NCLEX-PN Exam Pack Part 7

NCLEX-PN Exam Pack Part 7 Updated 2022

1.1. Question

The physician has ordered Stadol (butorphanol) for a postoperative client. The nurse knows that the medication is

having its intended effect if the client:

• States that he is feeling less nauseated
• Has an increased urinary output
• Asks for extra servings on his meal tray
• Is asleep 30 minutes after the injection

Correct Answer: D. Is asleep 30 minutes after the injection

oOption D: Stadol reduces the perception of pain, which

allows the post-operative client to rest.

oOption A: Relief of pain generally results in less

nausea, but it is not the intended effect of the medication.

oOptions B and C: Urinary output and appetite are not

affected by the medication.2. Question The mother of a child with cystic fibrosis tells the nurse that her child makes “snoring” sounds when breathing. The nurse is aware

that many children with cystic fibrosis have:

• Enlarged adenoids
• Choanal atresia
• Chronic sinusitis
• Septal deviations

Correct Answer: C. Chronic sinusitis

oOption C: Children with cystic fibrosis are susceptible

to chronic sinusitis and nasal polyps, which might require surgical removal.

oOption B: Choanal atresia is a congenital condition in

which there is a bony obstruction between the nares and the pharynx.

oOptions A and D: Enlarged adenoids and septal

deviations are not specific to the child with cystic fibrosis.3. Question A client is hospitalized with hepatitis A. Which of the client’s regular medications is contraindicated due to the current illness?

• Premarin (conjugated estrogens)
• Lipitor (atorvastatin)
• Prilosec (omeprazole)
• Synthroid (levothyroxine)

Correct Answer: B. Lipitor (atorvastatin)

oOption B: Lipid-lowering agents are contraindicated in

the client with active liver disease due to risk for hepatotoxicity.

oOptions A, C, and D: These are not contraindicated in

the client with active liver disease.4. Question The nurse has been teaching the role of diet in regulating blood pressure to a client with hypertension. Which meal selection indicates that the client understands his new diet?

• Oatmeal, apple juice, dry toast, and coffee
• Pancakes, ham, tomato juice, and coffee

• Cornflakes, whole milk, banana, and coffee
• Scrambled eggs, bacon, toast, and coffee

Correct Answer: A. Oatmeal, apple juice, dry toast, and

coffee

oOption A: Oatmeal is low in sodium and high in fiber.

Limiting sodium intake and increasing fiber helps to lower cholesterol levels, which reduces blood pressure.

oAnswers B and D: They contain animal proteins that

are high in both cholesterol and sodium.

oOption C: Cornflakes and whole milk are higher in

sodium and are poor sources of fiber.5. Question An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse’s discharge teaching?

• Diapering or supportive underwear should be avoided

for 7 days

• Refrain from giving Tylenol
• The child should not play on his rocking horse
• The child will need a special diet to promote healing

Correct Answer: C. The child should not play on his

rocking horse

oOption C: The child will need to avoid straddle toys,

swimming, and rough play for at least 3-4 weeks until allowed by the surgeon. This will prevent trauma to the surgical area.

oOption A: Diapers are encouraged for added

cushioning and protection.

oOption B: Once the anesthesia wears off, children may

experience pain.

oOption D: The child can resume a normal diet as

tolerated at home.6. Question An obstetrical client calls the clinic with complaints of morning

sickness. The nurse should tell the client to:

• Drink a glass of whole milk before going to sleep at

night

• Keep a dry toast at the bedside for eating

before she arises

• Skip breakfast but eat a larger lunch and dinner
• Drink a glass of orange juice after adding a couple of

teaspoons of sugar

Correct Answer: B. Keep a dry toast at the bedside for

eating before she arises

oOption B: Eating a carbohydrate source such as dry

crackers or toast before arising helps alleviate symptoms of morning sickness.

oOption A: Additional fa might increase the client’s

nausea.

oOption C: It is more helpful to have small frequent

meals instead of skipping meals.

oOption D: This is a treatment of hypoglycemia, not

morning sickness.7. Question The nurse has taken the blood pressure of a client hospitalized with methicillin-resistant staphylococcus aureus (MRSA). Which action by the nurse indicates an understanding regarding the care of clients with MRSA?

• The nurse cleans the stethoscope with alcohol and

returns it to the exam room.