Exam 1: NCLEX Practice Questions Flashcards
Which of the following assessment actions should the nurse take first with a post-operative patient?
a. Assess for patent airway.
b. Compare distal pulses related to the surgery to ensure adequate blook flow.
c. Listen to all 4 quadrants for bowel sounds.
D. Asses surgical site
A. Assess for patent airway.
A patient recently got an epidural. Which action by the student nurse requires a follow up by the nurse?
a. Getting vital signs q4 hours.
b. Applying a heat pack on the site for comfort
c. administering pain medicine for a headache
d. Calling the in-house massage therapist for a massage for the patient
b. Applying a heat pack on the site for comfort
A 70-year-old patient is experiencing pain that is described as a burning pain that is somatic and related to a muscle injury that happened years before. The nurse is calling the MD to request pain medication that is to address the initial request of pain relief. What medicinal options are best to treat nociceptive pain? Choose all that apply.
A. Acetaminophen
B. Gabapentin
C. Pregabalin
D. Opioids
B. Gabapentin
C. Pregabalin
A pt. with iron deficiency anemia is expected to have what type of symptoms? (Select all that apply)
A. Pallor
B. Fatigue
C. Fever
D. Fluid volume excess
A. Pallor
B. Fatigue
In a patient with anemia, which of the following would be an expected finding?
a. High calcium levels
b. Low WBC
c. Low RBC
d. Pain in lower back
c. Low RBC
Which of the following is an expected finding of a patient with a vitamin B12 deficiency?
a. Nausea and vomiting
b. Edema
c. Erythema
d. Numbness and tingling
d. Numbness and tingling
A patient has arrived in the ER presenting with fluid overload. Which of the following would the nurse expect to find?
a. Blue/grey lips and tongue
b. Dry, pale skin
c. Low urine output, jugular vein distention (JVD)
d. Low blood pressure
c. Low urine output, jugular vein distention (JVD)
What precautions should the nurse implement for a patient with hypernatremia?
a. Seizure precautions
b. Bleeding precautions
c. Aspiration precautions
d. Suicide precautions
a. Seizure precautions
A patient is receiving IV fluids to treat hypovolemia. Which of the following findings would indicate a therapeutic response?
a. BP will increase
b. Dry oral mucous membranes
c. H&H level is low
d. Weight is low
BP will increase.
An 82 year old female was admitted for fluid volume deficit. What findings are expected? Select all that apply.
a. Confusion
b. Increased BUN level
c. Increased blood pressure
d. Sediment in the urine
a. Confusion
b. Increased BUN level
d. Sediment in the urine
A patient enters the ER with muscle cramping, and EKG changes. What electrolyte imbalance is the patient most likely experiencing?
a. Hypocalcemia
b. Hypercalcemia
c. Hyperkalemia
d. Hyponatremia
c. Hyperkalemia
The nurse is assessing a patient with suspected hypocalcemia. Which cardiovascular manifestation would the nurse expect to see?
a. Increased heart rate
b. Hypotension
c. Bounding peripheral pulses
d. Muscle weakness
b. Hypotension
A 52 year old male is admitted to your floor who will have a knee replacement procedure done tomorrow. Which of the following information should the nurse include in the patient teaching?
a. How to control pain
b. Nonadherence
c. PT/OT optional
d. Optional use of incentive spirometer
a. How to control pain
A patient exhibits signs and symptoms of muscle weakness, excessive urination, and kidney stones. Which of the following would be an expected finding?
a. Hypocalcemia
b. Hypokalemia
c. Hypercalcemia
d. Hyperkalemia
c. Hypercalcemia
A patient is diagnosed with hyponatremia. What is an expected finding the patient will demonstrate? Select all that apply.
a. Increased tendon reflexes
b. Arrhythmias
c. Decreased tendon reflexes
d. Stomach cramping
c. Decreased tendon reflexes
d. Stomach cramping
