Past Nclex Questions 10

Past Nclex Questions 10 1.241.The nurse provides discharge teaching to the parents of a 15 month-old child with Kawasaki disease. The child has received immunoglobulin therapy. Which instruction would be appropriate?A.High doses of aspirin will be continued for some time B.Complete recovery is expected within several days C.Active range of motion exercises should be done frequently D.The measles, mumps and rubella vaccine should be delayed 2.242.A 10 year-old client is recovering from a splenectomy following a traumatic injury. The clients laboratory results show a hemoglobin of 9 g/dL and a hematocrit of 28 percent. The best approach for the nurse to use is to A.limit milk and milk products B.encourage bed activities and games C.plan nursing care around lengthy rest periods D.promote a diet rich in iron 3.243.The nurse is planning care for a 14 year-old client returning from scoliosis corrective surgery. Which of the following actions should receive priority in the plan?A.Antibiotic therapy for 10 days B.Teach client isometric exercises for legs C.Assess movement and sensation of extremities D.Assist to stand up at bedside within the first 24 hours This study source was downloaded by 100000823250788 from CourseHero.com on 05-04-2021 22:44:17 GMT -05:00

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4.244.The nurse is caring for a 17 month-old with acetaminophen poisoning. Which of the following lab reports should the nurse review first?A.Prothrombin Time (PT) and partial thromboplastin time (PTT) B.Red blood cell and white blood cell counts C.Blood urea nitrogen and creatinine clearance D.Liver enzymes (AST and ALT) 5.245.A 6 year-old child is seen for the first time in the clinic. Upon assessment, the nurse finds that the child has deformities of the joints, limbs, and fingers, thinned upper lip, and small teeth with

faulty enamel. The mother states: ”My child seems to have

problems in learning to count and recognizing basic colors.” Based on this data, the nurse suspects that the child is most likely showing the effects of which problem?A.congenital abnormalities B.chronic toxoplasmosis C.fetal alcohol syndrome (FAS) D.lead poisoning 6.246.The nurse is caring for a client with a distal tibia fracture.The client has had a closed reduction and application of a toe to groin cast. 36 hours after surgery, the client suddenly becomes confused, short of breath and spikes a temperature of 103 degrees Fahrenheit. The first assessment the nurse should perform is A.orientation to time, place and person B.pulse oximetry C.circulation to casted extremity D.blood pressure This study source was downloaded by 100000823250788 from CourseHero.com on 05-04-2021 22:44:17 GMT -05:00

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7.247.A client diagnosed with hepatitis C discusses his health history with the admitting nurse. The nurse should recognize which statement by the client as the most important?A.I got back from Central America a few weeks ago.B.I had the best raw oysters last week.C.I have many different sex partners.D.I had a blood transfusion 15 years ago.

8.248.A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis. Which admission orders should the nurse implement first?A.Institute seizure precautions B.Monitor neurologic status every hour C.Place in respiratory/secretion precautions D.Cefotaxime IV 50 mg/kg/day divided q6h 9.249.A client is scheduled to receive an oral solution of radioactive iodine (131I). In order to reduce hazards, the priority information for the nurse to include in client teaching is which of these statements?A."In the initial 48 hours, avoid contact with children and pregnant women, and flush the commode twice after urination or defecation." B."Use disposable utensils for 2 days and if vomiting occurs within 10 hours of the dose, do so in the toilet and flush it twice." C."Your family can use the same bathroom that you use without any special precautions." This study source was downloaded by 100000823250788 from CourseHero.com on 05-04-2021 22:44:17 GMT -05:00

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D."Drink plenty of water and empty your bladder often during the initial 3 days of therapy." 10.250.The school nurse is teaching the faculty the most effective methods to prevent the spread of lice (Pediculus Humanus Capitis) in the school. The information that would be most important to include is reflected in which of these statements?A."The treatment medication requires reapplication in 8 to 10 days." B."Bedding and clothing can be boiled or steamed to kill lice." C."Children should not share hats, scarves and combs." D."Nit combs are necessary to comb lice eggs (nits) out of children's hair." 11.251.A nurse is reinforcing teaching with a client about compromised host precautions. The client is receiving filgrastim (Neupogen) for neutropenia. Which lunch selection suggests the client has learned about necessary dietary changes?A.Grilled chicken sandwich and skim milk B.Roast beef, mashed potatoes, and green beans C.Peanut butter sandwich, banana, and iced tea D.Barbeque beef, baked beans, and cole slaw 12.252.A school nurse has a 10 year-old child with a history of epilepsy with tonic-clonic seizures attending classes regularly. The school nurse should inform the teacher that if the child experiences a seizure in the classroom, the most important action to take during the seizure would be to This study source was downloaded by 100000823250788 from CourseHero.com on 05-04-2021 22:44:17 GMT -05:00

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