ATI: Board Vitals NCLEX-PN Practice Test

ATI: Board Vitals NCLEX-PN Practice Test on 07-30-2023

Sunday. 3rd. 100 Qs Leave the first rating Students also studied Terms in this set (34) Science MedicineNursing Save Exam Cram NCLEX-PN PRACTICE Q...103 terms summer3266Preview VATI PN Pharmacology Assessment...Teacher 50 terms s9pr6yqz2nPreview pn nclex #3 150 terms michelle_keblusek2 Preview NCLEX Teacher Tuto (4) A client is an ovo-vegetarian. Which of the following item should no be kept in the client's tray?Milk.An ooo-vegetarian does not eat meat or dairy products but does eat eggs.An ovo-vegetarian diet excludes all animal-based products except eggs.

(10) The cycle of infection is as follows: Source, transmission, host.

The cycle of infection is as follows: source, transmission, host. To explain further, in order for infections to be transmitted, there must be an infectious organism, a reservoir of infection, a portal of exit, a susceptible host, a portal of entry, and a means of transporting the organism from the reservoir to the susceptible host. The infectious organism and reservoir of infection with portal of exit is the source. The infectious organism is transmitted to a susceptible host with a portal of entry.(15) The nurse is caring for a client with tachycardia. The provider has ordered a 12 lead electrocardiogram ECG.Where would the nurse place the V4 lead?The V4 lead is placed at the fifth intercostal space at the midclavicular line when performing a 12 lead ECG.Proper placement of leads is essential to obtain an accurate interpretation of a 12- lead ECG. The nurse should use anatomical landmarks (e.g., intercostal space, sternum, axilla) to accurately place each lead on the chest. Otherwise, the ECG will be inaccurate.

(16) A nurse is teaching a group of adolescents about sexual health. She teaches about a vaccine that is available to protect against the sexually transmitted

disease known as:

Human papillomavirus.The vaccine for HPV is safe and effective and protects males and females against the disease. HPV vaccines are given in a series of two or three shots over a six- month period.More than 30,000 women and men are diagnosed each year with a cancer caused by sexually transmitted HPV infection. Cervical cancer accounts for one in three cancers caused by infection with the human papillomavirus. Vaccination prevents infection and reduces the risk of cancer. Two doses of the HPV vaccine are recommended if the series is started before the client's 15th birthday. Three doses of the HPV vaccine are recommended for teens and young adults who start the series at ages 15 through 26 years, and for immunocompromised persons.(18) After an upper GI X-ray, which of the following is most important for the nurse to monitor?The passage of stool.After any GI procedure that uses barium as a contrast medium, the nurse should monitor the client's bowel elimination. Retained barium can cause constipation and even bowel obstruction. A laxative or some other way of promoting the passage of stool is needed.(19) A nurse in the Emergency Department is caring for a client who has experienced a sexual assault. Which of the following actions should the nurse take?Ask the provider to provide prophylactic medications to the client to reduce the risk of sexually transmitted infection.The nurse should ask the provider to provide the client with prophylactic medications, such as antibiotics, to prevent sexually transmitted disease.Additionally, clients who might become pregnant should be informed about prophylactic medication to prevent pregnancy.Ask the client to explain unfamiliar words and phrases.The nurse should ask the client to explain unfamiliar words and phrases that are used by the client but not understood by the nurse.Initially, the nurse should establish trust and rapport with a client who reports experiencing violence. The nurse should use therapeutic communication strategies and should incorporate the client's personal support system, if the client desires. Establishing trust will help the client gain comfort to disclose personal feelings and information about the event that could be legally important.The nurse should reinforce that the client is not at fault for the incident. The use of open-ended questions will help solicit information from the client.

(20) A charge nurse is reviewing information with a group of nurses about the addition of a lipid emulsion to total parenteral nutrition (TPN). Which of the following statements should the charge include?"The concentrations of lipid emulsions can be up to 30%." "Adding lipid emulsion gives the solution a milky appearance." "Check the client for an egg allergy." "Lipid emulsion prevents essential fatty acid deficiency." Lipid emulsion is available in 10%, 20%, and 30% concentrations depending on the client's carbohydrate and caloric needs. The lipid emulsion is formulated from safflower or soybean oil, and egg phospholipids, making the solution appear milky. The nurse should check the client for allergies to these ingredients. Lipid emulsion is used to supplement additional calories as concentrated energy and to prevent essential fatty acid deficiency.Lipid emulsions provide fatty acids to clients receiving TPN solution. The minimum recommended amount is 10% (500 mL) given twice per week.(21) A nurse is assigned to care for a client who has a chest tube placed after a right thoracotomy. Which of the following does the nurse expect when monitoring the client's chest tube?Fluctuations occur intermittently in the water seal chamber.Chest drainage flows into first chamber.Tidaling, or fluctuations in the water seal chamber, should occur intermittently as the client breathes in and out. Intermittent bubbling may be present with the release of air as the lung re-expands. Intermittent bubbling, corresponding to respirations in the water-seal chamber, indicates an air leak from the pleural space that should resolve as the lung reexpands. If bubbling in the water-seal chamber is continuous, it is probably due to a leak in the system. Drainage from the pleural cavity collects in the first chamber and the amount should be documented by the nurse.The water seal is the middle chamber in a chest tube drainage system. It allows air to exit from the pleural space on exhalation and prevents air from entering the pleural space cavity with inhalation. The water seal chamber is filled with sterile water or saline solution to the 2 cm line to establish a 2 cm water seal. To maintain an effective seal, the chest drainage unit should be kept upright at all times and the water level in the water seal chamber should be monitored for evaporation.

(25) The nurse is trying to assess the nutritional status of a 47 year old client. Which of the following factors should be considered when assessing nutritional status?Albumin levels.Albumin is a protein produced in the liver. Serum albumin levels are a good indicator of a client’s nutritional status. Low albumin levels can indicate malnutrition, but they can also indicate liver disease or inflammation. Albumin levels can be used along with a comprehensive metabolic panel to show a complete clinical picture of nutritional status.Body mass index BMI.BMI is the measure of body fat based on height and weight. It is an assessment that can be taken into consideration to assess nutritional status. Having a high BMI increases the risk of certain health conditions such as obesity, diabetes, high blood pressure, and cardiovascular problems. A low BMI may indicate a client is underweight and may be at risk of malnutrition.A dietary history.Asking the client about their diet would be an important component of their nutritional status, amongst other assessments such as BMI and a comprehensive metabolic panel.Weight.Weight should be evaluated when assessing nutritional status. A client who is underweight for their age may be at risk of malnutrition. A client who is overweight or obese is at risk of developing certain health conditions such as diabetes, high blood pressure, and cardiovascular problems.Many factors are to be taken into consideration when assessing the nutritional status of a client. Evaluation of nutritional status should include one or more of the

following: measurement of BMI and waist circumference, weight, laboratory

values such as serum albumin and serum protein, as well as a comprehensive metabolic panel to assess electrolytes, clinical examination findings, and dietary history.(27) A nurse is caring for a client who has been experiencing persecutory delusions and is now trying to get out the door of the behavioral unit. The client states, "Please let me go. I trust you, but my family is going to come and shoot me tonight." Which of the following is the best response by the nurse?"You are frightened. Come with me to your room and we can talk about it." This response recognizes the client's feelings and provides reassurance that the nurse will be present.The nurse can further assess the client's situation by encouraging the client to talk about his emotions and fears. The nurse should reorient the client to reality but it is important to first remove the client to a safe environment, away from stimuli that might heighten his anxiety.