NCLEX QUESTIONS FOR PA

The nurse is assessing a client who reports severe knee pain after a fall. Which question does the nurse ask to determine the radiation of the pain? a. "What makes the pain better or worse?" b. "Are you able to bear any weight on the knee at all?" c. "Does the pain move to another area from your knee?" d. "How would you rate the pain on a scale of 1 to 10?"

"Does the pain move to another area from your knee?" To determine radiation of the pain, the nurse asks the client if the pain moves to another area from the knee. The other questions address the amount, functional impact, and alleviating or aggravating factors of the pain.

After teaching a patient with a bunion about how to prevent further problems, the nurse will determine that more teaching is needed if the patient says, a. "I will wear soft slippers whenever possible." b. "I will throw away my high heel shoes." c. "I will use the shoe inserts to relieve the pain." d. "I will take ibuprofen (Motrin) when I need it."

"I will wear soft slippers whenever possible." The shank of the shoe should be rigid enough to support the foot. The other patient statements indicate that the teaching has been effective.

While testing the patient's muscle strength, the nurse finds that the patient can flex the arms when no resistance is applied but is unable to flex when the nurse applies light resistance. The nurse should documents the patient's muscle strength as level a. 1. b. 2. c. 3. d. 4.

3 A level 3 indicates that the patient is unable to move against resistance but can move against gravity. Level 1 indicates minimal muscle contraction, level 2 indicates that the arm can move when gravity is eliminated, and level 4 indicates active movement with some resistance.

A patient admitted to the hospital with myocardial infarction 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

Air hunger

A client is frustrated & embarrassed about urinary incontinence. Which of the following measures should the nurse include in a bladder-retraining program? a. Establishing a predetermined fluid intake pattern for the patient b. Encourage the patient to increase time between voiding c. Restricting fluid intake to reduce the need to void d. Assessing present elimination patterns

Assessing present elimination patterns

A primary prevention to ↓ the female patient at risk for developing coronary heart disease is to?

Avoid excess weight gain during pregnancy

A nurse calls a physician with the concern that a patient has developed a pulmonary embolism. Which of the following symptoms has the nurse most likely observed? A. The patient is somnolent with decreased response to the family B. The patient suddenly complains of chest pain and shortness of breath C. The patient has developed a wet couch and the nurse hears crackles on auscultation of the lungs D. The patient has a fever, chills, and loss of appetite

B. The patient suddenly complains of chest pain and shortness of breath

The limbus marks the border of the sclera and the cornea. Which letter corresponds with the limbus?

C

What lymph nodes drain the MAMMARY LOBULES?

Deep lymph

When examining a female patient's GU system, nurse Payne assess for tenderness at the CVA by placing the left hand over this area and striking it with the right fist. Normally this percussion technique produces which sound? a. Flat sound b. Dull sound c. Hyperresonance d. Tympany

Dull sound

A patient is in supine position and their jugular veins are revealed from the base of the neck to the angle of the jaw are distended. What does this finding indicate?

INCREASE central venous pressure

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 closed chest massage C. Establish an airway D. Obtain the crash card

Initiate closed chest massage

A client comes into a clinic for a routine breast and axillae exam. Which assessment will the nurse do first?

Inspection

While assessing a 1 month-old infant, which finding should the nurse report immediately? A. Abdominal respirations B. Irregular breathing rate C. Inspiratory grunt D. Increased heart rate with crying

Inspiratory grunt

A nurse is planning care for a child with acute bacterial meningitis. Based on the mode of transmission of this infection, which of the following would be included in the plan of care? A. No precautions are required as long as antibiotics have been started B. Maintain enteric precautions C. Maintain respiratory isolation precautions for at least 24 hours after the initiation of antibiotics D. Maintain neutropenic precautions

Maintain respiratory isolation precautions for at least 24 hours after the initiation of antibiotics Priority for nursing care for a child suspected for having meningitis is to administer the prescribed antibiotic as soon as it is ordered.

An assessment finding that alerts the nurse to the presence of osteoporosis in a middle-aged patient is a. the presence of bowed legs. b. measurable loss of height. c. an aversion to dairy products. d. statements about frequent falls.

Measurable loss of height. Osteoporosis occurring in the vertebrae produces a gradual loss of height. Bowed legs are associated with osteomalacia. Low intake of dairy products is a risk factor for osteoporosis, but it does not indicate that osteoporosis is present. Frequent falls increase the risk for fractures but are not an indicator of osteoporosis.

