BIO 5112 NCLEX EXAM BEST QUESTIONS WITH ANSWERS GRADED A+ 2022/2023, Exams of Nursing

Download BIO 5112 NCLEX EXAM BEST QUESTIONS WITH ANSWERS GRADED A+ 2022/2023 and more Exams Nursing in PDF only on Docsity! BIO 5112 NCLEX EXAM BEST QUESTIONS WITH ANSWERS GRADED A+ 2022/2023 1. Five minutes after receiving a preoperative sedative medication by IV injection, a patient asks the nurse to get up to go to the bathroom to urinate. Which of the following is the most appropriate action for the nurse to take? A. Assist patient to bathroom and stay next to door to assist patient back to bed when done. B. Allow patient to go to the bathroom since the onset of the medication will be more than 5 minutes. C. Offer the patient to use the urinal/bedpan after explaining the need to maintain safety. D. Ask patient to hold the urine for a short period of time since a urinary catheter will be placed in the operating room. The prime issue after administration of either sedative or opioid analgesic medications is safety. Because the medications affect the central nervous system, the patient is at risk for falls and should not be allowed out of bed, even with assistance. Points Earned: 1/1 Correct Answer: C Your Response: C 2. Which of the following is the primary reason for prioritizing the determination of the patient's current medications during a preoperative assessment? A. Routine medications are usually withheld the day of surgery, requiring dosage and schedule adjustments. B. Some medications may alter the patient’s perceptions about surgery. C. Some medications may interact with anesthetics, altering the potency and effect of the drugs. D. Anesthetics alter renal and hepatic function, causing toxicity by other drugs. Drug interactions may occur between prescribed medications and anesthetic agents used during surgery. For this reason, it is important to take a careful medication history and check that they have been communicated to the anesthesiologist. Points Earned: 1/1 Correct Answer: C Your Response: C 3. As the nurse is preparing a patient for surgery, the patient refuses to remove a wedding ring. Which of the following is the most appropriate action by the nurse? A. Note the presence of the ring in the nurse’s notes of the chart. B. Insist the patient remove the ring. C. Explain that the hospital will not be responsible for the ring. D. Tape the ring securely to the finger. It is customary policy to tape a patient's wedding band to the finger and make a notation on the preoperative checklist that the ring is taped in place. Points Earned: 1/1 BIO 5112 NCLEX EXAM BEST QUESTIONS WITH ANSWERS GRADED A+ 2022/2023 Correct Answer: D Your Response: D 4. While performing preoperative teaching, the patient asks when she needs to stop drinking water before the surgery. Based on the most recent practice guidelines established by the American Society of Anesthesiologists, the nurse tells the patient that: A. She must be NPO after breakfast. B. She needs to be NPO after midnight. C. She can drink clear liquids up to 2 hours before surgery. D. She can drink clear liquids up until she is taken to the OR. Practice guidelines for preoperative fasting state the minimum fasting period for clear liquids is 2 hours. Evidenced-based practice no longer supports the long-standing practice of requiring patients to be NPO after midnight. Points Earned: 1/1 Correct Answer: C Your Response: C 5. The nurse is admitting a patient to the same day surgery unit. The patient tells the nurse that he was so nervous he had to take kava last evening to help him sleep. Which of the following nursing actions would be most appropriate? A. Inform the anesthesiologist of the patient’s ingestion of kava. B. Tell the patient that using kava to help sleep was a good idea. C. Tell the patient that the kava should continue to help him relax before surgery. D. Inform the patient about the dangers of taking herbal medicines without consulting his health care provider. Kava may prolong the effects of certain anesthetics. Thus the anesthesiologist needs to be informed of recent ingestion of this herbal supplement. Points Earned: 1/1 Correct Answer: A Your Response: A 6. The nurse would be alerted to the occurrence of malignant hyperthermia when the patient demonstrates: A. Hypocapnia B. Muscle rigidity C. Decreased body temperature D. Confusion upon arousal from anesthesia Malignant hyperthermia is a metabolic disease characterized by hyperthermia with rigidity of skeletal muscles occurring secondary to exposure to certain anesthetic agents in susceptible patients. Hypoxemia, hypercarbia, and dysrhythmias may also be seen with this disorder. Points Earned: 1/1 Correct Answer: B Your Response: B 7. Before admitting a patient to the operating room, the nurse recognizes that which of the following must be