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NCLEX-PN Exam Questions - Part 92

Jenny Clarke

Wed, 26 Mar 2025

1. Which cultural group has the highest incidence of inflammatory bowel disease (IBD)?

A) Asians
B) Caucasians
C) Hispanics
D) African Americans



2. Which of the following nursing diagnoses is most appropriate for a client with a new colostomy?

A) Excess Fluid Volume
B) Risk for Aspiration
C) Disturbed Body Image
D) Urinary Retention



3. Which of the following foods can cause diarrhea when eaten by a client with an ileostomy?

A) eggs
B) coffee
C) fish
D) garlic



4. In infants and children, the side effects of firstgeneration over-the counter (OTC) antihistamines, such as diphenhydramine (Benedryl) and hydroxyzine (Atarax), can include:

A) Reye - s syndrome.
B) cholinergic effects.
C) paradoxical CNS stimulation.
D) nausea and diarrhea.



5. The nurse can promote relief of muscle pain, spasms, and tension by:

A) having the client continue his activities as usual.
B) immobilizing the client.
C) applying heat, cold, pressure, or vibration to the painful area.
D) giving as much pain medication as needed to ease the muscle.



1. Right Answer: B
Explanation: Caucasians have the highest incidence of inflammatory bowel disease (IBD). Reduction of Risk Potential

2. Right Answer: C
Explanation: Disturbed Body Image is the most appropriate nursing diagnosis for a client with a new colostomy, due to the adjustments that need to be made with the physical alteration of a colostomy. The other diagnoses are not applicable. Reduction of Risk Potential

3. Right Answer: B
Explanation: Coffee might cause diarrhea in a client with an ileostomy. The other foods might cause odor. Reduction of Risk Potential

4. Right Answer: C
Explanation: Typically, first-generation OTC antihistamines have a sedating effect because of passage into the CNS. However, in some individuals, especially infants and children, paradoxical CNS stimulation occurs and is manifested by excitement, euphoria, restlessness, and confusion. For this reason, use of first-generation OTC antihistamines has declined and second-generation product use has increased. Reyes syndrome is a systemic response to a virus. First-generation OTC antihistamines do not exhibit a cholinergic effect. Nausea and diarrhea are uncommon with first-generation OTC antihistamines. Pharmacological Therapies

5. Right Answer: C
Explanation: Superficial heat and cold, massage, pressure, or vibration can be applied to alleviate pain associated with muscle tension, pain, or spasms. NonpharmacologicalTherapies

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