NCLEX-PN 3000 TEST QUESTIONS
WITH CORRECT ANSWERS (100%
CORRECT)
A client with hyperemesis gravidarum is on a clear liquid diet. The nurse should serve
this client:
1. milk and ice pops.
2. decaffeinated coffee and scrambled eggs.
3. tea and gelatin dessert.
4. apple juice and oatmeal. - Answer- Correct Answer: 3
RATIONALES: A clear liquid diet consists of foods that are clear liquids at room
temperature or body temperature, such as ice pops, regular or decaffeinated coffee and
tea, gelatin desserts, carbonated beverages, and clear juices. Milk, pasteurized eggs,
egg substitutes, and oatmeal are part of a full liquid diet.
Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a client's
uremia. Which finding signals a significantproblem during this procedure?
1. Blood glucose level of 200 mg/dl
2. White blood cell (WBC) count of 20,000/mm3
,3. Potassium level of 3.8 mEq/L
4. Hematocrit (HCT) of 35% - Answer- Correct Answer: 2
RATIONALES: An increased WBC count indicates infection, probably resulting from
peritonitis, which may have been caused by insertion of the peritoneal catheter into the
peritoneal cavity. Peritonitis can cause the peritoneal membrane to lose its ability to
filter solutes; therefore, peritoneal dialysis would no longer be a treatment option for this
client. Hyperglycemia occurs during peritoneal dialysis because of the high glucose
content of the dialysate; it's readily treatable with sliding-scale insulin. A potassium level
of 3.8 mEq/L is an acceptable value. An HCT of 35% is lower than normal. However, in
this client, the value isn't abnormally low because of the daily blood samplings. A lower
HCT is common in clients with chronic renal failure because of the lack of
erythropoietin.
The nurse is collecting data on an 8-month-old infant during a wellness checkup. Which
of the following is a normal developmental task for an infant this age?
1. Sitting without support
2. Saying two words
3. Feeding himself with a spoon
4. Playing patty-cake - Answer- Correct Answer: 1
RATIONALES: According to the Denver Developmental Screening Test, most infants
should be able to sit unsupported by age 7 months. A 15-month-old child should be able
,to say two words. By 17 months, the toddler should be able to feed himself with a
spoon. A 10-month-old infant should be able to play patty-cake.
The nurse is caring for a client with tuberculosis. Which precautions should the nurse
take when providing care for this client?
Select all that apply:
1. Wear gloves when handling tissues containing sputum.
2. Wear a face mask at all times.
3. Keep the client in strict isolation.
4. When the client leaves the room for tests, have all people in contact with him wear a
mask.
5. Keep the client's door open to allow fresh air into room and prevent social isolation.
6. Wash hands after direct contact with the client or contaminated articles. - Answer-
Correct Answer: 1,2,6
RATIONALES: The nurse should always wear gloves when handling items
contaminated with sputum or body secretions. All staff and visitors must wear face
masks when coming in contact with the client in his room; masks must be discarded
before leaving the client's room. Hand washing is required after direct contact with the
client or contaminated articles. Strict isolation isn't required if the client adheres to
special respiratory precautions. The client, not the people in contact with him, must
wear a mask when leaving the room for tests. The client should be in a negative-
pressure, private room, and the door should remain closed at all times to prevent the
spread of infection.
A client with moderate pregnancy-induced hypertension (PIH) is a poor candidate for
regional anesthesia during labor and delivery. If she were to receive this form of
anesthesia, she might experience:
, 1. hypotension.
2. hypertension.
3. seizures.
4. renal toxicity. - Answer- Correct Answer: 1
RATIONALES: In a client with PIH, uteroplacental perfusion may be inadequate and
gas exchange may be poor. Regional anesthesia increases the risk of hypotension
resulting from sympathetic blockade, possibly causing fetal and maternal hypoxia.
Hypertension, seizures, and renal toxicity aren't associated with regional anesthesia.
A postpartum client requires teaching about breast-feeding. To prevent breast
engorgement, the nurse should instruct her to:
1. use an electric breast pump.
2. apply warm, moist compresses to the breasts.
3. breast-feed every 1½ to 3 hours.
