Revision Tests Questions

NCLEX PN Mastery Revision Tests Questions and Answers

A nurse prepares to collect a blood specimen from a client. Which client identifiers does the nurse use

before obtaining the sample? - Answer: - The client's date of birth

• The client's full name
• The medical record number

A client with leukemia is admitted for blood transfusions. Which data does the nurse recognize as increasing the client's risk of falls?

• The client reports having stress incontinence
• The client has a history of Parkinson disease.
• The client is prescribed diphenhydramine prior to the transfusion.
• The client uses a cane at home when ambulating.
• The client reports having fallen at home last week. - Answer: - The client has a history of Parkinson

disease.

• The client is prescribed diphenhydramine prior to the transfusion.
• The client reports having fallen at home last week.

A client on the orthopedics floor after a knee replacement is prescribed a patient-controlled analgesia (PCA) pump with morphine. Which data indicates to the nurse that the client is experiencing an adverse response to the prescribed therapy?

Select All That Apply:

The client has a respiratory rate of 8 breaths/min.The client reports nausea and vomiting.The client reports pain of 9/10. 1 / 2

The client has a blood pressure of 140/88 mmHg.The sleeping client is very difficult to arouse. - Answer: - The client has a respiratory rate of 8 breaths/min.

• The sleeping client is very difficult to arouse.

Adverse reactions to opioid medications include respiratory depression and decreased level of consciousness. They suggest that the client has received too much medication. If the respiratory depression is accompanied by a decreased level of consciousness, naloxone may be prescribed. High pain rating and high blood pressure are not associated with morphine PCA. Nausea and vomiting, along with constipation, are side effects of morphine, not adverse reactions.

A facility uses the charting-by-exception method of documentation. When documenting physical data findings, which client finding allows the nurse to select "within defined limits"?Absent bowel sounds in left lower quadrant Apical pulse 72 beats/min. with systolic murmur Lung sounds clear in all fields 2+ bilateral pitting edema to mid-calf - Answer: Lung sounds clear in all fields

A client is prescribed restraints due to serious risk of harming themselves or others. Which items does the nurse include with documentation of the use of the restraints?

• That food, drink, and toileting were offered
• That the client refused the restraints
• That range of motion to the extremities was restrained
• That the client's behavior necessitated restraints
• The type, number, and location of restraints - Answer: - That food, drink, and toileting were offered
• That range of motion to the extremities was restrained
• That the client's behavior necessitated restraints
• The type, number, and location of restraints

A client two days after a hip replacement reports feeling bloated and that it has been two days since having a bowel movement. Which prescribed PRN medication does the nurse administer?

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