PN CAPSTONE NCLEX QUESTIONS_2 latest 2020

PN CAPSTONE NCLEX QUESTIONS_2 ( latest 2020) – Rasmussen College

• The physician has ordered a low-potassium diet for a child with acute

glomerulonephritis. Which snack is suitable for the child with potassium restrictions?

• Raisins
• Oranges
• Apricots
• Bananas
• The physician has ordered a blood test for H. pylori. The nurse should prepare

the client by:

• Withholding intake after midnight
• Telling the client that no special preparation is needed
• Explaining that a small dose of radioactive isotope will be used
• Giving an oral suspension of glucose 1 hour before the test
• The nurse is preparing to give an oral potassium supplement. The nurse should:
• Give the medication without diluting it
• Give the medication with 4 ounces of juice
• Give the medication with water only
• Give the medication on an empty stomach
• The physician has ordered cultures for cytomegalovirus (CMV). Which statement

is true regarding collection of cultures for cytomegalovirus?

• Stool cultures are preferred for definitive diagnosis
• Pregnant caregivers may obtain cultures
• Collection of one specimen is sufficient
• Accurate diagnosis depends on fresh specimens
• A pediatric client with burns to the hands and arms has dressing changes with

Sulfamylon (mafenide acetate) cream. The nurse is aware that the medication:

• Will cause dark staining of the surrounding skin
• Produces a cooling sensation when applied

• Can alter the function of the thyroid
• Produces a burning sensation when applied
• The physician has ordered Dilantin (phenytoin) for a client with generalized

seizures. When planning the client’s care, the nurse should:

• Maintain strict intake and output
• Check the pulse before giving the medication
• Administer the medication 30 minutes before meals
• Provide oral hygiene and gum care every shift
• A client receiving chemotherapy for breast cancer has an order for Zofran

(ondansetron) 8mg PO to be given 30 minutes before induction of the

chemotherapy. The purpose of the medication is to:

• Prevent anemia
• Promote relaxation
• Prevent nausea
• Increase neutrophils counts
• The physician has ordered cortisporin ear drops for a 2-year-old. To administer

the ear drops, the nurse should:

• Pull the ear down and back
• Pull the ear straight out
• Pull the ear up and back
• Leave the ear undisturbed
• A client with schizophrenia has been taking Thorazine (chlorpromazine) 200 mg

four times a day. Which finding should be reported to the doctor immediately?

• The client complains of thirst
• The client has gained 4 pounds in the past 2 months
• The client complains of a sore throat
• The client naps throughout the day
• A client with iron-deficiency anemia is taking an oral iron supplement. The nurse

should tell the client to take the medication with:

• Orange juice
• Water only
• Milk

• Apple juice
• A client is admitted with burns of the right arm, chest, and head. According to the

Rule of Nines, the percent of burn injury is:

• 18%
• 27%
• 36%
• 45%
• A client who was admitted with chest pain and shortness of breath has a standing

order for oxygen via mask. Standing orders for oxygen mean that the nurse can

apply oxygen at:

• 2 liters/minute
• 6 liters/minute
• 10 liters/minute
• 12 liters/minute
• The nurse is caring for a client with an ileostomy. The nurse should pay careful

attention to care around the stoma because:

• Digestive enzymes cause skin breakdown
• Stools are less watery and contain more solid matter
• The stoma will heal more slowly than expected
• It is difficult to fit the appliance to the stoma site
• The physician has ordered aspirin therapy for a client with severe rheumatoid

arthritis. A sign of acute aspirin toxicity is:

• Anorexia
• Diarrhea
• Tinnitus
• Pruritis
• A client is admitted to the emergency room with symptoms of delirium tremens.

After admitting the client to a private room, the priority nursing intervention is

to:

• Obtain a history of his alcohol use
• Provide seizure precautions
• Keep the room cool and dark

• Administer thiamine and zinc
• The nurse is providing dietary teaching for a client with gout. Which dietary

selection is suitable for the client with gout?

• Broiled liver, macaroni and cheese, spinach
• Stuffed crab, steamed rice, peas
• Baked chicken, pasta salad, asparagus casserole
• Steak, baked potato, tossed salad
• A newborn has been diagnosed with exstrophy of the bladder. The nurse should

position the newborn:

• Prone
• Supine
• On either side
• With the head elevated
• The mother of a 3-month-old with esophageal reflux asks the nurse what she can

do to lessen the baby’s reflux. The nurse should tell the mother to:

• Feed the baby only when he is hungry
• Burp the baby after the feeding is completed
• Place the baby supine with head elevated
• Burp the baby frequently throughout the feeding
• A child is hospitalized with a fractured femur involving the epiphyseal plate.

Epiphyseal fractures are serious because:

• Bone marrow is lost through the fracture site
• Normal bone growth is affected
• Blood supply to the bone is obliterated
• Callus formation prevents bone healing
• Before administering a nasogastric feeding to a client hospitalized following a

CVA, the nurse aspirates 40 mL of residual. The nurse should:

• Replace the aspirate and administer the feeding
• Discard the aspirate and withhold the feeding
• Discard the aspirate and begin the feeding
• Replace the aspirate and withhold the feeding