RNPedia PNLE NP3 Test 1 Questions
With Complete Solutions
1. Nurse Michelle should know that the drainage is normal 4 days after a
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sigmoid colostomy when the stool is:
| | | | | |
A. Green liquid
| |
B. Solid formed
| |
C. Loose, bloody
| |
D. Semi formed - CORRECT ANSWER✔✔-Answer: (C) Loose, bloody.
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Normal bowel function and soft-formed stool usually do not occur until
| | | | | | | | | | |
around the seventh day following surgery. The stool consistency is
| | | | | | | | | |
related to how much water is being absorbed.
| | | | | | |
2. Where would nurse Kristine place the call light for a male client with a
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right-sided brain attack and left homonymous hemianopsia?
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A. On the client's right side
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B. On the client's left side
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C. Directly in front of the client
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,D. Where the client like - CORRECT ANSWER✔✔-Answer: (A) On the
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client's right side. | | |
The client has left visual field blindness. The client will see only from the
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right side.
| |
3. A male client is admitted to the emergency department following an
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accident. What are the first nursing actions of the nurse?
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A. Check respiration, circulation, neurological response.
| | | | |
B. Align the spine, check pupils, and check for hemorrhage.
| | | | | | | | |
C. Check respirations, stabilize spine, and check circulation.
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D. Assess level of consciousness and circulation. - CORRECT
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ANSWER✔✔-Answer: (C) Check respirations, stabilize spine, and check | | | | | | | |
circulation. |
Checking the airway would be priority, and a neck injury should be
| | | | | | | | | | | |
suspected.
4. In evaluating the effect of nitroglycerin, Nurse Arthur should know
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that it reduces preload and relieves angina by:
| | | | | | |
A. Increasing contractility and slowing heart rate.
| | | | | |
B. Increasing AV conduction and heart rate.
| | | | | |
C. Decreasing contractility and oxygen consumption.
| | | | |
,D. Decreasing venous return through vasodilation. - CORRECT
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ANSWER✔✔-Answer: (D) Decreasing venous return through | | | | | |
vasodilation.
The significant effect of nitroglycerin is vasodilation and decreased
| | | | | | | | |
venous return, so the heart does not have to work hard.
| | | | | | | | | |
5. Nurse Patricia finds a female client who is post-myocardial infarction
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(MI) slumped on the side rails of the bed and unresponsive to shaking or
| | | | | | | | | | | | |
shouting. Which is the nurse next action?
| | | | | | |
A. Call for help and note the time.
| | | | | | |
B. Clear the airway
| | |
C. Give two sharp thumps to the precordium and check the pulse.
| | | | | | | | | | |
D. Administer two quick blows. - CORRECT ANSWER✔✔-Answer: (A) Call
| | | | | | | | |
for help and note the time.
| | | | | | |
Having established, by stimulating the client, that the client is
| | | | | | | | | |
unconscious rather than sleep, the nurse should immediately call for| | | | | | | | | |
help. This may be done by dialing the operator from the client's phone
| | | | | | | | | | | | |
and giving the hospital code for cardiac arrest and the client's room
| | | | | | | | | | | |
number to the operator, of if the phone is not available, by pulling the
| | | | | | | | | | | | | |
emergency call button. Noting the time is important baseline| | | | | | | | |
information for cardiac arrest procedure. | | | |
6. Nurse Monett is caring for a client recovering from gastro-intestinal
| | | | | | | | | | |
bleeding. The nurse should: | | |
, A. Plan care so the client can receive 8 hours of uninterrupted sleep
| | | | | | | | | | | | |
each night.
|
B. Monitor vital signs every 2 hours.
| | | | | |
C. Make sure that the client takes food and medications at prescribed
| | | | | | | | | | | |
intervals.
D. Provide milk every 2 to 3 hours. - CORRECT ANSWER✔✔-Answer: (C)
| | | | | | | | | | | |
Make sure that the client takes food and medications at prescribed
| | | | | | | | | | |
intervals. |
Food and drug therapy will prevent the accumulation of hydrochloric
| | | | | | | | | |
acid, or will neutralize and buffer the acid that does accumulate.
| | | | | | | | | |
7. A male client was on warfarin (Coumadin) before admission, and has
| | | | | | | | | | | |
been receiving heparin I.V. for 2 days. The partial thromboplastin time
| | | | | | | | | | |
(PTT) is 68 seconds. What should Nurse Carla do?
| | | | | | | |
A. Stop the I.V. infusion of heparin and notify the physician.
| | | | | | | | | |
B. Continue treatment as ordered.
| | | |
C. Expect the warfarin to increase the PTT.
| | | | | | |
D. Increase the dosage, because the level is lower than normal. -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-Answer: (B) Continue treatment as ordered.
| | | | | | |
The effects of heparin are monitored by the PTT is normally 30 to 45
| | | | | | | | | | | | | |
seconds; the therapeutic level is 1.5 to 2 times the normal level.
