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NCLEX-PN Exam Questions  - Part 137

Created by - Jenny Clarke

NCLEX-PN Exam Questions - Part 137

Questions 1. A nurse is screening patients for immunizations. Which of following is not a contraindication for immunization?A) SeizuresB) Fever > 3 daysC) Malignancy >3 monthsD) Illness >6 months2. A nurse has been ordered to administer Morphine to a patient. Which of the following effects is unrelated to Morphine - s effects on the patient?A) Depressed function of the CNSB) Increased blood flowC) Decreased venous capacityD) Pain relief3. A nurse is reviewing a patient - s current Lithium levels. Which of the following values is outside the therapeutic range?A) 1.0 mEq/LB) 1.1 mEq/LC) 1.2 mEq/LD) 1.3 mEq/L4. A client is going to have an endoscopy performed. Which of the following is not a probable reason for an endoscopy procedure?A) Aspiration noted on honey thick diet.B) Pain with a bowel movementC) Pain felt in the left upper quadrantD) Right shoulder pain5. A patient has been ordered to get Tegretol for the first time. Which of the following side effects is not associated with Tegretol?A) Sore throatB) VertigoC) FeverD) Shortness of breath Right Answer and Explanation: 1. Right Answer: DExplanation: Chronic conditions are not considered a contraindication for immunization.2. Right Answer: CExplanation: Venous capacity increases with morphine use.3. Right Answer: DExplanation: 1.0-1.2 mEq/L is considered standard therapeutic range for patient care.4. Right Answer: BExplanation: Bowel movement pain should be examined with a colonoscopy not a endoscopy.5. Right Answer: DExplanation: A-C are associated side effects of Tegretol. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS

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Published - Thu, 23 Feb 2023

NCLEX-RN Exam Questions  - Part 44

Created by - Jenny Clarke

NCLEX-RN Exam Questions - Part 44

Questions 1. A client is in active labor and has been admitted to the labor and delivery unit. The RN has just done a sterile vaginal exam and determines that the client is dilated5 cm, effaced 85%, and the fetuss head is at 0 station. She asks if she could have a lumbar epidural now. The epidural is started, and the anesthetic agent used is bupivacaine (Marcaine). After the client has received her lumbar epidural, it is important for the RN to monitor her for which of the following side effects:A) HypertensionB) HypotensionC) HypoglycemiaD) Hyperglycemia2. A client has been in labor for 10 hours. Her contractions have become hypoactive and slowed in duration. The fetus is at 0 station, cervix is dilated 8 cm and effaced 90%. The physician orders an oxytocin (Pitocin) infusion to be started at once. The RN begins the oxytocin infusion. It is important that the RN discontinue the infusion if which one of the following occur?A) The client - s contractions are

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Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions  - Part 138

Created by - Jenny Clarke

NCLEX-PN Exam Questions - Part 138

Questions 1. A patient has been ordered to get Klonapin for the first time. Which of the following side effects is not associated with Klonapin?A) DrowsinessB) AtaxiaC) Salivation elevatedD) Diplopia2. A patient has been diagnosed with diabetes mellitus. Which of the following is not a clinical sign of diabetes mellitus?A) PolyphagiaB) PolyuriaC) Metabolic acidosisD) Lower extremity edema3. A patient has fallen off a bicycle and fractured the head of the proximal fibula. A cast was placed on the patients lower extremity. Which of the following is the most probable result of the fall?A) Peroneal nerve injuryB) Tibial nerve injuryC) Sciatic nerve injuryD) Femoral nerve injury4. A nurse has been ordered to set-up Buck - s traction on a patient - s lower extremity due to a femur fracture. Which of the following applies to Buck - s traction?A) A weight greater than 10 lbs. should be used.B) The line of pull is upward at an angle.C) The line of pull is straightD) A weight greater than 20 lbs. should be used.5. Which of the following motions is identified with the corresponding action?(Action- Turning palm of hand over to face in the anterior direction, dorsum of the hand is pointed downward toward the floor.)A) PronationB) SupinationC) AbductionD) Adduction Right Answer and Explanation: 1. Right Answer: DExplanation: A-C are associated side effects of Klonapin.2. Right Answer: DExplanation: A-C are associated with diabetes mellitus.3. Right Answer: AExplanation: The head of the proximal fibula is in close proximity to the peroneal nerve.4. Right Answer: CExplanation: A straight line of pull is indicated with Bucks traction.5. Right Answer: BExplanation: Supination- 'Holding a bowl of soup in your hand.' .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS

