NCLEX Practice Questions
A 2 y/o child has sustained an injury to the leg and refuses to walk. The nurse in the emergency department documents swelling of the lower affected leg. Which of the following does the nurse suspect is the cause of the child's symptoms? a. possible fracture of the tibia b. bruising of the gastrocnemius muscle c. possible fracture of the radius d. no anatomic injury, the child wants his mother to cary him
a
A 28 y/o male has been found wandering around in a confused pattern. The male is sweaty and pale. Which of the following tests is most likely to be perfromed? a. blood sugar check b. CT scan c. blood cultures d. arterial blood gases
a
A child has recently been diagnosed with Duchenne's muscular dystrophy. The parents are receiving genetic counseling prior to planning another pregnancy. Which of the following statements includes the most accurate information? a. Duchenne's is an X-linked recessive disorder, so daughters have a 50% chance of being carriers and sons a 50% change of developing the disease b. Duchenne's is an X-linked recessive disorder, so both daughters and sons have a 50% change of developing the disease c. each child has a 1 in 4 (25%) change of developing the disorder d. sons only have a 1 in 4 (25%) change of developing the disorder
a
A child who ingested 15 maximum strength acetaminophen tablets 45 minutes ago is seen in the emergency department. Which of these orders should the nurse do first? A. Gastric lavage PRN B. Acetylcysteine (mucomyst) for age per pharmacy C. Start an IV Dextrose 5% with 0.33% normal saline to keep vein open D. Activated charcoal per pharmacy
a
A client has been newly diagnosed with hypothyroidism and will take levothyroxine (Synthroid) 50 mcg per day PO. As part of the teaching plan, the nurse emphasizes that this medication: a. should be taken in the morning b. may decrease the client's energy level c. must be stored in a dark container d. will decrease the client's heart rate
a
A client is receiving digoxin (Lanoxin) 0.25 mg daily. The health care provider has written a new order to give metoprolol (Lopressor) 25 mg BID. In assessing the client prior to administering the medications, which of the following should the nurse report immediately to the health care provider? a. blood pressure 94/60 b. heart rate 76 c. urine output 50 mL/hour d. respiratory rate 16
a
A leukemia patient has a relative who wants to donate blood for transfusion. Which of the following donor medical conditions would prevent this? a. a history of hepatitis C five years previously b. cholecystitis requiring cholecystectomy one year previously c. asymptomatic diverticulosis d. chron's disease in remission
a
A nurse assigned to the emergency department evaluates a patinet who underwent fiberoptic colonoscopy 18 hours previously. The patient reports increasing abdominal pain, fever, and chills. Whch of the following conditions poses the most immediate concern? a. bowel perforation b. viral gastroenteritis c. colon cancer d. diverticulitis
a
A nurse is caring for a patient with peripheral vascular diseasae (PVD). The patient complains of burning and tingling of the hands and feet and cannot tolerate touch of any kind. Which of the folowing is the most likley explanation for these symptoms? a. inadequate tissue perfusion leading to nerve damage b. fluid overload leading to compression of nerve tissue c. senasation distotrion due to psychiatric disturbance d. inflammation of the skin on the hands and feet
a
A nurse is reviewing a patient's chart and notices that the patient suffers from Lyme disease. Which of the following microorgansims is related to this condition? a. borrelia burgdorferi b. streptococcus pyogenes c. bacillus anthracis d. enterococcus faecalis
a
A nurse prepares to care for a 4 y/o newly admitted for rhabdomyosarcoma. The nurse should alert the staff to pay more attention to the function of which area of the body? a. all striated muscle b. the cerebellum c. the kidneys d. the leg bones
a
A patient asks a nurse, "My doctor recommended I increase my intake of folic acid. What type of foods contain the highest concentration of folic acids?" a. green vegetables and liver b. yellow vegetables and meat c. carrots d. milk
a
A patient has taken an overdose of aspirin. Which of the following should a nurse most closely monitor for during acute management of this patient? a. onset of pulmonary edema b. metabolic alkalosis c. repiratory alkalosis d. Parkinson's disease type symptoms
a
A patient in the cardiac unit is concerned about the risk factors associated with atherosclerosis. Which of the following are hereditary risk factors for developing atherosclerosis? a. family history of heart disease b. overweight c. smoking d. age
a
A patient is admitted to the hospital with a diagnosis of primary hyperparathyroidism. A nurse checking the patient's lab results would expect which of the following changes in laboratory findings? a. elevated serum calcium b. low serum parathyroid hormone (PTH) c. elevated serum vitamin D d. low urine calcium
a
