NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 431:

  The nurse is teaching a client about sleep and gives background information on normal sleep patterns.

  Which of the following substances promotes sleep?

  A. serotonin

  B. cortisone

  C. alcohol

  D. narcotics

  Correct Answer: A

  Serotonin is a substance that is in the body and promotes sleep. Serotonin might play a role in synthesis of

  a hypnogenic factor that directly causes sleep.

  Drugs and alcohol can disrupt REM sleep, although they might accelerate the onset of sleep.

• Question 432:

  In managing nausea related to Morphine epidural analgesia, the nurse should administer ___________.

  A. Indocin

  B. Codeine

  C. Motrin

  D. Compazine

  Correct Answer: D

  Compazine is the drug that should be administered.

• Question 433:

  A hospital discharge planning nurse is making arrangements for a client who has an epidural catheter for continuous infusion of opioids to be placed in a long-term care facility. The family prefers a facility in its neighborhood to facilitate visiting. The neighborhood facility has never cared for a client with this type of need.

  What is the most appropriate action by the discharge planning nurse?

  A. Ask the physician for an extension of hospitalization until the epidural catheter is discontinued to allow for placement at the neighborhood facility.

  B. Arrange for immediate in-services for the long-term care facility staff on pain management using epidural catheters.

  C. Explain the situation to the client and family and seek another long-term care facility for discharge from the hospital.

  D. Encourage the family to hire private duty nurses skilled in epidural catheter pain management to allow the client to be transferred to the neighborhood facility.

  Correct Answer: C

  Safety demands that a client be transferred to a facility that can deliver care equal to the hospital.

• Question 434:

  Which of the following NSAIDS is most commonly used for a brief time for acute pain?

  A. Advil

  B. Aleve

  C. Toradol

  D. Bextra

  Correct Answer: C

  Toradol is an NSAID found to be very effective for brief periods of time for acute pain. It can be given IM, IV, or PO.

• Question 435:

  A pregnant client has congenital heart disease.

  The nurse should expect to see which alterations in this client's diet during pregnancy?

  A. reduced calories and reduced fat

  B. caffeine and sodium restrictions

  C. decreased protein and increased complex carbohydrates

  D. fluid restriction and reduced calories

  Correct Answer: B

  Caffeine might increase heart rate that is already stressed due to pregnancy. Sodium can cause fluid retention. Both might need to be restricted. The other choices are incorrect because calories, fat, and protein are not usually decreased due to the risk of nutrient deficiencies.

• Question 436:

  The nurse has completed client teaching about introducing solid foods to an infant. To evaluate teaching, the nurse asks the mother to identify an appropriate first solid food.

  Which of the following is an appropriate response?

  A. pureed canned squash

  B. pureed apples

  C. yogurt

  D. infant rice cereal

  Correct Answer: D

  Single-grain infant cereals are recommended first because they are easily digestible and have added iron content. Yogurt is incorrect because yogurt is a milk product and introduction should be delayed until the child is 12 months of age because of the risk of milk allergy. Pureed canned squash and pureed apples are incorrect because fruits and vegetables are usually given following the introduction of cereals.

• Question 437:

  Which of the following foods present a problem for a client diagnosed with Celiac Disease?

  A. butter

  B. oats or barley cereal

  C. fresh vegetables

  D. coffee or tea

  Correct Answer: B

  Celiac disease, orceliac sprue, is a malabsorption disorder affecting the small intestine in which there is a problem with the ingestion of gluten, a protein normally found in grain products such as wheat, rye, oats, or barley. The other choices reflect substances that do not contain gluten and should not pose problems for a client with this disorder.

• Question 438:

  Distraction therapy is ___________.

  A. focusing one's attention on stimuli other than pain

  B. cognitive reappraisal

  C. the replacement of positive images of pain with other images

  D. the use of medication and meditation

  Correct Answer: A

  The focus of distraction therapy is on positive stimuli rather than negative input.

• Question 439:

  Client education by the nurse entails ___________.

  A. telling the client everything about his disease, what is going to happen in the course of the disease, and the outcome.

  B. giving information to the client that is accurate and understandable.

  C. telling the client that the pain he experiences might not be real.

  D. giving the client medication when pain is experienced.

  Correct Answer: B

  Client education entails giving the client accurate and understandable information.

• Question 440:

  A client's postoperative pain seems to be getting worse instead of better. When the nurse asks the client, "Why do you think it's getting worse?" the client replies, "My wife died last month. It's all I can think about."

  The nurse must now consider ___________.

  A. calling the physician for an increased dosage of pain medication

  B. calling the physician for a sedative

  C. referring the client for a psychiatric consult

  D. developing interventions for grief and loss

  Correct Answer: D

  The client's pain is affective as well as sensory.

  Grieving his wife's death is a normal response that does not necessarily require psychiatric consult.

  Calling the physician for an increased dosage of pain medication and calling the physician for a sedative

  address the sensory, not the affective component of his pain.