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Pearson Exam Cram NCLEX RN Test #1 med surg TEST BANK QUESTIONS, ANSWERS & RATIONALES 2024/2025
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Pearson Exam Cram NCLEX RN Test #1 med surg TEST BANK QUESTIONS, ANSWERS & RATIONALES 2024/2025
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Pearson Exam Cram NCLEX RN Test #1med surg
The client is admitted to the emergency room with shortness of breath, anxiety, and
tachycardia. His ECG reveals atrial traumatic inflammation with a ventricular reaction charge
of a hundred thirty beats consistent with minute. The health practitioner orders quinidine
sulfate. While he's receiving quinidine, the nurse must screen his ECG for:
a Peaked P wave
b Elevated ST section
c Inverted T wave
d Prolonged QT interval
d Prolonged QT c programming language
Quinidine can purpose widened Q-T durations and coronary heart block.
A consumer with ascites is scheduled for a paracentesis. Which guidance have to accept to
the patron before the system?
A "You will want to lay flat throughout the system."
b. "You need to empty your bladder earlier than the technique."
c. "You may be asleep in the course of the technique."
d. "The health practitioner will inject a medicine during the manner."
b. "You need to empty your bladder before the process."
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A customer's lab values monitor Hgb 12.6, WBC 6500cu.Mm, K+ 1.Nine, uric acid 7.Zero,
Na+ 136, and platelets 178,000cu.Mm. The nurse evaluates that the customer is
experiencing which of the subsequent?
Hypernatremia
b Hypokalemia
,Myelosuppression
Leukopenia
b Hypokalemia
Due to a excessive census, it's been essential for some of clients to be transferred to
different devices in the sanatorium. Which purchaser need to be transferred to the
postpartum unit?
A A 66-yr-vintage woman with gastroenteritis
b A 40-yr-old female with a hysterectomy
c A 27-yr-antique male with extreme depression
d A 28-yr-old male with ulcerative colitis
b A forty-yr-old female with a hysterectomy
Before administering Theo-Dur (theophylline), the nurse need to test the patient's:
a output
b Blood strain
c Pulse
d Temperature
c Pulse
Which records ought to receive to the patient undergoing radiation therapy for breast
cancer?
A Avoid exposing radiation regions to sunlight in the course of remedy time and for a year
after of entirety of therapy
b Moisturize the radiation web site with oil-based totally lotion to prevent blistering
c Use tub oil whilst tub bathing to prevent drying and peeling
d Report redness and discomfort of the vicinity to the doctor
a Avoid exposing radiation areas to sunlight for the duration of treatment time and for a year
after crowning glory of remedy
The fee nurse is making assignments for the day. After accepting the undertaking to care for
a purchaser with leukemia, the nurse tells the price nurse that her child has chickenpox.
Which initial action have to the fee nurse take?
A Change the nurse's venture to every other client.
B Explain to the nurse that there may be no threat to the consumer.
C Ask the nurse if the chickenpox have crusted.
D Ask the nurse if she has ever had the chickenpox.
D Ask the nurse if she has ever had the chickenpox.
Which announcement is real concerning remedy with Levemir (insulin detemir)?
A The onset is 1-2 hours.
B It may be blended with regular insulin.
C It peaks in 2-3 hours.
,D The period is 24 hours.
D The period is 24 hours.
Which purchaser ought to be assigned to the nursing assistant?
A The 18-yr-old with a fracture to 2 cervical vertebrae
b The infant with meningitis with a temperature of 101°F
c The elderly patron with a thyroidectomy 4 days in the past
d The customer with a thoracotomy two days ago
c The elderly customer with a thyroidectomy four days ago
The medical doctor has ordered the Schilling check for a affected person with suspected
pernicious anemia. What different nutrition stage is regularly assessed at the same time
because the B12 degree?
A Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine
a Folic acid
A 25-year-old patron arrives in the emergency room with a possible fracture of the right
femur. The nurse must anticipate an order for:
a Bryant's traction
b Ice to the whole extremity
c Buck's traction
d An abduction pillow
c Buck's traction
Which assertion need to be protected inside the teaching session of a consumer scheduled
for a renal biopsy?
A "You can be located in a sitting position for the biopsy."
b "You might also revel in a feeling of stress or pain at some stage in aspiration of the
biopsy."
c "You will be asleep throughout the system."
d "You will now not be capable of drink fluids for twenty-four hours following the look at."
b "You can also experience a feeling of stress or soreness at some point of aspiration of the
biopsy."
The nurse is worrying for the patron who has been in a coma for 2 months. He has signed a
donor card, however the wife is opposed to the concept of organ donation. How must the
nurse take care of the topic of organ donation with the wife?
A Tell the wife that the health center will honor her wishes regarding organ donation, but
touch the organ-retrieval personnel.
, B Tell her that due to the fact her husband signed a donor card, the health center has the
right to take the organs upon the death of her husband.
C Explain that it is important for her to donate her husband's organs due to the fact he
signed the allow.
D Refrain from speaking about the difficulty until after the dying of her husband.
A Tell the spouse that the clinic will honor her desires regarding organ donation, however
contact the organ-retrieval staff.
The consumer is admitted with persistent obstructive pulmonary disorder. Blood gases
monitor pH 7.36, CO2 forty five, O2 84, bicarb 28. The nurse would assess the consumer to
be in:
a Uncompensated acidosis
b Compensated alkalosis
c Compensated metabolic acidosis
d Uncompensated metabolic acidosis
c Compensated metabolic acidosis
Before administering intravenous chemotherapy to the patient being dealt with, the nurse
ought to:
a Administer a bolus of IV fluid.
B Administer pain medicinal drug.
C Administer an antiemetic.
D Allow the patient a hazard to consume.
C Administer an antiemetic.
Which one of the following statements is correct when measuring the patron for crutches?
A A distance of five fingerbreadths must exist among the pinnacle of the crutch and the
axilla.
B The nurse have to measure 3 inches between the pinnacle of the crutch and the axilla.
C The client's elbows ought to be flexed at a ten°attitude.
D The crutches should be prolonged eight to 10 inches from the aspect of the foot.
B The nurse should degree 3 inches between the top of the crutch and the axilla.
A affected person of Greek descent has been prescribed Bactrim
(sulfamethoxazole-trimethoprim) for treatment of a urinary tract contamination. Before
starting the medicine, the patient ought to be assessed for which of the subsequent
problems?
A G6PD deficiency
b β-thalassemia
c Sickle cellular anemia
d Von Willebrand ailment
a G6PD deficiency
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