100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NCLEX Practice Exam Questions and Answers 100% Solved $11.99
Add to cart
Quickly navigate to
Preview
  2.  
  3. Nclex
  4.  
  5. Nclex

Exam (elaborations)

NCLEX Practice Exam Questions and Answers 100% Solved
 0 purchase
  • Course
  • Nclex
  • Institution
  • Nclex

NCLEX Practice Exam Questions and Answers 100% Solved A nurse is assessing the integumentary system of four clients. Which client has the least chance of a false-positive result while undergoing assessment of capillary refill time? Client with shock Client with anemia Client with epilepsy C...

[Show more]

Preview 4 out of 57  pages

Document information

  • October 22, 2024
  • 57
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

Written for

  • Nclex
  • Nclex

Seller

avatar-seller
JOSHCLAY

Reviews received

Content preview

©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

NCLEX Practice Exam Questions and

Answers 100% Solved


A nurse is assessing the integumentary system of four clients. Which client

has the least chance of a false-positive result while undergoing assessment

of capillary refill time?



Client with shock



Client with anemia



Client with epilepsy



Client with peripheral vascular disease - ✔✔C



A client with epilepsy does not have any circulatory inadequacy. Therefore

the capillary refill time of this client, as assessed in the nails, is a reliable

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

indicator (i.e., does not reveal a false-positive result). A client with shock

has decreased oxygen saturation levels that further prolong the capillary

refill time. Capillary refill time is not a reliable indicator of blood circulation

for clients with anemia, peripheral vascular disease, or diabetes.

While performing a physical assessment of a client, a nurse notices patchy

areas with loss of pigmentation on the skin, hands, and arms. What is the

probable etiology for this condition?



Anemia



Pregnancy



Lung disease



Autoimmune disease - ✔✔D



Patchy areas with loss of pigmentation on skin, hands, and arms are due to

vitiligo, which is caused by an autoimmune or congenital disease. Anemia

results in pallor due to a reduced amount of oxyhemoglobin. A tan-brown

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

color of the skin is noticed in pregnancy due to an increased amount of

melanin. Lung disease or heart failure can cause cyanosis due to an

increased amount of deoxygenated hemoglobin.



Test-Taking Tip: You have at least a 25% chance of selecting the correct

response in multiple-choice items. If you are uncertain about a question,

eliminate the choices that you believe are wrong and then call on your

knowledge, skills, and abilities to choose from the remaining responses.

While caring for a client with heat stroke, the nurse measured the

temperature and noted it as 109o F. Convert this temperature into Celsius

and record your number using one decimal place. - ✔✔42.8



Fahrenheit is converted to Celsius by subtracting 32 from the Fahrenheit

reading and multiplying the obtained value by 5/9.

C = (F - 32)(5/9)

C = (109 - 32)(5/9)

C = 42.8

The nurse is caring for a client who is on a low-carbohydrate diet. With this

diet, there is decreased glucose available for energy and fat is metabolized

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

for energy, resulting in an increased production of which substance in the

urine?



Protein



Glucose



Ketones



Uric acid - ✔✔C



As a result of fat metabolism, ketone bodies are formed, and the kidneys

attempt to decrease the excess by filtration and excretion. Excessive

ketones in the blood can cause metabolic acidosis. A low-carbohydrate diet

does not cause increased protein, glucose, or uric acid in the urine.

The nurse is caring for a client with a temperature of 104.5 degrees

Fahrenheit (40.3 degrees Celsius). The nurse applies a cooling blanket and

administers an antipyretic medication. The nurse explains that the rationale

for these interventions is to do what?

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

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

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

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 JOSHCLAY. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $11.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69052 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$11.99
  • (0)
Add to cart
Added