Archer NCLEX questions from lectures – QUESTIONS WITH ANSWERS

Archer NCLEX questions from lectures – |\ |\ |\ |\ |\ |\




QUESTIONS WITH ANSWERS |\ |\




The nurse is caring for a patient with a sodium level of 122
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


mEq/L. Which of the following assessment findings does she
|\ |\ |\ |\ |\ |\ |\ |\ |\


suspect? SATA |\




a confusion
|\




b abdominal cramps
|\ |\




c increased urine output
|\ |\ |\




d hypoactive bowel sounds - CORRECT ANSWERS ✔✔a
|\ |\ |\ |\ |\ |\ |\




b


The nurse is caring for a patient whose most recent serum
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


sodium level was 152 mEq/L. Which of the following signs and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


symptoms does she suspect are caused by the patients sodium
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


level? SATA |\




a. Lethargy
|\




b. Dry mucous membranes
|\ |\ |\




c. Tachypnea
|\




d. Cyanosis - CORRECT ANSWERS ✔✔a
|\ |\ |\ |\ |\




b


The nurse is evaluating her patients lab results and notes that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


the potassium level is 5.5 mEq/L. she reviews the telemetry
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


monitor, looking for which of the following signs? SATA
|\ |\ |\ |\ |\ |\ |\ |\

,a. inverted T waves
|\ |\ |\




b. Widened QRS interval
|\ |\ |\




c. Tall Peaked T waves
|\ |\ |\ |\




d. Prominent U waves - CORRECT ANSWERS ✔✔b
|\ |\ |\ |\ |\ |\ |\




c


The nurse is reviewing he patient assignment for the shift and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


has each of the following patients. Which patient is most at risk
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


for hypokalemia?
|\




a. a patient with hyperemesis gravidarum
|\ |\ |\ |\ |\




b. a patient in renal failure
|\ |\ |\ |\ |\




c. a patient in diabetic ketoacidosis
|\ |\ |\ |\ |\




d. a patient with third degree burns - CORRECT ANSWERS ✔✔a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\




The nurse is caring for a patient who has a serum calcium level
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


of 13.2 mg/dL. Which of the following medication does she
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


expect to administer? (SATA) |\ |\ |\




a. Phosphorous
|\




b. calcitonin
|\




c. Vitamin D
|\ |\




d. IV calcium gluconate - CORRECT ANSWERS ✔✔a b
|\ |\ |\ |\ |\ |\ |\ |\




The nurse is reviewing her patient's laboratory findings and notes
|\ |\ |\ |\ |\ |\ |\ |\ |\


that one of her patients has a serum calcium level of 7.2 mg/dL.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


She knows that of each of the following patients, which ones are
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


most likely to have this result? (SATA)
|\ |\ |\ |\ |\ |\ |\

, a. the patient with breast cancer and bone metastases
|\ |\ |\ |\ |\ |\ |\ |\




b. the patient with obesity
|\ |\ |\ |\




c. the patient with vitamin d toxicity
|\ |\ |\ |\ |\ |\




d. the patient with hypoparathyroidism
|\ |\ |\ |\




e. patient with chronic renal failure - CORRECT ANSWERS ✔✔d e
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\




The nurse is caring for a patient with a serum magnesium level
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


of 3.2 mg/dL. She knows that which of the following could have
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


caused the electrolyte abnormality? (SATA)
|\ |\ |\ |\




a. Renal failure
|\ |\




b. alcoholism
|\




c. anorexia
|\




d diarrhea - CORRECT ANSWERS ✔✔a
|\ |\ |\ |\ |\




The nurse is caring for a patient with a magnesium level of 1.1
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


mg/dL. Which of the following signs and symptoms does she
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


closely monitor for? (SATA) |\ |\ |\




a. Diarrhea
|\




b. Psychosis
|\




c. Tetany
|\




d. Decreased deep tendon reflexes - CORRECT ANSWERS ✔✔b
|\ |\ |\ |\ |\ |\ |\ |\




c


The nurse is caring for a patient with a phosphorous level of 5.0
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


mg/dL. she knows that which of the following are possible causes
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


of this condition, (SATA)
|\ |\ |\ |\