NCLEX 1

stage of Piaget's cognitive developmental theory

The child has the ability to think abstractly

SBAR communication

(Situation, Background, Assessment, Recommendation) - framework for communication between members of the healthcare team about a patient's condition.

Kawasaki disease

(inflammation of blood vessles, hence the strawberry tongue) causes coronary artery aneurysms.

A client receiving iron supplements (ferrous sulfate) is complaining of constipation and the stool that is passed is black. Which information is appropriate for the nurse to share with the client?

1. Increase your fluid intake. 2. Include more fiber in your diet. 3. Ferrous sulfate changes the color of stool to black. 4. Iron slows colonic acid and often leads to constipation.

Bethanechol chloride (Urecholine)

2 hours after meals medication causes nausea and vomiting with meals

The nurse is assigned to administer the prescribed eye drops for a client preparing for cataract surgery. Which type of eye drops should the nurse expect to be prescribed?

A mydriatic medication

Prinzmetal's angina

A young patient has angina at rest with ST-segment elevation. Cardiac enzymes are normal.

The nurse is assisting in caring for a client with a tracheal tube attached to a ventilator when the high-pressure alarm sounds. The nurse checks the client and system for which most likely cause?

Accumulation of secretions in the client's lungs

Neomycin sulfate (Mycifradin)

Aminoglycoside, To decrease the bacteria in the bowel

An A1C level below 5.7 percent is considered normal

An A1C between 5.7 and 6.4 percent signals prediabetes

assessing a 36-month-old child during a wellness visit to the pediatrician. The child weighs 43 pounds and is 41 inches tall. After plotting the measurements on the standardized growth charts for a 36-month-old, which should the nurse do next?

Assess the parents' body shape and stature

Chlordiazepoxide (Librium)

Benzodiazepine

milieu therapy

Client involvement in goal setting

A client who recently began medication therapy with levodopa (Larodopa) for Parkinson's disease complains of nausea. The nurse reminds the client to do which action to manage this problem?

Eat a snack before taking the medication

A diagnostic workup is performed on a 1-year-old child suspected of a diagnosis of neuroblastoma. Which finding specifically associated with this type of tumor would the nurse expect to find documented in the child's record?

Elevated vanillylmandelic acid (VMA) levels in the urine

Type 2 diabetes is diagnosed when the A1C is over 6.5 percent.

For many people with type 2 diabetes, the goal is to lower A1C levels to a healthier percentage

The nurse discusses the risk factors associated with gastric cancer as part of a health promotion program. The nurse determines that there is a need for further teaching if a member attending the program states that which factor is a risk?

High meat and carbohydrate consumption

The nurse provides home care instructions to a client undergoing hemodialysis with regard to care of an arteriovenous (AV) fistula. Which statement by the client indicates an understanding of the instructions?

I should check the fistula every day by feeling it for a vibration.

restrictions with a client who is being discharged following hip surgery and insertion of a femoral head prosthesis. The nurse determines that the client understands the material presented if the client makes which statement?

I will exercise the leg past the point of 90-degree flexion

Cyclosporine (Sandimmune)

Immunosuppressant

Disulfiram (Antabuse)

It can treat problem drinking by creating an unpleasant reaction to alcohol. It's used in recovery programs that include medical supervision and counseling.

A client who is human immunodeficiency virus (HIV) seropositive has been taking zalcitabine (ddC) as a component of treatment. The nurse tells the client that which laboratory test will need to be monitored while taking this medication?

Liver function studies

The nurse has a prescription to give a client a scheduled dose of digoxin (Lanoxin). Before administering the medication, the nurse routinely screens for which signs/symptoms that could indicate early signs of digoxin toxicity?

Loss of appetite, nausea, vomiting

treated for depression with amitriptyline hydrochloride. During the initial phases of treatment, which is the most important nursing intervention?

Monitoring blood levels frequently because there is a narrow range between therapeutic and toxic blood levels of this medication

Dantrolene Sodium (Dantrium) laboratory test(s) would identify an adverse effect associated with the administration of this medication?

Muscle Relaxant, Liver function tests

The nurse is reviewing the history and physical examination of a client who will be receiving asparaginase (Elspar), an antineoplastic agent. The nurse consults with the registered nurse regarding the administration of the medication if which is documented in the client's history?

Pancreatitis

The client received epidural anesthesia during labor and had a forceps delivery after pushing for 2 hours. At 6 hours postpartum, the client's systolic blood pressure (BP) dropped 20 points, the diastolic BP dropped 10 points, and her pulse is 120 beats per minute. The client is very anxious and restless. The nurse is told that the client has a vulvar hematoma. On the basis of this diagnosis, the nurse should plan which action?

Preparing client for surgery

client is being treated for moderate hypertension and has been taking diltiazem (Cardizem) for several months. The client is seen by the health care provider, and Prinzmetal's angina is diagnosed. The nurse planning care for the client understands that which action of the medication will provide a therapeutic effect for this new diagnosis?

Prevents influx of calcium ions in vascular smooth muscle

Kohlberg's theory of moral development, at the preconventional level, moral development is thought to be motivated by which factor?

Punishment and reward

describe osteogenic sarcoma. Which statement by the student indicates the need to further research the disease?

The child does not experience pain at the primary tumor site

health care provider has prescribed phenobarbital sodium (Luminal Sodium), 25 mg orally twice daily for a child with febrile seizures. The child's weight is 7.2 kg. The safe pediatric dosage is 1 to 6 mg/kg/day. What should the nurse determine about the medication dosage?

The dosage is within the safe range

Normal levels of creatinine in the blood are approximately 0.6 to 1.2 milligrams (mg) per deciliter (dL) in adult males and 0.5 to 1.1 milligrams per deciliter in adult females

The kidneys are responsible for keeping the level of creatinine in the blood within a normal range. The typical reference range for serum creatinine is 60 to 110 micromoles per liter (mmol/L) (0.7 to 1.2 milligrams per deciliter (mg/dL)) for men and 45 to 90 mmol/L (0.5 to 1.0 mg/dL) for women

prescription for niacin. The nurse determines that the client understands the importance of this therapy if the client verbalizes the importance of which periodic monitoring?

The serum cholesterol level

Didanosine

a drug which inhibits the replication of HIV and is used in the treatment of AIDS, especially in combination with zidovudine. It is a synthetic analog of a purine nucleoside. Adverse effect nausea, vomiting, and abdominal pain

client with myocardial infarction is a candidate for alteplase (Activase) therapy. The nurse assisting in the care of this client is aware that it will be necessary to monitor for which adverse effect of this therapy?

bleeding

Adequate dietary fiber is an important factor for improving

bowel function

Diltiazem (Cardizem)

calcium channel blocker

The nurse in the preoperative holding unit administers a dose of scopolamine to a client. The nurse monitors the client for which common side effect of the medication?

dry mouth

Neuroblastoma

highly malignant tumor of the sympathetic nervous system

Propylthiouracil (PTU)

hyperthyroidism, Graves' disease

Aminoglycosides

ototoxicity, Renal toxicity, Can't take with PCN at all! - gentamicin, neomycin, streptomycin

The nurse is caring for a client with metastatic lung cancer. The client was medicated 2 hours ago and now reports a new and sudden sharp pain in the back. The nurse appropriately interprets this finding as possibly indicating which complication?

spinal cord compression

Levothyroxine (Synthroid)

thyroid hormone. Tremors