NCLEX PN EXAM WITH ALL THE ANSWERS LATEST SPRING 2021

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A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due to this tumor’s location? A. Hemiplegia B. Aphasia C. Nausea D. Bone pain Answer D: Sarcoma is a type of bone... cancer; therefore, bone pain would be expected. Answers A, B, and C are not specific to this type of cancer and are Incorrect. 2. The nurse is performing discharge teaching on a client with diverticulitis who has been placed on a low-roughage diet? Which food would have to be eliminated from this client’s diet? A. Roasted chicken B. Noodles C. Cooked broccoli D. Custard Answer C: The client with diverticulitis should avoid eating foods that are Gas forming and that increase abdominal discomfort, such as cooked broccoli. Foods such as those listed in answers A, B, and D are allowed. 3. The nurse is caring for a 9-month-old with suspected celiac disease. Which diet is appropriate? A. Whole milk and oatmeal B. Breast milk and mixed cereal C. Formula and barley cereal D. Breast milk and rice cereal Answer D: The appropriate diet for the 9-month-old with suspected celiac Disease is breast milk and rice cereal. Answer A is incorrect because the 9- Month-old is too young to have whole milk, and oats contain gluten, which is Associated with celiac disease. Both mixed cereal and barley cereal contain Gluten, which is associated with celiac disease; therefore, answers B and C Are incorrect. 4. The physician has ordered a daily dose of Nexium (esomeprazole) for a Client with gastric ulcers. The nurse should administer the medication: A. Before breakfast B. After breakfast C. At bedtime D. At noon Answer A: It is recommended that a daily dose of Nexium (esomeprazole), a Proton pump inhibitor, be given before breakfast. Answers B, C, and D are inaccurate times for administering proton pump inhibitors; therefore, they are Incorrect. 5. A client admitted for treatment of a duodenal ulcer complains of sudden Sharp midepigastric pain. Further assessment reveals that the client has a Rigid, beardlike abdomen. The nurse recognizes that the client’s symptoms most likely indicate: A. Ulcer perforation B. Increased ulcer formation C. Esophageal inflammation D. Intestinal obstruction Answer A: Perforation of a duodenal ulcer is characterized by sudden sharp Midepigastric pain caused by the emptying of duodenal contents into the Peritoneum. The abdomen is tender, rigid, and beardlike. Answer B is not associated with the client’s sudden onset of symptoms; therefore, it is Incorrect. Answer C is incorrect because the client would complain of Heartburn or reflux. Answer D is incorrect because the client would have increased abdominal distention, visible peristaltic waves, and high-pitched Bowel sounds 6. A client with hypothyroidism frequently complains of feeling cold. The Nurse should tell the client that she will be more comfortable if she: A. Uses an electric blanket at night B. Dresses in extra layers of clothing C. Applies a heating pad to her feet D. Takes a hot bath morning and evening Answer B: Dressing in layers and using extra covering will help decrease the Feeling of being cold that is experienced by the client with hypothyroidism. Decreased sensation and decreased alertness are common in the client with Hypothyroidism; therefore, the use of electric blankets and heating pads can Result in burns, making answers A and C incorrect. Answer D is incorrect because the client with hypothyroidism has dry skin, and a hot bath morning and evening would make her condition worse. 7. A client has been hospitalized with a diagnosis of laryngeal cancer. Which factor is most significant in the development of laryngeal cancer? A. A family history of laryngeal cancer B. Chronic inhalation of noxious fumes C. Frequent straining of the vocal cords D. A history of alcohol and tobacco use Answer D: A history of frequent alcohol and tobacco use is the most Significant factor in the development of cancer of the larynx. Answers A, B, And C are also factors in the development of laryngeal cancer, but they are Not the most significant; therefore, they are incorrect. 8. The physician has ordered Amoxil (amoxicillin) 500mg capsules for a Client with esophageal varices. The nurse can best care for the client’s needs by: A. Giving the medication as ordered B. Providing extra water with the medication C. Giving the medication with an antacid D. Requesting an alternate form of the medication Answer D: The client with esophageal varices can develop spontaneous Bleeding from the mechanical irritation caused by taking capsules; therefore, The nurse should request the medication in a suspension. Answer A is Incorrect because it does not best meet the client’s needs. Answer B is Incorrect because it is not the best means of preventing bleeding. Answer C is Incorrect because the medications should not be given with milk or antacids. 9. A home health nurse is planning for her daily visits. Which client should the home health nurse visit first? A. A client with AIDS being treated with Foscarnet B. A client with a fractured femur in a long leg cast C. A client with laryngeal cancer with a laryngetomy D. A client with diabetic ulcers to the left foot Answer C: The client with laryngeal cancer has a potential airway alteration and should be seen first. The clients in answers A, B, and D are not in immediate danger and can be seen later in the day. 10. The nurse is assigned to care for an infant with physiologic jaundice. Which action by the nurse would facilitate elimination of the bilirubin? A. Increasing the infant’s fluid intake B. Maintaining the infant’s body temperature at 98.6°F C. Minimizing tactile stimulation D. Decreasing caloric intake Answer A: Bilirubin is excreted through the kidneys, thus the need for increased fluids. Maintaining the body temperature is important but will not assist in eliminating bilirubin; therefore, answer B is incorrect. Answers C And D are incorrect because they do not relate to the question. [Show More]

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