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Published - Thu, 23 Feb 2023

NCLEX-RN Exam Questions  - Part 45

Created by - Jenny Clarke

NCLEX-RN Exam Questions - Part 45

Questions 1. While the RN is assessing a mother - s perineum on her 2nd postpartum day after having a vaginal delivery, the RN notes a large ecchymotic area located to the left of the mother - s perineum. Which one of the following interventions should the RN initiate at this time?A) Have the client expose the area to air.B) Apply ice to the perineum.C) Encourage the client to take warm sitz baths.D) Inform the physician.2. A mother who is breast-feeding her newborn asks the RN, 'How can I express milk from my breasts manually?' The RN tells her that the correct method for manual milk expression includes using the thumb and the index finger to:A) Alternately compress and release each nippleB) Roll the nipple and gently pull the nipple forwardC) Slide the thumb and index finger forward from the outer border of the areola toward the end of the nippleD) Compress and release each breast at the outer border of the areola3. A client had a vaginal delivery 3 days ago and is discharged from the hospital on the 2nd day postpartum. She told the RN, 'I need to start exercising so that I can get back into shape. Could you suggest an exercise I could begin with? The RN could suggest which one of the following?A) Push-upsB) Jumping jacksC) Leg liftsD) Kegel exercises4. A 60-year-old male client was hospitalized 3 days ago with the diagnosis of acute anterior wall myocardial infarction. Today he has been complaining of increasing weakness and shortness of breath. Crackles in both lung bases are audible on auscultation. He is developing:A) An extension of his myocardial infarctionB) PneumoniaC) Pulmonary edemaD) Pulmonary emboli5. On admission, the client has signs and symptoms of pulmonary edema. The nurse places the client in the most appropriate position for a client in pulmonary edema, which is:A) High FowlerB) Lying on the left sideC) Sitting in a chairD) Supine with feet elevated Right Answer and Explanation: 1. Right Answer: CExplanation: (A) The area is bruised and painful. This action would do nothing to help with the healing process of the perineum or to provide comfort. (B) Ice is effective immediately after birth to reduce edema and discomfort, but not on the 2nd postpartum day. (C) Sitz baths are useful if the perineum has been traumatized, because the moist heat increases circulation to the area to promote healing, relaxes tissue, and decreases edema. (D) The physician is not notified of bruising, but if a hematoma is present, then the physician is notified.2. Right Answer: DExplanation: (A) Manipulation of nipples will cause soreness and trauma. (B) Pulling the nipples will cause discomfort and soreness. (C) Sliding the thumb and index finger forward over the nipple will cause soreness. (D) The best method to express milk from the breast is to position the thumb and index finger at the outer border of the areola and compress. This is the location of the milk sinuses.3. Right Answer: DExplanation: (A, B, C) This exercise is too strenuous at this time. (D) This exercise is recommended for the first few days after delivery. It helps to stimulate muscle tonus in the area of the perineum and the area around the urinary meatus and vagina.4. Right Answer: CExplanation: (A) Extensions of his myocardial infarction would be chest pain unrelieved with nitroglycerin, cardiac enzyme elevations, and electrocardiographic changes. (B)Persons with pneumonia may complain of weakness and shortness of breath and have crackles in their lung bases. However, they would also have sputum production and leukocytosis. (C) Persons who have had myocardial infarctions (especially anterior wall) are at risk of developing left ventricular heart failure, which is a major cause of pulmonary edema. Pulmonary edema is manifest by shortness of breath, weakness, and crackles on auscultation of the lung fields. (D)Pulmonary emboli may be accompanied by shortness of breath, weakness, and crackles. However, the pulmonary hypertension that accompanies pulmonary emboli results in signs of increased systemic venous pressure as well.5. Right Answer: AExplanation: (A) High Fowler position decreases venous return to the heart and permits greater lung expansion so that oxygenation is maximized. (B) Lying on the left side may improve perfusion to the left lung but does not promote lung expansion. (C) Sitting in a chair will decrease venous return and promote maximal lung expansion.However, clients with pulmonary edema can deteriorate quickly and require intubation and mechanical ventilation. If a client is sitting in achair when this deterioration happens, it will be difficult to intervene quickly. (D) The supine with feet elevated position increases venous return and will worsen pulmonary edema. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: NCLEX-RN PRACTICE EXAMS

