NSG 4100 (AHIII) EXAM Test bank
ncLEX QUESTIONS |
COMPREHENSIVE DOC | GRADE A |
100% CORRECT
Answer format
Answers after the red and yellow highlight for easy
guide.
Questions
1 A 69 y/o pt is brought to the ED because a
family member found him lying on the floor
disoriented and lethargic. The physician
suspects bacterial meningitis & admits the pt to
the ICU. The nurse knows that risk factors for
,an unfavorable outcome include what? Select
all that apply:
a. BP greater than 140/90 mm Hg
b. HR greater than 120 bpm
c. older age
d. low Glasgow scale
e. lack of previous immunizations <answer>B,
C, D
2 A client recovering from head injury is
participating in care. The nurse determines that
the client understands measure to prevent
elevations in ICP if the nurse observes the client
doing which of the following?
a. blowing the nose
b. isometric exercise
c. coughing vigorously
d. healing during repositioning <answer>D
3 A client w Guillain-Barre syndrome has
ascending paralysis and is intubated and
receiving mechanical intubation. Which
,strategy should the nurse incorporate in the
plan of care to help the client cope w this
illness?
a. giving the client full control over care
decisions & restricting visitors
b. providing positive feedback and encouraging
active ROM
c. providing info, giving positive feedback, &
encouraging relaxation
d, proving IV administered sedatives, reducing
distractions, & limiting visitors <answer>C
4 A client w SCI is prone to experience
autonomic dysreflexia. The nurse should
include which measures in the plan of care to
minimize the risk of occurrence? Select all that
apply:
a. keep the linen wrinkle-free under the client
b. preventing unnecessary pressure on the
lower limbs
c. limiting bladder cauterization to once every
12 hrs.
, d. turning & repositioning the client every 2 hrs.
e. ensuring that the client has a bowel
movement <answer>A, B, D
5 A clinic nurse is providing patient education
prior to a patients scheduled palliative
radiotherapy to her spine. At the completion of
the patient teaching, the patient continues to
ask the same questions that the nurse has
already addressed. What is the plausible
conclusion that the nurse should draw from
this?
a. the pt is not listening effectively
b. the pt is noncompliant w the plan of care
c. the pt may have low intelligence quotient or
a cognitive deficit
d. the pt has not achieved the desire learning
outcomes <answer>D
6 A critical care nurse is aware of similarities
and differences between the treatments for
ncLEX QUESTIONS |
COMPREHENSIVE DOC | GRADE A |
100% CORRECT
Answer format
Answers after the red and yellow highlight for easy
guide.
Questions
1 A 69 y/o pt is brought to the ED because a
family member found him lying on the floor
disoriented and lethargic. The physician
suspects bacterial meningitis & admits the pt to
the ICU. The nurse knows that risk factors for
,an unfavorable outcome include what? Select
all that apply:
a. BP greater than 140/90 mm Hg
b. HR greater than 120 bpm
c. older age
d. low Glasgow scale
e. lack of previous immunizations <answer>B,
C, D
2 A client recovering from head injury is
participating in care. The nurse determines that
the client understands measure to prevent
elevations in ICP if the nurse observes the client
doing which of the following?
a. blowing the nose
b. isometric exercise
c. coughing vigorously
d. healing during repositioning <answer>D
3 A client w Guillain-Barre syndrome has
ascending paralysis and is intubated and
receiving mechanical intubation. Which
,strategy should the nurse incorporate in the
plan of care to help the client cope w this
illness?
a. giving the client full control over care
decisions & restricting visitors
b. providing positive feedback and encouraging
active ROM
c. providing info, giving positive feedback, &
encouraging relaxation
d, proving IV administered sedatives, reducing
distractions, & limiting visitors <answer>C
4 A client w SCI is prone to experience
autonomic dysreflexia. The nurse should
include which measures in the plan of care to
minimize the risk of occurrence? Select all that
apply:
a. keep the linen wrinkle-free under the client
b. preventing unnecessary pressure on the
lower limbs
c. limiting bladder cauterization to once every
12 hrs.
, d. turning & repositioning the client every 2 hrs.
e. ensuring that the client has a bowel
movement <answer>A, B, D
5 A clinic nurse is providing patient education
prior to a patients scheduled palliative
radiotherapy to her spine. At the completion of
the patient teaching, the patient continues to
ask the same questions that the nurse has
already addressed. What is the plausible
conclusion that the nurse should draw from
this?
a. the pt is not listening effectively
b. the pt is noncompliant w the plan of care
c. the pt may have low intelligence quotient or
a cognitive deficit
d. the pt has not achieved the desire learning
outcomes <answer>D
6 A critical care nurse is aware of similarities
and differences between the treatments for
