PN CAPSTONE NCLEX QUESTIONS_2 ( latest 2020) – Rasmussen College | PNCAPSTONE NCLEX QUESTIONS_2 ( latest 2020

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PN CAPSTONE NCLEX QUESTIONS_2 ( latest 2020) – Rasmussen College 1. The physician has ordered a low-potassium diet for a child with acute glomerulonephritis. Which snack is suitable for the child w... ith potassium restrictions? a. Raisins b. Oranges c. Apricots d. Bananas 2. The physician has ordered a blood test for H. pylori. The nurse should prepare the client by: a. Withholding intake after midnight b. Telling the client that no special preparation is needed c. Explaining that a small dose of radioactive isotope will be used d. Giving an oral suspension of glucose 1 hour before the test 3. The nurse is preparing to give an oral potassium supplement. The nurse should: a. Give the medication without diluting it b. Give the medication with 4 ounces of juice c. Give the medication with water only d. Give the medication on an empty stomach 4. The physician has ordered cultures for cytomegalovirus (CMV). Which statement is true regarding collection of cultures for cytomegalovirus? a. Stool cultures are preferred for definitive diagnosis b. Pregnant caregivers may obtain cultures c. Collection of one specimen is sufficient d. Accurate diagnosis depends on fresh specimens 5. 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: a. Will cause dark staining of the surrounding skin b. Produces a cooling sensation when applied c. Can alter the function of the thyroid d. Produces a burning sensation when applied 6. The physician has ordered Dilantin (phenytoin) for a client with generalized seizures. When planning the client’s care, the nurse should: a. Maintain strict intake and output b. Check the pulse before giving the medication c. Administer the medication 30 minutes before meals d. Provide oral hygiene and gum care every shift 7. 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: a. Prevent anemia b. Promote relaxation c. Prevent nausea d. Increase neutrophils counts 8. The physician has ordered cortisporin ear drops for a 2-year-old. To administer the ear drops, the nurse should: a. Pull the ear down and back b. Pull the ear straight out c. Pull the ear up and back d. Leave the ear undisturbed 9. A client with schizophrenia has been taking Thorazine (chlorpromazine) 200 mg four times a day. Which finding should be reported to the doctor immediately? a. The client complains of thirst b. The client has gained 4 pounds in the past 2 months c. The client complains of a sore throat d. The client naps throughout the day 10. A client with iron-deficiency anemia is taking an oral iron supplement. The nurse should tell the client to take the medication with: a. Orange juice b. Water only c. Milk d. Apple juice 11. 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: a. 18% b. 27% c. 36% d. 45% 12. 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: a. 2 liters/minute b. 6 liters/minute c. 10 liters/minute d. 12 liters/minute 13. The nurse is caring for a client with an ileostomy. The nurse should pay careful attention to care around the stoma because: a. Digestive enzymes cause skin breakdown b. Stools are less watery and contain more solid matter c. The stoma will heal more slowly than expected d. It is difficult to fit the appliance to the stoma site 14. The physician has ordered aspirin therapy for a client with severe rheumatoid arthritis. A sign of acute aspirin toxicity is: a. Anorexia b. Diarrhea c. Tinnitus d. Pruritis 15. 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: a. Obtain a history of his alcohol use b. Provide seizure precautions c. Keep the room cool and dark d. Administer thiamine and zinc 16. The nurse is providing dietary teaching for a client with gout. Which dietary selection is suitable for the client with gout? a. Broiled liver, macaroni and cheese, spinach b. Stuffed crab, steamed rice, peas c. Baked chicken, pasta salad, asparagus casserole d. Steak, baked potato, tossed salad 17. A newborn has been diagnosed with exstrophy of the bladder. The nurse should position the newborn: a. Prone b. Supine c. On either side d. With the head elevated 18. 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: a. Feed the baby only when he is hungry b. Burp the baby after the feeding is completed c. Place the baby supine with head elevated d. Burp the baby frequently throughout the feeding 19. A child is hospitalized with a fractured femur involving the epiphyseal plate. Epiphyseal fractures are serious because: a. Bone marrow is lost through the fracture site b. Normal bone growth is affected c. Blood supply to the bone is obliterated d. Callus formation prevents bone healing 20. Before administering a nasogastric feeding to a client hospitalized following a CVA, the nurse aspirates 40 mL of residual. The nurse should: a. Replace the aspirate and administer the feeding b. Discard the aspirate and withhold the feeding c. Discard the aspirate and begin the feeding d. Replace the aspirate and withhold the feeding 21. 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: a. 1 capsule b. 2 capsules c. 3 capsules d. 4 capsules 22. The LPN is reviewing the lab results of an elderly client when she notes a specific gravity of 1.006. The nurse recognizes that: a. The client has impaired renal function b. The client has a normal specific gravity c. The client has mild to moderate dehydration d. The client has diluted urine from fluid overload 23. A client with pancreatitis has requested pain medication. Which pain medication is indicated for the client with pancreatitis? a. Demerol b. Toradol c. Morphine d. Codeine 24. 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: a. Constipation b. Weight gain c. Anorexia d. Diarrhea 25. 