NCLEX PN Practice Questions | NCLEX PN Quiz

1 >>The nurse is caring for a client with an ileostomy. The nurse should pay careful attention to care around the stoma because: ?

  • (A) Digestive enzymes cause skin breakdown.
  • (B) Stools are less watery and contain more solid matter.
  • (C) The stoma will heal more slowly than expected.
  • (D) It is difficult to fit the appliance to the stoma site.

2 >>The physician has ordered aspirin therapy for a client with severe rheumatoid arthritis. A sign of acute aspirin toxicity is: ?

  • (A) Anorexia
  • (B) Diarrhea
  • (C) Tinnitus
  • (D) Pruritis

3 >>A client is admitted to the emergency room with symptoms of delirium tremens. After admitting the client to a private room, the priority nursing intervention is to: ?

  • (A) Obtain a history of his alcohol use
  • (B) Provide seizure precautions
  • (C) Keep the room cool and dark
  • (D) Administer thiamine and zinc

4 >>The nurse is providing dietary teaching for a client with gout. Which dietary selection is suitable for the client with gout? ?

  • (A) Broiled liver, macaroni and cheese, spinach
  • (B) Stuffed crab, steamed rice, peas
  • (C) Baked chicken, pasta salad, asparagus casserole
  • (D) Steak, baked potato, tossed salad

5 >>A newborn has been diagnosed with exstrophy of the bladder. The nurse should position the newborn: ?

  • (A) Prone
  • (B) Supine
  • (C) On either side
  • (D) With the head elevated

6 >>The mother of a 3-month-old with esophageal reflux asks the nurse what she can do to lessen the baby’s reflux. The nurse should tell the mother to: ?

  • (A) Feed the baby only when he is hungry
  • (B) Burp the baby after the feeding is completed
  • (C) Place the baby supine with head elevated
  • (D) Burp the baby frequently throughout the feeding

7 >>A child is hospitalized with a fractured femur involving the epiphysis. Epiphyseal fractures are serious because: ?

  • (A) Bone marrow is lost through the fracture site.
  • (B) Normal bone growth is affected.
  • (C) Blood supply to the bone is obliterated.
  • (D) Callus formation prevents bone healing.

8 >>Before administering a nasogastric feeding to a client hospitalized following a CVA, the nurse aspirates 40mL of residual. The nurse should: ?

  • (A) Replace the aspirate and administer the feeding
  • (B) Discard the aspirate and withhold the feeding
  • (C) Discard the aspirate and begin the feeding
  • (D) Replace the aspirate and withhold the feeding

9 >>A client has an order for Dilantin (phenytoin) .2g orally twice a day. The medication is available in 100mg capsules. For the morning medication, the nurse should administer: ?

  • (A) 1 capsule
  • (B) 2 capsules
  • (C) 3 capsules
  • (D) 4 capsules

10 >>The LPN is reviewing the lab results of an elderly client when she notes a specific gravity of 1.025. The nurse recognizes that: ?

  • (A) The client has impaired renal function.
  • (B) The client has a normal specific gravity.
  • (C) The client has mild to moderate dehydration.
  • (D) The client has diluted urine from fluid overload.

11 >>A client with acute pancreatitis has requested pain medication. Which pain medication is indicated for the client with acute pancreatitis? ?

  • (A) Demerol (meperidine)
  • (B) Toradol (ketorolac)
  • (C) Morphine (morphine sulfate)
  • (D) Codeine (codeine)

12 >>A client with a hiatal hernia has been taking magnesium hydroxide for relief of heartburn. Overuse of magnesium-based antacids can cause the client to have: ?

  • (A) Constipation
  • (B) Weight gain
  • (C) Anorexia
  • (D) Diarrhea

13 >>When performing a newborn assessment, the nurse measures the circumference of the neonate’s head and chest. Which assessment finding is expected in the normal newborn? ?

  • (A) The head and chest circumference are the same.
  • (B) The head is 2cm larger than the chest.
  • (C) The head is 3cm smaller than the chest.
  • (D) The head is 4cm larger than the chest.

14 >>A client with a history of clots is receiving Lovenox (enoxaparin). Which drug is given to counteract the effects of enoxaparin? ?

  • (A) Calcium gluconate
  • (B) Aquamephyton
  • (C) Methergine
  • (D) Protamine sulfate

15 >>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 short attention span? ?

  • (A) Taking part in a reality-orientation group
  • (B) Participating in unit community goal setting
  • (C) Going on a field trip with a group of clients
  • (D) Meeting with an assertiveness training group

16 >>The mother of a child with hemophilia asks the nurse which overthe- counter medication is suitable for her child’s joint discomfort. The nurse should tell the mother to purchase: ?

  • (A) Advil (ibuprofen)
  • (B) Tylenol (acetaminophen)
  • (C) Aspirin (acetylsalicytic acid)
  • (D) Naproxen (naprosyn)

17 >>Which home remedy is suitable to relieve the itching associated with varicella? ?

  • (A) Dusting the lesions with baby powder
  • (B) Applying gauze saturated in hydrogen peroxide
  • (C) Using cool compresses of normal saline
  • (D) Applying a paste of baking soda and water

18 >>The nurse is caring for a newborn with hypospadias. Which statement describes hypospadias? ?

  • (A) The urinary meatus is located on the underside of the penis rather than the tip.
  • (B) The ureters allow a reflux of urine into the kidneys.
  • (C) The urinary meatus is located on the topside of the penis rather than the tip.
  • (D) The bladder lies outside the abdominal cavity.

19 >>The recommended time for daily administration of Tagamet (cimetidine) is: ?

  • (A) Before breakfast
  • (B) Mid-afternoon
  • (C) After dinner
  • (D) At bedtime

20 >>Which statement best describes the difference between the pain of angina and the pain of myocardial infarction? ?

  • (A) Pain associated with angina is relieved by rest.
  • (B) Pain associated with myocardial infarction is always more severe.
  • (C) Pain associated with angina is confined to the chest area.
  • (D) Pain associated with myocardial infarction is referred to the left arm.

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