Question

For a child with acute glomerulonephritis on a potassium-restricted diet, which fruit is appropriate to include?

Answer 1

Correct Answers:

Blueberries

Rationale :

💁‍♂️Blueberries are low in potassium, making them suitable for a child with glomerulonephritis, where potassium levels need to be strictly controlled.

🍌Fruits like raisins, cantaloupe, and apricots are high in potassium and should be avoided in this dietary restriction.

🩺In renal conditions, excess potassium can lead to cardiac arrhythmias or muscle weakness, so dietary education is vital.

📊Blueberries offer antioxidants and nutrients without elevating potassium, supporting both nutrition and renal safety.

📌Core Message

Children with glomerulonephritis need low-potassium foods like blueberries to prevent electrolyte imbalance.

Answer 2

Correct Answers:

Telling the client that no special preparation is needed

Rationale :

📋The hydrogen breath test is a non-invasive tool used to detect carbohydrate malabsorption or bacterial overgrowth, and it generally requires no specific preparation.

💨Clients can perform the test under standard conditions unless otherwise instructed, as dietary or medication restrictions may vary slightly by provider.

⚠️Unlike some other GI tests, this one does not typically require fasting, medication withholding, or dietary changes beforehand.

🩺This makes it a simple, outpatient-friendly procedure useful for pediatric and adult clients.

📌Core Message

Most hydrogen breath tests require no special preparation, making them easy to administer.

Answer 3

Correct Answers:

Give the medication with 4 oz. of juice

Rationale :

🥤Liquid potassium supplements have a strong, unpleasant taste and may irritate the stomach lining if given undiluted.

🧃Mixing with juice, particularly citrus like orange or apple, improves palatability and reduces gastric discomfort.

🧪This also helps ensure the entire dose is consumed, especially in pediatric clients or those with poor appetite.

📋Dilution in juice is a standard recommendation to enhance compliance and safety.

📌Core Message

Oral potassium should be diluted in juice to reduce GI irritation and improve tolerance.

Answer 4

Correct Answers:

Specimens must be collected in a special transport medium

Rationale :

🧫CMV cultures are delicate and must be preserved in specific viral transport media to maintain viability of the virus.

🧪This ensures that viral DNA or antigens remain intact for accurate lab analysis.

🚫Routine collection without this medium can lead to false negatives or contamination.

📦Proper collection and handling are essential for diagnosing infections in immunocompromised or neonatal clients.

📌Core Message

CMV specimens must be stored in special viral media to preserve the virus for lab testing.

Answer 5

Correct Answers:

Produces a burning sensation when applied

Rationale :

🔥Sulfamylon penetrates burn tissue deeply, which results in a burning or stinging sensation on application.

💊Although uncomfortable, this side effect is temporary and expected, especially during the initial phases of dressing changes.

🧯It is highly effective against Pseudomonas and Gram-negative bacteria, making it vital in burn infection prevention.

👨‍⚕️Clients and families should be prepared for this reaction to reduce anxiety and promote adherence to treatment.

📌Core Message

Sulfamylon cream commonly causes a burning sensation but is effective in preventing infection in burns.

Answer 6

Correct Answers:

Provide oral hygiene and gum care every shift

Rationale :

🦷Phenytoin (Dilantin) can cause gingival hyperplasia, particularly with prolonged use.

💁‍♂️Meticulous oral hygiene and regular gum care help reduce inflammation and control tissue overgrowth.

📋This side effect is more common in children and adolescents, making routine dental care essential.

🔄Nurses should teach clients about toothbrushing, flossing, and dental visits as part of long-term care.

📌Core Message

Clients on Dilantin need regular oral hygiene to prevent gingival hyperplasia.

Answer 7

Correct Answers:

Prevent nausea

Rationale :

🤢Zofran is a serotonin (5-HT3) antagonist that blocks nausea signals in the chemoreceptor trigger zone of the brain.

💊It is given before chemotherapy to prevent anticipatory and acute vomiting, enhancing comfort and treatment adherence.

📆Timing is crucial—administering 30 minutes prior allows the drug to reach effective levels before the emetogenic stimulus.

📋This intervention is part of standard antiemetic protocols in cancer care.

📌Core Message

Zofran prevents chemotherapy-induced nausea by blocking serotonin in the vomiting center.

