will be needed throughout the child’s lifetime
• Option C: In congenital hypothyroidism, the thyroid did not form properly during pregnancy resulting in the inability to make normal amounts of thyroid hormone. It is treated by giving thyroid hormone medication (levothyroxine) that will be taken for life.
• Options A, B, and D: The infant will take the medication every day to ensure that there will be normal growth and brain development.
9. 9. Question
A client with diabetes mellitus has a prescription for Glucotrol XL (glipizide). The client should be instructed to take the medication:
• A. With breakfast [Show Less]