A nurse is assessing the neurovascular status of a client who returned to the surgical unit 4 hours ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission. The nurse interprets that the neurovascular status is: a. Normal because of the increased blood flow through the leg b. Slightly deteriorating and should be monitored for another hour c. Moderately impaired, and the surgeon should be called d. Adequate from the arterial approach, but venous complications are arising

Normal because of the increased blood flow through the leg

A 3-year-old 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 health care provider of the child's status

Notify the health care provider of the child's status

A nurse is reviewing a patient's lab findings for UA (urinalysis). The findings indicate the urine is positive for leukoesterase & nitrites. Which of the following is an appropriate nursing action? a. Repeat the test early next morning b. Start a 24 hour urine collection for creatinine clearance c. Obtain a clean catch urine specimen for C&S d. Insert a urinary catheter to collect a urine specimen

Obtain a clean catch urine specimen for C&S

When examining the posterior oropharynx, the tip of the tongue should be placed?

On distal half of the tongue

What is a disease that disrupts the replacement of old bone tissue with new bone tissue and red/scaly like eczema on the nipple?

Paget's disease

While cooking, your client couldn't feel the temperature of a hot oven. Which lobe could be dysfunctional? A. Frontal B. Occipital C. Parietal D. Temporal

Parietal The parietal lobe regulates sensory function, which would include the ability to sense hot or cold objects.

A client comes to the outpatient clinic and tells the nurse that he has had leg pains that began when he walks but cease when he stops walking. Which of the following conditions would the nurse assess for? a. An acute obstruction in the vessels of the legs b. Peripheral vascular problems in both legs c. Diabetes d. Calcium deficiency

Peripheral vascular problems in both legs

A 24-year-old man seeks medical attention for complaints of claudication in the arch of the foot. A nurse also notes superficial thrombophlebitis of the lower leg. The nurse would next assess the client for: a. Familial tendency toward peripheral vascular disease b. Smoking history c. Recent exposure to allergens d. History of insect bites

Smoking history

Which of the following characteristics is typical of the pain associated with DVT? a. Dull ache b. No pain c. Sudden Onset d. Tingling

Sudden Onset

What lymph nodes drain the SKIN?

Superficial

During a routine physical examination to assess a male client's deep tendon reflexes, the nurse should make sure to: A. Use the pointed end of the reflex hammer when striking the Achilles tendon B. Support the joint where the tendon is being tested C. Tap the tendon slowly and softly D. Hold the reflex hammer tightly

Support the joint where the tendon is being tested Support the joint to prevent the attached muscle from contracting

Problems with memory and learning would relate to which of the following lobes? A. Frontal B. Occipital C. Parietal D. Temporal

Temporal The temporal lobe functions to regulate memory and learning problems because of the integration of the hippocampus.

The nurse is examining a clients breast and what specific pattern should she use?

The back and forth technique

A client is admitted to the emergency room with left sided congestive heart failure, what would be the first assessment?

The neck to check for JVD

When performing a scrotal examination, nurse Payne finds a nodule, what should the nurse do next? a. Change the client's position & repeat exam b. Perform rectal examination c. Transilluminate the scrotum d. Have the patient return in a week

Transilluminate the scrotum

What is the correct direction to lightly pull the auricle to straighten the external auditory canal in the average adult?

Up and back

Nurse Payne is aware that the following statements describing urinary incontinence in the elderly is true: a. Urinary incontinence is a normal part of aging b. Urinary incontinence isn't a disease c. Urinary incontinence in the elderly cannot be treated d. Urinary incontinence is a disease

Urinary incontinence isn't a disease

When the healthcare provider tells a patient that the pain in the patient's knee is caused by bursitis, the patient asks the nurse to explain just what bursitis is. The nurse's best response would be to tell the patient bursitis is an inflammation of a. the fibrocartilage that acts as a shock absorber in the knee joint. b. a small, fluid-filled sac found at many joints. c. any connective tissue that is found supporting the joints of the body. d. the synovial membrane that lines the area between two bones of a joint.

a small, fluid-filled sac found at many joints. Bursae are fluid-filled sacs that cushion joints and bony prominences. Fibrocartilage is a solid tissue that cushions some joints. Bursae are a specific type of connective tissue. The synovial membrane lines many joints but is not a bursa.

A nurse is performing her routine physical assessment on a patient with Cushing's syndrome, what is the normal finding?

adipose deposits in the face and neck

Tuning fork hearing test measures hearing by which of the following mechanism

air/bone conduction

Before inserting an otoscope in an adult client, which of the following maneuvers should the examiner perform?

pull the pinna up and straighten the auditory ear canal

A nurse is assessing a patient's goiter. Which should she consider?

→ Stand behind → Use both hands on either side of the tracheal

A nurse is assessing a patient with hyperthyroidism. What are the signs and symptoms?

→ exophthalmos → INCREASE appetite → tremors

A 54-year-old patient is admitted to the cardiac unit with chest pain radiating to the jaw and left arm, which enzyme would be most specific in the diagnosis of a myocardial infarction?

→Creatine phosphokinase (CPK)