NCLEX EXAM QUESTIONS AND ANSWERS-NEW

NCLEX DEC FILE 1 1. How to prevent a renal calculi? limit tea and chocolate 2. If a patient is in F-vib what medication to give? Adenosine 3. A nurse is caring for a patient and is unable to palpate a pedal pulse. What should the nurse do next? Obtain a doppler 4. A client with a history of COPD has established a walking program. How do we know that walking is effective? Cardiovascular improvement 5. A client complains of pain in the right calf. What is the nurse's priority? Remain in bed 6. A client just returned after having a TURP and has clot. What should the nurse do? slowly irrigate 7. What's Priority for a client with Multiple Scerolosis and has urinary rention? Self cathetherization 8. The nurse is monitoring drainainge of an abscess. What lab should the nurse monitor? WBCs 9. What intervetion the nurse shoudl implement for a patient with Congestive Heart Failure? Use bedside commode when needing to void 10.What intervention should be done for post op cataract extraction? implement deep breathing 11. A client is discharged on Prednisolone. What should the patient report? Wt gain 12. A client is diagnosed with Pyelinephritis. What is priority? IV antibiotics 13. What is a diet for Osteomalacia? Milk and cereal 14. What should the nurse instruct a client who has Raynuads Syndrome to do at work? Use space heater 15. What to teach a client with GERD? Wear loose clothing 16. How should a client with COPD breath? Pursed lips 17. A client presents with the s/s of Diabetes type 2 and feeling shaky. What is the nurse priority? Obtain glucose level 18. What should the HCP order for a client with Hypothyroidism who has depression and can not sleep? Request PRN... 19. What should a client with Ulcerative Colitis report? Stool with fatty streaks 20.A nurse is monitoring a client who is receiving parenteral nutrition (PN). Which of the following signs and symptoms causes the nurse to suspect that the client is experiencing hyperglycemia as a complication? a. Nausea, thirst, and increased urine output . 21. At 1600 the nurse checks a client’s parenteral nutrition (PN) infusion bag and finds 1100 mL remaining in the 3000-mL bag. The solution is running at a rate of 100 mL/hr. The bag was hung the previous day at 1800. The nurse plans to change the infusion bag and tubing this evening at: a) 1800 . 23. A nurse answers a call bell and finds that the parenteral nutrition (PN) solution bag of an assigned client is empty. The new prescription was written for a new bag at the beginning of the shift, but it has not yet arrived from the pharmacy. Which of the following actions should the nurse take first? a) Hanging a solution of 10% dextrose in water . 24.A young female client with schizophrenia says to the nurse, “Since I started on Zyprexa [olanzapine] last year, I’m doing well in school and all, but I’ve gained so much weight, and it’s really bothering me. What can I do about this?” Which response by the nurse would be therapeutic? a) “Weight gain can be a side effect of the medication, so you need to watch your diet and exercise. How much weight have you gained?” . 25.A client with schizophrenia has been taking an antipsychotic medication for 2 months. For which adverse effect should the nurse monitor the client closely? a) Akathisia . 26.A client with schizophrenia who has been taking an antipsychotic medication calls the clinic nurse and says, “I need to cancel my appointment with the psychiatrist again, because I still have this awful sore throat. It’s so bad that my mouth has a sore.” How does the nurse respond to the client? a) “I think you need to come in for blood work today, because this may be a side effect of your medicine.” . 27.A client rings the call bell and complains of pain at the site of an IV infusion. The nurse assesses the site and determines that phlebitis has developed. Which of the following actions should the nurse take? Select all that apply. a) Removing the IV catheter at that site . b) Applying warm, moist compresses to the IV site . c) Notifying the healthcare provider about the finding . 28. A physician’s prescription reads, “Clindamycin phosphate (Cleocin Phosphate) 0.3 g in 50 mL NS, to be administered IV over 30 minutes.” The medication label reads, “Clindamycin phosphate (Cleocin Phosphate) 150 mg/mL.” How many milliliters of medication does the nurse prepare to ensure that the . dose is administered? In. . Responses: "2" 29.A physician’s prescription reads, “Phenytoin (Dilantin) 0.1 g by mouth twice daily.” The medication label indicates that the bottle contains 100-mg capsules. How many capsules does the nurse prepare for administration of one dose? In. . Responses: "1" 30.A nurse is preparing a plan of care for a client with renal colic who is receiving meperidine hydrochloride (Demerol) for pain. Which side effects does the nurse make a note of needing to be alert to in the plan of care? Select all that apply. a) Hypotension . b) Constipation . c) Urine retention . 