NCLEX NCLEX-RN Online Practice Questions and Exam Preparation

NCLEX NCLEX-RN Online Questions & Answers

• Question 781:

  A parent told the public health nurse that her 6-year-old son has been taking tetracycline for a chronic skin condition. The parent asked if this could cause any problems for the child. What should the nurse explain to the parent?

  A. Giving tetracycline to a child younger than 8 years may cause permanent staining of his teeth.
  B. If you give tetracycline with milk, it may be absorbed readily.
  C. The medication should be given to adults, not children.
  D. Secondary infections of chronic skin disorders do not respond to antibiotics.
  A. Giving tetracycline to a child younger than 8 years may cause permanent staining of his teeth.

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  (A) Tetracycline should be avoided during tooth development because it interferes with enamel formation and dental pigmentation. (B) Milk interferes with the absorption of tetracyclines. (C) Children older than 9 years or past the tooth development stage may be given tetracycline. (D) Secondary infections of chronic skin disorders may respond to antibiotics such as penicillin or tetracyclines.

• Question 782:

  A client is 6 weeks pregnant. During her first prenatal visit, she asks, "How much alcohol is safe to drink during pregnancy?" The nurse's response is:

  A. Up to 1 oz daily
  B. Up to 2 oz daily
  C. Up to 4 oz weekly
  D. No alcohol
  D. No alcohol

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  (A, B, C) No amount of alcohol has been determined safe for pregnant women. Alcohol should be avoided owing to the risk of fetal alcohol syndrome. (D) The recommended safe dosage of alcohol consumption during pregnancy is none.

• Question 783:

  A client undergoes a transurethral resection, prostate (TURP). He returns from surgery with a three-way continuous Foley irrigation of normal saline in progress. The purpose of this bladder irrigation is to prevent:

  A. Bladder spasms
  B. Clot formation
  C. Scrotal edema
  D. Prostatic infection
  B. Clot formation

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  (A) The purpose of bladder irrigation is not to prevent bladder spasms, but to drain the bladder and decrease clot formation and obstruction. (B) A three-way system of bladder irrigation will cleanse the bladder and prevent formation of blood clots. A catheter obstructed by clots or other debris will cause prostatic distention and hemorrhage. (C) Scrotal edema seldom occurs after TURP. Bladder irrigation will not prevent this complication. (D) Prostatic infection seldom occurs after TURP. Bladder irrigation will not prevent this complication.

• Question 784:

  A client admitted with a diagnosis of possible myocardial infarction is admitted to the unit from the emergency room. The nurse's first action when admitting the client will be to:

  A. Obtain vital signs
  B. Connect the client to the cardiac monitor
  C. Ask the client if he is still having chest pain
  D. Complete the history profile
  B. Connect the client to the cardiac monitor

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  (A) Obtaining vital signs is important after connecting the client to the monitor because vital signs should be stable before the client is discharged from the emergency room. (B) All are important, but the first priority is to monitor the client's rhythm. (C) If the client is in severe pain, pain medication should be given after connecting him to the monitor and obtaining vital signs. (D) Completion of the history profile is the least important of the nursing actions.

• Question 785:

  A 24-year-old graduate student recognizes that he has a phobia. He suffers severe anxiety when he is in darkness. It has altered his lifestyle because he is unable to go to a movie theater, concert, and other events that may require absence of light. The client is seeking assistance because he is no longer able to socialize with friends due to his phobia. The psychologist working with him is using desensitization. He has asked the nursing staff to assist the client in muscle relaxation techniques. What result would indicate client education has been successful?

  A. He enters a movie theater, sits in his chair, and replaces anxiety with relaxation as the theater darkens.
  B. He enters a concert, but as the lights dim, he does not experience anxiety.
  C. He states that he no longer fears dark places.
  D. He takes a part-time job as a photographic assistant. His job necessitates his working in a darkroom.
  A. He enters a movie theater, sits in his chair, and replaces anxiety with relaxation as the theater darkens.

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  (A) This situation provides specific evidence that the client is able to integrate muscle relaxation technique into his lifestyle to alleviate anxiety. (B) The client may not experience anxiety at the concert, but there is no evidence regarding the technique that he used to alleviate anxiety. (C) The client may state he no longer experiences anxiety, but there is no evidence demonstrating this. He may be denying anxiety to discontinue therapy prematurely. (D) Does he experience anxiety in the darkroom? He may have taken this job to force himself to deal with the phobia directly.

• Question 786:

  A client who was started on antipsychotic medication 2 weeks ago is preparing for discharge from the hospital. Compliance with the medication regimen is important despite the mild side effects encountered. In order to increase the likelihood of medication compliance, the nurse would:

  A. Discuss the disease process and the importance of the medication in prevention of symptoms.
  B. Inform the client that additional side effects are to be expected and need not be reported.
  C. Discuss the importance of getting blood drawn weekly to determine medication therapeutics.
  D. Inform the client to cease taking the medication when all psychotic symptoms have cleared.
  A. Discuss the disease process and the importance of the medication in prevention of symptoms.

