NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 311:

  A young boy is recently diagnosed with a seizure disorder.

  Which of the following statements by the boy's mother indicates a need for further teaching by the nurse?

  A. "I should make sure he gets plenty of rest."

  B. "I should get him a medic alert bracelet."

  C. "I should lay him on his back during a seizure."

  D. "I should loosen his clothing during a seizure."

  Correct Answer: C

  A client having a seizure should be turned to the side to prevent aspiration of secretions. The other statements are correct and indicate adequate understanding of teaching.

• Question 312:

  A client is having a seizure; his blood oxygen saturation drops from 92% to 82%. What should the nurse do first?

  A. Open the airway.

  B. Administer oxygen.

  C. Suction the client.

  D. Check for breathing.

  Correct Answer: A

  The nurse needs to open the airway first when the oxygen saturation drops. The other actions might be appropriate, but the airway must be patent.

• Question 313:

  Which of the following lab values is associated with a decreased risk of cardiovascular disease?

  A. high HDL cholesterol

  B. low HDL cholesterol

  C. low total cholesterol

  D. low triglycerides

  Correct Answer: A

  High HDL cholesterol and low LDL cholesterol are associated with a decreased risk of cardiovascular

  disease.

• Question 314:

  Which of the following foods might a client with a hypercholesterolemia need to decrease his or her intake of?

  A. broiled catfish

  B. hamburgers

  C. wheat bread

  D. fresh apples

  Correct Answer: B

  Due to the high cholesterol content of red meats, such as hamburger, intake needs to be decreased. The other options do not have high cholesterol content, so they do not need to be decreased.

• Question 315:

  A client with which of the following conditions is at risk for developing a high ammonia level?

  A. renal failure

  B. psoriasis

  C. lupus

  D. cirrhosis

  Correct Answer: D

  A client with cirrhosis is at risk for developing a high ammonia level.

• Question 316:

  For which of the following conditions might blood be drawn for uric acid level?

  A. asthma

  B. gout

  C. diverticulitis

  D. meningitis

  Correct Answer: B

  Uric acid levels are indicated for clients with gout.

• Question 317:

  Which sign might the nurse see in a client with a high ammonia level?

  A. coma

  B. edema

  C. hypoxia

  D. polyuria

  Correct Answer: A

  Coma might be seen in a client with a high ammonia level.

• Question 318:

  Which of the following instructions should the nurse give a client who will be undergoing mammography?

  A. Be sure to use underarm deodorant.

  B. Do not use underarm deodorant.

  C. Do not eat or drink after midnight.

  D. Have a friend drive you home.

  Correct Answer: B

  Underarm deodorant should not be used because it might cause confusing shadows on the X-ray film.

  There are no restrictions on food or fluid intake.

  No sedation is used, so the client can drive herself home.

• Question 319:

  Which of the following conditions is mammography used to detect?

  A. pain

  B. tumor

  C. edema

  D. epilepsy

  Correct Answer: B

  Mammography is used to detect tumors or cysts in the breasts, not the other conditions.

• Question 320:

  Why might breast implants interfere with mammography?

  A. They might cause additional discomfort.

  B. They are contraindications to mammography.

  C. They are likely to be dislodged.

  D. They might prevent detection of masses.

  Correct Answer: D

  Breast implants can prevent detection of masses.

  Choices "They might cause additional discomfort.", "They are contraindications to mammography." And

  "They are likely to be dislodged." are not ways in which breast implants interfere with mammography.