31.A nurse is preparing a plan of care for a client with a diagnosis of cancer who is receiving morphine sulfate for pain. Which of the following actions does the nurse identify as a priority in the plan of care for this client? a) Monitoring the client’s respiratory rate . 32.A client who has been taking lisinopril (Prinivil) complains to the nurse of a persistent dry cough. The nurse tells the client that: a) This is a side effect of therapy . 34.A client has been given a prescription to begin using nitroglycerin transdermal patches for the management of angina pectoris. The nurse tells the client to: Place the patch in the area of a skin fold to promote adherence a) Apply the patch at the same time each day and leave it in place for 12 to 16 hours as directed . 35.A client with newly diagnosed angina pectoris has taken 2 sublingual nitroglycerin tablets for chest pain. The chest pain is relieved, but the client complains of a headache. The nurse tells the client that: a) This is an expected side effect of the nitroglycerin, and the client can relieve it by taking acetaminophen (Tylenol) . 36. A nurse is developing a plan of care for a client, hospitalized with heart failure, who has a history of Parkinson disease and is taking benztropine mesylate (Cogentin) daily. Which intervention does the nurse identify as a priority in the plan? a) Monitoring intake and output . 37.A nurse is providing instructions to a client regarding quinapril hydrochloride (Accupril). The nurse teaches the client: a) To rise slowly from a lying to a sitting position . 38. 7. A female client with rheumatoid arthritis take ibuprofen (Motrin) 600 mg PO 4 times a day. To prevent gastrointestinal bleeding, misoprostol (Cytotec) 100 mcg PO is prescribed. Which information is most important for the nurse to include in client teaching? A) Use contraception during intercourse. 39. In evaluating the effects of lactulose (Cephulac), which outcome should indicate that the drug is performing as intended? B) Two or three soft stools per day. 40. The healthcare provider prescribes naproxen (Naproxen) twice daily for a client with osteoarthritis of the hands. The client tells the nurse that the drug does not seem to be effective after three weeks. Which is the best response for the nurse to provide? C) Another type of nonsteroidal antiinflammatory drug may be indicated. 41. Which instruction(s) should the nurse give to a female client who just received a prescription for oral metronidazole (Flagyl) for treatment of trichomonas vaginalis? (Select all that apply.) A) Increase fluid intake, especially cranberry juice. D) Avoid drinking alcohol while taking this medication. E) Use condoms until treatment is completed. F) Ensure that all sexual partners are treated at the same time. 42. A client receiving albuterol (Proventil) tablets complains of nausea every evening with her 9 p.m. dose. What action should the nurse take to alleviate this side effect? C) Administer the dose with a snack. 43. A client receiving Doxorubicin (Adriamycin) intravenously (IV) complains of pain at the insertion site, and the nurse notes edema at the site. Which intervention is most important for the nurse to implement? D) Discontinue the IV fluids. 44. A client with congestive heart failure (CHF) is being discharged with a new prescription for the angiotensin-converting enzyme (ACE) inhibitor captopril (Capoten). The nurse's discharge instruction should include reporting which problem to the healthcare provider? B) Dizziness. 45. The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II receptor blocker (ARB), for a client with hypertension and heart failure. The nurse reviews the client's laboratory results and notes that the client's serum potassium level is 5.9 mEq/L. What action should the nurse take first? A) Withhold the scheduled dose. 46. ) A client with rheumatoid arthritis is taking acetylsalicylic acid (aspirin) on a daily basis. Which medication dose should the nurse expect the client to be taking? 2. 4 g daily 47.) A nurse is caring for a client with gout who is taking Colcrys (colchicine). The client has been instructed to restrict the diet to low-purine foods. Which of the following foods should the nurse instruct the client to avoid while taking this medication? 2. Scallops 48.) A health care provider prescribes auranofin (Ridaura) for a client with rheumatoid arthritis. Which of the following would indicate to the nurse that the client is experiencing toxicity related to the medication? 