NCLEX Practice Questions RN+PN 5/7

1. A client who just had a right total knee replacement tells the LPN/LVN that they can’t lift their right ankle, and the top of their right foot feels numb. The nurse suspects which of these postoperative complications?

2. A client diagnosed with Crohn’s disease has a new colostomy. When assessing the client’s stoma, which of these would alert the nurse that the stoma has retracted?

3. A client with Stage III lung cancer reports that they have nausea and loss of appetite caused by the chemotherapy. Which is the BEST recommendation to promote adequate nutrition?

4. An LPN/LVN is administering an enema solution to a client. The client tells the nurse that they feel pain and cramping in their abdomen. What is the nurse’s BEST action?

5. A client receiving chemotherapy is experiencing stomatitis. What should the nurse offer the client?

6. The nurse is preparing a client for a total colectomy and the placement of an ileostomy. The client asks where the stoma will be located. The nurse identifies which of the following areas as the correct stoma site?

7. When providing postmortem care for a client who will be an eye donor, which action is MOST appropriate to prepare for the donation?

8. After their 12-year-old child is prescribed a brace for their scoliosis, the nurse reinforces instructions for the parents. Which statement by the mother indicates a need for more education?

9. Before a nurse implements a bladder retraining program for an incontinent client, what is the FIRST action that the nurse should take?

10. A pediatric client has been admitted to the unit with a diagnosis of right lower lobe (RLL) pneumonia. When auscultating the RLL, which sound should the nurse expect to hear?

11. During the admission process, a client tells the nurse that they are lacto-vegetarian. The nurse knows that this means the client cannot eat

12. A client receiving chemotherapy has a poor appetite, so a liquid nutritional supplement is recommended. What is the BEST time for the client to drink the supplement?

13. For a client with a surgical wound, which of the following meals will BEST promote healing?

14. Following abdominal surgery, a client tells the nurse that they can’t follow post-op instructions on coughing because of pain at the incision site. Which of the following is the BEST way to help reduce the client’s discomfort?

15. The health care provider (HCP) prescribes ondansetron 8 mg PO t.i.d. for a client experiencing severe nausea from chemotherapy. The pharmacy sends a 100 mL bottle, labeled 4 mg/tsp. How many mL should be given for each dose?

16. A client with a seizure disorder is prescribed phenytoin 0.2 gm PO bid. The pharmacy sends 100 mg capsules. How many capsules will the nurse administer for each dose?

17. After an argument with their mother, an adolescent takes an overdose of acetaminophen. The nurse knows to watch the client for complications in which organ?

18. After the LPN/LVN reinforces instruction for a client diagnosed with Clostridium difficile-associated diarrhea (CDAD), which statement by the client indicates the need for further teaching?

19. Post-op orders for a client include 2 mg hydromorphone hydrochloride IM q 3 hours for pain. The pharmacy sends a vial labeled 4 mg/1 mL. How many mL will the nurse administer every 3 hours?

20. A client receives a new order for levothyroxine 150 mcg PO daily. The pharmacy sends levothyroxine 0.1 mg tablets. How many tablets will the nurse administer?

21. A newly-diagnosed client with Type I diabetes (T1D) is learning to self-administer insulin. The client asks why it’s important to rotate injection sites. The nurse explains the reason is to prevent

22. A client’s health care provide (HCP) prescribes amoxycillin 500 mg PO bid. The pharmacy sends 250 mg tablets. How many tablets should the nurse administer for a single dose?

23. A client who is receiving a unit of blood complains of chills and dizziness. The LPN/LVN observes that the client is dyspneic and the client’s face appears flushed. The nurse immediately notifies the RN. What is the MOST likely cause of these symptoms?

A client with a diagnosis of type 2 diabetes is admitted into the medical-surgical unit with a new diagnosis of pneumonia. The client’s usual oral diabetes medication has been discontinued, and insulin SQ will be administered for glucose control. Why has this change been made?

25. When a client with a chronic condition requires increasing doses of medication for their pain control, what is the MOST likely cause?