| | | | | | | | | | |
With Complete Solutions
1. Nurse Michelle should know that the drainage is normal 4 days after a
| | | | | | | | | | | | |
sigmoid colostomy when the stool is:
| | | | | |
A. Green liquid
| |
B. Solid formed
| |
C. Loose, bloody
| |
D. Semi formed - CORRECT ANSWER✔✔-Answer: (C) Loose, bloody.
| | | | | | | | |
Normal bowel function and soft-formed stool usually do not occur until
| | | | | | | | | | |
around the seventh day following surgery. The stool consistency is
| | | | | | | | | |
related to how much water is being absorbed.
| | | | | | |
2. Where would nurse Kristine place the call light for a male client with a
| | | | | | | | | | | | | |
right-sided brain attack and left homonymous hemianopsia?
| | | | | | |
A. On the client's right side
| | | | |
B. On the client's left side
| | | | |
C. Directly in front of the client
| | | | | |
,D. Where the client like - CORRECT ANSWER✔✔-Answer: (A) On the
| | | | | | | | | | |
client's right side. | | |
The client has left visual field blindness. The client will see only from the
| | | | | | | | | | | | |
right side.
| |
3. A male client is admitted to the emergency department following an
| | | | | | | | | | | |
accident. What are the first nursing actions of the nurse?
| | | | | | | | |
A. Check respiration, circulation, neurological response.
| | | | |
B. Align the spine, check pupils, and check for hemorrhage.
| | | | | | | | |
C. Check respirations, stabilize spine, and check circulation.
| | | | | | |
D. Assess level of consciousness and circulation. - CORRECT
| | | | | | | | |
ANSWER✔✔-Answer: (C) Check respirations, stabilize spine, and check | | | | | | | |
circulation. |
Checking the airway would be priority, and a neck injury should be
| | | | | | | | | | | |
suspected.
4. In evaluating the effect of nitroglycerin, Nurse Arthur should know
| | | | | | | | | | |
that it reduces preload and relieves angina by:
| | | | | | |
A. Increasing contractility and slowing heart rate.
| | | | | |
B. Increasing AV conduction and heart rate.
| | | | | |
C. Decreasing contractility and oxygen consumption.
| | | | |
,D. Decreasing venous return through vasodilation. - CORRECT
| | | | | | | |
ANSWER✔✔-Answer: (D) Decreasing venous return through | | | | | |
vasodilation.
The significant effect of nitroglycerin is vasodilation and decreased
| | | | | | | | |
venous return, so the heart does not have to work hard.
| | | | | | | | | |
5. Nurse Patricia finds a female client who is post-myocardial infarction
| | | | | | | | | | |
(MI) slumped on the side rails of the bed and unresponsive to shaking or
| | | | | | | | | | | | |
shouting. Which is the nurse next action?
| | | | | | |
A. Call for help and note the time.
| | | | | | |
B. Clear the airway
| | |
C. Give two sharp thumps to the precordium and check the pulse.
| | | | | | | | | | |
D. Administer two quick blows. - CORRECT ANSWER✔✔-Answer: (A) Call
| | | | | | | | |
for help and note the time.
| | | | | | |
Having established, by stimulating the client, that the client is
| | | | | | | | | |
unconscious rather than sleep, the nurse should immediately call for| | | | | | | | | |
help. This may be done by dialing the operator from the client's phone
| | | | | | | | | | | | |
and giving the hospital code for cardiac arrest and the client's room
| | | | | | | | | | | |
number to the operator, of if the phone is not available, by pulling the
| | | | | | | | | | | | | |
emergency call button. Noting the time is important baseline| | | | | | | | |
information for cardiac arrest procedure. | | | |
6. Nurse Monett is caring for a client recovering from gastro-intestinal
| | | | | | | | | | |
bleeding. The nurse should: | | |
, A. Plan care so the client can receive 8 hours of uninterrupted sleep
| | | | | | | | | | | | |
each night.
|
B. Monitor vital signs every 2 hours.
| | | | | |
C. Make sure that the client takes food and medications at prescribed
| | | | | | | | | | | |
intervals.
D. Provide milk every 2 to 3 hours. - CORRECT ANSWER✔✔-Answer: (C)
| | | | | | | | | | | |
Make sure that the client takes food and medications at prescribed
| | | | | | | | | | |
intervals. |
Food and drug therapy will prevent the accumulation of hydrochloric
| | | | | | | | | |
acid, or will neutralize and buffer the acid that does accumulate.
| | | | | | | | | |
7. A male client was on warfarin (Coumadin) before admission, and has
| | | | | | | | | | | |
been receiving heparin I.V. for 2 days. The partial thromboplastin time
| | | | | | | | | | |
(PTT) is 68 seconds. What should Nurse Carla do?
| | | | | | | |
A. Stop the I.V. infusion of heparin and notify the physician.
| | | | | | | | | |
B. Continue treatment as ordered.
| | | |
C. Expect the warfarin to increase the PTT.
| | | | | | |
D. Increase the dosage, because the level is lower than normal. -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-Answer: (B) Continue treatment as ordered.
| | | | | | |
The effects of heparin are monitored by the PTT is normally 30 to 45
| | | | | | | | | | | | | |
seconds; the therapeutic level is 1.5 to 2 times the normal level.
| | | | | | | | | | |