4. Complaints of a metallic taste in the mouth 49.) A film-coated form of diflunisal has been prescribed for a client for the treatment of chronic rheumatoid arthritis. The client calls the clinic nurse because of difficulty swallowing the tablets. Which initial instruction should the nurse provide to the client? 4. "Swallow the tablets with large amounts of water or milk." 50.) A health care provider instructs a client with rheumatoid arthritisto take ibuprofen (Motrin). The nurse reinforces the instructions, knowing that the normal adult dose for this client is which of the following? 3. 400 mg orally three times a day 51.) A adult client with muscle spasms is taking an oral maintenance dose of baclofen (Lioresal). The nurse reviews the medication record, expecting that which dose should be prescribed? 1. 15 mg four times a day 52.) A nurse is reviewing the health care provider's prescriptions for an adult client who has been admitted to the hospital following a back injury. Carisoprodol (Soma) is prescribed for the client to relieve the muscle spasms; the health care provider has prescribed 350 mg to be administered four times a day. When preparing to give this medication, the nurse determines that this dosage is: 1. The normal adult dosage 53.) A nurse has administered a dose of diazepam (Valium) to a client. The nurse would take which important action before leaving the client's room? 4. Per agency policy, putting up the side rails on the bed 54.) A client with a psychotic disorder is being treated with haloperidol (Haldol). Which of the following would indicate the presence of a toxic effect of this medication? 4. Excessive salivation 55.) Neuroleptic malignant syndrome is suspected in a client who is taking chlorpromazine. Which medication would the nurse prepare in anticipation of being prescribed to treat this adverse effect related to the use of chlorpromazine? 2. Bromocriptine (Parlodel) Rationale: 56.) A nursing student is assigned to care for a client with a diagnosis of schizophrenia. Haloperidol (Haldol) is prescribed for the client, and the nursing instructor asks the student to describe the action of the medication. Which statement by the nursing student indicates an understanding of the action of this medication? 4. It blocksthe binding of dopamine to the postsynaptic dopamine receptors in the brain. 57.) A client receiving lithium carbonate (Lithobid) complains of loose, watery stools and difficulty walking. The nurse would expect the serum lithium level to be which of the following? 4. 1.7 mEq/L 58.) When teaching a client who is being started on imipramine hydrochloride (Tofranil), the nurse would inform the client that the desired effects of the medication may: 2. Not occur for 2 to 3 weeks of administration 59.) A client receiving an anxiolytic medication complains that he feels very "faint" when he tries to get out of bed in the morning. The nurse recognizes this complaint as a symptom of: 2. Postural hypotension 60. 68. An adult client has prescriptions for morphine sulfate 2.5 mg IV q6h and ketorolac Toradol 30 mg IV q6h. Which action should the nurse implement? Administer both medications according to the prescription 61. Which assessment best determines the effectiveness of Sumatriptan (triptans are used for treatment of Migraines so… Termination of the migraine 62. Pt with schizophrenia is prescribed chlorpromazine (Thorazine – first generation antipsychotic) oral concentrate The medication may cause excessive salivation and no direct skin contact (both – not a good question) 63. Which best assessment best determines the pt is developing tardive dyskinesia Twisting, writhing, worm-like movements of tongue 64. Pt with depression is prIscribed Fluoxitine (Prozac) “It may take 3-4 weeks before my mood is elevated” 65. Pt is on Marplan (MAOIs – have the most food interactions) for depression Bananas, smoked fish, and cheese 66. Pt on Lithium Polydypsia (increased thirst), slurred speech, and fine hand tremors 67.Pt is prescribed Lunesta for insomnia Anterograde amnesia (memory loss of events right before taking drug) 68. A 24 yr female gets Triazolam (Halcion) for insomnia at home (remember to use the process of elimination) “The medication will not alter my breathing” 69. A pt is prescribed Venlafaxine and the pt asks what the purpose of medication is, you should state Depression and anxiety 70. . A client who was prescribed atorvastatin Lipitor one month ago calls the triage nurse at the clinic complaining of muscle pain and weakness in his legs. Which statement reflects the . drug-specific teaching the nurse should provide to this client? Make an appointment to see the healthcare provider, because muscle pain may be an indication of a serious side effect 71. A client who has been taking levodopa PO TID to control the symptoms of Parkinson's disease has a new