FREE NCLEX-RN Questions and Answers
A patient with renal calculi is brought into the emergency room complaining of nausea and moderate to severe flank discomfort. The patient is currently 100.8 degrees Fahrenheit hot. For this client, the top nursing objective is:
Since managing pain enhances quality of life, it is always a top priority. Analgesia is the cornerstone of ureteral colic therapy, and parenteral opioids or nonsteroidal anti-inflammatory medications (NSAIDs) are the fastest ways to achieve this goal.
The nursing diagnostic of Impaired Physical Mobility associated with Neuromuscular Impairment is given to patients with Parkinson's disease. All of these tasks are being performed by a nursing assistant, as you can see. What need do you have to step in?
The patient receives thorough oral and bath care from the NA.
Although the nursing assistant should help the patient as needed with morning care, the main objective is to keep him or her as mobile and independent as possible.
A 24-year-old man who has recently been diagnosed with hypothyroidism will take 50 mcg of levothyroxine (Synthroid) orally each day. The nurse stresses in the lesson plan that this medication:
Sleeplessness is an adverse effect of levothyroxine (Synthroid). It could be taken in the morning to avoid interfering with the client's sleep schedule.
An individual with a history of stillbirths is being watched by the nurse. The doctor can request a non-stress test for this patient to:
Periodic movement of the fetus is discovered by a non-stress examination.
Which person has the highest chance of having hypertension?
Compared to other groups in the US, African-Americans experience high blood pressure at a younger age. Researchers have found that African-Americans react to hypertension medications differently than other racial and ethnic groupings. Additionally, it has been discovered that they are more sensitive to salt, which raises the possibility of getting hypertension.
A 64-year-old client's blood pressure is 160/96 mmHg at a neighborhood health fair. The patient says, "My blood pressure is usually much lower." The nurse should instruct the patient to:
The blood pressure reading is slightly elevated, necessitating a follow-up check to confirm a few minutes later. It is "usually much lower," according to the customer, so problems like stroke are a concern.
What would a nurse look for when evaluating a child's progress over the school years?
Children of school age acquire roughly 5.5 pounds and grow about 2 inches in height each year. A youngster will develop steadily between the ages of 2 and 10 years.
The nurse is giving the leukemia patient discharge instruction. The customer should be warned not to:
Due to low platelets, the client who has immunological and bone marrow suppression should be instructed not to clean his teeth.
The client with a tracheostomy is having his or her ties changed by the nurse. The following actions are the safest ways to adjust tracheostomy ties:
The tracheostomy tube won't accidentally fall out if the old ties are left in place while new ones are fastened.
Tetralogy of Fallot is the reason for the infant's admission to the unit. Which medication would the nurse expect to receive a request for?
The baby who has Tetralogy of Fallot has four heart defects: an overriding aorta, a significant ventricular septal defect (VSD), pulmonary stenosis, and right ventricular hypertrophy. Digoxin will be administered to him in order to slow and strengthen his heart.
After being released, a patient with clotting disease must continue receiving Lovenox (enoxaparin) injections. The client should learn from the nurse that injections of Lovenox should:
When it comes to injecting Lovenox, the abdomen is one of the recommended injection sites. The reason for this is that the abdomen typically has a layer of subcutaneous fat that allows for easier injection and absorption of the medication. Other commonly used injection sites include the upper thigh and the back of the upper arm.
The toddler has a heart abnormality and is hospitalized. The newborn with a ventricular septal defect will, according to the nurse:
The infant with a ventricular septal defect will become exhausted quickly. Blood can flow from the left to the right side of the heart due to a hole (defect) in the septum, the wall dividing the heart's lower chambers (ventricles). The heart has to work harder since the oxygen-rich blood is then returned to the lungs rather than the body.
In the first 24 hours following the procedure, which cardiac catheterization complication should the nurse be on the lookout for?
A thrombus formation may obstruct normal blood flow through the circulatory system, which could lead to an embolism and obstruct the flow of blood to the body's important organs.
Following a lung resection, the nurse is keeping an eye on the patient. The chest tube produced 300mL per hour. Priority should be given to:
A 300 mL output indicates hemorrhage and needs to be reported right away.
A 18-year-old female is transported to the emergency room after taking 15 maximum dosage acetaminophen tablets 45 minutes earlier. Which directive should the nurse follow first?
Hepatotoxicity is the result of acetaminophen overdose, which is particularly harmful to the liver. Initially, nausea, vomiting, abdominal discomfort, and diarrhea are signs of hepatic injury. Hepatic necrosis develops and could result in mortality if it is not immediately addressed. The first step in treating an acetaminophen overdose is to remove as much of the drug as you can, which is best accomplished through gastric lavage. Aspiration and gastric lavage involve flushing the stomach with liquids and sucking the liquid back up. Only when less than an hour has passed since intake, such as in life-threatening situations like acetaminophen intoxication, is this technique performed.
The nurse is authorized to provide phenergan (Promethazine) 25mg and valium (Diazepam) 10mg prior to surgery. The appropriate way to give these drugs is to:
Unless specifically advised by a doctor, it is not advisable to mix medications in one syringe.