NCLEX Exam Question of the Day

NCLEX Exam Question:
A child has recently been diagnosed with celiac disease. The parents of the child would like more information on what the child cannot eat.

The nurse can educate them best by saying the child is not to eat which foods?

Select an Answer:
rice cakes
grains (oats, breads, cookies, cakes, and cereal)
vegetables, such as cucumbers, carrots, and kale
meats, such as beef or poultry

Celiac disease is an intolerance to gluten, the protein component of wheat, barley, rye, and oats. Celiac disease results in the accumulation of the amino acid glutamine, which is toxic to intestinal mucosal cells. Intestinal villous atrophy occurs which affects absorption of ingested nutrients.

Symptoms of the disorder occur most often between ages 1-5.

NCLEX Exam Question:
A child comes to the emergency room for persistent vomiting.

The nurse should monitor the child closely for signs of which clinical problem?

Select an Answer:
metabolic alkalosis
respiratory acidosis
metabolic acidosis

Vomiting causes the loss of hydrochloric acid. The loss of acid in this way can put the body into a state of metabolic alkalosis.

Diarrhea may cause metabolic acidosis due to loss of bicarbonate.

Diarrhea, metabolic acidosis, and respiratory acidosis are not associated with vomiting.

NCLEX Exam Question:
When treating severe pain associated with a pathologic spinal fracture related to metastatic bone cancer, the nurse caring for the patient should recognize that the best way to administer medication to this patient would be:

Select an Answer:
PRN medications only.
around-the-clock medications.
around-the-clock with additional PRN medications for breakthrough pain.
on schedule during the daytime only.

This patient requires around-the-clock pain coverage. PRN medications should also be available for any breakthrough pain related to the patient's chronic diagnosis.

PRN medications alone and around-the-clock medications only would not appropriately cover this patient's pain.

Daytime medications are important, but the patient will still need pain coverage during sleeping hours.

NCLEX Exam Question:
The nurse is preparing to care for a child with intussusception.

The nurse reviews the child's record and expects to find which documented sign of the disorder in the chart?

Select an Answer:
tarry black stools
projectile vomiting
ribbon-like stools
bright red blood and mucus in stools

Intussusception is a telescoping of one portion of the bowel into another. The result of this is an obstruction to the passage of intestinal contents. Bright red blood and mucus stools are common in this condition. They may also be referred to as currant jelly-like stools.

Ribbon like stools, black stools, and projectile vomiting do not manifest with this disorder.

NCLEX Exam Question:
The nurse is aware that with children who develop upper respiratory infections, it frequently leads to otitis media secondary to:

Select an Answer:
the Eustachian tubes are short.
the Eustachian tubes are mature.
the Eustachian tubes are long.
the Eustachian tubes are not in a horizontal position.

The Eustachian tubes are short, immature and in a horizontal position. This puts the child at risk for developing otitis media.