Exam Cram NCLEX-PN Practice Questions Part 2
This flashcard set reviews NCLEX-PN-style questions focused on post-operative care, lab value analysis, and critical thinking. It helps reinforce key concepts such as airway monitoring after transsphenoidal surgery and identifying electrolyte imbalances like hypokalemia.
The client is receiving total parenteral nutrition (TPN). Which lab should be evaluated while the client is receiving TPN?
A. Hemoglobin
B. Creatinine
C. Blood glucose
D. White blood cell count
C. Blood glucose
why?
When the client is receiving TPN, the blood glucose level should be drawn. TPN is a solution that contains large amounts of glucose.
Key Terms
The client is receiving total parenteral nutrition (TPN). Which lab should be evaluated while the client is receiving TPN?
A. Hemoglobin
B. Creatinine
C. Blood glucose
D. White blood cell count
C. Blood glucose
why?
When the client is receiving TPN, the blood glucose level should be drawn. TPN is a solution that contains larg...
The client with a myocardial farction comes to the nurse's station stating that he is ready to go come because there is nothing wrong with him. Which defense mechanism is the client using?
A. Rationalization
B. Denial
C. Projection
D. Conversion reaction
B. Denial
why?
The client who says he has nothing wrong is in denial about his myocardial infarction.
Which lab test would be the least effective in making the diagnosis of myocardial infarction?
A. AST
B. Troponin
C. CK-MB
D. Myoglobin
A. AST
why?
AST is not specific for a myocardial infarction
The licensed practical nurse assigned to the post-partal unit is preparing to administer Rhogam to a post-patrum client. Which of the women is not a candidate for the RhoGam?
A. A gravida IV para 3 that is Rh negative with a Rh postivie baby
B. A gravida I para I that is Rh negative with a Rh positive baby
C. A gravida II para 0 that is Rh negative attempted after a still birth delivery
D. A gravida IV para II that is Rh negative with a Rh negative baby
D. A gravida IV para II that is Rh negative with a Rh negative baby
why?
The mother in answer D is the only one who does not require ...
The first exercise that should be performed by a client with a mastectomy is:
A. Walking the hand up the wall
B. Sweeping the floor
C. Combing her hair
D. Squeezing a ball
D. Squeezing a ball
why?
The first exercise that should be done by the client with a mastectomy is squeezing the ball
This client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication should be kept during the test?
A. Atropine sulfate
B. Furosemide
C. Prostigmin
D.Promethazine
A. Atropine sulfate
why?
Atropine sulfate is the antidote for Tensilon and is given to treat cholenergic crises
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| Term | Definition |
|---|---|
The client is receiving total parenteral nutrition (TPN). Which lab should be evaluated while the client is receiving TPN? | C. Blood glucose |
The client with a myocardial farction comes to the nurse's station stating that he is ready to go come because there is nothing wrong with him. Which defense mechanism is the client using? | B. Denial |
Which lab test would be the least effective in making the diagnosis of myocardial infarction? | A. AST |
The licensed practical nurse assigned to the post-partal unit is preparing to administer Rhogam to a post-patrum client. Which of the women is not a candidate for the RhoGam? | D. A gravida IV para II that is Rh negative with a Rh negative baby |
The first exercise that should be performed by a client with a mastectomy is: | D. Squeezing a ball |
This client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication should be kept during the test? | A. Atropine sulfate |
The client is scheduled for a pericentesis. Which instruction should be given to the client before the exam? | B. "You need to empty your bladder before the procedure." |
To ensure safety while administering a Nitroglycerin patch, the nurse should: | A. Wear gloves |
A 25 year old male is brought to the ER with a piece of metal in his eye. Which action by the nurse is correct? | C. Cover both eyes with paper cups |
The physician has order sodium warfrin ( Coumadin) for the client with thrombophlebitis. The order should be entered to administer the medication at: | C. 1700 |
The schizophrenic client has become disruptive and requires seclusion. Which staff member can institute seclusion? | B. RN |
The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal a pH of 7.36, CO2 at 45, O2 at 84, HCO3 at 28. The nurse would assess the client to be in: | C. Compensated respiratory acidosis |
The nurse is assessing the client recently returned from surgery. The nurse is aware that the best way to assess pain is to: | B. Ask the client to rate his pain from 1-5 |
The nursing is participating in a discharge teaching for the post-partal client. The nurse is aware that an effective means of managing discomfort associated with a episiotomy after discharge is: | C. Sitz bath |
Which of the following post-op diets are most appropriate for a client who has had a hemorroidectomy? | D. Clear liquids |
The physician has ordered a culture for the client with suspected Gonorrhea. The nurse should obtain what type of culture? | D. Genital secretions |
The nurse is caring for a client with cerebral plasy. The nurse should provide frequent rest periods because: | A. Grimacing and withering movements decrease with relaxation and rest. |
The nurse is making assignments for the day. Which client should be assigned to the nursing assistant? | A. A client with Alzheimer's |
A client with cancer develops xerostomia. The nurse can help alleviate the discomfort associated with xerostomia by: | D. Providing saliva substitute |
