NCLEX PREP archer
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 regarded as an exchange for bread." d. According to ANS-c, "one vegetable
can be exchanged for any other vegetable." "Corn is considered a bread exchange."
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 history of heart attacks in his family. d. He smokes one pack of cigarettes a
day - ANS-d. Each day, he smokes one pack of cigarettes. 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 changes in one's life - ANS-a Heart
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 nurse's most effective treatment 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." - ANS-b. "Tell me about
your pacemaker that you don't understand." A nurse has reinforced instruction on how to
change a client's colostomy bag with the client's spouse. 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. letting the partner perform the procedure and watching as it is carried out d. Asking if the
spouse feels comfortable performing the procedure - ANS-c. letting the partner perform the
procedure and watching as it is carried out 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. The nurse ought to think about what, given these
actions? a. Hypokalemia
b. Digitalis toxicity
c. diminished heart rate d. Anxiety related to heart failure - ANS-d. Anxiety related to heart
failure
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 - ANS-a. Empty the pt's bladder
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 - ANS-c. Inform the doctor of
the lab results. A women's labor is being augmented with Pitocin IV. Contractions have been
2 to 3 minutes apart, lasting 60 seconds, and moderately firm. The nurse feels a firm
contraction that lasts for two and a half minutes while palpating the patient's abdomen. The
nurse:
a. Turns off the Pitocin IV
b. Increases the Pitocin IV
c. Encourages the patient to void
d. Encourages deep breathing exercises - ANS-a.Turns off the Pitocin IV
All systems cease to function. Organ systems have shut down and no longer work. What is
this called? - ANS-Biological death
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 - ANS-b. Allow the parents to say
goodbye to the baby
An otherwise healthy individual has experienced severe diarrhea for 36 hours. The nurse
specifically will note indications that the patient is experiencing;
a. Malnutrition
b. Malabsorption
c. Metabolic alkalosis
d. Metabolic acidosis - ANS-d. Metabolic acidosis
Besides COPD what Other diseases cause airflow obstruction? - ANS-Chronic bronchitis
Emphysema
Asthma: WHEEZING
By 16 weeks of pregnancy what organ becomes part of the abdomen? - ANS-Uterus
Clients who are taking anticoagulants or who have a bleeding disorder, should avoid what
type of supplements? (Lesson: The G's) ANS-Ginkgo Biloba Garlic
Green Tea
Ginseng & Ginseng Tea
Ginger
How long does a pregnancy last? Approximately 280 days or 40 weeks. If someone is
allergic to apples, Oranges, and bananas what else might they be allergic to? - ANS-Latex
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 regarded as an exchange for bread." d. According to ANS-c, "one vegetable
can be exchanged for any other vegetable." "Corn is considered a bread exchange."
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 history of heart attacks in his family. d. He smokes one pack of cigarettes a
day - ANS-d. Each day, he smokes one pack of cigarettes. 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 changes in one's life - ANS-a Heart
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 nurse's most effective treatment 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." - ANS-b. "Tell me about
your pacemaker that you don't understand." A nurse has reinforced instruction on how to
change a client's colostomy bag with the client's spouse. 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. letting the partner perform the procedure and watching as it is carried out d. Asking if the
spouse feels comfortable performing the procedure - ANS-c. letting the partner perform the
procedure and watching as it is carried out 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. The nurse ought to think about what, given these
actions? a. Hypokalemia
b. Digitalis toxicity
c. diminished heart rate d. Anxiety related to heart failure - ANS-d. Anxiety related to heart
failure
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 - ANS-a. Empty the pt's bladder
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 - ANS-c. Inform the doctor of
the lab results. A women's labor is being augmented with Pitocin IV. Contractions have been
2 to 3 minutes apart, lasting 60 seconds, and moderately firm. The nurse feels a firm
contraction that lasts for two and a half minutes while palpating the patient's abdomen. The
nurse:
a. Turns off the Pitocin IV
b. Increases the Pitocin IV
c. Encourages the patient to void
d. Encourages deep breathing exercises - ANS-a.Turns off the Pitocin IV
All systems cease to function. Organ systems have shut down and no longer work. What is
this called? - ANS-Biological death
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 - ANS-b. Allow the parents to say
goodbye to the baby
An otherwise healthy individual has experienced severe diarrhea for 36 hours. The nurse
specifically will note indications that the patient is experiencing;
a. Malnutrition
b. Malabsorption
c. Metabolic alkalosis
d. Metabolic acidosis - ANS-d. Metabolic acidosis
Besides COPD what Other diseases cause airflow obstruction? - ANS-Chronic bronchitis
Emphysema
Asthma: WHEEZING
By 16 weeks of pregnancy what organ becomes part of the abdomen? - ANS-Uterus
Clients who are taking anticoagulants or who have a bleeding disorder, should avoid what
type of supplements? (Lesson: The G's) ANS-Ginkgo Biloba Garlic
Green Tea
Ginseng & Ginseng Tea
Ginger
How long does a pregnancy last? Approximately 280 days or 40 weeks. If someone is
allergic to apples, Oranges, and bananas what else might they be allergic to? - ANS-Latex
