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NCLEX NGN Pre-Test Questions & Answers.
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NCLEX NGN Pre-Test Questions & Answers.
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NCLEX NGN Pre-Test Questions & AnswersA vnurse vis vassigned vto vcare vfor va vclient vwith vchronic vrenal vfailure vwho vis vundergoing vhemodialysis vthrough van vinternal vAV vfistula vin vthe vRA. vWhich vintervention vshould vthe vnurse vimplement vin vcaring vfor vthe vclient? vSATA
a. vAssessing vthe vradial vpulse vin vthe vright vextremity
b. vUsing vthe vLA vti vtake vBP vreadings
c. vDrawing vpre-dialysis vblood vspecimens vfrom vthe vLA
d. vAssessing vthe varea vover vthe vAV vfistula vfor va vbruit vand vthree veach vshift
e. vPlacing va vpressure vdressing vover vthe vsite vafter veach vdialysis vtreatment
f. vAdministering vIV vfluids vthrough vthe vvenous vsite vof vthe vAV vfistula vas vneeded v- v(CORRECT vANSWER)-A, vB, vC, vD
A vnurse vis vevaluating voutcomes vfor va vclient vwith vGuillain-Barre vsyndrome. vWhich voutcome vdoes vthe vnurse vrecognize vas voptimal vrespiratory voutcomes vfor vthe vclient?
a. vNormal vdeep vtendon vreflexes
b. vImproved vskeletal vmuscle vtone
c. vAbsences vof vparesthesias vin vthe vlower vextremities
d. vClear vsound vin vthe vlower vlung vfields vbilaterally
e. vpO2 vof v85 vmmHg vand vpCO2 vof v40 vmmHg v- v(CORRECT vANSWER)-D, vE
A vnurse vof vthe vtelemetry vunit vis vcaring vfor va vclient vwho vhas vhad va vMI vand vis vnow vattached vto va vcardiac vmonitor. vThe vnurse vis vmonitoring vthe vclient's vcardiac vrhythm vand vnots vventricular vfibrillation. vWhich vnursing vintervention vshould vthe vnurse vtake vfirst?
a. vCalling vthe vrapid vresponse vteam
b. vPreparing vthe vclient vfor vcardioversion
c. vAsking vthe vclient vto vbear vdown vand vcough
d. vPreparing vto vadminister vdiltiazem v- v(CORRECT vANSWER)-A
The vpattern vof vventricular vfibrillation vis videntified vand vcan vbe va vresult vafter va vpatient vwith van vMI. vVF vmakes vthe vpatient vfeel vfaint, vthen vloses vconsciousness vand vbecomes vpulseless vand vapneic v(BP vand vheart vsounds vabsent). vTreatment vis vto vterminate vVF vand vcovert vit vinto va vrhythm vvia vdefibrillation-> vcall va vrapid vand vinitiate vCPR. vCardioversion vis vused vfor vventricular vor vsupraventricular vtachydysrhythmias.
A vnurse vdeveloping va vplan vof vcare vfor va vclient vwith va vspinal vcord vinjury vincludes vmeasures vto vprevent vautonomic vdysreflexia v(hyperreflexia). vWhich vintervention vdoes vthe vnurse vincorporate vinto vthe vplan vto vprevent vthis vcomplication?
a. vKeeping vthe vfan vrunning vin vthe vclient's vroom
b. vKeeping vthe vlinens vwrinkle vfree vunder vthe vclient c. vLimiting vbladder vcatheterization vto vonce vevery v12 vhours
d. vAvoiding vthe vadministration vof venemas vand vrectal vsuppositories v- v(CORRECT vANSWER)-B
The vmost vfrequent vcause vof vautonomic vdysreflexias vare va vdistended vbladder vand vimpacted vfeces. vOther vcauses vinclude vstimulation vof vthe vskin vby vtactile, vthermal, vor vpainful vstimuli. vThe vnurse vrenders vcare vin vsuch va vway vas vto vminimize vthese vrisks.
A vnurse vprovides vhome vcare vinstructions vto va vclient vwho vhas vbeen vfitted vwith va vhalo vdevice vto vtreat va vcervical vfracture. vWhich vstatement vby vthe vclient vindicates vthe vneed vfor vfurther vteaching?
a. vI vneed vto vget vmore vfluids vand vfiber vinto vmy vdiet
b. vI vshould vcut vmy vfood vinto vsmall vpieces vbefore vI veat
c. vI vneed vto vput vpowder vunder vthe vvest vtwice va vday vto vprevent vsweating
d. vI vhave vto vcheck vthe vpin vsites veveryday vand vwatch vfor vsigns vof vinfection v- v(CORRECT vANSWER)-C
Cleanse vthe vskin vunder vthe vwool vliner veach vday vto vprevent vrashes vand vsoars.