26. An 18-year-old receives a prescription for tetracycline to treat their acne. The nurse advises them to avoid

27. The LPN/LVN is reinforcing teaching for parents on how to administer ear drops to their 18-month-old child, who has otitis media. Which instruction is CORRECT?

28. A client with a diagnosis of emphysema is taking aminophylline PO. What is the reason for this medication?

29. A client with a diagnosis of Parkinson’s disease is starting on levodopa medication. The nurse tells the client that they will start experiencing the anticipated results in

30. A neighbor complains to the nurse that their health care provider (HCP) refuses to prescribe an antibiotic to treat their head cold. What is the nurse’s BEST response?

31. The client’s health care provider (HCP) prescribes a medication dose of 150 mg. The pharmacy sends the medication in a liquid, 100 mg/10 mL. How many mL will the nurse administer for the correct dose?

32. A gunshot victim who is bleeding profusely is transported to the Emergency Department (ED) by EMS. The ED health care provider (HCP) orders an immediate blood transfusion. Without a crossmatch, which blood type will be sent by the blood bank?

33. A client at a long-term care facility has a flare-up of psoriasis, so the health care provider (HCP) prescribes salicylic acid foam to be applied topically. The nurse knows to watch for which sign of systemic toxicity?

34. The nurse is reinforcing instruction for a client about a newly prescribed diuretic, furosemide . Which adverse effect should the nurse discuss?

35. If a client has a known allergy to penicillin, which of the following prescriptions is NOT suitable?

36. A post-op client with a PRN order for pain medication asks for a dose. After the nurse gets the codeine pill from the medication system, the client states they will save it until later. What is the nurse’s MOST appropriate action?

37. A client has an prescription for heparin 5,000 units SC q 12 hrs. The heparin vial is labeled 10,000 units/mL. How many mL should the nurse administer?

38. A respiratory therapist administers epinephrine in a 1:100 solution by nebulizer inhaler. The nurse knows that the percentage strength of the epinephrine is

39. The LPN/LVN is reinforcing teaching about taking a thiazide diuretic for a client with a diagnosis of hypertension . Which of the following statements by the nurse is CORRECT?

40. Parents of a 9-year-old child with a new diagnosis of type 1 diabetes (T1D) ask the nurse what caused their child’s disease. The nurse knows the pathology is which of the following?

41. If a client with diabetes receives NPH insulin at 6:00 a.m., what time should the nurse begin to monitor the client for signs of hypoglycemia?

42. A client is prescribed a calcium channel blocker to treat primary hypertension. When reinforcing teaching for the client about the medication, which of these foods will the nurse advise the client to avoid?

43. The clinic nurse reviews a new client’s over-the-counter (OTC) medications with the client. The client admits to epigastric pain. Which medication is the MOST likely cause?

44. A home health nurse is reinforcing teaching for the spouse of a client who will give the client digoxin tablets every day. The client should receive 0.25 mg PO daily. The medication bottle is labeled “Digoxin 0.125 mg Tablets.” How many tablets should the client receive in each dose?

45. The pediatric nurse is caring for a child with a fever of 102.2°F (39°C). The health care provider (HCP) prescribes liquid acetaminophen 160 mg PO q 6 hrs PRN. Available strength is 80 mg in 5 mL oral suspension. How many mL should the nurse administer?

46. A parent phones the pediatric clinic after picking up an antiobiotic for their child. The parent tells the nurse, “The label on the bottle says to give 10 milliliters every 6 hours. How much is that?” The nurse tells the parent that 10 mL equals

47. A 15-month-old toddler who weighs 26 pounds is admitted to the pediatric unit, due to severe dehydration. The health care provider (HCP) prescribes an intravenous (IV) bolus of 0.9% Sodium Chloride 25mL/kg to be infused over 2 hours. What IV flow rate (mL/hr) will the nurse need to set the infusion pump?

48. A client is prescribed ramipril 1.25 mg PO daily for hypertension. The pharmacy dispenses tablets with 625 mcg strength. How many tablets should the nurse administer?

