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NCLEX NCLEX-PN - National Council Licensure Examination(NCLEX-PN)

Page: 10 / 15
Total 725 questions

Which of the following physical findings indicates that an 11–12-month-old child is at risk for developmental dysplasia of the hip?

A.

refusal to walk

B.

not pulling to a standing position

C.

negative Trendelenburg sign

D.

negative Ortolani sign

Broccoli, oranges, dark greens, and dark yellow vegetables can be eaten to:

A.

supplement vitamin pills.

B.

balance body molecules.

C.

cure many diseases.

D.

help improve body defenses.

A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted to Vicodin. The nurse should base her reply on the knowledge that:

A.

the client’s body has developed tolerance, requiring more drug to produce the same effect.

B.

the client is preoccupied with getting the drug and is experiencing loss of control, indicating drug dependence.

C.

addiction is the term used to describe physical dependence with withdrawal symptoms and tolerance.

D.

the client has a dual diagnosis of substance abuse and chronic back pain.

Acyclovir is the drug of choice for:

A.

HIV.

B.

HSV 1 and 2 and VZV.

C.

CMV.

D.

influenza A viruses.

When the nurse is determining the appropriate size of an oropharyngeal airway to insert, what part of a client’s body should she measure?

A.

corner of the mouth to the tragus of the ear

B.

corner of the eye to the top of the ear

C.

tip of the chin to the sternum

D.

tip of the nose to the earlobe

A client with an ileus is placed on intestinal tube suction. Which of the following electrolytes is lost with intestinal suction?

A.

calcium

B.

magnesium

C.

potassium

D.

sodium chloride

Which of the following diseases or conditions is least likely to be associated with increased potential for bleeding?

A.

metastatic liver cancer

B.

gram-negative septicemia

C.

pernicious anemia

D.

iron-deficiency anemia

Which of the following is an inappropriate item to include in planning care for a severely neutropenic client?

A.

Transfuse netrophils (granulocytes) to prevent infection.

B.

Exclude raw vegetables from the diet.

C.

Avoid administering rectal suppositories.

D.

Prohibit vases of fresh flowers and plants in the client’s room.

Which of the following statements, if made by the parents of a newborn, does not indicate a need for further teaching about cord care?

A.

“I should put alcohol on my baby’s cord 3–4 times a day.”

B.

“I should put the baby’s diaper on so that it covers the cord.”

C.

“I should call the physician if the cord becomes dark.”

D.

“I should wash my hands before and after I take care of the cord.”

A client comes to the clinic for assessment of his physical status and guidelines for starting a weight-reduction diet. The client’s weight is 216 pounds and his height is 66 inches. The nurse identifies the BMI (body mass index) as:

A.

within normal limits, so a weight-reduction diet is unnecessary.

B.

lower than normal, so education about nutrient-dense foods is needed.

C.

indicating obesity because the BMI is 35.

D.

indicating overweight status because the BMI is 27.

Which of the following conditions is mammography used to detect?

A.

pain

B.

tumor

C.

edema

D.

epilepsy

Following a classic cholecystectomy resection for multiple stones, the PACU nurse observes a serosanguious drainage on the dressing. The most appropriate intervention is to:

A.

notify the physician of the drainage.

B.

change the dressing.

C.

reinforce the dressing.

D.

apply an abdominal binder.

Which sign might the nurse see in a client with a high ammonia level?

A.

coma

B.

edema

C.

hypoxia

D.

polyuria

Fat emulsions are frequently administered as a part of total parenteral nutrition. Which statement is true regarding fat emulsions?

A.

They have a high energy-to-fluid-volume ratio.

B.

Even though hypertonic, they are well tolerated.

C.

They are a basic solution secondary to the addition of sodium hydroxide (NaOH).

D.

The pH is alkaline, making them compatible with most medications.

Ethical and moral issues concerning restraints include all of the following except:

A.

emotional impact on the client and family.

B.

dignity of the client.

C.

client’s quality of life.

D.

policies and procedures.