UWorld NCLEX Prep WITH ALL CORRECT ANSWERS
when making room assignments, it is important to remember that a client with an active or suspected
infection should not be paired with who Correct Answer: a client who has a fresh surgical wound or is
immunocompromised
clients at risk for suicide are least likely to commit the act if: Correct Answer: they articulate long-term
personal goals and family milestones
which co-morbidity is the most likely to hinder healing of a fracture Correct Answer: peripheral arterial
disease. bone healing depends on multiple factors, including nutrition, adequate circulation and age.
without adequate circulation, the bone is not supplied with oxygen
if dislodgement of a chest tube occurs, what do you do? Correct Answer: a sterile occlusive dressing
must immediately be placed over the insertion site until the health care provider can assess the client. if
a dressing isn't available, the nurse should cover the insertion site with a gloved hand
a client who undergoes percutaneous coronary intervention using femoral approach is at risk for
retroperitoneal hemorrhage. What are s/s of bleeding Correct Answer: -hypotension
-back pain
-flank bruising
-diminished distal pulses
what are the two interventions that can reverse an acute sickling response Correct Answer: -adequate
hydration (first)
-adequate oxygenation
clients receiving TPN are at risk for what Correct Answer: hyperglycemia
in clients receiving TPN, because they are at risk for hyperglycemia, what s/s should be monitored for
Correct Answer: polydipsia, polyuria, headaches, blurred vision
NPH insulin and regular insulin can be safely mixed and administered as a single injection. Which do you
draw up first Correct Answer: (RN) regular before NPH. (clear over cloudy) to avoid contaminating the
regular insulin with NPH
blood products should not be left at room temperature for how long Correct Answer: greater than 30
minutes before transfusion is started
ACE inhibitors (pril) and angiotensin II receptor blockers (sartan) can be used to manager hypertension;
however what can these drugs worsen Correct Answer: Hyperkalemia!
Clients with chronic kidney disease are unable to excrete what Correct Answer: contrast administered
for CT scans
how often should an ostomy appliance be changed Correct Answer: every 5-10 days
, what proteins would you give a client who has high potassium in end stage renal disease Correct
Answer: chicken, turkey, shrimp, tuna, eggs
what gains would you give a client who has high potassium in end stage renal disease Correct Answer:
white bread, white pasta, white rice, etc.
tPA must be administered within how much time of onset of symptoms Correct Answer: must be
administered within a 3-4.5 hour window from onset of symptoms for full effectiveness
what platelet count determines thrombocytopenia Correct Answer: less than 100,000
what medication has demonstrated the greatest potential to increase lithium concentrations Correct
Answer: thiazide diuretics. (also NSAIDS)
what are the first signs of lithium toxicity Correct Answer: nausea, vomiting, diarrhea
what are the later/chronic signs of ltihium toxicity Correct Answer: ataxia, sluggishness, confusion,
agitation, tremor
headache is an expected side effect from nitro. what can be used to treat the headache Correct Answer:
aspirin or acetaminophen
what might these symptoms indicate: frequent contractions, abdominal pain*, dark red vaginal
bleeding+ Correct Answer: placental abruption
in infants and children a heart rate less than or = to 60 with signs of poor perfusion is treated as Correct
Answer: pulseless
what manifestations are characteristic of emphysema Correct Answer: -activity intolerance
-barrel chest
-hyperresonance on percussion
what nursing diagnosis is priority for a bipolar client with an episode of acute mania Correct Answer:
imbalanced nutrition
dumping syndrome is a complication of the surgically reduced gastric capacity. what do these symptoms
include Correct Answer: abdominal pain, sweating, tachy, dizziness, diarrhea
what can the nurse recommend to assist client suffering from dumping syndrome Correct Answer: -
small, frequent meals
-foods high in protein and fat
-avoid meals high in carbs
-eat slowly
a risk of a colonoscopy is perforation. what are the s/s of perforation Correct Answer: -rebound
tenderness*
-guarding
when making room assignments, it is important to remember that a client with an active or suspected
infection should not be paired with who Correct Answer: a client who has a fresh surgical wound or is
immunocompromised
clients at risk for suicide are least likely to commit the act if: Correct Answer: they articulate long-term
personal goals and family milestones
which co-morbidity is the most likely to hinder healing of a fracture Correct Answer: peripheral arterial
disease. bone healing depends on multiple factors, including nutrition, adequate circulation and age.
