Comprehensive NCLEX-RN Challenge Test 8

A child with croup is placed in a cool, high-humidity tent connected to room air. The primary purpose of the tent is to:

The nurse is suctioning the tracheostomy of an adult client. The recommended pressure setting for performing tracheostomy suctioning on the adult client is:

A client is admitted with a diagnosis of myxedema. An initial assessment of the client would reveal the symptoms of:

Which statement describes the contagious stage of varicella?

The nurse is reviewing the results of a sweat test taken from a child with cystic fibrosis. Which finding supports the client’s diagnosis?

A client in labor has an order for Demerol (meperidine) 75 mg. IM to be administered 10 minutes before delivery. The nurse should:

Which of the following statements describes Piaget’s stage of concrete operations?

A client admitted to the psychiatric unit claims to be the Pope and insists that he will not be kept away from his subjects. The most likely explanation for the client’s delusion is:

Which of the following statements reflects Kohlberg’s theory of the moral development of the preschool-age child?

The nurse is caring for an 8-year-old following a routine tonsillectomy. Which finding should be reported immediately?

The nurse is admitting a client with a suspected duodenal ulcer. The client will most likely report that his abdominal discomfort decreases when he:

The nurse is assessing a newborn in the well-baby nursery. Which finding should alert the nurse to the possibility of a cardiac anomaly?

A 2-year-old is hospitalized with a diagnosis of Kawasaki’s disease. A severe complication of Kawasaki’s disease is:

The charge nurse is formulating a discharge teaching plan for a client with mild preeclampsia. The nurse should give priority to:

The nurse is preparing to discharge a client who is taking an MAOI. The nurse should instruct the client to:

Which of the following meal selections is appropriate for the client with celiac disease?

A client with hyperthyroidism is taking lithium carbonate to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client’s medication?

The physician has ordered intravenous fluid with potassium for a client admitted with gastroenteritis and dehydration. Before adding potassium to the intravenous fluid, the nurse should:

A 2-month-old infant has just received her first Tetramune injection. The nurse should tell the mother that the immunization:

A client with Addison’s disease has been receiving glucocorticoid therapy. Which finding indicates a need for dosage adjustment?

The nurse is caring for an obstetrical client in early labor. After the rupture of membranes, the nurse should give priority to:

The physician has prescribed Synthroid (levothyroxine) for a client with myxedema. Which statement indicates that the client understands the nurse’s teaching regarding the medication?

The nurse is caring for a client with a radium implant for the treatment of cervical cancer. While caring for the client with a radioactive implant, the nurse should:

The nurse is caring for a client hospitalized with bipolar disorder, manic phase who is taking lithium. Which of the following snacks would be best for the client with mania?

The physician has prescribed imipramine (ToFranil) for a client with depression. The nurse should continue to monitor the client’s affect because the maximal effects of tricyclic antidepressant medication do not occur for:

An elderly client with glaucoma has been prescribed Timoptic eyedrops. Timoptic should be used with caution in clients with a history of:

A 2-year-old is hospitalized with suspected intussusception. Which finding is associated with intussusception?

Which of the following findings would be expected in the infant with biliary atresia?

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:

The blood alcohol concentration of a client admitted following a motor vehicle accident is 460mg/dL. The nurse should give priority to monitoring the client for:

The nurse is caring for a client with acromegaly. Following a transphenoidal hypophysectomy, the nurse should:

A client newly diagnosed with diabetes is started on Precose (acarbose). The nurse should tell the client that the medication should be taken:

A client with a deep decubitus ulcer is receiving therapy in the hyperbaric oxygen chamber. Before therapy, the nurse should:

The physician has ordered DDAVP (desmopressin acetate) for a client with diabetes insipidus. Which finding indicates that the medication is having its intended effect?

A client with pregnancy-induced hypertension is scheduled for a C-section. Before surgery, the nurse should keep the client:

The physician has prescribed Coumadin (sodium warfarin) for a client having transient ischemic attacks. Which laboratory test measures the therapeutic level of Coumadin?

An adolescent client with cystic acne has a prescription for Accutane (isotretinoin). Which lab work is needed before beginning the medication?

Twenty-four hours after an uncomplicated labor and delivery, a client’s WBC is 12,000cu/mm. The elevation in the client’s WBC is most likely an indication of:

The home health nurse is visiting a client who plans to deliver her baby at home. Which statement by the client indicates an understanding regarding screening for phenylketonuria (PKU)?

The physician has ordered intubation and mechanical ventilation for a client with periods of apnea following a closed head injury. Arterial blood gases reveal a pH of 7.47, PCO2 of 28, and HCO3 of 23. These findings indicate that the client has: