PART 6: NCLEX-PN PRACTICE
QUESTIONS (25 ITEMS)
1. Question
The nurse is caring for an 8-year-old following a routine
tonsillectomy. Which finding should be reported immediately?
o A. Reluctance to swallow
o B. Drooling of blood-tinged saliva
o C. An axillary temperature of 99°F
o D. High-pitched sound when breathing
Correct Answer: D. High-pitched sound when breathing
Options D: One complication from a tonsillectomy is
respiratory stridor (a high-pitched sound) which is a
sign of airway obstruction and is considered to be an
emergency.
Options A, B, and C: These are expected findings
following a tonsillectomy.
2. 2. Question
The nurse is admitting a client with a suspected duodenal ulcer.
The client will most likely report that his abdominal discomfort
lessens when he:
A. Skips a meal
B. Rests in low fowler’s position
C. Eats a meal
D. Sits upright after eating
Correct Answer: C. Eats a meal
, Option C: Food stimulates the release of digestive
juices, these substances neutralize the acidic ph, as
the acidic food reaches the duodenum, it neutralized
to normal ph hence relief of pain is experienced.
Option A: Skipping a meal will make the pain worse.
Option B: Patients suffering from dumping syndrome
are placed in low fowler’s position for 30 minutes after
a meal to lessen symptoms.
Option D: Sitting upright after eating helps relieve
symptoms of gastroesophageal reflux disease.
3. 3. Question
Which of the following meal selections is appropriate for the
client with celiac disease?
A. Ramen noodles and dumplings
B. French croissants and donuts
C. Bacon and egg
D. Pepperoni pizza and ginger ale
Correct Answer: C. Bacon and egg
Option C: Celiac disease is an autoimmune digestive
disease that is characterized by a poor immune
response to foods that contain gluten. All types of
meat (such as bacon) and eggs are gluten-free so it is
permitted to a client with this kind of disease.
Options A, B, and D: These food items are not allowed
because they contain flour made from wheat, which
exacerbates the symptoms of celiac disease.
4. 4. Question
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?
A. The client complains of difficulty in urination
, B. The client is unable to control his or her leg
C. The client complains of hyperventilation
D. The client is unable to sleep
Correct Answer: B. The client is unable to control his or
her leg
Option B: The client is experiencing signs of lithium
toxicity. Symptoms include ataxia (uncoordinated
muscle movement), fine tremors, lack of coordination,
tinnitus, blurred vision, nausea, vomiting, and slurred
speech.
Options A, C, and D: Dysuria, hyperventilation, and
insomnia are not seen with lithium toxicity.
5. 5. Question
A 2-month-old infant has just received her first Tetramune
injection. The nurse should tell the mother that the immunization:
A. Will need to be repeated when the child is 4 years of
age
B. Is given to determine whether the child is susceptible
to pertussis
C. Is one of a series of injections that protects
against DPT and Hib
D. Is a one-time injection that protects against MMR and
varicella
Correct Answer: C. Is one of a series of injections that
protects against DPT and Hib
Option C: Tetramune is administered as a primary
series of three immunizations at 2, 4, and 6 months of
age, a booster is given at 12-15 months of age. It
protects the child against diphtheria, pertussis,
tetanus, and H. influenza b.
Option A: A second injection is given before 4 years of
age.
QUESTIONS (25 ITEMS)
1. Question
The nurse is caring for an 8-year-old following a routine
tonsillectomy. Which finding should be reported immediately?
o A. Reluctance to swallow
o B. Drooling of blood-tinged saliva
o C. An axillary temperature of 99°F
o D. High-pitched sound when breathing
Correct Answer: D. High-pitched sound when breathing
Options D: One complication from a tonsillectomy is
respiratory stridor (a high-pitched sound) which is a
sign of airway obstruction and is considered to be an
emergency.
Options A, B, and C: These are expected findings
following a tonsillectomy.
2. 2. Question
The nurse is admitting a client with a suspected duodenal ulcer.
The client will most likely report that his abdominal discomfort
lessens when he:
A. Skips a meal
B. Rests in low fowler’s position
C. Eats a meal
D. Sits upright after eating
Correct Answer: C. Eats a meal
, Option C: Food stimulates the release of digestive
juices, these substances neutralize the acidic ph, as
the acidic food reaches the duodenum, it neutralized
to normal ph hence relief of pain is experienced.
Option A: Skipping a meal will make the pain worse.
Option B: Patients suffering from dumping syndrome
are placed in low fowler’s position for 30 minutes after
a meal to lessen symptoms.
Option D: Sitting upright after eating helps relieve
symptoms of gastroesophageal reflux disease.
3. 3. Question
Which of the following meal selections is appropriate for the
client with celiac disease?
A. Ramen noodles and dumplings
B. French croissants and donuts
C. Bacon and egg
D. Pepperoni pizza and ginger ale
Correct Answer: C. Bacon and egg
Option C: Celiac disease is an autoimmune digestive
disease that is characterized by a poor immune
response to foods that contain gluten. All types of
meat (such as bacon) and eggs are gluten-free so it is
permitted to a client with this kind of disease.
Options A, B, and D: These food items are not allowed
because they contain flour made from wheat, which
exacerbates the symptoms of celiac disease.
4. 4. Question
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?
A. The client complains of difficulty in urination
, B. The client is unable to control his or her leg
C. The client complains of hyperventilation
D. The client is unable to sleep
Correct Answer: B. The client is unable to control his or
her leg
Option B: The client is experiencing signs of lithium
toxicity. Symptoms include ataxia (uncoordinated
muscle movement), fine tremors, lack of coordination,
tinnitus, blurred vision, nausea, vomiting, and slurred
speech.
Options A, C, and D: Dysuria, hyperventilation, and
insomnia are not seen with lithium toxicity.
5. 5. Question
A 2-month-old infant has just received her first Tetramune
injection. The nurse should tell the mother that the immunization:
A. Will need to be repeated when the child is 4 years of
age
B. Is given to determine whether the child is susceptible
to pertussis
C. Is one of a series of injections that protects
against DPT and Hib
D. Is a one-time injection that protects against MMR and
varicella
Correct Answer: C. Is one of a series of injections that
protects against DPT and Hib
Option C: Tetramune is administered as a primary
series of three immunizations at 2, 4, and 6 months of
age, a booster is given at 12-15 months of age. It
protects the child against diphtheria, pertussis,
tetanus, and H. influenza b.
Option A: A second injection is given before 4 years of
age.