without adequate circulation, the bone is not supplied with oxygen
if dislodgement of a chest tube occurs, what do you do? Correct Answer: a sterile occlusive dressing
must immediately be placed over the insertion site until the health care provider can assess the client. if
a dressing isn't available, the nurse should cover the insertion site with a gloved hand
a client who undergoes percutaneous coronary intervention using femoral approach is at risk for
retroperitoneal hemorrhage. What are s/s of bleeding Correct Answer: -hypotension
-back pain
-flank bruising
-diminished distal pulses
what are the two interventions that can reverse an acute sickling response Correct Answer: -adequate
hydration (first)
-adequate oxygenation
clients receiving TPN are at risk for what Correct Answer: hyperglycemia
in clients receiving TPN, because they are at risk for hyperglycemia, what s/s should be monitored for
Correct Answer: polydipsia, polyuria, headaches, blurred vision
NPH insulin and regular insulin can be safely mixed and administered as a single injection. Which do you
draw up first Correct Answer: (RN) regular before NPH. (clear over cloudy) to avoid contaminating the
regular insulin with NPH
blood products should not be left at room temperature for how long Correct Answer: greater than 30
minutes before transfusion is started
ACE inhibitors (pril) and angiotensin II receptor blockers (sartan) can be used to manager hypertension;
however what can these drugs worsen Correct Answer: Hyperkalemia!
Clients with chronic kidney disease are unable to excrete what Correct Answer: contrast administered
for CT scans
how often should an ostomy appliance be changed Correct Answer: every 5-10 days
, what proteins would you give a client who has high potassium in end stage renal disease Correct
Answer: chicken, turkey, shrimp, tuna, eggs
what gains would you give a client who has high potassium in end stage renal disease Correct Answer:
white bread, white pasta, white rice, etc.
tPA must be administered within how much time of onset of symptoms Correct Answer: must be
administered within a 3-4.5 hour window from onset of symptoms for full effectiveness
what platelet count determines thrombocytopenia Correct Answer: less than 100,000
what medication has demonstrated the greatest potential to increase lithium concentrations Correct
Answer: thiazide diuretics. (also NSAIDS)
what are the first signs of lithium toxicity Correct Answer: nausea, vomiting, diarrhea
what are the later/chronic signs of ltihium toxicity Correct Answer: ataxia, sluggishness, confusion,
agitation, tremor
headache is an expected side effect from nitro. what can be used to treat the headache Correct Answer:
aspirin or acetaminophen
what might these symptoms indicate: frequent contractions, abdominal pain*, dark red vaginal
bleeding+ Correct Answer: placental abruption
in infants and children a heart rate less than or = to 60 with signs of poor perfusion is treated as Correct
Answer: pulseless
what manifestations are characteristic of emphysema Correct Answer: -activity intolerance
-barrel chest
-hyperresonance on percussion
what nursing diagnosis is priority for a bipolar client with an episode of acute mania Correct Answer:
imbalanced nutrition
dumping syndrome is a complication of the surgically reduced gastric capacity. what do these symptoms
include Correct Answer: abdominal pain, sweating, tachy, dizziness, diarrhea
what can the nurse recommend to assist client suffering from dumping syndrome Correct Answer: -
small, frequent meals
-foods high in protein and fat
-avoid meals high in carbs
-eat slowly
a risk of a colonoscopy is perforation. what are the s/s of perforation Correct Answer: -rebound
tenderness*
-guarding