49. The nurse on a surgical unit is caring for a post-operative client who is recovering without complications. At 9:30 am (0930), the surgeon writes an order to decrease the current IV infusion rate to 50 mL/hr, then discontinue IV access. There are 250 mL remaining in the IV bag. What time will the infusion be complete?

50. DNR order. When the client’s death appears imminent, what is the nurse’s MOST appropriate action?

51. The nurse is caring for a client diagnosed with mild cognitive impairment. Which of the following would be the MOST effective intervention for this client?

52. A 42-year-old client with AIDS is admitted to the unit with Pneumocystis carinii pneumonia (PCP), an opportunistic infection. The client tells the nurse that they feel hopeless. What is the nurse’s MOST therapeutic action?

53. Before touching a client who is crying, to offer comfort, the nurse should consider

54. If a client is experiencing a panic attack, what mental health concept is MOST appropriate for the nurse to convey to the client?

55. The nurse is taking the history of a 14-year-old client who has a body mass index (BMI) of 18. The client reports inability to eat, induced vomiting, and severe constipation. Which of the following will the nurse MOST likely suspect?

56. A nurse is working with parents whose newborn infant has a congenital birth defect. Which psychosocial need for their child is MOST important for the parents to understand now?

57. While helping a new mother with breastfeeding, the nurse observes something unusual in the neonate. Then the nurse reviews the mother’s history and notes “occasional use of alcohol” during pregnancy. Which observation would MOST indicate that the alcohol use was more frequent?

58. Which nursing action can MOST help reduce a client’s postoperative pain and anxiety?

59. When planning care for a client diagnosed with Alzheimer’s disease (AD), which of these interventions is MOST therapeutic?

60. When a 32-year-old client is informed that they have Stage III breast cancer, what is likely to be their INITIAL reaction?

61. Alcohol, loneliness, and stress are risk factors for which category?

62. As the LPN/LVN preps a client for spinal surgery, the client says, “I’m worried that this operation will only make my back pain worse.” What is the nurse’s MOST appropriate response?

63. The health care team refers a client who has been a victim of domestic violence to a local support group for domestic abuse victims. What is the reason for this referral?

64. Which of the following activities can BEST help residents in a long-term care facility to reminisce?

65. Following extensive bloodwork, a client is informed that they have cancer. The client tells the nurse, “I think these results are wrong. I ate lunch before the blood was drawn, so we should test again.” The nurse knows the client is using which defense mechanism?

66. During the admission process of a male to the unit, he tells the nurse he is Jewish. How can the nurse determine if he follows Jewish Orthodox practices?

67. Shortly after their 5-year-old child was hospitalized, a parent tells the nurse they’re concerned because the child has started to suck their thumb again. The child has not sucked their thumb in over a year. What is the nurse’s MOST appropriate response?

68. Two weeks after giving birth, a new mother calls the clinic and reports pronounced fatigue, sadness, and tearfulness. She states, “I feel so overwhelmed, I don’t know what to do!” Which of the following questions is MOST appropriate for the nurse to ask?

69. A 7-year-old child with a diagnosis of leukemia is admitted for treatment. The child asks the nurse, “Am I going to die?” What is the nurse’s BEST response?

70. A client was admitted to the Mental Health Unit with a diagnosis of depression. After three days, the client is smiling and happy, telling the nurse, “I feel great! I’m ready to go home now.” Based on the client’s sudden change in behavior, what should the treatment plan include?

71. While reviewing the medical record of a client diagnosed with Alzheimer’s disease, the nurse notes that the client is aphasic. Which behavior supports this finding?

72. A child who has been diagnosed with attention deficit disorder (ADHD) will MOST likely display which of the following behaviors?

73. After receiving the shift report, the LPN/LVN enters the room of a 92-year-old client diagnosed with a cognitive impairment disorder. The nurse asks the client what day it is and where they are now. The purpose of this action is to assess for

74. A client in the inpatient mental health unit tells their nurse that the CIA is monitoring and recording every movement, and microphones have been planted in the walls of the unit. Which response by the LPN/LVN would be the MOST therapeutic?

75. Emergency medical personnel bring an unconscious client to the Emergency Department. The client’s pupils are pinpoint, and respirations are depressed. Intoxication with which of the following drugs could contribute to these clinical signs?

