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NCLEX PN
Question and Answer
| Question | Answer |
|---|---|
| A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty: | Expressing anger toward others |
| A client receiving HydroDIURIL (hydrochlorothiazide) is instructed to increase her dietary intake of potassium. The best snack for the client requiring increased potassium is: | Banana |
| The nurse is caring for a client following removal of the thyroid. Immediately post-op, the nurse should: | Maintain the client in a semi-Fowler's position with the head and neck supported by pillows |
| A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is associated with an increased incidence of gastric cancer? | Luncheon meats |
| A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client's record, the nurse could expect to find: | A history of cruelty to animals |
| The licensed vocational nurse may not assume the primary care for a client | With a venous access device |
| The physician has ordered dressings with mafenide acetate (Sulfamylon) cream for a client with full-thickness burns of the hands and arms. Before dressing changes, the nurse should give priority to | Administering pain medication |
| The nurse is teaching a group of parents about gross motor development of the toddler. Which behavior is an example of the normal gross motor skill of a toddler? | She can pull a toy behind her |
| A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment should be kept on the client with a fractured mandible? | Wire cutters |
| The nurse is to administer digoxin (Lanoxin) elixir to a 6-month-old with a congenital heart defect. The nurse auscultates an apical pulse rate of 100. The nurse should: | Record the heart rate and administer the medication |
| A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain the treatment for her daughter. The nurse's explanation is based on the knowledge that lead poisoning is treated with: | Chelating agents |
| An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for the child with a cleft palate repair are | Elbow restraints |
| A client with glaucoma has been prescribed Timoptic (timolol) eyedrops. Timoptic should be used with caution in the client with a history of: | Emphysema |
| An elderly client who experiences nighttime confusion wanders from his room into the room of another client. The nurse can best help decrease the client's confusion by | Leaving a nightlight on during the evening and night shifts |
| What is the following is a common complaint of the client with end-stage renal failure? | Itching |
| True or False.the following medication orders needs further clarification? Coumadin (warfarin sodium) 10mg PO | True |
| The best diet for the client with Meniere's syndrome is one that is: | Low in sodium |
| Which of the following findings is associated with right-sided heart failure? | Nocturnal polyuria |
| An 8-year-old admitted with an upper-respiratory infection has an order for O2 saturation via pulse oximeter. To ensure an accurate reading, the nurse should: | Place the probe on the child's finger "The treatment will produce a controlled grand mal seizure." |
| An infant with Tetralogy of Fallot is discharged with a prescription for lanoxin elixir. The nurse should instruct the mother to: | Administer the medication using the calibrated dropper in the bottle |
| The client scheduled for electroconvulsive therapy tells the nurse, "I'm so afraid. What will happen to me during the treatment?" Which of the following statements is most therapeutic for the nurse to make? | "You will be given medicine to relax you during the treatment." |
| What kind of skin lesions is associated with Lyme's disease? | Bull's eye rash |
| Common of snacks would be suitable for the child with gluten-induced enteropathy? | Buttered popcorn |
| A client with schizophrenia is receiving chlorpromazine (Thorazine) 400mg twice a day. An adverse side effect of the medication is: | Elevated temperature |
| What is information should be given to the client taking phenytoin (Dilantin)? | More frequent dental appointments will be needed for special gum care. |
| A client has returned to his room following an esophagoscopy. Before offering fluids, the nurse should give priority to assessing the client's: | Gag reflex |
| what instruction should be included in the discharge teaching for the client with cataract surgery? | The eye shield should be worn at night. |
| An 8-year-old is admitted with drooling, muffled phonation, and a temperature of 102°F. The nurse should immediately notify the doctor because the child's symptoms are suggestive of: | Epiglottitis |
| Phototherapy is ordered for a newborn with physiologic jaundice. The nurse caring for the infant should: | 29.Phototherapy is ordered for a newborn with physiologic jaundice. The nurse caring for the infant should: |
| A teen hospitalized with anorexia nervosa is now permitted to leave her room and eat in the dining room. Which of the following nursing interventions should be included in the client's plan of care? | Having a staff member remain with her for 1 hour after she eats |
