MED/SURGvnFinalvnNCLEXvnquestions
AvnstudentvnnursevnisvnpreparingvnbloodvnforvnanvnAvnPositivevnpatientvnwhovnne
edsvntovnreceivevnavnbloodvntransfusion.vnThevnnursevnintervenesvnaftervnwhichv
nstatement?
vn
A.vn"vnSincevnyouvnarevnAvnpositive,vnyouvnarevnconsideredvnavn"universalvnreci
pient",vnthereforevnyouvncanvnreceivevnanyvntypevnofvnblood.
B.vn"AvnpositivevnbloodvntypesvncanvnreceivevnA+,vnA-,vnO+vnandvnO-"
C.vn"Testingvnyourvnbloodvntypevnhelpsvnusvndeterminevnwhatvntypevnofvnbloodvn
youvnneed.vnNotvnallvnbloodvntypesvnarevnthevnsamevnandvncanvncausevnavnreactio
n"
D.vn"Onlyvncertainvnpeoplevnwhovnmeetvnavncertainvncriteriavncanvndonatevnbloo
d,vnbutvnifvnyouvnhavevnanyvntypesvnofvnsymptomsvnduringvntransfusion,vnletvnavn
healthvncarevnstaffvnmembervnknow"vn-vncorrectvnanswer✔ ✔
A.vn"vnSincevnyouvnarevnAvnpositive,vnyouvnarevnconsideredvnavn"universalvnre
cipient",vnthereforevnyouvncanvnreceivevnanyvntypevnofvnblood.
Avnpatientvnhasvnavnfolicvnacidvndeficiency.vnThevnnursevntellsvnthevnpatientvntovn
ordervnfoods
richvninvnFolicvnAcid.vnWhatvnfoodsvnarevnbestvnforvnthevnpatientvntovnlookvnforvn
whenvnordering
food?
A.vnLeafyvnGreenvnVegetables
,B.vnCitrusvnFruits
C.Chicken
D.DriedvnBeans
E.vnHardvnCandyvn-vncorrectvnanswer✔ ✔ A.vnLeafyvnGreenvnVegetables
B.vnCitrusvnFruits
D.vnDriedvnBeans
1.vnAvnpatientvnwhovnwasvnrecentlyvndiagnosedvnwithvnGastroesophagealvnRef
luxvnDiseasevn(GERD)vnwasvnjustvneducatedvnonvnthevnimportancevnofvnnutritio
nvnandvnwhatvnfoodsvntovnavoid.vnWhatvnstatementvnmadevnbyvnthevnpatient,vnind
icatesvnthevnneedvnforvnfurthervnteaching?
a.vn"vnIvnwillvnavoidvnfoodsvnlikevnFrenchvnfriesvnandvncitrusvnjuicesvntovndecreas
evnmyvnchancesvnofvnacidvnrefluxvnandvnheartvnburn"
b.vn"Ivnwillvncontinuevntovndrinkvn2vncupsvnofvncoffeevneachvnmorningvnwhenvnIvn
wakevnup,vntovnmakevnsurevnIvnhavevnenoughvnenergyvnforvnthevnday"
c.vn"vnIvnneedvntovnfindvnanothervndessertvnIvncanvneatvneachvnnightvnbeforevnbed,vn
becausevnthevnchocolatevnicevncreamvnIvneatvneveryvnnightvnwillvnexacerbatevnm
yvnGastroesophagealvnReflux"
d.vn"vnIvnneedvntovndrinkvnmorevnroomvntemperaturevnwatervntovnmakevnsurevnmyv
nbodyvnhasvnhelpvnwhenvnproperlyvndigestingvnmyvnmeals"vn-vncorrectvnanswer
✔ ✔
B.vn"Ivnwillvncontinuevntovndrinkvn2vncupsvnofvncoffeevneachvnmorningvnwhenvn
Ivnwakevnup,vntovnmakevnsurevnIvnhavevnenoughvnenergyvnforvnthevnday"
,Avn76-
yearvnoldvnmanvnwithvnchronicvnanemiavnarrivesvnatvnthevnEmergencyvndepart
mentvnwithvnincreasedvnfatiguevnandvnheartvnpalpitationsvnevenvnatvnrest.vnThevn
nursevnwouldvnexpectvnthevnpatients'vnlaboratoryvntestvnfindingsvntovninclude:vn