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Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions  - Part 139

Created by - Jenny Clarke

NCLEX-PN Exam Questions - Part 139

Questions 1. A nurse is caring for a retired MD. The MD asks the question, 'What type of cells secrete insulin?' The correct answer is:A) alpha cellsB) beta cellsC) CD4 cellsD) helper cells2. Which of the following is not considered one of the main mechanisms of Type II Diabetes treatment?A) MedicationsB) NutritionC) Increased activityD) Continuous Insulin3. A nurse is caring for a retired MD. The MD asks the question, 'What type of cells create exocrine secretions?' The correct answer is:A) alpha cellsB) beta cellsC) acinar cellsD) plasma cells4. A nurse is caring for a patient who has experienced burns to the right lower extremity. According to the Rule of Nines which of the following percents most accurately describes the severity of the injury?A) 36%B) 27%C) 18%D) 9%5. A patient has experienced a severe third degree burn to the trunk in the last 36 hours. Which phase of burn management is the patient in?A) Shock phaseB) Emergent phaseC) Healing phaseD) Wound proliferation phase Right Answer and Explanation: 1. Right Answer: BExplanation: Beta cells secrete insulin.2. Right Answer: DExplanation: Insulin is not required in continuous treatment for every Type II diabetic.3. Right Answer: CExplanation: Acinar cells create exocrine secretions.4. Right Answer: CExplanation: Each lower extremity is scored as 18% according to the Rule of Nines.5. Right Answer: AExplanation: The shock phase is considered the first 24-48 hours in wound management. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS

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Published - Thu, 23 Feb 2023

