NCLEX archer Exam Questions and Answers Complete

NCLEX archer Exam Questions and Answers Complete List in order how the PPE should be put on - 1st-Gown 2nd-Mask/Respirator 3rd-Goggles 4th-Gloves List in order how the PPE should be removed - 1st-Gloves 2nd-Goggles 3rd-Gown 4th-Mask/Respirator The nurse teaches the family of a patient with end stage renal disease to offer foods high in? a. Fluids b. Protein c. Potassium d. Carbohydrates - d. Carbohydrates A pt has an epidural for the birth of her child. While massaging the fundus, it is found to be firm and located under the right rib cage. To alleviate this problem, the nurse should first: a. Empty the pt's bladder b. Initiate breast feeding the infant c. Give Oxytocic drugs as ordered d. Massage the uterus for another 15 minutes - a. Empty the pt's bladder The nurse is caring for a newborn who is pale and jittery and has a high-pitched cry. The Primary nursing action is to: a. Check the newborn's serum glucose level b. Obtain the newborn's axillary temp c. Review the maternal history for substance abuse d. Determine if the mother was anxious during the birthing process - a. Check the newborn's serum glucose level A pt w/heart failure is receiving digoxin and furosemide. The lab values of the pt include serum digoxin 2.9ng/mL and K+ 3.2mEq/L. Based on these lab results the most appropriate nursing action is to: a. Withhold the next dose of Furosemide b. Administer an addt'l dose of digoxin c. Notify the physician of the lab results d. These results are w/in normal limits and require no action - c. Notify the physician of the lab results A 64-year-old man is admitted to the ER w/complaints of shortness of breath, heartburn, and pain in the left shoulder. After obtaining vital signs, the nurse performs a focused assessment related to the pt's: a. Heart b. Abdomen c. Current stressors d. Recent life changes - a. Heart One nursing intervention in the plan of care for a pt w/paranoid personality disorder is promoting consensual validation of reality. Which nursing action is most appropriate to implement this plan? a. Reinforcing the facts of the situation b. Encouraging verbalization of feelings c. Administering antidepressant medications d. Using humor to challenge patient misperceptions - a. Reinforcing the facts of the situation A 50-yr-old pt has been under extreme job stress for 10 yrs and is diagnosed as having an enlarged heart. The nurse understands which factor in his history is a modifiable risk factor for heart disease? a. He eats beef once a week b. He exercises four times a week c. He has a family history of heart attacks d. He smokes one pack of cigarettes a day - d. He smokes one pack of cigarettes a day Liver involvement is associated with Reye's syndrome. When caring for children with this condition, the nurse takes with special precaution? a. Turning and positioning b. Assessing the level of consciousness c. Administering intramuscular injections d. Monitoring output from the urinary catheter - c. Administering intramuscular injections The nurse anticipates which type of isolation precautions should be taken with a 4-month old infant with diarrhea? a. Strict precautions b. Droplet precautions c. Contact precautions d. Airborne precautions - c. Contact precautions An infant is brought to the ER by EMS with suspected SIDS. The infants' parents have accompanied EMS and are present when the infant is pronounced dead. The most important aspect of compassionate care for the parent is to: a. Explain that the death is not their fault b. Allow the parents to say goodbye to the baby c. Gather data about the events prior to the death d. Encourage the parents to join a support group - b. Allow the parents to say goodbye to the baby A nurse has reinforced teaching w/a client's spouse about how to change the client's colostomy bag. The nurse Best determines that the spouse understands the procedure by: a. Asking if the spouse has any questions b. Asking if the spouse understands what items are needed to perform the procedure c. Having the spouse perform the procedure and observing as the procedure is performed d. Asking if the spouse feels comfortable performing the procedure - c. Having the spouse perform the procedure and observing as the procedure is performed A male patient who had a pacemaker inserted relates to the nurse that he is apprehensive about being discharged because he does not fully understand the pacemaker and what to expect when he gets home. The most therapeutic response by the nurse is: a. "All people who have a pacemaker are concerned at first." b. "Tell me what you don't understand about your pacemaker." c. "Don't worry; I will teach you everything you need to know." d. "I will provide you with written instructions before you leave." - b. "Tell me what you don't understand about your pacemaker." A 10-year-old girl with type one diabetes receives her dinner tray. The child states that she hates broccoli and instead wants corn on the cob. The most therapeutic response by the nurse is: a. "Yes, but only half and Ear is allowed." b. "No vegetable exchanges are permitted." c. "Corn is considered a bread exchange." d. "One vegetable can be exchanged for any other vegetable." - c. "Corn is considered a bread exchange." A women's labor is being augmented with Pitocin IV. Contractions have been 2 to 3 minutes apart, lasting 60 seconds, and moderately firm. When palpating a patient's abdomen, the nurse identify as a firm contraction lasting 2 1/2 minutes. The nurse: a. Turns off the Pitocin IV b. Increases the Pitocin IV c. Encourages the patient to void d. Encourages deep breathing exercises - a.Turns off the Pitocin IV A patient in the cardiac unit of the hospital is diagnosed with heart failure. The patient complains about the food, the room temperature, and the noise on during hours of sleep. These behaviors should cause the nurse to consider what factor? a. Hypokalemia b. Digitalis toxicity c. Decreased cardiac output d. Anxiety related to heart failure - d. Anxiety related to heart failure