NCLEX PREP ARCHER LATEST QUESTIONS WITH
COMPLETE SOLUTIONS.
List in order how the PPE should be put on
1st-Gown
2nd-Mask/Respirator
3rd-Goggles
4th-Gloves
List in order how the PPE should be removed
1st-Gloves
2nd-Goggles
3rd-Gown
4th-Mask/Respirator
The nurse teaches the family of a patient with end stage renal disease to offer
foods high in?
a. Fluids
b. Protein
c. Potassium
d. Carbohydrates
d. Carbohydrates
A pt has an epidural for the birth of her child. While massaging the fundus, it is
found to be firm and located under the right rib cage. To alleviate this problem,
the nurse should first:
a. Empty the pt's bladder
b. Initiate breast feeding the infant
c. Give Oxytocic drugs as ordered
d. Massage the uterus for another 15 minutes
a. Empty the pt's bladder
The nurse is caring for a newborn who is pale and jittery and has a high-pitched
cry. The Primary nursing action is to:
a. Check the newborn's serum glucose level
b. Obtain the newborn's axillary temp
c. Review the maternal history for substance abuse
d. Determine if the mother was anxious during the birthing process
a. Check the newborn's serum glucose level
A pt w/heart failure is receiving digoxin and furosemide. The lab values of the pt
include serum digoxin 2.9ng/mL and K+ 3.2mEq/L. Based on these lab results the
most appropriate nursing action is to:
a. Withhold the next dose of Furosemide
b. Administer an addt'l dose of digoxin
, c. Notify the physician of the lab results
d. These results are w/in normal limits and require no action
c. Notify the physician of the lab results
A 64-year-old man is admitted to the ER w/complaints of shortness of breath,
heartburn, and pain in the left shoulder. After obtaining vital signs, the nurse
performs a focused assessment related to the pt's:
a. Heart
b. Abdomen
c. Current stressors
d. Recent life changes
a. Heart
One nursing intervention in the plan of care for a pt w/paranoid personality
disorder is promoting consensual validation of reality. Which nursing action is
most appropriate to implement this plan?
a. Reinforcing the facts of the situation
b. Encouraging verbalization of feelings
c. Administering antidepressant medications
d. Using humor to challenge patient misperceptions
a. Reinforcing the facts of the situation
A 50-yr-old pt has been under extreme job stress for 10 yrs and is diagnosed as
having an enlarged heart. The nurse understands which factor in his history is a
modifiable risk factor for heart disease?
a. He eats beef once a week
b. He exercises four times a week
c. He has a family history of heart attacks
d. He smokes one pack of cigarettes a day
d. He smokes one pack of cigarettes a day
Liver involvement is associated with Reye's syndrome. When caring for children
with this condition, the nurse takes with special precaution?
a. Turning and positioning
b. Assessing the level of consciousness
c. Administering intramuscular injections
d. Monitoring output from the urinary catheter
c. Administering intramuscular injections
The nurse anticipates which type of isolation precautions should be taken with a
4-month old infant with diarrhea?
a. Strict precautions
b. Droplet precautions
c. Contact precautions
d. Airborne precautions
c. Contact precautions
COMPLETE SOLUTIONS.
List in order how the PPE should be put on
1st-Gown
2nd-Mask/Respirator
3rd-Goggles
4th-Gloves
List in order how the PPE should be removed
1st-Gloves
2nd-Goggles
3rd-Gown
4th-Mask/Respirator
The nurse teaches the family of a patient with end stage renal disease to offer
foods high in?
a. Fluids
b. Protein
c. Potassium
d. Carbohydrates
d. Carbohydrates
A pt has an epidural for the birth of her child. While massaging the fundus, it is
found to be firm and located under the right rib cage. To alleviate this problem,
the nurse should first:
a. Empty the pt's bladder
b. Initiate breast feeding the infant
c. Give Oxytocic drugs as ordered
d. Massage the uterus for another 15 minutes
a. Empty the pt's bladder
The nurse is caring for a newborn who is pale and jittery and has a high-pitched
cry. The Primary nursing action is to:
a. Check the newborn's serum glucose level
b. Obtain the newborn's axillary temp
c. Review the maternal history for substance abuse
d. Determine if the mother was anxious during the birthing process
a. Check the newborn's serum glucose level
A pt w/heart failure is receiving digoxin and furosemide. The lab values of the pt
include serum digoxin 2.9ng/mL and K+ 3.2mEq/L. Based on these lab results the
most appropriate nursing action is to:
a. Withhold the next dose of Furosemide
b. Administer an addt'l dose of digoxin
, c. Notify the physician of the lab results
d. These results are w/in normal limits and require no action
c. Notify the physician of the lab results
A 64-year-old man is admitted to the ER w/complaints of shortness of breath,
heartburn, and pain in the left shoulder. After obtaining vital signs, the nurse
performs a focused assessment related to the pt's:
a. Heart
b. Abdomen
c. Current stressors
d. Recent life changes
a. Heart
One nursing intervention in the plan of care for a pt w/paranoid personality
disorder is promoting consensual validation of reality. Which nursing action is
most appropriate to implement this plan?
a. Reinforcing the facts of the situation
b. Encouraging verbalization of feelings
c. Administering antidepressant medications
d. Using humor to challenge patient misperceptions
a. Reinforcing the facts of the situation
A 50-yr-old pt has been under extreme job stress for 10 yrs and is diagnosed as
having an enlarged heart. The nurse understands which factor in his history is a
modifiable risk factor for heart disease?
a. He eats beef once a week
b. He exercises four times a week
c. He has a family history of heart attacks
d. He smokes one pack of cigarettes a day
d. He smokes one pack of cigarettes a day
Liver involvement is associated with Reye's syndrome. When caring for children
with this condition, the nurse takes with special precaution?
a. Turning and positioning
b. Assessing the level of consciousness
c. Administering intramuscular injections
d. Monitoring output from the urinary catheter
c. Administering intramuscular injections
The nurse anticipates which type of isolation precautions should be taken with a
4-month old infant with diarrhea?
a. Strict precautions
b. Droplet precautions
c. Contact precautions
d. Airborne precautions
c. Contact precautions
