PN NCLEX ARCHER READINESS EXAM 85 QUESTIONS 2024Study online at https://quizlet.com/_f4nau61.The nurse is talking with the parents of a client with cystic fibrosis. Which statement, if made by the par-ents, would require follow-up?A. "Chest physiotherapy should be done before giving bronchodilators."B. "The bronchodilator should be administered before strenuous activity."C. "My child may have trouble sleeping if the bron-chodilator is given at night."D. "During a respiratory illness, my child should drink more water."2.The nurse receives a prescription for donepezil. The nurse understands that this medication is used to treatA. Guillain Barré syndromeB. Parkinson's diseaseC. Alzheimer's diseaseD. Meniere's disease3.The nurse is caring for a client with bipolar disorder experiencing acute mania. Which of the following ac-tions should be prioritized by the nurse?A. Plan structured solitary activitiesB. Redirect the patient's speech and ideasC. Provide high-calorie, small, frequent mealsD. Initiate a psychiatry referral4.The nurse reviews the collected data for a child with acute glomerulonephritis (AGN). Which of the follow-ing would be an expected finding?A. Urine specific gravity of 1.004 [1.005-1.030]B. ProteinuriaC. Urinary incontinenceD. Hypotension5.The nurse is collecting data on a client with possible bipolar I disorder. The nurse anticipates that the pri-mary healthcare provider (PHCP) will prescribe which 1 / 18
PN NCLEX ARCHER READINESS EXAM 85 QUESTIONS 2024Study online at https://quizlet.com/_f4nau6laboratory testing?A. Thyroid Stimulating Hormone (TSH)B. Complete Metabolic Panel (CMP)C. Glycated Hemoglobin A1C (HbA1c)D. C-Reactive Protein (CRP)6.The nurse is reinforcing education to a client with glaucoma. Which of the following classifications of medications should the nurse instruct the client to avoid?A. Osmotic diureticsB. Beta-adrenergic blockersC. AnticholinergicsD. Alpha 2-adrenergic blockersAnticholinergics7.NGN- The following scenario applies to the next 1 itemsThe nurse cares for a 14-year-old client brought to the clinic by his parentsA 14-year-old male presents to the clinic with his par-ents after experiencing a fever, fatigue, and a sore throat for the past week. The parents note that the client has been too tired to participate in after-school activities and has experienced a decreased appetite. On exam, the client has cervical lymphadenopathy, exudate in the pharynx and on the tonsils, and pe-techiae. All other physical exam findings were normal except for increased spleen size noted during palpa-tion. The client has no medical history and is current on all scheduled vaccinations.Vital SignsBlood Pressure 114/69 mm HgTemperature 101° F (38.3° C)Heart rate 90/minRespiratory rate 17 breaths per minuteOxygen saturation 96% on room airThe client is demonstrating signs and symp-toms ofWord Choicespertussisbronchitismononucleosisinfluenza8.The nurse is reviewing labs for a client with a serum potassium level of 3.3 mg/dL (mmol/L) [3.5-5 mEq/L, 2 / 18
PN NCLEX ARCHER READINESS EXAM 85 QUESTIONS 2024Study online at https://quizlet.com/_f4nau6mmol/L]. Which action would the nurse recognize as the highest priority?A. Educate the client on potassium-rich foodsB. Implement telemetry monitoringC. Obtain an order for STAT IM KClD. Collect data regarding the client's neurological sta-tus9.Common side effects of antidysrhythmic medications include:A. Dizziness, hypotension, and weaknessB. Headache, hypertension, and fatigueC. Weakness, fatigue, and hypertensionD. Anorexia, diarrhea, and hypertension10.The nurse reinforces discharge instructions to a client who underwent left eye cataract surgery with a lens implant. Which statement by the client would indicate a correct understanding of the teaching?A. "I should avoid getting water in the eye for 3 to 7 days after surgery."B. "It is okay for me to resume normal chores such as vacuuming."C. "It is okay for me to have green or yellow, thick drainage from the eye."D. "I may take aspirin for any pain I may experience."11.When teaching parents about the pros and cons of their infant sleeping with them, which of the following information should the nurse give the parents?A. If you give your child more attention during the day, they will not want to sleep with you at night.B. Sleeping with parents can increase the risk of Sud-den Infant Death Syndrome (SIDS).C. Children should never be allowed to sleep with their parents.D. You could be accused of sexual abuse if you allow your child to sleep with you.12.3 / 18
PN NCLEX ARCHER READINESS EXAM 85 QUESTIONS 2024Study online at https://quizlet.com/_f4nau6Which of the following are clinical manifestations of the aging immune system that increase the suscepti-bility to illness?A. Increased lymph tissue.B. Increased autoimmune responses.C. Increased circulation of lymphocytes.D. Increased T and B cell production.13.An LPN is working with a client who has a spinal cord injury. Which of the following typical symptoms would indicate autonomic dysreflexia?Select all that apply.Severe headacheFlushing or redness of the skin above the level of injuryHypotensionTachycardiaAbdominal distention14.A client has a pressure ulcer with a shallow, partial skin thickness eroded area but no necrotic areas. The nurse would treat the area with which dressing?A. AlginateB. Dry gauzeC. HydrocolloidD. No dressing is indicated15.The nurse is reviewing the concept of third spacing with a new graduate nurse. Which of the following conditions puts clients at risk for the development of third-spacing?Select all that apply.BurnsGastroenteritisPediatric patientsAlcoholismCirrhosisSepsis16.4 / 18