A vnurse vis vcaring vfor va vclient vwith vincreased vintracranial vpressure. vIn vwhich vposition vshould vthe vnurse vmaintain vthe vclient?
a. vSupine vwith vthe vhead vextended
b. vSide vlying vwith vthe vneck vflexed
c. vSupine vwith vthe vhead vturned vto vthe vside
d. vHead vmidline vand velevated v30-45 vdegrees v- v(CORRECT vANSWER)-D
Proper vpositioning vpromotes vvenous vdrainage vfrom vthe vcranium vto vminimize vICP.
A vclient vwith va vbasilar vskull vfracture vhas vclear vfluid vleaking vfrom vthe vears. vThe vnurse vshould vtake vwhich vaction vfirst?
a. vAsses vthe vclear vfluid vfor vprotein
b. vCheck vthe vclear vfluid vfor vglucose
c. vPlace vcotton vcalls vor vdry vgauze vloosely vin vthe vears
d. vUse van votoscope vto vassess vthe vtympanic vmembrane vfor vrupture v- v(CORRECT vANSWER)-B
CSF vcontains vglucose vnot vprotein.
A vnurse vis vcaring vfor va vclient vwho vhas vjust vundergone vcardioversion. vWhich vintervention vis vthe vnurse's vpriority vafter vthis vprocedure. v
a. vAdminister voxygen
b. vMonitoring vthe vBP
c. vAdministering vantidysrhythmic vmedications
d. vMonitoring vthe vclient's vLOC v- v(CORRECT vANSWER)-A
ABC's vof vnursing. vAll vother vchoices vare vcorrect, vbut vnot vpriority.
A vclient vwith vdiabetes vmellitus vwho vis vscheduled vto vhave vblood vdrawn vfor vdetermination vof vthe vglycosylated vhemoglobin v(HbA1c) vlevel vasks vthe vnurse vwhy vthe vtest vis vnecessary vif vhe vis vperforming vblood vglucose vmonitoring vat vhome. vWhich vis vthe vbest vresponse vfor vthe vnurse vto vprovide?
a. vDetect vdiabetic vcomplications
b. vAssess vlong-term vglycemic vcontrol
c. vDetermine vwhether vthe vclient vis vat vrisk vfor vhypoglycemia
d vDetermine vwhether vthe vprescribed vinsulin vdosage vis vcorrect v- v(CORRECT vANSWER)-B
A vnurse vcaring vfor va vclient vwith vacquired vimmunodeficiency vsyndrome vis vmonitoring vthe vclient vfor vsigns vof vcomplications. vWhich vof vthe vfollowing vwould vcause vthe vnurse vto vsuspect vinfection vwith vPneumocystis vjirovec? vSATA
a. vDiarrhea
b. vTachypnea
c. vPedal vedema
d. vIntermittent vfever
e. vDyspnea vwith vambulating
f. vExpectoration vof vfrothy vmucus v- v(CORRECT vANSWER)-B, vD, vE
A vopportunistic vrespiratory vinfection vassociated vwith vAIDs vthat vcauses vdyspnea, vnonproductive vcough, vintermittent vfever, vfatigue, vanorexia, vtachypnea, vwt. vloss.
Zidovudine vis vprescribed vfor va vclient vwith vAIDS. vThe vnurse vtells vthe vclient vthat vit vis vimportant vto vreport vback vto vthe vclinic vas vscheduled vfor vwhich vfollow-up vdiagnostic?
a. vBlood vglucose vchecks
b. vBlood vpressure vchecks
c. vComplete vblood vcounts v(CBC)
d. vElectrocradiographic vstudies v- v(CORRECT vANSWER)-C
Zidovudine vis van vantiviral vmedication vthat vcause vcause vagranulocytosis vand vanemia.
After va vnon-immunocompromised vclient vundergoes va vMantoux vtest vfor vTB vinfection,
van varea vof vinduration v6 vmm vwide vdeveloped. vThe vclient vasks vthe vnurse vwhat vthis
vresult vmeans. vWhich vis vthe vbest vresponse?
a. vWe'll vhave vto vrepeat vthe vtest vbecause vthe vresult vwas vinconclusive
b. vThe vswollen varea vis vsmall, vso vthat vmeans vyour vtest vresult vis vnegative
c. vYou've vbeen vexposed vto vTB vso vyou vwill vneed vto vhave va vchest vx-ray
d. vYou vneed vto vget vstarted von vmedication vright vaway vbecause vyou vhave vTB v- v(CORRECT vANSWER)-B
Indurations vless vthan v10 vmm v(non-immunocompromised) vand v5 vmm v(immunocompromised) vis vconsidered va vnegative vresult vafter v48-72 vhrs. vResults vgreater vindicate vexposure vand vpossible vTB vinfection. vMorse vtesting v(x-ray) vwill vbe vneeded.
A vclients varterial vblood vgases vare vanalyzed; vpH v1.49, vpaO2 v97 vmmHg, vHCO3- v22 vmEq/L. vWhich vacid vbase vbalance vdisturbance vdoes vthe vnurse videntify vfrom vthese vresults?
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