Saunders NCLEX questions
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1. The nurse is assessing a The PQRSTU method is one method of assessing pain. With
client's postoperative pain us- this method, the nurse asks about the following: Precipitating
ing the PQRSTU method. Using factors (option 6); Quality of the pain (option 3); Region or
this method, which questions Radiation of the pain (option 1); Severity of the pain; Timing of
would the nurse ask the client? the pain (continuous or intermittent); and How the pain affects
you (option 4). Options 2 and 5 may be questions that would
be asked; however, these are not a part of the PQRSTU method.
2. The nurse is preparing to ad- Furosemide is a loop diuretic. The medication causes a de-
minister furosemide (Lasix) to crease in the client's electrolytes, especially potassium, sodi-
a client with a diagnosis of um, and chloride. Administering furosemide to a client with
heart failure. Which is the most low electrolyte levels could precipitate ventricular dysrhyth-
important laboratory test re- mias. Options 1 and 4 reflect renal function. The cholesterol
sult for the nurse to check be- level is unrelated to the administration of this medication.
fore administering this med-
ication?
1-Blood urea nitrogen
2-Cholesterol level
3-Potassium level
4-Creatinine level
3. A nurse caring for a client 1-Report the abnormally low level.
with a diagnosis of gastroin-
testinal (GI) bleeding reviews The normal hematocrit level in a male ranges from 42% to 52%,
the client's laboratory results and 35% to 47 % in a female, depending on age. A hematocrit
and notes a hematocrit level of level of 30% is a low level and would be reported to the health
30%. Which action should the care provider because it indicates blood loss; therefore options
nurse take? 2, 3, and 4 are incorrect.
1-Report the abnormally low
level.
, Saunders NCLEX questions
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2-Report the abnormally high
level.
3-Inform the client that the lab-
oratory result is normal.
4-Place the normal report in
the client's medical record.
4. A nurse provides dietary in- 2-Spinach
structions to a client who
will be taking warfarin sodium Warfarin sodium is an anticoagulant. Anticoagulant medica-
(Coumadin). The nurse should tions act by antagonizing the action of vitamin K, which is
tell the client to avoid which needed for clotting. When a client is taking an anticoagulant,
food item? foods high in vitamin K often are omitted from the diet. Vitamin
K-rich foods include green leafy vegetables, fish, liver, coffee,
1-Grapes and tea.
2-Spinach
3-Watermelon
4-Cottage cheese
5. A client who has been receiv- 2-Air embolism
ing total parenteral nutrition
(TPN) by way of a central ve- The signs and symptoms of air embolism include chest pain,
nous access device complains dyspnea, hypoxia, anxiety, tachycardia, and hypotension. The
of chest pain and dyspnea. nurse also may hear a loud churning sound over the peri-
The nurse quickly assesses the cardium on auscultation of the client's chest. The signs and
client's vital signs and notes symptoms of sepsis include fever, chills, and general malaise.
that the pulse rate has in- Fluid overload causes increased intravascular volume, which
creased and the blood pres- increases the blood pressure and the pulse rate as the heart
sure has dropped. The nurse tries to pump the extra fluid volume. Fluid overload also caus-
determines that the client is es neck vein distention and shifting of fluid into the alveoli,
most likely experiencing which resulting in lung crackles. The signs and symptoms of a fluid
problem?
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1. The nurse is assessing a The PQRSTU method is one method of assessing pain. With
client's postoperative pain us- this method, the nurse asks about the following: Precipitating
ing the PQRSTU method. Using factors (option 6); Quality of the pain (option 3); Region or
this method, which questions Radiation of the pain (option 1); Severity of the pain; Timing of
would the nurse ask the client? the pain (continuous or intermittent); and How the pain affects
you (option 4). Options 2 and 5 may be questions that would
be asked; however, these are not a part of the PQRSTU method.
2. The nurse is preparing to ad- Furosemide is a loop diuretic. The medication causes a de-
minister furosemide (Lasix) to crease in the client's electrolytes, especially potassium, sodi-
a client with a diagnosis of um, and chloride. Administering furosemide to a client with
heart failure. Which is the most low electrolyte levels could precipitate ventricular dysrhyth-
important laboratory test re- mias. Options 1 and 4 reflect renal function. The cholesterol
sult for the nurse to check be- level is unrelated to the administration of this medication.
fore administering this med-
ication?
1-Blood urea nitrogen
2-Cholesterol level
3-Potassium level
4-Creatinine level
3. A nurse caring for a client 1-Report the abnormally low level.
with a diagnosis of gastroin-
testinal (GI) bleeding reviews The normal hematocrit level in a male ranges from 42% to 52%,
the client's laboratory results and 35% to 47 % in a female, depending on age. A hematocrit
and notes a hematocrit level of level of 30% is a low level and would be reported to the health
30%. Which action should the care provider because it indicates blood loss; therefore options
nurse take? 2, 3, and 4 are incorrect.
1-Report the abnormally low
level.
, Saunders NCLEX questions
Study online at https://quizlet.com/_3077wx
2-Report the abnormally high
level.
3-Inform the client that the lab-
oratory result is normal.
4-Place the normal report in
the client's medical record.
4. A nurse provides dietary in- 2-Spinach
structions to a client who
will be taking warfarin sodium Warfarin sodium is an anticoagulant. Anticoagulant medica-
(Coumadin). The nurse should tions act by antagonizing the action of vitamin K, which is
tell the client to avoid which needed for clotting. When a client is taking an anticoagulant,
food item? foods high in vitamin K often are omitted from the diet. Vitamin
K-rich foods include green leafy vegetables, fish, liver, coffee,
1-Grapes and tea.
2-Spinach
3-Watermelon
4-Cottage cheese
5. A client who has been receiv- 2-Air embolism
ing total parenteral nutrition
(TPN) by way of a central ve- The signs and symptoms of air embolism include chest pain,
nous access device complains dyspnea, hypoxia, anxiety, tachycardia, and hypotension. The
of chest pain and dyspnea. nurse also may hear a loud churning sound over the peri-
The nurse quickly assesses the cardium on auscultation of the client's chest. The signs and
client's vital signs and notes symptoms of sepsis include fever, chills, and general malaise.
that the pulse rate has in- Fluid overload causes increased intravascular volume, which
creased and the blood pres- increases the blood pressure and the pulse rate as the heart
sure has dropped. The nurse tries to pump the extra fluid volume. Fluid overload also caus-
determines that the client is es neck vein distention and shifting of fluid into the alveoli,
most likely experiencing which resulting in lung crackles. The signs and symptoms of a fluid
problem?
