NCLEX-PN 2021 Exam Questions Set 7 (25 Items)

NCLEX-PN 2021 Exam Questions Set 7 (25 Items)

• Question

The physician has ordered Stadol (butorphanol) for a postoperative client. The

nurse knows that the medication is having its intended effect if the client:

• A. States that he is feeling less nauseated • B. Has an increased urinary output • C. Asks for extra servings on his meal tray • D. Is asleep 30 minutes after the injection

Correct Answer: D. Is asleep 30 minutes after the injection

• Option D: Stadol reduces the perception of pain, which allows the

post-operative client to rest.

• Option A: Relief of pain generally results in less nausea, but it is not

the intended effect of the medication.

• Options B and C: Urinary output and appetite are not affected by the

medication.

• Question

The mother of a child with cystic fibrosis tells the nurse that her child makes “snoring” sounds when breathing. The nurse is aware that many children with

cystic fibrosis have:

• A. Enlarged adenoids • B. Choanal atresia • C. Chronic sinusitis • D. Septal deviations

Correct Answer: C. Chronic sinusitis

• Option C: Children with cystic fibrosis are susceptible to chronic

sinusitis and nasal polyps, which might require surgical removal.

• Option B: Choanal atresia is a congenital condition in which there is a

bony obstruction between the nares and the pharynx.

• Options A and D: Enlarged adenoids and septal deviations are not

specific to the child with cystic fibrosis.

• Question

A client is hospitalized with hepatitis A. Which of the client’s regular medications is contraindicated due to the current illness?• A. Premarin (conjugated estrogens) • B. Lipitor (atorvastatin) • C. Prilosec (omeprazole) • D. Synthroid (levothyroxine)

Correct Answer: B. Lipitor (atorvastatin)

• Option B: Lipid-lowering agents are contraindicated in the client with

active liver disease due to risk for hepatotoxicity.

• Options A, C, and D: These are not contraindicated in the client with

active liver disease.

• Question

The nurse has been teaching the role of diet in regulating blood pressure to a client with hypertension. Which meal selection indicates that the client understands his new diet?• A. Oatmeal, apple juice, dry toast, and coffee • B. Pancakes, ham, tomato juice, and coffee • C. Cornflakes, whole milk, banana, and coffee • D. Scrambled eggs, bacon, toast, and coffee

Correct Answer: A. Oatmeal, apple juice, dry toast, and coffee

• Option A: Oatmeal is low in sodium and high in fiber. Limiting

sodium intake and increasing fiber helps to lower cholesterol levels, which reduces blood pressure.

• Answers B and D: They contain animal proteins that are high in both

cholesterol and sodium.

• Option C: Cornflakes and whole milk are higher in sodium and are

poor sources of fiber.