NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 131:

  Appropriate care for a client with neutropenia includes __________.

  A. plenty of fresh fruits and vegetables

  B. a semi-private room

  C. wearing a mask when out of the room

  D. routine hand washing

  Correct Answer: C

  When a client is neutropenic (one type of white blood cell), they lack the ability to fight off infection.

  The mask is to prevent exposure to any upper-respiratory infections.

  Fresh fruits, vegetables, and flowers can contain pathogens that might infect the neutropenic client. All

  foods must be thoroughly cooked and plants/flowers are not allowed. A neutropenic client needs a private

  room and carefully screened visitors ?no one is to enter the room with anysymptoms of an illness (runny

  nose, sneezing, nausea, and so on).

  Meticulous, frequent hand washing is called for.

• Question 132:

  Which of the following foods needs to avoid a client with urinary tract calculi?

  A. lettuce

  B. cheese

  C. apples

  D. broccoli

  Correct Answer: B

  The client with urinary tract calculi needs to avoid cheese, which has high calcium content. The other foods do not.

• Question 133:

  Which type of exercises might be prescribed to strengthen the pelvic floor muscles of a client with urinary incontinence?

  A. Kegel

  B. resistance

  C. passive

  D. stretching

  Correct Answer: A

  Kegel exercises might be prescribed to strengthen the pelvic floor muscles of a client with urinary incontinence.

• Question 134:

  Which of the following nursing diagnoses is most appropriate for the client experiencing acute pancreatitis?

  A. Confusion

  B. Latex Allergy

  C. Acute Pain

  D. Constipation

  Correct Answer: C

  Acute Pain is most appropriate for the client experiencing acute pancreatitis.

• Question 135:

  Which of the following is not a primary function of the kidneys?

  A. blood pressure control

  B. vitamin D activation

  C. erythropoietin production

  D. reabsorbing waste products

  Correct Answer: D

  All of the choices are functions of the kidneys except reabsorbing waste products. The kidneys excrete waste products.

• Question 136:

  Which of the following diseases places a client at risk for developing cirrhosis?

  A. type I diabetes

  B. alcoholism

  C. leukemia

  D. glaucoma

  Correct Answer: B

  Alcoholism places a client at risk for developing cirrhosis. None of the other choices are related to cirrhosis.

• Question 137:

  With a breech presentation, the nurse must be particularly alert for __________.

  A. quickening

  B. ophthalmia neonatorum

  C. pica

  D. prolapsed umbilical cord

  Correct Answer: D

  Prolapsed umbilical cord is the descent of the umbilical cord into the vagina before the fetal presenting part

  and compression of the cord between the presenting part and the maternal pelvis, compromising or

  completely cutting off fetoplacental perfusion.

  This is an emergency situation; immediate delivery should be attempted to save the fetus.

• Question 138:

  When assessing a client in the Emergency Department whose membranes have ruptured, the nurse notes that the fluid is a greenish color.

  What is the cause of this greenish coloration?

  A. blood

  B. meconium

  C. hydramnios

  D. caput

  Correct Answer: B

  Greenish amniotic fluid passed when the fetus is in a cephalic (head) presentation might indicate fetal

  distress.

  A fetus in the breech presentation passes meconium due to compression on the intestinal tract.

• Question 139:

  When discussing possible complications of pregnancy with a client, the nurse should explain that all of the following are symptoms of urinary tract infection (UTI).

  Which of the following is least indicative of UTI during pregnancy?

  A. low-back pain

  B. urinary frequency

  C. GI distress

  D. malaise

  Correct Answer: B

  Urinary frequency is least indicative of UTI during pregnancy because it is a common minor discomfort of

  pregnancy and is caused by pressure of the growing uterus on the bladder. As the uterus rises in the

  second trimester, there are no problems.

  Frequency returns in the third trimester when the uterus drops into the pelvic cavity.

  A UTI has the symptoms of frequency, back pain, supra pubic discomfort, and malaise and is diagnosed

  by laboratory findings.

• Question 140:

  Which of the following blood pressure parameters indicates PIH?

  Elevation over a baseline of __________.

  A. 30 mmHg systolic and/or 15 mmHg diastolic

  B. 40 mmHg systolic and/or 20 mmHg diastolic

  C. 10 mmHg systolic and/or 5 mmHg diastolic

  D. 20 mmHg systolic and/or 20 mmHg diastolic

  Correct Answer: A

  These are the accepted parameters for mild PIH. Mild preclampsia includes an increase in systolic blood pressure higher than 30 mmHg or an increase in diastolic blood pressure higher than 15 mmHg, noted on two readings taken 6 hours apart (or 140/90).