Pass the NCLEX NCLEX Certification NCLEX-PN Questions and answers with CertsForce

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Viewing questions 16-30 out of questions
Questions # 16:

A 2-year-old child diagnosed with HIV comes to a clinic for immunizations. Which of the following vaccines should the nurse expect to administer in addition to the scheduled vaccines?

Options:

A.

pneumococcal vaccine


B.

hepatitis A vaccine


C.

Lyme disease vaccine


D.

typhoid vaccine


Questions # 17:

The chemotherapeutic DNA alkylating agents such as nitrogen mustards are effective because they:

Options:

A.

cross-link DNA strands with covalent bonds between alkyl groups on the drug and guanine bases on DNA.


B.

have few, if any, side effects.


C.

are used to treat multiple types of cancer.


D.

are cell-cycle-specific agents.


Questions # 18:

Which of the following ethnic groups is at highest risk in the United States for pesticide-related injuries?

Options:

A.

Native American


B.

Asian-Pacific


C.

Norwegian


D.

Hispanic


Questions # 19:

An assessment of the skull of a normal 10-monthold baby should identify which of the following?

Options:

A.

closure of the posterior fontanel.


B.

closure of the anterior fontanel.


C.

overlap of cranial bones.


D.

ossification of the sutures.


Questions # 20:

Which of the following individuals may legally give informed consent?

Options:

A.

an 86-year-old male with advanced Alzheimer’s disease


B.

a 14-year-old girl needing an appendectomy who isnotan emancipated minor


C.

a 72-year-old female scheduled for a heart transplant


D.

a 6-month-old baby needing bowel surgery


Questions # 21:

A client with asthma develops respiratory acidosis. Based on this diagnosis, what should the nurse expect the client’s serum potassium level to be?

Options:

A.

normal


B.

elevated


C.

low


D.

unrelated to the pH


Questions # 22:

Narrow therapeutic index medications:

Options:

A.

are drug formulations with limited pharmacokinetic variability.


B.

have limited value and require no monitoring of blood levels.


C.

have less than a twofold difference in minimum toxic levels and minimum effective concentration in the blood.


D.

have limited potency and side effects.


Questions # 23:

Legal protection of confidentiality:

Options:

A.

extends only to written documentation.


B.

extends to the electronic dissemination of information not identifiable to a specific client.


C.

is important only within the court system.


D.

extends to both written and verbal information.


Questions # 24:

The nurse is caring for a client who is dying. While assessing the client for signs of impending death, the nurse observes the client for:

Options:

A.

elevated blood pressure.


B.

Cheyne-Stokes respiration.


C.

elevated pulse rate.


D.

decreased temperature.


Questions # 25:

Distribution of a drug to various tissues is dependent on the amount of cardiac output to each type of tissue. Which tissue would receive the highest amount of cardiac output and thus the highest amount of a drug?

Options:

A.

skin


B.

adipose tissue


C.

skeletal muscle


D.

myocardium


Questions # 26:

Signs of impaired breathing in infants and children include all of the following except:

Options:

A.

nasal flaring.


B.

grunting.


C.

seesaw breathing.


D.

quivering lips.


Questions # 27:

A nurse is planning a brief treatment program for a client who was raped. A realistic, short-term goal is to:

Options:

A.

identify all psychosocial problems.


B.

eliminate the client’s enticing behaviors.


C.

resolve feelings of trauma and fear.


D.

verbalize feeling about the event.


Questions # 28:

A client recently lost a child due to poisoning. The client tells the nurse, “I don’t want to make any new friends right now.” This is an example of which of the following indicators of stress?

Options:

A.

emotional behavioral indicator


B.

spiritual indicator


C.

sociocultural indicator


D.

intellectual indicator


Questions # 29:

A corporate executive works 60–80 hours a week. The client is experiencing some physical signs of stress. The nurse teaches the client biofeedback techniques. This is an example of which of the following health-promotion interventions?

Options:

A.

structure


B.

relaxation technique


C.

time management


D.

regular exercise


Questions # 30:

The drug of choice to decrease uric acid levels is:

Options:

A.

prednisone (Colisone).


B.

allopurinol (Zyloprim).


C.

indomethacin (Indocin).


D.

hydrochlorothiazide (HydroDiuril).


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