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NCLEX PN Practice Test Questions

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Question 1 of 5

A nurse is caring for a 1-month-old client who is being evaluated for congenital hypothyroidism. The nurse should recognize which of the following as clinical manifestations of hypothyroidism in infants? Select all that apply.

Correct Answer: A,B,D

Rationale: Hypothyroidism in infants causes lethargy (
A), dry skin (
B), and hoarse cry (
D) due to slowed metabolism. Loose stools (
C) and tachycardia (E) are more typical of hyperthyroidism.

Question 2 of 5

The nurse is reviewing lifestyle and nutritional strategies to help cables symptoms in a client with newly diagnosed gastroesophageal reflux disease. Which strategies should the nurse include? Select all that apply.

Correct Answer: A,D,E

Rationale: GERD management focuses on reducing esophageal irritation. Low-fat foods (
A) reduce gastric acid secretion and reflux risk. Limiting alcohol and tobacco (
D) prevents lower esophageal sphincter relaxation and mucosal irritation. Avoiding caffeine, chocolate, and peppermint (E) minimizes sphincter relaxation. Dairy (
B) is not universally contraindicated unless lactose intolerance is present. Large meals (
C) increase gastric pressure, worsening reflux.

Question 3 of 5

A woman in her third trimester complains of severe heartburn. What is appropriate teaching by the nurse to help the woman alleviate these symptoms?

Correct Answer: D

Rationale: Sleep with head propped on several pillows. Heartburn is a burning sensation caused by regurgitation of gastric contents. It is best relieved by sleeping position, eating small meals, and not eating before bedtime.

Question 4 of 5

The doctor has ordered Nitrostat (nitroglycerine) sublingually for a client with angina. The client should be ordered to replenish his supply every:

Correct Answer: A

Rationale: Nitroglycerin loses potency after 6 months, requiring replacement to ensure efficacy for angina relief.

Question 5 of 5

The nurse is caring for a client with immune thrombocytopenic purpura. Which client statements indicate a need for further teaching? Select all that apply.

Correct Answer: C,E

Rationale: ITP increases bleeding risk. Using a safety razor (
C) risks cuts, and ibuprofen (E) inhibits platelets, both requiring further teaching. Soft toothbrush (
A), safe walking (
B), and docusate (
D) are appropriate.

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