NR Adult Health NCLEX Exam Questions with Answers 2023 A+Assured Success, Exams of Nursing

Download NR Adult Health NCLEX Exam Questions with Answers 2023 A+Assured Success and more Exams Nursing in PDF only on Docsity! NR ADULT HEALTH NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS A 45-year-old male is visiting the wellness clinic and has been newly diagnosed as a stage I hypertensive patient. His blood pressure assessment over the past 6 months has consistently been 145/92 mm Hg. The patient asks, “What is blood pressure?” What is the best response by the nurse? A) “A measurement that should be 120/80 mm Hg unless complications are present.” B) “A measurement that takes into consideration the amount of blood your heart is pumping and the size of the vessel diameter the heart must pump against.” C) “A complex measurement that should be discussed only with your physician.” D) “The amount of pressure exerted on the veins by the blood.” What is the best position for the nurse to place the patient in to obtain a right atrial pressure measurement? A) Right side-lying with the head of the bed elevated 30 degrees B) Supine, either flat or with the head of the bed no more than 60 degrees C) Prone, lying on the abdomen with slight head elevation D) Left side-lying with the head of the bed elevated 30 degrees What is the best action by the nurse to accurately record a thermodilution cardiac output (CO)? A) Place the patient prone, elevate the backrest 30 degrees, and obtain three successive measurements. B) Place the patient prone, enter the computation constant, and obtain four successive measurements. C) Position the patient supine, obtain three values within 10% of each other, and calculate the average cardiac output. D) Place the patient supine, enter the computation constant, and obtain one value with the head of the bed elevation at 45 degrees. What is the best understanding of mixed venous oxygen saturation by the nurse? A) An overall picture of oxygen delivery and oxygen consumption B) The amount of oxygen the lungs are able to mix with the blood C) The amount of oxygen attached to each hemoglobin molecule D) The amount of oxygen perfusion taking place within the myocardium NR ADULT HEALTH NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS What is the best action by the nurse to level and zero a hemodynamic monitoring system transducer? A) Position the air-fluid interface of the zeroing transducer at the phlebostatic axis; fourth intercostal space, midaxillary line. B) Position the air-fluid interface of the zeroing transducer at the fifth intercostal space; midclavicular line. C) Level the air-fluid interface of the zeroing transducer at the second intercostal space; anterior- axillary line. D) Level the air-fluid interface of the zeroing transducer at the height of the patient’s mattress. When checking a patient’s pulmonary artery occlusion pressure, the nurse inflates the balloon as ordered, not inflating the balloon for more than 8 to 10 seconds. What is the best understanding of this action by the nurse? A) Prolonged inflation will reduce tension on the pulmonary artery wall. B) Prolonged inflation increases the risk of catheter balloon rupture. C) Prolonged inflation increases the likelihood of thermistor damage. D) Prolonged inflation can obstruct blood flow, resulting in ischemia. The nurse begins to review orders recently entered by the cardiologist. Medication orders include dobutamine (Dobutrex) 400 mg in 250 mL 5% dextrose in water titrated to keep cardiac index > 2 L/min/m2. What is the best understanding of cardiac index by the nurse? A) The measurement specific to the patient’s size or body area B) The pressure created by the volume of blood in the left heart C) The amount of blood pumped out by a ventricle per minute D) The amount of blood ejected with each ventricular contraction The nurse is caring for a patient being monitored with a central venous catheter. In preparing to record a right atrial pressure reading, what is most important for the nurse to understand in recording an accurate value? A) Record the pressure at the end of expiration. B) High pressures are likely to indicate hypovolemia. C) Low pressures indicate ventricular dysfunction. D) Zero referencing is not needed before every recording. NR ADULT HEALTH NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS You are the attending nurse for a 55-year old male who just returned back from a successful CABG surgery 2 hours ago. The surgical physician used grafts from the clients’ left radial artery to perform the bypass. What task can you delegate to the UAP? a Assessing incision sites for bleeding b. Checking distal pulses and motor function on the clients left hand c. Obtaining warm blankets to help restore temperature d. Educating the client on how to use his incentive spirometer A nurse is providing discharge education to a 75-year old African American woman with heart failure. The nurse decides additional education is required when the client states? A. “If I gain 3 lbs over 2 days I should contact my doctor.” B. “I need to reduce my intake of salt to no more than 2,000 mg per day.” C. “I should alternate activity with rest to conserve my energy. D. “As soon as I feel better I can stop taking my medications.” During shift change, you receive the following information on your clients. Which of the clients below should the nurse round on first? A. The 48 year old man complaining of SOB with a familial history of stroke B. The 68 year old man with COPD and historically smokes a pack a day and was admitted with a BP of 155/112 C. The 29 year old