PN NCLEX #3 EXAM TEST QUESTIONS WITH 100% VERIFIED ANSWER
GRADED A+
1. A student nurse is Correct Answers: A.
reviewing charts of A client who smokes 1 pack per day for 20 years
clients who were di- B.
agnosed with chronic A client who is an alcoholic
pharyngitis. Which of C.
the following clients A client who is a singer
would be at the great- E.
est risk of develop- A client who works at a construction site
ing chronic pharyngi- Correct Answers:A. A client who is a smoker for
tis? (Select all that ap- many years is at a higher risk of developing chron-
ply). ic pharyngitis due to the chemicals and pollutants
A. found in tobacco smoke that cause swelling and
A client who smokes inflammation.
1 pack per day for 20 B. A client who is an alcoholic is at a higher risk of
years developing chronic pharyngitis due to the constant
B. irritation of chemicals from alcohol.
A client who is an al- C. A client who is a singer is at a higher risk of
coholic developing chronic pharyngitis due to excessive use
C. of their voice.
A client who is a E. A client who works in a dusty environment like
singer a construction site is at a higher risk of developing
D. chronic pharyngitis.
A client who eats a lot Incorrect Answers:D. A client who eats spicy foods is
of spicy foods not at higher risk of developing chronic pharyngitis.
E. Vital Concept:Pharyngitis is the inflammation of the
A client who works at pharynx or the back of the throat. Pharyngitis can be
a construction site acute due to an infection. Chronic pharyngitis lasts
longer and does not respond to the same treatments
as acute pharyngitis. Adults who live and work in
dusty environments such as construction sites are
at greater risk of developing chronic pharyngitis.
Other clients who are at risk of this condition are
singers, voice actors, or news anchors who overuse
their voice, those who suffer from a chronic cough,
and those who excessively use alcohol and tobac-
co. Spicy foods have not been linked with chronic
pharyngitis.
2.
,PN NCLEX #3 EXAM TEST QUESTIONS WITH 100% VERIFIED ANSWER
GRADED A+
The pediatric nurse is Correct Answer: D.
caring for two 3 year "I will find another toy so both of you can have one."
olds who are playing
in the common play- Toddlers have not developed the concept of sharing
room. The most appro- so the most appropriate response is to get another
priate response when toy that is the same or similar to the toy the children
the two children argue are fighting over.
over a toy is: Incorrect Answers:
A. A. The 3-year-old child will not understand why the
"I will take the toy toy has been taken and this likely will make the
since you two can't situation worse.
get along." B. This is not an appropriate response for the tod-
B. dler.
"I want you both to go C. Toddler children do not understand the concept of
to your rooms since taking turns.
you can't get along." Vital Concept:Finding a toy that both children can
C. play with is the most appropriate response to tod-
"Take turns playing dlers fighting over a toy.
with the toy."
D.
"I will find another toy
so both of you can
have one."
3. A nurse is teach- Correct Answers: B.
ing the parents of Infant attends day care 4 days per week
a 6 month old in- C.
fant about risk factors Absence of routine vaccinations
for acute otitis me- D.
dia (AOM). Which of Siblings have a history of chronic ear infections.
the following factors E.
should the nurse in- Parents smoke cigarettes
clude? (Select all that
apply.) Infants who attend day care have an increased risk
A. for AOM because of the exposure to multiple people
Infant is exclusively and children with infections.
breastfed The pneumococcal conjugate vaccine decreases
B. the incidence of AOM. This routine vaccination is
Infant attends day administered in 4 doses beginning at 2 months of
,PN NCLEX #3 EXAM TEST QUESTIONS WITH 100% VERIFIED ANSWER
GRADED A+
care 4 days per week age. Receiving the influenza vaccination after the
C. child is 6 months of age has also been shown to
Absence of routine decrease the incidence.
vaccinations Infants who have siblings or parents with a history of
D. chronic otitis media are at risk for developing AOM.
Siblings have a histo- Exposure to secondhand smoke increases an in-
ry of chronic ear infec- fant's risk for AOM by impairing the ability of the res-
tions. piratory tract to clear pathogenic organisms, which
E. can then block the Eustachian tubes, causing in-
Parents smoke ciga- creased pressure and fluid build-up and facilitating
rettes the growth of microorganisms.
Acute Otitis Media:
What is it?Inflammation and accumulation of fluid
in the middle ear along with signs of illness. Often
preceded by illness due to respiratory syncytial virus
or influenza. Appears more commonly in children
less than 7 years of age.What does it look like?Pain
and pressure in earFever: can be highEnlarged
postauricular and cervical lymph nodesLoss of ap-
petiteWhat actions does the nurse take?Administer
analgesics/antipyreticsApply heat over the ear and
position child with the affected ear downward.Clean
external ear canal with sterile cotton swabs with top-
ical antibiotic ointment if draining.Reinforce need to
complete the prescribed course of antibiotics.Rein-
force education to reduce reoccurrence:Feed infant
in upright position.Eliminate the infant's exposure to
tobacco smoke.Avoid forceful nose-blowing during
an upper respiratory infection.
