NCLEX

. A client is admitted to the hospital after vomiting bright red blood and is diagnosed with a bleeding duodenal ulcer. The client develops a sudden, sharp pain in the midepigastric region along with a rigid, board-like abdomen. After obtaining the client's vital signs, what should the nurse do next? 1. Administer pain medication as prescribed 2. Raise the head of the bead 3. Prepare to insert a nasogastric tube 4. Notify the healthcare provider (HCP)

4 (D)

A client with type 1 diabetes mellitus is admitted to the emergency department. Which respiratory pattern in a client with diabetes mellitus requires immediate action? A.Deep, rapid respirations with long expirations B.Shallow respirations alternating with long expirations C.Regular depth of respiration with frequent pauses D.Short expirations and inspirations

A

After pituitary surgery, the nurse should assess the client for: A.Urine specific gravity <1.010. B.Urine output between 1 and 2 L/day. C.Blood glucose level higher than 300 mg/dL (16.7 mmol/L). D.Urine negative for glucose and ketones.

A

Following a transsphenoidal hypophysectomy, the nurse should assess the client for: A.Cerebrospinal fluid (CSF) leak. B.Fluctuating blood glucose levels. C.Cushing's syndrome. D.Cardiac arrhythmias.

A

. Which foods should the nurse encourage a client with diverticulosis to incorporate into the diet? Select all that apply. A. Bran cereal B. Broccoli C. Tomato juice D. Navy beans E. Cheese

A,B,D

1. A nurse is assessing a client who has been admitted with a diagnosis of an obstruction in the small intestine. The nurse should assess the client for? Select all that apply. A. Projectile vomiting B. Significant abdominal distention C. Copious diarrhea D. Rapid onset of dehydration E. Increased bowel sound

A,D,E

One day following a subtotal thyroidectomy a client begins to having tingling in the fingers and toes. The nurse should first: A.Encourage the client to flex and extend the fingers and toes. B.Notify the healthcare provider (HCP) C.Assess the client for thrombophlebitis D.Ask the client to speak.

B- Notify HCP

Which is an expected finding in a client with adrenal crisis (addisonian crisis)? A.Fluid retention B.Pain C.Peripheral edema D.Hunger

B- Pain

A client's ulcerative colitis signs and symptoms have been present for longer than 1 week. The nurse should assess the client for signs and symptoms of which of the following complications? A. Heart failure B. Deep vein thrombosis C. Hypokalemia D. Hypocalcemia

C

A client has been paced on long-term sulfasalazine therapy for treatment of ulcerative colitis. The nurse should encourage the client to eat which foods to help avoid the nutrient deficiencies that may develop as a result of this medication? A. Citrus fruit B. Green, leafy vegetables C. Eggs D. Milk products

B

The nurse is instructing the client with hypothyroidism who takes levothyroxine 100mcg, digoxin, and simvastatin. Teaching regarding the use of these medications is effective if the client will take: A.The levothyroxine with breakfast and the other medications after breakfast. B.The levothyroxine before breakfast and other medications 4 hours later C.All medications together 1 hour after eating breakfast D.All medications before going to bed.

B

The nurse should monitor the client with Cushing's disease for which finding? A.postprandial hypoglycemia B.hypokalemia C.hyponatremia D.decreased urine calcium level

B

. A client is admitted to the hospital with a diagnosis of cholecystitis from cholelitiasis. The client has severe abdominal pain and nausea and has vomited 120 mL. Based on these data, which nursing action would have the highest priority at this time: A. Manage anxiety B. Restore fluid loss C. Manage the pain D. Replace nutritional loss

C

A client who has been diagnosed with gastroesophageal reflux disease (GERD) complains of heartburn. To decrease the heartburn, the nurse should instruct the client to eliminate which of the following items from the diet? A. Lean beef B. Air-popped popcorn C. Hot chocolate D. Raw vegetables

C

When teaching a client newly diagnosed with Addison's disease, the nurse should explain that the disease results from: A.Insufficient secretion of growth hormone (GH). B.Dysfunction of the hypothalamic pituitary. C.Idiopathic atrophy of the adrenal gland. D.Over secretion of the adrenal medulla.

C

When conducting a health history with a female client with thyrotoxicosis, the nurse should ask about which changes in the menstrual cycle? A.Dysmenorrhea B.Metorrhagia C.Oligomenorrhea D.Menorrhagia

C - Oligomenorrhea

2. Before abdominal surgery for an intestinal obstruction, the nurse monitors the client's urine output and finds that the total output for the past 2 hours was 35 mL. The nurse then assesses the client's total intake and output over the last 24 hours and notes that he had 2,000 mL of I.V. fluid for intake, 500 mL of drainage from the nasogastric tube, and 700 mL of urine for a total output of 1,200 mL. This would indicate which of the following? A. Decreased renal function B. Inadequate pain relief C. Extension of the obstruction D. Inadequate fluid replacement

D

A client with acute appendicitis develops a fever, tachycardia, and hypotension. Based on these assessment findings, the nurse should further assess the client for which of the following complications? A. Deficient fluid volume. B. Intestinal obstruction. C. Bowel ischemia. D. Peritonitis.

D

A client with peptic ulcer disease is taking ranitidine (Zantac). What is the expected outcome of this drug? A. Heal the ulcer. B. Protect the ulcer surface from acids. C. Reduce acid concentration. D. Limit gastric acid secretion.

D

Which finding should the nurse report to the client's healthcare provider (HCP) for a client with unstable type 1 diabetes mellitus? Select all that apply. A.Systolic blood pressure 145 mmHg B.Diastolic blood pressure 87 mmHg C.High-density lipoprotein (HDL) 30mg/dL (1.7mmol/L) D.Urine ketones, negative E.HbA1c 10.2%

all of the above