UWORLD NCLEX EXAM LATEST EXAM
when making room assignments, it is important to remember that a client with an
active or suspected infection should not be paired with who - 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: - ANSWER: they
articulate long-term personal goals and family milestones
which co-morbidity is the most likely to hinder healing of a fracture - 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? - 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 - ANSWER: -
hypotension
-back pain
-flank bruising
-diminished distal pulses
what are the two interventions that can reverse an acute sickling response -
ANSWER: -adequate hydration (first)
-adequate oxygenation
clients receiving TPN are at risk for what - ANSWER: hyperglycemia
in clients receiving TPN, because they are at risk for hyperglycemia, what s/s should
be monitored for - 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 - 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 - 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 - ANSWER:
Hyperkalemia!
, Clients with chronic kidney disease are unable to excrete what - ANSWER: contrast
administered for CT scans
how often should an ostomy appliance be changed - ANSWER: every 5-10 days
what proteins would you give a client who has high potassium in end stage renal
disease - ANSWER: chicken, turkey, shrimp, tuna, eggs
what gains would you give a client who has high potassium in end stage renal
disease - ANSWER: white bread, white pasta, white rice, etc.
tPA must be administered within how much time of onset of symptoms - ANSWER:
must be administered within a 3-4.5 hour window from onset of symptoms for full
effectiveness
what platelet count determines thrombocytopenia - ANSWER: less than 100,000
what medication has demonstrated the greatest potential to increase lithium
concentrations - ANSWER: thiazide diuretics. (also NSAIDS)
what are the first signs of lithium toxicity - ANSWER: nausea, vomiting, diarrhea
what are the later/chronic signs of ltihium toxicity - ANSWER: ataxia, sluggishness,
confusion, agitation, tremor
headache is an expected side effect from nitro. what can be used to treat the
headache - ANSWER: aspirin or acetaminophen
what might these symptoms indicate: frequent contractions, abdominal pain*, dark
red vaginal bleeding+ - ANSWER: placental abruption
in infants and children a heart rate less than or = to 60 with signs of poor perfusion is
treated as - ANSWER: pulseless
what manifestations are characteristic of emphysema - ANSWER: -activity
intolerance
-barrel chest
-hyperresonance on percussion
what nursing diagnosis is priority for a bipolar client with an episode of acute mania -
ANSWER: imbalanced nutrition
dumping syndrome is a complication of the surgically reduced gastric capacity. what
do these symptoms include - ANSWER: abdominal pain, sweating, tachy, dizziness,
diarrhea
when making room assignments, it is important to remember that a client with an
active or suspected infection should not be paired with who - 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: - ANSWER: they
articulate long-term personal goals and family milestones
which co-morbidity is the most likely to hinder healing of a fracture - 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? - 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 - ANSWER: -
hypotension
-back pain
-flank bruising
-diminished distal pulses
what are the two interventions that can reverse an acute sickling response -
ANSWER: -adequate hydration (first)
-adequate oxygenation
clients receiving TPN are at risk for what - ANSWER: hyperglycemia
in clients receiving TPN, because they are at risk for hyperglycemia, what s/s should
be monitored for - 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 - 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 - 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 - ANSWER:
Hyperkalemia!
, Clients with chronic kidney disease are unable to excrete what - ANSWER: contrast
administered for CT scans
how often should an ostomy appliance be changed - ANSWER: every 5-10 days
what proteins would you give a client who has high potassium in end stage renal
disease - ANSWER: chicken, turkey, shrimp, tuna, eggs
what gains would you give a client who has high potassium in end stage renal
disease - ANSWER: white bread, white pasta, white rice, etc.
tPA must be administered within how much time of onset of symptoms - ANSWER:
must be administered within a 3-4.5 hour window from onset of symptoms for full
effectiveness
what platelet count determines thrombocytopenia - ANSWER: less than 100,000
what medication has demonstrated the greatest potential to increase lithium
concentrations - ANSWER: thiazide diuretics. (also NSAIDS)
what are the first signs of lithium toxicity - ANSWER: nausea, vomiting, diarrhea
what are the later/chronic signs of ltihium toxicity - ANSWER: ataxia, sluggishness,
confusion, agitation, tremor
headache is an expected side effect from nitro. what can be used to treat the
headache - ANSWER: aspirin or acetaminophen
what might these symptoms indicate: frequent contractions, abdominal pain*, dark
red vaginal bleeding+ - ANSWER: placental abruption
in infants and children a heart rate less than or = to 60 with signs of poor perfusion is
treated as - ANSWER: pulseless
what manifestations are characteristic of emphysema - ANSWER: -activity
intolerance
-barrel chest
-hyperresonance on percussion
what nursing diagnosis is priority for a bipolar client with an episode of acute mania -
ANSWER: imbalanced nutrition
dumping syndrome is a complication of the surgically reduced gastric capacity. what
do these symptoms include - ANSWER: abdominal pain, sweating, tachy, dizziness,
diarrhea
