Self Assessment NCLEX Pre-Test

Self Assessment NCLEX Pre-Test Leave the first rating Students also studied Terms in this set (43) Save 75 Free NCLEX Questions - c/o Brilli...75 terms carey47Preview CCMA Practice Exam #1 questions 150 terms Megan_bre25Preview medical assistant prefix/suffix 80 terms shanoliravioli Preview CCMA Teacher Chr You are providing care to a client with the following ABG results: pH 7.32, CO2 39, HCO3 29, PO2 80, SaO2 90%: Based on the results the patient is experiencing

• metabolic acidosis
• respiratory acidosis
• metabolic alkalosis
• respiratory alkalosis
• respiratory acidosis

You are providing care to client with metabolic alkalosis.Which ABG result are consistent with the imbalance?

• pH 7.31, CO2 32, HCO3 19
• pH 7.28, CO2 54, HCO3 27
• pH 7.50, CO2 29, HCO3 30
• pH 7.49, CO2 32, HCO3 21
• pH 7.50, CO2 29, HCO3 30

You are caring for a client with metabolic acidosis. You would assess for which s/s of this imbalance __ lethragy __ tachycardia __ anorexia __ seizure activity __ hyporeflexia __ hyperkalemia __ agitiation lethragy, anorexia, hyporeflexia, hyperkalemia

You are caring for a client with respiratory alkalosis.Consistent with this diagnosis, you observe what symptoms __ palpitation __ tremors __ cardiac arrest __ daytime sleepiness __ anxiety/panic __ tetany palpitations, tremors, anxiety/panic, tetany An 8 year old child arrives in the ED with the following

assessments: RR 44, O2 98 on room air, end expiratory

wheezes, vesicular sounds throughout periphery. You anticipate which of the following acid base imbalances?

• Metabolic acidosis
• Respiratory acidosis
• Metabolic alkalosis
• Respiratory alkalosis
• Respiratory alkalosis

An 8 year old child arrives in the ED with the following

assessments: RR of 44, O2 sat 79% on 8L per mas, no

wheezes heard, breath sounds absent. . You anticipate which of the following acid base imbalances?

• Metabolic acidosis
• Respiratory acidosis
• Metabolic alkalosis
• Respiratory alkalosis
• Respiratory acidosis

You are caring for a client who is overzealously using her breathing techniques during labor. . You anticipate which of the following acid base imbalances?

• Metabolic acidosis
• Respiratory acidosis
• Metabolic alkalosis
• Respiratory alkalosis
• Respiratory Alkalosis

Your client is experiencing hyperemesis gravidarium without dehydration. . You anticipate which of the following acid base imbalances?

• Metabolic acidosis
• Respiratory acidosis
• Metabolic alkalosis
• Respiratory alkalosis
• Metabolic alkalosis

Your client is in acute renal failure. You anticipate which of the following acid base imbalances?

• Metabolic acidosis
• Respiratory acidosis
• Metabolic alkalosis
• Respiratory alkalosis
• Metabolic acidosis

You are caring for an 18 month old girl with diarrheal disorder. You anticipate which of the following acid base imbalances?

• Metabolic acidosis
• Respiratory acidosis
• Metabolic alkalosis
• Respiratory alkalosis
• Metabolic acidosis

Your 0600 ABG for a patient on a ventilator displays respiratory acidosis. The physician indicates to you he wishes to extubate the client today. What do you do?

• Begin the weaning process
• Increase the client's O2 and tidal volume while weaning

the patient

• Question the order and discuss the ABG's with the

physician

• Call the RT to see what they think
• Question the order and discuss the ABG's with the physician

You receive the 0700 ABG report that indicates your

client on a ventilator has respiratory alkalosis. You would:

• Have the lab draw a repeat ABG
• Call the MD to discuss increasing the tidal volume and

rate

• Discuss decreasing the tidal volume and rate with the

MD

• Continue ventilating at current settings
• Discuss decreasing the tidal volume and rate with the MD

A client is admitted with acute cocaine intoxication.Which of the following signs and symptoms do you expect?__ constricted pupils __ agitation __ tremors __ belligerence __ tachycardia __ constipation __ flacidity __ clonus agitation, tremors, belligerence, tachycardia, clonus A spouse abusing client states, "I am not a spouse abuser.We just have a very physical relationship". Your response

to this is:

• Tell me more about how you see the situation
• You say you're not a spouse abuser, but your wife has a

restraining order against you

• You just need to admit that you have a problem
• You won't get any better if don't accept responsibility

for bad behavior

• You say you're not a spouse abuser, but your wife has a restraining order

against you

The paramedic calls you, a nurse in the ER, to give report on a client suspected to be experiencing heroin withdrawal. Which of the following pieces of equipment do you prepare prior to arrival of the patient?

• tracheostomy set
• ET tube and ventilator
• Ambu bag
• Suction machine
• Suction machine

You are caring for a neonate born to a Quaalude addicted mother 36 hours ago. You would expect which of the following __ shrill, high pitched cry __ exaggerated startle reflex __ low core body temp __ significant respiratory depression __ difficult to console shrill, high pitched cry exaggerated startle reflex difficult to console You are precepting a nursing student in L&D. You are currently caring for a neonate born to a methamphetamine addicted mother. The baby's 5 minute APGAR score is 9. You are preparing to transport the baby to the NICU. The student asks you why a baby with

a good APGAR score is going to the NICU. You respond:

• The baby is critically ill and has the potential to seize
• This baby is severely depressed and may stop

breathing

• The baby is critically ill and has the potential to seize

You are caring for a client who had chest tubes inserted to treat pneymohemothorax. You notice all of the following. Which will you report to the MD?

• Apical chest tube is bubbling intermittently
• The basilar chest tube has trained 800ccs in the past 8

hours

• The apical chest tube has no drainage all shift
• The basilar chest tube is bubbling continuously out of

the water seal chamber

• The basilar chest tube is bubbling continuously out of the water seal chamber

A schizophrenic patient overhears nurses and doctors speaking and laughing at the nurses' station and says

"Listen! I hear demon voices" This is an example of a/an:

• Auditory hallucination
• Illusion
• Persecutory delusion
• Idea of reference
• Illusion