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NCLEX PN Practical Nurses Quiz | Practice Test 04


1 >>A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered a sliding scale insulin. The most likely explanation for this order is: ?
  • (A) Parenteral Nutrition leads to negative nitrogen balance and elevated glucose levels.
  • (B) Total Parenteral Nutrition cannot be managed with oral hypoglycemics.
  • (C) Total Parenteral Nutrition is a high-glucose solution that often elevates the blood glucose levels.
  • (D) Total Parenteral Nutrition leads to further pancreaticdisease.
2 >>An adolescent primigravida who is 10 weeks pregnant attends the antepartal clinic for her first check-up. To develop a teaching plan, the nurse should initially assess: ?
  • (A) The client's knowledge of the signs of preterm labor
  • (B) The client's feelings about the pregnancy
  • (C) Whether the client was using a method of birth control
  • (D) The client's thought about future children
3 >>The client has an order for Demerol (meperidine) and Phenergan (promethazine) to be given together. The nurse is aware that the purpose of this order is: ?
  • (A) For its synergistic effect
  • (B) For its agonist effect
  • (C) For its extrapyramidal effects
  • (D) For its antagonistic effects
4 >>The physician has ordered a liver scan with contrast to confirm the diagnosis. Before the procedure, the nurse should: ?
  • (A) Assess the client for allergies
  • (B) Bolus the client with fluid
  • (C) Tell the client he will be asleep
  • (D) Insert a urinary catheter
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5 >>The physician has ordered an injection of RhoGam for a client with blood type A negative. The nurse understands that RhoGam is given to: ?
  • (A) Provide immunity against Rh isoenzymes
  • (B) Prevent the formation of Rh antibodies
  • (C) Eliminate circulating Rh antibodies
  • (D) Convert the Rh factor from negative to positive
6 >>The nurse is caring for a client admitted to the emergency room after a fall. X-rays reveal that the client has several fractured bones in the foot. Which treatment should the nurse anticipate for the fractured foot? ?
  • (A) Application of a short inclusive spica cast
  • (B) Stabilization with a plaster-of-Paris cast
  • (C) Surgery with Kirschner wire implantation
  • (D) No bandages to be used to correct the fractured foot
7 >>A nurse is performing the Trendelenburg test for the client with multiple sclerosis. The nurse is aware that this test is used to measure: ?
  • (A) Muscle weakness
  • (B) Fluid retention
  • (C) Ability to concentrate
  • (D) Dexterity
8 >>Following a heart transplant, a client is started on medication to prevent organ rejection. Which category of medication prevents the formation of antibodies against the new organ? ?
  • (A) Antivirals
  • (B) Antibiotics
  • (C) Immunosuppressants
  • (D) Analgesics
9 >>The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use: ?
  • (A) Mydriatics to facilitate removal
  • (B) Miotic medications such as Timoptic
  • (C) A laser to smooth and reshape the lens
  • (D) Silicone oil injections into the eyeball
10 >>A client with Alzheimer's disease is awaiting placement in a skilled nursing facility. Which long-term plans would be most therapeutic for the client? ?
  • (A) Placing mirrors in several locations in the home
  • (B) Placing a picture of herself in her bedroom
  • (C) Placing simple signs to indicate the location of the bedroom, bathroom, and so on
  • (D) Alternating healthcare workers to prevent boredom
11 >>A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson-Pratt drain is to: ?
  • (A) Prevent the need for dressing changes
  • (B) Reduce edema at the incision
  • (C) Provide for wound drainage
  • (D) Keep the common bile duct open
12 >>The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The nurse can expect to find the presence of: ?
  • (A) Mongolian spots
  • (B) Scrotal rugae
  • (C) Head lag
  • (D) Vernix caseosa
13 >>The nurse is caring for a client admitted with multiple trauma. Fractures include the pelvis, femur, and ulna. Which finding should be reported to the physician immediately? ?
  • (A) Hematuria
  • (B) Muscle spasms
  • (C) Dizziness
  • (D) Nausea
14 >>A client is brought to the emergency room by the police. He is combative and yells, "I have to get out of here; they are trying to kill me." Which assessment is most likely correct in relation to this statement? ?
  • (A) The client is experiencing an auditory hallucination.
  • (B) The client is having a delusion of grandeur.
  • (C) The client is experiencing paranoid delusions.
  • (D) The client is intoxicated.
15 >>The nurse is performing tracheostomy care. If the client coughs out the inner cannula, the nurse should: ?
  • (A) Call the doctor
  • (B) Replace the inner cannula with a new one
  • (C) Hold open the stoma with forceps
  • (D) Begin rescue breathing
16 >>An infant's Apgar score is 9 at 5 minutes. The nurse is aware that the most likely cause for the deduction of one point is: ?
  • (A) The baby is cold.
  • (B) The baby is experiencing bradycardia.
  • (C) The baby's hands and feet are blue.
  • (D) The baby is lethargic.
17 >>The primary reason for rapid continuous rewarming of the area affected by frostbite is to: ?
  • (A) Lessen the amount of cellular damage
  • (B) Prevent the formation of blisters
  • (C) Promote movement
  • (D) Prevent pain and discomfort
18 >>A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse's response is based on the knowledge that hemodialysis works by: ?
  • (A) Passing water through the dialyzing membrane
  • (B) Eliminating plasma proteins from the blood
  • (C) Lowering the pH by removing nonvolatile acids
  • (D) Filtering waste through a dialyzing membrane




19 >>During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate? ?
  • (A) Administering an antibiotic
  • (B) Contacting the physician for an order for immune globulin
  • (C) Administering an antiviral
  • (D) Telling the client that he should remain in isolation for 2 weeks
20 >>A client hospitalized with MRSA (methicillin-resistant staph aureus) is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact? ?
  • (A) The client should be placed in a room with negative pressure.
  • (B) Infection requires close contact; therefore, the door may remain open.
  • (C) Transmission is highly likely, so the client should wear a mask at all times.
  • (D) Infection requires skin-to-skin contact and is prevented by handwashing, gloves, and a gown.



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