NCLEX PN Practice Questions | NCLEX PN Quiz

1 >>A client with schizoaffective disorder is exhibiting Parkinsonian symptoms. Which medication is responsible for the development of Parkinsonian symptoms? ?

  • (A) Zyprexa (olanzapine)
  • (B) Cogentin (benzatropine mesylate)
  • (C) Benadryl (diphenhydramine)
  • (D) Depakote (divalproex sodium)

2 >>Which activity is best suited to the 12-year-old with juvenile rheumatoid arthritis? ?

  • (A) Playing video games
  • (B) Swimming
  • (C) Working crossword puzzles
  • (D) Playing slow-pitch softball

3 >>The glycosylated hemoglobin of a 40-year-old client with diabetes mellitus is 2.5%. The nurse understands that: ?

  • (A) The client can have a higher-calorie diet.
  • (B) The client has good control of her diabetes.
  • (C) The client requires adjustment in her insulin dose.
  • (D) The client has poor control of her diabetes.

4 >>The physician has ordered Stadol (butorphanol) for a postoperative client. The nurse knows that the medication is having its intended effect if the client: ?

  • (A) Is asleep 30 minutes after the injection
  • (B) Asks for extra servings on his meal tray
  • (C) Has an increased urinary output
  • (D) States that he is feeling less nauseated

5 >>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) Choanal atresia
  • (B) Nasal polyps
  • (C) Septal deviations
  • (D) Enlarged adenoids

6 >>A client is hospitalized with hepatitis A. Which of the client’s regular medications is contraindicated due to the current illness? ?

  • (A) Prilosec (omeprazole)
  • (B) Synthroid (levothyroxine)
  • (C) Premarin (conjugated estrogens)
  • (D) Lipitor (atorvastatin)

7 >>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) Cornflakes, whole milk, banana, and coffee
  • (B) Scrambled eggs, bacon, toast, and coffee
  • (C) Oatmeal, apple juice, dry toast, and coffee
  • (D) Pancakes, ham, tomato juice, and coffee

8 >>An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse’s discharge teaching? ?

  • (A) The child should not play on his rocking horse.
  • (B) Applying warm compresses to decrease pain.
  • (C) Diapering should be avoided for 1-2 weeks.
  • (D) The child will need a special diet to promote healing.

9 >>An obstetrical client calls the clinic with complaints of morning sickness. The nurse should tell the client to: ?

  • (A) Keep crackers at the bedside for eating before she arises
  • (B) Drink a glass of whole milk before going to sleep at night
  • (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

10 >>The nurse has taken the blood pressure of a client hospitalized with methicillin-resistant staphylococcus aureus. Which action by the nurse indicates an understanding regarding the care of clients with MRSA? ?

  • (A) The nurse leaves the stethoscope in the client’s room for future use.
  • (B) The nurse cleans the stethoscope with alcohol and returns it to the exam room.
  • (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.

11 >>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 will be needed only during times of rapid growth.
  • (B) The medication will be needed throughout the child’s lifetime.
  • (C) The medication schedule can be arranged to allow for drug holidays.
  • (D) The medication is given one time daily every other day.

12 >>A client with diabetes mellitus has a prescription for Glucotrol XL (glipizide). The client should be instructed to take the medication: ?

  • (A) At bedtime
  • (B) With breakfast
  • (C) Before lunch
  • (D) After dinner

13 >>The nurse is caring for a client admitted with suspected myasthenia gravis. Which finding is usually associated with a diagnosis of myasthenia gravis? ?

  • (A) Visual disturbances, including diplopia
  • (B) Ascending paralysis and loss of motor function
  • (C) Cogwheel rigidity and loss of coordination
  • (D) Progressive weakness that is worse at the day’s end

14 >>The nurse is teaching the parents of an infant with osteogenesis imperfecta. The nurse should tell the parents: ?

  • (A) That the infant will need daily calcium supplements
  • (B) To lift the infant by the buttocks when diapering
  • (C) That the condition is a temporary one
  • (D) That only the bones are affected by the disease

15 >>Physician’s orders for a client with acute pancreatitis include the following: strict NPO, NG tube to low intermittent suction. The nurse recognizes that these interventions will: ?

  • (A) Reduce the secretion of pancreatic enzymes
  • (B) Decrease the client’s need for insulin
  • (C) Prevent secretion of gastric acid
  • (D) Eliminate the need for analgesia

16 >>A client with diverticulitis is admitted with nausea, vomiting, and dehydration. Which finding suggests a complication of diverticulitis? ?

  • (A) Pain in the left lower quadrant
  • (B) Boardlike abdomen
  • (C) Low-grade fever
  • (D) Abdominal distention

17 >>The diagnostic work-up of a client hospitalized with complaints of progressive weakness and fatigue confirms a diagnosis of myasthenia gravis. The medication used to treat myasthenia gravis is: ?

  • (A) Prostigmin (neostigmine)
  • (B) Atropine (atropine sulfate)
  • (C) Didronel (etidronate)
  • (D) Tensilon (edrophonium)

18 >>A client with AIDS complains of a weight loss of 20 pounds in the past month. Which diet is suggested for the client with AIDS? ?

  • (A) High calorie, high protein, high fat
  • (B) High calorie, high carbohydrate, low protein
  • (C) High calorie, low carbohydrate, high fat
  • (D) High calorie, high protein, low fat

19 >>The nurse is caring for a 4-year-old with cerebral palsy. Which nursing intervention will help ready the child for rehabilitative services? ?

  • (A) Patching one of the eyes to strengthen the muscles
  • (B) Providing suckers and pinwheels to help strengthen tongue movement
  • (C) Providing musical tapes to provide auditory training
  • (D) Encouraging play with a video game to improve muscle coordination

20 >>At the 6-week check-up, the mother asks when she can expect the baby to sleep all night. The nurse should tell the mother that most infants begin to sleep all night by age: ?

  • (A) 1 month
  • (B) 2 months
  • (C) 3-4 months
  • (D) 5-6 months

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