nclex pn fundamentals | 100 Questions |
With Complete Solutions
A child has been diagnosed with meningococcal meningitis.
Which precautionary technique is appropriate to prevent
transmission of the disease? Correct Answers Isolation
precautions for at least 24 hours after the initiation of antibiotics
A child is receiving edetate calcium disodium (calcium EDTA)
for the treatment of lead poisoning. Which laboratory result
would be important to monitor during treatment? Correct
Answers Blood urea nitrogen (BUN) level
A child with leukemia is experiencing nausea related to
medication therapy. The nurse, concerned about the child's
nutritional status, should offer which during an episode of
nausea? Correct Answers Cool, clear liquids
A client has been diagnosed with metabolic alkalosis. Which
laboratory value(s) is most important for the nurse to monitor for
this client? Correct Answers Arterial blood gases (ABGs)
A client has the following laboratory values: a pH of 7.55, an
HCO3- level of 22 mm Hg, and a PCo2 of 30 mm Hg. Which
action should the nurse take? Correct Answers Encourage the
client to slow down breathing.
A client is admitted to a long-term care facility with the
diagnosis of weight loss secondary to anorexia. The health care
provider inserts a nasogastric tube and prescribes a tube feeding
,of a standard formula feeding to run at 50 mL/hr. The nurse
plans care, knowing that which is true regarding enteral
feedings? Correct Answers Enteral feedings require the normal
digestive capabilities of the gastrointestinal (GI) tract.
A client is having trouble remembering his prescribed
medication regimen. Which statement by the nurse is
therapeutic? Correct Answers "Let me go over your prescribed
medications with you again."
A client is receiving standard oral anticoagulant therapy with
warfarin (Coumadin). The result of a newly drawn international
normalized ratio is 3.8 seconds. The nurse anticipates carrying
out a prescription to do which action? Correct Answers Hold
the next dose of warfarin.
A client is scheduled to receive digoxin (Lanoxin), 0.125 mg by
mouth. The licensed practical nurse (LPN) reads the medication
label and notes that each tablet contains 0.25 mg.The LPN
should perform which action? Correct Answers Administer
half of a medication tablet.
A client is seen in the clinic for a physical examination.
Laboratory studies are performed and reveal that the hemoglobin
and hematocrit are low, indicating the need for further
diagnostic studies and a blood transfusion. The client is a
Jehovah's Witness and refuses to have a blood transfusion.
Which should be an appropriate action by the clinic nurse?
Correct Answers Support the client's decision not to receive a
blood transfusion.
, A client is seen in the urgent care center for complaints of chest
pain 2 days ago. Since that time, the client has not been feeling
well and fatigues easily. The nurse reviews the results of the
laboratory tests and suspects myocardial infarction at the time of
chest pain 2 days ago if which comes back positive? Correct
Answers Troponin I
A client is to have an upper gastrointestinal (GI) series. Which
nursing action should be done concerning the procedure?
Correct Answers Administer a laxative after the procedure
because barium was administered.
A client returns from the recovery room following an abdominal
surgical procedure. Following the arrival of the client to the
nursing unit, Which is the initial nursing assessment? Correct
Answers Vital signs
A client who has calcium phosphate kidney stones tells the
nurse, "Tell me what I can do, so that I never have this pain
again." Which instructions should the nurse plan to include in
the reinforcement of dietary instructions? Select all that apply.
Correct Answers Decrease sodium intake.
Limit the intake of whole grains.
Limit protein to 5 to 7 servings per week
A client who has open draining lesions from Kaposi's sarcoma
needs to be bathed and have bed linens changed. Which should
the nurse wear to perform these tasks? Correct Answers Gown
and gloves
With Complete Solutions
A child has been diagnosed with meningococcal meningitis.
Which precautionary technique is appropriate to prevent
transmission of the disease? Correct Answers Isolation
precautions for at least 24 hours after the initiation of antibiotics
A child is receiving edetate calcium disodium (calcium EDTA)
for the treatment of lead poisoning. Which laboratory result
would be important to monitor during treatment? Correct
Answers Blood urea nitrogen (BUN) level
A child with leukemia is experiencing nausea related to
medication therapy. The nurse, concerned about the child's
nutritional status, should offer which during an episode of
nausea? Correct Answers Cool, clear liquids
A client has been diagnosed with metabolic alkalosis. Which
laboratory value(s) is most important for the nurse to monitor for
this client? Correct Answers Arterial blood gases (ABGs)
A client has the following laboratory values: a pH of 7.55, an
HCO3- level of 22 mm Hg, and a PCo2 of 30 mm Hg. Which
action should the nurse take? Correct Answers Encourage the
client to slow down breathing.
A client is admitted to a long-term care facility with the
diagnosis of weight loss secondary to anorexia. The health care
provider inserts a nasogastric tube and prescribes a tube feeding
,of a standard formula feeding to run at 50 mL/hr. The nurse
plans care, knowing that which is true regarding enteral
feedings? Correct Answers Enteral feedings require the normal
digestive capabilities of the gastrointestinal (GI) tract.
A client is having trouble remembering his prescribed
medication regimen. Which statement by the nurse is
therapeutic? Correct Answers "Let me go over your prescribed
medications with you again."
A client is receiving standard oral anticoagulant therapy with
warfarin (Coumadin). The result of a newly drawn international
normalized ratio is 3.8 seconds. The nurse anticipates carrying
out a prescription to do which action? Correct Answers Hold
the next dose of warfarin.
A client is scheduled to receive digoxin (Lanoxin), 0.125 mg by
mouth. The licensed practical nurse (LPN) reads the medication
label and notes that each tablet contains 0.25 mg.The LPN
should perform which action? Correct Answers Administer
half of a medication tablet.
A client is seen in the clinic for a physical examination.
Laboratory studies are performed and reveal that the hemoglobin
and hematocrit are low, indicating the need for further
diagnostic studies and a blood transfusion. The client is a
Jehovah's Witness and refuses to have a blood transfusion.
Which should be an appropriate action by the clinic nurse?
Correct Answers Support the client's decision not to receive a
blood transfusion.
, A client is seen in the urgent care center for complaints of chest
pain 2 days ago. Since that time, the client has not been feeling
well and fatigues easily. The nurse reviews the results of the
laboratory tests and suspects myocardial infarction at the time of
chest pain 2 days ago if which comes back positive? Correct
Answers Troponin I
A client is to have an upper gastrointestinal (GI) series. Which
nursing action should be done concerning the procedure?
Correct Answers Administer a laxative after the procedure
because barium was administered.
A client returns from the recovery room following an abdominal
surgical procedure. Following the arrival of the client to the
nursing unit, Which is the initial nursing assessment? Correct
Answers Vital signs
A client who has calcium phosphate kidney stones tells the
nurse, "Tell me what I can do, so that I never have this pain
again." Which instructions should the nurse plan to include in
the reinforcement of dietary instructions? Select all that apply.
Correct Answers Decrease sodium intake.
Limit the intake of whole grains.
Limit protein to 5 to 7 servings per week
A client who has open draining lesions from Kaposi's sarcoma
needs to be bathed and have bed linens changed. Which should
the nurse wear to perform these tasks? Correct Answers Gown
and gloves