| According to Erickson's stage of growth and development, the developmental task associated with middle childhood is: | ndustry |
| The nurse should observe for side effects associated with the use of bronchodilators. A common side effect of bronchodilators is: | Nausea |
| The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is: | Cyanosis of the hands and feet |
| A 5-month-old infant is admitted to the ER with a temperature of 103.6°F and irritability.the child had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for: | Tenseness of the anterior fontanel |
| 35.A client with a bowel resection and anastamosis returns to his room with an NG tube attached to intermittent suction. Which of the following observations indicates that the nasogastric suction is working properly? | The client's abdomen is soft |
| The nurse is teaching the client with insulin-dependent diabetes the signs of hypoglycemia. Which of the following signs is associated with hypoglycemia? | Tremulousness |
| Which of the following symptoms is associated with exacerbation of multiple sclerosis? | Diplopia |
| Which of the following conditions is most likely related to the development of renal calculi? | Gout |
| A client with AIDS is admitted for treatment of wasting syndrome. Which of the following dietary modifications can be used to compensate for the limited absorptive capability of the intestinal tract? | Providing small, frequent meals |
| The treatment protocol for a client with acute lymphocytic leukemia includes prednisone, methotrexate, and cimetadine. The purpose of the cimetadine is to: | Prevent a common side effect of prednisone |
| Meal choices is suitable for a 6-month-old infant? | Rice cereal, apple juice, formula |
| The LPN is preparing to administer an injection of vitamin K to the newborn. The nurse should administer the injection in the: | Vastus lateralis muscle |
| The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephotic syndrome. The nurse should: | Encourage the client to drink extra fluids |
| The nurse is caring for a client with detoxification from alcohol. Which medication is used in the treatment of alcohol withdrawal? | Dolophine (methodone |
| A client with insulin-dependent diabetes takes 20 units of NPH insulin at 7 a.m. The nurse should observe the client for signs of hypoglycemia at: | 3 p.m. |
| The licensed practical nurse is assisting the charge nurse in planning care for a client with a detached retina. Which of the following nursing diagnoses should receive priority? | Alteration in mobility |
| The primary purpose for using a CPM machine for the client with a total knee repair is to help: | Promote flexion of the artificial joint |
| Which of the following statements reflects Kohlberg's theory of the moral development of the preschool-age child? | Behavior is determined by consequences |
| A toddler with otitis media has just completed antibiotic therapy. A recheck appointment should be made to: | Document that the infection has completely cleared |
| A factory worker is brought to the nurse's office after a metal fragment enters his right eye. The nurse should: | Cover both eyes and transport the client to the ER |
| The nurse is caring for a client with systemic lupus erythematosis (SLE). The major complication associated with systemic lupus erythematosis is: | Nephritis |
| Which diet is associated with an increased risk of colorectal cancer? | High fat, refined carbohydrates |
| The nurse is caring for an infant following a cleft lip repair. While comforting the infant, the nurse should avoid: | Offering a pacifier |
| The physician has ordered Amoxil (amoxicillin) 500mg capsules for a client with esophageal varices. The nurse can best care for the client's needs by | Requesting an alternate form of the medication |
| The nurse is providing dietary instructions for a client with iron-deficiency anemia. Which food is a poor source of iron? | Tomatoes |
| The nurse is teaching a client with Parkinson's disease ways to prevent curvatures of the spine associated with the disease. To prevent spinal flexion, the nurse should tell the client to: | Periodically lie prone without a neck pillow |
| The nurse is planning dietary changes for a client following an episode of pancreatitis. Which diet is suitable for the client? | High calorie, low fat |
| A client with hypothyroidism frequently complains of feeling cold. The nurse should tell the client that she will be more comfortable if she: | Dresses in extra layers of clothing |
| A client has been hospitalized with a diagnosis of laryngeal cancer. Which factor is most significant in the development of laryngeal cancer? | A history of alcohol and tobacco use |
| The nurse is completing an assessment history of a client with pernicious anemia. Which complaint differentiates pernicious anemia from other types of anemia? | Numbness and tingling in the extremities |
| The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to: | Repeat words or phrases used by others |