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? a. The head and chest circumference are the same b. The head is 2 cm larger than the chest c. The head is 3 cm smaller than the chest d. The head is 4 cm larger than the chest 26. The nurse is caring for an 8-year-old following a routine tonsillectomy. Which finding should be reported immediately? a. Reluctance to swallow b. Drooling of blood-tinged saliva c. An axillary temperature of 99 degrees F d. Respiratory stridor 27. The nurse is admitting a client with a suspected duodenal ulcer. The client will most likely report that his abdominal discomfort lessens when he: a. Skips a meal b. Rests in recumbent position c. East a meal d. Sits upright after eating 28. Which of the following meal selections is appropriate for the client with celiac disease? a. Toast, jam and apple juice b. Peanut butter cookies and milk c. Rice krispies bar and milk d. Cheese pizza and Kool-Aid 29. A client with hyperthyroidism is taking lithium carbonate to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client’s medication? a. The client complains of blurred vision b. The client complains of increased thirst and increased urination c. The client complains of increased weight gain over the past year d. The client complains of ringing in the ears 30. A 2-month-old infant has just received her first Tetramune injection. The nurse should tell the mother that the immunization: a. Will need to be repeated when the child is 4 years of age b. Is given to determine whether the child is susceptible to pertussis c. Is one of a series of injections that protects against dpt and Hib d. Is a one-time injection that protects against MMR and varicella 31. The nurse is caring for a client hospitalized with bipolar disorder, manic phase. Which of the following snacks would be best for the client with mania? a. Potato chips b. Diet cola c. Apple d. Milkshake 32. A 2-year-old is hospitalized with suspected intussusception. Which finding is associated with intussusception? a. Currant jelly stools b. Projectile vomiting c. Ribbon-like stools d. Palpable mass over the flank 33. A client is being treated for cancer with linear acceleration radiation. The physician has marked the radiation site with a blue marking pen. The nurse should: a. Remove the unsightly markings with acetone or alcohol b. Cover the radiation site with loose gauze dressing c. Sprinkle baby powder over the irradiated area d. Refrain from using soap or lotion on the marked area 34. The nurse is caring for a client with acromegaly. Following a transsphenoidal hypophysectomy, the nurse should: a. Monitor the clients blood sugar b. Suction the mouth and pharynx every hour c. Place the client in low tredelenburg position d. Encourage the client to cough 35. A client newly diagnosed with diabetes is started on Precose (acarbose). The nurse should tell the client that the medication should be taken: a. 1 hour before meals b. 30 minutes before meals c. With the first bite of a meal d. Daily at bedtime 36. A client with a deep decubitus ulcer is receiving therapy in the hyperbaric oxygen chamber. Before therapy, the nurse should: a. Apply a lanolin-based lotion to the skin b. Wash the skin with water and pat dry c. Cover the area with a petroleum gauze d. Apply an occlusive dressing to the site 37. A client with a laryngectomy returns from surgery with a nasogastric tube in place. The primary reason for placement of the nasogastric tube is to: a. Prevent swelling and dysphagia b. Decompress the stomach via suction c. Prevent contamination of the suture line d. Promote healing of the oral mucosa 38. The chart indicates that a client has expressive aphasia following a stroke. The nurse understands that the client will have difficulty with: a. Speaking and writing b. Comprehending spoken words c. Carrying out purposeful motor activity d. Recognizing and using an object correctly 39. A camp nurse is applying sunscreen to a group of children enrolled in swim classes. Chemical sunscreens are most effective when applied: a. Just before sun exposure b. 5 minutes before sun exposure c. 15 minutes before sun exposure d. 30 minutes before sun exposure 40. A postoperative client has an order for Demerol (meperidine) 75mg and Phenergan (promethazine) 25mg IM every 3–4 hours as needed for pain. The combination of the two medications produces a/an: a. Agonist effect b. Synergistic effect c. Antagonist effect d. Excitatory effect 41. Before administering a client’s morning dose of Lanoxin (digoxin), the nurse checks the apical pulse rate and finds a rate of 54. The appropriate nursing intervention is to a. Record the pulse rate and administer the medication b. Administer the medication and monitor the heart rate c. Withhold the medication and notify the doctor d. Withhold the medication until the heart rate increases 42. What information should the nurse give a new mother regarding the introduction of solid foods for her infant? a. Solid foods should not be given until the extrusion reflex disappears, at 8-10 months of age b. Solid foods should be introduced one a time, with 4- to 7- day intervals c. Solid foods can be mixed in a bottle or infant feeder to make feeding faster d. Solid foods should begin with fruits and vegetables 43. A client with schizophrenia is started on Zyprexa (olanzapine). Three weeks later, the client develops severe muscle rigidity and elevated temperature. The nurse should give priority to: a. Withholding all morning medications b. Ordering a CBC and CPK c. Administering prescribed anti-Parkinsonian medication d. Transferring the client to a medical unit 44. A client with human immunodeficiency syndrome has gastrointestinal symptoms, including diarrhea. The nurse should teach the client to avoid: a. Calcium-rich foods b. Canned