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  (A) This answer is correct. If the client is well informed about what reactions to expect from her medication, she is more likely to follow the treatment regimen. (B) This answer is incorrect. There are many side effects that are reversible by medication, and these must be reported to the nurse or physician. There are also more severe side effects, such as neuroleptic malignant syndrome, characterized by fever, tachycardia, and diaphoresis, which can be life threatening. (C) This answer is incorrect. There is no need for weekly blood tests if the drug regimen has been followed properly. (D) This answer is incorrect. The client should continue the medicationuntil the physician recommends any change in the drug regimen. Symptoms will usually reappear if medication is discontinued.

• Question 787:

  A 67-year-old postoperative TURP client has hematuria. The nurse caring for him reviews his postoperative orders and recognizes that which one of the following prescribed medications would best relieve this problem?

  A. Acetaminophen suppository 650 mg
  B. Meperidine 50 mg IM
  C. Promethazine 25 mg IM
  D. Aminocaproic acid (Amicar) 6 g/24 hr
  D. Aminocaproic acid (Amicar) 6 g/24 hr

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  (A) Acetaminophen (Tylenol) has analgesic and antipyretic actions approximately equivalent to those of aspirin. It produces analgesia possibly by action on the peripheral nervous system. It reduces fever by direct action on the hypothalamus heat-regulating center with consequent peripheral vasodilation. It is generally used for temporary relief of mild to moderate pain, such as a simple headache, minor joint and muscle pains, and control of fever. (B) Meperidine is a narcotic agonist analgesic with properties similar to morphine except that it has a shorter duration of action and produces less depression of urinary retention and smooth muscle spasm. It is used for moderate to severe pain, for a preoperative medication, for support of anesthesia, and for obstetrical analgesia. In a postoperative TURP client, it would be used in conjunction with other medications for relief of moderate to severe pain, but not specifically for bladder spasms associated with TURP surgery. (C) Promethazine hydrochloride is an antihistamine, antiemetic preparation. It exerts antiserotonin, anticholinergic, and local anesthetic actions. It is used for symptomatic relief of various allergic conditions, motion sickness, nausea, and vomiting. It is used for preoperative, postoperative, and obstetrical sedation and as an adjunct to analgesics for control of pain. (D) This answer is correct because aminocaproic acid is prescribed specifically for hematuria. Aminocaproic acid is excreted in the urine. The nurse should be alert for possible signs of thrombosis, particularly in the extremities.

• Question 788:

  When planning care for the passive-aggressive client, the nurse includes the following goal:

  A. Allow the client to use humor, because this may be the only way this client can express self.
  B. Allow the client to express anger by using "I" messages, such as "I was angry when . . .," etc.
  C. Allow the client to have time away from therapeutic responsibilities.
  D. Allow the client to give excuses if he forgets to give staff information.
  B. Allow the client to express anger by using "I" messages, such as "I was angry when . . .," etc.

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  (A) Ceasing to use humor and sarcasm is a more appropriate goal, because this client uses these behaviors covertly to express aggression instead of being open with anger. (B) Use of "I" messages demonstrates proper use of assertive behavior to express anger instead of passive-aggressive behavior. (C) Client is expected to complete share of work in therapeutic community because he has often obstructed other's efforts by failing to do his share. (D) Client has used conveniently forgetting or withholding information as a passive- aggressive behavior, which is not acceptable.

• Question 789:

  A 48-year-old female client is going to have a cholecystectomy in the morning. In planning for her postoperative care, the nurse is aware that a priority nursing diagnosis for her will be high risk for:

  A. Knowledge deficit
  B. Urinary retention
  C. Impaired physical mobility
  D. Ineffective breathing pattern
  D. Ineffective breathing pattern

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  (A) The client may have a knowledge deficit, but reducing the risk for knowledge deficit is not a priority nursing diagnosis postoperatively. (B) The client will have a Foley catheter for a day or two after surgery. Urinary retention is usually not a problem once the Foley catheter is removed. (C) A client having a cholecystectomy should not be physically impaired. In fact, the client is encouraged to begin ambulating soon after surgery. (D) Because of the location of the incision, the client having a cholecystectomy is reluctant to breathe deeply and is at risk for developing pneumonia. These clients have to be reminded and encouraged to take deep breaths.

• Question 790:

  The postpartum nurse should include which of the following instructions to breast-feeding mothers?

  A. Limit feeding times for several days to avoid nipple soreness.
  B. Wash the nipples with soap and water before and after each feeding.
  C. Daily caloric intake should be increased by 500 cal.
  D. Breast milk is totally digestible by the baby because it contains lactose.
  C. Daily caloric intake should be increased by 500 cal.

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  (A) Limiting initial feeding times will only delay nipple soreness as well as the establishment of the letdown reflex, thus encouraging engorgement from clogged ducts and ductules. (B) Soap should be avoided because it may be excessively drying, predisposing nipples to cracking. (C) For optimal milk production, an additional 500 kcal over maintenance levels are needed daily. (D) Lipase, not lactose, emulsifies the fat in breast milk, making it almost totally digestible by infants.