ATI: Board Vitals NCLEX-PN Practice Test

ATI: Board Vitals NCLEX-PN Practice Test on 08-04-2023

Friday 12th. 75 Qs Leave the first rating Students also studied Terms in this set (22) Science MedicineNursing Save Exam Cram NCLEX-PN PRACTICE Q...103 terms summer3266Preview NCLEX-PN Prep Questions (straight ...29 terms quinnlet95Preview

BV: Ante/Intra/Postpartum and Neo...

23 terms sid4008Preview Board V 20 terms ann (4) An adult client is admitted to the hospital with

gastroenteritis. The physician has ordered:

prochlorperazine Compazine 10mg po tic pro or prochlorperazine Compazine 5mg suppository every 6 hours prn.loperamide Imodium 2mg po prn.The client has an episode of diarrhea and complains of nausea. What medication should the nurse administer?prochlorperazine Compazine 10mg po tid prn.and loperamide Imodium.Prochlorperazine is an antiemetic and is given for nausea and vomiting. Because the client has nausea but is not vomitin, the oral rate is indicated.Imodium is for diarrhea. The client has had an episode of diarrhea so the Imodium is indicated.Prochlorperzine may be used for nausea. If the client is experiencing vomiting it should not be given po. In the client with nausea and no vomiting, it may be given po.(6) The nurse is providing care for a client who has right- sided weakness and has been instructed to use a cane when ambulating. Which action by the client indicates he understands correct use of the cane while walking?He carries the cane in this left hand and moves it at the same time he moves his right foot.The cane should be held on the unaffected side. When ambulating, the client should move the cane and the affected leg at the same time.The nurse must understand effective techniques of using a cane to protect the client from further injury and falls.

(9) The nurse is preparing to administer the daily dose of digoxin to an adult client. What is the essential action for the nurse to take prior to administering this medication?Check the client's apical pulse.Before administering digoxin, the nurse should always check the client's apical pulse.If the adult client's pulse is below 60 BPM the nurse should hold the digoxin and notify the physician.(14) A nurse is caring for a client who has peptic ulcer disease PUD. Which of the following interventions should be included in the plan of care?Encouraging smaller meals during the day.Liming the use of red and black pepper.Providing information on a smoking cessation plan.Clients who have PUD should eat smaller, more frequent meals during the day.Red and black pepper, as well as chili pepper, may create discomfort when consumed by the client who has PUD. Smoking aggravates PUD, and the client who smokes should be encouraged to stop.(17) The student nurses are studying for a test on diabetes mellitus. Which of the following macrovascular complications of diabetes should they review?Stroke.Stroke is a macrovascular complication of diabetes mellitus.Diabetes may lead to complications due to chronic hyperglycemia. Most diabetes treatments reduce the likelihood that the body's tissues will be harmed by hyperglycemia. The complications of hyperglycemia are separated into macrovascular and microvascular complications. Coronary artery and peripheral artery disease and stroke are macrovascular complications. Coronary artery and peripheral artery disease and stroke are macrovascular complications of diabetes mellitus. Microvascular complications include diabetic neuropathy, retinopathy, and nephropathy.(21) Which of the following is an example of COPD? Bronchitis.Chronic obstructive pulmonary disease, or COPD, refers to several disorders that include bronchitis, asthma, and emphysema. It is an irreversible condition that decreases pulmonary function. Patients with COPD may breath less than 50% of the normal expected volume. Pulmonary hypertension is a disorder of the lung vasculature that can result in heart failure. Pneumonia is an acute infectious process. Pleural effusions refer to a collection of fluid in the space between the chest wall and the lung. They can result from malignancy, pneumonia, and other causes. A pulmonary embolism is a blood clot that has traveled from the lower extremities to the lung.(27) The nurse is caring for a client who is ordered to be on bed rest for four weeks. What should the nurse include in care planning for the client to prevent venous stasis?Antiembolism stockings to be worn at all times.Anti-embolism stockings will help the most in the prevention of venous stasis.Anti-embolism stockings along with sequential compression devices will aid the client in the prevention of deep vein thrombosis.

