EXAM CRAM NCLEX PN 1 QUESTIONS WITH ANSWEERS PROVIDED

EXAM CRAM NCLEX PN 1 QUESTIONS WITH ANSWEERS PROVIDED 1. A client with a renal failure is prescribed a low potassium diet. Which food choice would be best for this client? A. 1 cup beef broth B. 1 baked potato with the skin. C. ½ cup raisins D 1 cup rice . 2. The client is admitted for evaluation of aggressive behavior and diagnosed with antisocial personality disorder. A key part of the care of such clients is: A. Setting realistic limits 3. An important intervention in monitoring the dietary compliance of a client with bulimia is: A. Allowing the client privacy during mealtimes B. Praising her for eating all her meal C. Observing her for 1–2 hours after meals D. Encouraging her to choose foods she likes and to eat in moderation 4. Assuming that all have achieved normal cognitive and emotional development, which of the following children is at greatest risk for accidental poisoning? A. A 6-month-old B. A 4-year-old C. A 12-year-old D. A 13-year-old 5. Which of the following examples represents parallel play? A. Jenny and Tommy share their toys. B. Jimmy plays with his car beside Mary, who is playing with her doll. C. Kevin plays a game of Scrabble with Kathy and Sue. D. Mary plays with a handheld game while sitting in her mother’s lap. 6. The nurse is ready to begin an exam on a nine-month-old infant. The child is sitting in his mother’s lap. Which should the nurse do first? A Check the Babinski reflex . B. Listen to the heart and lung sounds A Check the Babinski reflex . C Palpate the abdomen . D Check tympanic membranes . 7. In terms of cognitive development, a two-year-old would be expected to: A. Think abstractly B. Use magical thinking C. Understand conservation of matter D. See things from the perspective of others 8. Which of the following best describes the language of a 24-month-old? A Doesn’t understand yes and no . B. Understands the meaning of words C Able to verbalize needs . D Asks “why?” to most statements . 9. A client who has been receiving urokinase has a large bloody bowel movement. Which action would be best for the nurse to take immediately? A. Administer vitamin K IM. B. Stop the urokinase. C. Reduce the urokinase and administer heparin. D. Stop the urokinase and call the doctor. 10. The client has a prescription for a calcium carbonate compound to neutralize stomach acid. The nurse should assess the client for: A. Constipation B. Hyperphosphatemia C. Hypomagnesemia D. Diarrhea 11. Heparin has been ordered for a client with a pulmonary embolis. Which statement, if made by the graduate nurse, indicates a lack of understanding of the medication? A. “I will administer the medication 1-2 inches away from the umbilicus.” B. “I will administer the medication in the abdomen.” C. “I will check the PTT before administering the medication.” D. “I will need to aspirate when I give Heparin.” 12. The nurse is caring for a client with peripheral vascular disease. To correctly assess the oxygen saturation level, the monitor may be placed on the: A. Hip B. Ankle C. Earlobe D. Chin 13. While caring for a client with hypertension, the nurse notes the following vital signs: BP of 140/20, pulse 120, respirations 36, temperature 100.8°F. The nurse’s initial action should be to: A. Call the doctor. B. Recheck the vital signs. C. Obtain arterial blood gases. D. Obtain an ECG. 14. The nurse is preparing a client with an axillo-popliteal bypass graft for discharge. The client should be taught to avoid: A. Using a recliner to rest B. Resting in supine position C. Sitting in a straight chair D. Sleeping in right Sim’s position 15. The doctor has ordered antithrombolic stockings to be applied to the legs of the client with peripheral vascular disease. The nurse knows antithrombolic stockings should be applied: A Before rising in the morning . B. With the client in a standing position C After bathing and applying powder . D Before retiring in the evening . 16. The nurse has just received the shift report and is preparing to make rounds. Which client should be seen first? A The client with a history of a cerebral aneurysm with an oxygen saturation rate of 99% . B. The client three days post–coronary artery bypass graft with a temperature of 100.2°F C The client admitted one hour ago with shortness of breath . D The client being prepared for discharge following a femoral popliteal bypass graft . 17. A client with a femoral popliteal bypass graft is assigned to a semiprivate room. The most suitable roommate for this client is the client with: A. Hypothyroidism B. Diabetic ulcers C. Ulcerative colitis D. Pneumonia 18. The nurse is teaching the client regarding use of sodium warfarin. Which statement made by the client would require further teaching? A “I will have blood drawn every month.” . B. “I will assess my skin for a rash.” C “I take aspirin for a headache.” . D “I will use an electric razor to shave.” . 19. The client returns to the recovery room following repair of an abdominal aneurysm. Which finding would require further investigation? A. Pedal pulses regular B. Urinary output 20mL in the past hour C. Blood pressure 108/50 D. Oxygen saturation 97% 20. The nurse is doing bowel and bladder retraining for the client with paraplegia. Which of the following is not a factor for the nurse to consider? A Diet pattern . B. Mobility C Fluid intake . D Sexual function . 21. A 20-year-old is admitted to the rehabilitation unit following a motorcycle accident. Which would be the appropriate method for measuring the client for crutches? A. Measure five finger breadths under the axilla. B. Measure 3 inches under the axilla. C. Measure the client with the elbows flexed 10°. D. Measure the client with the crutches 20 inches from the side of the foot. 22. The nurse is caring for the client following a cerebral vascular accident. Which portion of the brain is responsible for taste, smell, and hearing? A. Occipital B. Frontal C. Temporal D. Parietal 23. The client is admitted to the unit after a motor vehicle accident with a temperature of 102°F rectally. The most likely explanations for the elevate