76. A 78-year-old client with a diagnosis of moderate Alzheimer’s disease lives with their 50-year-old daughter and 22-year-old grandson. When the home health nurse visits, which statement by the grandson to the nurse indicates a need for more education about Alzheimer’s?

77. The LPN/LVN is discussing health issues with a client whose body mass index (BMI) is 33. Which statement by the client indicates the coping mechanism of rationalization?

78. Some clients may exhibit beliefs that are clearly false and not supported by facts or reality. This is known as

79. A 45-year-old client with a traumatic brain injury (TBI) is a resident at a long-term care facility. When their injury causes periods of agitation, what is the nurse’s MOST appropriate action?

80. A client with Stage 3 hypertension has been placed on a low-sodium and low-fat diet. The client tells the nurse, “I hate this diet, and I won’t stay on it. It’s too hard.” What is the nurse’s BEST response?

81. The home health nurse visits a 63-year-old client with a diagnosis of emphysema and finds that the client is smoking. What is the nurse’s MOST appropriate statement?

82. A nulliparous woman has a precipitous delivery. The nurse observes that the mother hesitates to touch her baby and seems unattached to the birth. What is the nurse’s MOST appropriate action?
83. A nulliparous woman has a precipitous delivery. The nurse observes that the mother hesitates to touch her baby and seems unattached to the birth. What is the nurse’s MOST appropriate action?

83. A mother brings her 5-year-old child to the pediatric clinic because the child has recently started to wet their bed again. On questioning the mother, the nurse learns that the mother recently gave birth to a new baby. The nurse explains to the mother that her older child is using which defense mechanism to cope?

84. A client with Stage IV pancreatic cancer is being discharged from the hospital to their home. The client tells the LPN/LVN that they don’t want hospice care because their family will take care of them. What is the nurse’s BEST response?

85. The parents of a 16-year-old client with celiac disease bring their teenager to the clinic because the client is having constant, watery diarrhea. The client tells the nurse that they ate pizza and a hamburger on a bun at a party the night before. The client says, “I want to be like my friends. They can eat anything!” When responding to the client, which problem should the nurse PRIORITIZE?

86. During an admission intake to the Mental Health Unit, a client tells the nurse that she is Oprah Winfrey. The nurse knows that the client is experiencing

87. A resident with a diagnosis of dementia has wandered into another unit of the long-term care facility. What is the nurse’s BEST response after finding the resident?

88. A hospice nurse is caring for a client with cancer. The client has acute bone pain related to metastases. The BEST way to assess the client’s level of pain is to

89. A client with Stage IV bone cancer tells the hospice nurse that they are worried about becoming addicted to the amount of opioids needed to control their pain. What is the BEST way to address the client’s concern?

90. The nurse is inserting a nasogastric tube in an adult client. The nurse is having difficulty in inserting the tube. Which of the following actions should the nurse do first?

91. A nurse assigned to insert an indwelling urinary catheter in a post-operative client notices that the urine bag of the drainage set is not completely sealed. The most appropriate action of the nurse is to:

92. An 82-year-old male client tells the nurse that he does not like the foods that are being served in the hospital. He says, “They are so bland. Can you ask them to add a little salt?” The nurse responds to the client keeping in mind that the elderly:

93. A client has given birth through a cesarean section 24 hours ago. The least effective action of the nurse in preventing thrombus formation is which of the following?

94. A 2-year-old boy is admitted to the facility due to watery stools and abdominal pain. The child is diagnosed with celiac disease. The nurse expects the physician to order which therapeutic diet?

95. A nurse is assigned to care for a client who is admitted due to severe abdominal pain after meals. The client is diagnosed with Crohn’s disease. The nurse should assist the client in which position to alleviate the pain?

96. A nurse is caring for an elderly client who is bedridden. The nurse assists the client in performing range of motion exercises daily. These exercises prevent which complication of immobility?