| Which early morning activity helps to reduce the symptoms associated with rheumatoid arthritis? | Drinking a cup of coffee |
| A newborn weighed 7 pounds at birth. At 6 months of age, the infant could be expected to weigh: | 14 pounds |
| A client with nontropical sprue has an exacerbation of symptoms. Which meal selection is responsible for the recurrence of the client's symptoms? | Cream of tomato soup and crackers |
| A client with congestive heart failure has been receiving Digoxin (lanoxin). Which finding indicates that the medication is having a desired effect? | Increased urinary output |
| Which play activity is best suited to the gross motor skills of the toddler? | Ball |
| The physician has ordered Basalgel (aluminum carbonate gel) for a client with recurrent indigestion. The nurse should teach the client common side effects of the medication, which include: | Constipation |
| A client is admitted with suspected abdominal aortic aneurysm (AAA). A common complaint of the client with an abdominal aortic aneurysm is: | Pulsations in the periumbilical area |
| A client is admitted with acute adrenal crisis. During the intake assessment, the nurse can expect to find that the client has: | Low blood pressure |
| An elderly client is hospitalized for a transurethral prostatectomy. Which finding should be reported to the doctor immediately? | Bright red urine with many clots |
| A 9-year-old is admitted with suspected rheumatic fever. Which finding is suggestive of polymigratory arthritis? | Swelling, inflammation, and effusion of the joints |
| A child with croup is placed in a cool, high-humidity tent connected to room air. The primary purpose of the tent is to: | Liquefy secretions and relieve laryngeal spasm |
| A client is admitted with a diagnosis of hypothyroidism. An initial assessment of the client would reveal: | Weight gain, lethargy, slowed speech, and decreased respiratory rate |
| Tue or False describes the contagious stage of varicella? | The contagious stage is 1 day before the onset of the rash until all the lesions are crusted |
| A client admitted to the psychiatric unit claims to be the Son of God and insists that he will not be kept away from his followers. The most likely explanation for the client's delusion is: | Low self-esteem |
| The nurse is caring for an 8-year-old following a routine tonsillectomy. Which finding should be reported immediately? | Respiratory stridor |
| The nurse is admitting a client with a suspected duodenal ulcer. The client will most likely report that his abdominal discomfort lessens when he: | Eats a meal |
| Which of the following meal selections is appropriate for the client with celiac disease? | Rice Krispies bar and milk |
| A client with hyperthyroidism is taking lithium carbonate to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client's medication? | The client complains of increased thirst and increased urination |
| A 2-month-old infant has just received her first Tetramune injection. The nurse should tell the mother that the immunization: | Is one of a series of injections that protects against dpt and Hib |
| The nurse is caring for a client hospitalized with bipolar disorder, manic phase. Which of the following snacks would be best for the client with mania? | Apple |
| 82.A 2-year-old is hospitalized with suspected intussusception. Which finding is associated with intussusception? | "Currant jelly" stools |
| A client is being treated for cancer with linear acceleration radiation. The physician has marked the radiation site with a blue marking pen. The nurse should: | Refrain from using soap or lotion on the marked area |
| The nurse is caring for a client with acromegaly. Following a transphenoidal hypophysectomy, the nurse should: | Monitor the client's blood sugar |
| A client newly diagnosed with diabetes is started on Precose (acarbose). The nurse should tell the client that the medication should be taken: | With the first bite of a meal |
| A client with a deep decubitus ulcer is receiving therapy in the hyperbaric oxygen chamber. Before therapy, the nurse should: | Wash the skin with water and pat dry |
| A client with a laryngectomy returns from surgery with a nasogastric tube in place. The primary reason for placement of the nasogastric tube is to: | Prevent contamination of the suture line |
| The chart indicates that a client has expressive aphasia following a stroke. The nurse understands that the client will have difficulty with: | Speaking and writing |
| A camp nurse is applying sunscreen to a group of children enrolled in swim classes. Chemical sunscreens are most effective when applied: | 30 minutes before sun exposure |
| A post-operative client has an order for Demerol (meperidine) 75mg and Phenergan (promethazine) 25mg IM every 3–4 hours as needed for pain. The combination of the two medications produces a/an: | Synergistic effect |
| Before administering a client's morning dose of Lanoxin (digoxin), the nurse checks the apical pulse rate and finds a rate of 54. The appropriate nursing intervention is to: | Withhold the medication and notify the doctor |