NCLEX-RN Exam Questions  - Part 46

Created by - Jenny Clarke

NCLEX-RN Exam Questions - Part 46

Questions 1. A male client has been hospitalized with congestive heart failure. Medical management of heart failure focuses on improving myocardial contractility. This can be achieved by administering:A) Digoxin (Lanoxin) 0.25 mg po every dayB) Furosemide (Lasix) 40 mg po every morningC) O22 L/min via nasal cannulaD) Nitroglycerin (Nitrol) 1 inch topically every 4 hours2. A clients congestive heart failure has been treated, and he will soon be discharged. Discharge teaching should include instruction to call the physician if he notices a 2-lb weight gain in a 24-hour period. Increased weight gain may indicate:A) A diet too high in calories and saturated fatB) Decreasing cardiac outputC) Decreasing renal functionD) Development of diabetes insipidus3. A client was not using his seat belt when involved in a car accident. He fractured ribs 5, 6, and 7 on the left and developed a left pneumothorax. Assessment findings include:A) Crackles and paradoxical chest wall movementB) Decreased breath sounds on the left and chest pain with movementC) Rhonchi and frothy sputumD) Wheezing and dry cough4. A client has a chest tube placed in his left pleural space to re-expand his collapsed lung. In a closed-chest drainage system, the purpose of the water seal is to:A) Prevent air from entering the pleural spaceB) Prevent fluid from entering the pleural spaceC) Provide a means to measure chest drainageD) Provide an indicator of respiratory effort5. A client was admitted with rib fractures and a pneumothorax, which were sustained as a result of a motor vehicle accident. A chest tube was placed on the left side to reinflate his lung, and he was transferred to a client unit. Twenty-four hours after admission he continues to have bloody sputum, develops increasing hypoxemia, and his chest x-ray shows patchy infiltrates. The nurse analyzes these symptoms as being consistent with:A) PneumoniaB) Pulmonary contusionsC) Pulmonary edemaD) Tension pneumothorax Right Answer and Explanation: 1. Right Answer: AExplanation: (A) Digoxin is a cardiac glycoside given to clients in heart failure to improve their myocardial contractility. (B) Furosemide is a loop diuretic given to clients in heart failure to promote diuresis. (C) O2is given to clients in heart failure to increase oxygenation and to prevent or treat hypoxemia. (D) Nitroglycerin is a nitrate given to clients in heart failure to increase their cardiac output by decreasing the peripheral resistance that the left ventricle must pump against.2. Right Answer: BExplanation: (A) Increased calories may result in weight gain, but there is no indication in this question that this mans diet has changed in a way that would result in increased calories. (B) Decreasing cardiac output stimulates the renin-angiotensin-aldosterone cycle and results in fluid retention, which is reflected by weight gain. (C)Decreasing renal function may result in fluid retention, but this question gives no indication that this man has any renal problems. (D) Profound diuresis occurs with diabetes insipidus, which results in weight loss.3. Right Answer: BExplanation: (A) Crackles are caused by air moving through moisture in the small airways and occur with pulmonary edema. Paradoxical chest wall movement occurs with flail chest when a segment of the thorax moves outward on inspiration and inward on expiration. (B) Decreased breath sounds occur when a lung is collapsed or partially collapsed. Chest pain with movement occurs with rib fractures. (C) Rhonchi are caused by air moving through large fluid-filled airways. Frothy sputum may occur with pulmonary edema. (D) Wheezing is caused by fluid in large airways already narrowed by mucus or bronchospasm. Dry cough could indicate a cardiac problem.4. Right Answer: AExplanation: (A) A chest tube extends from the pleural space to a collection device. The tube is placed below the surface of the saline so that air cannot enter the pleural space. (B) Fluid may enter the pleural space as a result of injury or disease. A chest tube may drain fluid from the pleural space, but the water seal is not involved in this. (C) Chest drainage should be measured, but the water seal is not involved in this. (D) Fluctuations in the tube in the water-sealed bottle will give an indication of respiratory effort, but that is not the purpose of the water seal.5. Right Answer: BExplanation: (A) Pneumonia may be reflected by patchy infiltrates. In addition, fever, an increasing white blood cell count, and copious sputum production would be present. (B)Blunt chest traumacauses a bruising process in which interstitial and alveolar edema and hemorrhage occur. This is manifest by gradual deterioration over 24 hours of arterial blood gases and the continued production of bloody sputum. Patchy infiltrates are evident on chest xray 24 hours postinjury. (C) Pulmonary edema usually results from left heart failure. It is manifest by pink, frothy sputum; increasing dyspnea; tachycardia; and crackles on auscultation. (D) Tension pneumothorax is a potential complication for someone with rib fractures and a chest tube. It is manifest by diminished breath sounds on the affected side, rapidly deteriorating arterial blood gases in the presence of an open airway, and shock that is unexplained by other injuries. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: NCLEX-RN PRACTICE EXAMS

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Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions  - Part 140

Created by - Jenny Clarke

NCLEX-PN Exam Questions - Part 140

Questions 1. A nurse is reviewing a patient - s medical record. The record indicates the patient has limited shoulder flexion on the left. Which plane of movement is limited?A) HorizontalB) SagittalC) FrontalD) Vertical2. Which of the following is not considered one of the five rights of medication administration?A) clientB) drugC) doseD) routine3. When giving an intramuscular injection to an infant. Which of the following sites is preferred?A) Ventrogluteal regionB) DeltoidC) Vastus lateralisD) Dorsogluteal region4. When choosing a needle gauge for an intramuscular injection in a 12 year old boy. Which of the following gauges would you choose?A) 27 gaugeB) 25 gaugeC) 22 gaugeD) 20 gauge5. A nurse is administering an antibiotic to a 4 year old girl, who does not have an identification bracelet. What action should the nurse take?A) Ask another staff member who the child is.B) Ask the child - s mother to state the child - s name.C) Ask the child for her name.D) Withhold the medication until an ID bracelet can be set-up. Right Answer and Explanation: 1. Right Answer: BExplanation: Sagittal motion occurs in the midline plane of the body.2. Right Answer: DExplanation: Dose, client, drug, route and time are considered the five rights of medication.3. Right Answer: CExplanation: Vastus lateralis is the ideal choice for infants.4. Right Answer: CExplanation: 22 gauge is recommended for school age children, toddlers, and adolescents while 23-25 gauge is recommended for infants.5. Right Answer: BExplanation: Timely delivery of medication can be given if the mother provides the childs name. Do not rely on children to identify their name correctly. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS

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Published - Thu, 23 Feb 2023

NCLEX-RN Exam Questions  - Part 47

Created by - Jenny Clarke

NCLEX-RN Exam Questions - Part 47

Questions 1. A 66-year-old female client has smoked 2 packs of cigarettes per day for 20 years. Her arterial blood gases on room air are as follows: pH 7.35; PO2 70 mm Hg;PCO2 55 mm Hg; HCO3 32 mEq/L. These blood gases reflect:A) Compensated metabolic acidosisB) Compensated respiratory acidosisC) Compensated respiratory alkalosisD) Uncompensated respiratory acidosis2. A female client who has chronic obstructive pulmonary disease (COPD) has presented in the emergency department with cough productive of yellow sputum and increasing shortness of breath. On room air, her blood gases are as follows: pH 7.30 mm Hg, PCO2 60 mm Hg, PO2 55 mm Hg, HCO3 32 mEq/L. These arterial blood gases reflect:A) Compensated respiratory acidosisB) Normal blood gasesC) Uncompensated metabolic acidosisD) Uncompensated respiratory acidosis3. A 19-year-old client has sustained a C-7 fracture, which resulted in his spinal cord being partially transected. By 2 weeks postinjury, his neck has been surgically stabilized, and he has been transferred from the intensive care unit. A potential life-threatening complication the nurse monitors the client for is:A) Autonomic dysreflexiaB) BradycardiaC) Central cord syndromeD) Spinal shock4. A clients physician has prescribed theophylline (Theo- Dur) to help control the bronchospasm associated with the clients COPD. Instructions that should be given to the client include:A) 'Call your physician if you develop palpitations, dizziness, or restlessness. - - B) 'Cigarette smoking may significantly increase the risk for theophylline toxicity. - - C) 'Take this medication on an empty stomach. - - D) 'Do not take your medicine if your pulse is less than 60 beats per minute. - - 5. A 19-year-old client fell off a ladder approximately 3 ft to the ground. He did not lose consciousness but was taken to the emergency department by a friend to have a scalp laceration sutured. The nurse instructs the client to:A) Clean the sutured laceration twice a day with povidone- iodine (Betadine)B) Remove his scalp sutures after 5 daysC) Return to the hospital immediately if he develops confusion, nausea, or vomitingD) Take meperidine 50 mg po q4 - 6h prn for headache Right Answer and Explanation: 1. Right Answer: BExplanation: (A) In compensated metabolic acidosis, the pH level is normal, the PCO2level is decreased, and the HCO3level is decreased. The clients primary alteration is an inability to remove excess acid via the kidneys. The lungs compensate by hyperventilating and decreasing PCO2. (B) In compensated respiratory acidosis, the pH level is normal, the PCO2level is elevated, and the HCO3level is elevated. The clients primary alteration is an inability to remove CO2from the lungs, so over time, the kidneys increase reabsorption of HCO3to buffer the CO2. (C) In compensated respiratory alkalosis, the pH level is normal, the PCO2level is decreased, and the HCO3level is decreased. The clients primary alteration is hyperventilation, which decreases PCO2. The client compensates by increasing the excretion ofHCO3from the body. (D) In uncompensated respiratory acidosis, the pH level is decreased, the PCO2level is increased, and the HCO3level is normal. The clients primary alteration is an inability to remove CO2from the lungs. The kidneys have not compensated by increasing HCO3reabsorption.2. Right Answer: DExplanation: (A) In compensated respiratory acidosis, the pH level is normal, the PCO2level is elevated, and the HCO3level is elevated. The clients primary alteration is an inability to remove CO2from the lungs, so over time, the kidneys increase reabsorption of HCO3to buffer the CO2. (B) Normal ranges for arterial blood gases for adults and children are as follows: pH 7.357.45, PO280100 mm Hg, PCO23545 mm Hg, HCO32128 mEq/L. (C) In uncompensated metabolic acidosis the pH level is decreased, the PCO2level is normal, and the HCO3level is decreased. The clients primary alteration is an inability to remove excess acid via the kidneys.The lungs are unable to clear the increased acid. (D) In uncompensated respiratory acidosis, the pH level is decreased, the PCO2level is increased, and theHCO3level is normal. In a person with long-standing COPD, the HCO3level will rise gradually over time to compensate for the gradually increasing PCO2, and the persons pH level will be normal. When a person with COPD becomes acutely ill, the kidneys do not have time to increase the reabsorption of HCO3, so the persons pH level will reflect acidosis even though the HCO3is elevated.3. Right Answer: AExplanation: (A) Autonomic dysreflexia is the exaggerated sympathetic nervous system response to various stimuli in the anesthetized area. Sympathetic stimulation results in severe, uncontrolled hypertension, which may result in myocardial infarction or cerebral hemorrhage. (B) Bradycardia occurs as a result of sympathetic blockade in the immediate postinjury period. After spinal shock recedes, cardiovascular stability returns, but the client will be bradycardiac for life. (C) Central cord syndrome is a specific type of spinal cord injury that occurs as a result of either hyperextension injuries or disrupted blood flow to the spinal cord. (D) Spinal shock occurs in the immediate postinjury phase and usually resolves in approximately 72 hours.4. Right Answer: AExplanation: (A) Indications of theophylline toxicity include palpitations, dizziness, restlessness, nausea, vomiting, shakiness, and anorexia. (B) Cigarette smoking significantly lowers theophylline plasma levels. (C) Theophylline should be taken with food to decrease stomach upset. (D) These instructions are appropriate for someone taking digoxin.5. Right Answer: CExplanation: (A) Povidone-iodine is very irritating to skin and should not be routinely used. (B) Sutures should not be removed by the client. (C) Confusion, nausea, vomiting, and behavioral changes may indicate increasing intracranial pressure as a result of intracerebral bleeding. (D) Use of a narcotic opiate such as meperidine is not recommended in clients with a possible head injury because it may produce sedation, pupil changes, euphoria, and respiratory depression, which may mask the signs of increasing intracranial pressure. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: NCLEX-RN PRACTICE EXAMS