Incorrect Answers:A. Breastfeeding helps protect
against AOM because breast milk contains secre-
tory immunoglobulin A. Bottle feeding can put the
infant at greater risk for AOM because of improper
positioning while feeding, which can result in collec-
tion of milk in the infant's ear. Parents should sit or
hold their infant in an upright position while bottle
feeding and should never prop the infant's bottle on
a pillow.
, PN NCLEX #3 EXAM TEST QUESTIONS WITH 100% VERIFIED ANSWER
GRADED A+
Vital Concept:Otitis media (OM) is a common child-
hood disease caused by the accumulation of flu-
id in the middle ear, which leads to infection and
inflammation. The nurse should provide education
for the parents about preventive measures, such as
avoiding propping up the infant's bottles, position-
ing the infant upright while bottle feeding, eliminat-
ing tobacco smoke exposure, and minimizing risks
associated with crowded places, such as daycare.
Adherence to recommended vaccination schedules
also reduces the risk of AOM.
4. While installing elec- Correct Answer: C.
trical wiring in the Remove the client and provide bag valve mask ven-
intensive care unit, tilations
the workmen start
an electrical fire. The The client is the priority of care. You must make sure
nurses' first action the client is safe, then you can take other actions.
when caring for a Incorrect Answers:A. The client must be rescued
ventilator dependent first
client should be to: B. The client must be rescued first
A. D. The client must be rescued first
Extinguish the fire Vital Concept:In the event of a fire, the nurse should
B. first rescue the client, then set off and alarm. Next,
Notify the nursing su- the nurse will confine the fire by closing doors, or
pervisor other access to the fire and if possible extinguish the
C. fire.
Remove the client
and provide bag valve
mask ventilations
D.
Activate the fire alarm
5. For a client with a low- Correct Answer: A.
er respiratory tract in- When the client has an empty stomach
fection, when is the Postural drainage is performed before eating or after
best time for the nurse consumed food has left the stomach. If it is done on
to perform postural a full stomach, the positioning, coughing, or expec-
drainage? torating can cause nausea and/or vomiting.
GRADED A+
1. A student nurse is Correct Answers: A.
reviewing charts of A client who smokes 1 pack per day for 20 years
clients who were di- B.
agnosed with chronic A client who is an alcoholic
pharyngitis. Which of C.
the following clients A client who is a singer
would be at the great- E.
est risk of develop- A client who works at a construction site
ing chronic pharyngi- Correct Answers:A. A client who is a smoker for
tis? (Select all that ap- many years is at a higher risk of developing chron-
ply). ic pharyngitis due to the chemicals and pollutants
A. found in tobacco smoke that cause swelling and
A client who smokes inflammation.
1 pack per day for 20 B. A client who is an alcoholic is at a higher risk of
years developing chronic pharyngitis due to the constant
B. irritation of chemicals from alcohol.
A client who is an al- C. A client who is a singer is at a higher risk of
coholic developing chronic pharyngitis due to excessive use
C. of their voice.
A client who is a E. A client who works in a dusty environment like
singer a construction site is at a higher risk of developing
D. chronic pharyngitis.
A client who eats a lot Incorrect Answers:D. A client who eats spicy foods is
of spicy foods not at higher risk of developing chronic pharyngitis.
E. Vital Concept:Pharyngitis is the inflammation of the
A client who works at pharynx or the back of the throat. Pharyngitis can be
a construction site acute due to an infection. Chronic pharyngitis lasts
longer and does not respond to the same treatments
as acute pharyngitis. Adults who live and work in
dusty environments such as construction sites are
at greater risk of developing chronic pharyngitis.
Other clients who are at risk of this condition are
singers, voice actors, or news anchors who overuse
their voice, those who suffer from a chronic cough,
and those who excessively use alcohol and tobac-
co. Spicy foods have not been linked with chronic
pharyngitis.
2.
,PN NCLEX #3 EXAM TEST QUESTIONS WITH 100% VERIFIED ANSWER
GRADED A+
The pediatric nurse is Correct Answer: D.
caring for two 3 year "I will find another toy so both of you can have one."
olds who are playing
in the common play- Toddlers have not developed the concept of sharing
room. The most appro- so the most appropriate response is to get another
priate response when toy that is the same or similar to the toy the children
the two children argue are fighting over.
over a toy is: Incorrect Answers:
A. A. The 3-year-old child will not understand why the
"I will take the toy toy has been taken and this likely will make the
since you two can't situation worse.
get along." B. This is not an appropriate response for the tod-
B. dler.
"I want you both to go C. Toddler children do not understand the concept of
to your rooms since taking turns.
you can't get along." Vital Concept:Finding a toy that both children can
C. play with is the most appropriate response to tod-
"Take turns playing dlers fighting over a toy.
with the toy."
