NCLEX Practice Exam 3 Questions and Correctly
Solved Answers Graded 100% A++
18 hospitalized with anorexia nervosa is now permitted to leave her room and eat in the dining
room. Whic do the following nursing interventions should be included in the clients plan of care?
- CORRECT ANSWER ✔✔ -Having a staff member remain with her for one hour after she eats
a 10 year old has an order for Demerol (meperidine) 35mg IM for pain. the medication is
available as Demerol 50mg per mL. How much should the nurse administer? - CORRECT
ANSWER ✔✔ -.7mL
a 6 year old is diagnosed with Legg-Calve Perthes disease of the right femur. an important part
of the child's care includes instructing the parents? - CORRECT ANSWER ✔✔ -to prevent
weight bearing on the affected leg
A camp nurse is applying sunscreen to a group of children enrolled in swim classes. Chemical
sunscreens are most effective when applied? - CORRECT ANSWER ✔✔ -30 minutes before
sun exposure
a child is hospitalized with a fractured femur involving the epiphysis. epiphyseal fractures are
serious because? - CORRECT ANSWER ✔✔ -normal bone growth is affected
A child with croup is placed in a cool, high humidity tent connected to room air. The primary
purpose of the tent is to? - CORRECT ANSWER ✔✔ -Liquefy secretions and relieve laryngeal
spasm
,A child with cystic fibrosis is being treated with and inhalation therapy with Pulmozyme
(dornase alpha). A side effect of the medication is? - CORRECT ANSWER ✔✔ -Sore throat
A client admitted to the psychiatric unit claims to be the son of God and insist that he will not be
kept away from his followers. The most likely explanation for the clients delusion is? -
CORRECT ANSWER ✔✔ -Low self-esteem
a client develops tremors while withdrawing from alcohol. which medication is routinely
administered to lessen physiological effects of alcohol withdrawal? - CORRECT ANSWER ✔✔
-Klonopin (clonazepam) same as Ativan (lorazepam)
a client has an order for Dilantin (phenytoin) .2g orally twice a day. the medication is available
in 100mg capsules. for the morning medication, the nurse should administer? - CORRECT
ANSWER ✔✔ -2 capsules
a client hospitalized with a fractured mandible is to be discharged. which piece of equipment
should be kept on the client with a fractured mandible? - CORRECT ANSWER ✔✔ -wire
cutters to release the device in case of choking or aspiration
a client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. which of the
following is associated with an increased incidence of gastric cancer? - CORRECT ANSWER
✔✔ -luncheon meats because they contain preservatives such as nitrites that have been linked to
gastric cancer
a client hospitalized with sever depression and suicidal ideation refuses to talk with the nurse. the
nurse recognizes that the suicidal client has difficulty: - CORRECT ANSWER ✔✔ -expressing
anger towards others
,a client is admitted to the emergency room with symptoms of delirium tremens. after admitting
the client to a private room, the priority nursing intervention is to? - CORRECT ANSWER ✔✔ -
provide seizure precautions
A client is admitted with a diagnosis of hypothyroidism. An initial assessment of the client
would reveal? - CORRECT ANSWER ✔✔ -Weight gain, lethargy, slurred speech, and
decreased respiratory rate
A client is admitted with acute adrenal crisis. During the intake assessment, the nurse can expect
to find the client has? - CORRECT ANSWER ✔✔ -Symptoms of hypovolemia and shock so low
blood pressure
a client is admitted with burns of the right arm, chest, and head. according to the Rule of Nines,
the percent of burn injury is? - CORRECT ANSWER ✔✔ -27%
a client is admitted with chest pain and shortness of breath has a standing order for oxygen via
mask. standing orders for oxygen mean that the nurse can apply oxygen at? - CORRECT
ANSWER ✔✔ -6L per minute
A client is being treated for cancer with linear acceleration radiation. The position has mark the
radiation site with a blue marking pen. The nurse should? - CORRECT ANSWER ✔✔ -Refrain
from using soap or lotion on the marked area
A client is hospitalized with hepatitis A. Which of the clients regular medications is
contraindicated due to the current illness? - CORRECT ANSWER ✔✔ -Lipitor (atorvastatin)
, a client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. his
tentative diagnosis is antisocial personality disorder. in reviewing the client's record, the nurse
could expect to find: - CORRECT ANSWER ✔✔ -a history of cruelty to animals
A client newly Diagnosed with diabetes is started on Precose (a carbide). The nurse should tell
the client that the medication should be taken? - CORRECT ANSWER ✔✔ -With the first bite
of a meal
A client receiving chemotherapy for breast cancer has an order for Zofran (ondansetron) 8 mg
PO to be given 30 minutes before induction of the chemotherapy. The purpose of the medication
is to? - CORRECT ANSWER ✔✔ -Prevent nausea
a client receiving HydroDIURIL (hydrochlorothiazide) is instructed to increase her dietary intake
of potassium. the best snack for the client requiring increased potassium is: - CORRECT
ANSWER ✔✔ -banana
A client taking the Dilantin (phenytoin) for tonic clonic seizures is preparing for discharge. What
information should be included in the clients discharge care plan? - CORRECT ANSWER ✔✔ -
The client will need a regularly scheduled CBC
A client with 18th is admitted for treatment of wasting syndrome. Which of the following dietary
modifications can be used to compensate for the limited absorptive capability of the intestinal
tract? - CORRECT ANSWER ✔✔ -Providing small frequent meals
A client with a Bowel resection and anastomosis returns to his room with an NG tube attached to
intermittent suction. Which of the following observations indicate that the nasogastric suction is
working properly? - CORRECT ANSWER ✔✔ -The client abdomen is soft
Solved Answers Graded 100% A++
18 hospitalized with anorexia nervosa is now permitted to leave her room and eat in the dining
room. Whic do the following nursing interventions should be included in the clients plan of care?
