NCLEX-PN Practice Questions Exam 4

1. A client with AIDS asks the nurse why he can’t have a pitcher of water at his bedside so he can drink whenever he likes. The nurse should tell the client that: A. It would be best for him to drink tap water. B. He should drink less water and more juice. C. Leaving a glass of water makes it easier to calculate his intake. D. He shouldn’t drink water that has been sitting longer than 15 minutes. 2. The mother of a male child with cystic fibrosis tells the nurse that she hopes her son’s children won’t have the disease. The nurse is aware that: A. There is a 25% chance that his children would have cystic fibrosis. B. Most of the males with cystic fibrosis are sterile. C. There is a 50% chance that his children would be car- riers. D. Most males with cystic fibrosis are capable of having children, so genetic counseling is advised. 3. An infant is hospitalized for treatment of botulism. Which factor is associated with botulism in the infant? A. The infant sucks on his fingers and toes. B. The mother sweetens the infant’s cereal with honey. C. The infant was switched to soy-based formula. D. The infant’s older sibling has an aquarium. Detailed Answer: 254 Quick Answers: 251 Detailed Answer: 254 Quick Answers: 251 Detailed Answer: 254 Quick Answers: 251 Quick Check 210 Chapter 4 4. A nurse is assessing a client hospitalized with peptic ulcer dis- ease. Which finding should be reported to the charge nurse imme- diately? A. BP 82/60, pulse 120 B. Pulse 68, respirations 24 C. BP 110/88, pulse 56 D. Pulse 82, respirations 16 5. The nurse is teaching the client with AIDS regarding proper food preparation. Which statement indicates that the client needs fur- ther teaching? A. “I should avoid adding pepper to food after it is cooked.” B. “I can still have an occasional medium-rare steak.” C. “Eating cheese and yogurt won’t help prevent AIDS- related diarrhea.” D. “I should eat fruits and vegetables that can be peeled.” 6. A client taking Laniazid (isoniazid) asks the nurse how long she must take the medication before her sputum cultures will return to normal. The nurse recognizes that the client should have a nega- tive sputum culture within: A. 2 weeks B. 6 weeks C. 2 months D. 3 months 7. Which person is at greatest risk for developing Lyme’s disease? A. Computer technician B. Middle-school teacher C. Dog trainer D. Forestry worker 8. Following eruption of the primary teeth, the mother can promote chewing by giving the toddler: A. Pieces of hot dog B. Celery sticks C. Melba toast D. Grapes Detailed Answer: 254 Quick Answers: 251 Detailed Answer: 254 Quick Answers: 251 Detailed Answer: 254 Quick Answers: 251 Detailed Answer: 254 Quick Answers: 251 Detailed Answer: 254 Quick Answers: 251 Quick Check Practice Exam 4 and Rationales 211 9. A client scheduled for an exploratory laparotomy tells the nurse that she takes kava-kava (piper methysticum)for sleep. The nurse should notify the doctor because kava-kava: A. Increases the effects of anesthesia and post-operative analgesia B. Eliminates the need for antimicrobial therapy following surgery C. Increases urinary output, so a urinary catheter will be needed post-operatively D. Depresses the immune system, so infection is more of a problem 10. The nurse is teaching circumcision care to the mother of a new- born. Which statement indicates that the mother needs further teaching? A. “I will apply a petroleum gauze to the area once a day.” B. “I will clean the area carefully with each diaper change.” C. “I can place a heat lamp next to the area to speed up the healing process.” D. “I should carefully observe the area for signs of infection.” 11. The chart of a client hospitalized with a fract