Past Nclex Questions 10
1. 241. The nurse provides discharge teaching to the parents of a 15
month-old child with Kawasaki disease. The child has received
immunoglobulin therapy. Which instruction would be appropriate?
A. High doses of aspirin will be continued for some time
B. Complete recovery is expected within several days
C. Active range of motion exercises should be done
frequently
D. The measles, mumps and rubella vaccine should be
delayed
2. 242. A 10 year-old client is recovering from a splenectomy
following a traumatic injury. The clients laboratory results show a
hemoglobin of 9 g/dL and a hematocrit of 28 percent. The best
approach for the nurse to use is to
A. limit milk and milk products
B. encourage bed activities and games
C. plan nursing care around lengthy rest periods
D. promote a diet rich in iron
3. 243. The nurse is planning care for a 14 year-old client returning
from scoliosis corrective surgery. Which of the following actions
should receive priority in the plan?
A. Antibiotic therapy for 10 days
B. Teach client isometric exercises for legs
C. Assess movement and sensation of extremities
D. Assist to stand up at bedside within the first 24 hours
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, 4. 244. The nurse is caring for a 17 month-old with acetaminophen
poisoning. Which of the following lab reports should the nurse
review first?
A. Prothrombin Time (PT) and partial thromboplastin time
(PTT)
B. Red blood cell and white blood cell counts
C. Blood urea nitrogen and creatinine clearance
D. Liver enzymes (AST and ALT)
5. 245. A 6 year-old child is seen for the first time in the clinic. Upon
assessment, the nurse finds that the child has deformities of the
joints, limbs, and fingers, thinned upper lip, and small teeth with
faulty enamel. The mother states: ”My child seems to have
problems in learning to count and recognizing basic colors.” Based
on this data, the nurse suspects that the child is most likely
showing the effects of which problem?
A. congenital abnormalities
B. chronic toxoplasmosis
C. fetal alcohol syndrome (FAS)
D. lead poisoning
6. 246. The nurse is caring for a client with a distal tibia fracture.
The client has had a closed reduction and application of a toe to
groin cast. 36 hours after surgery, the client suddenly becomes
confused, short of breath and spikes a temperature of 103 degrees
Fahrenheit. The first assessment the nurse should perform is
A. orientation to time, place and person
B. pulse oximetry
C. circulation to casted extremity
D. blood pressure
This study source was downloaded by 100000817935606 from CourseHero.com on 02-10-2022 06:52:31 GMT -06:00
https://www.coursehero.com/file/85696191/Past-Nclex-Questions-10docx/
1. 241. The nurse provides discharge teaching to the parents of a 15
month-old child with Kawasaki disease. The child has received
immunoglobulin therapy. Which instruction would be appropriate?
A. High doses of aspirin will be continued for some time
B. Complete recovery is expected within several days
C. Active range of motion exercises should be done
frequently
D. The measles, mumps and rubella vaccine should be
delayed
2. 242. A 10 year-old client is recovering from a splenectomy
following a traumatic injury. The clients laboratory results show a
hemoglobin of 9 g/dL and a hematocrit of 28 percent. The best
approach for the nurse to use is to
A. limit milk and milk products
B. encourage bed activities and games
C. plan nursing care around lengthy rest periods
D. promote a diet rich in iron
3. 243. The nurse is planning care for a 14 year-old client returning
from scoliosis corrective surgery. Which of the following actions
should receive priority in the plan?
A. Antibiotic therapy for 10 days
B. Teach client isometric exercises for legs
C. Assess movement and sensation of extremities
D. Assist to stand up at bedside within the first 24 hours
This study source was downloaded by 100000817935606 from CourseHero.com on 02-10-2022 06:52:31 GMT -06:00
https://www.coursehero.com/file/85696191/Past-Nclex-Questions-10docx/
, 4. 244. The nurse is caring for a 17 month-old with acetaminophen
poisoning. Which of the following lab reports should the nurse
review first?
A. Prothrombin Time (PT) and partial thromboplastin time
(PTT)
B. Red blood cell and white blood cell counts
C. Blood urea nitrogen and creatinine clearance
D. Liver enzymes (AST and ALT)
5. 245. A 6 year-old child is seen for the first time in the clinic. Upon
assessment, the nurse finds that the child has deformities of the
joints, limbs, and fingers, thinned upper lip, and small teeth with
faulty enamel. The mother states: ”My child seems to have
problems in learning to count and recognizing basic colors.” Based
on this data, the nurse suspects that the child is most likely
showing the effects of which problem?
A. congenital abnormalities
B. chronic toxoplasmosis
C. fetal alcohol syndrome (FAS)
D. lead poisoning
6. 246. The nurse is caring for a client with a distal tibia fracture.
The client has had a closed reduction and application of a toe to
groin cast. 36 hours after surgery, the client suddenly becomes
confused, short of breath and spikes a temperature of 103 degrees
Fahrenheit. The first assessment the nurse should perform is
A. orientation to time, place and person
B. pulse oximetry
C. circulation to casted extremity
D. blood pressure
This study source was downloaded by 100000817935606 from CourseHero.com on 02-10-2022 06:52:31 GMT -06:00
https://www.coursehero.com/file/85696191/Past-Nclex-Questions-10docx/
