LAB micro NCLEX week 6 questions

Nurse Betina should begin screening for lead poisoning when a child reaches which age? A. 3 months B. 12 months C. 24 months D. 30 months

B. 12 months

Which of the following bacteria is Gram positive cocci that is found in clusters? A. E. Coli B.Streptococcyous pyogenes C. Staphlococcyous aureus. D. Pseudomonas

C. Staphlococcyous aureus.

The nurse is teaching a client who is beginning antiviral therapy for influenza. Which statement by the client indicates an understanding of the instructions? A. "I must take the medication exactly as prescribed." B. "Once I start the medication, I will no longer be contagious." C. "I will not get any colds or infections while taking this medication." D. "This medication has minimal side effects and I can return to normal activities."

A. "I must take the medication exactly as prescribed."

A patient with acne vulargis is taking Accutane. Which statement by the patient is correct? A. "I stopped taking my vitamin A supplement before I took my 1st dose of Accutane." B. "I can't wait to start seeing results next week." C. "I love using oil-based cosmetics...it hides my pimples better." D. "I scrub by face three times a day with over-the-counter cleansers."

A. "I stopped taking my vitamin A supplement before I took my 1st dose of Accutane."

Which statement by a patient with scabies causes concern and that they should be re-educated by the nurse? A. "I'm going on vacation next week with my bowling team." B. "I will apply anti-scabies medication thickly to my face and scalp. C. "I will wash my clothing only in cold water with bleach." D. "I will avoid using soap and water while using antiscabies treatment."

A. "I'm going on vacation next week with my bowling team."

You're assessing your patient load for the patients who are at MOST risk for seizures. Select all the patients below that are at risk: A. A 32-year-old with a blood glucose of 20 mg/dL. B. A 63-year-old whose CT scan shows an ischemic stroke. C. A 72-year-old who is post opt day 5 from open heart surgery D. A 16-year-old with bacterial meningitis. E. A 58-year-old experiencing ETOH withdrawal.

A. A 32-year-old with a blood glucose of 20 mg/dL. B. A 63-year-old whose CT scan shows an ischemic stroke. D. A 16-year-old with bacterial meningitis. E. A 58-year-old experiencing ETOH withdrawal.

A patient with multiple sclerosis has issues with completely emptying the bladder. The physician orders the patient to take ___________, which will help with bladder emptying. A. Bethanechol. B. Oxybutynin C. Avonex D. Amantadine

A. Bethanechol.

E. coli is classified as what type of bacteria? A. Gram negative rod B. Gram negative cocci C. Gram positive cocci D. Gram positive rod.

A. Gram negative rod

Which of the following viral inclusions correspond with the pox virus? Possible Answers: A. Guarnieri bodies in the cytoplasm of infected cells. B. Owl's eye-intranuclear basophilic inclusion body in cells of tissues or urine sediment C. Negri bodies (intracytoplasmic) in brain tissue D. Perinuclear acidophilic inclusion body in the cytoplasm E. Cowdry Type A intranuclear inclusion body in single cells or in large syncytia

A. Guarnieri bodies in the cytoplasm of infected cells.

A patient with chronic alcohol abuse is admitted with liver failure. You closely monitor the patient's blood pressure because of which change that is associated with liver failure? A. Hypoalbuminemia. B. Increased capillary permeability C. Abnormal peripheral vasodilation D. Excess renin release from the kidneys

A. Hypoalbuminemia.

he parents of a child, age 6, who will begin school in the fall ask the nurse for anticipatory guidance. The nurse should explain that a child of this age: A. Is highly sensitive to criticism. B. Rebels against scheduled activities C. Still depends on the parents D. Loves to tattle

A. Is highly sensitive to criticism.

You observe changes in mentation, irritability, restlessness, and decreased concentration in a patient with cancer of the liver. Hepatic encephalopathy is suspected and the patient is ordered neomycin enemas. Which of the following information in thepatient's history would be a contraindication of this order? A. Left nephrectomy B. Glaucoma in both eyes C. Myocardial infarction D. Peripheral neuropathy

A. Left nephrectomy

Your patient was admitted 3 days ago for treatment of severe malnourishment secondary to Celiac Disease. The patient is doing well and will be discharged tomorrow. When you arrive to the patient's room, the patient's friends and family are visiting and have brought dinner for the patient. Which food item below should the patient avoid consuming?* A. Pork barbeque sandwich B. Steak and steamed broccoli C. Braised chicken with carrots D. Vegetables and rice

A. Pork barbeque sandwich

While preparing to discharge an 8-month-old infant who is recovering from gastroenteritis and dehydration, the nurse teaches the parents about their infant's dietary and fluid requirements. The nurse should include which other topics in the teaching session? A. Safety guidelines B. Preparation for surgery C. Toilet Training D. Nursery schools

A. Safety guidelines

While preparing to discharge an 8-month-old infant who is recovering from gastroenteritis and dehydration, the nurse teaches the parents about their infant's dietary and fluid requirements. The nurse should include which other topics in the teaching session? A. Safety guidelines. B. Preparation for surgery C. Toilet Training D. Nursery schools