- CORRECT ANSWER ✔✔ -Having a staff member remain with her for one hour after she eats
a 10 year old has an order for Demerol (meperidine) 35mg IM for pain. the medication is
available as Demerol 50mg per mL. How much should the nurse administer? - CORRECT
ANSWER ✔✔ -.7mL
a 6 year old is diagnosed with Legg-Calve Perthes disease of the right femur. an important part
of the child's care includes instructing the parents? - CORRECT ANSWER ✔✔ -to prevent
weight bearing on the affected leg
A camp nurse is applying sunscreen to a group of children enrolled in swim classes. Chemical
sunscreens are most effective when applied? - CORRECT ANSWER ✔✔ -30 minutes before
sun exposure
a child is hospitalized with a fractured femur involving the epiphysis. epiphyseal fractures are
serious because? - CORRECT ANSWER ✔✔ -normal bone growth is affected
A child with croup is placed in a cool, high humidity tent connected to room air. The primary
purpose of the tent is to? - CORRECT ANSWER ✔✔ -Liquefy secretions and relieve laryngeal
spasm
,A child with cystic fibrosis is being treated with and inhalation therapy with Pulmozyme
(dornase alpha). A side effect of the medication is? - CORRECT ANSWER ✔✔ -Sore throat
A client admitted to the psychiatric unit claims to be the son of God and insist that he will not be
kept away from his followers. The most likely explanation for the clients delusion is? -
CORRECT ANSWER ✔✔ -Low self-esteem
a client develops tremors while withdrawing from alcohol. which medication is routinely
administered to lessen physiological effects of alcohol withdrawal? - CORRECT ANSWER ✔✔
-Klonopin (clonazepam) same as Ativan (lorazepam)
a client has an order for Dilantin (phenytoin) .2g orally twice a day. the medication is available
in 100mg capsules. for the morning medication, the nurse should administer? - CORRECT
ANSWER ✔✔ -2 capsules
a client hospitalized with a fractured mandible is to be discharged. which piece of equipment
should be kept on the client with a fractured mandible? - CORRECT ANSWER ✔✔ -wire
cutters to release the device in case of choking or aspiration
a client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. which of the
following is associated with an increased incidence of gastric cancer? - CORRECT ANSWER
✔✔ -luncheon meats because they contain preservatives such as nitrites that have been linked to
gastric cancer
a client hospitalized with sever depression and suicidal ideation refuses to talk with the nurse. the
nurse recognizes that the suicidal client has difficulty: - CORRECT ANSWER ✔✔ -expressing
anger towards others
,a client is admitted to the emergency room with symptoms of delirium tremens. after admitting
the client to a private room, the priority nursing intervention is to? - CORRECT ANSWER ✔✔ -
provide seizure precautions
A client is admitted with a diagnosis of hypothyroidism. An initial assessment of the client
would reveal? - CORRECT ANSWER ✔✔ -Weight gain, lethargy, slurred speech, and
decreased respiratory rate
A client is admitted with acute adrenal crisis. During the intake assessment, the nurse can expect
to find the client has? - CORRECT ANSWER ✔✔ -Symptoms of hypovolemia and shock so low
blood pressure
a client is admitted with burns of the right arm, chest, and head. according to the Rule of Nines,
the percent of burn injury is? - CORRECT ANSWER ✔✔ -27%
a client is admitted with chest pain and shortness of breath has a standing order for oxygen via
mask. standing orders for oxygen mean that the nurse can apply oxygen at? - CORRECT
ANSWER ✔✔ -6L per minute
A client is being treated for cancer with linear acceleration radiation. The position has mark the
radiation site with a blue marking pen. The nurse should? - CORRECT ANSWER ✔✔ -Refrain
from using soap or lotion on the marked area
A client is hospitalized with hepatitis A. Which of the clients regular medications is
contraindicated due to the current illness? - CORRECT ANSWER ✔✔ -Lipitor (atorvastatin)
, a client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. his
tentative diagnosis is antisocial personality disorder. in reviewing the client's record, the nurse
could expect to find: - CORRECT ANSWER ✔✔ -a history of cruelty to animals
A client newly Diagnosed with diabetes is started on Precose (a carbide). The nurse should tell
the client that the medication should be taken? - CORRECT ANSWER ✔✔ -With the first bite
of a meal
A client receiving chemotherapy for breast cancer has an order for Zofran (ondansetron) 8 mg
PO to be given 30 minutes before induction of the chemotherapy. The purpose of the medication
is to? - CORRECT ANSWER ✔✔ -Prevent nausea
a client receiving HydroDIURIL (hydrochlorothiazide) is instructed to increase her dietary intake
of potassium. the best snack for the client requiring increased potassium is: - CORRECT
ANSWER ✔✔ -banana
A client taking the Dilantin (phenytoin) for tonic clonic seizures is preparing for discharge. What
information should be included in the clients discharge care plan? - CORRECT ANSWER ✔✔ -
The client will need a regularly scheduled CBC
A client with 18th is admitted for treatment of wasting syndrome. Which of the following dietary
modifications can be used to compensate for the limited absorptive capability of the intestinal
tract? - CORRECT ANSWER ✔✔ -Providing small frequent meals
A client with a Bowel resection and anastomosis returns to his room with an NG tube attached to
intermittent suction. Which of the following observations indicate that the nasogastric suction is
working properly? - CORRECT ANSWER ✔✔ -The client abdomen is soft