Answer 8

Correct Answers:

Pull the ear down and back

Rationale :

👂In children under 3 years, the auditory canal is shorter and more horizontal, requiring the ear to be pulled down and back for proper drop instillation.

🧒This straightens the canal, allowing the medication to reach the tympanic membrane effectively.

📋Improper positioning can lead to ineffective treatment and prolonged infection.

🧪This is a basic pediatric nursing skill taught in ENT medication administration.

📌Core Message

For toddlers, pull the ear down and back to allow proper delivery of ear drops.

Answer 9

Correct Answers:

The client complains of a sore throat

Rationale :

🦠A sore throat in clients taking chlorpromazine may signal agranulocytosis, a rare but serious side effect causing bone marrow suppression.

📉This leads to a drop in white blood cells, increasing the risk for infections that start subtly.

🔍Any signs of infection while on antipsychotics should be reported immediately for lab investigation (WBC count).

⚠️This condition can be life-threatening if not detected early.

📌Core Message

A sore throat on chlorpromazine may signal agranulocytosis, requiring urgent medical attention.

Answer 10

Correct Answers:

Orange juice

Rationale :

🍊Vitamin C in orange juice enhances iron absorption by keeping it in the ferrous form, which is more bioavailable.

🥛Milk and calcium-rich foods inhibit iron absorption, while water offers no enhancement.

🩸Clients with iron-deficiency anemia benefit most when iron is taken with acidic liquids like orange juice.

📋This strategy helps increase hemoglobin levels and improve clinical symptoms faster.

📌Core Message

Iron supplements should be taken with orange juice to maximize absorption and effectiveness.

NCLEX PN-Readiness Assessment Test-2

No.

1 :
For a child with acute glomerulonephritis on a potassium-restricted diet, which fruit is appropriate to include?

2 :
What is the proper instruction regarding preparation for a hydrogen breath test?

3 :
What is the best way to administer an oral potassium supplement in liquid form?

4 :
Which statement accurately describes collecting specimens for cytomegalovirus (CMV) testing?

5 :
When using Sulfamylon (mafenide acetate) cream on burn wounds, what should the nurse expect?

6 :
While caring for a seizure client on Dilantin, what nursing action is most important?

7 :
What is the purpose of administering Zofran (ondansetron) before chemotherapy?

8 :
How should ear drops be administered to a 2-year-old child with otitis media?

9 :
A client taking chlorpromazine (Thorazine) reports a sore throat. What action should the nurse take?

10 :
How should a client with iron-deficiency anemia take an oral iron supplement for best absorption?

NCLEX PN-Readiness Assessment Test-2

No.

1 : For a child with acute glomerulonephritis on a potassium-restricted diet, which fruit is appropriate to include?

2 : What is the proper instruction regarding preparation for a hydrogen breath test?

3 : What is the best way to administer an oral potassium supplement in liquid form?

4 : Which statement accurately describes collecting specimens for cytomegalovirus (CMV) testing?

5 : When using Sulfamylon (mafenide acetate) cream on burn wounds, what should the nurse expect?

6 : While caring for a seizure client on Dilantin, what nursing action is most important?

7 : What is the purpose of administering Zofran (ondansetron) before chemotherapy?

8 : How should ear drops be administered to a 2-year-old child with otitis media?

9 : A client taking chlorpromazine (Thorazine) reports a sore throat. What action should the nurse take?

10 : How should a client with iron-deficiency anemia take an oral iron supplement for best absorption?

1 :
For a child with acute glomerulonephritis on a potassium-restricted diet, which fruit is appropriate to include?

2 :
What is the proper instruction regarding preparation for a hydrogen breath test?

3 :
What is the best way to administer an oral potassium supplement in liquid form?

4 :
Which statement accurately describes collecting specimens for cytomegalovirus (CMV) testing?

5 :
When using Sulfamylon (mafenide acetate) cream on burn wounds, what should the nurse expect?

6 :
While caring for a seizure client on Dilantin, what nursing action is most important?

7 :
What is the purpose of administering Zofran (ondansetron) before chemotherapy?

8 :
How should ear drops be administered to a 2-year-old child with otitis media?

9 :
A client taking chlorpromazine (Thorazine) reports a sore throat. What action should the nurse take?

10 :
How should a client with iron-deficiency anemia take an oral iron supplement for best absorption?