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NCLEX-RN Exam Questions - Part 24
1. A client is experiencing muscle weakness and lethargy. His serum K+is 3.2. What other symptoms might he exhibit?
A) Tetany
B) Dysrhythmias
C) Numbness of extremities
D) Headache
2. Following a gastric resection, which of the following actions would the nurse reinforce with the client in order to alleviate the distress from dumping syndrome?
A) Eating three large meals a day
B) Drinking small amounts of liquids with meals
C) Taking a long walk after meals
D) Eating a low-carbohydrate diet
3. Azulfidine (Sulfasalazine) may be ordered for a client who has ulcerative colitis. Which of the following is a nursing implication for this drug?
A) Limit fluids to 500 mL/day.
B) Administer 2 hours before meals.
C) Observe for skin rash and diarrhea.
D) Monitor blood pressure, pulse.
4. Other drugs may be ordered to manage a client - s ulcerative colitis. Which of the following medications, if ordered, would the nurse question?
A) Methylprednisolone sodium succinate (Solu-Medrol)
B) Loperamide (Imodium)
C) Psyllium
D) 6-Mercaptopurine
5. A male client is scheduled for a liver biopsy. In preparing him for this test, the nurse should:
A) Explain that he will be kept NPO for 24 hours before the exam
B) Practice with him so he will be able to hold his breath for 1 minute
C) Explain that he will be receiving a laxative to prevent a distended bowel from applying pressure on the liver
D) Explain that his vital signs will be checked frequently after the test
A) Tetany
B) Dysrhythmias
C) Numbness of extremities
D) Headache
2. Following a gastric resection, which of the following actions would the nurse reinforce with the client in order to alleviate the distress from dumping syndrome?
A) Eating three large meals a day
B) Drinking small amounts of liquids with meals
C) Taking a long walk after meals
D) Eating a low-carbohydrate diet
3. Azulfidine (Sulfasalazine) may be ordered for a client who has ulcerative colitis. Which of the following is a nursing implication for this drug?
A) Limit fluids to 500 mL/day.
B) Administer 2 hours before meals.
C) Observe for skin rash and diarrhea.
D) Monitor blood pressure, pulse.
4. Other drugs may be ordered to manage a client - s ulcerative colitis. Which of the following medications, if ordered, would the nurse question?
A) Methylprednisolone sodium succinate (Solu-Medrol)
B) Loperamide (Imodium)
C) Psyllium
D) 6-Mercaptopurine
5. A male client is scheduled for a liver biopsy. In preparing him for this test, the nurse should:
A) Explain that he will be kept NPO for 24 hours before the exam
B) Practice with him so he will be able to hold his breath for 1 minute
C) Explain that he will be receiving a laxative to prevent a distended bowel from applying pressure on the liver
D) Explain that his vital signs will be checked frequently after the test
1. Right Answer: B
Explanation: (A) Tetany is seen with low calcium. (B) Low potassium causes dysrhythmias because potassium is responsible for cardiac muscle activity. (C) Numbness of extremities is seen with high potassium. (D) Headache is not associated with potassium excess or deficiency.
2. Right Answer: D
Explanation: (A) Six small meals are recommended. (B) Liquids after meals increase the time food empties from the stomach. (C) Lying down after meals is recommended to prevent gravity from producing dumping. (D) A low-carbohydrate diet will prevent a hypertonic bolus, which causes dumping.
3. Right Answer: C
Explanation: (A) Fluids up to 25003000 mL/day are needed to prevent kidney stones. (B) The client should be instructed to take oral preparations with meals or snacks to lessen gastric irritation. (C) Sulfasalazine causes skin rash and diarrhea. (D) Blood pressure and pulse are not altered by sulfasalazine.
4. Right Answer: D
Explanation: (A) Methylprednisolone sodium succinate is used for its anti-inflammatory effects. (B) Loperamide would be used to control diarrhea. (C) Psyllium may improve consistency of stools by providing bulk. (D) An immunosuppressant such as 6-mercaptopurine is used for chronic unrelenting Crohns disease.
5. Right Answer: D
Explanation: (A) There is no NPO restriction prior to a liver biopsy. (B) The client would need to hold his breath for 510 seconds. (C) There is no pretest laxative given. (D)Following the test, the client is watched for hemorrhage and shock.
Explanation: (A) Tetany is seen with low calcium. (B) Low potassium causes dysrhythmias because potassium is responsible for cardiac muscle activity. (C) Numbness of extremities is seen with high potassium. (D) Headache is not associated with potassium excess or deficiency.
2. Right Answer: D
Explanation: (A) Six small meals are recommended. (B) Liquids after meals increase the time food empties from the stomach. (C) Lying down after meals is recommended to prevent gravity from producing dumping. (D) A low-carbohydrate diet will prevent a hypertonic bolus, which causes dumping.
3. Right Answer: C
Explanation: (A) Fluids up to 25003000 mL/day are needed to prevent kidney stones. (B) The client should be instructed to take oral preparations with meals or snacks to lessen gastric irritation. (C) Sulfasalazine causes skin rash and diarrhea. (D) Blood pressure and pulse are not altered by sulfasalazine.
4. Right Answer: D
Explanation: (A) Methylprednisolone sodium succinate is used for its anti-inflammatory effects. (B) Loperamide would be used to control diarrhea. (C) Psyllium may improve consistency of stools by providing bulk. (D) An immunosuppressant such as 6-mercaptopurine is used for chronic unrelenting Crohns disease.
5. Right Answer: D
Explanation: (A) There is no NPO restriction prior to a liver biopsy. (B) The client would need to hold his breath for 510 seconds. (C) There is no pretest laxative given. (D)Following the test, the client is watched for hemorrhage and shock.
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