A. Safety guidelines.

A patient states they are having intense itching between their fingers with brown linear lines presenting. Based on your nursing knowledge this best describes what condition? A. Scabies B. Psorasis C. Ecemza D. Ringworm

A. Scabies

Which of the following laboratory values would be the most important to monitor for a patient with pancreatic cancer? A. Serum glucose B. Radioimmunoassay (RIA) C. Creatine phosphokinase (CPK) D. Carcinoembryonic antigen (CEA)

A. Serum glucose

When caring for an 11-month-old infant with dehydration and metabolic acidosis, the nurse expects to see which of the following? A. Tachypnea B. Shallow respirations C. A reduced white blood cell count D. A decreased platelet count

A. Tachypnea

A patient is being transferred to your unit with acute cholecystitis. In the report, the transferring nurse tells you that the patient has a positive Murphy's Sign. You know that this means: A. The patient stops breathing when the examiner palpates under the ribs on the right upper side of the abdomen at the midclavicular line. B. The patient stops breathing out when the examiner palpates under the ribs on the right upper side of the abdomen at the midclavicular line. C. The patient verbalizes pain when the lower right quadrant is palpated. D. The patient reports pain when pressure is applied to the right lower quadrant but then reports an increase in pain intensity when the pressure is released.

A. The patient stops breathing when the examiner palpates under the ribs on the right upper side of the abdomen at the midclavicular line.

A nursing intervention for a patient with hepatitis B would include which of the following types of isolation. A. Universal precautions B. Blood transfusions C. Enteric isolation D. Strict isolation

A. Universal precautions

Select all that apply regarding the characteristics of Escherichia Coli: A.) Gram Negative B.) Gram Positive C.) Rod-shaped D.) Spore forming E.) Non-spore forming

A.) Gram Negative C.) Rod-shaped E.) Non-spore forming

Staphylococcus Epidermidis is part of the normal flora. A.) True B.) False

A.) True

The clinic nurse notes that the health care provider has documented a diagnosis of herpes zoster (shingles) in the client's chart. Based on an understanding of the cause of this disorder, the nurse determines that this definitive diagnosis was made by which diagnostic test? A. Positive patch test B. Positive culture results C. Abnormal biopsy results D. Wood's light examination indicative of infection

B. Positive culture results

When planning home care for a client with hepatitis A, which preventive measure should be emphasized to protect the client's family? A. Keeping the client in complete isolation B. Using good sanitation with dishes and shared bathrooms C. Avoiding contact with blood-coiled clothing or dressing D. Forbidding the sharing of needles and syringes

B. Using good sanitation with dishes and shared bathrooms

Your patient is scheduled for a lumbar puncture to help diagnose multiple sclerosis. The patient wants clarification about what will be found in the cerebrospinal fluid during the lumbar puncture to confirm the diagnosis of MS. You explain that ____________ will be present in the fluid if MS is present. A. high amounts of IgM B. oligoclonal bands. C. low amounts of WBC D. oblong red blood cells and glucose

B. oligoclonal bands.

What are the symptoms of meningitis? (Select all that apply) A.) Sore throat B.) Stiff Neck C.) Fever D.) Headache E.) Chills

B.) Stiff Neck C.) Fever E.) Chills

A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is teaching the client about the medications prescribed, including clarithromycin, esomeprazole, and amoxicillin. Which statement by the client indicates the best understanding of the medication regimen? A. "My ulcer will heal because these medications will kill the bacteria." B. "These medications are only taken when I have pain from my ulcer." C. "The medications will kill the bacteria and stop the acid production." D. "These medications will coat the ulcer and decrease the acid production in my stomach."

C. "The medications will kill the bacteria and stop the acid production."

Nurse Berlinda is assigned to a 41-year-old client who has a diagnosis of chronic pancreatitis. The nurse reviews the laboratory result, anticipating a laboratory report that indicates a serum amylase level of: A. 45 units/L B. 100 units/L C. 300 units/ L. D. 500 units/L

C. 300 units/ L.

Nurse Berlinda is assigned to a 41-year-old client who has a diagnosis of chronic pancreatitis. The nurse reviews the laboratory result, anticipating a laboratory report that indicates a serum amylase level of: A. 45 units/L B. 100 units/L C. 300 units/L D. 500 units/L

C. 300 units/L

Nurse Berlinda is assigned to a 41-year-old client who has a diagnosis of chronic pancreatitis. The nurse reviews the laboratory result, anticipating a laboratory report that indicates a serum amylase level of: A. 45 units/L B. 100 units/L C. 300 units/L. D. 500 units/L

C. 300 units/L.

Which medications are used in the treatment of Crohn's Disease and ulcerative colitis? SELECT-ALL-THAT-APPLY:* A. Guanylate Cyclase-C agonists B. Anticholinergics C. 5-Aminosalicylates. D. Antacids E. Corticosteroids. F. Immune suppressors.