post-operative ACL allograft female client with peripheral edema The client arrives in the ED, presenting with dry cough, a slightly elevated BP and states that he is having a hard time breathing. The priority nursing intervention for the nurse would be which of the following: A. Obtain baseline vitals and ECG readings B. Apply Oxygen C. Administer a nebulizer treatment, as ordered by the physician D. Reposition the client to an upright position NR ADULT HEALTH NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS An obese, elderly man arrives in your clinic with decreased urinary output, a BP of 148/109 and has been previously diagnosed with Diabetes Mellitus Type II but is unmanaged. Which of the following collaborative care nursing interventions should be the highest priority for the nurse? A. Obtain a referral for a dietitian to help the client manage his type II diabetes B. Reduce the client’s blood pressure to at least 130/88 prior to discharge C. Get a taxi voucher for discharge D. Help the client increase his daily physical activity during this admission You are caring for a patient with heart failure who begins to have paroxysmal nocturnal dyspnea. What intervention would be most appropriate to implement? A. Request an order for a diuretic from the attending physician B. Raise the head of the bed to 45 degrees at night C. Place the patient on a low sodium diet D. Place the patient on 4L 02 via nasal cannula and monitor oxygen saturation A patient with a history of hypertension comes into the clinic where you work for a routine check-up. Her blood pressure reading is 174/94 and she reports that she hasn’t been taking her blood pressure medication because she “feels fine without it”. Select the most appropriate nursing diagnosis for this patient. A. Knowledge Deficit related to patient stating blood pressure reading of 174/94 as manifested by patient stating “I feels fine without it.” B. Ineffective self-health management related to lack of knowledge of pathology, complications and management of hypertension as evidenced by blood pressure of 174/90 C. Ineffective denial related to high blood pressure as evidenced by the statement, “I feel fine without it” D. Risk for decreased cardiac tissue perfusion related to lack of knowledge of modifiable risk factors NR ADULT HEALTH NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS You are preparing discharge education for a female patient who has just been hospitalized for a myocardial infarction. Which statement by the patient indicates a need for further education? a. “If I experience mild chest pain, I should immediately seek medical attention b. “I shouldn’t be too concerned if I experience fatigue or shortness of breath throughout the day because I work long days teaching 2nd graders” c. “I should cut down how often I smoke cigarettes” d. “I should avoid putting extra salt on my food” A nurse teaches a class on valve replacements. The nurse knows her students understands the differences between types of valves when they state A. “Mechanical valves have a higher chance of thromboembolism.” B. “Only mechanical valves can leak and cause endocarditis.” C. “Biologic valves last longer than mechanical valves.” D. “Biologic valves are made from artificial materials and metal alloys.” A patient with severe liver disease is receiving the angiotensin converting enzyme (ACE) inhibitor, captopril (Capoten). The nurse is aware that the advantage of this drug for this patient is which characteristic? A. Captopril is a prodrug and is metabolized by the liver before becoming active. B. Captopril rarely causes first-dose hypotensive effects. C. Captopril has little effect on electrolyte levels. D. Captopril is not a prodrug and does not need to be metabolized by the liver before becoming active. The nurse has a patient on a calcium channel blocker. The nurse should be concerned about all of the following except: A. Cough B. Digoxin levels C. Allergy to sulfa D. The patient drinking grapefruit juice NR ADULT HEALTH NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS A 56 year old male is hooked up to a 12-lead EKG, and it shows an atrial rate of 400, and the P-wave is replaced by chaotic, fibrillary waves. He is likely experiencing: A. Dysrhythmias B. Atrial fibrillation C. Supraventricular tachycardia D. AV-blockBJunctional The RN would need to assess which patient who is on digoxin for toxicity? A. 42 year old male on loop diuretics B. 46 year old male on aspirin therapy C. 32 year old female on beta blockers D. 40 year old woman on warfarin therapy What task can an RN delegate to a UAP? A. Teach patient about B. Coumadin therapy C. Place leads on a patient getting ready for surgery D. Review discharge instructions with patient in for routine follow upTake vitals on chest pain patient A client with heart failure is taking Furosemide (Lasix). Which of the following statements, made by a client, warrants more education? A. “My blood pressure will change over time” B. “I should take the drug before bedtime” C. “I should include more foods such as bananas, apricots, and legumes in my diet” D. “I should not take the pill with food” NR ADULT HEALTH NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS Your patient is showing initial signs of acute coronary syndrome. The patient’s airway is clear, RR is 33 and skin is cold and clammy. What is the first priority for the nurse? A. Obtain portable chest X-Ray B. Assess and record response to medications and remediate medications as needed. C. Position patient upright and administer O2 by nasal cannula or non-rebreather mask D. Obtain a 12-Lead ECG.