A patient's chart indicates a history of meningitis. Which of the following would you not expect to see with this patient if this condition were acute? a. Increased appetite b. Vomiting c. Fever d. Poor tolerance of light
a
A physician has diagnosed acute gastritis in a clinic patient. Which of the following medications would be contraindicated for this patient? a. naproxen sodium (naprosyn) b. calcium carbonate c. clarithrymycin (Biaxin) d. furosemide (Lasix)
a
An infant is brought to the clinic by his mother, who has noticed that he holds his head in an unusual position and always faces to one side. Which of the following is the most likely explanation? a. torticollis, with shortening of the sternocleidomastoid muscle b. craniosynostosis, with prematuer closure of the cranial sutures c. plagiocephaly, with flattening of one side of the head d. hydrocephalus, with increased head size
a
At a community health fair, the blood pressure of a 62 y/o client is 160/96 mmHg. The client states, "my blood pressure is usually much lower". The nurse should tell the client to: a. go get a blood pressure check within the next 48 to 72 hours b. check blood pressure again within 2 months c. see the healthcare provider immediately d. visit the health care provider within 1 week for a BP check
a
The hospital has sounded the call for a disaster drill on the evening shift. Which of these clients would the nurse put first on the list to be discharged in order to make a room available for a new admission? a. a middle-aged client with a history of being ventilator dependent for over seven years b. a young adult with diabetes mellitus Type 2 for over 10 years and admitted with antibiotic-induced diarrhea 24 hours ago c. An elderly client with a history of HTN, hypocholesteremia, and lupus. They were admitted with Stevens-Johnson Syndrome that morning. d. An adolescent with a positive HIV test and admitted for acute cellulitis of the lower leg 48 hours ago.
a
The nurse is performing a neurological assessment on a client post right CVA. Which finding, if observed by the nurse, would warrant immediate attention? a. decrease in LOC b. loss of bladder control c. altered sensation to stimuli d. emotional ability
a
The nurse is preparing to administer an enteral feeding to a client via a nasogastric feeding tube. The most important action of the nurse is: a. verify correct placement of the tube b. check that the feeding solution matches the dietary order c. aspirate abdominal contents to determine the amount of last feeding remaining in the stomach d. ensure that the feeding solution is at room temperature
a
When you are taking a patient's history, she tells you she has been depressed and is dealing with an anxiety disorder. Which of the following medications would the patinet most likely be taking? a. amitriptyline (Elavil) b. calcitonin c. pergolide mesylate (Permax) d. verapamil (Calan)
a
Which individual is at greatest risk for developing HTN? a. 45 y/o African American attorney b. 60 y/o Asian American shop owner c. 40 y/o Caucasian nurse d. 55 y/o Hispanic teacher
a
You are responsible for reviewing the nursing unit's regrigerator. Which of the following drug, if found inside the fridge, should be removed? a. Nadolol (Corgard) b. Opened (in-use) Humulin N injection c. Urokinase (Kinlytic) d. Epoetin alfa IV (Epogen)
a
A nurse is reviewing a patient's medication during shift change. Which of the following medications would be contraindicated if the patient were pregnant? SATA: a. warfarin (Coumadin) b. finasteride (Propecia, Proscar) c. celecoxib (Celebrex) d. clonidine (Catapres) e. transdermal nicotine (Habitrol) f. clofazimine (Lamprene)
a and b
A patient is admitted to the same day surgery unit for liver biopsy. Which of the following tests assesses coagulation? a. partial thromboplastin time b. prothrombin time c. platelet count d. hemoglobin
a, b, c
A teen patient is admitted to the hospital by his physician who suspects a diagnosis of acute glomerulonephritis. Which of the following findings is consistent with this diagnosis? SATA: a. urine specific gravity of 1.040 b. urine output of 350 mL in 24 hours c. brown "tea colored" urine d. generalized edema
a, b, c
A nurse is reviewing a patient's past medical history (PMH). This history indicates the patient has photosensitive reactions to medications. Which of the following drugs is associated with photosensitive reactions? SATA: a. ciprofloxacin (Cipro) b. sulfonamide c. norfloxacin (Noroxin) d. sulfamethoxazole and trimethoprim (Bactrim) e. isotretinoin (Accutane)
a, b, c, d, e
A toddler has recently been diagnosed with cerebral palsy. Which of the following information should the nurse provide to the parents? Note: More than one answer may be correct. a. Regular developmental screening is important to avoid secondary developmental delays. b. Cerebral palsy is caused by injury to the upper motor neurons and results in motor dysfunction, as well as possible ocular and speech difficulties. c. Developmental milestones may be slightly delayed but usually will require no additional intervention. d. Parent support groups are helpful for sharing strategies and managing health care issues.
