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NCLEX-PN PDF DEMO:
QUESTION NO: 1
A client can receive the mumps, measles, rubella (MMR) vaccine if he or she:
A. is pregnant.
B. is immunocompromised.
C. is allergic to neomycin.
D. has a cold.
Answer: D
Explanation:
A simple cold without fever does not preclude vaccination. Choices 1 and 2 are incorrect because pregnant women and immunocompromised individuals cannot have the MMR vaccine because the rubella component is a live virus and might cause birth defects and/or disease. Choice 3 is incorrect because the American Academy of Pediatrics states, "Persons who have experienced anaphylactic reactions to topically or systemically administered neomycin should not receive measles vaccine."
Pharmacological Therapies
QUESTION NO: 2
The nurse has completed client teaching about introducing solid foods to an infant. To evaluate teaching, the nurse asks the mother to identify an appropriate first solid food. Which of the following is an appropriate response?
A. pureed canned squash
B. pureed apples
C. yogurt
D. infant rice cereal
Answer: D
Explanation:
Single-grain infant cereals are recommended first because they are easily digestible and have added iron content.
Choice 3 is incorrect because yogurt is a milk product and introduction should be delayed until the child is 12 months of age because of the risk of milk allergy.
Choices 1 and 2 are incorrect because fruits and vegetables are usually given following the introduction of cereals.
Basic Care and Comfort
QUESTION NO: 3
Which type of dressing is recommended to place over a site when a chest tube is removed by the physician?
A. transparent dressing
B. colloidal dressing
C. petrolatum gauze
D. nonadherent dressing
Answer: C
Explanation:
Petrolatum gauze is recommended to place over a site when a chest tube is removed by the physician. This is because it forms an airtight seal, which the other choices do not.
Reduction of Risk Potential
QUESTION NO: 4
The drug of choice to decrease uric acid levels is:
A. prednisone (Colisone).
B. allopurinol (Zyloprim).
C. indomethacin (Indocin).
D. hydrochlorothiazide (HydroDiuril).
Answer: B
Explanation:
Allopurinol is a drug used to treat gout, and it decreases uric acid formation. Prednisone is a corticosteroid used to decrease inflammation. Indomethacin is an analgesic, anti-inflammatory, and antipyretic agent. Hydrochlorothiazide is a thiazide diuretic used to treat hypertension and edema.
Physiological Adaptation
QUESTION NO: 5
Which instruction should be given in a health education class regarding testicular cancer?
A. All males should perform a testicular exam after the age of 30.
B. Testicular exams should be performed on a daily basis.
C. Reddening or darkening of the scrotum is a normal finding.
D. Testicular exams should be performed after a warm bath or shower.
Answer: D
Explanation:
Testicular exams should be performed after a warm shower or bath to relax the scrotum. Testicular exams should be performed on a monthly basis by all men beginning at about age 15. Reddening or darkening of the scrotum is not normal finding and should be reported to a physician.Physiological
Adaptation
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Updated: May 27, 2022