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Pn Nclex #3 Exam Questions And Answers
|Latest 2025 | Guaranteed Pass
A student nurse is reviewing charts of clients who were diagnosed with chronic pharyngitis.
Which of the following clients would be at the greatest risk of developing chronic pharyngitis?
(Select all that apply).
A.
A client who smokes 1 pack per day for 20 years
B.
A client who is an alcoholic
C.
A client who is a singer
D.
A client who eats a lot of spicy foods
E.
A client who works at a construction site - Answer✔Correct Answers: A.
A client who smokes 1 pack per day for 20 years
B.
A client who is an alcoholic
C.
A client who is a singer
E.
A client who works at a construction site
1
, ©BRIGHTSTARS 2025 ALL RIGHTS RESERVED 9:46 AM A+
Correct Answers:A. A client who is a smoker for many years is at a higher risk of developing
chronic pharyngitis due to the chemicals and pollutants found in tobacco smoke that cause
swelling and inflammation.
B. A client who is an alcoholic is at a higher risk of developing chronic pharyngitis due to the
constant irritation of chemicals from alcohol.
C. A client who is a singer is at a higher risk of developing chronic pharyngitis due to excessive
use of their voice.
E. A client who works in a dusty environment like a construction site is at a higher risk of
developing chronic pharyngitis.
Incorrect Answers:D. A client who eats spicy foods is not at higher risk of developing chronic
pharyngitis.
Vital Concept:Pharyngitis is the inflammation of the pharynx or the back of the throat.
Pharyngitis can be 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 tobacco. Spicy foods have not been linked with chronic pharyngitis.
The pediatric nurse is caring for two 3 year olds who are playing in the common playroom. The
most appropriate response when the two children argue over a toy is:
A.
"I will take the toy since you two can't get along."
B.
"I want you both to go to your rooms since you can't get along."
C.
"Take turns playing with the toy."
D.
"I will find another toy so both of you can have one." - Answer✔Correct Answer: D.
"I will find another toy so both of you can have one."
2
, ©BRIGHTSTARS 2025 ALL RIGHTS RESERVED 9:46 AM A+
Toddlers have not developed the concept of sharing so the most appropriate response is to get
another toy that is the same or similar to the toy the children are fighting over.
Incorrect Answers:
A. The 3-year-old child will not understand why the toy has been taken and this likely will make
the situation worse.
B. This is not an appropriate response for the toddler.
C. Toddler children do not understand the concept of taking turns.
Vital Concept:Finding a toy that both children can play with is the most appropriate response to
toddlers fighting over a toy.
A nurse is teaching the parents of a 6 month old infant about risk factors for acute otitis media
(AOM). Which of the following factors should the nurse include? (Select all that apply.)
A.
Infant is exclusively breastfed
B.
Infant attends day care 4 days per week
C.
Absence of routine vaccinations
D.
Siblings have a history of chronic ear infections.
E.
Parents smoke cigarettes - Answer✔Correct Answers: B.
Infant attends day care 4 days per week
C.
Absence of routine vaccinations
D.
Siblings have a history of chronic ear infections.
E.
3
, ©BRIGHTSTARS 2025 ALL RIGHTS RESERVED 9:46 AM A+
Parents smoke cigarettes
Infants who attend day care have an increased risk for AOM because of the exposure to
multiple people and children with infections.
The pneumococcal conjugate vaccine decreases the incidence of AOM. This routine vaccination
is administered in 4 doses beginning at 2 months of age. Receiving the influenza vaccination
after the child is 6 months of age has also been shown to decrease the incidence.
Infants who have siblings or parents with a history of chronic otitis media are at risk for
developing AOM.
Exposure to secondhand smoke increases an infant's risk for AOM by impairing the ability of the
respiratory tract to clear pathogenic organisms, which can then block the Eustachian tubes,
causing increased pressure and fluid build-up and facilitating 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 appetiteWhat
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 topical antibiotic ointment if draining.Reinforce need to complete the prescribed
course of antibiotics.Reinforce 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 An
While installing electrical wiring in the intensive care unit, the workmen start an electrical fire.
The nurses' first action when caring for a ventilator dependent client should be to:
A.
Extinguish the fire
B.
