Pearson Exam Cram NCLEX RN Test #1 med surg 311 Questions with Verified Answers
The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders quini...
Pearson Exam Cram NCLEX RN Test #1 med surg 311
Questions with Verified Answers
The client is admitted to the emergency room with shortness of breath, anxiety,
and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate
of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving
quinidine, the nurse should monitor his ECG for:
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval - CORRECT ANSWER d Prolonged QT interval
Quinidine can cause widened Q-T intervals and heart block.
A client with ascites is scheduled for a paracentesis. Which instruction should be
given to the client before the procedure?
a "You will need to lay flat during the procedure."
b. "You need to empty your bladder before the procedure."
c. "You will be asleep during the procedure."
d. "The doctor will inject a medication during the procedure." - CORRECT ANSWER
b. "You need to empty your bladder before the procedure."
A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, K+ 1.9, uric acid 7.0, Na+
136, and platelets 178,000cu.mm. The nurse evaluates that the client is
experiencing which of the following?
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia - CORRECT ANSWER b Hypokalemia
Due to a high census, it has been necessary for a number of clients to be
transferred to other units within the hospital. Which client should be transferred
to the postpartum unit?
a A 66-year-old female with gastroenteritis
,b A 40-year-old female with a hysterectomy
c A 27-year-old male with severe depression
d A 28-year-old male with ulcerative colitis - CORRECT ANSWER b A 40-year-old
female with a hysterectomy
Before administering Theo-Dur (theophylline), the nurse should check the
patient's:
a output
b Blood pressure
c Pulse
d Temperature - CORRECT ANSWER c Pulse
Which information should be given to the patient undergoing radiation therapy
for breast cancer?
a Avoid exposing radiation areas to sunlight during treatment time and for a year
after completion of therapy
b Moisturize the radiation site with oil-based lotion to prevent blistering
c Use bath oil when tub bathing to prevent drying and peeling
d Report redness and soreness of the area to the physician - CORRECT ANSWER a
Avoid exposing radiation areas to sunlight during treatment time and for a year
after completion of therapy
The charge nurse is making assignments for the day. After accepting the
assignment to care for a client with leukemia, the nurse tells the charge nurse
that her child has chickenpox. Which initial action should the charge nurse take?
a Change the nurse's assignment to another client.
b Explain to the nurse that there is no risk to the client.
c Ask the nurse if the chickenpox have crusted.
d Ask the nurse if she has ever had the chickenpox. - CORRECT ANSWER d Ask the
nurse if she has ever had the chickenpox.
Which statement is true regarding therapy with Levemir (insulin detemir)?
a The onset is 1-2 hours.
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours. - CORRECT ANSWER d The duration is 24 hours.
,Which client should be assigned to the nursing assistant?
a The 18-year-old with a fracture to two cervical vertebrae
b The infant with meningitis with a temperature of 101°F
c The elderly client with a thyroidectomy four days ago
d The client with a thoracotomy two days ago - CORRECT ANSWER c The elderly
client with a thyroidectomy four days ago
The physician has ordered the Schilling test for a patient with suspected
pernicious anemia. What other vitamin level is often assessed at the same time as
the B12 level?
a Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine - CORRECT ANSWER a Folic acid
A 25-year-old client arrives in the emergency room with a possible fracture of the
right femur. The nurse should anticipate an order for:
a Bryant's traction
b Ice to the entire extremity
c Buck's traction
d An abduction pillow - CORRECT ANSWER c Buck's traction
Which statement should be included in the teaching session of a client scheduled
for a renal biopsy?
a "You will be placed in a sitting position for the biopsy."
b "You may experience a feeling of pressure or discomfort during aspiration of the
biopsy."
c "You will be asleep during the procedure."
d "You will not be able to drink fluids for 24 hours following the study." - CORRECT
ANSWER b "You may experience a feeling of pressure or discomfort during
aspiration of the biopsy."
The nurse is caring for the client who has been in a coma for two months. He has
signed a donor card, but the wife is opposed to the idea of organ donation. How
should the nurse handle the topic of organ donation with the wife?
a Tell the wife that the hospital will honor her wishes regarding organ donation,
but contact the organ-retrieval staff.
, b Tell her that because her husband signed a donor card, the hospital has the
right to take the organs upon the death of her husband.
c Explain that it is necessary for her to donate her husband's organs because he
signed the permit.
d Refrain from talking about the subject until after the death of her husband. -
CORRECT ANSWER a Tell the wife that the hospital will honor her wishes
regarding organ donation, but contact the organ-retrieval staff.
The client is admitted with chronic obstructive pulmonary disease. Blood gases
reveal pH 7.36, CO2 45, O2 84, bicarb 28. The nurse would assess the client to be
in:
a Uncompensated acidosis
b Compensated alkalosis
c Compensated metabolic acidosis
d Uncompensated metabolic acidosis - CORRECT ANSWER c Compensated
metabolic acidosis
Before administering intravenous chemotherapy to the patient being treated, the
nurse should:
a Administer a bolus of IV fluid.
b Administer pain medication.
c Administer an antiemetic.
d Allow the patient a chance to eat. - CORRECT ANSWER c Administer an
antiemetic.
Which one of the following statements is correct when measuring the client for
crutches?
a A distance of five fingerbreadths should exist between the top of the crutch and
the axilla.
b The nurse should measure three inches between the top of the crutch and the
axilla.
c The client's elbows should be flexed at a 10°angle.
d The crutches should be extended 8 to 10 inches from the side of the foot. -
CORRECT ANSWER b The nurse should measure three inches between the top of
the crutch and the axilla.
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