prescription for sustained release levodopa/carbidopa Sinemet 25/100 PO BID. The client took his levodopa at 0800. Which instruction should the nurse include in the teaching plan for this client? You can begin taking the Sinemet this evening, but do not take any more levodopa 72. A client is receiving methylprednisolone Solu-Medrol 40 mg IV daily. The nurse anticipates an increase in which laboratory value as the result of this medication? Serum glucose 73. A client with hyperlipidemia receives a prescription for niacin Niaspan. Which client teaching is most important for the nurse to provide? Expected duration of flushing 74. When assessing an adolescent who recently overdosed on acetaminophen Tylenol, it is most important for the nurse to assess for pain in which area of the body? Abdomen 75. The nurse is preparing the 0900 dose of losartan Cozaar, an angiotensin II receptor blocker ARB, for a client with hypertension and heart failure. The nurse reviews the client's laboratory results and notes that the client's serum potassium level is 5.9 mEq/L. What action should the nurse take first? Withhold the scheduled dose 76. A nurse is caring for a client who reports recent amphetamine use. Which of the following manifestations should the nurse expect? Answer: Paranoia 77. A nurse is caring for a client who has a depressive disorder and declines electroconvulsive therapy (ECT) despite the provider’srecommendation. Which of the following ethical principles is the nurse demonstrating by supporting the client’s decision? Answer: Autonomy 78. A nurse isreinforcing teaching with an adolescent client who has a history of aggressive behavior. Which of the following statements should the nurse make? Answer: Have you considered participating in a sport to help control your aggression 79. A nurse on an inpatient mental health unit is supervising a group of clients in the unit’s dayroom. The nurse failsto respond to the escalating, aggressive behavior of a client eventually becomes violent and injures another client. For which of the following isthe nurse liable? Answer: Negligence 80. A nurse is reviewing the medical record of a client who has schizophrenia. For which of the following findingsshould the nurse withhold the client’s medications and notify the provider? Answer: WBC count 81. A nurse on a mental health unit is caring for four clients who have schizophrenia. Which of the following clients should the nurse see first? Answer: The client who is experiencing command hallucinations 82. A nurse isreinforcing teaching about stress management techniques with a client who has mild anxiety. Which of the following statements should the nurse make? Answer: You should listen to music when you feel stress 83. A nurse is caring for a client who is undergoing outpatient electroconvulsive therapy (ECT) to treat rapid-cycling bipolar disorder. Following the procedure, which of the following action should the nurse take? Answer: Administer oxygen to the client 84. A nurse is caring for a client who has psychiatric symptom disorder. Which of the following actions should the nurse take? Answer: Encourage the client to examine how hisillness behavior affects hisfamily 85. A nurse is caring for a client who recently lost his child in a motor-vehicle crash. The client is expressing feelings of hopelessness. Which of the following questions is the most important for the nurse to ask? Answer: Have you had any thoughts of harming yourself 86. A nurse is caring for a client who has dementia. Which of the following actions should the nurse take? Answer: Stand in front of the client when speaking 87. A nurse is collecting data from a client who is experiencing oxycodone toxicity. Which of the following medications should the nurse anticipate the provider to prescribe? Answer: Naloxone 88. A nurse is assisting with the admission of a client who has an eating disorder. During data collection, which of the following findingsshould the nurse identify as manifestations of bulimia nervosa? Answer: -Tooth erosion -Hand calluses -Hypokalemia 89.. nurse is collecting data from a client who is experiencing opioid withdrawal. Which of the following manifestations should the nurse expect? Answer: Pupillary dilation 90. A nurse is assisting with the planning of an interdisciplinary care conference for a newly admitted client who is in the acute stage of anorexia nervosa. Which of the following members of the interdisciplinary treatment team should the nurse includes? Answer: Dietitian 91. A nurse is assisting with discharge planning for a client who needs a day treatment center ad has limited community and financial support. Which of the following referrals should the nurse recommend for inclusion in the client’s discharge plan? Answer: Social worker 92. A nurse is