NCLEX Online Review Set 8

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21. A 65 year old man has been admitted to the hospital for spinal stenosis surgery. When does the discharge training and planning begin for this patient?

A: Following surgery

B: Upon admit

C: Within 48 hours of discharge

D: Preoperative discussion

22. A child is 5 years old and has been recently admitted into the hospital. According to Erickson which of the following stages is the child in?

A: Trust vs. mistrust

B: Initiative vs. guilt

C: Autonomy vs. shame

D: Intimacy vs. isolation

23. A toddler is 16 months old and has been recently admitted into the hospital. According to Erickson which of the following stages is the toddler in?

A: Trust vs. mistrust

B: Initiative vs. guilt

C: Autonomy vs. shame

D: Intimacy vs. isolation

24. A young adult is 20 years old and has been recently admitted into the hospital. According to Erickson which of the following stages is the adult in?

A: Trust vs. mistrust

B: Initiative vs. guilt

C: Autonomy vs. shame

D: Intimacy vs. isolation

25. A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal?

A: 11 year old male – 90 b.p.m, 22 resp/min. , 100/70 mm Hg

B: 13 year old female – 105 b.p.m., 22 resp/min., 105/60 mm Hg

C: 5 year old male- 102 b.p.m, 24 resp/min., 90/65 mm Hg

D: 6 year old female- 100 b.p.m., 26 resp/min., 90/70mm Hg

26. When you are taking a patient’s history, she tells you she has been depressed and is dealing with an anxiety disorder. Which of the following medications would the patient most likely be taking?

A: Elavil

B: Calcitonin

C: Pergolide

D: Verapamil

27. Which of the following conditions would a nurse not administer erythromycin?

A: Campylobacterial infection

B: Legionnaire’s disease

C: Pneumonia

D: Multiple Sclerosis

28. A patient’s chart indicates a history of hyperkalemia. Which of the following would you not expect to see with this patient if this condition were acute?

A: Decreased HR

B: Paresthesias

C: Muscle weakness of the extremities

D: Migranes

29. A patient’s chart indicates a history of ketoacidosis. Which of the following would you not expect to see with this patient if this condition were acute?

A: Vomiting

B: Extreme Thirst

C: Weight gain

D: Acetone breath smell

30. A patient’s chart indicates a history of meningitis. Which of the following would you not expect to see with this patient if this condition were acute?

A: Increased appetite

B: Vomiting

C: Fever

D: Poor tolerance of light


31. A nurse if reviewing a patient’s chart and notices that the patient suffers from conjunctivitis. Which of the following microorganisms is related to this condition?

A: Yersinia pestis

B: Helicobacter pyroli

C: Vibrio cholera

D: Hemophilus aegyptius

32. A nurse if reviewing a patient’s chart and notices that the patient suffers from Lyme disease. Which of the following microorganisms is related to this condition?

A: Borrelia burgdorferi

B: Streptococcus pyrogens

C: Bacilus anthracis

D: Enterococcus faecalis

33. A fragile 87 year-old female has recently been admitted to the hospital with increased confusion and falls over last 2 weeks. She is also noted to have a mild left hemiparesis. Which of the following tests is most likely to be performed?

A: FBC (full blood count)

B: ECG (electrocardiogram)

C: Thyroid function tests

D: CT scan

34. A 84 year-old male has been loosing mobility and gaining weight over the last 2 months. The patient also has the heater running in his house 24 hours a day, even on warm days. Which of the following tests is most likely to be performed?

A: FBC (full blood count)

B: ECG (electrocardiogram)

C: Thyroid function tests

D: CT scan

35. A 20 year-old female attending college is found unconscious in her dorm room. She has a fever and a noticeable rash. She has just been admitted to the hospital. Which of the following tests is most likely to be performed first?

A: Blood sugar check

B: CT scan

C: Blood cultures

D: Arterial blood gases

36. A 28 year old male has been found wandering around in a confused pattern. The male is sweaty and pale. Which of the following tests is most likely to be performed first?

A: Blood sugar check

B: CT scan

C: Blood cultures

D: Arterial blood gases

37. A mother is inquiring about her child’s ability to potty train. Which of the following factors is the most important aspect of toilet training?

A: The age of the child

B: The child ability to understand instruction.

C: The overall mental and physical abilities of the child.

D: Frequent attempts with positive reinforcement.

38. A parent calls the pediatric clinic and is frantic about the bottle of cleaning fluid her child drank 20 minutes. Which of the following is the most important instruction the nurse can give the parent?

A: This too shall pass.

B: Take the child immediately to the ER

C: Contact the Poison Control Center quickly

D: Give the child syrup of ipecac

39. A nurse is administering a shot of Vitamin K to a 30 day-old infant. Which of the following target areas is the most appropriate?

A: Gluteus maximus

B: Gluteus minimus

C: Vastus lateralis

D: Vastus medialis

40. A nurse has just started her rounds delivering medication. A new patient on her rounds is a 4 year-old boy who is non-verbal. This child does not have on any identification. What should the nurse do?

A: Contact the provider

B: Ask the child to write their name on paper.

C: Ask a co-worker about the identification of the child.

D: Ask the father who is in the room the child’s name.


Answer Key 21-40.

21. (B) Discharge education begins upon admit.

22. (B) Initiative vs. guilt- 3-6 years old

23. (A) Trust vs. Mistrust- 12-18 months old

24. (D) Intimacy vs. isolation- 18-35 years old

25. (B) HR and Respirations are slightly increased. BP is down.