(Selectvnallvnthatvnapply)
vn
a.vnHemoglobinvn(Hgb)vnofvn6.8vng/dL
b.vnHematocritvn(Hct)vnvaluevnofvn32%
c.vnAnvnRedvnBloodvnCellvncountvnofvn4,500,000/L
d.vnAvnferritinvnlevelvnofvn8.2vnng/mL
e.vnAvnWhitevnBloodvnCellvncountvnofvn6.5vnxvn109/Lvn-vncorrectvnanswer✔ ✔
A,vnB,vnD
a:vnhemoglobinvn(Hgb)vnofvn6.8vng/dL
b:vnhematocritvn(Hct)vnvaluevnofvn32%
d:vnavnferritinvnlevelvnofvn8.2vnng/mL
Avnstudentvnnursevnisvnexplainingvnthevnriskvnfactorsvnforvnmetabolicvnsyndrom
evnwhichvnstatementvnbyvnthevnstudentvnwouldvnrequirevncorrectionvnfromvnthevn
nurse?vn
A.vnWaistvncircumferencevnofvn41vnforvnavnmale
B.vnBodyvnmassvnindexvnofvn30vnorvnhigher
, C.vnTriglyceridesvnlevelvnofvn130
D.vnBloodvnGlucosevnofvn168vn-vncorrectvnanswer✔ ✔
C.vnTriglyceridesvnlevelvnofvn130
Avn68vnyear-
oldvnmalevnsufferingvnfromvnchronicvndiarrheavnisvnfoundvntovnhavevnavnserumvn
phosphatevnlevelvnofvn0.9vnmg/dL.vnAftervnreviewingvnthisvnlabvnvaluevnthevnnu
rsevncanvnexpectvnthevnpatientvntovnexhibitvnwhichvnofvnthevnfollowingvnsympto
ms?vn(Selectvnallvnthatvnapply)
A.vnConfusion
B.vnNumbness/tinglingvninvnextremities
C.vnMusclevnweakness
D.vnCardiacvndysrhythmias
E.vnDryvnmucousvnmembranesvn-vncorrectvnanswer✔ ✔ A.vnConfusion
C.vnMusclevnweakness
D.vnCardiacvndysrhythmias
Thevnphysicianvnordersvnanvnarterialvnbloodvngasvnwhovnisvnhyperventilating.vn
Thevnnursevncanvnanticipatevnthatvnthevnbloodvngasvnresultsvnwillvnmostvnlikelyvn
revealvnthatvnthevnpatientvnisvnin:
A.vnMetabolicvnalkalosis
AvnstudentvnnursevnisvnpreparingvnbloodvnforvnanvnAvnPositivevnpatientvnwhovnne
edsvntovnreceivevnavnbloodvntransfusion.vnThevnnursevnintervenesvnaftervnwhichv
nstatement?
vn
A.vn"vnSincevnyouvnarevnAvnpositive,vnyouvnarevnconsideredvnavn"universalvnreci
pient",vnthereforevnyouvncanvnreceivevnanyvntypevnofvnblood.
B.vn"AvnpositivevnbloodvntypesvncanvnreceivevnA+,vnA-,vnO+vnandvnO-"
C.vn"Testingvnyourvnbloodvntypevnhelpsvnusvndeterminevnwhatvntypevnofvnbloodvn
youvnneed.vnNotvnallvnbloodvntypesvnarevnthevnsamevnandvncanvncausevnavnreactio
n"
D.vn"Onlyvncertainvnpeoplevnwhovnmeetvnavncertainvncriteriavncanvndonatevnbloo
d,vnbutvnifvnyouvnhavevnanyvntypesvnofvnsymptomsvnduringvntransfusion,vnletvnavn
healthvncarevnstaffvnmembervnknow"vn-vncorrectvnanswer✔ ✔
A.vn"vnSincevnyouvnarevnAvnpositive,vnyouvnarevnconsideredvnavn"universalvnre
cipient",vnthereforevnyouvncanvnreceivevnanyvntypevnofvnblood.
Avnpatientvnhasvnavnfolicvnacidvndeficiency.vnThevnnursevntellsvnthevnpatientvntovn
ordervnfoods
richvninvnFolicvnAcid.vnWhatvnfoodsvnarevnbestvnforvnthevnpatientvntovnlookvnforvn
whenvnordering
food?