4. wear a brassiere 24 hours per day. - Answer- Correct Answer: 3
WITH CORRECT ANSWERS (100%
CORRECT)
A client with hyperemesis gravidarum is on a clear liquid diet. The nurse should serve
this client:
1. milk and ice pops.
2. decaffeinated coffee and scrambled eggs.
3. tea and gelatin dessert.
4. apple juice and oatmeal. - Answer- Correct Answer: 3
RATIONALES: A clear liquid diet consists of foods that are clear liquids at room
temperature or body temperature, such as ice pops, regular or decaffeinated coffee and
tea, gelatin desserts, carbonated beverages, and clear juices. Milk, pasteurized eggs,
egg substitutes, and oatmeal are part of a full liquid diet.
Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a client's
uremia. Which finding signals a significantproblem during this procedure?
1. Blood glucose level of 200 mg/dl
2. White blood cell (WBC) count of 20,000/mm3
,3. Potassium level of 3.8 mEq/L
4. Hematocrit (HCT) of 35% - Answer- Correct Answer: 2
RATIONALES: An increased WBC count indicates infection, probably resulting from
peritonitis, which may have been caused by insertion of the peritoneal catheter into the
peritoneal cavity. Peritonitis can cause the peritoneal membrane to lose its ability to
filter solutes; therefore, peritoneal dialysis would no longer be a treatment option for this
client. Hyperglycemia occurs during peritoneal dialysis because of the high glucose
content of the dialysate; it's readily treatable with sliding-scale insulin. A potassium level
of 3.8 mEq/L is an acceptable value. An HCT of 35% is lower than normal. However, in
this client, the value isn't abnormally low because of the daily blood samplings. A lower
HCT is common in clients with chronic renal failure because of the lack of
erythropoietin.
The nurse is collecting data on an 8-month-old infant during a wellness checkup. Which
of the following is a normal developmental task for an infant this age?
1. Sitting without support
2. Saying two words
3. Feeding himself with a spoon
4. Playing patty-cake - Answer- Correct Answer: 1
RATIONALES: According to the Denver Developmental Screening Test, most infants
should be able to sit unsupported by age 7 months. A 15-month-old child should be able
,to say two words. By 17 months, the toddler should be able to feed himself with a
spoon. A 10-month-old infant should be able to play patty-cake.
The nurse is caring for a client with tuberculosis. Which precautions should the nurse
take when providing care for this client?
Select all that apply:
1. Wear gloves when handling tissues containing sputum.
2. Wear a face mask at all times.
3. Keep the client in strict isolation.
4. When the client leaves the room for tests, have all people in contact with him wear a
mask.
5. Keep the client's door open to allow fresh air into room and prevent social isolation.
6. Wash hands after direct contact with the client or contaminated articles. - Answer-
Correct Answer: 1,2,6
RATIONALES: The nurse should always wear gloves when handling items
contaminated with sputum or body secretions. All staff and visitors must wear face
masks when coming in contact with the client in his room; masks must be discarded
before leaving the client's room. Hand washing is required after direct contact with the
client or contaminated articles. Strict isolation isn't required if the client adheres to
special respiratory precautions. The client, not the people in contact with him, must
wear a mask when leaving the room for tests. The client should be in a negative-
pressure, private room, and the door should remain closed at all times to prevent the
spread of infection.
A client with moderate pregnancy-induced hypertension (PIH) is a poor candidate for
regional anesthesia during labor and delivery. If she were to receive this form of
anesthesia, she might experience:
, 1. hypotension.
2. hypertension.
3. seizures.
4. renal toxicity. - Answer- Correct Answer: 1
RATIONALES: In a client with PIH, uteroplacental perfusion may be inadequate and
gas exchange may be poor. Regional anesthesia increases the risk of hypotension
resulting from sympathetic blockade, possibly causing fetal and maternal hypoxia.
Hypertension, seizures, and renal toxicity aren't associated with regional anesthesia.
A postpartum client requires teaching about breast-feeding. To prevent breast
engorgement, the nurse should instruct her to:
1. use an electric breast pump.
2. apply warm, moist compresses to the breasts.
3. breast-feed every 1½ to 3 hours.
4. wear a brassiere 24 hours per day. - Answer- Correct Answer: 3
