EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+, Exams of Nursing

Download EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ and more Exams Nursing in PDF only on Docsity! Option C: Changes in breath sounds such as crackles are the best indication of the need for suctioning in the client with ineffective airway clearance. Options A, B, and D: They can be altered by other conditions. Correct Answer: C. Breath sounds EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ 1.1. Question Which finding is the best indication that a client with ineffective airway clearance needs suctioning? o A. Oxygen saturation o B. Respiratory rate o C. Breath sounds o D. Arterial blood gases • 2. Question A client with tuberculosis has a prescription for Myambutol (ethambutol HCl). The nurse should EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ Correct Answer: D. Changes in color vision EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ tell the client to notify the doctor immediately if he notices: o A. Tingling sensation in the feet o B. Changes in hearing o C. Red discoloration of bodily fluids o D. Changes in color vision EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ o Option B: Exercises that provide light passive resistance are best for the child with rheumatoid arthritis. Correct Answer: B. Swimming EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ with juvenile rheumatoid arthritis? o A. Playing video games o B. Swimming o C. Working crossword puzzles o D. Playing slow-pitch softball EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ Option A: Glycosylated hemoglobin test or hemoglobin A1c measures the average blood glucose over the past 3 months. The normal range for people with diabetes with poor glucose control is less than 7% hence, a result of 2.5% means that the client’s diabetes is well under control. Option B: The desired range for glycosylated hemoglobin in an adult client with poor glucose control is less than 7% Option C: A high caloric diet will lead to elevated glycosylated hemoglobin. Option D: The diet and insulin dose is appropriate for the client. Correct Answer: A. The client has good control of her diabetes EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ • 5. Question The glycosylated hemoglobin of a 40-year-old client with diabetes mellitus is 2.5%. The nurse understands that: o A. The client has good control of her diabetes o B. The client has poor control of her diabetes o C. The client can have a higher-calorie diet o D. The client requires adjustment in her EDUCATION 345 NCLEX-PN Ex m questions and answers Pack Part 8 Updated 2022 GRADED A+ o Options A and C: Playing video games and crossword puzzles require movement of the hands and fingers that might be too painful for the child with juvenile rheumatoid arthritis o Option D: Playing slow-pitch softball requires the use of larger joints affected by the disease. Option A: Glycosylated hemoglobin test or hemoglobin A1c measures the average blood glucose over the past 3 months. The normal range for people with diabetes with poor glucose control is less than 7% hence, a result of 2.5% means that the client’s diabetes is well under control. Option B: The desired range for glycosylated hemoglobin in an adult client with poor glucose control is less than 7% Option C: A high caloric diet will lead to elevated glycosylated hemoglobin. Option D: The diet and insulin dose is appropriate for the client. EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ insulin dose • 6. Question EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ Option C: Adverse side effects of Dilantin include agranulocytosis and aplastic anemia; therefore, the client will need frequent CBCs. Options A, B, and D: The medication does not cause dental staining, drowsiness, and does not interfere with the metabolism of carbohydrates. Correct Answer: C. The client will need a regularly scheduled CBC EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ • 8. Question A client taking Dilantin (phenytoin) for grand mal seizures is preparing for discharge. Which information should be included in the client’s discharge care plan? o A. The medication can cause dental staining o B. The client will need to avoid a high- carbohydrate diet o C. The client will need a regularly scheduled CBC o D. The medication can cause problems EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ o Options B and C: A 4-month-old is not capable of crawling or standing. Correct Answer: B. The infant should not be circumcised EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ with drowsiness • 9. Question Assessment of a newborn male reveals that the infant has hypospadias. The nurse knows that: o A. The infant should be circumcised to facilitate voiding o B. The infant should not be circumcised o C. Surgical correction will be done by 6 months of age o D. Surgical correction is delayed until 6 years of age EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ Option B: Coconut oil is high in saturated fat and is not appropriate for the client on a low-cholesterol diet. Options A, C, and D: The following oils are good for the client with elevated cholesterol levels. Correct Answer: B. Coconut oil EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ o Option B: The infant with hypospadias should not be circumcised because the foreskin is used in the reconstruction. o Option A: The infant with hypospadias should not be circumcised. o Options C and D: The reconstruction is done between 16 and 18 months of age, before toilet training. • 10. Question 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? o A. Canola oil o B. Coconut oil o C. Safflower oil o D. Sunflower oil EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ Option D: Long-term use of steroids can increase the risk of infection, the client taking steroid medication should receive an annual influenza vaccine (inactivated vaccine). Option A: The medication should be taken with food. Option B: Increased appetite and weight gain are expected side effects of the medication. Option C: Wearing sunglasses will not prevent cataracts. Correct Answer: D. Schedule a time to take the influenza vaccine EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ o D. Schedule a time to take the influenza vaccine • 13. Question EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ Option A: The client with an above-the-knee amputation should lie prone 15–30 minutes three times a day to prevent hip flexion contractures. Options B and D: Elevating the extremity after the first 24 hours will promote the development of contractures. Option C: Use of a trochanter roll will prevent rotation of the extremity but will not prevent contracture. Correct Answer: A. Place the client in a prone position 15– 30 minutes twice a day EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ The nurse is caring for a client with an above- the-knee amputation (AKA). An important intervention that the nurse should do is: o A. Place the client in a prone position 15–30 minutes thrice a day o B. Keep the foot of the bed elevated on shock blocks o C. Place trochanter rolls on either side of the affected leg o D. Keep the client’s leg elevated on two pillows • 14. Question The mother of a 6-month-old asks when her child will have all his baby teeth. The nurse knows that EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ Correct Answer: D. 33 months EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ most children have all their primary teeth by age: o A. 15 months o B. 18 months o C. 27 months o D. 33 months EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ Option A: Following a laparoscopic cholecystectomy, the client should avoid a tub bath for 48 hours to prevent the dressing from soaking. Option B: The stools should not be clay-colored. Option C: Pain is usually located in the shoulders. Option D: The client should not resume a regular diet until clear liquids have been tolerated. Correct Answer: A. Instruct the client to avoid a tub bath for 48 hours EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ o C. Instruct the client that she can expect lower abdominal pain for the next week o D. Instruct the client that she can resume a regular diet in the next 24 hours • 17. Question 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: o A. To complete antiviral medication for 7- 14 days o B. To avoid contact sports for 1–2 months EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ Option B: Mononucleosis is an infectious disease that is caused by the Epstein-Barr virus. The client recovering from mononucleosis should avoid contact sports and other activities that could result in injury or rupture of the spleen. Options A and D: Antibiotics and antivirals are not usually indicated for mononucleosis. Treatment is focused on relieving symptoms such as pain relief, hydration, and rest. Correct Answer: B. To avoid contact sports for 1–2 months EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ o C. To have a snack twice a day to prevent hypoglycemia o D. To continue antibiotic therapy for 6 months EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ o Option C: Pancreatic enzyme replacement such as Creon is given with each meal and each snack to replace the enzymes that the pancreas isn’t producing that usually happen in cystic fibrosis. Correct Answer: C. With meals and snacks EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ o Option C: Hypoglycemia is not associated with mononucleosis. • 18. Question A 6-year-old with cystic fibrosis has an order for Creon (pancrelipase). The nurse knows that the medication will be given: o A. Daily in the morning o B. Twice daily o C. With meals and snacks o D. At bedtime • 19. Question The doctor has prescribed a diet high in vitamin B12 for a client with pernicious anemia. Which foods are highest in B12? EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ • 21. Question A client with breast cancer is returned to the room following a right total mastectomy. The nurse should: o A. Keep the client’s right arm on the bed beside her o B. Place the client’s right arm in a dependent sling EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ Option C: A total mastectomy involves removal of the entire breast and some or all of the axillary lymph nodes. Following surgery, the client’s right arm should be elevated on pillows, to facilitate lymph drainage. Options A, B, and D: These interventions would not help facilitate lymph drainage and would create increased edema in the affected extremity. Correct Answer: C. Elevate the client’s right arm on pillows EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ o C. Elevate the client’s right arm on pillows o D. Place the client’s right arm across her body • 22. Question A neurological consult has been ordered for a pediatric client with suspected petit mal seizures. The client with petit mal seizures can be expected to have: o A. Short, abrupt muscle contraction o B. Quick, bilateral severe jerking movements o C. Abrupt loss of muscle tone EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ Option C: Kidneys produce erythropoietin, a hormone that is responsible for making red blood cells. When a patient has a chronic renal failure, their kidneys are damaged and cannot make enough RBC resulting in anemia. Option A: Poor iron absorption will result in iron deficiency anemia. Option B: Destruction of red blood cells usually results in hemolytic anemia. Option D: Lack of intrinsic factor will result in pernicious anemia and vitamin B12 deficiency. Correct Answer: C. Insufficient erythropoietin Option D: Absence seizures, formerly known as petit mal seizures, are characterized by a brief lapse in consciousness accompanied by rapid eye blinking, lip- smacking, and minor myoclonus of the upper extremities. Option A: This refers to myoclonic seizure. Option B: This refers to tonic-clonic, formerly known as grand mal, seizures. Option C: This refers to atonic seizures. Correct Answer: D. A brief lapse in consciousness EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+ o D. A brief lapse in consciousness • 23. Question The primary cause of anemia in a client with chronic renal failure is: o A. Poor iron absorption o B. Destruction of red blood cells o C. Insufficient erythropoietin o D. Lack of intrinsic factor EDUCATION 345 NCLEX-PN Exam questions and answers Pack Part 8 Updated 2022 GRADED A+