speaking with a client who is expressing an intense disapproval of the current social worker. When the social worker approaches the nurse and client a few momentslater,the client cheerfully states, “Now,here is my favorite social worker!” The nurse should identify the client is using which of the following defense mechanisms? Answer: Reaction formation 93. A nurse on an inpatient unit is collecting data from a group of clients. Which of the following findings should the nurse report to the provider? Answer: A client who has borderline personality disorder and is pacing restlessly 94. A nurse is reinforcing teaching about expected withdrawal manifestations with a client who has enrolled in a smoking cessation course. Which of the following client statement indicates an understanding of the information? Answer: I will probably feel irritable within 24 hours of my last cigarette 95. A nurse is preparing to administer clozapine for the first time to a client who has schizophrenia. The nurse explainsthe therapeutic and adverse effects of the medication to the client prior to administration. Which of the following ethical concepts isthe nurse demonstrating? Answer: Veracity 96. A nurse is attempting to establish a therapeutic relationship with a newly admitted client. Which of the following actions should the nurse plan to take during the working phase of the nurse-client relationship? Answer: Promote The development of problem-solving skills 97. A nurse is collecting data from a client who has major depressive disorder. Which of the following findings is the priority for the nurse to report to the provider? Answer: Feeling of hopelessness 98. A nurse on a mental health unit is prioritizing care for a group of clients. Which of the following actions should the nurse take first? Answer: Administer haloperidol to a client who has schizophrenia and is yelling at other clients. 99.A nurse on a mental health unit is assisting with the plan of care for a newly admitted client who has anorexia nervosa. Which of the following actions should the nurse include in the plan of care? Answer: Offer liquid supplements to the client 100. A nurse in a mental health facility is caring for a client who has schizophrenia. The client becomes violent in the dayroom and beginsthrowing objects at staff and other clients. After calling for assistance. Which of the following actions should the nurse take next? Answer: Tell the client calmly to sit down 101. A nurse caring for a group of clients on a mental health unit. Which of the following client behaviors should the nurse reports to the charge nurse? Answer: A client who is manic has been pacing the unit for several hours 102. A nurse is collecting data from a client who istaking valproic acid for the treatment of bipolar disorder. The nurse should identify that which of the following findings is priority to report to the provider? Answer: Bleeding gums 103. A nurse is attempting to resolve an ethical dilemma that involves a client’s medical decisions and his own personal values. After collecting data and identifying the problem, which of the following actions should the nurse take next? Answer: Determine the benefits and consequences of respecting the client’s medical Decisions 104. A nurse is reinforcing teaching about thought stopping with a client who has a phobia of riding in automobiles. Which of the following client statements indicates an understanding of the instructions? Answer: I will snap a rubber band on my wrist when I feel anxious about riding in a car 105. A nurse is assisting the charge nurse with the preparation for an in-service about negligence for a group of newly licensed nurses. Which of the following scenarios should the charge nurse use as an example to identify negligence? Answer: A nurse does not notify the provider of a change in condition for a client who has schizophrenia 106. A nurse in a provider’s office is collecting data from an older adult client whose adult child reports that she “seems confused and can’t seem to remember much.”Which of the following findings should lead the nurse to suspect delirium? Answer: The client’s level of consciousness changes during the interview 107. A nurse is caring for a client who gave birth to a stillborn fetus one week ago. She statesto the nurse,”I am so angry that my doctor didn’t take better care of me and my baby.” Which of the following responses should the nurse make? Answer: It is important to share what you are feeling, even if it is anger 108. A nurse is contributing to the plan of care for a client who has borderline personality disorder and exhibits manipulative behaviors. Which of the following interventions should the nurse include in the plan to address limit setting? Answer: Establish and explain consequences for