COMPLETE SOLUTIONS - Examination-Practical Nurse) Test 3 COMPLETE SO...

Answers ( ) NCLEX-PN (National Council Licensure Examination-Practical Nurse) Test 3

• A client with schizophrenia is receiving depot injections of Haldol Decanoate

(haloperidol decanoate). The client should be told to return for his next injection in:

• 1 week
• 2 weeks
• 4 weeks (ANSWER)
• 6 weeks
• A 3-year-old is immobilized in a hip spica cast. Which discharge instruction should be

given to the parents?

• Keep the bed flat, with a small pillow beneath the cast
• Provide crayons and a coloring book for play activity
• Increase her intake of high-calorie foods for healing
• Tuck a disposable diaper beneath the cast at the perineal opening (ANSWER)
• The nurse is caring for a client following the reimplantation of the thumb and index

finger. Which finding should be reported to the physician immediately?

• Temperature of 100��F
• Coolness and discoloration of the digits (ANSWER)
• Complaints of pain
• Difficulty moving the digits
• When assessing the urinary output of a client who has had extracorporeal lithotripsy,

the nurse can expect to find:

• Cherry-red urine that gradually becomes clearer (ANSWER)
• Orange-tinged urine containing particles of calculi
• Dark red urine that becomes cloudy in appearance
• Dark, smoky-colored urine with high specific gravity
• The physician has prescribed Cognex (tacrine) for a client with dementia. The nurse

should monitor the client for adverse reactions, which include:

• Hypoglycemia

• Jaundice (ANSWER)
• Urinary retention
• Tinnitus
• Which finding is the best indication that a client with ineffective airway clearance needs

suctioning?

• Oxygen saturation
• Respiratory rate
• Breath sounds (ANSWER)
• Arterial blood gases
• A client with tuberculosis has a prescription for Myambutol (ethambutol HCl). The

nurse should tell the client to notify the doctor immediately if he notices:

• Gastric distress
• Changes in hearing
• Red discoloration of bodily fluids
• Changes in color vision (ANSWER)

8. The primary cause of anemia in a client with chronic renal failure is:

• Poor iron absorption
• Destruction of red blood cells
• Lack of intrinsic factor
• Insufficient erythropoietin (ANSWER)
• Which of the following nursing interventions has the highest priority for the client

scheduled for an intravenous pyelogram?

• Providing the client with a favorite meal for dinner
• Asking if the client has allergies to shellfish (ANSWER)
• Encouraging fluids, the evening before the test
• Telling the client what to expect during the test

• The doctor has prescribed aspirin 325 mg daily for a client with transient ischemic

attacks. The nurse knows that aspirin was prescribed to:

• Prevent headaches
• Boost coagulation
• Prevent cerebral anoxia
• Keep platelets from clumping together (ANSWER)