NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success, Exams of Nursing

Download NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success and more Exams Nursing in PDF only on Docsity! NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022  Which nursing action would be appropriate to implement when a client has a diagnosis of pheochromocytoma? A.Weigh the client B.Test the client’s urine for glucose C. Monitor the client’s blood pressure D. Palpate the client’s skin to determine warmth  The nurse is caring for a client with pheochromocytoma. Which data are indicative of a potential complication associated with this disorder? A.A urinary output of 50 mL/hr B.A congestion heard on auscultation of the lungs C. A blood urea nitrogen (BUN) level of 20 mg/dL  The nurse is caring for a client after a thyroidectomy and monitoring for signs of thyroid storm. The nurse determines that which sign/symptom is indicative that a thyroid storm may be occurring? NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 A.Constipation B.Temperature of 96.6F C.Blood pressure of 80/60 mm Hg D.Heart rate of 44 beats per minute  A client with acquired immunodeficiency syndrome (AIDS) has histoplasmosis. Which sign/symptom should the nurse expect the client to experience? A.Dyspnea B.Headache C.Weight gain D.Hypothermia  The nurse is taking the nursing history of a client with silicosis. The nurse checks whether the client wears which item during periods of exposure to silica particles? A.Mask B.Gown C.Gloves D.Eye Protection  The nurse is performing nasotracheal suctioning of a client. The nurse interprets that NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 prevent respiratory complications? A.Decreasing oral fluid intake B.Monitoring the vital signs every shift C.Changing the client's position every 2 hours D.Instructing the client to bear down every hour and to hold his or her breath  The nurse assists with preparing a nursing care plan for a child who has Reye's syndrome. Which is the priority nursing intervention? A.Monitoring the output B.Checking pupillary responses C.Changing the body position every 2 hours D.Providing a quiet atmosphere with dimmed lights  The nurse is initiating seizure precautions for a child being admitted to the nursing unit. Which items are essential for the nurse to place at the bedside? A.Oxygen and a tongue depressor NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 B.A suction apparatus and oxygen C.An airway and a tracheotomy set D.An emergency cart and an oxygen mask  The nurse is caring for a client after an autograft of a burn wound on the right knee. Which position should the nurse anticipate being prescribed for the client? A.Placing the affected leg flat B.Elevating and immobilizing the affected leg C. Immobilizing the client in a dependent position D.Placing the affected leg in a dependent position  The nurse is caring for a client after a mastectomy. Which nursing interventions should assist with preventing lymphedema of the affected arm? Select all that apply. A.Placing cool compresses on the affected arm B.Elevating the affected arm on a pillow above heart level C. Taking no blood pressure measurements in the affected arm D.Avoiding arm exercises during the immediate postoperative period E. Maintaining an intravenous (IV) insertion NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 site below the antecubital area on the affected side  A client with cancer is receiving chemotherapy and develops thrombocytopenia. Which intervention is a priority in the nursing plan of care? A.Monitor the client for bleeding. B.Monitor the client's temperature. C. Ambulate the client three times daily. D.Monitor the client for pathological fractures.  Megestrol acetate, an antineoplastic medication, is prescribed for the client with metastatic endometrial carcinoma. The nurse reviews the client's history and contacts the registered nurse if which diagnosis is documented in the client's history? A.Gout B.Asthma C. Thrombophlebitis D.Myocardial Infarction  The nurse is monitoring the laboratory results of a female client receiving an antineoplastic medication by the intravenous (IV) route. The nurse plans to initiate bleeding precautions if NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 treatment of a venous stasis leg ulcer. The nurse notes that the client's toes are mottled and cool, and the client verbalizes some numbness and tingling of the foot. Which interpretation should the nurse make of these findings? A. The boot has not yet dried. B. The boot is controlling leg edema. C. The boot is impairing venous return. D. The boot has been applied too tightly. 