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NURSIG NCLEX Prep 1
- A patient who is diagnosed with Parkinson's Disease states "I can't tie myshoelaces
anymore." The healthcare provider recognizes that this patients problem is due to a
deficiency of which neurotransmitter?:
Answer Dopamine
- A female patient complains of abdominal discomfort.Watery Stool has beenleaking from
her rectum.This could be a sign of...:
Answer Fecal Impaction
- A healthcare provider prepares to administer a corticosteroid to a patientwith a
diagnosis of asthma. What is the rationale for administering this drugto this patient?:
Answer Decrease airway swelling
- A patient with ulcerative colitis is admitted to the medical unit. When assesingbthe
patient, which of these findings would be of the most concern?
A.) Rebound Tenderness B.) Bloody Diarrhea C.) Oral Temperature of 99 degrees F
D.) Borborygmi:
Answer Rebound Tenderness
- A patient with a diagnosis of lung cancer is recieving chemotherapy and reports nausea
and loss of appetite resulting in decreased food intake. Whatshould the healthcare provider
recommend to promote adequate nutrition? Advise the patient to...:
Answer Eat small meals throughout the day
- A healthcare provider is caring for a patient who has septic shock. What should the
provider administer to the patient first?:
Answer IV fluids to increase intravascular volume
- During the assessment of a patient experiencing acute hemorrhage, thehealthcare
provider would most likely expect to find...:
Answer Tachycardia
- During an arteriogram (angiogram), the patient suddenly says, "I'm feelingreally hot."?
What is the best response?:
Answer The feeling of warmth is normal whenthe die is injected
- When caring for a patient with a cardiac dysrhythmia, what laboratory valueis a priority
for the healthcare provider to monitor?:
Answer Sodium, Potassium, and calcium
- What assessment findings should the healthcare provider expect to identify as an
early clinical characteristic of multiple sclerosis?:
Answer Vision Loss
- A healthcare provider is caring for a patient on a ventilator with an endo- tracheal
tube in place.What assessment data indicates the tube has migratedtoo far down the
trachea?:
Answer Decreased breath sounds on left side of chest
- When evaluating the arterial blood gases of a patient with a 20 year historyof chronic
bronchitis, what would the healthcare provider expect?:
Answer Respiratoryacidosis, compensated
- An unresponsive patient with diabetes is brought to the emergency department with
slow, deep respirations. Additional findings include: Blood Glucose450 mg/dl, arterial pH 7.2 and urinalysis showing presence of ketones and glucose. Which of the following statements best describes the underlying cause of this patients presentation?
A.) Hypoglycemia causes release of glucagon resulting in glycogen lysis andhyperglycemia.B.) Nocturnal elevation of growth hormone results in hyperglycemia in themorning.C.) Hyperglycemia causes oxidative stress, renal dysfunction, and acidosis.D.) Lack of insulin causes increased counter-regulatory hormones and ketonerelease.:
Answer D.
- When a drug's effect is increased after a second drug is given, this inter-action is
called...:
Answer Potentiation
- A patient presents to the ER with a BP of 180/130 mmHg, headache, andconfusion.
What additional finding would be consistent with a diagnosis ofhypertensive emergency?:
Answer Retinopathy
- Before administering 2 units of whole blood, what type of intravenous (IV)device
should be used?:
Answer A large bore catheter (to allow blood cells to pass easilyinto the patient.)
- A patient with chronic Hepatitis C is scheduled for a liver biopsy. Beforethe
procedure, the nurse checks the most recent lab results. Which of the following laboratory tests does NOT assess coagulation?
A.) Platelet Count B.) Prothrombin time C.) Partial thromboplastin time
D.) Hematocrit:
Answer D.
- When assessing a patient diagnosed with osteoarthritis (OA), the health-care provider
looks for what characteristic of this condition?:
Answer Joint Crepitus
- The safest method of changing a patients tracheotomy ties is to...
A.) Apply the new ties before removing the old ones.B.) Never attempt to change ties alone.C.) Change ties as soon as possible after the patient has eaten.
D.) Ask the Dr. to suture the tracheostomy in place:
Answer A.
- The healthcare provider is seeing four patients at the neighborhood clinic.Which of
these patients should the healthcare provider identify to be most atrisk for iron defeciency enemia?
A.) the obese patient with a history of gastric bypass surgery B.) The woman of childbearing age reporting a craving for ice C.) The patient who follows a strict vegan diet
D.) The patient who is diagnosed with chronic renal failure:
Answer B.
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