05 NCLEX PN Practical Nurses Quiz | Practice Test 05 - Multiple choice questions and Objectives
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NCLEX PN Practical Nurses Quiz | Practice Test 05

1 >>A client with an above-the-knee amputation is being taught methods to prevent hip-flexion deformities. Which instruction should be given to the client? ?
  • (A) "Lie supine with the head elevated on two pillows."
  • (B) "Lie prone every 4 hours during the day for 30 minutes."
  • (C) "Lie on your side with your head elevated."
  • (D) "Lie flat during the day."
2 >>A client with cancer of the pancreas has undergone a Whipple procedure. The nurse is aware that, during the Whipple procedure, the doctor will remove the: ?
  • (A) Head of the pancreas
  • (B) Proximal third section of the small intestines
  • (C) Stomach and duodenum
  • (D) Esophagus and jejunum
3 >>The physician has ordered a minimal bacteria diet for a client with neutropenia. The client should be taught to avoid eating: ?
  • (A) Fruits
  • (B) Salt
  • (C) Pepper
  • (D) Ketchup
4 >>A client is discharged home with a prescription for Coumadin (warfarin sodium). The client should be instructed to: ?
  • (A) Have a Protime done monthly
  • (B) Eat more fruits and vegetables
  • (C) Drink more liquids
  • (D) Avoid crowds

5 >>The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to: ?
  • (A) Perform the Valsalva maneuver as the catheter is advanced
  • (B) Turn his head to the left side and hyperextend the neck
  • (C) Take slow, deep breaths as the catheter is removed
  • (D) Turn his head to the right while maintaining a sniffing position
6 >>A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for: ?
  • (A) Allergies to pineapples and bananas
  • (B) A history of streptococcal infections
  • (C) Prior therapy with phenytoin
  • (D) A history of alcohol abuse
7 >>The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid: ?
  • (A) Using oil- or cream-based soaps
  • (B) Flossing between the teeth
  • (C) The intake of salt
  • (D) Using an electric razor
8 >>The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to: ?
  • (A) Apply the new tie before removing the old one
  • (B) Have a helper present
  • (C) Hold the tracheotomy with the nondominant hand while removing the old tie
  • (D) Ask the doctor to suture the tracheotomy in place
9 >>The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to: ?
  • (A) Turning the client to the left side
  • (B) Milking the tube to ensure patency
  • (C) Slowing the intravenous infusion
  • (D) Notifying the physician
10 >>The infant is admitted to the unit with tetrology of falot. The nurse would anticipate an order for which medication? ?
  • (A) Digoxin
  • (B) Epinephrine
  • (C) Aminophyline
  • (D) Atropine
11 >>The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will: ?
  • (A) Tire easily
  • (B) Grow normally
  • (C) Need more calories
  • (D) Be more susceptible to viral infections
12 >>A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test: ?
  • (A) Determines the lung maturity of the fetus
  • (B) Measures the activity of the fetus
  • (C) Shows the effect of contractions on fetal heart rate
  • (D) Measures the neurological well-being of the fetus
13 >>The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as: ?
  • (A) Atrial flutter
  • (B) A sinus rhythm
  • (C) Ventricular tachycardia
  • (D) Atrial fibrillation
14 >>A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should: ?
  • (A) Be injected into the deltoid muscle
  • (B) Be injected in the abdomen
  • (C) Aspirate after the injection
  • (D) Clear the air from the syringe before injections
15 >>The nurse has a pre-op order to administer Valium (diazepam) 10mg and Phenergan (promethazine) 25mg. The correct method of administering these medications is to: ?
  • (A) Administer the medications together in one syringe
  • (B) Administer the medications separately
  • (C) Administer the Valium, wait 5 minutes, and administer the Phenergan
  • (D) Question the order because they cannot be given to the same client
16 >>A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to: ?
  • (A) Douche after intercourse
  • (B) Void every 3 hours
  • (C) Obtain a urinalysis monthly
  • (D) Wipe from back to front after voiding
17 >>Which task should be assigned to the nursing assistant? ?
  • (A) Placing the client in seclusion
  • (B) Emptying the Foley catheter of the preeclamptic client
  • (C) Feeding the client with dementia
  • (D) Ambulating the client with a fractured hip
18 >>The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside? ?
  • (A) A tracheotomy set
  • (B) A padded tongue blade
  • (C) An endotracheal tube
  • (D) An airway

19 >>A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty: ?
  • (A) Expressing feelings of low self-worth
  • (B) Discussing remorse and guilt for actions
  • (C) Displaying dependence on others
  • (D) Expressing anger toward others
20 >>A client receiving HydroDIURIL (hydrochlorothiazide) is instructed to increase her dietary intake of potassium. The best snack for the client requiring increased potassium is: ?
  • (A) Pear
  • (B) Apple
  • (C) Orange
  • (D) Banana

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