(29) Activities of daily living ADL when performed by the client rather than a caregiver improve or maintain all of

the following except:

Communication.Communication skills improvements are not often seen with maintenance of ADLs, but they do improve or maintain self esteem, physical ability, and mental acuity.(30) A nurse is reviewing postpartum nutrition needs with a client who is breastfeeding. Which of the following statements by the client indicates an understanding of the instructions?"I will continue taking my vitamins while I am breastfeeding." Clients who breastfeed are instructed to consume a well-balanced, nutritious diet and can continue to take vitamin supplements. This can assist the client to ensure they receive adequate nutrition while breastfeeding. The client should balance their calories burned and consumed as well.(38) A nurse is providing dietary teaching to the guardian of a school-age child who has celiac disease. Which of the following food items should the nurse suggest for the child's afternoon snack?Potato chips.The nurse should suggest potato chips to the guardian as an acceptable food choice for the child's afternoon snack. Potato chips are gluten-free and low in fiber. Therefore, they are an acceptable food choice for a child who has celiac disease.Potato chips are gluten-free and low in fiber. Therefore, they are an acceptable food choice for a child who has celiac disease. Foods that are high in fiber must be avoided for children who have celiac disease because decreased absorption leads to bowel inflammation.(40) The client is receiving Clopidogrel following a cardiac stent placement. The nurse should ensure that the client understands which of the following?Heath is a common side effect of the medication.Bleeding and bruising are likely to increase with the drug.Clopidogrel can be taken with or without food.Clopidogrel is an anti platelet agent that protects this client against occlusion of the cardiac stent. Typically, Clopidogrel will be prescribed for a full year after stent placement. As a medication that is readily absorbed, Clopidogrel can be taken with or without food.(41) A nurse is caring for a 35 year old client who has had transsphenoidal surgery. The nurse understands that this surgery is generally done to correct an underlying dysfunction of which gland?Pituitary gland.Transsphenoidal surgery is a surgical approach to operate on the pituitary gland via the sphenoid sinuses.The pituitary gland is a pea-sized gland at the base of your brain, just behind the bridge of your nose. The pituitary gland is often called the master gland because it controls many other hormone glands, including the thyroid, adrenal gland, and sexual glands. Transsphenoidal surgery is a minimally invasive surgical approach to the pituitary gland via the sphenoid sinuses to reach the base of the brain.Transsphenoidal surgeries are typically performed by a neurosurgeon and an ENT surgeon collaboratively.

(43) A 53 year old client presents to the clinic with a cold and was advised to use a non-prescription decongestant.Which of the following conditions would contraindicate using a decongestant?Glaucoma.It is contraindicated for clients with glaucoma to use decongestants because they can increase intraocular pressure.Arrhythmia.It is contraindicated for clients with irregular heart rhythms or heart disease to use decongestants because they can increase the workload of the heart.Hypertension.It is contraindicated for clients with hypertension to use decongestants because they relieve nasal congestion by narrowing blood vessels, increasing blood pressure.Nonprescription decongestants usually contain adrenergic drugs such as ephedrine sulfate or pseudoephedrine. They work to decrease nasal edema by constricting blood vessels in the nose. These medications are contraindicated for clients with hypertension, heart disease, irregular heart rhythms, and narrow- angle glaucoma.(44) A nurse is reviewing information with the family of a client who frequently experiences suicidal ideation.Which of the following information should the nurse include?"Share how the client's suicide would be devastating to the client's family." The family should let the client know how important his well-being is to them. The nurse should encourage the family members to also emphasize the ways in which the client's suicide would be devastating tot he family and others.Part of counseling related to suicide can involve talking with the family and friends of an individual who is at risk.These are strategies that can protect the client from harm and promote a

therapeutic relationship for the client and family:

Don't agree to keep secrets.Be a good listener, and allow the individual to express any feelings they have.Take any threat of suicide seriously, and get professional help quickly.Know the numbers for suicide hotlines.Contact local mental health centers.Provide a safe environment if someone is having suicidal thoughts.Remove weapons from the environment.Don't leave the person alone. Don't show judgment or inflict guilt.Try to provide hope and encouragement.