Exam (elaborations)
75 FREE NCLEX QUESTIONS WITH 100% CORRECT ANSWERS
- Course
- Institution
75 FREE NCLEX QUESTIONS WITH 100% CORRECT ANSWERS
[Show more]
Content preview
75 FREE NCLEX QUESTIONSWITH 100% CORRECT ANSWERS
ThevnursevisvtakingvthevhealthvhistoryvofvavpatientvbeingvtreatedvforvEmphysemavandvC
hronicvBronchitis.vAftervbeingvtoldvthevpatientvhasvbeenvsmokingvcigarettesvforv30vyear
s,vthevnursevexpectsvtovnotevwhichvassessmentvfinding?
1.vIncreasevinvForcedvVitalvCapacityv(FVC)
2.vAvnarrowedvchestvcavity
3.vClubbedvfingersv
4.vAnvincreasedvriskvofvcardiacvfailurev-vcorrectvanswer-
1.vIncreasevinvForcedvVitalvCapacityv(FVC)
ForcedvVitalvCapacityvisvthevvolumevofvairvexhaledvfromvfullvinhalationvtovfullvexhalation
.vAvpatientvwithvCOPDvwouldvhavevavdecreasevinvFVC.vIncorrect.
2.vAvnarrowedvchestvcavity
AvpatientvwithvCOPDvoftenvpresentsvwithvav'barrelvchest,'vwhichvisvseenvasvavwidenedv
chestvcavity.vIncorrect.
3.vClubbedvfingersv-vCORRECT
Clubbedvfingersvarevavsignvofvavlong-term,vorvchronic,vdecreasevinvoxygenvlevels.
4.vAnvincreasedvriskvofvcardiacvfailure
Althoughvavpatientvwithvthesevconditionsvwouldvindeedvbevatvanvincreasedvriskvforvcard
iacvfailure,vthisvisvavpotentialvcomplicationvandvnotvanvassessmentvfinding.vIncorrect.
Thevnursevisvtakingvthevhealthvhistoryvofvav70-year-
oldvpatientvbeingvtreatedvforvavDuodenalvUlcer.vAftervbeingvtoldvthevpatientvisvcomplaini
ngvofvepigastricvpain,vthevnursevexpectsvtovnotevwhichvassessmentvfinding?
1.vMelena
2.vNausea
3.vHernia
4.vHyperthermiav-vcorrectvanswer-1.vMelenav-vCORRECT
,Melenavisvthevfindingvthatvtherevarevtracesvofvbloodvinvthevstoolvwhichvpresentsvasvblac
k,vtarryvfeces.vThisvisvavcommonvmanifestationvofvDuodenalvUlcers,vsincevthevDuoden
umvisvfurthervdownvthevgastricvanatomy.
2.vNausea
Nauseavmayvbevpresent,vbutvisvavgeneralizedvsymptomvandvbyvitselfvdoesn'tvindicateva
vDuodenalvUlcer.vIncorrect.
3.vHernia
AvHerniavisvavprotrusionvofvavsegmentvofvthevabdomenvthroughvanothervabdominalvstru
cture.vItvisvnotvassociatedvwithvanvUlcervandvisvavcondition,vnotvanvassessmentvfinding.v
Incorrect.
4.vHyperthermia
Hyperthermia,vavhighvtemperature,visvnotvanvassessmentvfindingvofvavDuodenalvUlcer.v
Incorrect
AvnursevisvprovidingvdischargevteachingvforvavpatientvwithvseverevGastroesophogealvR
efluxvDisease.vWhichvofvthesevstatementsvbyvthevpatientvindicatesvavneedvforvmorevtea
ching?
1.v"I'mvgoingvtovlimitvmyvmealsvtov2-3vpervdayvtovreducevacidvsecretion."
2.v"I'mvgoingvtovmakevsurevtovremainvuprightvaftervmealsvandvelevatevmyvheadvwhenvIv
sleep"
3.v"Ivwon'tvbevdrinkingvteavorvcoffeevorveatingvchocolatevanyvmore."
4.v"I'mvgoingvtovstartvtryingvtovlosevsomevweight."v-vcorrectvanswer-
1.v"I'mvgoingvtovlimitvmyvmealsvtov2-3vpervdayvtovreducevacidvsecretion."
CORRECTv-
vLargevmealsvincreasevthevvolumevandvpressurevinvthevstomachvandvdelayvgastricvemp
tying.vIt'svrecommendedvinsteadvtoveatv4-6vsmallvmealsvavday.
2.v"I'mvgoingvtovmakevsurevtovremainvuprightvaftervmealsvandvelevatevmyvheadvwhenvIv
sleep"
Incorrectv-vThisvisvavcorrectvverbalizationvofvhealthvpromotionvforvGERD.
3.v"Ivwon'tvbevdrinkingvteavorvcoffeevorveatingvchocolatevanyvmore."
Incorrectv-vThisvisvavcorrectvverbalizationvofvhealthvpromotionvforvGERD.
4.v"I'mvgoingvtovstartvtryingvtovlosevsomevweight."
Incorrectv-vThisvisvavcorrectvverbalizationvofvhealthvpromotionvforvGERD.
ThevnursevinvthevEmergencyvRoomvisvtreatingvavpatientvsuspectedvtovhavevavPepticvUl
cer.vOnvassessingvlabvresults,vthevnursevfindsvthatvthevpatient'svbloodvpressurevisv95/6
0,vpulsevisv110vbeatsvpervminute,vandvthevpatientvreportsvepigastricvpain.vWhatvisvthevP
RIORITYvintervention?