97.A client with a fractured left leg is prescribed crutches. The physician instructs the client to utilize the three-point gait. The nurse determines that the client is doing the method correctly if the nurse observes that:

98. A nurse is assigned to monitor a client who is receiving continuous bladder irrigation at 1 liter per hour. Which of the following physical assessments is the nurse’s immediate priority?

99. A nurse is assigned to provide perineal care to a client who gave birth 24 hours earlier. Which of the following activities is the nurse’s first action when providing perineal care?

100. The doctor has ordered Percocet (oxycodone) for a client following abdominal surgery. The primary objective of nursing care for the client receiving an opiate analgesic is to:

101. Which finding is the best indication that a client with ineffective
airway clearance needs suctioning?

102. A client with tuberculosis has a prescription for Myambutol (ethambutol HCl). The nurse should tell the client to notify the doctor immediately if he notices:

103. The primary cause of anemia in a client with chronic renal failure is:

104. Which of the following nursing interventions has the highest priority for the client scheduled for an intravenous pyelogram?

105. The doctor has prescribed aspirin 325mg daily for a client with transient ischemic attacks. The nurse knows that aspirin was prescribed to:

106. A client with tuberculosis who has been receiving combined therapy with INH and Rifampin asks the nurse how long he will have to take medication. The nurse should tell the client that:

107. Which development milestone puts the 4-month-old infant at greatest risk for injury?

108. A client taking Dilantin (phenytoin) for tonic-clonic seizures is preparing for discharge. Which information should be included in the client’s discharge care plan?

109. Assessment of a newborn male reveals that the infant has hypospadias. The nurse knows that:

110. 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?

111. The nurse is caring for a client with stage III Alzheimer’s disease.
A characteristic of this stage is:

112. The doctor has prescribed Cortone (cortisone) for a client with
systemic lupus erythematosis. Which instruction should be given
to the client?

113. The nurse is caring for a client with an above-the-knee amputation (AKA). To prevent contractures, the nurse should:

114. The mother of a 6-month-old asks when her child will have all his baby teeth. The nurse knows that most children have all their primary teeth by age:

115. While caring for a client with cervical cancer, the nurse notes that the radioactive implant is lying in the bed. The nurse should:

116. The nurse is preparing to discharge a client following a laparoscopic cholecystectomy. The nurse should:

117. 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:

118. A 6-year-old with cystic fibrosis has an order for pancreatic replacement. The nurse knows that the medication will be given:

119. The doctor has prescribed a diet high in vitamin B12 for a client with pernicious anemia. Which foods are highest in B12?

120. A client with hypertension has begun an aerobic exercise program. The nurse should tell the client that the recommended exercise regimen should begin slowly and build up to:

121. A client with breast cancer is returned to the room following a right total mastectomy. The nurse should:

122. A neurological consult has been ordered for a pediatric client with suspected absence seizures. The client with absence seizures can be expected to have:

123. A client with schizoaffective disorder is exhibiting Parkinsonian symptoms. Which medication is responsible for the development of Parkinsonian symptoms?

124. Which activity is best suited to the 12-year-old with juvenile rheumatoid arthritis?

125. The glycosylated hemoglobin of a 40-year-old client with diabetes mellitus is 2.5%. The nurse understands that:

126. The physician has ordered Stadol (butorphanol) for a post- operative client. The nurse knows that the medication is having its intended effect if the client:

127. The mother of a child with cystic fibrosis tells the nurse that her child makes “snoring” sounds when breathing. The nurse is aware that many children with cystic fibrosis have:

128. A client is hospitalized with hepatitis A. Which of the client’s regular medications is contraindicated due to the current illness?

129. The nurse has been teaching the role of diet in regulating blood pressure to a client with hypertension. Which meal selection indicates that the client understands his new diet?

130. An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse’s dis-
charge teaching?

131. An obstetrical client calls the clinic with complaints of morning
sickness. The nurse should tell the client to:

132. The nurse has taken the blood pressure of a client hospitalized with methicillin resistant staphylococcus aureus. Which action by the nurse indicates an understanding regarding the care of clients with MRSA?

