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NCLEX NCLEX-RN Exam
National Council Licensure Examination - NCLEX-RN (Page 46 )

Updated On: 12-Jan-2026
Page 46 of 345
PDF with 862 Questions

When assessing a child with diabetes insipidus, the nurse should be aware of the cardinal signs of:

  1. Anemia and vomiting
  2. Polyuria and polydipsia
  3. Irritability relieved by feeding formula
  4. Hypothermia and azotemia

Answer(s): B

Explanation:

(A) Anemia and vomiting are not cardinal signs of diabetes insipidus. (B) Polyuria and polydipsia are the cardinal signs of diabetes insipidus. (C) Irritability relieved by feeding water, not formula, is a common sign, but not the cardinal sign, of diabetes insipidus. (D) Hypothermia and azotemia are signs, but not cardinal signs, of diabetes insipidus.



Discharge teaching was effective if the parents of a child with atopic dermatitis could state the importance of:

  1. Maintaining a high-humidified environment
  2. Furry, soft stuffed animals for play
  3. Showering 3­4 times a day
  4. Wrapping hands in soft cotton gloves

Answer(s): D

Explanation:

(A) Maintaining a low-humidified environment. (B) Avoiding furry, soft stuffed animals for play, which may increase symptoms of allergy. (C) Avoiding showering, which irritates the dermatitis, and encouraging bathing 4 times a day in colloid bath for temporary relief. (D) Wrapping hands in soft cotton gloves to prevent skin damage during scratching.



Hematotympanum and otorrhea are associated with which of the following head injuries?

  1. Basilar skull fracture
  2. Subdural hematoma
  3. Epidural hematoma
  4. Frontal lobe fracture

Answer(s): A

Explanation:

(A) Basilar skull fractures are fractures of the base of the skull. Blood behind the eardrum or blood or cerebrospinal fluid (CSF) leaking from the ear are indicative of a dural laceration. Basilar skull fractures are the only type with these symptoms. (B, C, D) These do not typically cause dural lacerations and CSF leakage.



Nursing care for the substance abuse client experiencing alcohol withdrawal delirium includes:

  1. Maintaining seizure precautions
  2. Restricting fluid intake
  3. Increasing sensory stimuli
  4. Applying ankle and wrist restraints

Answer(s): A

Explanation:

(A) These clients are at high risk for seizures during the 1st week after cessation of alcohol intake. (B) Fluid intake should be increased to prevent dehydration. (C) Environmental stimuli should be decreased to prevent precipitation of seizures. (D) Application of restraints may cause the client to increase his or her physical activity and may eventually lead to exhaustion.



A client diagnosed with bipolar disorder continues to be hyperactive and to lose weight. Which of the following nutritional interventions would be most therapeutic for him at this time?

  1. Small, frequent feedings of foods that can be carried
  2. Tube feedings with nutritional supplements
  3. Allowing him to eat when and what he wants
  4. Giving him a quiet place where he can sit down to eat meals

Answer(s): A

Explanation:

(A) The manic client is unable to sit still long enough to eat an adequate meal. Small, frequent feedings with finger foods allow him to eat during periods of activity. (B) This type of therapy should be implemented when other methods have been exhausted. (C) The manic client should not be in control of his treatment plan. This type of client may forget to eat. (D) The manic client is unable to sit down to eat full meals.



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