QB3 | Practice Exam #4 -> answers with explanation

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NCLEX-RN | QB3 | Practice Exam #4 (50 questions)

All 50 questions are randomized each time you take the test, and do not appear in the same order.

 

1. Which of the following technique involves the sense of sight?

2. Which of the following types of health care services is an example of the primary level of care?

3. A home health nurse visits a patient who is newly diagnosed with diabetes. The glucose level ranges from 120mg/dl to 150mg/dl while current glycosylated hemoglobin (hbA1C) level is 6.9 %. The patient is complaint with taking prescribed hypoglycemic medications and eats 3 meals a day followed by desserts sweetened with granulated sugar. The patient also exercises 30 minutes a day 3 times a week. Which of the following educational intervention takes PRIORITY?

4. The nurse reviews the record of a newborn infant and notes that a diagnosis of esophageal atresia with tracheoesophageal fistula is suspected. The nurse expects to note which most likely sign of this condition documented in the record?

5. Louie who is to receive a blood transfusion asks the nurse what is the most common type of infection he could receive from the transfusion. The nurse teaches him that approximately 1 in 250,000 patients contract:

6. The nurse is instituting seizure precautions for a client who is being admitted from the emergency department. Which measures should the nurse include in planning for the client's safety? Select all that apply. 1. Padding the side rails of the bed 2. Placing an airway at the bedside 3. Placing the bed in the high position 4. Putting a padded tongue blade at the head of the bed 5. Placing oxygen and suction equipment at the bedside 6. Flushing the intravenous catheter to ensure that the site is patent

7. The nurse is assessing a trauma client in the emergency room when she notes a penetrating abdominal wound with exposed viscera. The nurse should:

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8. A client is 1 day postoperative after a total hip replacement. The client should be placed in which of the following position?

9. The nurse manager has implemented a change in the method of the nursing delivery system from functional to team nursing. An unlicensed assistive personnel (UAP) is resistant to the change and is not taking an active part in facilitating the process of change. Which is the best approach in dealing with the UAP?

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10. A 23 year-old male comes to the Emergency Department in a sickle cell crisis. He reports that his pain level is a 10/10 in all extremities. During the assessment, he cannot lie still because of the pain. There is no cyanosis or clubbing in the extremities and all examination findings are normal. The vital signs recorded were Blood pressure: 132/82 mmHg Heart rate: 110/min Respiratory rate: 18/mm Temperature: 38.4°C Oxygen Saturation: 94 % an room air. Which nursing diagnosis is first priority?

11. When providing health maintenance teaching to new employees in the food-handling department, the nurse emphasizes the need to perform hand hygiene after using the bathroom to prevent

12. Nurse Cecile is teaching a female client about preventing osteoporosis. Which of the following teaching points Is correct?

13. When evaluating a growth and development of a 6 month old infant, nurse Patty would expect the infant to be able to:

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14. Situation: Transurethral resection prostatectomy, (TURP) is performed to Mr. Recto, 60 years old, due to prostate enlargement. Post operatively he has continuous irrigation (Cystoclysis). Q. Which of the following measures should you encourage Mr. Recto to do, in order to regain urinary control?

15. A home care nurse visits a patient who is discharged from a hospital after a treatment of urosepsis. Which of the following post discharge normal laboratory result BEST indicates desired outcome?

16. Procedure that involves the insertion of a needle between lumber vertebra in the spine but below the spinal cord itself is called:

17. Which of the following is the most likely effect on the fetus if the woman is severely anemic during pregnancy?

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18. The nurse is creating a plan of care for a postpartum client with a small vulvar hematoma. The nurse should include which specific action during the first 12 hours after delivery?

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19. Hormonal agents are used to treat some cancers. An example would be:

20. To reduce the risk of treatment methicillin resistant staphylococcus aureus from an infectious wound which of the following standard precautions should be implemented

21. Situation: Salome, 80 year old widow, has been observed to be irritable, demanding and speaking louder than usual. She would prefer to be alone and take her meals by herself, minimized receiving visitors at home and no longer bothers to answer telephone calls because of deterioration of her hearing. ‘She was brought by her daughter to, the Geriatic clinic for assessment and treatment Q. The nurse counsels Salome's daughter that Salome's becoming very loud and tendency to become aggressive is a/an:

22. Before being discharged, Mr. Heywood must be taught principles of good body mechanics. The nurse would be correct in telling Mr. Heywood that when he picks up something, he should:

23. A client with a renal failure is prescribed a low potassium diet. Which food choice would be best for this client?

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24. The nurse is assessing the adaptation of a client to changes in functional status after a stroke (brain attack). Which observation indicates to the nurse that the client is adapting most successfully?

