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30:00
NCLEX
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Q1
of 10
Score: 1
43year old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every two hours.
Which of the following outcome criteria would the nurse use?
Body temperature of 99°F or less
Toes moved in active range of motion
Sensation reported when soles of feet are touched
Capillary refill of < 3 seconds
Q2
of 10
Score: 1
Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?
Steak
Cottage cheese
Popsicle
Lima beans
Q3
of 10
Score: 1
The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:
Question the order
Administer the medication
Administer separately
Contact the pharmacy
Q4
of 10
Score: 1
The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:
Feet
Neck
Hands
Sacrum
Q5
of 10
Score: 1
The infant is admitted to the unit with tetralogy of Fallot. The nurse would anticipate an order for which medication?
Digoxin
Epinephrine
Aminophylline
Atropine
Q6
of 10
Score: 1
The client is admitted following cast application for a fractured ulna. Which finding should be reported to the doctor?
Pain at the site
Warm fingers
Pulses rapid
Paresthesia of the fingers
Q7
of 10
Score: 1
The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as
Atrial flutter
A sinus rhythm
Ventricular tachycardia
Atrial fibrillation
Q8
of 10
Score: 1
The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?
A tracheostomy set
A padded tongue blade
An endotracheal tube
An airway
Q9
of 10
Score: 1
Aclient with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?
Meperidine 100mg IM m 4 hours PRN pain
Mylanta 30 ccs m 4 hours via NG
Cimetadine 300mg PO m.i.d
Morphine 8mg IM m 4 hours PRN pain
Q10
of 10
Score: 1
The rationale for inserting a French catheter every hour for the
client with epidural anesthesia is:
The bladder fills more rapidly because of the medication used for the epidural.
Her level of consciousness is such that she is in a trancelike state.
The sensation of the bladder filling is diminished or lost.
She is embarrassed to ask for the bedpan that frequently.
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