NCLEX PREP archer EXAM QUESTIONS |\ |\ |\ |\ |\
WITH ANSWERS |\
List in order how the PPE should be put on - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔1st-Gown
2nd-Mask/Respirator
3rd-Goggles
4th-Gloves
List in order how the PPE should be removed - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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 - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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 -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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 - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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
|\ |\ |\ |\ |\ |\ |\ |\ |\
WITH ANSWERS |\
List in order how the PPE should be put on - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔1st-Gown
2nd-Mask/Respirator
3rd-Goggles
4th-Gloves
List in order how the PPE should be removed - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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 - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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 -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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 - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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
|\ |\ |\ |\ |\ |\ |\ |\ |\
