RN NCLEX Adaptive Quizzing Review Test 5

The nurse suspects that the client has shift-work sleep disorder (SWSD). Which medication is indicated to treat this disorder?

Modafinil: it promotes wakefulness

Which diagnostic study would the health care provider use to investigate the cause of an inflamed joint and determine a client's response to anti-inflammatory medication therapy?

Plethysmography

The registered nurse (RN) advises a nursing student to value learning for learning's sake. Which concept of critical-thinking behavior is the RN referring to? 1. Analyticity 2. Systematically 3. Inquisitiveness 4. Self-confidence

3

Which disorder is a cause of systemic altered inflammatory response in impaired wound healing? 1. Uremia 2. Cirrhosis 3. Leukemia 4. Hypovolemia

3

In which order do events occur in stage I of the inflammatory process? 1. Increased blood flow causes swelling at the site of injury. 2. Cytokine is released to produce more white blood cells. 3. Edema from plasma leaking protects further injury. 4. Capillary leak causes pain. 5. Blood vessel changes cause redness and tissue warmth.

5, 1, 4, 3, 2

Which health care professional would the nurse know is held accountable for the tasks performed by the patient care associate (PCA)? 1. Registered nurse (RN) 2. Licensed Vocational Nurse (LVN) 3. Unlicensed Assistive Personnel (UAP) 4. Licenced Practical Nurse (LPN)

1.

The nurse is preparing to administer a nasogastric tube feeding to a client via infusion pump. Which is an important assessment the nurse needs to perform before beginning the pump? 1. Checking for the last bowel movement. 2. Checking for residual stomach contents. 3. Determining the time of the last nausea medication. 4. Determining the client's comfort level.

2

Which client statement would cause the nurse to stop the health care provider from initiating epidural anesthesia? 1. "I'm not exactly sure how an epidural works." 2. "I understand that the epidural might or might not take my pain away." 3. "I signed the consent form for an epidural at my last clinic appointment." "4. I'm aware that the epidural could cause my contractions to slow down."

1

Which would the nurse incorporate into the plan of care for the older adult experiencing chronic pain? 1. Exercise 2. Distraction 3. Heat Therapy 4. Trigger point massage

1

Which leukocyte values determine the adequacy of a client's response to inflammation? Select all that apply. One, some, or all responses may be correct. 1. Monocytes 2. Neutrophils 3. Plasma cells 3. T-helper cells 4. Macrophages

1, 2, 4

A client is receiving intermittent nasogastric (NG) tube feedings to supplement oral nutritional intake. The nurse administers the feeding over 30 to 60 minutes to reduce which hazard?

Regurgitation

The nurse is providing nutrition instructions for a client who has inflammatory bowel disease of the ascending colon. Which suggestion by the nurse is appropriate? 1. Consume scrambled eggs and applesauce. 2. Consume barbecued chicken and French fries. 3. Consume fresh fruit salad with cheddar cheese. 4. Consume chunky peanut butter on whole wheat bread.

1

The nursing team is collaborating in the care of a client with chronic pain. Which task must be performed by the registered nurse (RN)? 1. Assisting with hygiene 2. Taking and reporting vital signs 3. Administering oral pain medications 4. Developing a treatment plan for the client's pain

4

When evaluating the white blood cell count differential, which statement indicates the meaning of "a shift to the left"? 1. Heightened phagocytosis 2. Functioning bone marrow 3. Infection is being contained 4. Increased immature neutrophils

4

Which functions of leukocytes are involved in the inflammation process? Select all that apply. One, some, or all responses may be correct. 1. Destruction of bacteria and cellular debris 2. Selective attack and destruction of non-self cells 3. Release of vasoactive amines during allergic reactions 4. Secretion of immunoglobulins in response to a specific antigen 5. Enhancement of immune activity through secretion of various 6. factors, cytokines, and lymphokines.

1, 3

The nurse is caring for a client who has just received epidural anesthesia. The nurse would monitor for which adverse effects? 1. Uterine atony 2. Hypotension 3. Decreased urine production 4. Precipitous second stage of labor

2

When providing postoperative teaching, which rationale would the nurse give to explain the purpose of administering an opioid analgesic via epidural catheter? 1. Facilitates oxygen use 2. Relieves abdominal pain 3. Decreases anxiety and restlessness 4. Dilates coronary and peripheral blood vessels

2

A middle-aged adult reports fatigue and decreased strength in the limbs. Which suggestion would the nurse provide to the client? 1. "Include more carbohydrates in your diet." 2. "Drink 2 cups of milk daily." 3. "Perform push-ups in the morning." 4. "Use warm compresses on your muscles."

3

Before beginning administration of morphine via patient-controlled analgesia (PCA), which assessment would the nurse perform first? 1. Temperature 2. Blood pressure 3. Respirations 4. Urinary output

3

Which finding would indicate that the prescribed enteral feeding has been effective in a malnourished client who had head and neck surgery for pharyngeal cancer? 1. Good skin turgor 2. Normal bowel sounds 3. Well-healed incisions 4. Normal appearing stools

3

When caring for a client who is receiving enteral feedings, the nurse would take which measure to prevent aspiration? 1. Elevate the head of the bed between 30 and 45 degrees. 2. Decrease flow rate at night. 3. Check for residual daily. 4. Irrigate regularly with warm tap water.

1

The nursing student is discussing teaching methods recommended for preschoolers. Which statement would the nurse recognize as indicating a need for further teaching? 1. "I should encourage the preschoolers to ask questions." 2. "I should use role play, imitation, and play to make learning fun." 3. "I should teach preschoolers about the psychomotor skills needed to maintain health." 4. "I should encourage children to learn together through pictures and short stories."

3

An instructor asks a student to describe teaching methods that are effective for adolescents. Which statement by the student indicates a need for further teaching? 1. "Use teaching as a collaborative activity." 2. "Use problem-solving to help adolescents make choices." 3. "Help adolescents learn about their feelings and need for self-expression." 4. "Encourage adolescents to learn together through pictures and short stories."

4

A health care provider prescribes an intermittent enteral tube feeding for a client with a nasogastric tube. Place the nursing interventions in the order in which they should be implemented. 1. Verify the health care provider's prescription. 2. Elevate the head of the bed to at least 30 degrees. 3. Flush the tube with 30 mL of water after the feeding. 4. Administer the volume of feeding as per the prescription. 5. Check the volume of residual against the parameters prescribed.

1, 2, 5, 4, 3

A client reports overwhelming and irresistible attacks of sleep. Which sleep disorder is she or he describing?

Narcolepsy