or frozen vegetables c. Processed meats d. Raw fruits and vegetables 45. A 4-year-old is admitted with acute leukemia. It will be most important to monitor the child for: a. Abdominal pain and anorexia b. Fatigue and bruising c. Bleeding and pallor d. Petechiae and mucosal ulcers 46. A 5-month-old is diagnosed with atopic dermatitis. Nursing interventions will focus on: a. Preventing infection b. Administering antipyretics c. Keeping the skin free of moisture d. Limiting oral fluid intake 47. The nurse is caring for a client with a history of diverticulitis. The client complains of abdominal pain, fever, and diarrhea. Which food was responsible for the client’s symptoms? a. Mashed potatoes b. Steamed carrots c. Baked fish d. Whole-grain cereal 48. The physician has scheduled a Whipple procedure for a client with pancreatic cancer. The nurse recognizes that the client’s cancer is located in: a. The tail of the pancreas b. The head of the pancreas c. The body of the pancreas d. The entire pancreas 49. A child with cystic fibrosis is being treated with inhalation therapy with Pulmozyme (dornase alfa). A side effect of the medication is: a. Weight gain b. Hair loss c. Sore throat d. Brittle nails 50. 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: a. Prevent addiction b. Alleviate pain c. Facilitate mobility d. Prevent nausea 51. The nurse is caring for a client with systemic lupus erythematosus (SLE). The major complication associated with systemic lupus erythematosus is: a. Nephritis b. Cardiomegaly c. Desquamation d. Meningitis 52. Which diet is associated with an increased risk of colorectal cancer? a. Low protein, complex carbohydrate b. High protein, simple carbohydrate c. High fat, refined carbohydrate d. Low carbohydrates, complex proteins 53. The nurse is caring for an infant following a cleft lip repair. While comforting the infant, the nurse should avoid: a. Holding the infant b. Offering a pacifier c. Providing a mobile d. Offering sterile water 54. 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 55. The nurse is providing dietary instructions for a client with iron-deficiency anemia. Which food is a poor source of iron? a. Tomatoes b. Legumes c. Dried fruits d. Nuts 56. The nurse is teaching a client with Parkinson’s disease ways to prevent curvatures of the spine associated with the disease. To prevent spinal flexion, the nurse should tell the client to: a. Periodically lie prone without a neck pillow b. Sleep only in dorsal recumbent position c. Rest in supine position with his head elevated d. Sleep on either side but keep his back straight 57. The nurse is planning dietary changes for a client following an episode of pancreatitis. Which diet is suitable for the client? a. Low calorie, low carb b. High calorie, low fat c. High protein, high fat d. Low protein, high carb 58. 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 59. 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 60. The nurse is completing an assessment history of a client with pernicious anemia. Which complaint differentiates pernicious anemia from other types of anemia? a. Difficulty in breathing after exertion b. Numbness and tingling in the extremities c. A faster-than-usual heart rate d. Feelings of lightheadedness 61. The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to: a. Speak using words that rhyme b. Repeat words or phrases used by others c. Include irrelevant details in conversation d. Make up new words with new meanings 62. Which early morning activity helps to reduce the symptoms associated with rheumatoid arthritis? a. Brushing the teeth b. Drinking a glass of juice c. Drinking a cup of coffee d. Brushing the hair 63. A newborn weighed 7 pounds at birth. At 6 months of age, the infant could be expected to weigh: a. 14 pounds b. 18 pounds c. 25 pounds d. 30 pounds 64. A client with nontropical sprue has an exacerbation of symptoms. Which meal selection is responsible for the recurrence of the client’s symptoms? a. Tossed salad with oil and vinegar dressing b. Baked potato with sour cream and chives c. Cream of tomato soup and crackers d. Mixed fruit and yogurt 65. A client with congestive heart failure has been receiving Digoxin (lanoxin). Which finding indicates that the medication is having a desired effect? a. Increased urinary output b. Stabilized weight c. Improved appetite d. Increased pedal edema 66. Which play activity is best suited to the gross motor skills of the toddler? a. Coloring book b. Ball c. Building cubes d. Swing set 67. The physician has ordered Basaljel (aluminum carbonate gel) for a client with recurrent indigestion. The nurse should teach the client common side effects of the medication, which include: a. Constipation b. Urinary retention c. Diarrhea d. Confusion 68. A client is admitted with suspected abdominal aortic aneurysm (AAA). A common complaint of the client with an abdominal aortic aneurysm is: a. Loss of sensation in the lower extremities b. Back pain that lessens when standing c. Decreased urinary output d. Pulsations in the periumbilical area 69. A client is admitted with acute adrenal crisis. During the intake assessment, the nurse can expect to find that the client has: a. Low blood pressure b. Slow, regular pulse c. Warm, flushed skin d. Increased urination 70. An elderly client is hospitalized for a transurethral prostatectomy. Which finding should be reported to the doctor immediately? a. Hourly urinary output of 40-50 mL b. Bright red urine with many clots c. Dark red urine with few clots d. Requests for pain med every 4 hours References: nurselabs. (2014, May 30). NCLEX-PN Review. Retrieved August 8, 2015, from nurselabs.com: http://nurseslabs.com/nclex-pn-review-quiz-2-50-questions/ [Show More]

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