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NCLEX-PN Exam Questions - Part 124
1. A 64 year-old male who has been diagnosed with COPD, and CHF exhibits an increase in total body weight of 10 lbs. over the last few days. The nurse should:
A) Contact the patient - s physician immediately.
B) Check the intake and output on the patient - s flow sheet.
C) Encourage the patient to ambulate to reduce lower extremity edema.
D) Check the patient - s vitals every 2 hours.
2. A 32 year-old male with a complaint of dizziness has an order for Morphine via. IV. The nurse should do which of the following first?
A) Check the patient - s chest x-ray results.
B) Retake vitals including blood pressure.
C) Perform a neurological screen on the patient.
D) Request the physician on-call assess the patient.
3. A patient that has TB can be taken off restrictions after which of the following parameters have been met?
A) Negative culture results.
B) After 30 days of isolation.
C) Normal body temperature for 48 hours.
D) Non-productive cough for 72 hours.
4. A nurse teaching a patient with COPD pulmonary exercises should do which of the following?
A) Teach pursed-lip breathing techniques.
B) Encourage repetitive heavy lifting exercises that will increase strength.
C) Limit exercises based on respiratory acidosis.
D) Take breaks every 10-20 minutes with exercises.
5. A patient asks a nurse the following question. Exposure to TB can be identified best with which of the following procedures? Which of the following tests is the most definitive of TB?
A) Chest x-ray
B) Mantoux test
C) Breath sounds examination
D) Sputum culture for gram-negative bacteria
A) Contact the patient - s physician immediately.
B) Check the intake and output on the patient - s flow sheet.
C) Encourage the patient to ambulate to reduce lower extremity edema.
D) Check the patient - s vitals every 2 hours.
2. A 32 year-old male with a complaint of dizziness has an order for Morphine via. IV. The nurse should do which of the following first?
A) Check the patient - s chest x-ray results.
B) Retake vitals including blood pressure.
C) Perform a neurological screen on the patient.
D) Request the physician on-call assess the patient.
3. A patient that has TB can be taken off restrictions after which of the following parameters have been met?
A) Negative culture results.
B) After 30 days of isolation.
C) Normal body temperature for 48 hours.
D) Non-productive cough for 72 hours.
4. A nurse teaching a patient with COPD pulmonary exercises should do which of the following?
A) Teach pursed-lip breathing techniques.
B) Encourage repetitive heavy lifting exercises that will increase strength.
C) Limit exercises based on respiratory acidosis.
D) Take breaks every 10-20 minutes with exercises.
5. A patient asks a nurse the following question. Exposure to TB can be identified best with which of the following procedures? Which of the following tests is the most definitive of TB?
A) Chest x-ray
B) Mantoux test
C) Breath sounds examination
D) Sputum culture for gram-negative bacteria
1. Right Answer: B
Explanation: Check the intake and output prior to making any decisions about patient care.
2. Right Answer: B
Explanation: Dizziness can be a sign of hypotension, that may a contraindication with Morphine.
3. Right Answer: A
Explanation: Negative culture results would indicate absence of infection.
4. Right Answer: A
Explanation: Purse lip breathing will help decrease the volume of air expelled by increased bronchial airways.
5. Right Answer: B
Explanation: The Mantoux is the most accurate test to determine the presence of TB.
Explanation: Check the intake and output prior to making any decisions about patient care.
2. Right Answer: B
Explanation: Dizziness can be a sign of hypotension, that may a contraindication with Morphine.
3. Right Answer: A
Explanation: Negative culture results would indicate absence of infection.
4. Right Answer: A
Explanation: Purse lip breathing will help decrease the volume of air expelled by increased bronchial airways.
5. Right Answer: B
Explanation: The Mantoux is the most accurate test to determine the presence of TB.
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