A home health nurse is making preparations for morning visits. Which of the following clients should the nurse visit first? | B. The client with congestive heart failure complaining of nighttime dyspnea |
A client with glomerulonephritis is placed on a low sodium diet. Which of the following snacks is suitable for the client with low sodium restritctions? | D. Fresh peach |
Due to a high census, it had been necessary for a number of clients to be transferred to another unit within the hospital. Which client should be transferred to the post-partum unit? | B. A 40 year old female with a hysterectomy |
During the change of the shift, the ongoing nurse notes a discrepancy in the number of Perocept (oxycodone) listed in the number present in the narcotics drawer. The nurse's first action should be to: | B. Notify the nursing supervisor |
The nurse is assigning staff for the day. Which assignment should be given to the nursing assistant? | B. Taking the vital signs of a 10 year old with a 2 day post-appendectomy |
A new nursing graduate indicates in charting enteries that he is a licensed practical nurse, although he has not received the results of the licensing exam. The graduate's actions can result in what type of charge? | A. Fraud |
A client with acute leukemia develops a low white blood cell count. In addition to the institute of isolation the nurse should: | D. Provide foods in seal single serving packages |
A 70 year old man who is recovering from a stroke exhibits signs of unilateral neglect. Which behavior is suggested of unilateral neglect? | A. The client is observed by shaving only one side of his face |
The nurse is providing discharge teaching for a client who is taking dissulfiram (Antabuse). The nurse should instruct the client to avoid eating: | C. Pickles, salad with vinaigrette dressing, beef |
A client has been receiving cyanocobalamine (B12) injections for the past 6 weeks. Which lab finding indicates that the medication is having the desired effect? | D. Reticlocyte count of 1 % |
The nurse has just received a change of shift report. Which client should the nurse assess first? | A. A client 2 hours post-lobectomy with 150 cc drainage |
Several clients are admitted to the ER following a three- car vehicle accident. Which clients can be assigned to share a room in the emergency department during the disaster? | B. The client who is 6 months pregnant with abdominal pain and the client with facial lacerations and a broken arm |
The home health nurse is planning for the day's visits. Which client should be seen first? | D. The 30 year old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter |
The nurse is found to be guilty of charting blood glucose results without actually performing the procedure. After talking to the nurse, the charge nurse should: | B. File a formal reprimand |
Which information should be reported to the state Board of Nursing? | B. The narcotic count has been incorrect on the unit for the past 3 days. |
Which nurse should be assigned to care for the postpartal client with preeclampsia? | B. Th nurse with 3 years of experience in labor and delivery |
The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, respirations 30. Which action by the nurse should receive priority? | B. Contact the physician |
Which assignment should not be performed by the licensed practical nurse? | D. Initiating a blood transfusion |
The nurse witnesses the nursing assistant hitting the client in the long-term care facility. The nursing assistant can be changed with: | C. Assault |
The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available? | A. The client with Cushing's disease |
The nurse is making assignments for the day. Which client should be assigned to the pregnant nurse? | A. The client receiving linear accelerator radiation therapy for lung cancer |
The client is receiving heparin for thrombophlebitis of the left lower extremity. Which of the following drugs reverses the effects of heparin? | B. Protamine sulfate |
The client is admitted with a BP of 210/120. Her doctor orders furosemide (Lasix) 40 mg IV stat. How should the nurse administer the prescribed furosemide to this client? | A. By giving it over 1-2 minutes |
The physician prescribes capropril (Capoten) 25 mg po tid for the client with hypertension. Which of the following adverse reactions can occur with administration of Capoten? | B. Persistent coughing |
The doctor orders 2% nitroglycerin ointment on a 1-inch dose over 12 hours. Proper application of nitroglycerin ointment includes: | A. Rotating application sites |
Lidocaine is a medication frequently ordered for the client experiencing: | B. Ventricular tachycardia |
The client is admitted to the ER with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. Te doctor orders quinidne sulfate. While he is receiving quinidine, the nurse should monitor his ECG for: | D. Prolonged QT interval |
The physician has prescibed tranylcypromine sulfate (Parnate) 10 mg bid. The nurse should teach the client to refrain from eating foods containing tyramine because it may cause: | A. Hypertension |
The child with seizure disorder is being treated with Dilantin (phenytoin). Which of the following statements by the patient's mother indicates to the nurse that the patient is experiencing a side effect of Dilantin therapy? | C. "Her gums look too big for her teeth. |
A 5 year old is admitted to the unit following a tonsillectomy. Which of the following would indicate a complication of the surgery? | D. Constant swallowing |
A 6 year old with cerebral palsy functions at the level of an 18 month old. Which finding would support that assessment? You can also click the terms or definitions to blur or reveal them | B. She pulls a toy behind her |