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

Page: 8 / 15
Total 725 questions

Tuberculosis (mycobacterium) usually effects which system?

A.

stomach (GI)

B.

heart (cardiac)

C.

lungs (respiratory)

D.

skin (integumentary)

The nurse has completed client teaching about introducing solid foods to an infant. To evaluate teaching, the nurse asks the mother to identify an appropriate first solid food. Which of the following is an appropriate response?

A.

pureed canned squash

B.

pureed apples

C.

yogurt

D.

infant rice cereal

A client’s postoperative pain seems to be getting worse instead of better. When the nurse asks the client, “Why do you think it’s getting worse?” the client replies, “My wife died last month. It’s all I can think about.” The nurse must now consider:

A.

calling the physician for an increased dosage of pain medication.

B.

calling the physician for a sedative.

C.

referring the client for a psychiatric consult.

D.

developing interventions for grief and loss.

Distraction therapy is:

A.

focusing one’s attention on stimuli other than pain.

B.

cognitive reappraisal.

C.

the replacement of positive images of pain with other images.

D.

the use of medication and meditation.

A pregnant client has congenital heart disease. The nurse should expect to see which alterations in this client’s diet during pregnancy?

A.

reduced calories and reduced fat

B.

caffeine and sodium restrictions

C.

decreased protein and increased complex carbohydrates

D.

fluid restriction and reduced calories

Which of the following is the most appropriate diet for a client who is unable to swallow?

A.

nothing by mouth

B.

nasogastric feedings

C.

clear liquids

D.

total parenteral nutrition

A client with dumping syndrome should ___________ while a client with GERD should ___________.

A.

sit up 1 hour after meals; lie flat 30 minutes after meals

B.

lie down 1 hour after eating; sit up at least 30 minutes after eating

C.

sit up after meals; sit up after meals

D.

lie down after meals; lie down after meals

Which of the following nursing diagnoses might be appropriate as Parkinson’s disease progresses and complications develop?

A.

Impaired Physical Mobility

B.

Dysreflexia

C.

Hypothermia

D.

Impaired Dentition

A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding as:

A.

plantar fasciitis.

B.

hallux valgus.

C.

hammertoe.

D.

Morton’s neuroma.

Which is the proper hand position for performing chest vibration?

A.

cup the hands

B.

use the side of the hands

C.

flatten the hands

D.

spread the fingers of both hands

A safety measure to implement when transferring a client with hemiparesis from a bed to a wheelchair is:

A.

standing the client and walking him or her to the wheelchair.

B.

moving the wheelchair close to client’s bed and standing and pivoting the client on his unaffected extremity to the wheelchair.

C.

moving the wheelchair close to client’s bed and standing and pivoting the client on his affected extremity to the wheelchair.

D.

having the client stand and push his body to the wheelchair.

Which of the following organs of the digestive system has a primary function of absorption?

A.

stomach

B.

pancreas

C.

small intestine

D.

gallbladder

Erythropoietin used to treat anemia in clients with renal failure should be given in conjunction with:

A.

iron, folic acid, and B12.

B.

an increase of protein in the diet.

C.

vitamins A and C.

D.

an increase of calcium in the diet.

An appropriate intervention for the client with suspected genitourinary trauma and visible blood at the urethral meatus is:

A.

insertion of a Foley catheter.

B.

in and out catheter specimen for urinalysis.

C.

a voided urine specimen for urinalysis.

D.

a urologist consult.

A client who is experiencing infertility says to the nurse, “I feel I will be incomplete as a man/woman if I cannot have a child.” Which of the following nursing diagnoses is likely to be appropriate for this client?

A.

Risk for Self Harm

B.

Body Image Disturbance

C.

Ineffective Role Performance

D.

Powerlessness