28.A A client has been diagnosed with Prinzmetal's angina. The nurse reviews the medical record and notes which accompanying characteristics? Select all that apply. A. Relieved by rest B. Occurs after exercise C. Prolonged severe pain D. Nitroglycerine relieves the pain E. Happens at the same time each day NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 29. The nurse is assisting in monitoring the condition of a client after pericardiocentesis for cardiac tamponade. Which observation indicates that the procedure was unsuccessful? NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 A.Clear breath sounds B.Client expressions of relief C. Clearly audible heart sounds D.Distant and muffled heart sounds The nurse is monitoring a client with an abdominal aortic aneurysm (AAA). Which finding is probably unrelated to the AAA? E. Pulsatile abdominal mass F. Hyperactive bowel sounds in the area G.Systolic bruit over the area of the mass H.Subjective sensation of "heart beating" in the abdomen A client is scheduled for a dipyridamole thallium scan. The nurse should check to make sure that the client has not consumed which substance before the procedure? A.Caffeine B.Fatty Meal C.Excess Sugar D.Milk Products A client with myocardial infarction (MI) has been transferred from the coronary care unit (CCU) to the general medical unit with cardiac monitoring via NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 The client with chronic kidney disease who is scheduled for hemodialysis this morning is due to receive a daily dose of enalapril. When should the nurse plan to administer this medication? E. During dialysis F. Just before dialysis G.The day after dialysis D. On return from dialysis A client is admitted to the emergency department following a fall from a horse. The primary health care provider (PHCP) prescribes the insertion of an indwelling urinary catheter. The nurse notes blood at the urinary meatus while preparing for the procedure. Which action should the nurse take? A.Use a smaller catheter. B.Notify the primary health care provider. C. Administer pain medication before inserting the catheter. D.Use extra povidone-iodine solution in cleansing the meatus. A client receiving nitrofurantoin calls the primary health care provider's office complaining of side NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 effects related to the medication. Which side effect indicates the need to stop treatment with this medication? A. Nausea B. Diarrhea C. Anore xia D. Chest Pain A client with chronic kidney disease is receiving epoetin alfa. Which laboratory result would indicate a therapeutic effect of the medication? A.Hematocrit of 32% B.Platelet count of 400,000 mm3 C. White blood cell count of 6000 mm3 D.Blood urea nitrogen (BUN) level of 15 mg/Dl The nurse is planning to put aneurysm precautions in place for the client with a cerebral aneurysm. Which item should be included as part of the precautions? A.Limiting cigarettes to 3 per day B.Allowing out-of-bed activities as tolerated C. Allowing 1 cup of caffeinated coffee per day D. NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 Maintaining the head of the bed at 15 degrees  The nurse is assisting in planning care for a client scheduled for insertion of a tracheostomy. Which equipment should the nurse plan to have at the bedside when the client returns from surgery? A.Obturator B.Oral Airway C. Epinephrine D.Tracheostomy tube with the next larger size  The nurse is caring for a client with an endotracheal tube attached to a ventilator. The high-pressure alarm sounds on the ventilator. The nurse prepares to perform which priority nursing intervention? A.Suction the client. B.Check for a disconnection C. Notify the respiratory therapist D.Evaluate the tube cuff for a leak  The nurse is preparing to obtain a sputum specimen from the client. Which nursing action is essential in obtaining a proper specimen? NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 D.Blood Pressure The nurse is caring for a client receiving morphine sulfate intravenously for pain. Because morphine sulfate has been prescribed for this client, which nursing action should be included in the plan of care? E. Encourage fluid intake. F. Monitor the client's temperature. G.Maintain the client in a supine position. H.Encourage the client to cough and deep breathe. A client with a left arm fracture exhibits loss of sensation in the left fingers, pallor, slow refill, and diminished left radial pulse. The licensed practical nurse (LPN) should take which action? A.Administer an analgesic. B.Notify the registered nurse. C. Check the circulation again in 30 minutes. D.Provide range-of-motion exercises to the fingers of the left hand. NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 49.A A client who has been receiving total parenteral nutrition by way of a central venous access device complains of chest pain and dyspnea. The nurse quickly assesses the client's vital signs and notes that the pulse rate has increased and NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 that the blood pressure has dropped. The nurse determines that the client is most likely experiencing which sign? A.Sepsis B.Air Embolism C. Fluid Overload D.Fluid Imbalance  The nurse provides instructions to a client about the use of an incentive spirometer. The nurse determines that the client needs further teaching about its use if the client makes which statement? A."I need to sit upright when using the device." B."I will inhale slowly, maintaining a constant flow." C. "I need to place my lips completely over the mouthpiece." D."After maximal inspiration, I will hold my breath for 10 seconds and then exhale."  