NCLEX DEC FILE 2(Questions And Answers)

NCLEX DEC FILE 2(Questions And Answers) 1. Potential Which individual is at greatest risk for developing hypertension? A. 45-year-old African-American attorney 2. A 15-year-old female who ingested 15 tablets of maximum strength acetaminophen 45 minutes ago is rushed to the emergency department. Which of these orders should the nurse do first? A. Gastric lavage 3. Which complication of cardiac catheterization should the nurse monitor for in the initial 24 hours after the procedure? B. Thrombus formation 4. A client is admitted to the emergency room with renal calculi and is complaining of moderate to severe flank pain and nausea. The client’s temperature is 100.8 degrees Fahrenheit. The priority nursing goal for this client is: C.Manage pain 5. What would the nurse expect to see while assessing the growth of children during their school age years? D.Yearly weight gain of about 5.5 pounds per year 6. At a community health fair, the blood pressure of a 62-year-old client is 160/96 mmHg. The client states “My blood pressure is usually much lower.” The nurse should tell the client to: A. Go get a blood pressure check within the next 15 minutes 7. The hospital has sounded the call for a disaster drill on the evening shift. Which of these clients would the nurse put first on the list to be discharged in order to make a room available for a new admission? A. A middle-aged client with a history of being ventilator dependent for over Seven (7) years and admitted with bacterial pneumonia five days ago. 8. A 25-year-old male client has been newly diagnosed with hypothyroidism and will take levothyroxine (Synthroid) 50 mcg/day by mouth. As part of the teaching plan, the nurse emphasizes that this medication: A. Should be taken in the morning 9. A 3-year-old child was brought to the pediatric clinic after the sudden onset of findings that include irritability, thick muffled voice, croaking on inspiration, hot to touch, sit leaning forward, tongue protruding, drooling and suprasternal retractions. What should the nurse do first?