NCLEX-PN Exam Pack Part 6

NCLEX-PN Exam Pack Part 6 Updated 2022

1.1. Question

The nurse is caring for an 8-year-old following a routine tonsillectomy. Which finding should be reported immediately?

• Reluctance to swallow
• Drooling of blood-tinged saliva
• An axillary temperature of 99°F
• High-pitched sound when breathing

Correct Answer: D. High-pitched sound when breathing

oOptions 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.

oOptions A, B, and C: These are expected findings

following a tonsillectomy.2. 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:

• Skips a meal
• Rests in low fowler’s position
• Eats a meal
• Sits upright after eating

Correct Answer: C. Eats a meal

oOption 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.

oOption A: Skipping a meal will make the pain worse.

oOption B: Patients suffering from dumping syndrome

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

oOption D: Sitting upright after eating helps relieve

symptoms of gastroesophageal reflux disease.3. Question Which of the following meal selections is appropriate for the client with celiac disease?

• Ramen noodles and dumplings
• French croissants and donuts
• Bacon and egg
• Pepperoni pizza and ginger ale

Correct Answer: C. Bacon and egg

oOption 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.

oOptions A, B, and D: These food items are not allowed

because they contain flour made from wheat, which exacerbates the symptoms of celiac disease.4. 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?

• The client complains of difficulty in urination
• The client is unable to control his or her leg
• The client complains of hyperventilation
• The client is unable to sleep

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

her leg

oOption 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.

oOptions A, C, and D: Dysuria, hyperventilation, and

insomnia are not seen with lithium toxicity.5. Question A 2-month-old infant has just received her first Tetramune

injection. The nurse should tell the mother that the immunization:

• Will need to be repeated when the child is 4 years of

age

• Is given to determine whether the child is susceptible

to pertussis

• Is one of a series of injections that protects

against DPT and Hib

• Is a one-time injection that protects against MMR and

varicella

Correct Answer: C. Is one of a series of injections that

protects against DPT and Hib

oOption C: Tetramune is administered as a primary

series of three immunizations at 2, 4, and 6 months of age, a booster is given at 12-15 months of age. It

protects the child against diphtheria, pertussis, tetanus, and H. influenza b.

oOption A: A second injection is given before 4 years of

age.

oOption B: This immunization is not used as a

diagnostic tool for pertussis.

oOption D: This is not a one-time injection, nor does it

protect against measles, mumps, rubella, or varicella.6. Question The nurse is caring for a client hospitalized with bipolar disorder, manic phase. Which of the following meals would be best for the client with mania?

• Canned beans
• Grapefruit juice
• Coffee
• Cold-water fish

Correct Answer: D. Cold-water fish

oOption D: High levels of omega-3 fats can improve

conditions such as bipolar disorder, depression, mania, and other mental health diseases. Cold-water fish such as salmon and mackerel are rich in omega-3 fats which can benefit the client

oOption A: Canned beans are high in sodium, which

causes the client to excrete the lithium ( a medication that helps decrease manic symptoms).

oOption B: Grapefruit juice may interact with

medications that treat bipolar disorder.

oOption C: Caffeine can trigger symptoms of mania. It

impairs sleep, increases anxiety, and irritability.7. Question A 3-year-old is admitted due to suspected intussusception. Which finding is associated with intussusception?