NCLEX-PN Practice | Quiz #1: 25
Questions
1. 1. Question
A 4-year old child is brought by her grandmother in the emergency
room due to fever, chills, and difficulty walking. The nurse tries to
remove the excessive clothing of the child but is reluctant. After a
thorough assessment, the nurse also noted bruises around the genital
area. Which of the following interventions should the nurse do first?
o A. Collect the clothing and underwear of the child
o B. Provide privacy and disregard the behavior of the child
o C. Inform the law enforcement for a possible child abuse
o D. Record all the findings
Incorrect
Correct Answer: C. Inform the law enforcement for a possible
child abuse
Option C: Calling law enforcement is a priority action and a legal
responsibility of the nurse in cases of suspected child abuse.
Signs of sexual abuse in children 0-5 years of age include
unexplained genital injury, avoidance to remove clothing, insist
on wearing multiple garments, difficulty walking or sitting due to
genital or anal pain, and signs of sexually transmitted infections.
Options A and D: Documenting and collecting evidence is an
important aspect of a suspected child sexual abuse but is not the
first action.
Option B: It is the responsibility of the nurse to protect the
welfare of the child.
2. 2. Question
A client receiving hydrochlorothiazide is instructed to increase her
dietary intake of potassium. The best snack for the client requiring
increased potassium is:
A. Pear
, B. Apple
C. Orange
D. Avocado
Incorrect
Correct Answer: D. Avocado
Option D: The fruit which packs the most potassium among the
choices is the avocado which contains 487 mg per half serving of
the fruit.
Option A: A pear contains 280 mg of potassium.
Option B: An apple contains 165 mg of potassium.
Option C: An orange contains 235 mg of potassium.
3. 3. Question
The nurse is caring for a client following the removal of the thyroid.
Immediately post-op, the nurse should:
A. Maintain the client in a semi-Fowler’s position with the
head and neck supported by pillows
B. Encourage the client to turn her head side to side, to promote
drainage of oral secretions
C. Maintain the client in a supine position with sandbags placed on
either side of the head and neck
D. Encourage the client to cough and breathe deeply every 2
hours, with the neck in a flexed position
Incorrect
Correct Answer: A. Maintain the client in a semi-Fowler’s
position with the head and neck supported by pillows.
Option A: Following a thyroidectomy, the client should be placed
in semi-Fowler’s position to decrease swelling that would place
pressure on the airway.
Options B, C, and D: These positions would increase the chances
of post-operative complications that include bleeding, swelling,
and airway obstruction.
Questions
1. 1. Question
A 4-year old child is brought by her grandmother in the emergency
room due to fever, chills, and difficulty walking. The nurse tries to
remove the excessive clothing of the child but is reluctant. After a
thorough assessment, the nurse also noted bruises around the genital
area. Which of the following interventions should the nurse do first?
o A. Collect the clothing and underwear of the child
o B. Provide privacy and disregard the behavior of the child
o C. Inform the law enforcement for a possible child abuse
o D. Record all the findings
Incorrect
Correct Answer: C. Inform the law enforcement for a possible
child abuse
Option C: Calling law enforcement is a priority action and a legal
responsibility of the nurse in cases of suspected child abuse.
Signs of sexual abuse in children 0-5 years of age include
unexplained genital injury, avoidance to remove clothing, insist
on wearing multiple garments, difficulty walking or sitting due to
genital or anal pain, and signs of sexually transmitted infections.
Options A and D: Documenting and collecting evidence is an
important aspect of a suspected child sexual abuse but is not the
first action.
Option B: It is the responsibility of the nurse to protect the
welfare of the child.
2. 2. Question
A client receiving hydrochlorothiazide is instructed to increase her
dietary intake of potassium. The best snack for the client requiring
increased potassium is:
A. Pear
, B. Apple
C. Orange
D. Avocado
Incorrect
Correct Answer: D. Avocado
Option D: The fruit which packs the most potassium among the
choices is the avocado which contains 487 mg per half serving of
the fruit.
Option A: A pear contains 280 mg of potassium.
Option B: An apple contains 165 mg of potassium.
Option C: An orange contains 235 mg of potassium.
3. 3. Question
The nurse is caring for a client following the removal of the thyroid.
Immediately post-op, the nurse should:
A. Maintain the client in a semi-Fowler’s position with the
head and neck supported by pillows
B. Encourage the client to turn her head side to side, to promote
drainage of oral secretions
C. Maintain the client in a supine position with sandbags placed on
either side of the head and neck
D. Encourage the client to cough and breathe deeply every 2
hours, with the neck in a flexed position
Incorrect
Correct Answer: A. Maintain the client in a semi-Fowler’s
position with the head and neck supported by pillows.
Option A: Following a thyroidectomy, the client should be placed
in semi-Fowler’s position to decrease swelling that would place
pressure on the airway.
Options B, C, and D: These positions would increase the chances
of post-operative complications that include bleeding, swelling,
and airway obstruction.