a, b, d
Claudication is a well-known effect of peripheral vascular disease. Which of the following facts about claudication is correct? SATA: a. it results when oxygen demand is greater than oxygen supply b. it is characterized by pain that often occurs during rest c. it is a result of tissue hypoxia d. it is characterized by cramping and weakness
a, c, d
A 23 y/o patient int he 27th week of pregnancy has been hospitilized on complete bed rest for 6 days. She experiences sudden shortness of breath, accompanied by chest pain. Which of the following conidtions is the most likely cause of her symptoms? a. myocardial infarction dur to a history of atherosclerosis b. pulmonary embolism d/t DVT c. anxiety attack d/t worries about her baby's health d. congestive heart failure d/t overload
b
A 24 y/o female is admitted to the ER for confusion. This patient has a history of a myeloma diagnosis, constipation, intense abdominal pain, and polyuria. Based on the presenting signs and symptoms, which of the following would you most likely suspect? a. diverticulosis b. hypercalcemia c. hypocalcemia d. irritable bowel syndrome
b
A 5 y/o child has been recently admitted to the hospital. According to Erikson's psychosocial development stages, the child is in which stage? a. trust vs. mistrust b. initiative vs. guilt c. autonomy vs. shame and doubt d. intimacy vs. isolation
b
A child is admitted to the hosptial several days after stepping on a sharp object that punctured her athletic shoe and entered the flesh of her foot. The physician is concerned about osteomyelitis and has ordered parenteral antibiotics. Which of the following actions is done immediately beofre the antibiotic is started? a. the admission orders are written b. a blood culture is drawn c. a complete blood count with differential is drawn d. the parents arrive
b
A client comes to the clinic for treatment of recurrent pelvic inflammatory disease. The nurse recognizes that this condition most frequently follows which type of infection? a. trichomoniasis b. chlamydia c. staphylococcus d. streptococcus
b
A nurse is assessing a clinic patient with a diagnosis of hepatitis A. Which of the following is the most likely route of transmission? a. sexual contact with an infected partner b. contaminated food c. blood transfusion d. illegal drug use
b
A nurse is caring for an infant that has recently been diagnosed with congenital heart defect. Which of the following clinical signs would most likely be present. a. slow pulse rate b. weight gain c. decreaed systolic pressure d. irregular WBC lab values
b
A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal? a. 11 y/o male: 90 BPM, 22 RPM, 100/70 mm Hg b. 13 y/o female: 105 BPM, 22 RPM, 105/50 mm Hg c. 5 y/o male: 102 BPM, 24 RPM, 90/65 mm Hg d. 6 y/o female: 100 BPM, 26 RPM, 90/70 mmHg
b
A second year nursing student has just suffered a needlestick while working with a patient that is positive for AIDS. Which of the following is the most important action that nursing student should take? a. Immediately see a social worker b. Start prophylactic AZT treatment c. Start prophylactic Pentamide treatment d. Seek counseling
b
A triage nurse has the following 4 clients arrive in the emergency department within 15 minutes. Which client should the triage nurse send back to be seen first? a. a 2 month old infant with a history of rolling off the bed and has bulging fontanels with crying b. a teenager who got a singed beard while camping c. an elderly client with complaints of frequent liquid brown colored stools d. a middle-aged client with intermittent pain behind the right scapula
b
As a 65 y/o man has been admitted to the hospital for spinal stenosis surgery. When should the discharge training and planning begin for this patient? a. following surgery b. upon admit c. within 48 hours of discharge d. preoperative discussion
b
The home health nurse visits a male client to provide wound care and finds the client lethargic and confused. His wife states he fell down the stairs 2 hours ago. The nurse should: a. place a call to the client's health care provider for instructions b. send him to the emergency room for evaluation c. reassure the client's wife that the symptoms are transient d. instruct the client's wife to call the doctor if his symptoms become worse
