NCLEX-RN EXAM 8th EDITION BOOK 3.8
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
TheLnurseLisLcaringLforLaLclientLwithLheartLfailure.LOnLassessment,LtheLnurseLnotesLthatLtheLclientLisLdyspnei
c,LandLcracklesLareLaudibleLonLauscultation.LWhatLadditionalLmanifestationsLwouldLtheLnurseLexpectLtoLnot
eLinLthisLclientLifLexcessLfluidLvolumeLisLpresent?
1.LweightLlossLandLdryLskin
2.LflatLneckLandLhandLveinsLandLdecreasedLurinaryLoutput
3.LanLincreaseLinLtheLbloodLpressureLandLincreasedLrespirations
4.LweaknessLandLdecreasedLcentralLvenousLpressureL(CVP)L-LANSWERL
TheLnurseLreviewsLaLclients'LrecordLandLdeterminesLthatLtheLclientLisLatLriskLforLdevelopingLaLpotassiumLdefi
citLifLwhichLsituationLisLdocumented?
1.LsustainedLtissueLdamage
2.LrequiresLnasogastricLsuction
3.LhasLaLhistoryLofLAddison'sLdisease
4.LuricLacidLlevelLofL9.4Lmg/dLL(557Lmcmol/L)L-LANSWERL
TheLnurseLreviewsLaLclient'sLelectrolyteLlaboratoryLreportLandLnotesLthatLtheLpotassiumLlevelLisL2.5LmEq/LL(
2.5mmol/L).LWhichLpatternsLshouldLtheLnurseLwatchLforLonLtheLelectrocardiogramL(ECG)LasLaLresultLofLtheLl
aboratoryLvalue?LSelectLallLthatLapply.
1.LULwaves
2.LabsentLPLwaves
3.LinvertedLTLwaves
4.LdepressedLSTLsegment
5.LwidenedLQRSLcomplexL-LANSWERL
, PotassiumLchlorideLintravenouslyLisLprescribedLforLaLclientLwithLheartLfailureLexperiencingLhypokalemia.LW
hichLactionsLshouldLtheLnurseLtakeLtoLplanLforLpreparationLandLadministrationLofLtheLpotassium?LSelectLallLt
hatLapply.
1.LobtainLanLintravenousL(IV)LinfusionLpump
2.LmonitorLurineLoutputLduringLadministration
3.LprepareLtheLmedicationLforLbolusLadministration
4.LmonitorLtheLIVLsiteLforLsignsLofLinfiltrationLorLphlebitis
5.LensureLthatLtheLmedicationLisLdilutedLinLtheLappropriateLvolumeLofLfluid
6.LensureLthatLtheLbagLisLlabeledLsoLthatLitLreadsLtheLvolumeLofLpotassiumLinLtheLsolutionL-LANSWERL
TheLnurseLisLassessingLaLclientLwithLaLlactoseLintoleranceLdisorderLforLaLsuspectedLdiagnosisLofLhypocalcemi
a.LWhichLclinicalLmanifestationLwouldLtheLnurseLexpectLtoLnoteLinLtheLclient?
1.Ltwitching
2.LhypoactiveLbowelLsounds
3.LnegativeLTrousseau'sLsign
4.LhypoactiveLdeepLtendonLreflexesL-LANSWERL
TheLnurseLisLcaringLforLaLclientLwithLCrohn'sLdiseaseLwhoLhasLaLcalciumLlevelLofL8Lmg/dLL(2Lmmol/L).LWhichL
patternsLwouldLtheLnurseLwatchLforLonLtheLelectrocardiogram?LSelectLallLthatLapply.
1.LULwaves
2.LwidenedLTLwave
3.LprominentLULwave
4.LprominentLQTLinterval
5.LhypoactiveLdeepLtendonLreflexesL-LANSWERL
TheLnurseLreviewsLtheLelectrolyteLresultsLofLaLclientLwithLchronicLkidneyLdiseaseLandLnoteLthatLtheLpotassiu
mLlevelLisL5.7LmEq/LL(5/7mmol/L).LWhichLpatternsLwouldLtheLnurseLwatchLforLonLtheLcardiacLmonitorLasLaLr
esultLofLtheLlaboratoryLvalue?LSelectLallLthatLapply.