133. The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. The nurse can reinforce the physician’s teaching by telling the parents that:

134. A client with diabetes mellitus has a prescription for Glucotrol XL (glipizide). The client should be instructed to take the medication:

135. The nurse is caring for a client admitted with suspected myasthenia gravis. Which finding is usually associated with a diagnosis of myasthenia gravis?

136. The nurse is teaching the parents of an infant with osteogenesis imperfecta. The nurse should tell the parents:

137. Physician’s orders for a client with acute pancreatitis include the following: strict NPO, NG tube to low intermittent suction. The nurse recognizes that these interventions will:

138. A client with diverticulitis is admitted with nausea, vomiting, and dehydration. Which finding suggests a complication of diverticulitis?

139. The diagnostic work-up of a client hospitalized with complaints of progressive weakness and fatigue confirms a diagnosis of myasthenia gravis. The medication used to treat myasthenia gravis is:

140. A client with AIDS complains of a weight loss of 20 pounds in the past month. Which diet is suggested for the client with AIDS?

141. The nurse is caring for a 4-year-old with cerebral palsy. Which nursing intervention will help ready the child for rehabilitative services?

142. At the 6-week check-up, the mother asks when she can expect the baby to sleep all night. The nurse should tell the mother that most infants begin to sleep all night by age:

143. Which of the following pediatric clients is at greatest risk for latex allergy?

144. The nurse is teaching the mother of a child with cystic fibrosis how to do chest percussion. The nurse should tell the mother to:

145. The nurse calculates the amount of an antibiotic for injection to be given to an infant. The amount of medication to be administered is 1.25mL. The nurse should:

146. A client with schizophrenia is receiving depot injections of Haldol Deconate (haloperidol decanoate). The client should be told to return for his next injection in:

147. A 3-year-old is immobilized in a hip spica cast. Which discharge instruction should be given to the parents?

148. The nurse is caring for a client following the reimplantation of the thumb and index finger. Which finding should be reported to the physician immediately?

149. When assessing the urinary output of a client who has had extra- corporeal lithotripsy, the nurse can expect to find:

150. The physician has prescribed Cognex (tacrine) for a client with dementia. The nurse should monitor the client for adverse reactions, which include:

151. The physician has ordered a low-potassium diet for a child with acute glomerulonephritis. Which snack is suitable for the child with potassium restrictions?

152. The physician has ordered a blood test for H. pylori. The nurse should prepare the client by:

153. The nurse is preparing to give an oral potassium supplement. The nurse should:

154. The physician has ordered cultures for cytomegalovirus (CMV). Which statement is true regarding collection of cultures for cytomegalovirus?

155. A pediatric client with burns to the hands and arms has dressing changes with Sulfamylon (mafenide acetate) cream. The nurse is aware that the medication:

156. The physician has ordered Dilantin (phenytoin) for a client with generalized seizures. When planning the client’s care, the nurse should:

157. A client receiving chemotherapy for breast cancer has an order for Zofran (ondansetron) 8mg PO to be given 30 minutes before induction of the chemotherapy. The purpose of the medication is to:

158. The physician has ordered Cortisporin ear drops for a 2-year-old. To administer the ear drops, the nurse should:

159. A client with schizophrenia has been taking Thorazine (chlorpromazine) 200mg four times a day. Which finding should be reported to the doctor immediately?

160. A client with iron-deficiency anemia is taking an oral iron supplement. The nurse should tell the client to take the medication with:

161. A client is admitted with burns of the right arm, chest, and head. According to the Rule of Nines, the percent of burn injury is:

162. A client who was admitted with chest pain and shortness of breath has a standing order for oxygen via mask. Standing orders for oxygen mean that the nurse can apply oxygen at:

163. The nurse is caring for a client with an ileostomy. The nurse should pay careful attention to care around the stoma because:

164. The physician has ordered aspirin therapy for a client with severe rheumatoid arthritis. A sign of acute aspirin toxicity is:

165. A client is admitted to the emergency room with symptoms of delirium tremens. After admitting the client to a private room, the priority nursing intervention is to:

166. The nurse is providing dietary teaching for a client with gout. Which dietary selection is suitable for the client with gout?

