NCLEX RN Registered Nurses Quiz | Practice Test 09
1 >>A child with gastroenteritis is admitted to a pediatric unit. The child is severely dehydrated and anuric. After the child receives a fluid bolus, a physician orders continuous IV fluids. Which IV fluid order should a nurse question? ?
(A) 0.45% NaCl with KCl 20 mmol/L.
(B) 0.45% NaCl with 5% glucose.
(C) 0.9% NaCl.
(D) 0.9% NaCl with 5% glucose.
2 >>A nurse admits a preschooler with sickle cell anemia. Which medications should the nurse expect that the child has been receiving at home? Select all that apply. ?
(A) Fer-In-Sol.
(B) Penicillin.
(C) Ibuprofen.
(D) Folic acid.
3 >>A client, who is gravida 4, para 3 at 28 weeks' gestation, is dilated 2 cm. A physician has prescribed nifedipine to treat her preterm labor. For which common maternal side effect of the medication should a nurse assess? ?
(A) Decreased deep tendon reflexes.
(B) Bradycardia.
(C) Hypotension.
(D) Tachycardia.
4 >>A client, who is gravida 2, para 0 at 31 weeks' gestation, has been hospitalized for 5 days on oral terbutaline. A physician discharges the client with a prescription for terbutaline 5 mg PO q4h. When giving discharge instructions, which instruction should a nurse include? ?
(A) "Call your physician if your heart rate is higher than 120 before you take your terbutaline."
(B) "You can double your dose of terbutaline if you are having more than 2 contractions per hour."
(C) "Call your physician if your fetus moves more than 10 times per hour."
(D) "You can increase your activity each day if you are not fatigued."
5 >>A client, who is gravida 1, para 0, is at 39 weeks' gestation. She has an uncomplicated prenatal history. Her recent cervical examination reveals that she is 4 to 5 cm dilated, 100% effaced, and at a +1 station. She is asking for an epidural for labor pain control. Which order should a nurse anticipate to prevent hypotension in this client? ?
(A) Administer a 500- to 2,000-mL bolus of IV fluid.
(B) Administer oxygen at 12 L/min via face mask.
(C) Place the client in high Fowler's position.
(D) Administer epinephrine to raise her blood pressure.
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6 >>A client, who is a 17-year-old gravida 1, para 0, is at 35 weeks' gestation with a blood pressure of 164/116 mm Hg on her left side, 4+ deep tendon reflexes, and 3+ proteinuria. Her physician orders a 4-gram loading dose of magnesium sulfate over 30 minutes, followed by 2 gm/hr. After administration of the bolus, the client complains of chest heaviness. A nurse assesses the client's deep tendon reflexes, which are now absent. The nurse should anticipate that the physician will most likely order: ?
(A) Butorphanol tartrate.
(B) Furosemide.
(C) Diazepam.
(D) Calcium gluconate.
7 >>A client, who is a 44-year-old gravida 2, para 1, is at 18 weeks' gestation with consistent blood pressures ranging from 130 to 140/80 to 90 mm Hg during her last two prenatal visits. She has no proteinuria or hyperreflexia. Which medication should a nurse anticipate being prescribed for this client? ?
(A) Vasotec.
(B) Aldomet.
(C) Diazepam.
(D) Magnesium sulfate.
8 >>A client, who is gravida 6, para 5 and in the fourth stage of labor, receives an injection of carboprost (Hemabate) 250 mcg IM. The nurse knows that the expected outcomes of this medication are: Select all that apply. ?
(A) Increased uterine atony.
(B) Delayed uterine involution.
(C) Increased myometrial contractions.
(D) Decreased blood pressure.
9 >>A client, who is gravida 3, para 1, is being induced for pregnancy-induced hypertension using IV oxytocin. Under which circumstances should a nurse discontinue infusion of oxytocin? Select all that apply. ?
(A) Three contractions in a 10-minute window of time.
(B) Contractions every 3 minutes, lasting 90 seconds each.
(C) Decrease in fetal heart rate after the peak of the contraction during each of the last three contractions.
(D) Five contractions in the past 8 minutes.
10 >>The nursing instructor questions a nursing student about an analgesic that may be ordered for a child with otitis media who is complaining of mild ear pain. Which medication should the nursing student correctly expect to be ordered? ?
(A) Ibuprofen.
(B) Acetaminophen.
(C) Codeine.
(D) Dilaudid.
11 >>An adolescent who has attention deficit-hyperactivity disorder (ADHD) complies with taking the prescribed once-a-day medication. The adolescent's academic classes (e.g., math, science, etc.) should be scheduled by the school nurse for the: ?