D.
"I will find another toy
so both of you can
have one."
3. A nurse is teach- Correct Answers: B.
ing the parents of Infant attends day care 4 days per week
a 6 month old in- C.
fant about risk factors Absence of routine vaccinations
for acute otitis me- D.
dia (AOM). Which of Siblings have a history of chronic ear infections.
the following factors E.
should the nurse in- Parents smoke cigarettes
clude? (Select all that
apply.) Infants who attend day care have an increased risk
A. for AOM because of the exposure to multiple people
Infant is exclusively and children with infections.
breastfed The pneumococcal conjugate vaccine decreases
B. the incidence of AOM. This routine vaccination is
Infant attends day administered in 4 doses beginning at 2 months of
,PN NCLEX #3 EXAM TEST QUESTIONS WITH 100% VERIFIED ANSWER
GRADED A+
care 4 days per week age. Receiving the influenza vaccination after the
C. child is 6 months of age has also been shown to
Absence of routine decrease the incidence.
vaccinations Infants who have siblings or parents with a history of
D. chronic otitis media are at risk for developing AOM.
Siblings have a histo- Exposure to secondhand smoke increases an in-
ry of chronic ear infec- fant's risk for AOM by impairing the ability of the res-
tions. piratory tract to clear pathogenic organisms, which
E. can then block the Eustachian tubes, causing in-
Parents smoke ciga- creased pressure and fluid build-up and facilitating
rettes the growth of microorganisms.
Acute Otitis Media:
What is it?Inflammation and accumulation of fluid
in the middle ear along with signs of illness. Often
preceded by illness due to respiratory syncytial virus
or influenza. Appears more commonly in children
less than 7 years of age.What does it look like?Pain
and pressure in earFever: can be highEnlarged
postauricular and cervical lymph nodesLoss of ap-
petiteWhat actions does the nurse take?Administer
analgesics/antipyreticsApply heat over the ear and
position child with the affected ear downward.Clean
external ear canal with sterile cotton swabs with top-
ical antibiotic ointment if draining.Reinforce need to
complete the prescribed course of antibiotics.Rein-
force education to reduce reoccurrence:Feed infant
in upright position.Eliminate the infant's exposure to
tobacco smoke.Avoid forceful nose-blowing during
an upper respiratory infection.
Incorrect Answers:A. Breastfeeding helps protect
against AOM because breast milk contains secre-
tory immunoglobulin A. Bottle feeding can put the
infant at greater risk for AOM because of improper
positioning while feeding, which can result in collec-
tion of milk in the infant's ear. Parents should sit or
hold their infant in an upright position while bottle
feeding and should never prop the infant's bottle on
a pillow.
, PN NCLEX #3 EXAM TEST QUESTIONS WITH 100% VERIFIED ANSWER
GRADED A+
Vital Concept:Otitis media (OM) is a common child-
hood disease caused by the accumulation of flu-
id in the middle ear, which leads to infection and
inflammation. The nurse should provide education
for the parents about preventive measures, such as
avoiding propping up the infant's bottles, position-
ing the infant upright while bottle feeding, eliminat-
ing tobacco smoke exposure, and minimizing risks
associated with crowded places, such as daycare.
Adherence to recommended vaccination schedules
also reduces the risk of AOM.
4. While installing elec- Correct Answer: C.
trical wiring in the Remove the client and provide bag valve mask ven-
intensive care unit, tilations
the workmen start
an electrical fire. The The client is the priority of care. You must make sure
nurses' first action the client is safe, then you can take other actions.
when caring for a Incorrect Answers:A. The client must be rescued
ventilator dependent first
client should be to: B. The client must be rescued first
A. D. The client must be rescued first
Extinguish the fire Vital Concept:In the event of a fire, the nurse should
B. first rescue the client, then set off and alarm. Next,
Notify the nursing su- the nurse will confine the fire by closing doors, or
pervisor other access to the fire and if possible extinguish the
C. fire.
Remove the client
and provide bag valve
mask ventilations
D.
Activate the fire alarm
5. For a client with a low- Correct Answer: A.
er respiratory tract in- When the client has an empty stomach
fection, when is the Postural drainage is performed before eating or after
best time for the nurse consumed food has left the stomach. If it is done on
to perform postural a full stomach, the positioning, coughing, or expec-
drainage? torating can cause nausea and/or vomiting.