26. (A) Elavil is a tricyclic antidepressant.

27. (D) Erythromycin is used to treat conditions A-C.

28. (D) Answer choices A-C were symptoms of acute hyperkalemia.

29. (C) Weight loss would be expected.

30. (A) Loss of appetite would be expected.

31. (D) Choice A is linked to Plague, Choice B is linked to peptic ulcers, Choice C is linked to Cholera.

32. (A) Choice B is linked to Rheumatic fever, Choice C is linked to Anthrax, Choice D is linked to Endocarditis.

33. (D) A CT scan would be performed for further investigation of the hemiparesis.

34. (C) Weight gain and poor temperature tolerance indicate something may be wrong with the thyroid function.

35. (C) Blood cultures would be performed to investigate the fever and rash symptoms.

36. (A) With a history of diabetes, the first response should be to check blood sugar levels.

37. (C) Age is not the greatest factor in potty training. The overall mental and physical abilities of the child is the most important factor.

38. (C) The poison control center will have an exact plan of action for this child.

39. (C) Vastus lateralis is the most appropriate location.

40. (D) In this case you are able to determine the name of the child by the father’s statement. You should not withhold the medication from the child following identification.


 
This Post has 41 Comments Add your own!
laya - March 31, 2008 at 5:09 AM

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希望 - February 2, 2010 at 1:19 AM

勤勉是幸運的右手,節儉是幸運的左手。..................................................

幸運之神 - February 27, 2010 at 5:24 AM

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哭泣 - March 18, 2010 at 1:27 AM

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劉承合 - April 7, 2010 at 6:30 PM

世間是非,要如水泥地般水過則乾。 ..................................................

黃欣幸 - April 17, 2010 at 3:15 AM

一個人最大的敵人常是自己。......................................................

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喜樂的心是健康良藥,憂傷的靈使骨枯乾。........................................

采瑩 - April 30, 2010 at 7:27 PM
士弘YajairaC_Tai0731 - May 5, 2010 at 7:51 PM
瑋玲 - May 10, 2010 at 7:48 PM

向著星球長驅直進的人,反比踟躕在峽路上的人,更容易達到目的。..................................................

韋于倫成 - May 21, 2010 at 11:37 AM

任何你憂慮的事,你都應該去採取一點行動,不要只是在那邊想 ..................................................

韋于倫成 - May 29, 2010 at 1:51 PM

人生的「三部曲」應該是無愧的昨天,充實的今天,與充滿希望的明天。 ....................................................

韋于倫成 - June 4, 2010 at 4:08 AM

Man is not made for defeat. A mean can be destroyed but not defeated...................................................

木儀 - June 7, 2010 at 10:27 PM

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Jero思翰eded - June 11, 2010 at 12:42 AM

你不能決定生命的長度,但你可以控制它的寬度............................................................

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芸茂 - June 18, 2010 at 3:18 AM

想像是什麼並不重要,想像能做什麼才重要......................................................................

劉淑芬 - June 23, 2010 at 6:37 AM
志宏 - June 27, 2010 at 1:11 AM

與人相處不妨多用眼睛說話,多用嘴巴思考,....................................................................

江婷 - June 30, 2010 at 10:49 AM

河水永遠是相同的,可是每一剎那又都是新的。.................................................................

貴寶 - July 4, 2010 at 12:42 AM

當一個人內心能容納兩樣相互衝突的東西,這個人便開始變得有價值了。............................................................

吳婷婷 - July 7, 2010 at 10:56 PM
啟佐啟佐 - July 7, 2010 at 10:56 PM

當一個人內心能容納兩樣相互衝突的東西,這個人便開始變得有價值了。............................................................

許紀廷 - July 10, 2010 at 4:48 AM

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陳倩江陳倩江 - July 19, 2010 at 3:56 PM

第一次來這裡 愛上你的部落格 感謝你的分享.................................................

芳綠 - July 22, 2010 at 12:30 AM

世間唯一永恆的,就是改變..................................................

珮瑜 - July 24, 2010 at 10:47 PM

這麼用心的經營你的文章, 當然值得我們留連拜訪的!..................................................

林美珠林美珠 - July 27, 2010 at 8:10 PM

老天爺賦予了強者的能力,就是要他比弱者多擔待..................................................

楊燕沛楊燕沛 - July 30, 2010 at 8:27 PM

所有的資產,在不被諒解時,都成了負債.................................................................

秀李樺 - August 2, 2010 at 11:25 PM
燕明中延 - August 5, 2010 at 9:17 PM
凱許倫 - August 8, 2010 at 2:50 PM

人必須心懷希望,才會活的快樂,日子才過得充實,有意義,有朝氣,有信心。......................................................

文王廷 - August 10, 2010 at 11:55 PM

這不過是滑一跤,並不是死掉而爬不起來了。..................................................

冠陳儒 - August 13, 2010 at 10:01 AM

困難的不在於新概念,而在於逃避舊有的概念。......................................................................

文滢 - August 15, 2010 at 8:36 AM

傻氣的人喜歡給心 雖然每次都被笑了卻得到了別人的心..................................................................

江趙雲虹趙雲虹仁昆 - August 17, 2010 at 7:42 PM

教育的目的,不在應該思考什麼,而是教吾人怎樣思考......................................................................

Jessie - February 9, 2012 at 3:25 PM

Knowledge is a treasure, but practice is the key to it

Science Bowl

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