b
The nurse is giving discharge teaching to a client 7 days post myocardial infraction. He asks the nurse why he must wait 6 weeks before having sexual intercourse. What is the best response by the nurse to this question? a. "You need to regain your strength before attempting such exertion." b. "When you can climb 2 flights of stairs without problems, it is generally safe." c. "Have a glass of wine to relax you, then you can try to have sex." d. "If you can maintain an active walking program, you will have less risk."
b
The nurse is speaking at a community meeting about personal responsibility for health promotion. A participant asks about chiropractic treatment for illness. What should be the focus of the nurse's response? a. electrical energy fields b. spinal column manipulation c. mind-body balance d. exercise of joints
b
Thrombolytic therapy is frequently used in the treatment of suspected stroke. Which of the following is a significant complication associated with thrombolytic therapy? a. air embolus b. cerebral hemorrhage c. expansion of the clot d. resolution of the clot
b
Which complication of cardiac catheterization should the nurse monitor for in the initial 24 hours after the procedure? a. angina at rest b. thrombus formation c. dizziness d. falling blood pressure
b
Which of the following conditions most commonly causes acute glomerulonephritis? a. a congenital condition leading to renal dysfunction b. prior infection with group A streptococcus within the past 10-14 days c. viral infection of the glomeruli d. nephrotic syndrome
b
You are taking the history of a 14 y/o girl who has a BMI of 18. The girl reports inability to eat, induced vomiting, and severe constipation. Which of the following would you most likely suspect? a. multiple sclerosis b. anorexia nervosa c. bulimia nervosa d. systemic sclerosis
b
A nurse enters a client's room to discover that the client has no pulse or respirations. After calling for help, the first action the nurse should take is: a. start a peripheral IV b. initiate high-quality chest compressions c. establish an airway d. obtain the crash cart
b`
A 20 y/o female attending college is found unconscious in her dorm room. She has a fevber and a noticable rash. She has just been admitted to the hospital. Which of the following tests is most likely to be perfromed first? a. blood sugar check b. CT scan c. blood cultures d. arterial blood gases
c
A 35 y/o male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect? a. atherosclerosis b. diabetic nephropathy c. autonomic neuropathy d. somatic neuropathy
c
A child is admitted to the hospital with a diagnosis of Wilms tumor, stage II. Which of the following statements most accurately describes this stage? a. the tumor is less than 3cm in size and requires no chemotherapy b. the tumor did not extend beyond the kidney and was completely resected c. the tumor extended beyond the kidney but was completely resected d. the tumor has spread itno the abdominal cavity and cannot be resected
c
A child who has recently been diagnosed with cystic fibrosis is in a pediatric clinic where a nurse is performing an assessment. Which later finding of this disease would the nurse not expect to see at this time? a. positive sweat test b. bulky, greasy stools c. moist, productive cough d. meconium ileus
c
A client is admitted to the emergency room with renal calculi and is complaining of moderate to severe flank pain and nausea. The client's temperature is 100.8 F. The priority nursing goal for this client is: a. maintain fluid and electrolyte balance b. control nausea c. manage pain d. prevent urinary tract infection
c
A clinic nurse interviews a parent who is suspected of abusing her child. Which of the following characteristics is the nurse LEAST likely to find in a abusing parent? a. low self-esteem b. unemployment c. self-blame for the injury to the child d. single status
c
