NCLEX RN#35
Study online at https://quizlet.com/_8f8zvu
1. 2 A client had a percutaneous nephro-lithotripsy 3 hours ago to remove left renal
calculi. Since then, the indwelling urethral catheter as drained 125 mL of urine
and the nephrostomy tube has drained 0 mL. The client now reports left flank
pain radiating to the left groin along with severe nausea. What is the appropriate
nursing INTERVENTION?
#70727528 (24)
1. Assess the urethral catheter for kinks and obstruction.
2. Irrigate the nephrostomy tube with sterile normal as prescribed.
3. Irrigate the urethral catheter with sterile normal saline as prescribed.
4. Place the client in the prone position to faci-litate urine drainage.
2. 3 A client is receiving IV sodium bicarbonate for acute metabolic acidosis. Which of
the these laboratory values would BEST indicates that the sodium biicarbonate has
been effective?
#70727528 (25)
1. Serum pH 7.32, HCO326mEq/L , potassium 4.9 mEq/L
2. Serum pH 7.34, HCO3 21 mEq/L, potassium 5.1 mEq/L
3. Serum pH 7.39, HCO3 24 mEq/L, potassium 3.8Eq/L
4. Serum pH 7.41, HCO3 18 mEq/L, potassium 4.3 mEq/L
3. 1
, NCLEX RN#35
Study online at https://quizlet.com/_8f8zvu
A client with stable chronic obstructive pulmonary disease (COPD) has been pre-
scribed extended release oral theophylline for the past 2 years. The nurse reviews
the serum laboratory results. Which value would the nurse report to the health care
provider IMMEDIATELY
#70727528 (26)
1. Theophylline level 23.6 mcg/mL
2. Theophylline level 10.4 mcg/mL
3. Theophylline level 15.3 mcg/mL
4. Theophylline level 18.0 mcg/mL
4. 1 An unresponsive client is brought to the emer-
gency department after a party. Friends report that the client drank beer, may have
taken some kind of pills, and then passed out. Blood pressure is 90/62 mm Hg,
;pulse is 64/min, and respirations are 8/min. Which PRIORITY action is expected
to be taken following the initial assessment?
#70727528 (27)
1. Administer IV naloxone
2. Administer Ringer's lactate at 125 mL/hr
3. Collect a urine sample for a urine drug screen
4. Draw blood for a blood alcohol content test.
5. 3 The nurse provides discharge teaching for the parent of a child newly prescribed
METHYPHE-NIDATE for attention deficit hyperactivity disorder ( ADHD) The nurse
advises the parent that the child might experience which side effect?
#70727528 (28)
1. Decreased blood pressure and growth delays
2. Heart palpitations and weight gain
3. Loss of appetite and restlessness
4. Trouble sleeping and a dry cough.
6. 1,3,4,5 Which actions by a registered nurse are reportable to the state board of nursing?
SELECT ALL THAT APPLY #70727528 (29)
Study online at https://quizlet.com/_8f8zvu
1. 2 A client had a percutaneous nephro-lithotripsy 3 hours ago to remove left renal
calculi. Since then, the indwelling urethral catheter as drained 125 mL of urine
and the nephrostomy tube has drained 0 mL. The client now reports left flank
pain radiating to the left groin along with severe nausea. What is the appropriate
nursing INTERVENTION?
#70727528 (24)
1. Assess the urethral catheter for kinks and obstruction.
2. Irrigate the nephrostomy tube with sterile normal as prescribed.
3. Irrigate the urethral catheter with sterile normal saline as prescribed.
4. Place the client in the prone position to faci-litate urine drainage.
2. 3 A client is receiving IV sodium bicarbonate for acute metabolic acidosis. Which of
the these laboratory values would BEST indicates that the sodium biicarbonate has
been effective?
#70727528 (25)
1. Serum pH 7.32, HCO326mEq/L , potassium 4.9 mEq/L
2. Serum pH 7.34, HCO3 21 mEq/L, potassium 5.1 mEq/L
3. Serum pH 7.39, HCO3 24 mEq/L, potassium 3.8Eq/L
4. Serum pH 7.41, HCO3 18 mEq/L, potassium 4.3 mEq/L
3. 1
, NCLEX RN#35
Study online at https://quizlet.com/_8f8zvu
A client with stable chronic obstructive pulmonary disease (COPD) has been pre-
scribed extended release oral theophylline for the past 2 years. The nurse reviews
the serum laboratory results. Which value would the nurse report to the health care
provider IMMEDIATELY
#70727528 (26)
1. Theophylline level 23.6 mcg/mL
2. Theophylline level 10.4 mcg/mL
3. Theophylline level 15.3 mcg/mL
4. Theophylline level 18.0 mcg/mL
4. 1 An unresponsive client is brought to the emer-
gency department after a party. Friends report that the client drank beer, may have
taken some kind of pills, and then passed out. Blood pressure is 90/62 mm Hg,
;pulse is 64/min, and respirations are 8/min. Which PRIORITY action is expected
to be taken following the initial assessment?
#70727528 (27)
1. Administer IV naloxone
2. Administer Ringer's lactate at 125 mL/hr
3. Collect a urine sample for a urine drug screen
4. Draw blood for a blood alcohol content test.
5. 3 The nurse provides discharge teaching for the parent of a child newly prescribed
METHYPHE-NIDATE for attention deficit hyperactivity disorder ( ADHD) The nurse
advises the parent that the child might experience which side effect?
#70727528 (28)
1. Decreased blood pressure and growth delays
2. Heart palpitations and weight gain
3. Loss of appetite and restlessness
4. Trouble sleeping and a dry cough.
6. 1,3,4,5 Which actions by a registered nurse are reportable to the state board of nursing?
SELECT ALL THAT APPLY #70727528 (29)
