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NCLEX PN Practical Nurses Quiz | Practice Test 10


1 >>A client is being treated for cancer with linear acceleration radiation. The physician has marked the radiation site with a blue marking pen. The nurse should: ?
  • (A) Remove the unsightly markings with acetone or alcohol
  • (B) Cover the radiation site with loose gauze dressing
  • (C) Sprinkle baby powder over the radiated area
  • (D) Refrain from using soap or lotion on the marked area
2 >>The nurse is caring for a client with acromegaly. Following a transphenoidal hypophysectomy, the nurse should: ?
  • (A) Monitor the client's blood sugar
  • (B) Suction the mouth and pharynx every hour
  • (C) Place the client in low Trendelenburg position
  • (D) Encourage the client to cough
3 >>A client newly diagnosed with diabetes is started on Precose (acarbose). The nurse should tell the client that the medication should be taken: ?
  • (A) 1 hour before meals
  • (B) 30 minutes after meals
  • (C) With the first bite of a meal
  • (D) Daily at bedtime
4 >>A client with a deep decubitus ulcer is receiving therapy in the hyperbaric oxygen chamber. Before therapy, the nurse should: ?
  • (A) Apply a lanolin-based lotion to the skin
  • (B) Wash the skin with water and pat dry
  • (C) Cover the area with a petroleum gauze
  • (D) Apply an occlusive dressing to the site
5 >>A client with a laryngectomy returns from surgery with a nasogastric tube in place. The primary reason for placement of the nasogastric tube is to: ?
  • (A) Prevent swelling and dysphagia
  • (B) Decompress the stomach via suction
  • (C) Prevent contamination of the suture line
  • (D) Promote healing of the oral mucosa




6 >>The chart indicates that a client has expressive aphasia following a stroke. The nurse understands that the client will have difficulty with: ?
  • (A) Speaking and writing
  • (B) Comprehending spoken words
  • (C) Carrying out purposeful motor activity
  • (D) Recognizing and using an object correctly
7 >>A camp nurse is applying sunscreen to a group of children enrolled in swim classes. Chemical sunscreens are most effective when applied: ?
  • (A) Just before sun exposure
  • (B) 5 minutes before sun exposure
  • (C) 15 minutes before sun exposure
  • (D) 30 minutes before sun exposure
8 >>A post-operative client has an order for Demerol (meperidine) 75mg and Phenergan (promethazine) 25mg IM every 3-4 hours as needed for pain. The combination of the two medications produces a/an: ?
  • (A) Agonist effect
  • (B) Synergistic effect
  • (C) Antagonist effect
  • (D) Excitatory effect
9 >>Before administering a client's morning dose of Lanoxin (digoxin),the nurse checks the apical pulse rate and finds a rate of 54. The appropriate nursing intervention is to: ?
  • (A) Record the pulse rate and administer the medication
  • (B) Administer the medication and monitor the heart rate
  • (C) Withhold the medication and notify the doctor
  • (D) Withhold the medication until the heart rate increases
10 >>What information should the nurse give a new mother regarding the introduction of solid foods for her infant? ?
  • (A) Solid foods should not be given until the extrusion reflex disappears, at 8-10 months of age.
  • (B) Solid foods should be introduced one at a time, with 4- to 7-day intervals.
  • (C) Solid foods can be mixed in a bottle or infant feeder to make feeding easier.
  • (D) Solid foods should begin with fruits and vegetables.
11 >>A client with schizophrenia is started on Zyprexa (olanzapine). Three weeks later, the client develops severe muscle rigidity and elevated temperature. The nurse should give priority to: ?
  • (A) Withholding all morning medications
  • (B) Ordering a CBC and CPK
  • (C) Administering prescribed anti-Parkinsonian medication
  • (D) Transferring the client to a medical unit
12 >>A client with human immunodeficiency syndrome has gastrointestinal symptoms, including diarrhea. The nurse should teach the client to avoid: ?
  • (A) Calcium-rich foods
  • (B) Canned or frozen vegetables
  • (C) Processed meat
  • (D) Raw fruits and vegetables
13 >>A 4-year-old is admitted with acute leukemia. It will be most important to monitor the child for: ?
  • (A) Abdominal pain and anorexia
  • (B) Fatigue and bruising
  • (C) Bleeding and pallor
  • (D) Petechiae and mucosal ulcers
14 >>A 5-month-old is diagnosed with atopic dermatitis. Nursing interventions will focus on: ?
  • (A) Preventing infection
  • (B) Administering antipyretics
  • (C) Keeping the skin free of moisture
  • (D) Limiting oral fluid intake
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15 >>The nurse is caring for a client with a history of diverticulitis. The client complains of abdominal pain, fever, and diarrhea. Which food was responsible for the client's symptoms? ?
  • (A) Mashed potatoes
  • (B) Steamed carrots
  • (C) Baked fish
  • (D) Whole-grain cereal
16 >>The physician has scheduled a Whipple procedure for a client with pancreatic cancer. The nurse recognizes that the client's cancer is located in: ?
  • (A) The tail of the pancreas
  • (B) The head of the pancreas
  • (C) The body of the pancreas
  • (D) The entire pancreas
17 >>A child with cystic fibrosis is being treated with inhalation therapy with Pulmozyme (dornase alfa). A side effect of the medication is: ?
  • (A) Weight gain
  • (B) Hair loss
  • (C) Sore throat
  • (D) Brittle nails
18 >>The doctor has ordered Percocet (oxycodone) for a client following abdominal surgery. The primary objective of nursing care for the client receiving an opiate analgesic is to: ?
  • (A) Prevent addiction
  • (B) Alleviate pain
  • (C) Facilitate mobility
  • (D) Prevent nausea
19 >>Which finding is the best indication that a client with ineffective airway clearance needs suctioning? ?
  • (A) Oxygen saturation
  • (B) Respiratory rate
  • (C) Breath sounds
  • (D) Arterial blood gases
20 >>A client with tuberculosis has a prescription for Myambutol (ethambutol HCl). The nurse should tell the client to notify the doctor immediately if he notices: ?
  • (A) Gastric distress
  • (B) Changes in hearing
  • (C) Red discoloration of bodily fluids
  • (D) Changes in color vision

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