NCLEX-PN Test Prep Questions and Answers|
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A seven year old girl has been diagnosed with nephrotic syndrome. She appears bloated, weak,
and eats less than expected. The Dr. recommends dietary protein in each meal to supplement
the losses. In order to achieve a healthy diet, and prevent worsening the condition which of the
following should be done?
A. serve her favorite food.
B. play with her while eating.
C. avoid giving snacks, it will alter the child's feeding pattern.
D. Giver her some candy as a reward when the meals are finished. ✔️✔️A. Serving the child's
favorite food increases appetite and is more appealing. Nutritious foods like fish and poultry,
fruits and veggies should be included in each meal.
The nurse is educating a pt. recently diagnosed with bipolar disorder. The patient asks about
the cause of this disorder, the nurse in informs her that the cause is?
A. Genetic Factors.
B. Environmental factors.
C. Physiological factors.
D. All of the above. ✔️✔️D.
A pt on Digoxin accidently ingested 2 doses of the medication. He is now in the hospital and is
being treated for possible drug toxicity. Since the pt is stable, which of the following treatments
is indicated?
A. Symptomatic treatment.
B. Digoxin immune fab.
C. Charcoal.
D. Atropine. ✔️✔️A. Symptomatic Treatment
,The nurse is assessing a 5 year old diagnosed with hemolytic uremic syndrome. Which of the
following signs and symptoms are associated with this disease.?
A. Hematuria, Fever, generalized rash.
B. Extreme fatigue, decrease urinary output, bloody stools.
C. Fever, dyspnea, decreased urine output.
D. Extreme fatigue, tachypnea, generalized rash. ✔️✔️B. HUS is a disease characterized by
hemolytic anemia, thrombocytopenia, and acute renal injury. Generally cause by
gastrointestinal infection, such as e. coli. Bloody diarrhea and fever develop followed by
symptoms of hemolytic anemia such as :fatigue and low urinary output due to acute renal
injury.
The nurse is assessing a child with coarchtation of the aorta. The nurse would expect to find
which of the following.?
A. Cyanosis.
B. Diminished or delayed femoral pulses.
C. Exercise intolerance.
D. Poor feeding pattern. ✔️✔️B.
In which stage of separation anxiety does the child act sad and apathetic.?
A. Despair.
B. Detachment.
C. Stoicism
D. Disassociation. ✔️✔️A.
Older adults are at risk for excessive fluid loss for several reasons. The nurse is correct by giving
which of the following reasons when asked by her elderly client.? Select all that apply.
A. Increased thirst.
B. Altered antidiuretic hormone response.
C. Increase in body fat.
,D. Decreased renal concentration of the urine.
E. Ingestion of high sodium foods.
F. Anasarca. ✔️✔️B, C, D.
A schizophrenic pt. is receiving haloperidol =. It is expected that the pt will start to develop
which of the following extrapyramidal side effects.?
A. Pacing.
B. Seizures.
C. Tremors and shuffling gait.
D. Tics. ✔️✔️C.
A child is brought to the ED with a high fever, photophobia and a headache. What important
sign would a nurse use to check for meningeal irritation?
A. McBurney's sign
B. Ortolani Sign
C. Brudzinski's sign ✔️✔️C.
A confused patient is being admitted to the hospital and the nurse is attempting to gather his
heath history. The patient denies the presence of any diseases, but he admits to discontinuing
donepezil. The nurse understands that this medication is used to treat:
A. Alzheimer's Disease.
B. Bipolar Disorder
C. COPD
D. Cancer ✔️✔️A.
A nurse is preparing a blood transfusion for an anemic toddler. Which of the following blood
transfusion matches would cause a hemolytic reaction?
A. O-Negative blood to a B-Negative patient.
B. A-Negative blood to an AB-Negative patient.
, C. B-Positive blood to a B-Negative patient.
D. B-Negative blood to a B-Negative patient. ✔️✔️C.
A patient had been prescribed diltiazem and asks the nurse why he needs the drug. The nurse
explains that the drug is used in the treatment of:
A. Deep Vein Thrombosis
B. Congestive Heart Failure
C. Hyperlipidemia
D. Arrhythmias ✔️✔️D.
A patient with severe anemia has orthostatic hypotension. This is indicated by:
A. Rise in heart rate and a drop in blood pressure.
B. Drop in heart rate and drop in blood pressure.
C. Rise in heart rate and a rise in blood pressure.
D. Drop in heart rate and rise in blood pressure. ✔️✔️A.
A patient with benign prostatic hypertrophy is admitted to the hospital for a scheduled surgery.
Which of the following surgeries is the least invasive?
A. Retropubic prostatectomy
B. Perineal Prostatectomy
C. Suprapubic Transvesical prostatectomy.
D. Transurethral resection of the prostate. ✔️✔️D.
An 80-year old patient with hemiplegia was transferred by the nurse aid from a sitting position
on the bed to the wheelchair. Which of the following interventions needs correction by the
home health nurse who was observing the aide?