167. A newborn has been diagnosed with exstrophy of the bladder. The nurse should position the newborn:

168. The mother of a 3-month-old with esophageal reflux asks the nurse what she can do to lessen the baby’s reflux. The nurse should tell the mother to:

169. A child is hospitalized with a fractured femur involving the epiphysis. Epiphyseal fractures are serious because:

170. Before administering a nasogastric feeding to a client hospitalized following a CVA, the nurse aspirates 40mL of residual. The nurse should:

171. A client has an order for Dilantin (phenytoin) .2g orally twice a day. The medication is available in 100mg capsules. For the morning medication, the nurse should administer:

172. The LPN is reviewing the lab results of an elderly client when she notes a specific gravity of 1.025. The nurse recognizes that:

173. A client with acute pancreatitis has requested pain medication. Which pain medication is indicated for the client with acute pancreatitis?

174. A client with a hiatal hernia has been taking magnesium hydroxide for relief of heartburn. Overuse of magnesium-based antacids can cause the client to have:

175. When performing a newborn assessment, the nurse measures the circumference of the neonate’s head and chest. Which assessment finding is expected in the normal newborn?

176. A client with a history of clots is receiving Lovenox (enoxaparin). Which drug is given to counteract the effects of enoxaparin?

177. The nurse is formulating a plan of care for a client with a cognitive disorder. Which activity is most appropriate for the client with confusion and short attention span?

178. The mother of a child with hemophilia asks the nurse which over-the-counter medication is suitable for her child’s joint discomfort. The nurse should tell the mother to purchase:

179. Which home remedy is suitable to relieve the itching associated with varicella?

180. The nurse is caring for a newborn with hypospadias. Which statement describes hypospadias?

181. The recommended time for daily administration of Tagamet (cimetidine) is:

182. Which statement best describes the difference between the pain of angina and the pain of myocardial infarction?

183. The nurse is developing a bowel-retraining plan for a client with multiple sclerosis. Which measure is likely to be least helpful to the client:

184. The nurse is providing dietary teaching for a client with Meniere’s disease. Which statement indicates that the client understands the role of diet in triggering her symptoms?

185. The nurse is assessing a multigravida, 36 weeks gestation for symptoms of pregnancy-induced hypertension and preeclampsia. The nurse should give priority to assessing the client for:

186. An adolescent with borderline personality disorders is hospitalized with suicidal ideation and self-mutilation. Which goal is both therapeutic and realistic for this client?

187. A client with angina has an order for nitroglycerin ointment. Before applying the medication, the nurse should:

188. The nurse is caring for a client who is unconscious following a fall. Which comment by the nurse will help the client become reoriented when he regains consciousness?

189. Following a generalized seizure, the nurse can expect the client to:

190. A client with oxylate renal calculi should be taught to limit his intake of foods such as:

191. A 6-year-old is diagnosed with Legg-Calve Perthes disease of the right femur. An important part of the child’s care includes instructing the parents:

192. The nurse is assessing an infant with Hirschsprung’s disease. The nurse can expect the infant to:

193. The physician has prescribed supplemental iron for a prenatal client. The nurse should tell the client to take the medication with:

194. The nurse is teaching a client with a history of obesity and hyper- tension regarding dietary requirements during pregnancy. Which statement indicates that the client needs further teaching?

195. An elderly client is admitted to the psychiatric unit from the nursing home. Transfer information indicates that the client has become confused and disoriented, with behavioral problems. The client will also likely show a loss of ability in:

196. The physician has ordered an external monitor for a labouring client. If the fetus is in the left occipital posterior (LOP) position, the nurse knows that the ultrasound transducer will be located:

197. A client develops tremors while withdrawing from alcohol. Which medication is routinely administered to lessen physiological effects of alcohol withdrawal?

198. A client with Type II diabetes has an order for regular insulin 10 units SC each morning. The client’s breakfast should be served within:

199. A 10-year-old has an order for Demerol (meperidine) 35mg IM for pain. The medication is available as Demerol 50mg per mL. How much should the nurse administer?

200. Which antibiotic is contraindicated for the treatment of infections in infants and young children?