NCSBN TEST BANK - FOR THE NCLEX-RN &
G G G G G G G
NCLEX-PN, UPDATED 2021, G G
G COMPLETEQUESTIONS & ANSWERS WITH G G G G
G RATIONALE G
Question 1 G
The nurse is caring for a 4 year-old who will have surgery
G G G G G G G G G G G
G for Tetralogy of Fallot tomorrow. Which laboratory report
G G G G G G G
G must receive PRIORITY attention by the nurse?
G G G G G G
A) Erythrocyte sedimentation rate G G
B) White blood cell count
G G G
C) Hemoglobin and hematocrit G G
D) Arterial blood gases G G
Review Information: The correct answer is:
G G G G G
C) Hemoglobin and hematocrit.
G G G
Tetralogy of Fallot is a cyanotic heart defect, which can
G G G G G G G G G
G manifest in polycythemia due to release of erythropoietin.
G G G G G G G
,G Hemoglobin valuesof up to 20 and hematocrit''s of 60 or
G G G G G G G G G
G higher may be seen. These must be noted and reported to
G G G G G G G G G G
G the physician.
G
Question 2 G
The nurse is assessing a client with portal hypertension.
G G G G G G G G
G Which of the following findings would the nurse expect?
G G G G G G G G
A) Expiratory wheezes G
B) Blurred vision G
C) Acites
D) Dilated pupils G
Review Information: The correct answer is:
G G G G G
C) Acites.
G
Portal hypertension can occur in a client with right-sided
G G G G G G G G
heart failure or cirrhosis of the liver. Portal hypertension
G G G G G G G G G
G can lead to acites due to the increased protal pressure as
G G G G G G G G G G
G well as a lowered osmotic pressure.
G G G G G
,Question 3 G
A 67 year-old client with non-insulin dependent diabetes
G G G G G G G
G should be instructed to contact the out-patient clinic
G G G G G G G
G IMMEDIATELY if the following symptoms are present
G G G G G G
A) Temperature of 37.5 degrees C with painful urination
G G G G G G G
B) An open wound on their heel
G G G G G
C) Insomnia and daytime fatigueG G G
D) Nausea with two episodes of vomiting
G G G G G
Review Information: The correct answer is:
G G G G G
B) An open wound on their heel.
G G G G G G
When signs of infection occur in their feet, elderly clients
G G G G G G G G G
G who have diabetes and/or vascular disease should seek
G G G G G G G
G health care quickly and continue treatment until the
G G G G G G G
G infection is resolved. Without treatment, serious infection,
G G G G G G
G gangrene, limb loss, and death may result.
G G G G G G
, Question 4 G
The nurse is assessing a newborn the day after birth. The
G G G G G G G G G G
G following are noted: high pitched cry, irritability and lack
G G G G G G G G
G of interest in feeding. The mother signed her own
G G G G G G G G
G discharge against medical advice. Which of the following is
G G G G G G G G
G APPROPRIATE nursing care? G G
A) Reduce the environmental stimuli
G G G
B) Offer formula every 2 hours
G G G G
C) Talk to the newborn while feeding
G G G G G
D) Rock the baby frequently
G G G
Review Information: The correct answer is:
G G G G G
A) Reduce the environmental stimuli.
G G G G
This newborn appears to be withdrawing from substances
G G G G G G G
G taken by the mother before its birth. Reducing noise and
G G G G G G G G G
G G G G G G G
NCLEX-PN, UPDATED 2021, G G
G COMPLETEQUESTIONS & ANSWERS WITH G G G G
G RATIONALE G
Question 1 G
The nurse is caring for a 4 year-old who will have surgery
G G G G G G G G G G G
G for Tetralogy of Fallot tomorrow. Which laboratory report
G G G G G G G
G must receive PRIORITY attention by the nurse?
G G G G G G
A) Erythrocyte sedimentation rate G G
B) White blood cell count
G G G
C) Hemoglobin and hematocrit G G
D) Arterial blood gases G G
Review Information: The correct answer is:
G G G G G
C) Hemoglobin and hematocrit.
G G G
Tetralogy of Fallot is a cyanotic heart defect, which can
G G G G G G G G G
G manifest in polycythemia due to release of erythropoietin.
G G G G G G G
,G Hemoglobin valuesof up to 20 and hematocrit''s of 60 or
G G G G G G G G G
G higher may be seen. These must be noted and reported to
G G G G G G G G G G
G the physician.
G
Question 2 G
The nurse is assessing a client with portal hypertension.
G G G G G G G G
G Which of the following findings would the nurse expect?
G G G G G G G G
A) Expiratory wheezes G
B) Blurred vision G
C) Acites
D) Dilated pupils G
Review Information: The correct answer is:
G G G G G
C) Acites.
G
Portal hypertension can occur in a client with right-sided
G G G G G G G G
heart failure or cirrhosis of the liver. Portal hypertension
G G G G G G G G G
G can lead to acites due to the increased protal pressure as
G G G G G G G G G G
G well as a lowered osmotic pressure.
G G G G G
,Question 3 G
A 67 year-old client with non-insulin dependent diabetes
G G G G G G G
G should be instructed to contact the out-patient clinic
G G G G G G G
G IMMEDIATELY if the following symptoms are present
G G G G G G
A) Temperature of 37.5 degrees C with painful urination
G G G G G G G
B) An open wound on their heel
G G G G G
C) Insomnia and daytime fatigueG G G
D) Nausea with two episodes of vomiting
G G G G G
Review Information: The correct answer is:
G G G G G
B) An open wound on their heel.
G G G G G G
When signs of infection occur in their feet, elderly clients
G G G G G G G G G
G who have diabetes and/or vascular disease should seek
G G G G G G G
G health care quickly and continue treatment until the
G G G G G G G
G infection is resolved. Without treatment, serious infection,
G G G G G G
G gangrene, limb loss, and death may result.
G G G G G G
, Question 4 G
The nurse is assessing a newborn the day after birth. The
G G G G G G G G G G
G following are noted: high pitched cry, irritability and lack
G G G G G G G G
G of interest in feeding. The mother signed her own
G G G G G G G G
G discharge against medical advice. Which of the following is
G G G G G G G G
G APPROPRIATE nursing care? G G
A) Reduce the environmental stimuli
G G G
B) Offer formula every 2 hours
G G G G
C) Talk to the newborn while feeding
G G G G G
D) Rock the baby frequently
G G G
Review Information: The correct answer is:
G G G G G
A) Reduce the environmental stimuli.
G G G G
This newborn appears to be withdrawing from substances
G G G G G G G
G taken by the mother before its birth. Reducing noise and
G G G G G G G G G