A. Moving the patient towards their unaffected side
B. Pulling the patient to a standing position by his arms.
Latest Update
A seven year old girl has been diagnosed with nephrotic syndrome. She appears bloated, weak,
and eats less than expected. The Dr. recommends dietary protein in each meal to supplement
the losses. In order to achieve a healthy diet, and prevent worsening the condition which of the
following should be done?
A. serve her favorite food.
B. play with her while eating.
C. avoid giving snacks, it will alter the child's feeding pattern.
D. Giver her some candy as a reward when the meals are finished. ✔️✔️A. Serving the child's
favorite food increases appetite and is more appealing. Nutritious foods like fish and poultry,
fruits and veggies should be included in each meal.
The nurse is educating a pt. recently diagnosed with bipolar disorder. The patient asks about
the cause of this disorder, the nurse in informs her that the cause is?
A. Genetic Factors.
B. Environmental factors.
C. Physiological factors.
D. All of the above. ✔️✔️D.
A pt on Digoxin accidently ingested 2 doses of the medication. He is now in the hospital and is
being treated for possible drug toxicity. Since the pt is stable, which of the following treatments
is indicated?
A. Symptomatic treatment.
B. Digoxin immune fab.
C. Charcoal.
D. Atropine. ✔️✔️A. Symptomatic Treatment
,The nurse is assessing a 5 year old diagnosed with hemolytic uremic syndrome. Which of the
following signs and symptoms are associated with this disease.?
A. Hematuria, Fever, generalized rash.
B. Extreme fatigue, decrease urinary output, bloody stools.
C. Fever, dyspnea, decreased urine output.
D. Extreme fatigue, tachypnea, generalized rash. ✔️✔️B. HUS is a disease characterized by
hemolytic anemia, thrombocytopenia, and acute renal injury. Generally cause by
gastrointestinal infection, such as e. coli. Bloody diarrhea and fever develop followed by
symptoms of hemolytic anemia such as :fatigue and low urinary output due to acute renal
injury.
The nurse is assessing a child with coarchtation of the aorta. The nurse would expect to find
which of the following.?
A. Cyanosis.
B. Diminished or delayed femoral pulses.
C. Exercise intolerance.
D. Poor feeding pattern. ✔️✔️B.
In which stage of separation anxiety does the child act sad and apathetic.?
A. Despair.
B. Detachment.
C. Stoicism
D. Disassociation. ✔️✔️A.
Older adults are at risk for excessive fluid loss for several reasons. The nurse is correct by giving
which of the following reasons when asked by her elderly client.? Select all that apply.
A. Increased thirst.
B. Altered antidiuretic hormone response.
C. Increase in body fat.
,D. Decreased renal concentration of the urine.
E. Ingestion of high sodium foods.
F. Anasarca. ✔️✔️B, C, D.
A schizophrenic pt. is receiving haloperidol =. It is expected that the pt will start to develop
which of the following extrapyramidal side effects.?
A. Pacing.
B. Seizures.
C. Tremors and shuffling gait.
D. Tics. ✔️✔️C.
A child is brought to the ED with a high fever, photophobia and a headache. What important
sign would a nurse use to check for meningeal irritation?
A. McBurney's sign
B. Ortolani Sign
C. Brudzinski's sign ✔️✔️C.
A confused patient is being admitted to the hospital and the nurse is attempting to gather his
heath history. The patient denies the presence of any diseases, but he admits to discontinuing
donepezil. The nurse understands that this medication is used to treat:
A. Alzheimer's Disease.
B. Bipolar Disorder
C. COPD
D. Cancer ✔️✔️A.
A nurse is preparing a blood transfusion for an anemic toddler. Which of the following blood
transfusion matches would cause a hemolytic reaction?
A. O-Negative blood to a B-Negative patient.
B. A-Negative blood to an AB-Negative patient.
, C. B-Positive blood to a B-Negative patient.
D. B-Negative blood to a B-Negative patient. ✔️✔️C.
A patient had been prescribed diltiazem and asks the nurse why he needs the drug. The nurse
explains that the drug is used in the treatment of:
A. Deep Vein Thrombosis
B. Congestive Heart Failure
C. Hyperlipidemia
D. Arrhythmias ✔️✔️D.
A patient with severe anemia has orthostatic hypotension. This is indicated by:
A. Rise in heart rate and a drop in blood pressure.
B. Drop in heart rate and drop in blood pressure.
C. Rise in heart rate and a rise in blood pressure.
D. Drop in heart rate and rise in blood pressure. ✔️✔️A.
A patient with benign prostatic hypertrophy is admitted to the hospital for a scheduled surgery.
Which of the following surgeries is the least invasive?
A. Retropubic prostatectomy
B. Perineal Prostatectomy
C. Suprapubic Transvesical prostatectomy.
D. Transurethral resection of the prostate. ✔️✔️D.
An 80-year old patient with hemiplegia was transferred by the nurse aid from a sitting position
on the bed to the wheelchair. Which of the following interventions needs correction by the
home health nurse who was observing the aide?
A. Moving the patient towards their unaffected side
B. Pulling the patient to a standing position by his arms.
