MS 1 Final Exam NCLEX questions

MS 1 Final Exam NCLEX questions Leave the first rating Students also studied Terms in this set (22) Science MedicineNursing Save MS1 Final Exam 79 terms kianaporter19 Preview MED/SURG Final NCLEX questions 116 terms m3clevelandPreview NP1 Exam 1 Review Questions 382 terms desiree_lagunas Preview Nclex q 71 terms Mag the nurse is assigned to four clients who were diagnosed with gastric ulcers. Which client should be the nurses priority when monitoring for GI bleeding?

• the 40 year old client who is positive for H. pylori
• the 45 year old client who drinks 4 ounces of alcohol a

day

• the 70 year old man who takes daily baby aspirin of 81

mg

• the 30 year old client takin acetaminophen prn
• the 70 year old man who takes daily baby aspirin 81 mg

the nurse is instructing the new nurse on the floor. She explains that the definitive diagnosis of PUD involves which test?

• a urea breath test
• upper GI endoscopy
• Barium contrast study
• the string test
• upper GI endoscopy

which breakfast would you encourage the client to order to help relieve constipation?

• bran cereal and fresh fruit
• bran cereal and yogurt
• yogurt and fresh fruit
• fresh fruit and white toast
• bran cereal and fresh fruit

a nurse is providing teaching to a client who has type 2 diabetes mellitus and is starting metformin (glucophage).The nurse should monitor the client for which of the following adverse effects?

• lactic acidosis
• hypoglycemia
• hyperlipidemia
• respiratory alkalosis
• lactic acidosis

the nurse is planning a teaching session for a patient with a peptic ulcer. Which of the following would the nurse include in the teaching plan as the primary cause of a peptic ulcer?

• bacterial infection

b.viral infection

• stress
• spicy foods
• bacterial infection

the nurse is caring for a client diagnosed with GERD, which nursing intervention should be implemented?

• place the client prone in bed and administer NSAIDs
• have the client remain upright at all times and walk for

30 minutes three times a week

• instruct the client to maintain a right lateral side lying

position and take antacids before meals

• elevate head of the bed 30 degrees and discuss

lifestyle modifications

• elevate head of the bed 30 degrees and discuss lifestyle modifications

which assessment data supports the client's diagnosis of gastric ulcer to the nurse?

• presence of blood in the client's stool for the past

month

• reports of burning sensation moving like a wave
• sharp pain in the upper abdomen after eating a heavy

meal

• complaints of epigastric pain 30-60 minutes after

ingesting food

• complaints of epigastric pain 30-60 minutes after ingesting food

a nurse is caring for a client who has a prescription for metformin. The nurse should inform the client for which of the following medication/food interaction.

• concurrent use of iodine contrast media may result in

acute kidney failure

• do not eat high fiber foods
• avoid vitamin b12
• eat only three meals a day
• concurrent use of iodine containing contrast media may result in acute kidney

failure

the clinic nurse is assessing the patient and evaluates that the client's levothyroxine dose is too low. Which findings confirm this possibility on assessment? Select All that apply

• increased sweating
• apathy and fatigue
• cold intolerance
• slowed mental processes
• increased appetite
• apathy and fatigue
• cold intolerance
• slowed mental processes

A nurse teaches a client with newly diagnoses hypothyroidism about the need for thyroid hormone replacement therapy to restore normal thyroid function.Which thyroid preparation is the agent of choice for thyroid hormone replacement therapy?

• levothyroxine (synthroid)

b.methimazole (tapazole)

• liothyronine (cytomel)
• thyroid USP enseals
• levothyroxine (synthroid)

A nurse in a clinic is reviewing the lab results of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following lab values?

• TSH
• Free T4 and T3
• Serum T3
• Serum T4
• TSH

a nurse is caring for a client who has chronic hyperparathyroidism. The nurse should include in the teaching that the client is at risk for which of the following complications?

• fluid retention
• impaired skin integrity
• dysphagia
• pathologic fractures
• pathologic fractures

a nurse is reviewing the lab results for four clients. The nurse should recognize that which of the following clients has a manifestation of primary hyperparathyroidism?

• the client who has an increased magnesium level
• the client who has a decreased parathyroid hormone

level

• the client who has an increased phosphorus level
• the client who has a decreased calcium level
• the client who has an increased magnesium level

a client is suspected of having acromegaly, what definitive diagnostic testing is the most reliable method of confirming acromegaly?

• glucose tolerance test in combination with a GH

measurement

• growth hormone levels
• serum glucose levels
• bone radiographs
• glucose tolerance test in combination with a GH measurement

a client has been hospitalized with myxedema, which of the following actions will the nurse take to care for this client? select all that apply

• apply heating pads to the client
• give fluids to the client with caution
• monitor the clients oxygen saturation levels
• measure the clients arterial blood gases
• give fluids to the patient with caution
• monitor the clients oxygen saturation levels
• measure the clients arterial blood gases

Mrs. Johnson is admitted to the hospital in addisonian crisis, she has a hx of addison disease, she states that she was taking her medications as prescribed and she does not understand why she has this problem. The nurse explains possible causes of addisonian crisis, select all

that apply:

• trauma
• decrease in sodium
• inadequate diet
• steroid withdrawal
• sepsis
• trauma
• steroid withdrawal
• sepsis

Mrs. M age 46, has been taking corticosteroids intermittently for many years to treat rheumatoid arthritis, these high amounts of corticosteroids can cause many physiological changes. Mrs. M has been diagnosed with cushing's disease, which treatment could be utilized with

Mrs. M? select all that apply:

• weaning her off the corticosteroid medication slowly
• giving her a reduced daily dose of corticosteroids
• discontinue the corticosteroid therapy immediately
• instruct her the dosage of corticosteroid will be

increased as the symptoms decrease

• weaning her off the corticosteroid medication slowly
• giving her a reduced daily dose of corticosteroids

a nurse is preparing to receive a client from the PACU who is postoperatively following a thyroidectomy, the nurse should ensure that which of the following

equipment is available? select all that apply:

• oxygen delivery equipment

b.clean dressing and tape at the bedside

• tracheostomy tray
• suction equipment
• oxygen delivery equipment
• tracheostomy tray
• suction equipment