A mother has recently been informed that her child has Down's syndrome. You will be assigned to care for the child at shift change. Which of the following characteristics is not associated with Down's syndrome? a. simian crease b. brachycephaly c. oily skin d. hypotonicity
c
A mother is inquiring about her child's ability to potty train. Which of the following factors is the most important aspect of toilet training? a. the age of the child b. the child's ability to understand instruction c. the overall mental and physical abilities of the child d. frequent attempts with positive reinforcement
c
A nurse is administering a shot of Vitamin K to a 30 day old infant. Which of the following target areas is the most appropirate? a. gluteus maximus b. gluteus minimus c. vastus lateralis d. vastus medialis
c
A nurse is assigned to the pediartric rheumatology clinic and is assessing a child who has just been diagnosed with juvenile idiopathic arthritis. Which of the following statements about the disease is most accurate? a. the child has a poor change of recovery without joint deformity b. most children progress to adult rheumatoid arthritis c. nonsteroidal anti-inflammatory drugs are the first choice in treatment d. physical activity should be minimized
c
A nurse is providing discharge information to a patient with peripheral vascular disease. Which of the following inofmraiton should be included in instructions? a. walk barefoot whenever possible b. use a heating pad to keep feet warm c. avoid crossing the legs d. use antibacterial ointment to treat skin lesions at risk of infection
c
A patient is getting discharged from a skilled nursing facility (SNF). The patient has a history of severe COPD and PVD. The patient is primarily concerend about his ability to breathe easily. Which of the following would be the best instruction for this patient? a. deep breathing techniques to increase oxygen levels b. cough regularly and deeply to clear airway passages c. cough following bronchodilator utilization d. decrease CO2 levels by increased oxygen take output during meals
c
A patient who has been diagnosed with vasospastic disorder (Ranaud's disease) complains of cold and stiffness in the finger. Which of the following descriptions is most likely to fit the patient? a. an adolescent male b. an elderly woman c. a young woman d. an elderly man
c
A patient with a history of DM is on the second post-operative day following cholecystectomy. She has compalined of nausea and isn't able to eat solid foods. The nurse enters the room to find the patient confused and shaky. Which of the following is the most likely explanation for the patient's symptoms? a. anesthesia reaction b. hyperglycemia c. hypoglycemia d. diabetic ketoacidosis
c
A patient's chart indicates a history of ketoacidosis. Which of the following would you not expect to see with this patient if this condition were acute? a. vomiting b. extreme thirst c. weight gain d. acetone breath smell
c
A toddler is 26 months old and has been recently admitted to the hospital. According to Erikson, which of the following stages is the toddler in? a. trust vs. mistrust b. initiative vs. guilt c. autonomy vs. shame and doubt d. intimacy vs. isolation
c
An 84 y/o male has been losing mobility and gaining weight over the last 2 months. The patinet also has the heater running in his house 24 hours a day, even on warm days. Which of the following rests is most likely to be perfromed? a. a FBC (full blood count) b. ECG (electrocardiogram) c. thyroid function tests d. CT scan
c
An RN who usually works in a spinal rehabilitation unit is floated to the emergency department. Which of these clients should the charge nurse assign to this RN? a. a middle-aged client who says, "I took too many diet pills" and "my heart feels like it is racing out of my chest" b. a young adult who says, "I hear songs from heaven. I need money for beer. I quit drinking 2 days ago for my family. Why are my arms and legs jerking?" c. an adolescent who has been on pain medications for terminal cancer with an initial assessment findings of pupils PERRLA and a relaxed respiratory rate of 10. d. an elderly client who reports having taken a "large crack hit" 10 minutes prior to walking into the emergency room.