| What information should the nurse give a new mother regarding the introduction of solid foods for her infant? | Solid foods should be introduced one at a time, with 4- to 7-day intervals. |
| A client with schizophrenia is started on Zyprexa (olanzapine). Three weeks later, the client develops severe muscle rigidity and elevated temperature. The nurse should give priority to: | Administering prescribed anti-Parkinsonian medication |
| A client with human immunodeficiency syndrome has gastrointestinal symptoms, including diarrhea. The nurse should teach the client to avoid: | Raw fruits and vegetables |
| A 4-year-old is admitted with acute leukemia. It will be most important to monitor the child for: | Bleeding and pallor |
| A 5-month-old is diagnosed with atopic dermatitis. Nursing interventions will focus on: | Preventing infection |
| The nurse is caring for a client with a history of diverticulitis. The client complains of abdominal pain, fever, and diarrhea. Which food was responsible for the client's symptoms? | .Whole-grain cereal Whole-grain cereal |
| The physician has scheduled a Whipple procedure for a client with pancreatic cancer. The nurse recognizes that the client's cancer is located in: | The head of the pancreas |
| A child with cystic fibrosis is being treated with inhalation therapy with Pulmozyme (dornase alfa). A side effect of the medication is | Sore throat |
| The doctor has ordered Percocet (oxycodone) for a client following abdominal surgery. The primary objective of nursing care for the client receiving an opiate analgesic is to: | Alleviate pain |
| Which finding is the best indication that a client with ineffective airway clearance needs suctioning? | Breath sounds |
| A client with tuberculosis has a prescription for Myambutol (ethambutol HCl). The nurse should tell the client to notify the doctor immediately if he notices: | Changes in color vision |
| The primary cause of anemia in a client with chronic renal failure is: | Insufficient erythropoietin |
| What is interventions has the highest priority for the client scheduled for an intravenous pyelogram? | Encouraging fluids the evening before the test |
| The doctor has prescribed aspirin 325mg daily for a client with transient ischemic attacks. The nurse knows that aspirin was prescribed to: | Keep platelets from clumping together |
| A client with tuberculosis who has been receiving combined therapy with INH and Rifampin asks the nurse how long he will have to take medication. The nurse should tell the client that: | The course of combined therapy is usually 6 months. |
| What is development milestone puts the 4-month-old infant at greatest risk for injury? | Rolling over |
| A client taking Dilantin (phenytoin) for tonic-clonic seizures is preparing for discharge. Which information should be included in the client's discharge care plan? | The client will need a regularly scheduled CBC |
| Assessment of a newborn male reveals that the infant has hypospadias. The nurse knows that: | The infant should not be circumcised |
| The nurse is providing dietary teaching for a client with elevated cholesterol levels. Which cooking oil is not suggested for the client on a low-cholesterol diet? | Coconut oil |
| The nurse is caring for a client with stage III Alzheimer's disease. A characteristic of this stage is | Failing to recognize familiar objects |
| The doctor has prescribed Cortone (cortisone) for a client with systemic lupus erythematosis. Which instruction should be given to the client? | Schedule a time to take the influenza vaccine |
| The nurse is caring for a client with an above-the-knee amputation (AKA). To prevent contractures, the nurse should: | Place the client in a prone position 15–30 minutes twice a day |
| The mother of a 6-month-old asks when her child will have all his baby teeth. The nurse knows that most children have all their primary teeth by age: | 30 months |
| While caring for a client with cervical cancer, the nurse notes that the radioactive implant is lying in the bed. The nurse should | Use tongs to pick up the implant and return it to a lead-lined container |
| The nurse is preparing to discharge a client following a laparoscopic cholecystectomy. The nurse should: | Tell the client to avoid a tub bath for 5 to 7 days |
| A high school student returns to school following a 3-week absence due to mononucleosis. The school nurse knows it will be important for the client: | To avoid contact sports for 1–2 months |
| A 6-year-old with cystic fibrosis has an order for pancreatic replacement. The nurse knows that the medication will be given: | With meals and snacks |
| The doctor has prescribed a diet high in vitamin B12 for a client with pernicious anemia. Which foods are highest in B12? | Meat, eggs, dairy products |
| A client with hypertension has begun an aerobic exercise program. The nurse should tell the client that the recommended exercise regimen should begin slowly and build up to | 20–30 minutes three times a week |
