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NCLEX PN 3000 review questions fully solved & updated
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NCLEX PN 3000 review questions fully solved & updated
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NCLEX PN 3000 review questions fullysolved & updated
What would be a side effect of Procardia ? - ANSWER-swelling in the legs, but
you should ask the patient when the swelling started to see if there is another
underlying issue going on
What would be a sign of circulatory impairment in the lower legs ? - ANSWER-
numbness , cool to the touch , pallor
What would be a affect of taking corticosteroids for a long period of time ? -
ANSWER-osteoporosis , muscle wasting , hypertension , truncal obesity
What is the antidote for heparin ? - ANSWER-Protamine sulfate
What is the antidote for war fin ? - ANSWER-vitamin K
What symptoms would you see in a patient with pneumonia ? - ANSWER-Fever ,
crackles or rhonchi, use of accessory muscles for breathing
Which nursing diagnosis would be of most importance with a client with AIDS
dementia ? - ANSWER-Risk for injury
What is the usual course of muscular dystrophy ? - ANSWER-"You may
experience progressive deterioration in all voluntary muscles."
What would be a symptom of left sided heart failure ? - ANSWER-Air hunger -
feeling of not getting enough oxygen
,What would be a sign of right sided heart failure ? - ANSWER-Ascites, jugular
vein distention, and pitting edema of the legs are signs of right-sided heart
failure.
What medication would the nurse give to a patient that is on hemodialysis 3 times
a week ? - ANSWER-epoetin alfa (Epogen)
What would be a long term side effect of taking aspirin ? - ANSWER-Bilateral
Hearing Loss this can be resolved when the person discontinues aspirin
How would you take a client to the bathroom that has had severe chest pain but
has now stopped ? - ANSWER-Move a bedside commode to the side of the bed
this will prevent straining and keep the patient safe if he experiences chest pain
again
How would you help a client that has dry mouth from chemotherapy and decrease
the pain of stomatitis ? - ANSWER-Providing a solution of hydrogen peroxide and
water for use as a mouth rinse
A client with a history of I.V. drug abuse is admitted to the medical-surgical unit
for evaluation for infective endocarditis. Nursing assessment is most likely to
reveal that this client has: - ANSWER-Osler's nodes and splinter
hemorrhages.fever, diaphoresis, joint pain, weakness, abdominal pain, a new or
altered heart murmur, and Janeway's lesions
What would be some symptoms of pericarditis ? - ANSWER-retrosternal pain that
worsens during supine positioning, pulsus paradoxus., a scratchy pericardial
friction rub
A client who has been treated for chronic renal failure (CRF) is ready for
discharge. The nurse should reinforce which dietary instruction? -
ANSWER-"Make sure to include carbohydrates in your diet."
unrestricted intake of sodium, protein, potassium, and fluid may lead to a
dangerous accumulation of electrolytes and protein metabolic products, such as
amino acids and ammonia. Therefore, the client must limit intake of sodium;
meat, which is high in protein; bananas, which are high in potassium; and fluid,
because the failing kidneys can't secrete adequate urine
Before a client undergoes arthroscopy, the nurse reviews the data collection
findings for contraindications for this procedure. Which finding is a
, contraindication? - ANSWER-Joint flexion of less than 50%, because the doctor
would not be able to insert the instrument in the right location
What would be a normal finding in a person with hyperparathyroidism ? -
ANSWER-Hypercalcemia
What would be a sign of necrotizing fasciitis ? - ANSWER-pressurelike pain , this
is the difference between cellulitis and necrotizing fasciitis
What is the most common cause of appendicitis ? - ANSWER-Obstruction which
can lead to rupture
A client with a cerebellar brain tumor is admitted to an acute care facility. The
nurse assists with formulating a nursing diagnosis of Risk for injury. Which
"related-to" phrase is appropriate for the nurse to add to complete the nursing
diagnosis statement? - ANSWER-It would be related to balance problems ,
impaired balance
What is a major complication of developing osteoporosis ? - ANSWER-Fractures
are more common
The nurse should expect to administer which vaccine to the client after a
splenectomy? - ANSWER-Pneumovax 23, because taking out the spleen lowers
your immune system and puts you at a greater risk for developing infection and
sepsis
A client that was involved in a head on collision is experiencing painful stimuli
with decerebrate posturing what part of the brain is injured ? - ANSWER-Midbrain
A client is receiving heparin I.V. for the treatment of thrombophlebitis. Which
laboratory value should the nurse monitor throughout heparin therapy? -
ANSWER-Platelet and PT prothrombin time
What would be the highest nursing diagnosis priority for a patient with chest
trauma ? - ANSWER-Impaired gas exchange
Which nursing diagnosis takes highest priority for a client with hyperthyroidism?
- ANSWER-Imbalanced nutrition: Less than body requirements related to thyroid
hormone excess
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