the client’s behavior 109. A nurse is caring for an adult client who has visible injuries as a result of intimate partner violence. Which of the following actions should the nurse take? Answer: Encourage the client to develop a safety plan 110. A nurse in an urgent care clinic is collecting data from a client whose friend reports a suspicion of cocaine use. The nurse should identify that which of the following manifestations is an indicator of the client’s use of this substance? Answer: Hypertension 111. A nurse in a mental health facility is caring for a client who has dementia. The client’s agitation is increasing. Which of the following actions should the nurse take first? Answer: Offer diversionary activities 112. A nurse is caring for a client who has bipolar disorder. The client suddenly appears agitated and begins pacing at the end of the hallway with clenched fists. Which of the following actions should the nurse take first? Answer: Determine the client’sintentions 113. A nurse isreinforcing discharge teaching with a client who has a new prescription for alprazolam. Which of the following instructions is the priority for the nurse to include? Answer: Do not drive until your reaction to the medication is determined 114. A nurse is caring for a client who is 2 days postoperative following a hip arthroplasty. When a news report about military action comes on the television, the client says to the nurse, “My youngest child died 6 months ago while serving in the military.” Which of the following responses should the nurse make? Answer: -This must be very difficult time for you -Your child’s death must be a terrible loss -Tell me something you remember about your child 115. A nurse is contributing to the plan of care for a client who has bipolar disorder and is exhibiting mania, Which of the following interventions should the nurse include to improve the nutritional status of the client? Answer: Have the client’sfavorite snacks available at all times. 116. A nurse is collecting data from a client who has paranoid personality disorder. Which of the following manifestations should the nurse expect? Answer: Projects blame onto others 117. A nurse on and inpatient unit is assisting with a group therapy session. During the session, a client begins to shout using aggressive language. Which of the following statements should the nurse make to the client? Answer: When you raise your voice, it makes me feel uncomfortable and unsafe.” 118. A nurse is caring for a client who has schizophrenia. Which of the following actions by the nurse is a violation of the client’s confidentiality? Answer: The nurse places the client’s diagnosis on the white board in the client’s room 119. A nurse in a mental health facility is collecting data from a client who has schizophrenia. The nurse should identify that which of the following findingsisreferred to as a negative symptom of schizophrenia? Answer: Apathy 120. A nurse in a long-term care center is caring for an adult client who has Alzheimer’s disease and whose partner died several years ago. The client appears upset and aslsthe nurse when his partner will visit again. The nurse states,”It seems like you are feeling lonely. Let’s take a walk outside and talk.’ Which of the following communication strategies is the nurse using? Answer: Validation therapy 121. A nurse is reinforcing teaching with a client who has schizophrenia and a new prescription for chlorpromazine. Which of the following statementsshould the nurse include in the teaching? Answer:” The voices you have been hearing should decrease.” 122. A nurse isreinforcing teaching with a client who has generalized anxiety disorder and is to start therapy with buspirone. Which of the following statementsshould the nurse identify as an indication that the client understands the information? Answer: “I should expect some improvement of my symptoms in about 10 days 123. A nurse is caring for a client who has major depressive disorder(MDD). The client states.”I have nothing to live for anymore. I just can’t go on.” Which of the following responses should the nurse make? Answer: Are you thinking about ending your life 124. A nurse at an outpatient mental health clinic is assisting with a group therapy session. One of the participants is having difficulty staying seated and states loudly to the therapist.”I know more than you do about the people in this room!” The nurse should identify that which of the following findings is the likely explanation for the client’s behavior? Answer: Hypomania 125. A nurse is assisting with a mental status examination for a client who has schizophrenia. Which of the following statementsshould the nurse make to gather information about the client’s ability to think abstractly? Answer: How is an orange similar to an apple 126.When medications have an additive, synergistic, or antagonistic effect on a tissue, a reaction has occurred. B. pharmacodynamic 127.Local anesthetics block the conduction of pain impulses to the spinal cord. Their duration of action: B. is determined by the rate of diffusion and absorption at the site of administration. 