NCLEX-PN 2021 Exam Questions Set 6 25

NCLEX-PN 2021 Exam Questions Set 6 (25 Items)

• Question

The nurse is caring for an 8-year-old following a routine tonsillectomy. Which finding should be reported immediately?• A. Reluctance to swallow • B. Drooling of blood-tinged saliva • C. An axillary temperature of 99°F • D. High-pitched sound when breathing

Correct Answer: D. High-pitched sound when breathing

• Options D: One complication from a tonsillectomy is respiratory

stridor (a high-pitched sound) which is a sign of airway obstruction and is considered to be an emergency.

• Options A, B, and C: These are expected findings following a

tonsillectomy.

• Question

The nurse is admitting a client with a suspected duodenal ulcer. The client will

most likely report that his abdominal discomfort lessens when he:

• A. Skips a meal • B. Rests in low fowler’s position • C. Eats a meal • D. Sits upright after eating

Correct Answer: C. Eats a meal

• Option C: Food stimulates the release of digestive juices, these

substances neutralize the acidic ph, as the acidic food reaches the duodenum, it neutralized to normal ph hence relief of pain is experienced.

• Option A: Skipping a meal will make the pain worse.

• Option B: Patients suffering from dumping syndrome are placed in

low fowler’s position for 30 minutes after a meal to lessen symptoms.

• Option D: Sitting upright after eating helps relieve symptoms of

gastroesophageal reflux disease.

• Question

Which of the following meal selections is appropriate for the client with celiac disease?• A. Ramen noodles and dumplings • B. French croissants and donuts • C. Bacon and egg • D. Pepperoni pizza and ginger ale

Correct Answer: C. Bacon and egg

• Option C: Celiac disease is an autoimmune digestive disease that is

characterized by a poor immune response to foods that contain gluten. All types of meat (such as bacon) and eggs are gluten-free so it is permitted to a client with this kind of disease.

• Options A, B, and D: These food items are not allowed because they

contain flour made from wheat, which exacerbates the symptoms of celiac disease.

• Question

A client with hyperthyroidism is taking lithium carbonate to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client’s medication?• A. The client complains of difficulty in urination • B. The client is unable to control his or her leg • C. The client complains of hyperventilation • D. The client is unable to sleep

Correct Answer: B. The client is unable to control his or her leg

• Option B: The client is experiencing signs of lithium toxicity.

Symptoms include ataxia (uncoordinated muscle movement), fine tremors, lack of coordination, tinnitus, blurred vision, nausea, vomiting, and slurred speech.

• Options A, C, and D: Dysuria, hyperventilation, and insomnia are not

seen with lithium toxicity.