(A) Morning.
(B) Midday.
(C) Afternoon.
(D) Intermingled with high-interest classroom activities.
12 >>A client, who is an 18-year-old primigravida with gestational diabetes, is admitted to a labor and delivery unit at 34 weeks' gestation in preterm labor. Which physician's order for this client should a nurse question? ?
(A) Magnesium sulfate 4 gm IV bolus over 30 minutes.
(B) Brethine 10 mcg IV.
(C) Stadol 1 mg IV push every 4 hours as needed for pain.
(D) Ancef 2 gm IVPB every 6 hours.
13 >>A client, who is gravida 1, para 0, delivers an infant at 39 weeks' gestation. The client's blood type is O negative and the baby is O positive. A physician orders an injection of Rho(D) immune globulin. To provide adequate postpartum prophylaxis, when should a nurse administer Rho(D) immune globulin? ?
(A) Within 72 hours of delivery.
(B) Within 1 week of delivery.
(C) Before 12 hours after delivery.
(D) Within 2 weeks of delivery.
14 >>A client is discharged on a 2-gm sodium-restricted diet. Which menu choice would indicate the client understands the restriction? ?
(A) Chow mein, egg roll, hot tea.
(B) Onion soup, unsalted crackers, 1 oz cheddar cheese.
15 >>A client with Parkinson's disease will likely have the greatest difficulty swallowing: ?
(A) Apple juice.
(B) Cottage cheese.
(C) Milk shake.
(D) Ground beef.
16 >>Which statement by a client with hypokalemia indicates a need for further teaching by a nurse? ?
(A) "I will eat more bananas and cantaloupes."
(B) "I will eat more bran."
(C) "I will take my K-Lor on a full stomach."
(D) "I will call my provider for weakness, confusion, abdominal cramping, or anxiety."
17 >>A nurse should determine that a client understands the dietary restrictions with a low-cholesterol diet if the client selects a larger portion of: ?
(A) Cottage cheese.
(B) Cheese.
(C) Beef.
(D) Brown rice.
18 >>A nurse instructs a client to eat a low-iodine diet before a thyroid study. A client should be told to avoid: ?
(A) Shellfish.
(B) Coffee and chocolate.
(C) Dark-green leafy vegetables.
(D) Tap water unless it is run through a filter.
19 >>A client would demonstrate awareness of dietary influences in the prevention of dumping syndrome if the intake were adjusted by: Select all that apply. ?
(A) Increasing fats as tolerated.
(B) Eating more dry items than liquid.
(C) Consuming fluids before or after mealtimes.
(D) Avoiding concentrated carbohydrates.
20 >>In preparation for surgery, a client is placed on a lowresidue diet. In discussing the kinds of foods that will be allowed, a nurse should list: ?
(A) Ground lean beef, soft-boiled eggs.
(B) Lettuce, spinach, corn.
(C) Prunes, grapes, apples.
(D) Bran cereal, whole-wheat toast, milk.
21 >>In Meniere's disease, the diet is modified as a part of the treatment plan. Which diet is most appropriate? ?
(A) Low sodium.
(B) High protein.
(C) Low carbohydrate.
(D) Low fat.
22 >>The results of a client's complete blood count are: RBC 3.2 million/mm3, Hgb 10 gm/dL, Hct 29%, and mean corpuscular hemoglobin (MCH) 25 pg/cell. Which foods should the nurse recommend to the client? Select all that apply. ?
(A) Peas.
(B) Cauliflower.
(C) Milk.
(D) Eggs.
NCLEX RN study material, Old papers Download
23 >>A client is admitted with a diagnosis of brain attack (stroke). A physician orders a diet as tolerated. Before feeding the client, a nurse should first: ?
(A) Wait for a specific diet order.
(B) Elevate the head of the bed 30 degrees.
(C) Evaluate the client's swallow reflex.
(D) Delegate feeding to the nursing assistant.
24 >>A client is admitted to a hospital for pneumonia and it is discovered that the client also has a stage II pressure ulcer. When planning a diet for this client, what foods should a nurse encourage the client to eat? ?
(A) Fruits and vegetables.
(B) Whole grains.
(C) Milk, yogurt, and cheese.
(D) Lean meats and low-fat milk.
25 >>A 16-year-old client, who is gravida 1, para 0, is attending a class on pregnancy and nutrition. Which menu selection should a nurse recommend that would best meet the nutritional needs of the client who is pregnant? ?
(A) Hamburger patty, green beans, French fries, and iced tea.
(B) Roast beef sandwich, potato chips, baked beans, and cola.
(C) Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and herbal tea.