| A client with breast cancer is returned to the room following a right total mastectomy. The nurse should: | Elevate the client's right arm on pillows |
| A neurological consult has been ordered for a pediatric client with suspected absence seizures. The client with absence seizures can be expected to have | A brief lapse in consciousness |
| A client with schizoaffective disorder is exhibiting Parkinsonian symptoms. Which medication is responsible for the development of Parkinsonian symptoms? | Zyprexa (olanzapine) |
| Which activity is best suited to the 12-year-old with juvenile rheumatoid arthritis? | Swimming |
| The glycosylated hemoglobin of a 40-year-old client with diabetes mellitus is 2.5%. The nurse understands that | The client has good control of her diabetes. |
| The physician has ordered Stadol (butorphanol) for a post-operative client. The nurse knows that the medication is having its intended effect if the client | Is asleep 30 minutes after the injection |
| The mother of a child with cystic fibrosis tells the nurse that her child makes "snoring" sounds when breathing. The nurse is aware that many children with cystic fibrosis have: | Nasal polyps |
| A client is hospitalized with hepatitis A. Which of the client's regular medications is contraindicated due to the current illness? | Lipitor (atorvastatin) |
| The nurse has been teaching the role of diet in regulating blood pressure to a client with hypertension. Which meal selection indicates that the client understands his new diet? | Oatmeal, apple juice, dry toast, and coffee |
| 130.An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse's discharge teaching? | The child should not play on his rocking horse |
| An obstetrical client calls the clinic with complaints of morning sickness. The nurse should tell the client to: | Keep crackers at the bedside for eating before she arises |
| The nurse has taken the blood pressure of a client hospitalized with methicillin-resistant staphylococcus aureus. Which action by the nurse indicates an understanding regarding the care of clients with MRSA? | The nurse leaves the stethoscope in the client's room for future use. |
| The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. The nurse can reinforce the physician's teaching by telling the parents that: | The medication will be needed throughout the child's lifetime |
| A client with diabetes mellitus has a prescription for Glucotrol XL (glipizide). The client should be instructed to take the medication | With breakfast |
| The nurse is caring for a client admitted with suspected myasthenia gravis. Which finding is usually associated with a diagnosis of myasthenia gravis? | Progressive weakness that is worse at the day's end |
| The nurse is teaching the parents of an infant with osteogenesis imperfecta. The nurse should tell the parents: | To lift the infant by the buttocks when diapering |
| 137.Physician's orders for a client with acute pancreatitis include the following: strict NPO, NG tube to low intermittent suction. The nurse recognizes that these interventions will: | Reduce the secretion of pancreatic enzymes |
| A client with diverticulitis is admitted with nausea, vomiting, and dehydration. Which finding suggests a complication of diverticulitis? | Boardlike abdomen |
| The diagnostic work-up of a client hospitalized with complaints of progressive weakness and fatigue confirms a diagnosis of myasthenia gravis. The medication used to treat myasthenia gravis is: | Prostigmin (neostigmine |
| A client with AIDS complains of a weight loss of 20 pounds in the past month. Which diet is suggested for the client with AIDS? | High calorie, high protein, low fat |
| The nurse is caring for a 4-year-old with cerebral palsy. Which nursing intervention will help ready the child for rehabilitative services? | Providing suckers and pinwheels to help strengthen tongue movement |
| At the 6-week check-up, the mother asks when she can expect the baby to sleep all night. The nurse should tell the mother that most infants begin to sleep all night by age: | 3–4 months |
| Which of the following pediatric clients is at greatest risk for latex allergy? | The child with a myelomeningocele |
| The nurse is teaching the mother of a child with cystic fibrosis how to do chest percussion. The nurse should tell the mother to | Change the child's position every 20 minutes |
| The nurse calculates the amount of an antibiotic for injection to be given to an infant. The amount of medication to be administered is 1.25mL. The nurse should: | Divide the amount into two injections and administer in each vastus lateralis muscle |
| A client with schizophrenia is receiving depot injections of Haldol Deconate (haloperidol decanoate). The client should be told to return for his next injection in | 4 weeks |
| A 3-year-old is immobilized in a hip spica cast. Which discharge instruction should be given to the parents? | Tuck a disposable diaper beneath the cast at the perineal opening |
| The nurse is caring for a client following the reimplantation of the thumb and index finger. Which finding should be reported to the physician immediately? | Coolness and discoloration of the digits |
