PART 3: NCLEX-PN PRACTICE QUESTIONS (25 ITEMS)

PART 3: NCLEX-PN PRACTICE QUESTIONS (25 ITEMS)Question The nurse is caring for a client with systemic lupus erythematosus (SLE). The major complication associated with systemic lupus erythematosus is: o A. Meningitis o B. Nephritis o C. Cardiomegaly o D. Desquamation Correct Answer: B. Nephritis o Option B: Systemic lupus erythematosus is a form of lupus and an autoimmune disease in which the antibodies attack the body’s own cells and tissue causing inflammation and damage to organs such as the kidneys resulting in complications such as nephritis. o Options A and C: SLE affects the musculoskeletal, integumentary, renal, nervous, and cardiovascular systems, but the major complication is renal involvement. o Option D: SLE produces a “butterfly” rash, not desquamation. 2. 2. Question Which diet is associated with an increased risk of colorectal cancer? o A. High protein, simple carbohydrates o B. High fat, refined carbohydrates o C. Low carbohydrates, complex proteins o D. Low protein, complex carbohydrates Correct Answer: B. High fat, refined carbohydrates o Option B: A diet that is high in fat and refined carbohydrates increases the risk of colorectal cancer. High-fat content results in an increase in fecal bile acids, which facilitate carcinogenic changes. Refined carbohydrates increase the transit time of food through the gastrointestinal tract and increase the exposure time of the intestinal mucosa to cancer-causing substances. 3. 3. Question The nurse is caring for an infant following a cleft lip repair. While comforting the infant, the nurse should avoid: o A. Offering sterile water o B. Holding the infant o C. Offering a pacifier o D. Providing a mobile Correct Answer: C. Offering a pacifier o Option C: The nurse should avoid giving the infant a pacifier or bottle for 10 days to allow time for healing, and prevent injury to the site. The child can be fed using a cup or the side of a spoon to drop fluids and food into the mouth. o Options A, B, and D: Holding the infant cradled in the arms, providing a mobile, and offering sterile water using a Breck feeder are permitted. 4. 4. Question The physician has ordered Amoxil (amoxicillin) 500 mg capsules for a client with esophageal varices. The nurse can best care for the client’s needs by: o A. Giving the medication as ordered o B. Providing extra water with the medication o C. Requesting an alternate form of the medication o D. Giving the medication with an antacid