NCLEX CHAPTER 18,42,49,50

49/6 Which organism is not commonly associated with PID? 1. Neisseria gonorrhoeae 2. Chlamydia trachomatis 3. Mycoplasma hominis 4. Escherichia coli

. Escherichia coli

49/1 Fertilization occurs in which site? 1. Uterus 2. Ovary 3. Fallopian tube 4. Vagina

.3. Fallopian tube

42/5 Patient teaching to reduce the risk of cystitis in women should include which of the following (select all that apply.) 1. Avoid caffeine 2. Tub baths are recommended over showers 3. Drink a glass of water before and after intercourse 4. Cleanse the perineum from front to back after elimination 5. Wear synthetic undergarments that serve as a barrier to moisture

1. avoid caffeine. 3.drink a glass of water before and after intercourse. 4. Cleanse the perineum form front to back after elimination.

18/10 The greatest danger of irrigating an obstructed intravenous line is: 1. Embolism 2. Trauma to the blood vessel 3. Rupture of the cannula 4. Infusion site irritation

1. embolism

18/5 A central line is preferred over a peripheral line under which of the following conditions? (Select all that apply.) 1. Irritating intravenous fluids are to be administered. 2. The patient is an infant. 3. Short-term therapy is required. 4. The patient has poor peripheral veins. 5. Antibiotics will be infused.

1. irritating IV fluids are to be administered.. 4. pt has poor peripheral vein

18/8 Which of the following interventions is/are recommended when an older adult requires peripheral intravenous therapy? (Select all that apply.) 1. Pad the armboard, if used 2. Protect the skin from adhesive tape 3. Place an immobilizer over the infusion site 4. Use a blood pressure cuff rather than a tourniquet 5. Release traction on the vein after the needle pierces the skin

1. pad the armband, if used. 2. protect the skin from adhesive tape. 4. Use a blood pressure cuff rather than a tourniquet.

42/3 The first time that a patient voids after cystoscopy, you notice pink-tinged urine. What is the nurse's most appropriate response? 1. promptly notice the physician 2. encourage additional fluids 3. recognize that this is normal 4. assess the patient's BP

3. Recognize that this is normal.

18/7 An older patient is receiving intravenous fluids to treat dehydration. When she complains of shortness of breath, your assessment reveals a 20-point increase her systolic blood pressure and a heart rate of 100 beats per minute (bpm) . The most likely cause of these findings is: 1. Shock caused by deficient fluid volume 2. Anxiety associated with hospitalization 3. Fluid volume excess related to fluid overload 4. Renal failure caused by circulatory collapse

3. fluid volume excess related to fluid overload

42/6 Glomerulonephritis is caused by which of the following? 1. Bacteria 2. Viruses 3. Urinary obstruction 4. Immunologic processes

4. immunologic processes.

42/9 After a nephrectomy, a patient's urine output was 25 ml in the past hour. Which of the following action should the nurse take? 1. Have the patient change positions 2. Give the patient an 8-oz glass of water every 2 hours 3. Increase the flow rate of the patient's intravenous fluids 4. Notify the physician that the patient's urine output is too low

4. notify the physician that the pt's urine output is too low.

18/4 When intravenous fluid is given to increase blood volume, the tonicity of the solution should be_________________.

Hypertonic

18/9 2. A PICC line is inserted into a vein and advanced the _________________

Superior vena cava

49/2 Which question collects data about the patient's menarche? ⦁ "At what age did you begin menstruating?" ⦁ "Would you describe your menstrual flow as light or heavy?" ⦁ "What was your age when you first experienced hot flashes? " 4. "Do you usually have any changes in mood before your menstrual period?"

⦁ "At what age did you begin menstruating?"

49/4 You are teaching a class on BSE to women of various ages. Which of the following should you tell women who no longer menstruate about BSE? (Select all that apply.) 1. "BSE is not a substitute for professional examinations." 2. "Perform BSE on the same day of each month" 3. "Older women should perform BSE every day" 4. "Mammograms are needed only if you discover a lump." 5. "Palpate the axilla as well as the breasts."

1. "BSE is not a substitute for professional examinations." 2. "Perform BSE on the same day of each month" 5. "Palpate the axilla as well as the breasts."

49/3 Which of the following statements are appropriate to prepare a patient for culdoscopy? (Select all that apply.) 1. "You will need to be in a knee-chest or lithotomy position." 2. "You will have no restrictions after the procedure" 3. "You will need to return in 1 week to have your sutures removed." 4. "You may have shoulder pain caused by air entering the pelvic cavity." 5. "You will be given general anesthesia for this procedure ."

1. "You will need to be in a knee-chest or lithotomy position." 4. "You may have shoulder pain caused by air entering the pelvic cavity."

49/5 A young woman has come to the physician's office for a routine pelvic examination. During the health history, she tells you that her mother says douching is an essential part of feminine hygiene. What is your best response? 1. "Your body has normal processes to cleanse the vagina, so douching is unnecessary." 2. "Douching is not really necessary but it is a harmless procedure." 3. "No medically appropriate reasons exist for douching." 4. "Douching is safe if sterile solution is used."

1. "Your body has normal processes to cleanse the vagina, so douching is unnecessary."

42/1 An 88-year-old woman was seen in the clinic three times last year for kidney infections. Which of the following age-related factors may be contributing to these frequent infections? (Select all that apply.) 1. Incomplete bladder emptying 2. Decreased renal blood flow 3. Decreased creatinine clearance 4. Reflux of urine into the ureters 5. Decreased bladder capacity

1. Incomplete bladder emptying. 4. Reflux of urine into the ureters.

42/7 Which of the following is a procedure that use sound,laser, or dry shock wave energy to break up renal calculi? 1. Lithotripsy 2. Lithotomy 3. Nephrolithotomy 4. Ureterolithotomy

1. Lithotripsy

18/1 Which intravenous cannula is largest? 1. 12 gauge 2. 14 gauge 3. 18 gauge 4. 22 gauge

12 gauge

18/6 A patient is to receive 1000 ml of intravenous fluid every 8 hours at a rate of 34 drops/min. If the infusion has slowed so that he has received only 700 ml near the end of one 8-hour shift, the correct action is to: 1. Quickly infuse an additional 300 ml before the end of the shift 2. Increase the infusion rate to deliver an additional 300 ml over the next shift 3. Notify the physician to determine what action should be taken 4. Reset the infusion rate at 34 drops/min to continue the infusion

4.reset the infusion rate at 34 drops/min to continue the infusion.

42/8 The maximum amount of fluid that can be used to irrigate a nephrostomy tube is ____________mL

5ml

42/4 The procedure that most often causes health care associated infections is__________________.

Catheterization

42/2 A patient tells you that she has a painful, burning sensation during urination. The term you should use to record this symptom is________________________.

Dysuria

42/10 A patient with chronic kidney disease becomes confused. He complains of nausea, abdominal, cramps, and lack of sensation in his legs. His heart rhythm is irregular. Which of the following should you suspect? 1. Increased BUN 2. Hyperkalemia 3. Metabolic acidosis 4. Hypocalcemia

hyperkalemia

18/2 A patient is receiving an intravenous infusion of 0.45% sodium chloride. The nurse knows that this solution is: 1. Isotonic 2. Hypotonic 3. Hypertonic 4. Concentrated

hypotonic

18/3 Solutions that have the same concentration of electrolytes as body fluids are called ___________________solutions.

isotonic solution