| When assessing the urinary output of a client who has had extracorporeal lithotripsy, the nurse can expect to find: | Cherry-red urine that gradually becomes clearer |
| (tacrine) for a client with dementia. The nurse should monitor the client for adverse reactions, which include: | Jaundice |
| The physician has ordered a low-potassium diet for a child with acute glomerulonephritis. Which snack is suitable for the child with potassium restrictions? | Apricots |
| The physician has ordered a blood test for H. pylori. The nurse should prepare the client by | Telling the client that no special preparation is needed |
| The nurse is preparing to give an oral potassium supplement. The nurse should: | Give the medication with 4oz. of juice |
| The physician has ordered cultures for cytomegalovirus (CMV). Which statement is true regarding collection of cultures for cytomegalovirus | Accurate diagnosis depends on fresh specimens |
| A pediatric client with burns to the hands and arms has dressing changes with Sulfamylon (mafenide acetate) cream. The nurse is aware that the medication: | Produces a burning sensation when applied |
| The physician has ordered Dilantin (phenytoin) for a client with generalized seizures. When planning the client's care, the nurse should | Provide oral hygiene and gum care every shift |
| A client receiving chemotherapy for breast cancer has an order for Zofran (ondansetron) 8mg PO to be given 30 minutes before induction of the chemotherapy. The purpose of the medication is to | Prevent nausea |
| The physician has ordered Cortisporin ear drops for a 2-year-old. To administer the ear drops, the nurse should: | Pull the ear down and back |
| A client with schizophrenia has been taking Thorazine (chlorpromazine) 200mg four times a day. Which finding should be reported to the doctor immediately? | The client complains of a sore throat |
| A client with iron-deficiency anemia is taking an oral iron supplement. The nurse should tell the client to take the medication with | Orange juice |
| A client is admitted with burns of the right arm, chest, and head. According to the Rule of Nines, the percent of burn injury is: | 27% |
| A client who was admitted with chest pain and shortness of breath has a standing order for oxygen via mask. Standing orders for oxygen mean that the nurse can apply oxygen at: | 6L per minute |
| The nurse is caring for a client with an ileostomy. The nurse should pay careful attention to care around the stoma because | Digestive enzymes cause skin breakdown |
| The physician has ordered aspirin therapy for a client with severe rheumatoid arthritis. A sign of acute aspirin toxicity is: | Tinnitus |
| A client is admitted to the emergency room with symptoms of delirium tremens. After admitting the client to a private room, the priority nursing intervention is to | Provide seizure precautions |
| The nurse is providing dietary teaching for a client with gout. Which dietary selection is suitable for the client with gout? | Steak, baked potato, tossed salad |
| A newborn has been diagnosed with exstrophy of the bladder. The nurse should position the newborn | On either side |
| The mother of a 3-month-old with esophageal reflux asks the nurse what she can do to lessen the baby's reflux. The nurse should tell the mother to | Burp the baby frequently throughout the feeding |
| A child is hospitalized with a fractured femur involving the epiphysis. Epiphyseal fractures are serious because | Normal bone growth is affected |
| Before administering a nasogastric feeding to a client hospitalized following a CVA, the nurse aspirates 40mL of residual. The nurse should | Replace the aspirate and administer the feeding |
| A client has an order for Dilantin (phenytoin) .2g orally twice a day. The medication is available in 100mg capsules. For the morning medication, the nurse should administer: | 2 capsules |
| The LPN is reviewing the lab results of an elderly client when she notes a specific gravity of 1.025. The nurse recognizes that | The client has a normal specific gravity |
| A client with acute pancreatitis has requested pain medication. Which pain medication is indicated for the client with acute pancreatitis? | Demerol (meperidine) |
| A client with a hiatal hernia has been taking magnesium hydroxide for relief of heartburn. Overuse of magnesium-based antacids can cause the client to have: | Diarrhea |
| When performing a newborn assessment, the nurse measures the circumference of the neonate's head and chest. Which assessment finding is expected in the normal newborn? | The head is 2cm larger than the chest. |
| A client with a history of clots is receiving Lovenox (enoxaparin). Which drug is given to counteract the effects of enoxaparin? | Protamine sulfate |
| The nurse is formulating a plan of care for a client with a cognitive disorder. Which activity is most appropriate for the client with confusion and short attention span? | Taking part in a reality-orientation group |
