Hard Questions NCLEX prep

Hard Questions NCLEX prep ScienceMedicineNursing Milkduds_02 Save 75 Free NCLEX Questions - c/o Brilli...75 terms carey47Preview Hard Nclex Questions 14 terms orzelz953Preview Prioritization NCLEX questions 28 terms madisoncastello Preview Exam C 103 term sum Think beyond banana when searching for examples of potassium rich foods; baked potato is rich in potassium, so is avocado, cantaloupe, tomatoes, orange juice.Potassium Foods 200 mg/dL- eggs and cheese Cholesterol level for CAD and what to avoid Organ meats, sardines in oil, beans, lentils(high protein diet) should be avoided by a client with gout

Gout: Avoid

Animal products Where do you find B12 Administer the dose as prescribed and check for lithium toxicity (nausea, vomiting, fine tremor, polyuria, slurred speech, muscle weakness)

- Narrow range: 0..8-1.2

A nurse will assesses a client's lithium level to be 1.2. What do they do? (2) nausea, vomiting, fine tremor, polyuria, slurred speech, muscle weakness What are s/s of lithium toxicity (6)

Circulatory and volume overload A nurse is assessing a infant with volume overload. What two manifestations do they expect Can you tell me why you want to leave the hospital so quickly?

• This is because news of terminal illness can worry clients about finishing their business, so if the nurse asks about concerns they will gain the

client's trust and act as an advocate.A client with an inoperable brain tumor is put on anti-seizure medications and needs to stay a few days for observation. The client wants to leave, how does the nurse address the client?B, E While caring for a client with SCI, the nurse uses logrolling with other staff. What is true? SATA

• Perform using one person

B The nurse at the head controls the turn C the nurse at the head turns first, followed by staff at the waist D The neck is extended during the tunr E The client remains in alignment B- Dark brown vaginal bleeding is common. Also increased fundal height and nausea and vomiting A client has a molar pregnancy at 17 weeks. What is an expected finding?A severe ABD tenderness B Dark brown vaginal dischar C elevated CBC D fundal hight less than gestational age Frequent meals to prevent mucosal atrophy, bland foods, moderate to high carb and protein, low fat diet. Use low fat foods A client has acute pancreatitis and the nurse does nutritional teaching. Which statements indicate an understanding?A Small, frequent meals B Easy to digest foods with limited spice C Skim milk instead of whole milk D Drink coffee to help digestion E limit alcohol to two drinks a day Languo, peripheral edema, yellow skin Expected findings anorexia Trendelenburg Positioning a client to for lower lobe drainage Disconnect infusion Discard a small sample before drawing the real sample Reconnect the infusion Blood sample for CVAD

A, D, E

Room temp prevents cramping, HOB should be at least 30 A nurse is administering a bolus enteral feeding. What actions does the nurse take?A verify the presence of bowel sounds B Flush feeding tube with warm water C Elevate HOB to 15 D Administer feeding at room temp E inspect insertion site C Client has neurogenic disorder and dysphagia. What is an indication of silent aspiration A Continual tongue rolling while eating B tries to rapidly swallow each bite C no coughing when food enters the airway D tries to regurgitate food when swallowing LOC Motor strenght VS UO Client has closed head injury. Order these assessments: Vital signs, Urine output, LOC, Motor strength Ineffective airway clearence Impaired gas exchange Constipation Pain Social isolation Order these diagnoses in priority: Social isolation, constipation, impaired gas exchange, ineffective airway clearance, pain

A, B, C

Normal pregnancy s/s A breast tenderness B Excessive salivation C Epistaxis D Dysuria E RUQ pain A B F Teaching at an RSV inservice?A Spread by direct contact B Spread by indirect contact C Palivzumab for prevention D Contagious for three weeks E Older children don't spread very often F Wahs your hands

C Remember that ASD has repetitive thoughts and behaviors Expected finding for Autism?A Preoccupation of thougts B associative looseness C Echololia D Magical thinking Square root ((Weight KG * HT cm)/3600) Body surface area calculation

A, C, D

Client has UC and has prescription for sulfasalazine. What is correct about this med?A May cause folate deficiency B May cause hyperchloremia C May cause megaloblastic anemia D May cause anaphylactic recation E May cause blindness F May cause thrombocytosis

A, C, D

Think of ions moving Expected findings during resuscitation phase of burns A dyspnea B Bradycardia C Hyperkalemia D Hyponatremia E decreased hematocrit C Client has been sitting in chair for several hours, looking downward, and does not answer with eye contact and responds to all questions with one syllable. What is this called A somatozation B Phsychogenic Dystonia C Psychomotor retardation D pressured speech Ensure adequate renal function What do you do before you administer potassium replacements