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Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions  - Part 141

Created by - Jenny Clarke

NCLEX-PN Exam Questions - Part 141

Questions 1. A client is 36 hours post-op a TKR surgery. 270 cc - s of sero-sanguinous accumulates in the surgical drains. What action should the nurse take?A) Notify the doctorB) Empty the drainC) Do nothingD) Remove the drain2. A patient 3 hours post-op from a hysterectomy is complaining of intense pain at the incision site. When assessing the patient the nurse notes a BP of 169/93, pulse 145 bpm and regular. What action should the nurse take?A) Reassure patient that pain is normal following surgery.B) Administer prn Nifedipine and assess client - s response.C) Administer prn Meperidine HCL and assess client - s response.D) Recheck BP and pulse rate every 20 minutes for the next hour.3. A nurse is assigned to do pre-operative teaching on a blind patient who is scheduled for surgery the following morning. What teaching strategy would best fit the situation?A) Verbal teaching in short sessions throughout the dayB) Pre-operative booklet on the surgery in BrailleC) Provide a tape for the clientD) Have the blind patient - s family member instruct the patient.4. A nurse gave medications to the wrong client. She stated the client responded to the name called. What is the nurse - s appropriate documentation?A) Note in medication records the drug givenB) The client was not hurt, no need for documentationC) Note the client - s orientationD) Completely fill out an incident report5. A violation of a patient - s confidentiality occurs if two nurses are discussing client information in which of the following scenarios?A) With a physical therapist treating the patientB) With a social worker planning for dischargeC) With another nurse on duty to plan for break timeD) In the hallway outside the patient - s room. Right Answer and Explanation: 1. Right Answer: AExplanation: The physician should be notified if excessive drainage is noted from the surgical site.2. Right Answer: CExplanation: A sinus tachycardia is a physiological response to pain. Treating the cause of the increased pulse rate requires pain medication.3. Right Answer: AExplanation: Information is smaller amounts is easier to retain. Teaching the day before the procedure is best accomplished in a one on one format.4. Right Answer: DExplanation: The incident report should always be filled out involving medication errors.5. Right Answer: DExplanation: Hallway discussions should not occur, because you do not who is listening, even though it may be a professional discussion. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS

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Published - Thu, 23 Feb 2023

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HR all events, conferences in 2023
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