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PEARSON EXAM CRAM NCLEX RN TEST 1 MED SURG QNS & ANS LATEST UPDATE 2024/2025 GRADED A+
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PEARSON EXAM CRAM NCLEX RN TEST 1 MED SURG QNS & ANS LATEST UPDATE 2024/2025 GRADED A+
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PEARSON EXAM CRAM NCLEX RN TEST 1 MED SURGQNS & ANS LATEST UPDATE 2024/2025 GRADED A+
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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS b
The nurse should measure three inches between the top of the crutch and the axilla.
A patient of Greek descent has been prescribed Bactrim (sulfamethoxazole-trimethoprim) for treatment
of a urinary tract infection. Before beginning the medication, the patient should be assessed for which of
the following disorders?
a G6PD deficiency
b β-thalassemia
c Sickle cell anemia
d Von Willebrand disease - CORRECT ANSWERS a G6PD deficiency
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