attached to the chart of all patients? A. A functional status evaluation BIO 5112 NCLEX EXAM BEST QUESTIONS WITH ANSWERS GRADED A+ 2022/2023 postoperative patient from the post anesthesia unit. Which of the following should be the nurse's initial action upon the patient's arrival? Done 30Points Awarded BIO 5112 NCLEX EXAM BEST QUESTIONS WITH ANSWERS GRADED A+ 2022/2023 A. Check the physician’s postoperative orders. B. Assess the patient’s pain. C. Check the rate of the IV infusion. D. Assess the patient’s vital signs. The highest priority action by the nurse is to assess the physiologic stability of the patient. This is in part accomplished by taking the patient's vital signs. The other actions can then take place in rapid sequence. Points Earned: 1/1 Correct Answer: D Your Response: D 12. When assessing a patient's surgical dressing on the first postoperative day, the nurse notes new bright-red drainage about 5 cm in diameter. In response to this finding, the nurse should do which of the following? A. Assess the patient’s blood pressure and heart rate. B. Remove the dressing and assess the surgical incision. C. Recheck the dressing in 1 hour for increased drainage. D. Notify the surgeon of a potential hemorrhage. The first action by the nurse is to gather additional assessment data to form a more complete clinical picture. The nurse can then report the findings as a whole. Points Earned: 1/1 Correct Answer: A Your Response: A 13. In planning postoperative interventions to promote ambulation, coughing, deep breathing, and turning, the nurse recognizes that which of the following actions will best enable the patient to achieve the desired outcomes? A. Giving the patient positive feedback when the activities are completed. B. Administering adequate analgesics to promote relative freedom from pain. C. Warning the patient about possible complications if the activities are not performed. D. Asking the patient to verbalize understanding of and demonstrate performance of activity. Even when a patient understands the importance of postoperative activities, it is unlikely that the best outcome will occur unless the patient has sufficient pain relief to cooperate. Points Earned: 1/1 Correct Answer: B Your Response: B NCLEX Examination Review Questions Submitted by kharris401 on 4/16/2019 6:49:31 PM BIO 5112 NCLEX EXAM BEST QUESTIONS WITH ANSWERS GRADED A+ 2022/2023 Points Missed 0 Percentage 97% 1. A patient has ptosis secondary to myasthenia gravis. Which of the following assessment findings would the nurse expect to see in this patient? A. Redness and swelling of the conjunctiva B. Dropping of the upper lid margin in one or both eyes C. Redness, swelling, and crusting along the lid margins D. Small, superficial white nodules along the lid margin Ptosis is the term used to describe dropping of the upper lid margin, which may be either unilateral or bilateral. Ptosis can be a result of mechanical causes, such as an eyelid tumor or excess skin, or from myogenic causes such as myasthenia gravis. Points Earned: 1/1 Correct Answer: B Your Response: B 2. When assessing an adult patient's external ear canal and tympanum, the nurse would: A. Ask the patient to tip his or her head towards the nurse. B. Identify a pearl gray tympanic membrane as a sign of infection. C. Gently pull the auricle up and backward to straighten the canal. D. Identify a normal light reflex by the appearance of irregular edges. When examining a patient's external ear canal and tympanum, the patient should be asked to tilt the head towards the opposite shoulder. The nurse should grasp and gently pull the auricle up and backward to straighten the canal. A healthy, normal tympanic membrane will appear pearl gray, white, or pink and have a cone-shaped light reflex. Points Earned: 1/1 Correct Answer: C Your Response: C 3. When planning care for a patient with disturbed sensory perception related to increased intraocular pressure caused by primary open-angle glaucoma, which of the following elements should the nurse focus upon? A. Recognizing that eye damage caused by glaucoma can be reversed in the early stages B. Managing the pain experienced by patients with glaucoma that persists until the optic nerve atrophies C. Encouraging compliance with drug therapy for the glaucoma to prevent loss of vision D. Giving anticipatory guidance about the eventual loss of central vision that will occur Drug therapy is necessary to prevent the eventual vision loss that may occur as a consequence of glaucoma. For this reason, the nurse should encourage the patient to remain compliant with drug therapy. Points Earned: 1/1 Correct Answer: C Your Response: C BIO 5112 NCLEX EXAM BEST QUESTIONS WITH ANSWERS GRADED A+ 2022/2023 contaminated products. Points Earned: 1/1 Correct Answer: A Your Response: A BIO 5112 NCLEX