| The mother of a child with hemophilia asks the nurse which over-the-counter medication is suitable for her child's joint discomfort. The nurse should tell the mother to purchase | Tylenol (acetaminophen) |
| What is home remedy is suitable to relieve the itching associated with varicella? | Applying a paste of baking soda and water |
| The nurse is caring for a newborn with hypospadias. Describes hypospadias? | The urinary meatus is located on the underside of the penis rather than the tip. |
| The recommended time for daily administration of Tagamet (cimetidine) is: | At bedtime |
| The difference between the pain of angina and the pain of myocardial infarction? | Pain associated with angina is relieved by rest |
| The nurse is developing a bowel-retraining plan for a client with multiple sclerosis. Which measure is likely to be least helpful to the client: | Limiting fluid intake to 1000mL per day |
| The nurse is providing dietary teaching for a client with Meniere's disease. The statement indicates that the client understands the role of diet in triggering her symptoms? | "I need to limit foods that taste salty or that contain a lot of sodium." |
| The nurse is assessing a multigravida, 36 weeks gestation for symptoms of pregnancy-induced hypertension and preeclampsia. The nurse should give priority to assessing the client for: | Facial swelling |
| An adolescent with borderline personality disorders is hospitalized with suicidal ideation and self-mutilation. What is goal is both therapeutic and realistic for this client? | The client will seek out a staff member to verbalize feelings of anger and sadness |
| A client with angina has an order for nitroglycerin ointment. Before applying the medication, the nurse should: | Remove the previously applied ointment |
| The nurse is caring for a client who is unconscious following a fall. What is the comment by the nurse will help the client become reoriented when he regains consciousness? | "You were in an accident that hurt your head. You are in the hospital." |
| Following a generalized seizure, the nurse can expect the client to: | Be drowsy and prone to sleep |
| A client with oxylate renal calculi should be taught to limit his intake of foods such as | Strawberries |
| The nurse is assessing an infant with Hirschsprung's disease. The nurse can expect the infant to | Have infrequent bowel movements |
| The physician has prescribed supplemental iron for a prenatal client. The nurse should tell the client to take the medication with: | Tomato juice, to increase absorption |
| The nurse is teaching a client with a history of obesity and hypertension regarding dietary requirements during pregnancy. What tatement indicates that the client needs further teaching? | "I need to reduce my daily intake to 1,200 calories a day." |
| An elderly client is admitted to the psychiatric unit from the nursing home. Transfer information indicates that the client has become confused and disoriented, with behavioral problems. The client will also likely show a loss of ability in: | Judgment |
| The physician has ordered an external monitor for a laboring client. If the fetus is in the left occipital posterior (LOP) position, the nurse knows that the ultrasound transducer will be located | Over the fetal back |
| A client develops tremors while withdrawing from alcohol. Which medication is routinely administered to lessen physiological effects of alcohol withdrawal? | Klonopin (clonazepam) |
| A client with Type II diabetes has an order for regular insulin 10 units SC each morning. The client's breakfast should be served within: | 30 minutes |
| A 10-year-old has an order for Demerol (meperidine) 35mg IM for pain. The medication is available as Demerol 50mg per mL. How much should the nurse administer? | .7mL |
| Which antibiotic is contraindicated for the treatment of infections in infants and young children? | Tetracyn (tetracycline) |
| algia | pain |
| cele | tumor, hernia, swelling |
| centesis | puncture, tap |
| cide | killing |
| ectasis | dilation, stretching |
| ectomy | excision |
| emia | blood |
| esthesia | pertaining to sensation |
| form | shaped like |
| gen, genic | formation, origin |
| gram | record |
| graph | graph |
| iasis | condition |
| ism | condition |
| itis | inflammation |
| lysis | seperation, disentegration |
| malacia | softening |
| megaly | enlargement |
| meter | measuring instrument |
| odynia | pain |
| oid | like, resembeling |
| oma | tumor |
| osis | condition |
| pathy | disease |
| penia | lack of |
| pexy | surgical fixation |
| phagia | eating |
| phil, philic | attracting |
| plasy | plastic repair |
| pnea | breathing |
| pioesis | formation, production |
| ptosis | dropping |
| rhage, rhagia | bursting forth |
| rhea | discharge |
| rhexis | rupture |
| scope` | instrument for examining |
| scopy | visual examination |
| stasis | stoppage of flow |
| stomy | surgical formation of an opening |
| tomy | incision into |
| tropic | acting on |
| trispy | crushing |
| uresis | unrination |
| uria | urine |
Created by:
lgultom1
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