NCLEX Prep Content Mastery Final Exam

NCLEX Prep Content Mastery Final Exam ScienceMedicineNursing lensen1021Top creator on Quizlet Save Select all the drugs that should not be taken with grapefruit or grapefruit juice. (Select all that apply)

• Erythromycin
• cyclosporine
• Librium
• carbamazepine
• sertraline
• Erythromycin
• cyclosporine
• Librium

What are the 5 steps of the Critical Thinking Pathway?1- Determine the topic 2- Assessment vs. Implementation 3- Eliminate Psych/social 4- Apply ABCs 5- Evaluate the outcome

Pain is generally considered a “Psychosocial” issue in NCLEX and therefore of lower priority.However, there are times when pain should be considered a higher priority “Physical” issue when determining the priority of answers in the question. Select all the following that would be considered a “Physical” issue according to the Welcome to NCLEX World handout: (Select all that apply)

• The patient who is 1 day post op reports unrelenting pain of his fractured left tibia B
• Margot requests pain medication before it is scheduled due to generalized back pain
• A patient is evaluated in the ER for severe flank pain and hematuria. He has a history of

renal calculi.

• A 6-year-old child has a medical history of Sickle Cell anemia.
• Irwin is being treated in the Neuro Unit for a stroke when he develops sudden chest pain.

A, C, E

All the following characterize a "Who Do You See First" priority-style question EXCEPT:

• See the unstable patient before the stable patient.
• Apply the ABCs as a prioritization tool.
• These types of questions are about infection control.
• A patient with status asthmaticus should be seen before a patient with a cut that might

become infected.

• These types of questions are about infection control. (Negative Polarity question. This

answer applies to "Room Assignment" questions, not "Who Do You See First)

• multiple choice options

The NCLEX test is a specialized assessment that has questions designed to:

• Give hints that help the candidate select the right choice.
• Determine how much you know about pathophysiology.
• Lower the test-taker's anxiety level.
• Evaluate your judgement, not just your knowledge.
• Evaluate your judgement, not just your knowledge
• multiple choice options

Which would be correct based on the rules in NCLEX World (Select all that apply):

• The nurse calls the laboratory to have them draw a complete blood count for a patient.
• You can assume that the diagnosis is given for all the patients in NCLEX world.
• A patient who is sitting calmly watching TV but reports a pain level of 10 out of 10 should

be given pain medication.

• The RN who is doing a patient intervention remains with her patient even though the nurse

receives a request to take a telephone order from a physician.

• The nurse is asked to take a patient's pulse. The nurse does this by palpating the radial

artery rather than using the blood pressure machine with a heart rate readout.

ACDE A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of138/min and no uterine contractions. The client’s vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4 C (97.6 F). Which of the following is the priority nursing action?

• Initiate IV access.
• Insert an indwelling urinary catheter
• Witness the signature for informed consent for surgery
• Prepare the abdominal and perineal areas
• Initiate IV access. Correct Answer. Step #4 - ABCs - circulation issue. Medical history and

vital signs indicate ruptured ectopic and shock due to hemorrhage. Patient needs urgent fluid replacement.

• multiple choice options

"Who Do You See First" style question. Which phone call will the home health nurse return

FIRST?

• A 45-year-old client reports leg pain after walking 2 blocks to the grocery store.
• A 50-year-old client diagnosed with hypertension reports pain between the shoulder

blades.

• A 60-year-old client diagnosed with rheumatoid arthritis experiences cold hands and feet

during cold weather.

• A 66-year-old client experiences increased pain when coughing after a bilateral hernia

repair

• A 50-year-old client diagnosed with hypertension and reports pain between the shoulder

blades Focus on the "complications" each patient has. Eliminate as you go through each answer. The complication of "pain between the shoulder blades" could be a myocardial infarction which is a new Unstable condition, and NOT EXPECTED for individuals who have chronic high B/P.Also, if using ABCs, this answer is cardiac related and is the highest priority. The other patients have complications that are not a higher priority

• multiple choice options

A nurse is caring for an adolescent who has been diagnosed with a spleen laceration resulting from a skateboard accident. Which nursing diagnosis is the highest priority?

• Risk for injury
• Pain related to shoulder trauma
• Deficient fluid volume.
• Risk for infection

Deficient fluid volume Correct Answer: Step #4 - ABCs. Spleen is highly vascular and can result in serious internal hemorrhage if injured.

• multiple choice options