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
TheLnurseLisLcaringLforLaLclientLwithLheartLfailure.LOnLassessment,LtheLnurseLnotesLthatLtheLclientLisLdyspnei
c,LandLcracklesLareLaudibleLonLauscultation.LWhatLadditionalLmanifestationsLwouldLtheLnurseLexpectLtoLnot
eLinLthisLclientLifLexcessLfluidLvolumeLisLpresent?
1.LweightLlossLandLdryLskin
2.LflatLneckLandLhandLveinsLandLdecreasedLurinaryLoutput
3.LanLincreaseLinLtheLbloodLpressureLandLincreasedLrespirations
4.LweaknessLandLdecreasedLcentralLvenousLpressureL(CVP)L-LANSWERL
TheLnurseLreviewsLaLclients'LrecordLandLdeterminesLthatLtheLclientLisLatLriskLforLdevelopingLaLpotassiumLdefi
citLifLwhichLsituationLisLdocumented?
1.LsustainedLtissueLdamage
2.LrequiresLnasogastricLsuction
3.LhasLaLhistoryLofLAddison'sLdisease
4.LuricLacidLlevelLofL9.4Lmg/dLL(557Lmcmol/L)L-LANSWERL
TheLnurseLreviewsLaLclient'sLelectrolyteLlaboratoryLreportLandLnotesLthatLtheLpotassiumLlevelLisL2.5LmEq/LL(
2.5mmol/L).LWhichLpatternsLshouldLtheLnurseLwatchLforLonLtheLelectrocardiogramL(ECG)LasLaLresultLofLtheLl
aboratoryLvalue?LSelectLallLthatLapply.
1.LULwaves
2.LabsentLPLwaves
3.LinvertedLTLwaves
4.LdepressedLSTLsegment
5.LwidenedLQRSLcomplexL-LANSWERL
, PotassiumLchlorideLintravenouslyLisLprescribedLforLaLclientLwithLheartLfailureLexperiencingLhypokalemia.LW
hichLactionsLshouldLtheLnurseLtakeLtoLplanLforLpreparationLandLadministrationLofLtheLpotassium?LSelectLallLt
hatLapply.
1.LobtainLanLintravenousL(IV)LinfusionLpump
2.LmonitorLurineLoutputLduringLadministration
3.LprepareLtheLmedicationLforLbolusLadministration
4.LmonitorLtheLIVLsiteLforLsignsLofLinfiltrationLorLphlebitis
5.LensureLthatLtheLmedicationLisLdilutedLinLtheLappropriateLvolumeLofLfluid
6.LensureLthatLtheLbagLisLlabeledLsoLthatLitLreadsLtheLvolumeLofLpotassiumLinLtheLsolutionL-LANSWERL
TheLnurseLisLassessingLaLclientLwithLaLlactoseLintoleranceLdisorderLforLaLsuspectedLdiagnosisLofLhypocalcemi
a.LWhichLclinicalLmanifestationLwouldLtheLnurseLexpectLtoLnoteLinLtheLclient?
1.Ltwitching
2.LhypoactiveLbowelLsounds
3.LnegativeLTrousseau'sLsign
4.LhypoactiveLdeepLtendonLreflexesL-LANSWERL
TheLnurseLisLcaringLforLaLclientLwithLCrohn'sLdiseaseLwhoLhasLaLcalciumLlevelLofL8Lmg/dLL(2Lmmol/L).LWhichL
patternsLwouldLtheLnurseLwatchLforLonLtheLelectrocardiogram?LSelectLallLthatLapply.
1.LULwaves
2.LwidenedLTLwave
3.LprominentLULwave
4.LprominentLQTLinterval
5.LhypoactiveLdeepLtendonLreflexesL-LANSWERL
TheLnurseLreviewsLtheLelectrolyteLresultsLofLaLclientLwithLchronicLkidneyLdiseaseLandLnoteLthatLtheLpotassiu
mLlevelLisL5.7LmEq/LL(5/7mmol/L).LWhichLpatternsLwouldLtheLnurseLwatchLforLonLtheLcardiacLmonitorLasLaLr
esultLofLtheLlaboratoryLvalue?LSelectLallLthatLapply.
