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: 2 / 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) 3 / 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 4 / 29 Blood Pressure 114/69 mm Hg