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PN Nclex Practice Test

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Q:1-A client with schizophrenia is receiving depot injections of Haldol Decanoate (haloperidol decanoate). The client should be told to return for his next injection in:
Mark one answer:

1 week
2 weeks
4 weeks
6 weeks

Q:2-A 3-year-old is immobilized in a hip spica cast. Which discharge instruction should be given to the parents?
Mark one answer:

Keep the bed flat, with a small pillow beneath the cast
Provide crayons and a coloring book for play activity
Increase her intake of high-calorie foods for healing
Tuck a disposable diaper beneath the cast at the perineal opening

Q:3-The nurse is caring for a client following the reimplantation of the thumb and index finger. Which finding should be reported to the physician immediately?
Mark one answer:

Temperature of 100¡ÆF
Coolness and discoloration of the digits
Complaints of pain
Difficulty moving the digits

Q:4-When assessing the urinary output of a client who has had extracorporeal lithotripsy, the nurse can expect to find:
Mark one answer:

Cherry-red urine that gradually becomes clearer
Orange-tinged urine containing particles of calculi
Dark red urine that becomes cloudy in appearance
Dark, smoky-colored urine with high specific gravity

Q:5-The physician has prescribed Cognex (tacrine) for a client with dementia. The nurse should monitor the client for adverse reactions, which include:
Mark one answer:

Urinary retention

Q:6-Which finding is the best indication that a client with ineffective airway clearance needs suctioning?
Mark one answer:

Oxygen saturation
Respiratory rate
Breath sounds
Arterial blood gases

Q:7-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:
Mark one answer:

Gastric distress
Changes in hearing
Red discoloration of bodily fluids
Changes in color vision

Q:8-The primary cause of anemia in a client with chronic renal failure is:
Mark one answer:

Poor iron absorption
Destruction of red blood cells
Lack of intrinsic factor
Insufficient erythropoietin

Q:9-Which of the following nursing interventions has the highest priority for the client scheduled for an intravenous pyelogram?
Mark one answer:

Providing the client with a favorite meal for dinner
Asking if the client has allergies to shellfish
Encouraging fluids the evening before the test
Telling the client what to expect during the test

Q:10-The doctor has prescribed aspirin 325 mg daily for a client with transient ischemic attacks. The nurse knows that aspirin was prescribed to:
Mark one answer:

Prevent headaches
Boost coagulation
Prevent cerebral anoxia
Keep platelets from clumping together

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