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NCLEX-RN Exam Questions - Part 63
1. A 26-year-old client is diagnosed with an astrocytoma, a benign brain tumor. From the nurses knowledge of the central nervous system, the nurse knows that benign tumors:
A) Can be just as dangerous as malignant tumors
B) Grow more rapidly than malignant tumors
C) Do not warrant concern because they do not become malignant tumors
D) Can be removed surgically
2. A 55-year-old client is admitted with a diagnosis of renal calculi. He presented with severe right flank pain, nausea, and vomiting. The most important nursing action for him at this time is:
A) Intake and output measurement
B) Daily weights
C) Straining of all urine
D) Administration of O2 therapy
3. A client - s renal calculi are identified as consisting of calcium phosphate. Which of the following diets would be appropriate?
A) High calcium, low phosphorus
B) Low calcium, high phosphorus
C) Two-gram sodium diet
D) Low calcium and phosphorus, acid ash
4. A client is admitted to the hospital with diabetic ketoacidosis.The emergency room nurse should anticipate the administration of:
A) Humulin N
B) Humulin R
C) Humulin U
D) Humulin L
5. A client is diagnosed with diabetic ketoacidosis. The nurse should be prepared to administer which of the following IV solutions?
A) D5in normal saline
B) D5W
C) 0.9 normal saline
D) D5in lactated Ringer - s
A) Can be just as dangerous as malignant tumors
B) Grow more rapidly than malignant tumors
C) Do not warrant concern because they do not become malignant tumors
D) Can be removed surgically
2. A 55-year-old client is admitted with a diagnosis of renal calculi. He presented with severe right flank pain, nausea, and vomiting. The most important nursing action for him at this time is:
A) Intake and output measurement
B) Daily weights
C) Straining of all urine
D) Administration of O2 therapy
3. A client - s renal calculi are identified as consisting of calcium phosphate. Which of the following diets would be appropriate?
A) High calcium, low phosphorus
B) Low calcium, high phosphorus
C) Two-gram sodium diet
D) Low calcium and phosphorus, acid ash
4. A client is admitted to the hospital with diabetic ketoacidosis.The emergency room nurse should anticipate the administration of:
A) Humulin N
B) Humulin R
C) Humulin U
D) Humulin L
5. A client is diagnosed with diabetic ketoacidosis. The nurse should be prepared to administer which of the following IV solutions?
A) D5in normal saline
B) D5W
C) 0.9 normal saline
D) D5in lactated Ringer - s
1. Right Answer: A
Explanation: (A) Both a benign and a malignant tumor can displace or destroy nearby structures or increase intracranial pressure. (B) Benign or malignant brain tumors grow at different rates depending on the type of tumor. (C) Some benign tumors do become malignant tumors. (D) Whether or not a tumor is operable depends on its location and the amount of damage its removal will cause.
2. Right Answer: C
Explanation: (A) Intake and output measurements are important but must be accompanied by straining urine. (B) Daily weights would not provide for identification of calculi. (C)Straining urine provides for assessment of calculi and evaluation of calculi descent through ureters and urethra. (D) O2therapy should not be necessary for renal calculi.
3. Right Answer: D
Explanation: (A) The stones consist of calcium and phosphorus; therefore, these minerals should be avoided. A high-calcium diet is contraindicated. (B) A high-phosphorus diet is contraindicated. (C) A 2-g sodium diet is a cardiac diet. (D) A low-calcium and phosphorus diet will reduce further calculi formation.
4. Right Answer: B
Explanation: (A) Intermediate-acting insulin is not indicated in an emergency. (B) Regular insulin is rapid acting and indicated in an emergency situation. (C) Long-acting insulin is not indicated in an emergency situation. (D) Intermediate-acting insulin is not indicated in an emergency situation.
5. Right Answer: C
Explanation: (A) D5in normal saline would increase serum glucose. (B) D5W would increase serum glucose. (C) A concentration of 0.9 NS is used to correct extracellular fluid depletion. (D) D5in Ringers lactate would increase serum glucose.
Explanation: (A) Both a benign and a malignant tumor can displace or destroy nearby structures or increase intracranial pressure. (B) Benign or malignant brain tumors grow at different rates depending on the type of tumor. (C) Some benign tumors do become malignant tumors. (D) Whether or not a tumor is operable depends on its location and the amount of damage its removal will cause.
2. Right Answer: C
Explanation: (A) Intake and output measurements are important but must be accompanied by straining urine. (B) Daily weights would not provide for identification of calculi. (C)Straining urine provides for assessment of calculi and evaluation of calculi descent through ureters and urethra. (D) O2therapy should not be necessary for renal calculi.
3. Right Answer: D
Explanation: (A) The stones consist of calcium and phosphorus; therefore, these minerals should be avoided. A high-calcium diet is contraindicated. (B) A high-phosphorus diet is contraindicated. (C) A 2-g sodium diet is a cardiac diet. (D) A low-calcium and phosphorus diet will reduce further calculi formation.
4. Right Answer: B
Explanation: (A) Intermediate-acting insulin is not indicated in an emergency. (B) Regular insulin is rapid acting and indicated in an emergency situation. (C) Long-acting insulin is not indicated in an emergency situation. (D) Intermediate-acting insulin is not indicated in an emergency situation.
5. Right Answer: C
Explanation: (A) D5in normal saline would increase serum glucose. (B) D5W would increase serum glucose. (C) A concentration of 0.9 NS is used to correct extracellular fluid depletion. (D) D5in Ringers lactate would increase serum glucose.
80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
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