NCLEX-RN Certification Exam Questions with AI Explanations

QUESTION: 156

A parent told the public health nurse that her 6-year-old son has been taking tetracycline for a chronic skin condition. The parent asked if this could cause any problems for the child. What should the nurse explain to the parent?

Giving tetracycline to a child younger than 8 years may cause permanent staining of his teeth.
If you give tetracycline with milk, it may be absorbed readily.
The medication should be given to adults, not children.
Secondary infections of chronic skin disorders do not respond to antibiotics.

Answer(s): A

Explanation:

(A) Tetracycline should be avoided during tooth development because it interferes with enamel formation and dental pigmentation. (B) Milk interferes with the absorption of tetracyclines. (C) Children older than 9 years or past the tooth development stage may be given tetracycline. (D) Secondary infections of chronic skin disorders may respond to antibiotics such as penicillin or tetracyclines.

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QUESTION: 156

A parent told the public health nurse that her 6-year-old son has been taking tetracycline for a chronic skin condition. The parent asked if this could cause any problems for the child. What should the nurse explain to the parent?

Giving tetracycline to a child younger than 8 years may cause permanent staining of his teeth.
If you give tetracycline with milk, it may be absorbed readily.
The medication should be given to adults, not children.
Secondary infections of chronic skin disorders do not respond to antibiotics.

Answer(s): A

Explanation:

(A) Tetracycline should be avoided during tooth development because it interferes with enamel formation and dental pigmentation. (B) Milk interferes with the absorption of tetracyclines. (C) Children older than 9 years or past the tooth development stage may be given tetracycline. (D) Secondary infections of chronic skin disorders may respond to antibiotics such as penicillin or tetracyclines.

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QUESTION: 157

In addition to changing the mother's position to relieve cord pressure, the nurse may employ the following measure (s) in the event that she observes the cord out of the vagina:

Immediately pour sterile saline on the cord, and repeat this every 15 minutes to prevent drying.
Cover the cord with a wet sponge.
Apply a cord clamp to the exposed cord, and cover with a sterile towel.
Keep the cord warm and moist by continuous applications of warm, sterile saline compresses.

Answer(s): D

Explanation:

(A) Saline should be warmed; waiting 15 minutes may not keep the cord moist. (B) This choice does not specify what the sponge was "wet" with. (C) This measure would stop circulation to the fetus. (D) The cord should be kept warm and moist to maintain fetal circulation. This measure is an accepted nursing action.

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QUESTION: 157

In addition to changing the mother's position to relieve cord pressure, the nurse may employ the following measure (s) in the event that she observes the cord out of the vagina:

Immediately pour sterile saline on the cord, and repeat this every 15 minutes to prevent drying.
Cover the cord with a wet sponge.
Apply a cord clamp to the exposed cord, and cover with a sterile towel.
Keep the cord warm and moist by continuous applications of warm, sterile saline compresses.

Answer(s): D

Explanation:

(A) Saline should be warmed; waiting 15 minutes may not keep the cord moist. (B) This choice does not specify what the sponge was "wet" with. (C) This measure would stop circulation to the fetus. (D) The cord should be kept warm and moist to maintain fetal circulation. This measure is an accepted nursing action.

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QUESTION: 158

A 26-year-old client is in a treatment center for aprazolam (Xanax) abuse and continues to manifest moderate levels of anxiety 3 weeks into the rehabilitation program, often requesting medication for "his nerves." Included in the client's plan of care is to identify alternate methods of coping with stress and anxiety other than use of medication. After intervening with assistance in stress reduction techniques, identifying feelings and past coping, the nurse evaluates the outcome as being met if:

Client promises that he will not abuse aprazolam after discharge
Client demonstrates use of exercise or physical activity to handle nervous energy following conflicts of everyday life
Client is able to verbalize effects of substance abuse on the body
Client has remained substance free during hospitalization and is discharged

Answer(s): B

Explanation:

(A) This client response does not address stress reduction techniques. Verbal response focuses only on the problem. (B) Exercise or physical activity is a common strategy or coping technique used to reduce stress and anxiety. (C) Verbalizing effects of substance abuse on the body may help with insight and break through denial, but it is not a strategy to reduce anxiety. (D)Remaining substance-free does indicate motivation to change lifestyle of substance abuse or dependence, and it is not a stress reduction strategy in itself.

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QUESTION: 156

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QUESTION: 156

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QUESTION: 157

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QUESTION: 158

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