C. 5-Aminosalicylates. E. Corticosteroids. F. Immune suppressors.

You're providing a community in-service about gastrointestinal disorders. During your teaching about cholecystitis, you discuss how cholelithiasis can lead to this condition. What are the risk factors for cholelithiasis that you will include in your teaching to the participants? Select all that apply. A. Being Male B. Underweight C. Being female D. Older age E. Native American F. Caucasian G. Pregnant H. Family History I. Obesity

C. Being female D. Older age E. Native American G. Pregnant H. Family History I. Obesity

A male client who is recovering from surgery has been advanced from a clear liquid diet to a full liquid diet. The client is looking forward to the diet change because he has been "bored" with the clear liquid diet. The nurse would offer which full liquid item to the client? A. Tea B. Gelatin C. Custard D. Popsicle

C. Custard

You're caring for Beth who underwent a Billroth II procedure (surgical removal of the pylorus and duodenum) for treatment of a peptic ulcer. Which findings suggest that the patient is developing dumping syndrome, a complication associated with this procedure? A. Flushed, dry skin B. Headache and bradycardia C. Dizziness and sweating. D. Dyspnea and chest pain

C. Dizziness and sweating.

Your recent admission has acute cholecystitis. The patient is awaiting a cholecystostomy. What signs and symptoms are associated with this condition? Select all that apply: A. Right lower quadrant pain with rebound tenderness B. Negative Murphy's Sign C. Epigastric pain that radiates to the right scapula D. Pain and fullness that increases after a greasy or spicy meal E. Fever F. Tachycardia G. Nausea

C. Epigastric pain that radiates to the right scapula D. Pain and fullness that increases after a greasy or spicy meal E. Fever F. Tachycardia G. Nausea

You're educating a group of nursing students about the pathophysiology of Celiac Disease. You ask the group to identify the specific protein that plays a role in the immune reaction experienced in Celiac Disease. Which answer is correct?* A. Zein B. Globulins C. Gliadins D. Glutamate

C. Gliadins

Keeping the previous question in mind, the patient is now experiencing characteristics of a tonic-clonic seizure. The seizure started at 1402 and it is now 1408, and the patient is still experiencing a seizure. The nurse should? A. Continue to monitor the patient B. Suction the patient C. Initiate the emergency response system D. Restrain the patient to prevent further injury

C. Initiate the emergency response system

Your patient has a history of epilepsy. While helping the patient to the restroom, the patient reports having this feeling of déjà vu and seeing spots in their visual field. Your next nursing action is to? A. Continue assisting the patient to the restroom and let them sit down. B. Initiate the emergency response system. C. Lay the patient down on their side with a pillow underneath the head. D. Assess the patient's medication history.

C. Lay the patient down on their side with a pillow underneath the head.

The nurse is caring for a client with Clostridium difficile colitis. Which of the following infection control measures by the nurse are appropriate? Select all that apply: A. Applies sterile gloves before performing client care B. Ensures surgical masks are worn by staff in client's room C. Requests that the client be assigned to a single-client room D. Uses alcohol-based sanitizers for hand hygiene E. Wears a single-use, disposable gown during client care

C. Requests that the client be assigned to a single-client room E. Wears a single-use, disposable gown during client care

After the nurse provides dietary restrictions to the parents of a child with celiac disease, which statement by the parents indicates effective teaching? A. "We'll follow these instructions until our child has completely grown and developed." B. "Well follow these instructions until our child's symptoms disappear." C. "Our child must maintain these dietary restrictions until adulthood." D. "Our child must maintain these dietary restrictions lifelong."

D. "Our child must maintain these dietary restrictions lifelong."

A patient, who was recently diagnosed with Celiac Disease, has blister type bumps on the elbow and knees. The patient reports it is extremely itchy. As the nurse, you know this is as known as:* A. Seborrheic Dermatitis B. Psoriasis C. Dyshidrotic Eczema D. Dermatitis Herpetiformis.

D. Dermatitis Herpetiformis.

Clostridium difficile is difficult to prevent in a hospital setting due to what feature? A. Poor sanitation management B. Difficult to culture C. Route of transmission D. Endospore formation.

D. Endospore formation.

The nurse is reviewing the record of a female client with Crohn's disease. Which stool characteristics should the nurse expect to note documented in the client's record? A. Diarrhea. B. Chronic Constipation C. Constipation alternating with diarrhea D. Stools constantly oozing from the rectum

D. Stools constantly oozing from the rectum

Which of the following viral inclusions correspond with the herpes simplex virus?? Possible Answers: A. Perinuclear acidophilic inclusion body in the cytoplasm B. Guarnieri bodies in the cytoplasm of infected cells C. Owl's eye-intranuclear basophilic inclusion body in cells of tissues or urine sediment D. Negri bodies (intracytoplasmic) in brain tissue E. Cowdry Type A intranuclear inclusion body in single cells or in large syncytia.

E. Cowdry Type A intranuclear inclusion body in single cells or in large syncytia.

Which of the following viral pathogens is associated with genital diseases? Possible Answers: A. Rotavirus and Norwalk virus B. Respiratory syncytial virus, influenza virus, parainfluenza virus C. Dengue fever virus and Lassa fever virus D. Coxsackievirus type B and echoviruses E. Human papilloma viruses and herpes simplex virus type 2.

E. Human papilloma viruses and herpes simplex virus type 2