c
An adolescent brings a physician's note to school stating that he is not the particiapte in sports due to a diagnosis or Osgood-Schlatter disease. Which of the following statements about the disease is correct? a. the condition was caused by the students competitive swemmign schedule b. the student will most likely require surgical intervention c. the student experiences pain in the inferior aspect of the knee d. the sutdent is trying to avoid particiaption in physiccal education
c
An infant with hydrocele is seen int he clinic for a follow-up visit at 1 month of age. The scrotum is smaller than it was at rbirht, but fluid is still visible on illumination. Which of hte following actions is the physician likely to recommend? a. massaging the groin area twice a day until the fluid is gone b. referral to a surgeion for repair c. no treatment is necessary; the fluid is reabsorbing normally d. keeping the infant in a flat, supine position until the fluid is gone
c
During an assessment of a client with cardiomyopathy, the nurse finds that the systolic blood pressure has decreased from 1245 to 110 mmHg, the heart rate has risen from 72 to 96 bpm, and the client complains of periodic dizzy spells. The nurse instructs the client to: a. increase fluids that are high in protein b. restrict fluids c. force fluids and reassess blood pressure d. limit fluids to non-caffeine beverages
c
In children suspected to have a diagnosis of diabetes, which one of the following complaints would be most likely to prompt parents to take their school-aged child for evaluation? a. polyphagia b. dehydration c. bedwetting d. weight loss
c
Rhogam is most often used to treat _____ mothers that have a _____ infant. a. RH positive, RH positive b. RH positive, RH negative c. RH negative, RH positive d. RH negative, RH negative
c
The nurse is caring for a client with a serum potassium level of 3.5 mEq/L. The client is placed on a cardiac monitor and receives 40 mEq KCL in 1,000 mL of 5% dextrose in water IV. Which of the following EKG patterns indicates to the nurse that the infusions should be discontinued? a. narrowed QRS complex b. shortened PR internal c. tall peaked T waves d. prominent U waves
c
When teaching a client with coronary artery disease about nutrition, the nurse should emphasize: a. eating 3 balanced meals a day b. adding complex carbohydrates c. avoiding very heavy meals d. limiting sodium to 7g per day
c
Which of these findings indicate that a pump to deliver a basal rate of 10 mL per hour plus PRN for pain breakthrough for morphine drip is not working? a. the client complains of discomfort at the IV insertion site b. the client states "I just can't get relief from my pain". c. the level of the drug is 100 mL at 0800 and is 80 mL at 1200 d. the level of the drug is 100 mL at 0800 and is 50 mL at 1200
c
While planning care for a toddler, the nurse teaches the parents about the expected developmental changes for this age. Which statement by the mother shows that she understands the child's developmental needs? a. "I want to protect my child from any falls" b. "I will set limits on exploring the house" c. "I understand the need to use their new skills" d. "I intend to keep control over our child"
c
A 3 y/o child comes to the pediatric clinic after the sudden onset of findings that include irritability, thick muffled voice, croaking on inspiration, hot to touch, sit leaning forward, tongue protruding, drooling, and suprasternal retractions. What should the nurse do first? a. prepare the child for X-ray of upper airways b. examine the child's throat c. collect a sputum specimen d. notify the healthcare provider of the child's status
d
A 34 y/o female has recently been diagnosed with an autoimmune disease. She has also recently discovered that she is pregnant. Which of the following is the only immunoglobulin that will provide protection to the fetus in the womb? a. IgA b. IgD c. IgE d. IgG
d
A 50 y/o blind and deaf patient have been admitted to your floor. As the charge nurse, your primary responsibility for this patient is? a. let others know about the patient's deficits b. communicate with your supervisor your patient safety concerns c. continuously update the patient on the social environemnt d. provide a secure environment for the patient
d
A client with myocardial infacrtion is receiving tissue plasminogen activator, alteplase (Activase, tPA). While on therapy, the nurse plans to prioritize which of the following? a. observe for neurological changes b. monitor for any signs of renal failure c. check the food diary d. observe for signs of bleeding
d
A fragile 87 y/o female has recently been admitted to the hospital with increaed confusion and falls over the last 2 weeks. She is also noted to have a mild left hemiparesis. Which of the following tests is most likely to be performed? a. FBC (full blood count) b. ECG c. thyroid function test d. CT scan
