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NCLEX-PN Exam Questions - Part 131
1. A 46 year-old has returned from a heart catheterization and wants to get up to start walking 3 hours after the procedure. The nurse should:
A) Tell the patient to remain with the leg straight for at least another hour and check the chart for activity orders.
B) Allow the patient to begin limited ambulation with assistance.
C) Recommend a physical therapy consultation for ambulation.
D) Tell the patient to remain with leg straight for another 6 hours and check the chart for activity orders.
2. A nurse is reviewing a patients ECG report. The patient exhibits a flat T wave, depressed ST segment and short QT interval. Which of the following medications can cause all of the above effects?
A) Morphine
B) Atropine
C) Procardia
D) Digitalis
3. A patient has just been prescribed Minipress to control hypertension. The nurse should instruct the patient to be observant of the following:
A) Dizziness and light headed sensations
B) Weight gain
C) Sensory changes in the lower extremities
D) Fatigue
4. A patient is complaining of severe chest pain during a stress test. Which of the following medications is the most appropriate to relieve this discomfort?
A) Aspirin
B) Diazoxide
C) Procardia
D) Mannitol
5. A 15 year-old high school wrestler has been taking diuretics to loose weight to compete in a lower weight class. Which of the following medical tests is most like to be given?
A) Lab values of Potassium and Sodium
B) Lab values of glucose and hemoglobin
C) ECG
D) CT scan
A) Tell the patient to remain with the leg straight for at least another hour and check the chart for activity orders.
B) Allow the patient to begin limited ambulation with assistance.
C) Recommend a physical therapy consultation for ambulation.
D) Tell the patient to remain with leg straight for another 6 hours and check the chart for activity orders.
2. A nurse is reviewing a patients ECG report. The patient exhibits a flat T wave, depressed ST segment and short QT interval. Which of the following medications can cause all of the above effects?
A) Morphine
B) Atropine
C) Procardia
D) Digitalis
3. A patient has just been prescribed Minipress to control hypertension. The nurse should instruct the patient to be observant of the following:
A) Dizziness and light headed sensations
B) Weight gain
C) Sensory changes in the lower extremities
D) Fatigue
4. A patient is complaining of severe chest pain during a stress test. Which of the following medications is the most appropriate to relieve this discomfort?
A) Aspirin
B) Diazoxide
C) Procardia
D) Mannitol
5. A 15 year-old high school wrestler has been taking diuretics to loose weight to compete in a lower weight class. Which of the following medical tests is most like to be given?
A) Lab values of Potassium and Sodium
B) Lab values of glucose and hemoglobin
C) ECG
D) CT scan
1. Right Answer: A
Explanation: The patient should keep the leg straight for at least 4 hours.
2. Right Answer: D
Explanation: Digitalis can cause all of the listed symptoms.
3. Right Answer: A
Explanation: Hypotension may be result of over correction of a hypertensive condition.
4. Right Answer: C
Explanation: Procardia can provide the quickest relief of ischemic chest pain that is severe in this case.
5. Right Answer: A
Explanation: Diuretics can disturb the sodium and potassium balance resulting in cardiac complications. An ECG is not indicated without evidence of cardiac conditions.
Explanation: The patient should keep the leg straight for at least 4 hours.
2. Right Answer: D
Explanation: Digitalis can cause all of the listed symptoms.
3. Right Answer: A
Explanation: Hypotension may be result of over correction of a hypertensive condition.
4. Right Answer: C
Explanation: Procardia can provide the quickest relief of ischemic chest pain that is severe in this case.
5. Right Answer: A
Explanation: Diuretics can disturb the sodium and potassium balance resulting in cardiac complications. An ECG is not indicated without evidence of cardiac conditions.
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