hi fellow nurses, i am reviewing for nclex. my agency has provided me with practice exams without answer keys. i noted some pointers (with permission from my agency) on questions where i had such difficulty deciding as to which is the best answer. i hope you could also share to me your insights that might help me come up with the answer.
the following questions are not the exact words from the test. besides, i definitely couldn't probably copy them word for word, and also to avoid violations on copyrights, and these do not come from the actual nclex. as i have said they are only pointers. you may find some questions lacking in details because as i have implied, they are not replica of the questions.
so here they are: (i would appreciate it if you would quote the questions for convenience. thanks. the answer in red was my answer to it.)
1.) a pt has bilateral cataracts. what question/statement is most appropriate to ask to assess visual impairment?
a. " tell me the things that you can see."
b. "tell me the things that you have difficulty seeing"
c. how has your visual abilities changed
d. .......(i couldn't remember....all i know is that the question was a bit far-out....-shrugs-)
* i chose b because of the word "impairment"...gee, really dont know.
2) a patient (already confined in the hospital and is under antibiotics for pneumonia) suddenly presents signs and symptoms of mi. what should the nurse do first?
a. administer o2 at 4l via nasal cannula (is 4l enough?i was tempted to choose this though because of the pneumonia thing. idk)
b. 12 lead ecg (it seems to always be the first thing to do in cases of mi. right? or wrong?)
c. cardiac enzymes (i think this comes later. idk)
d. ensure patent iv (i think this comes later too because even if this ensures route for administration of mi meds, mi has to be confirmed first)
3) a patient, after learning of his diagnosis of lung cancer becomes extremely agitated, violent and starts throwing objects at the nurses and staff. what is the most important thing to do?
a. tell the patient that hurting the staff is an unacceptable behavior (i don't know if this is appropriate. it just seems like the best answer. again, i don;t know)
b. send the staff out of the room (although it ensures safety for others, it doesn't address the client's problem)
c. give the pt an anti anxiety drug with a full glass of water (won't the glass with water in it also get airborne? i don't think the pt is cooperative enough at this point to succumb to any interventions especially po meds. idk. however gving water does seem to have a calming effect on some people.)
d. notify the physician of the cllients signs and symptoms (the md can probably have a better suggestion what to do.