NCLEX PREP archer Exam with |!| |!| |!| |!| |!|
verified detailed solutions |!| |!|
List in order how the PPE should be put on - correct answer✔✔1st-Gown
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
2nd-Mask/Respirator
3rd-Goggles
4th-Gloves
List in order how the PPE should be removed - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔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 -
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
correct answer✔✔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 - correct
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
answer✔✔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 - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔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
|!| |!| |!|
verified detailed solutions |!| |!|
List in order how the PPE should be put on - correct answer✔✔1st-Gown
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
2nd-Mask/Respirator
3rd-Goggles
4th-Gloves
List in order how the PPE should be removed - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔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 -
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
correct answer✔✔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 - correct
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
answer✔✔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 - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔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
|!| |!| |!|