EXAM BEST QUESTIONS WITH ANSWERS GRADED A+ 2022/2023 8. The nurse who is reinforcing medication teaching with a patient with glaucoma while administering a scheduled dose of pilocarpine would include which of the following statements? A. “This medication needs to be continued for at least 5 years after your initial diagnosis.” B. “Prolonged eye irritation is an expected adverse effect of this medication.” C. “It is important not to do activities requiring visual acuity immediately after administration.” D. “This medication will help to raise intraocular pressure to a near normal level.” Pilocarpine causes blurred vision and difficulty in focusing, so it is important not to engage in any activities requiring visual acuity until the vision clears. Points Earned: 1/1 Correct Answer: C Your Response: C 9. Before administration of timolol (Timoptic) eye drops for treatment of glaucoma, the nurse would assess the patient for which of the following contraindications for the use of this medicine? A. Sinusitis B. Chronic urinary tract infection C. Chronic obstructive pulmonary disease D. Migraine headaches Timolol is a nonselective â-adrenergic blocker that could lead to bronchoconstriction and bronchospasm. For this reason, it should not be used in patients with severe COPD. Points Earned: 1/1 Correct Answer: C Your Response: C 10. When administering eye drops to a patient with glaucoma, which of the following nursing measures is most appropriate to minimize systemic effects of the medication? A. Have the patient put pressure on the inner canthus of the eye after administration. B. Have the patient close the eyes and move them back and forth several times. C. Apply pressure to each eyeball for a few seconds after administration. D. Have the patient try to blink out excess medication immediately after administration. Systemic absorption can be minimized by applying pressure to the inner canthus of the eye. Points Earned: 1/1 Correct Answer: A Your Response: A 11. The nurse administering a scheduled dose of pilocarpine should place the drops in which of the following areas? A. Center of the eyeball B. Lower conjunctival sac C. Inner canthus BIO 5112 NCLEX EXAM BEST QUESTIONS WITH ANSWERS GRADED A+ 2022/2023 D. Outer canthus Ocular medications such as pilocarpine should be instilled into the lower conjunctival sac. Never apply eye drops directly to the cornea. Points Earned: 1/1 BIO 5112 NCLEX EXAM BEST QUESTIONS WITH ANSWERS GRADED A+ 2022/2023 1/1 Correct Answer: B Your Response: B BIO 5112 NCLEX EXAM BEST QUESTIONS WITH ANSWERS GRADED A+ 2022/2023 19. The nurse is caring for a patient with superficial partial-thickness burns of the face sustained within the last 12 hours. Upon assessment, the nurse would expect to find which of the following symptoms? A. Reddening of the skin B. Blisters C. Destruction of all skin layers D. Damage to sebaceous glands The clinical appearance of superficial partial-thickness burns includes erythema, blanching with pressure, and pain and minimal swelling with no vesicles or blistering during the first 24 hours. Points Earned: 1/1 Correct Answer: A Your Response: A 20. The nurse is caring for a patient with partial- and full-thickness burns to 65% of the body. When planning nutritional interventions for this patient, the nurse uses which of the following dietary choices? A. Whatever the patient requests B. High caloric and protein foods C. Full liquids only D. High protein and low sodium foods A hypermetabolic state occurs proportional to the size of the burn area. Massive catabolism can occur and is characterized by protein breakdown and increases gluconeogenesis. Caloric needs are often in the 5000 kcal range. Failure to supply adequate calories and protein leads to malnutrition and delayed healing. Points Earned: 1/1 Correct Answer: B Your Response: B 21. A patient is admitted to the emergency department with first and second degree burns after being involved in a house fire. Which of the following assessment findings would alert the nurse to the presence of an inhalation injury? A. Singed nasal hair B. Generalized pallor C. Burns on the upper extremities D. History of being involved in a large fire Reliable clues to the occurrence of inhalation injury is the presence of facial burns, singed nasal hair, hoarseness, painful swallowing, darkened oral and nasal membranes, carbonaceous sputum, history of being burned in an enclosed space, and "cherry red" skin color. Points Earned: 1/1 Correct Answer: A Your Response: A 22. When caring for a patient with an electrical burn injury, the nurse would question a health care provider's order for: A. Urine for myoglobulin B. Mannitol 75 g IV BIO 5112 NCLEX EXAM BEST QUESTIONS WITH ANSWERS GRADED A+ 2022/2023 C. Lactated Ringer’s at 25 ml/hr D. Sodium bicarbonate 24 mEq every 4 hours