Patho Final NCLEX questions

Patho Final NCLEX questions ScienceMedicineNursing meganneibert Save Fluid and Electrolytes NCLEX Quest...33 terms Alex_Hassiepen Preview Pathophysiology Exam 1 Practice Pr...Teacher 89 terms anaufPreview Illinois CNA state exam questions 161 terms roshni_ghayal5 Preview Pathop Teacher aly A medical record indicates that a client has a positive Philadelphia chromosome. The nurse plans care considering the needs of the client with which disorder?

• Acute myeloid leukemia - AML
• Hairy cell leukemia
• Chronic myeloid leukemia - CML
• Chronic lymphocytic leukemia - CLL

c For the client diagnosed with iron deficiency anemia, the nurse should recommend an increasedintake of which of the following foods?

• Fresh fruits
• Milk and cheese
• Organ meats
• Whole grain breads

c A client with anemia has a low hemoglobin level.The client is experiencing symptoms of cerebral tissue hypoxia. Which nursing intervention would be the mostimportant in providing care?

• Provide rest periods throughout the day.
• Institute energy conservation techniques.
• Assist in ambulation to the bathroom.
• Check temperature of water prior to bathing.

c

The nurse is reviewing the lab results of a client diagnosed with multiple myeloma. Which would the nurse expect to note specifically in this disorder?

• Increased calcium level
• Normal white blood cell count
• Decreased blood urea nitrogen level
• Decreased number of plasma cells in the bone marrow

a The nurse is developing a plan of care for the client with multiple myeloma and includes which priority intervention in the plan?

• Encouraging fluids
• Providing frequent oral care
• Coughing and deep breathing
• Monitoring the red blood cell count

a A client is admitted in the hospital with a suspected diagnosis of Hodgkin's' disease. Which assessment finding would the nurse expect to note specifically in the client?

• Fatigue
• Weakness
• Weight gain
• Enlarged lymph nodes

d A client is diagnosed with multiple myeloma and the client asks the nurse about the diagnosis. The nurse bases the response on which description of this disorder?

• Altered red blood cell production
• Altered production of lymph nodes
• Malignant exacerbation in the number of leukocytes
• Malignant proliferation of plasma cells within the bone.

d A client develops an anaphylactic reaction after receiving morphine sulfate. The nurse should plan to institute which actions? Select all that apply.

• Administer O2
• Quickly assess the patient's respiratory status
• Document the event, interventions, patient response
• Leave the patient briefly to contact the PCP
• Keep the patient supine regardless of the BP reading
• Start an IV of D5W and give a 500 mL bolus

a,b,c

The nurse is assisting in planning care for a client with a diagnosis of immunodeficiency and should incorporate which action as a priority to the plan?

• Protect the client from infection
• Provide emotional support to decrease fear
• Encourage discussion about lifestyle changes
• Identify factors that decreased the immune function

a A client calls the nurse in the ED and states that he was just stung by a bumblebee. The client is afraid of a severe reaction. Which nursing action should the nurse take?

• Advise the client to soak the site in hydrogen peroxide.
• Ask the client if he ever sustained a bee sting in the past
• Tell the client to call an ambulance for transport to the ED
• Tell the client not to worry about the sting unless difficulty with breathing occurs.

b The nurse would immediately assess for which symptom in a client suspected of having an anaphylactic reaction?a.Elevated blood pressure of 180/94

• Decreased apical pulse rate of 56

c.Onset of lung crackles

• Onset of stridor or wheezing

d The public health nurse considers that which of the following individuals is at increased risk of being infected with the HIV virus?a.Police officer who works the streets and responds to emergencies

• Sexually active teenager
• School nurse who examines children
• Nurse working on a telemetry unit

b Which interventions apply in the care of a client at high risk for an allergic response to a latex allergy?a.Use nonlatex gloves b.Use medications from glass ampules c.Place the patient in a private room d.Avoid the use of med vials that have rubber stoppers e.Use a blood pressure cuff from an electronic device only to measure the blood pressure a,b,d Although all of the following nursing diagnoses are important when planning care for the patient with osteoporosis, which is most significant in terms of long-term disability?

• Chronic pain
• Risk for falls
• Activity intolerance
• Acute pain

b

You are preparing a teaching plan for a woman with osteo-arthritis. Which group of medications should you prepare to discuss?

• Opioids
• Antibiotics
• Hormones
• NSAIDS

d You are monitoring the laboratory reports for a patient with an acute attack of gout. Which of the following measurements would you expect to be increased?

• Hematocrit
• Uric acid
• Alkaline phosphatase
• Creatinine

b You are assessing a woman who has come to an orthopedic clinic complaining of knee pain. Which of the following assessments you made would indicate an increased risk for osteoarthritis?

• Being overweight by 30 pounds
• Having a history of falls
• Eating a diet high in calcium
• Walking 30 minutes each day

a When comparing osteoarthritis and rheumatoid arthritis, what assessment finding would be different in the patient with rheumatoid arthritis?

• Health history includes weight loss and fever
• Abnormal joint findings are limited to the hands
• Stiffness is relieved by activity
• Heberden's nodes are located on the finger joints

a The nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease. Which finding would the nurse expect to note on assessment of this client? Select all that apply.

• Hypocapnia
• A hyperinflated chest noted on the chest x-ray.
• Decreased oxygen saturation with mild exercise
• Pulmonary function tests that demonstrate increased vital capacity

b, c The emergency department nurse is assessing a client who has sustained a blunt injury to the chest wall. Which finding would indicate the presence of a pneumothorax in this client?

• A low inspiratory rate
• Diminished breath sounds
• The presence of a barrel chest
• A sucking sound at the site of injury

b