Pn Nclex Archer Readiness Exam Questions

PN NCLEX ARCHER READINESS EXAM QUESTIONS 1. The nurse is talking with the parents of a client with cystic fibrosis. Which statement, if made by the parents, 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 bronchodilator 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 treat A. Guillain Barré syndrome B. Parkinson's diseaseC. Alzheimer's disease D. Meniere's disease: 1 / 29 3. The nurse is caring for a client with bipolar disorder experiencing acute mania. Which of the following actions should be prioritized by the nurse? A. Plan structured solitary activities B. Redirect the patient's speech and ideasC. Provide high-calorie, small, frequent meals D. Initiate a psychiatry referral: 4. The nurse reviews the collected data for a child with acute glomerulonephritis (AGN). Which of the following would be an expected finding? A. Urine specific gravity of 1.004 [1.005-1.030] B. Proteinuria C. Urinary incontinence D. Hypotension: 5. The nurse is collecting data on a client with possible bipolar I disorder. The nurse anticipates that the primary healthcare provider (PHCP) will prescribe which laboratory testing? A. Thyroid Stimulating Hormone (TSH) B. Complete Metabolic Panel (CMP)C. Glycated Hemoglobin A1C (HbA1c) 2 / 29 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 diuretics B. Beta-adrenergic blockers C. Anticholinergics D. Alpha 2-adrenergic blockers: Anticholinergics 7. NGN- The following scenario applies to the next 1 items The nurse cares for a 14-year-old client brought to the clinic by his parents A 14-year-old male presents to the clinic with his parents 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 petechiae. All other physical exam findings were normal except for increased spleen size noted during palpation. The client has no medical history and is current on all scheduled vaccinations. Vital Signs 3 / 29 Blood Pressure 114/69 mm Hg Temperature 101° F (38.3° C) Heart rate 90/min Respiratory rate 17 breaths per minute Oxygen saturation 96% on room air: The client is demonstrating signs and symptoms of Word Choices pertussis bronchi tis monon ucleosi s influen za 8. 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, mmol/L]. Which action would the nurse recognize as the highest priority? A. Educate the client on potassium-rich foods B. Implement telemetry monitoring C. Obtain an order for STAT IM KCl D. Collect data regarding the client's neurological status: 4 / 29 9. Common side effects of antidysrhythmic medications include: A. Dizziness, hypotension, and weakness B. Headache, hypertension, and fatigue C. Weakness, fatigue, and hypertensionD. Anorexia, diarrhea, and hypertension: 10. 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? 5 / 29 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 Sudden Infant Death Syn-drome (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. Which of the following are clinical manifestations of the aging immune system that increase the susceptibility 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 headache Flushing or redness of the skin above the level of injury Hypotension Tachycardia 6 / 29 Abdominal distention: 14. 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. Alginate B. Dry gauze C. Hydrocolloid D. No dressing is indicated: 15. 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. Burns Gastroenteritis Pediatric patients A l c o h 7 / 29 o li s m C ir r h o s i s S e p s i s : 16. The nurse is preparing to administer ear drops to a client who is six years old. The nurse should perform which action? 8 / 29 A. Pull the ear pinna down and back B. Position the client on their side with the ear to be treated against a pillow C. Pull the ear pinna up and back D. Place cotton directly into the ear canal after ear drop administration: 17. The following scenario applies to the next 1 items The nurse has received prescriptions for a newborn infant in the Orders 1958: phytonadione 1 mg intramuscular (IM) x 1 dose erythromycin ophthalmic ointment 0.5% apply from unit dose (1 cm) to both eyes: The nurse administers the prescribed medications. Complete the following sentences by choosing from the lists of options. The nurse should administer the phytonadione using a Select The nurse will inject the medication Select It would be appropriate for the nurse to 9 / 29 Select The nurse understands that the purpose of administering newborn erythromycin ophthalmic ointment is to Select The nurse should apply this ointment to the Select Once the ointment is administered, the nurse should 18. The following scenario applies to the next 1 items The nurse is caring for a ten-year-old diagnosed with gastroenteritis Nurses' Not The client's parents indicate that he has been vomiting for the past twelve hours and has been unable to keep any fluids or foods down. The client's parents report that a similar illness has circulated in his school for several weeks. The assessment showed a child who was lethargic and fully oriented. The skin was hot, and the eyes appeared to have sunken in appearance. Capillary refill time was 2 seconds. The client was communicative and reported no pain. Bowel sounds were active in all four quadrants, with no pain endorsed upon palpation.