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Free NCLEX NCLEX-PN Practice Exam with Questions & Answers | Set: 6

Questions 76

A client had a colostomy done one day ago. Which of the following is an abnormal finding when assessing the stoma?

Options:
A.

mild edema

B.

minimal bleeding

C.

rose color

D.

dark red color

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Questions 77

In evaluating the lab work of a client in a hepatic coma, which of the following lab tests is most important?

Options:
A.

blood urea nitrogen

B.

serum calcium

C.

serum ammonia

D.

serum creatinine

Questions 78

When a client with a major burn experiences body image disturbance, which of the following is an appropriate nursing intervention classification?

Options:
A.

grief work facilitation

B.

vital signs monitoring

C.

medication administration: skin

D.

anxiety reduction

Questions 79

Melissa Smith came to the Emergency Department in the last week before her estimated date of confinement complaining of headaches, blurred vision, and vomiting. Suspecting PIH, the nurse should best respond to Melissa’s complaints with which of the following statements?

Options:
A.

“The physician will probably want to admit you for observation.”

B.

“The physician will probably order bed rest at home.”

C.

“These are really dangerous signs.”

D.

“The physician will probably prescribe some medicine for you.”

Questions 80

In teaching bleeding precautions to a client with leukemia, the PN should include which of the following instructions?

Options:
A.

Use a soft toothbrush.

B.

Use dental floss daily.

C.

Hold pressure on any scrapes for 1–2 minutes.

D.

Use a triple-edged razor.

Questions 81

A client who is newly diagnosed with Parkinson’s disease and beginning medication therapy asks the nurse, “How soon will I see improvement ?” The nurse’s best response is:

Options:
A.

“That varies from client to client.”

B.

“You should discuss that with your physician.”

C.

“You should notice a difference in a few days.”

D.

“It might take several weeks before you notice improvement.”

Questions 82

Pulling is easier than pushing. So pulling a client rather than pushing him or her has which of the following advantages?

Options:
A.

reduces workload

B.

decreases opposition from gravity

C.

maintains stability

D.

prevents muscle strain

Questions 83

Which of the following statements is true about syphilis?

Options:
A.

The cause and mode of transmission is unclear.

B.

There is no known cure for the disease.

C.

When the primary lesion heals, the disease is cured.

D.

Syphilis can be cured with a course of antibiotic therapy.

Questions 84

When teaching parents how their children learn sex role identification, the nurse should include which of the following statements?

Options:
A.

Sex role identification begins in infancy.

B.

Sex role identification begins in the preschool years.

C.

Sex role identification begins during the school-age years.

D.

Sex role identification begins during early adolescence.

Questions 85

Which of the following isoenzymes is elevated in a client who has had a myocardial infarction?

Options:
A.

CPK-BB

B.

CPK-MM

C.

CPK-MB

D.

CPK-MI

Questions 86

When discussing the patterns of use of alcohol and other drugs, the nurse should include which piece of information?

Options:
A.

Lifetime prevalence and intensity of alcohol use is greater in women than men.

B.

Hispanics and African Americans have higher levels of alcohol use than Caucasians.

C.

Overuse of alcohol and other drugs increases into the mid-20s, then levels off and decreases with age.

D.

Heavy use is more common in higher socioeconomic groups because they can afford to buy the drugs.

Questions 87

The nurse is transferring a client from a wheelchair to the bed. Which is the correct procedure?

Options:
A.

Pull the client toward you, and pivot him on the unaffected limb.

B.

Pull the client toward you, and pivot him on the affected limb.

C.

Push the client toward the bed, and pivot him on the affected limb.

D.

Stand the client on both legs, and push him toward the bed.

Questions 88

A pregnant client has congenital heart disease. The nurse should expect to see which alterations in this client’s diet during pregnancy?

Options:
A.

reduced calories and reduced fat

B.

caffeine and sodium restrictions

C.

decreased protein and increased complex carbohydrates

D.

fluid restriction and reduced calories

Questions 89

Which of the following is the most appropriate diet for a client who is unable to swallow?

Options:
A.

nothing by mouth

B.

nasogastric feedings

C.

clear liquids

D.

total parenteral nutrition

Questions 90

A Roman Catholic client is preparing to have magnetic resonance imaging. He wants to wear his metal crucifix pendant while he is receiving the test. Which of the following is an appropriate response by the nurse?

Options:
A.

“Because it gives you comfort, you may wear it.”

B.

“It is a violation of religious rights to forbid it.”

C.

“I am sorry, but it is not safe for you to wear the crucifix during this test.”

D.

“You may wear it because it is important to you.”