NCLEX-PN Practice| Quiz #8: 25 Questions
1. 1. Question
Which finding is the best indication that a client with ineffective airway clearance needs
... [Show More] suctioning?
o A. Oxygen saturation
o B. Respiratory rate
o C. Breath sounds
o D. Arterial blood gases
Incorrect
Correct Answer: C. Breath sounds
• Option C: Changes in breath sounds such as crackles are the best indication of the need for suctioning in the client with ineffective airway clearance.
• Options A, B, and D: They can be altered by other conditions.
2. 2. Question
A client with tuberculosis has a prescription for Myambutol (ethambutol HCl). The nurse should tell the client to notify the doctor immediately if he notices:
• A. Tingling sensation in the feet
• B. Changes in hearing
• C. Red discoloration of bodily fluids
• D. Changes in color vision
Incorrect
Correct Answer: D. Changes in color vision
• Option D: Myambutol is used in conjunction with at least one other anti TB drug. An adverse reaction to Myambutol is a change in visual acuity or color vision.
• Option A: Peripheral neuropathy is an adverse effect of isoniazid.
• Option B: Ototoxicity is an adverse reaction to Streptomycin.
• Option C: Red discoloration of fluids is a side effect of Rifampin.
3. 3. Question
The primary cause of anemia in a client with chronic renal failure is:
• A. Poor iron absorption
• B. Destruction of red blood cells
• C. Insufficient erythropoietin
• D. Lack of intrinsic factor
Incorrect
Correct Answer: C. Insufficient erythropoietin
• Option C: Kidneys produce erythropoietin, a hormone that is responsible for making red blood cells. When a patient has a chronic renal failure, their kidneys are damaged and cannot make enough RBC resulting in anemia.
• Option A: Poor iron absorption will result in iron deficiency anemia.
• Option B: Destruction of red blood cells usually results in hemolytic anemia.
• Option D: Lack of intrinsic factor will result in pernicious anemia and vitamin B12 deficiency.
4. 4. Question
Which of the following nursing interventions has the highest priority for the client scheduled for an intravenous pyelogram?
• A. Providing the client with a favorite meal for dinner
• B. Asking if the client has allergies to shellfish
• C. Encouraging fluids the evening before the test
• D. Telling the client what to expect during the test
Incorrect
Correct Answer: B. Asking if the client has allergies to shellfish
• Option B: The contrast media used during an intravenous pyelogram contains iodine, which can result in an anaphylactic reaction.
• Options A, C, and D: They do not relate specifically to the test.
5. 5. Question
The doctor has prescribed aspirin 325 mg daily for a client with transient ischemic attacks. The nurse knows that aspirin was prescribed to:
• A. Prevent headaches
• B. Boost coagulation
• C. Prevent cerebral anoxia
• D. Keep platelets from clumping together
Incorrect
Correct Answer: D. Keep platelets from clumping together
• Option D: Aspirin prevents the platelets from clumping together to slow down the blood’s clotting action. It reduces the risk of recurrent stroke when used immediately after a transient ischemic attack.
• Options A, B, and D: A low-dose aspirin will not prevent headaches, cerebral anoxia, and boost coagulation.
6. 6. Question
A client with tuberculosis asks the nurse how long he will have to take medication. The nurse should tell the client that:
• A. Medication is rarely needed after 2 weeks
• B. He will need to take medication for the rest of his life
• C. The course of therapy is usually 18–24 months
• D. He will be re-evaluated in 1 month to see if further medication is needed
Incorrect
Correct Answer: C. The course of therapy is usually 18–24 months
• Option C: Tuberculosis disease is usually treated with anti TB meds for 6 to 9 months but If the disease is resistant to drugs, the course of treatment may last longer up to 18 months to 24 months.
• Options A and D: The treatment time is too brief.
• Option B: The medication is not needed for life.
7. 7. Question
Which development milestone puts the 4-month-old infant at greatest risk for injury?
• A. Switching objects from one hand to another
• B. Crawling
• C. Standing
• D. Rolling over
Incorrect
Correct Answer: D. Rolling over
• Option D: At 4 months of age, the infant can roll over, which makes it vulnerable to falls from dressing tables or beds without rails.
• Option A: Switching objects from one hand to another does not prove a threat to safety.
• Options B and C: A 4-month-old is not capable of crawling or standing.
8. 8. Question
A client taking Dilantin (phenytoin) for grand mal seizures is preparing for discharge. Which information should be included in the client’s discharge care plan?
• A. The medication can cause dental staining
• B. The client will need to avoid a high-carbohydrate diet
• C. The client will need a regularly scheduled CBC
• D. The medication can cause problems with drowsiness
Incorrect
Correct Answer: C. The client will need a regularly scheduled CBC
• Option C: Adverse side effects of Dilantin include agranulocytosis and aplastic anemia; therefore, the client will need frequent CBCs.
• Options A, B, and D: The medication does not cause dental staining, drowsiness, and does not interfere with the metabolism of carbohydrates.
9. 9. Question
Assessment of a newborn male reveals that the infant has hypospadias. The nurse knows that:
• A. The infant should be circumcised to facilitate voiding
• B. The infant should not be circumcised
• C. Surgical correction will be done by 6 months of age
• D. Surgical correction is delayed until 6 years of age
Incorrect
Correct Answer: B. The infant should not be circumcised
• Option B: The infant with hypospadias should not be circumcised because the foreskin is used in the reconstruction.
• Option A: The infant with hypospadias should not be circumcised.
• Options C and D: The reconstruction is done between 16 and 18 months of age, before toilet training.
10. 10. Question
The nurse is providing dietary teaching for a client with elevated cholesterol levels. Which cooking oil is not suggested for the client on a low-cholesterol diet?
• A. Canola oil
• B. Coconut oil
• C. Safflower oil
• D. Sunflower oil [Show Less]