128. Which of the following clients should refrain from therapy with the thiazide diuretic hydrochlorothiazide (HCTZ)? C. a client with diabetes mellitus, type II 129. Delegation of tasks to appropriate personnel allows the nurse to: B. keep other members of the team productive. 130. A 50 milliliter (ml) bolus of normal saline fluid is ordered by the physician. The physician wants it to infuse in 30 minutes. The nurse should set the pump rate at: A. 100 ml per hour for one hour. 132. Carrying a donor card for organ donation means that: C. a client is allowed to revoke his decision for organ donation at any time. 133. Referral for client education in the community can be accomplished through all of the following except: D. unlicensed massage therapists. 134.The tendency of a drug to combine with its receptor is called: D. affinity. 135. Social support systems include of the following except: D. use of coping skills and verbalization for anger management. Answer: D 136.In an emergency situation, the nurse determines whether a client has an airway obstruction. Which of the following does the nurse assess? A. ability to speak 137.In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except: C. bleeding problems. 138. In an obstetrical emergency, which of the following actions should the nurse perform first after the baby delivers? C. Suction the baby’s mouth and nose. 139.The drug of choice to decrease uric acid levels is: B. allopurinol (Zyloprim). 140. A corporate executive works 6080 hours a week. The client is experiencing some physical signs of stress. The nurse teaches the client biofeedback techniques. This is an example of which of the following health-promotion interventions? B. relaxation technique 141. A client begins a regimen of chemotherapy. Her platelet counts falls to 98,000. Which action is least likely to increase the risk of hemorrhage? C. Implement reverse isolation. 142.High uric acid levels can develop in clients who are receiving chemotherapy. This can be caused by: B. rapid cell catabolism. 143.Which isolation procedure will be followed for secretions and blood? B. Standard Precautions 144. Which of the following neurological disorders is characterized by writhing, twisting movements of the face and limbs? D. Huntington’s chorea Answer: D 145. Ashley and her boyfriend Chris, both 19 years old, are transported to the Emergency Department after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent injuries, though she appears confused and has trouble focusing on what is going on around her. She complains of dizziness and nausea. Her pulse is rapid, and she is hyperventilating. The nurse should assess Ashley’s level of anxiety as: C. severe. 146.Which of the following nursing diagnoses might be appropriate as Parkinson’s disease progresses and complications develop? A. Impaired Physical Mobility 147. A young boy is recently diagnosed with a seizure disorder. Which of the following statements by the boy’s mother indicates a need for further teaching by the nurse? C. "I should lay him on his back during a seizure." 148. Which of the following nursing actions is most effective when evaluating a kinetic family drawing? D. noting the omission of any family members 149.All of the following factors, when identified in the history of a family, are correlated with poverty except: D. low incidence of dental problems. 150. A client is having a seizure; his blood oxygen saturation drops from 92% to 82%. What should the nurse do first? A. Open the airway. 151. A 2 1/2 year-old child is admitted to the hospital unit. Which of the following toys would be appropriate for the nurse to select from the toy room for this child? B) Large wooden puzzle 152. A nurse is doing preconceptual counseling with a woman who is planning a pregnancy. Which of the following statements suggests that the client understands the connection between alcohol consumption and fetal alcohol syndrome? C) "If I drink, my baby may be harmed before I know I am pregnant." 153. Post-procedure nursing interventions for electroconvulsive therapy include C) Remaining with client until oriented 154.The nurse is caring for a client with an unstable spinal cord injury at the T7 level. Which of the following interventions should take PRIORITY in planning care? B) Place client on a pressure reducing support surface 155. Which type of accidental poisoning would the nurse expect to occur in children under age six? A) Oral ingestion