1.vStartvavlarge-borevIVvinvthevpatient'svarm
,2.vAskvthevpatientvforvavstoolvsample
3.vPreparevtovinsertvanvNGvTube
4.vAdministervintramuscularvmorphinevsulphatevasvorderedv-vcorrectvanswer-
1.vStartvavlarge-borevIVvinvthevpatient'svarm
CORRECTv-
vThevnursevshouldvsuspectvthatvthevpatientvisvhaemorrhagingvandvwillvneedvneedvavflui
dvreplacementvtherapy,vwhichvrequiresvavlargevborevIV.
2.vAskvthevpatientvforvavstoolvsample
Incorrectv-
vWhilevthisvisvusefulvinvthevdiagnosisvandvassessmentvofvPepticvUlcervDisease,vitvisvnotv
thevpriorityvintervention.
3.vPreparevtovinsertvanvNGvTube
Incorrectv-
vWhilevthisvinterventionvmayvbevusedvinvthevlatervstagesvofvPepticvUlcervDisease,vitvisvn
otvthevfirstvandvpriorityvintervention.
4.vAdministervintramuscularvmorphinevsulphatevasvordered
Incorrectv-
vWhilevthisvisvanvimportantvinterventionvtovmanagevpain,vitvisvnotvthevpriorityvinterventio
n.
Avfemalevpatientvwithvatrialvfibrillationvhasvthevfollowingvlabvresults:vHemoglobinvofv11v
g/dl,vavplateletvcountvofv150,000,vanvINRvofv2.5,vandvpotassiumvofv2.7vmEq/
L.vWhichvresultvisvcriticalvandvshouldvbevreportedvtovthevphysicianvimmediately?
1.vHemoglobinv11vg/dl
2.vPlateletvofv150,000
3.vINRvofv2.5
4.vPotassiumvofv2.7vmEq/Lv-vcorrectvanswer-1.vHemoglobinv11vg/dl
Thisvisvbelowvnormal,vbutvavnormalvfemalevhemoglobinvisv12-
14.vTherevisvavmorevcriticalvlabvresult.
2.vPlateletvofv150,000
Thisvisvalsovbelowvthevnormalvvalues,vbutvisvnotvthevmostvcriticalvlabvresult.
3.vINRvofv2.5
Thisvisvavtherapeuticvrangevforvavpatientvwhovisvtakingvanvanticoagulantvforvatrialvfibrilla
tion
4.vPotassiumvofv2.7vmEq/L
CORRECTv-
vAvpotassiumvimbalancevforvavpatientvwithvavhistoryvofvdysrhythmiavcanvbevlife-
threateningvandvcanvleadvtovcardiacvdistress.
WhilevreceivingvnormalvsalinevinfusionsvtovtreatvavGIvbleed,vthevnursevnotesvthatvthevpa
tient'svlowervlegsvhavevbecomevedematousvandvauscultatesvcracklesvinvthevlungs.vWh
atvshouldvthevnursevdovfirst?
, 1.vStopvthevsalinevinfusionvimmediately
2.vNotifyvPhysician
3.vElevatevthevpatient'svlegs
4.vContinuevthevinfusion,vsincevthesevarevnormalvfindingsv-vcorrectvanswer-
1.vStopvthevsalinevinfusionvimmediately
CORRECTv-
vthevpatientvhasvavfluidvvolumevoverloadvasvavresultvofvoverlyvrapidvfluidvreplacement.vT
hevnursevshouldvstopvthevinfusionvandvnotifyvthevphysician.
2.vNotifyvPhysician
Thisvisvnotvthevfirstvactionvthevnursevshouldvtake.
3.vElevatevthevpatient'svlegs
Thisvwouldvhelpvwithvthevedema,vbutvisvnotvavpriority
4.vContinuevthevinfusion,vsincevthesevarevnormalvfindings
Thisvisvnotvavnormalvfinding
ThevnursevisvworkingvinvavsupportvgroupvforvclientsvwithvHIV.vWhichvpointvisvmostvimpo
rtantvforvthevnursevtovstress?
1.vTheyvmustvinformvhouseholdvmembersvofvtheirvcondition
2.vTheyvmustvtakevtheirvmedicationsvexactlyvasvprescribed
3.vTheyvmustvabstainvfromvsubstancevuse
4.vTheyvmustvavoidvlargevcrowdsv-vcorrectvanswer-
1.vTheyvmustvinformvhouseholdvmembersvofvtheirvcondition
Incorrectv-
vEachvpatientvhasvavrightvtovprivacyvofvtheirvmedicalvcondition.vItvisvtheirvchoicevwhether
vtheyvinformvhouseholdvmembers.
2.vTheyvmustvtakevtheirvmedicationsvexactlyvasvprescribed
CORRECTv-vAntiretroviralsvmustvbevtakenvexactlyvasvprescribedvtovpreventvdrug-
resistantvstrains.vEvenvmissedvdosesvcanvreducevtheveffectivenessvofvfuturevtreatment
.
3.vTheyvmustvabstainvfromvsubstancevuse
Incorrectv-
vWhilevsubstancevusevshouldvbevdiscouraged,vusingvsafevpracticesvwithvneedlesvcanvp
reventvtransmissionvofvHIV.
4.vTheyvmustvavoidvlargevcrowds
Incorrectv-
vAvoidingvlargevcrowdsvtovpreventvinfectionvisvavpriorityvinvthevlatervstagesvofvHIV,vwhe
nvthevpatientvhasvAIDS.
Avnursevfindsvav30-year-
oldvwomanvexperiencingvanaphylaxisvfromvavbeevsting.vEmergencyvpersonnelvhavevb
eenvcalled.vThevnursevnotesvthevwomanvisvbreathingvbutvshortvofvbreath.vWhichvofvthevf
ollowingvinterventionsvshouldvthevnursevdovfirst?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller HIGRADES. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82871 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now