The nurse is monitoring a client with a closed chest tube drainage system and notes fluctuation of the fluid level in the water-seal chamber during inspiration and expiration. On the basis of this finding, which conclusion NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 The nurse reviews the arterial blood gas results of a client and notes that the results indicate a pH of 7.30, Pco2 of 52 mm Hg, and HCO3 - of 22 mEq/L. Which interpretation should the nurse correctly make about these results? E. Metabolic Acidosis F. Metabolic Alkalosis C. Respiratory Acidosis D. Respiratory Alkalosis The nurse is monitoring a client who is attached to a cardiac monitor and notes the presence of U waves. The nurse checks the client and then reviews the results of the client's recent electrolyte results. The nurse expects to note which electrolyte value? G.Sodium 135 mEq/L H.Sodium 140 mEq/L C. Potassium 3.0 mEq/L D. Potassium 5.0 mEq/L  Which cardiovascular sign should the nurse NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 expect to note in a client with a diagnosis of hypocalcemia? A.Hypotension B. Increased Heart Rate C.Bounding Periperal Pulses D.Shortened QT interval on electrocardiogram  The nurse is reinforcing home care instructions to the mother of an infant who has just been found to have hemophilia. The nurse should instruct the mother to do which? A.Use aspirin for pain relief. B.Pad crib rails and table corners. C. Use a soft toothbrush for dental hygiene. D.Use a generous amount of lubricant when taking a temperature rectally. A health care provider (HCP) writes a prescription for digoxin, 0.25 mg daily. The nurse teaches the client about the medication and tells the client that it is important to do which? A.Count the radial and carotid pulses every morning. B.Check the blood pressure every morning and evening. C. Stop taking the medication if the pulse is NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 higher than 100 beats per minute. D.Withhold the medication and call the HCP if the pulse is less than 60 beats per minute. The nurse is assisting in caring for a newborn with respiratory distress syndrome. Which initial action should the nurse plan to best facilitate bonding between the newborn and parents? A.Encourage the parents to touch their newborn. B. Identify specific caregiving tasks that may be assumed by the parents. C. Explain the equipment used and how it functions to assist their newborn. D.Give the parents pamphlets that will help them understand their newborn's condition. A client has a prescription for continuous monitoring of oxygen saturation by pulse oximetry. The nurse performs which best action to ensure accurate readings on the oximeter? A.Apply the sensor to a finger that is cool to the touch. B.Apply the sensor to a finger with very dark nail polish. NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 D.Week 8  The nurse is changing the neck ties on a tracheostomy tube. Which method is appropriate for the nurse to take? A.Apply the new neck ties securely before removing the old neck ties. B. Insert the obturator in the tracheostomy tube while the neck ties are changed. C. Ask the client to hold the tracheostomy tube in place while the nurse changes the neck ties. D.Remove the old ties, clean the site, and then apply the new ties while a second health care team member holds the tracheostomy tube.  The nurse is preparing to suction a client through a tracheostomy tube. The nurse should perform which actions when performing this procedure? Select all that apply. A.Preoxygenating the client before suctioning B.Applying suction for a period of no more than 15 seconds NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 C. Moistening the catheter tip in sterile saline solution before suctioning D.Introducing the catheter into the tracheostomy tube using a sterile gloved hand E. Placing suction on the catheter while introducing the catheter into the tracheostomy tube  The nurse is told that an assigned client will have the chest tubes removed. The nurse plans to do which in preparation for the procedure? A.Clamp the chest tubes. B.Empty the drainage system. C. Disconnect the drainage system. D.Administer pain medication 15 to 30 minutes before the procedure.  The nurse is planning to suction a client through a tracheostomy tube. Which is the amount of time for application of suction during withdrawal of the catheter? A. 10 Seconds B. 25 Seconds C. 30 Seconds D. 35 Seconds A client is diagnosed with thrombophlebitis. The NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022 nurse should tell the client that which prescription is indicated? A.Bed rest with bathroom privileges only B.Bed rest keeping the affected extremity flat C. Bed rest with elevation of the affected extremity D.Bed rest with the affected extremity in a dependent position All questions came from NCLEX Saunder’s Study Guide  After a tonsillectomy, a child is brought to the pediatric unit. The nurse places the child in which appropriate position? A.Prone B.Supine C. High-Fowler’s D.Trendelenburg’s  The nurse is preparing to care for a client who will be arriving from the recovery room after an above-the-knee amputation. The nurse ensures that which priority item is available for emergency use? A. Surgical NURSING FUNDAMENTAL Module 8 NCLEX Questions and Answers Best Rated A+ guaranteed Success Latest update 2022