2023_2024 NCLEX-PN TEST

2023_2024 NCLEX-PN TEST

PREP

QUESTIONS AND

ANSWERS WITH

EXPLANATIONS GUARANTEED A+

V1 PRACTICE EXAM 2 (STUDY MODE)

• The child with seizure disorder is being treated with Dilantin (phenytoin).

Which of the following statements by the patient’s mother indicates to the nurse that the patient is experiencing a side effect of Dilantin therapy?

• “She is very irritable lately.”
• “She sleeps quite a bit of the time.”
• “Her gums look too big for her teeth.”
• “She has gained about 10 pounds in the last 6 months.”

Answer C: Hyperplasia of the gums is associated with Dilantin therapy.

Answer A is not related to the therapy; answer B is a side effect, and answer D is not related to the question.

• A 5-year-old is admitted to the unit following a tonsillectomy. Which of the

following would indicate a complication of the surgery?

• Decreased appetite
• A low-grade fever
• Chest congestion
• Constant swallowing

Answer D: A complication of a tonsillectomy is bleeding, and constant

swallowing may indicate bleeding. Decreased appetite is expected after a tonsillectomy, as is a low-grade temperature; thus, answers A and B are incorrect. In answer C, chest congestion is not normal but is not associated with the tonsillectomy.

• A 6-year-old with cerebral palsy functions at the level of an 18-monthold. Which finding would support

that assessment?

• She dresses herself.
• She pulls a toy behind her.
• She can build a tower of eight blocks. 1 / 4

• She can copy a horizontal or vertical line. 2 / 4

Answer B: Children at 18 months of age like push-pull toys. Children at

approximately 3 years of age begin to dress themselves and build a tower of eight blocks. At age four, children can copy a horizontal or vertical line.Therefore, answers A, C, and D are incorrect.

• Which information obtained from the mother of a child with cerebral

palsy most likely correlates to the diagnosis? A. She was born at 42 weeks gestation.

• She had meningitis when she was 6 months old.
• She had physiologic jaundice after delivery. D. She has

frequent sore throats.

Answer B: The diagnosis of meningitis at age 6 months correlates to a

diagnosis of cerebral palsy. Cerebral palsy, a neurological disorder, is often associated with birth trauma or infections of the brain or spinal column.Answers A, C, and D are not related to the question.

• A 10-year-old is being treated for asthma. Before administering Theodur,

the nurse should check the:

• Urinary output
• Blood pressure
• Pulse
• Temperature

Answer C: Theodur is a bronchodilator, and a side effect of bronchodilators

is tachycardia, so checking the pulse is important. Extreme tachycardia should be reported to the doctor. Answers A, B, and D are not necessary. 106.An elderly client is diagnosed with ovarian cancer. She has surgery followed by chemotherapy with a fluorouracil (Adrucil) IV. What should the nurse do if she notices crystals and cloudiness in the IV medication?

• Discard the solution and order a new bag
• Warm the solution
• Continue the infusion and document the finding
• Discontinue the medication

Answer A: Crystals in the solution are not normal and should not be

administered to the client. Discard the bad solution immediately. Answer B is incorrect because warming the solution will not help. Answer C is incorrect, and answer D requires a doctor’s order.

• / 4

• The client is diagnosed with multiple myoloma. The doctor has ordered

cyclophosphamide (Cytoxan). Which instruction should be given to the client?

• “Walk about a mile a day to prevent calcium loss.”
• “Increase the fiber in your diet.”
• “Report nausea to the doctor immediately.”
• “Drink at least eight large glasses of water a day.”

Answer D: Cytoxan can cause hemorrhagic cystitis, so the client should drink

at least eight glasses of water a day. Answers A and B are not necessary and, so, are incorrect. Nausea often occurs with chemotherapy, so answer C is incorrect.

• The client is taking rifampin 600mg po daily to treat his tuberculosis.

Which action by the nurse indicates understanding of the medication?

• Telling the client that the medication will need to be taken with juice
• Telling the client that the medication will change the color of the urine
• Telling the client to take the medication before going to bed at night
• Telling the client to take the medication if night sweats occur

Answer B: Rifampin can change the color of the urine and body fluid.

Teaching the client about these changes is best because he might think this is a complication. Answer A is not necessary, answer C is not true, and answer D is not true because this medication should be taken regularly during the course of the treatment.

• The client is taking prednisone 7.5mg po each morning to treat his systemic

lupus errythymatosis. Which statement best explains the reason for taking the prednisone in the morning?

• There is less chance of forgetting the medication if taken in the morning.
• There will be less fluid retention if taken in the morning.
• Prednisone is absorbed best with the breakfast meal.
• Morning administration mimics the body’s natural secretion of

corticosteroid.

Answer D: Taking corticosteroids in the morning mimics the body’s natural

release of cortisol. Answers A is not necessarily true, and answers B and C are not true.

• A 20-year-old female has a prescription for tetracycline. While teaching

the client how to take her medicine, the nurse learns that the client is also

• / 4