Notify the nursing supervisor
4
Pn Nclex #3 Exam Questions And Answers
|Latest 2025 | Guaranteed Pass
A student nurse is reviewing charts of clients who were diagnosed with chronic pharyngitis.
Which of the following clients would be at the greatest risk of developing chronic pharyngitis?
(Select all that apply).
A.
A client who smokes 1 pack per day for 20 years
B.
A client who is an alcoholic
C.
A client who is a singer
D.
A client who eats a lot of spicy foods
E.
A client who works at a construction site - Answer✔Correct Answers: A.
A client who smokes 1 pack per day for 20 years
B.
A client who is an alcoholic
C.
A client who is a singer
E.
A client who works at a construction site
1
, ©BRIGHTSTARS 2025 ALL RIGHTS RESERVED 9:46 AM A+
Correct Answers:A. A client who is a smoker for many years is at a higher risk of developing
chronic pharyngitis due to the chemicals and pollutants found in tobacco smoke that cause
swelling and inflammation.
B. A client who is an alcoholic is at a higher risk of developing chronic pharyngitis due to the
constant irritation of chemicals from alcohol.
C. A client who is a singer is at a higher risk of developing chronic pharyngitis due to excessive
use of their voice.
E. A client who works in a dusty environment like a construction site is at a higher risk of
developing chronic pharyngitis.
Incorrect Answers:D. A client who eats spicy foods is not at higher risk of developing chronic
pharyngitis.
Vital Concept:Pharyngitis is the inflammation of the pharynx or the back of the throat.
Pharyngitis can be 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 tobacco. Spicy foods have not been linked with chronic pharyngitis.
The pediatric nurse is caring for two 3 year olds who are playing in the common playroom. The
most appropriate response when the two children argue over a toy is:
A.
"I will take the toy since you two can't get along."
B.
"I want you both to go to your rooms since you can't get along."
C.
"Take turns playing with the toy."
D.
"I will find another toy so both of you can have one." - Answer✔Correct Answer: D.
"I will find another toy so both of you can have one."
2
, ©BRIGHTSTARS 2025 ALL RIGHTS RESERVED 9:46 AM A+
Toddlers have not developed the concept of sharing so the most appropriate response is to get
another toy that is the same or similar to the toy the children are fighting over.
Incorrect Answers:
A. The 3-year-old child will not understand why the toy has been taken and this likely will make
the situation worse.
B. This is not an appropriate response for the toddler.
C. Toddler children do not understand the concept of taking turns.
Vital Concept:Finding a toy that both children can play with is the most appropriate response to
toddlers fighting over a toy.
A nurse is teaching the parents of a 6 month old infant about risk factors for acute otitis media
(AOM). Which of the following factors should the nurse include? (Select all that apply.)
A.
Infant is exclusively breastfed
B.
Infant attends day care 4 days per week
C.
Absence of routine vaccinations
D.
Siblings have a history of chronic ear infections.
E.
Parents smoke cigarettes - Answer✔Correct Answers: B.
Infant attends day care 4 days per week
C.
Absence of routine vaccinations
D.
Siblings have a history of chronic ear infections.
E.
3
, ©BRIGHTSTARS 2025 ALL RIGHTS RESERVED 9:46 AM A+
Parents smoke cigarettes
Infants who attend day care have an increased risk for AOM because of the exposure to
multiple people and children with infections.
The pneumococcal conjugate vaccine decreases the incidence of AOM. This routine vaccination
is administered in 4 doses beginning at 2 months of age. Receiving the influenza vaccination
after the child is 6 months of age has also been shown to decrease the incidence.
Infants who have siblings or parents with a history of chronic otitis media are at risk for
developing AOM.
Exposure to secondhand smoke increases an infant's risk for AOM by impairing the ability of the
respiratory tract to clear pathogenic organisms, which can then block the Eustachian tubes,
causing increased pressure and fluid build-up and facilitating 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 appetiteWhat
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 topical antibiotic ointment if draining.Reinforce need to complete the prescribed
course of antibiotics.Reinforce 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 An
While installing electrical wiring in the intensive care unit, the workmen start an electrical fire.
The nurses' first action when caring for a ventilator dependent client should be to:
A.
Extinguish the fire
B.
Notify the nursing supervisor
4
