Past Nclex Questions 8

Past Nclex Questions 8 1.176.The nurse is preparing the postoperative nursing care plan for the client recovering from a hemorrhoidectomy. Which intervention should the nurse implement?A.Establish a rapport with the client to decrease embarrassment of assessing site.B.Encourage the client to lie in the lithotomy position twice a day.C.Milk the tube inserted during surgery to allow the passage of flatus.D.Digitally dilate the rectal sphincter to express old blood.

2.177.The client has recently been diagnosed with irritable bowel syndrome (IBS). Which intervention should the nurse teach the client to reduce symptoms?A.Instruct the client to avoid drinking fluids with meals.B.Explain the need to decrease intake of flatus-forming foods.C.Teach the client how to perform gentle perianal care.D.Encourage the client to see a psychologist.

3.178.The client is admitted into the emergency department complaining of acute epigastric pain and reports vomiting a large amount of bright-red blood at home. Which interventions should the nurse implement? List in order of priority.A.Assess the client’s vital signs.B.Insert a nasogastric tube.C.Begin iced saline lavage.D.Start an IV with an 18-gauge needle.

E.Type and crossmatch for a blood transfusion.

F.Ans (priority order): 1,4, 5, 2, and 3

4.179.The nurse is teaching a community class to people with Type

• diabetes mellitus. Which explanation would explain the

development of Type 2 diabetes?A.The islet cells in the pancreas stop producing insulin.B.The client eats too many foods that are high in sugar.C.The pituitary gland does not produce vasopressin.D.The cells become resistant to the circulating insulin.

5.180.The nurse is teaching the client diagnosed with Type 2 diabetes mellitus about diet. Which diet selection indicates the client understands the teaching?A.A submarine sandwich, potato chips, and diet cola.B.Four (4) slices of a supreme thin-crust pizza and milk.C.Smoked turkey sandwich, celery sticks, and unsweetened tea.D.A roast beef sandwich, fried onion rings, and a cola.

6.181.Which laboratory data indicate the client’s pancreatitis is improving?A.The amylase and lipase serum levels are decreased.B.The white blood cell count (WBC. is decreased.C.The conjugated and unconjugated bilirubin levels are decreased.D.The blood urea nitrogen (BUN) serum level is decreased.

7.182.The client diagnosed with acute pancreatitis has developed a pseudocyst that ruptures. Which procedure should the nurse anticipate the HCP ordering?A.Paracentesis.B.Chest tube insertion C.Lumbar puncture.D.Biopsy of the pancreas.

8.183.Which signs/symptoms would the nurse expect to find in the client diagnosed with an insulinoma?A.Nervousness, jitteriness, and diaphoresis.B.Flushed skin, dry mouth, and tented skin turgor.C.Polyuria, polydipsia, and polyphagia.D.Hypertension, tachycardia, and feeling hot.

9.184.Which risk factor would the nurse expect to find in the client diagnosed with pancreatic cancer?A.Chewing tobacco.B.Low-fat diet.C.Chronic alcoholism.D.Exposure to industrial chemicals.

10.185.The nurse is aware that epinephrine and norepinephrine are secreted by which endocrine gland?A.The pancreas.B.The adrenal cortex.C.The adrenal medulla.D.The anterior pituitary gland.

11.186.Which question should the nurse ask when assessing the client for an endocrine dysfunction?A.“Have you noticed any pain in your legs when walking?” B.Have you had any unexplained weight loss?” C.“Have you noticed any change in your bowel movements?” D.“Have you experienced any joint pain or discomfort?” 12.187.Which nursing instruction should the nurse discuss with the client who is receiving glucocorticoids for Addison’s disease?A.Discuss the importance of tapering medications when discontinuing medication.B.Explain that the dose will need to be decreased during times of stress or infection.C.Instruct the client to take medication on an empty stomach with a glass of water.D.Encourage the client to wear a Medic Alert bracelet and carry a card in the wallet.

13.188.The client with chronic alcoholism has chronic pancreatitis and hypomagnesemia. What should the nurse assess when administering magnesium sulfate to the client?A.Deep tendon reflexes.B.Arterial blood gases.C.Skin turgor.D.Capillary refill time.

14.189.Which endocrine disorder would the nurse assess for in the client who has a closed head injury with increased intracranial pressure?