25. A client with obsessive-compulsive behavior is admitted in the psychiatric unit. The nurse taking care of the client knows that the primary treatment goal is to:

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26. The geriatric client with a history of heart attack and hypertension presented with complaints of unusual weakness and fatigue. Upon examination, the nurse noted diminished breath sounds throughout the lung fields and crackles on both the lower lobes. Which of the following should be the next action of the nurse?

27. A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:

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28. The nurse assesses an elderly patient for health problem. The family reports that the patient has trouble remembering and they are concerned about Alzheimer's. Which of the following are risk factors for Alzheimer's disease?

29. Situation: Emma is pregnant with her first baby. She went to the clinic for check-up Q. She is so concerned about the development of varicose veins, which of the statement below indicates a need for further education?

30. The nurse is performing an assessment on a client who has been diagnosed with an allergy to latex. In determining the client's risk factors, the nurse should question the client about an allergy to which food item?

31. A urinalysis is best evaluated for accurate result if specimen is analyzed within:

32. A 25-year-old female presents to the emergency room with lethargy, decreased reflexes, hypoventilation, hypotension, and fixed and dilated pupils. A family member who is accompanying the patient has an empty bottle of diazepam (Valium) which the label states was recently refilled. The family member also indicates that the patient has a history of depression what intervention should the nurse expect to administer?

33. You are about to write an information on the Kardex. There are four (4) available writing instruments to use. Which of the following should you use?

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34. Methotrexate, the most widely used antimetabolite in cancer chemotherapy does not penetrate the central nervous system 'CNS). To treat CNS disease this drug must be administered:

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35. In developing care plan for a hospitalized 3 year old child with asthma, the nurse plans to talk calmly in an appropriate language and explains all procedures. Which of the following statements by the BEST demonstrates implementation of the approach?

36. A lendronate is prescribed for a client with osteoporosis and the nurse is providing instructions on administration of the medication. Which instruction should the nurse provide?

37. To prevent pressure on the feet of a bed-bound patient with decreased tissue perfusion, the BEST intervention the nurse should take is:

38. Beri beri is caused by the deficiency of which Vitamin?

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39. Situation: Infection can cause debilitating consequences when host resistance is compromised and virulence of microorganisms and environmental factors are favorable. Infection control is one important responsibility of the nurse to ensure quality of care. Q. Which of the following is most reliable in diagnosing a wound infection?

40. A 16 year-old boy is in the Post-Operative Care Unit two hours after a tonsillectomy. He is alert and oriented but complains of severe throat pain and difficulty swallowing. He rates the pain at a level 7, on a scale of 1-10. The urine output from the folly catheter is 45 ml over the past two hours.Blood pressure 130/74 mmHg Heart rate 64/min Respiratory rate 18/min Oxygen saturation 98 % on room air, Which clinical finding is most important to report to the doctor?

41. The nurse is caring for a child with Down syndrome. Which characteristics are commonly found in the child with Down syndrome?

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42. Which of the following post-operative diets is most appropriate for the client who has had a hemorrhoidectomy?

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43. Situation: Team efforts is best demonstrated in the OR. Q. When surgery is on-going, who coordinates the activities outside, including the family?

44. After teaching the client about risk factors for rheumatoid arthritis, which of the following, if stated by the client as a risk factor, would indicate to the nurse that the client needs additional teaching?

45. Situation: Agnes, a client with Leukemia is in the clinic for her routine check up. Q. You noticed that Agnes' nose is bleeding, You would instruct Agnes to:

46. Mr. Liberatore, age 76, is admitted to your unit He has a past medical history of hypertension, DM, hyperlipidemia. Recently he has had several episodes where he stops talking mid sentence and stares into space. Today the episode lasted for 15 minutes. The admission diagnosis is impending CVA. Q. Upper motor neuron disease may be manifested in which of the following clinical signs?

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47. Lisa was given morphine sulfate for pain. She is sleeping and her respiratory rate is 4 breaths/minute. If action isn't taken quickly, she might have which of the following reactions?

48. After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. These symptoms probably indicate that the patient is experiencing:

49. A nurse instructs a community education class on breast health. Which statement BEST described understanding of the appropriate age to start screening mammograms is a woman of average risk?

50. The following manifestations are commonly associated with a fever, EXCEPT:

 

NCLEX-RN | QB3 | Practice Exam #4 (50 questions)