A.vnLeafyvnGreenvnVegetables
,B.vnCitrusvnFruits
C.Chicken
D.DriedvnBeans
E.vnHardvnCandyvn-vncorrectvnanswer✔ ✔ A.vnLeafyvnGreenvnVegetables
B.vnCitrusvnFruits
D.vnDriedvnBeans
1.vnAvnpatientvnwhovnwasvnrecentlyvndiagnosedvnwithvnGastroesophagealvnRef
luxvnDiseasevn(GERD)vnwasvnjustvneducatedvnonvnthevnimportancevnofvnnutritio
nvnandvnwhatvnfoodsvntovnavoid.vnWhatvnstatementvnmadevnbyvnthevnpatient,vnind
icatesvnthevnneedvnforvnfurthervnteaching?
a.vn"vnIvnwillvnavoidvnfoodsvnlikevnFrenchvnfriesvnandvncitrusvnjuicesvntovndecreas
evnmyvnchancesvnofvnacidvnrefluxvnandvnheartvnburn"
b.vn"Ivnwillvncontinuevntovndrinkvn2vncupsvnofvncoffeevneachvnmorningvnwhenvnIvn
wakevnup,vntovnmakevnsurevnIvnhavevnenoughvnenergyvnforvnthevnday"
c.vn"vnIvnneedvntovnfindvnanothervndessertvnIvncanvneatvneachvnnightvnbeforevnbed,vn
becausevnthevnchocolatevnicevncreamvnIvneatvneveryvnnightvnwillvnexacerbatevnm
yvnGastroesophagealvnReflux"
d.vn"vnIvnneedvntovndrinkvnmorevnroomvntemperaturevnwatervntovnmakevnsurevnmyv
nbodyvnhasvnhelpvnwhenvnproperlyvndigestingvnmyvnmeals"vn-vncorrectvnanswer
✔ ✔
B.vn"Ivnwillvncontinuevntovndrinkvn2vncupsvnofvncoffeevneachvnmorningvnwhenvn
Ivnwakevnup,vntovnmakevnsurevnIvnhavevnenoughvnenergyvnforvnthevnday"
,Avn76-
yearvnoldvnmanvnwithvnchronicvnanemiavnarrivesvnatvnthevnEmergencyvndepart
mentvnwithvnincreasedvnfatiguevnandvnheartvnpalpitationsvnevenvnatvnrest.vnThevn
nursevnwouldvnexpectvnthevnpatients'vnlaboratoryvntestvnfindingsvntovninclude:vn
(Selectvnallvnthatvnapply)
vn
a.vnHemoglobinvn(Hgb)vnofvn6.8vng/dL
b.vnHematocritvn(Hct)vnvaluevnofvn32%
c.vnAnvnRedvnBloodvnCellvncountvnofvn4,500,000/L
d.vnAvnferritinvnlevelvnofvn8.2vnng/mL
e.vnAvnWhitevnBloodvnCellvncountvnofvn6.5vnxvn109/Lvn-vncorrectvnanswer✔ ✔
A,vnB,vnD
a:vnhemoglobinvn(Hgb)vnofvn6.8vng/dL
b:vnhematocritvn(Hct)vnvaluevnofvn32%
d:vnavnferritinvnlevelvnofvn8.2vnng/mL
Avnstudentvnnursevnisvnexplainingvnthevnriskvnfactorsvnforvnmetabolicvnsyndrom
evnwhichvnstatementvnbyvnthevnstudentvnwouldvnrequirevncorrectionvnfromvnthevn
nurse?vn
A.vnWaistvncircumferencevnofvn41vnforvnavnmale
B.vnBodyvnmassvnindexvnofvn30vnorvnhigher
, C.vnTriglyceridesvnlevelvnofvn130
D.vnBloodvnGlucosevnofvn168vn-vncorrectvnanswer✔ ✔
C.vnTriglyceridesvnlevelvnofvn130
Avn68vnyear-
oldvnmalevnsufferingvnfromvnchronicvndiarrheavnisvnfoundvntovnhavevnavnserumvn
phosphatevnlevelvnofvn0.9vnmg/dL.vnAftervnreviewingvnthisvnlabvnvaluevnthevnnu
rsevncanvnexpectvnthevnpatientvntovnexhibitvnwhichvnofvnthevnfollowingvnsympto
ms?vn(Selectvnallvnthatvnapply)
A.vnConfusion
B.vnNumbness/tinglingvninvnextremities
C.vnMusclevnweakness
D.vnCardiacvndysrhythmias
E.vnDryvnmucousvnmembranesvn-vncorrectvnanswer✔ ✔ A.vnConfusion
C.vnMusclevnweakness
D.vnCardiacvndysrhythmias
Thevnphysicianvnordersvnanvnarterialvnbloodvngasvnwhovnisvnhyperventilating.vn
Thevnnursevncanvnanticipatevnthatvnthevnbloodvngasvnresultsvnwillvnmostvnlikelyvn
revealvnthatvnthevnpatientvnisvnin:
A.vnMetabolicvnalkalosis
