Endocrine

1. A patient is newly diagnosed with diabetes. It has been a few months and they cannot seem to control their glucose very well. You are doing some additional education with them. Which of the following statements indicates this patient has a correct understanding about what you have taught them?
 
 
 
 

Question 1 of 31

Vitals

2. A patient just had a chest tube inserted. You are monitoring their vitals (HR, SpO2, BP, RR). During the first hour after insertion, how often are you monitoring their vitals? (Assuming the vitals are stable)
 
 
 
 

Question 2 of 31

Nursing Interventions

3. You are transporting a patient to another unit. They have a chest tube. Which of the following statements is true when transporting this patient?
 
 
 
 

Question 3 of 31

Injections

4.
What angle degree does a PPD (TB test) need to be at and where does it need to go?

 

 
 
 
 

Question 4 of 31

Enemas

5. You are giving a tap water enema for a pre-op patient. In what position do you have them lay in what position
 
 
 
 

Question 5 of 31

CT

6. A young female patient is getting ready to a have a CT of their abdomen. The patient has never had a CT before. The patient is nervous and asking a lot of questions about having a CT. You answer many of their questions. Which of the following would be a response that indicates understanding of CT imaging?
 
 
 
 

Question 6 of 31

NCLEX-PHYSIOLOGICAL

7. What are the 5 rights of medication administration. Select all that apply:
 
 
 
 
 
 
 

Question 7 of 31

8. You suspect a patient is having extrapyramidal symptoms after being given a medication. All of the following are extrapyramidal symptoms except:
 
 
 
 

Question 8 of 31

9. Based simply on the labs below, which of the following patients would need to be seen first for emergent intervention and orders?
 
 
 
 

Question 9 of 31

10. You have a 8 year old girl who just had a tonsillectomy. You noticed after the last 2 hours she has had increased swallowing and says she feels dizzy. What is most likely happening based on your assessment?
 
 
 
 

Question 10 of 31

Assessment

11.
What is the typical time frame of the Gran mal seizure to last?

 

 
 
 
 

Question 11 of 31

12.
ABGs are ordered. The respiratory therapist comes to collect this. Before drawing blood they compress both the radial and ulnar artery at the same time. The hand becomes white and when released, the color returns. They do this to assess normal blood flow to the hand. What test are they performing?

 

 
 
 
 

Question 12 of 31

13.
A patient has their ABG's drawn. Their C02 is 68. What would you GENERALLY expect to find upon your assessment?

 

 
 
 
 

Question 13 of 31

Orders

14.
A patient has an INR of 8.5. No active bleeding noted. They are on Coumadin for hx of multiple pulmonary embolisms. What order would you most likely expect?

 

 

 
 
 
 

Question 14 of 31

Labs

15.
A patient overdoses on acetaminophen. What is the typical monitoring interval for liver function labs? And what is often seen on the initial liver function panel, 4 hours after the ingestion?

 

 
 
 
 

Question 15 of 31

16. A patient's sodium is 119 at 1500. A basic metabolic panels are being draw every 4 hours. They have fluids running at 75 cc hour. Their next sodium level results at 1900 is 128. What do you do next?
 
 
 
 

Question 16 of 31

Reduction Risk Potential

17. You have a 15 year patient who has Reye's syndrome. Which over the counter medication is associated with this and should be avoided under the age of 18?

 
 
 
 
 

Question 17 of 31

18. A patient’s ECG shows some abnormalities. They have a potassium of 6.5. When a patient has hyperkalemia, which ECG abnormality below, would most likely be seen?

 

 
 
 
 
 

Question 18 of 31

19. A patient has the following labs. What symptoms would they most likely have?

Glucose 550

Cr 1.3

K 3.2

Na 130

BNP 900
 
 
 
 

Question 19 of 31

20. A Guthrie test is used in newborns to help detect a rare inherited disorder called PKU. Where is the child pricked for this test?

 
 
 
 
 

Question 20 of 31

21. A patient is having a CT of their abdomen with contrast. Which medication are they taking that will need to be withheld for 48 hours after the contrast is given?

 

 

 

 
 
 
 
 

Question 21 of 31

Basic Care & Comfort

22. You are teaching a patient with a new colostomy bag. When is the best time to change a colostomy bag?

 
 
 
 
 

Question 22 of 31

23. A patient has insomnia. They have a nursing diagnosis of sleep deprivation r/t restlessness and difficulties staying asleep. Which nursing intervention below is priority?
 
 
 
 

Question 23 of 31

Pharmacological/Parenteral Tx

24. A patient is on a heparin drip for a pulmonary embolism. What is the anecdote for a serious overdose of heparin?

 
 
 
 
 
 

Question 24 of 31

25. A patient is receiving blood. They become SOA & develop a 103 fever. It is determined that they are having a transfusion reaction. After the patient is stabilized, what do you do with the blood and the tubing?

 
 
 
 
 

Question 25 of 31

Antibiotic

26. A 52 year old patient suddenly develops loss of hearing in their right ear. They also tell you that “ I feel like I have lost my balance when I try to walk”. Which medication below carries a black box warning for ototoxicity?
 
 
 
 

Question 26 of 31

Contraceptives

27. A patient has just started the Depo Provera contraceptive. The patient asks when do they need their next injection. Which of following is correct?

 
 
 
 
 

Question 27 of 31

Care Plans

28. Which nursing diagnosis would be the highest priority to focus on for a patient in the hospital with pneumonia?

 

 
 
 
 
 

Question 28 of 31

Central Lines

29. If your patient hears a whooshing sound in the same ear on the side where they have a central line (and an antibiotic infusing), what do you do next?

 
 
 
 
 

Question 29 of 31

Uncategorized

30.
A patient is discharging. They have a central line that needs to be removed. In what position should the patient be placed before pulling the central line?

 

 
 
 
 

Question 30 of 31

31. A 3 month old baby's skin and nails becomes blue upon crying, feeding, and/or having a bowel movement. Which heart defect is this MOST likely describing?

 

 
 
 
 
 

Question 31 of 31


 

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