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NCLEX NCLEX-PN Exam Made Easy: Step-by-Step Preparation Guide

Questions 61

Which of the following medications is not considered a neuromuscular blocker?

Options:
A.

Anectine

B.

Pavulon

C.

Pitressin

D.

Mivacron

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Questions 62

A 64 year-old male who has been diagnosed with COPD, and CHF exhibits an increase in total body weight of 10 lbs. over the last few days. The nurse should:

Options:
A.

Contact the patient’s physician immediately.

B.

Check the intake and output on the patient’s flow sheet.

C.

Encourage the patient to ambulate to reduce lower extremity edema.

D.

Check the patient’s vitals every 2 hours.

Questions 63

If a client is suffering from thyroid storm, the PN can expect to find on assessment:

Options:
A.

tachycardia and hyperthermia.

B.

bradycardia and hypothermia.

C.

a large goiter.

D.

a calm, quiet client.

Questions 64

A fifty-five year-old man suffered a left frontal lobe CVA. The patient’s family is not present in the room. Which of the following should the nurse watch most closely for?

Options:
A.

Changes in emotion and behavior

B.

Monitor loss of hearing

C.

Observe appetite and vision deficits

D.

Changes in facial muscle control

Questions 65

When choosing a needle gauge for an intramuscular injection in a 12 year old boy. Which of the following gauges would you choose?

Options:
A.

27 gauge

B.

25 gauge

C.

22 gauge

D.

20 gauge

Questions 66

A nurse notes that an elderly client suddenly does not keep appointments and is not wearing appropriate clothing. Which statement by the client raises the suspicion of financial abuse?

Options:
A.

“I am having difficulty paying for this new antibiotic the physician prescribed.”

B.

“I am a little short on cash since my daughter moved in to help me.”

C.

“I have not felt like shopping since the weather has gotten worse.”

D.

“People do not realize how difficult it is to make ends meet on a fixed income.”

Questions 67

A nurse doing a home health visit consults with a male patient that has a diagnosis of CAD and COPD. The patient is currently taking Ventolin, Azmacort, Aspirin, and Theophylline. The patient complains of upset stomach, nausea and feeling uncomfortable. The nurse should:

Options:
A.

Contact the patient’s physician immediately

B.

Recommend the patient position himself in right sidelying.

C.

Recommend the patient schedule a doctor’s visit the next day.

D.

Recommend a hold on the drug-Azmacort

Questions 68

A 22 year-old patient in a mental health lock-down unit under suicide watch appears happy about being discharged. Which of the following is probably happening?

Options:
A.

The patient is excited about being around family again.

B.

The patient’s suicide plan has probably progressed.

C.

The patient’s plans for the future have been clarified.

D.

The patient’s mood is improving.

Questions 69

A nurse is assessing a patient in the ICU. The patient has the following signs: weak pulse, quick respiration, acetone breath, and nausea. Which of the following conditions is most likely occurring?

Options:
A.

Hypoglycemic patient

B.

Hyperglycemic patient

C.

Cardiac arrest

D.

End-stage renal failure

Questions 70

A nurse is instructing a person who had a left CVA and right lower extremity hemiparesis to use a quad cane. Which of the following is the most appropriate gait sequence?

Options:
A.

Place the cane in the patient’s left upper extremity, encourage cane, then right lowerextremity, then left upper extremity gait sequence.

B.

Place the cane in the patient’s left upper extremity, encourage cane, then leftlower extremity, then right upper extremity gait sequence.

C.

Place the cane in the patient’s right upperextremity, encourage cane, thenright lower extremity, then left upper extremity gait sequence.

D.

Place the cane in the patient’s right upper extremity, encourage cane, thenleft lower extremity, then right upper extremity gait sequence.

Questions 71

A nurse has been ordered to set-up Buck’s traction on a patient’s lower extremity due to a femur fracture. Which of the following applies to Buck’s traction?

Options:
A.

A weight greater than 10 lbs. should be used.

B.

The line of pull is upward at an angle.

C.

The line of pull is straight

D.

A weight greater than 20 lbs. should be used.

Questions 72

The physician wants to know if a client is tolerating his total parenteral nutrition. Which of the following laboratory tests is likely to be ordered?

Options:
A.

triglyceride level

B.

liver function tests

C.

a glucose tolerance test

D.

a complete blood count

Questions 73

The nurse is assessing an elder who the nurse suspects is being physically abused. The most important question for nurse to ask is:

Options:
A.

“How much money do you keep around the house?”

B.

“Who provides your physical care?”

C.

“How close does your nearest relative live?”

D.

“What form of transportation do you use?”

Questions 74

A nurse is returning phone calls in a pediatric clinic. Which of the following reports most requires the nurse’s immediate attention and phone call?

Options:
A.

A 8 year-old boy has been vomiting and appears to have slower movements and has a history of an atrio-ventricular shunt placement.

B.

A 10 year-old girl feels a dull pain in her abdomen after doing sit-ups in gym class.

C.

A 7 year-old boy has been having a low fever and headache for the past 3 days that has history of an anterior knee wound.

D.

A 7 year-old girl that had a cast on her right ankle is complaining of itching.

Questions 75

Which of the following procedures describes an opening between the colon and abdominal wall?

Options:
A.

ileostomy

B.

jejunostomy

C.

colostomy

D.

cecostomy