d
A new mother has some questions about phenylketonuria (PKU). Which of the following statements made by a nurse is not correct regarding PKU? a. a Guthrie test can check the necessary lab values b. the urine has a high concentration of phenylpyruvic acid c. mental deficits are often present with PKU d. the effects of PKU are reversible
d
A nurse has just started her rounds delivering medicaiton. A new patient on her rounds is a 4 y/o boy who is non-verbal. This child does not have on any identification. What should the nurse do? a. contact the provider b. ask the child to write their name on paper c. ask a coworker about the identification of the child d. ask the father who is in the room the child's name
d
A nurse is administering blood to a patient who has a low hemoglobin count. The patient asks, "how long do RBCs last in my body"? The correct response is: a. the life span of a RBC is 45 days b. the life span of a RBC is 60 days c. the life span of a RBC is 90 days d. the life span of a RNC is 120 days
d
A nurse is putting together a presentation on menigitis. Which of the following microorganisms has not been linked to meningitis in humans? a. S. pneumoniae b. H. influenzae c. N. meningitis d. CI. difficile
d
A nurse is reviewing a pateint's chart and notices that the patient suffers from conjunctivitis. Which of the followng microorgansims is realted to this condition? a. yersinia pestis b. helicobacter pylori c. vibrio cholerae d. haemophilus aegyptius
d
A patient admitted to the hospital with myocardial infraction develops severe pulmonary edema. Which of the following symptoms should the nurse expect the patient to exhibit? a. slow, deep respirations b. stridor c. bradycardia d. air hunger
d
A patient tells you that her urine is starting to look discolored. If you believe this change is due to medication, which of the following of the patient's medications does not cause urine discoloration? a. sulfaslazine b. levodopa c. phenolphthalein d. aspirin
d
A patient with Addison's disesae asks a nurse for nutrition and diet advice. Which of the following diet modifications is NOT recommended? a. a diet high in grains b. a diet with adequate caloric intake c. a high protein diet d. a restructed sodium diet
d
A patient's chart indicates a history of hyperkalemia. Which of the following would you not expect to see with this patient if this condition were acute? a. decreased HR b. parestesias c. muscle weakness of the extremities d. migraines
d
A young adult is 20 y/o and has been recently admitted to the hospital. According to Erikson, which of the following stages is the adult in? a. trust vs. mistrust b. initiative vs. guilt c. autonomy vs. shame d. intimacy vs. isolation
d
The clinic nurse asks a 13 y/o female to bend forward at the waist with arms hanging freely. Which of the folowing assessments is the nurse most likely conducting? a. spinal flexibility b. leg length disparity c. hypostatic blood pressure d. scoliosis
d
The nurse anticipates that for a family who practices Chinese medicine the priority goal would be to: a. achieve harmony b. maintain a balance of energy c. respect life d. restore yin and yang
d
The nurse is conducting nutrition counseling for a paitnet with cholecystitis. Which of the following information is important to communicate? a. the patient must maintain a low-calorie diet b. the patient must maintain a high protein/low carbohydrate diet c. the patient should limit sweets and sugary drinks d. the patient should limit fatty foods
d
The nurse prepares the client for insertion of a pulmonary artery catheter (Swan-Ganz catheter). The nurse teaches the client that the catheter will be inserted to provide information about: a. stroke volume b. cardiac output c. venous pressure d. left ventricular functioning
d
What would the nurse expect to see while assessing the growth of children during their school age years? a. decreasing amounts of body fat and muscle mass b. little change in body appearance from year to year c. progressive height increase of 4 inches each year d. yearly weight gain of about 5.5 pounds per year
d
Which of the following conditions would a nurse not administer erythromycin? a. camylobacteriosis infection b. Legionnarie's disease c. penumonia d. multiple sclerosis
d
Which of the following should the nurse implement to prepare a client for KUB (kidney, ureter, bladder) radiograph test? a. client must be NPO before the examination b. enema to be administered prior to the examination c. medicate the client with Lasix 20 mg IV 30 minutes prior to examination d. no special orders are necessary for this examination
d