(D) Fish sandwich, gelatin with fruit, and coffee.
26 >>A client, who is 23 years old, gravida 3, para 1, has a hemoglobin of 9 gm/dL. She has been prescribed an exogenous iron supplement, but tells a nurse that she cannot take pills. Which food should the nurse recommend that is high in iron? ?
(A) Dried apricots.
(B) Lima beans.
(C) Tofu.
(D) Milk.
27 >>A neonatal nurse is caring for a newborn who is breastfeeding. How many kilocalories are present in an ounce of maternal breast milk? ?
(A) 10 kcal/ounce.
(B) 20 kcal/ounce.
(C) 30 kcal/ounce.
(D) 40 kcal/ounce.
28 >>A child is diagnosed with cystic fibrosis. Which food(s) should the child avoid? Select all that apply. ?
(A) Low-fat yogurt.
(B) Nuts.
(C) Ham.
(D) Hot dogs.
29 >>What would be allowed in the diet of a client with peptic ulcer disease (PUD)? ?
(A) Milk.
(B) Caffeinated coffee.
(C) Alcohol.
(D) Tomato juice.
30 >>Sodium intake is recommended to be no more than 2,400 mg each day. Which client is most at risk for stroke and heart attack with a higher than recommended Na+ intake? ?
(A) A woman.
(B) A client who is overweight.
(C) A man.
(D) A client who is Hispanic.
NCLEX RN study material, Old papers Download
31 >>Which food would be restricted in a low-sodium diet? ?
(A) Whole milk.
(B) Ginger ale.
(C) Orange juice.
(D) Black coffee.
32 >>A client is attending an informational session for invitro fertilization. The client asks a nurse, "What foods can I eat to increase my intake of folic acid?" The nurse suggests that the best source of folic acid is: ?
(A) Green vegetables and liver.
(B) Yellow vegetables and red meat.
(C) Carrots and onions.
(D) Milk and eggs.
33 >>A 40-year-old client at 9 weeks' gestation presents to an obstetric clinic complaining of nausea and vomiting every morning when she awakens. Which intervention should a nurse recommend for this client? ?
(A) Eat a handful of peanuts before getting out of bed.
(B) Increase her intake of high-fat foods.
(C) Drink a carbonated beverage before bedtime.
(D) Eat dry, unsalted crackers before getting out of bed.
34 >>A nurse prepares to give maternal breast milk to an infant via a bottle. Which steps should the nurse take when preparing and administering breast milk? Select all that apply and place in priority order. ?
(A) Review the diet orders.
(B) Compare the infant's identification band against the label on the milk.
(C) Discard thawed milk after 1 hour.
(D) Thaw frozen milk slowly in the microwave.
35 >>A client, who has not been eating or drinking, is admitted to a hospital. Which sign of dehydration should a nurse expect? ?
(A) Tachycardia.
(B) Hypertension.
(C) Shortness of breath.
(D) Crackles in the lungs.
36 >>A client, who is 24 years old and has gestational diabetes, is getting instructions about her diet. A nurse knows that her teaching has been successful when the client correctly identifies that she should avoid: Select all that apply. ?
(A) White rice.
(B) Fruit juice.
(C) Cold cereal.
(D) Hot cereal.
37 >>A client, who is a 17-year-old gravida 2, para 1, practices a strict vegetarian diet. She has been prescribed an iron supplement during her second trimester of pregnancy. To promote better absorption, a nurse should instruct the client to take the iron supplement with which beverage? ?
(A) Milk.
(B) Iced tea.
(C) Soy milk.
(D) Orange juice.
38 >>A client is attending a class on prenatal nutrition. The client asks why vitamin C is important during pregnancy. A nurse's best response would be: ?
(A) Vitamin C is needed to promote collagen formation.
(B) Eating foods high in vitamin C helps metabolize fats and carbohydrates.
(C) Supplemental vitamin C in large doses can prevent neural tube defects.
(D) Studies have shown that vitamin C deficiency leads to pregnancy-induced hypertension.
39 >>A nurse assesses a school-age child who asks questions and can associate subjects with concepts. In which stage of development is this child? ?
(A) Industry.
(B) Intuitive.
(C) Sensorimotor.
(D) Concrete.
40 >>A nurse observes a client on a locked mental health unit who is manifesting behaviors consistent with the mastery of Maslow's level of safety and security. Which behavior is this client most likely exhibiting? ?
(A) Attending medication information sessions and maintaining the unit garden.
(B) Joining group therapy sessions and agreeing to seek aftercare.
(C) Responding to limit setting and requesting anxiolytics.
(D) Eating meals with other clients in the quiet room.
