NCLEX RN (NEXT GENERATION FORMART) Actual
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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 - Answer-a Folic acid
The client is admitted to the emergency room with
shortness of breath, anxiety, and tachycardia. His ECG
reveals atrial fibrillation with a ventricular response rate of
130 beats per minute. The doctor orders quinidine sulfate.
While he is receiving quinidine, the nurse should monitor
his ECG for:
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval - Answer-d Prolonged QT interval
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Quinidine can cause widened Q-T intervals and heart
block.
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 - Answer-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." - Answer-b "You may experience a feeling of
pressure or discomfort during aspiration of the biopsy."
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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 - Answer-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. - Answer-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.
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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. - Answer-b The nurse should measure
three inches between the top of the crutch and the axilla.
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." - Answer-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