NCLEX Examination
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1. What complication should the nurse be alert for in a diabetic patient who has been placed in skeletal traction after a motor vehicle accident ?
A. Osteoarthritis
B. Osteomyelitis
C. Osteoporosis
D. Osteosarcoma
2. When caring for a client in hemorrhagic shock, how should the nurse position the client?
A. Flat in bed with legs elevated
B. Flat in bed
C. Trendelenburg position
D. Semi-sitting
3.There is blood on the floor. How should the nurse clean up the spill?
A. Wipe up the spill and then clean the area with alcohol.
B. Use a 1:9 solution of chlorine bleach to clean the spill.
C. Wipe up the spill and clean the area with water.
D. Use an iodine solution to clean up the spill.
4. The physician has ordered mannitol IV for a client with a head injury with moderate TBI (trumatic brain injury) . What should the nurse closely monitor because the client is receiving mannitol?
A. Deep tendon reflexes
B. Urine output
C. Level of orientation
D. Pulse rate
6. Dr.Haile diagnosis a 66-year-old client with a marked dyspnea at rest, and uses accessory muscles to breathe. He is tachypneic, with a prolonged expiratory phase. He has no cough. He leans forward with his arms braced on his knees to support his chest and shoulders for breathing. This patient has signs and symptoms of which respiratory disorder?
A. ARDS
B. Asthma
C. Emphysema
D. Chronic obstructive bronchitis
7.The nurse is caring for a patient at risk for atelectasis. The nurse implements a first-line measure to
prevent atelectasis development in the patient. What is an example of a first-line measure to minimize
atelectasis?
A. Incentive spirometry
B. Intermittent positive-pressure
breathing (IPPB)
C. Positive end-expiratory pressure (PEEP)
D. Bronchoscopy.
8 .A nurse is planning the care of an older adult patient with osteomalacia. What action should the nurse
recommend in order to promote vitamin D synthesis?
A)
Ensuring adequate exposure to sunlight
B)
Eating a low-purine diet
C)
Performing cardiovascular exercise while avoiding weight-bearing exercises
D)
Taking thyroid supplements as ordered
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