NCLEX question practice

[ariad]

Hi all,

I think preparing for NCLEX can be fun through group discussion. I am glad I found this forum at allnurses. This thread is to practice some good NCLEX questions so we all can learn through interaction.

Anyone has thoughts on this question?

A nurse is caring for a woman that just had a Normal delivery in the Delivery room an hour ago. The nurse understands that the patient is still at risk for Uterine atony at this stage. All of the following interventions should be included in the care plan of patient for detection of uterine atony except:

A. Checking for saturated perinel pads every shift

B. Palpating the fundus at frequent interval.

C. Weighing perineal pads once they are changed, noting the time it was changed and the saturation.

D. Checking vital signs frequently for signs of shock

[amoLucia]

And your thinking the answer is ....

[hidralazina1983]

Is the question C. You should do the another 3.

[AmbitionBorn]

Man Im bad at Maternity! But I'm going with A only because I feel like the pads should be check more frequently.

If we are looking at uterine atony this is the failure of the uterus to contract. This can lead to vessels to bleed more freely... which leads to... hemmorhage. So we do need the other three fundal height checked, weighing pads to indicate amount of blood lost, and vital signs are always good to have :)

[AmbitionBorn]

Heres a Few for each topic...

Management of Care

A Nurse is on a med surg unit with 1 LPN/LVN, and 2 UAPs, which of the following patients is appropriate to assign to the LPN/LVN?

A. A patient 9 days post op from a total hip replacement requesting assistance with ambulation.

B. A patient due for NG feeding but is diaphoretic, and anxious.

C. A patient with a Stage 3 Pressure Ulcer, requiring a sterile dressing change.

D. A patient on a ventilator requiring a bed bathe.

Safety and Infection Control

A UAP is getting patient ready to be taken down for CT scan, this patient is diagnosed with suspected meningitis. Which action would the nurse need to intervene?

A. Patient is wearing a mask and is taken down in a wheel.

B. UAP exits room with mask hanging from face to retrieve chart from nurses' station.

C. Patient finishes breakfast before leaving for procedure.

D. UAP requests RN to stop IV before leaving unit for procedure.

Health Promotion and Maintenance

A 3 year old child is brought to the community clinic for evaluation. Which actions would be MOST concerning for the nurse to witness?

A. Child is shows close attachment to mother, and is sitting on her lap upon entrance.

B. Mother reports that her child has trouble with incontinence throughout the day, and refuses to toilet train.

C. Child cannot identify various letters on Snellen Chart.

D. Child is unable to tie his shoes independently.

Psychosocial Intergrity

A patient has an outburst on a in-patient psych unit. He screams out "I WANT TO GET OUT OF HERE, THIS IS NOT WORTH MY TIME." Which response is BEST for the nurse?

A. "I need you to calm down you are disturbing the other patients"

B. "I can see that you are unsatisfied. Come with me and lets talk."

C. "If you continue this behavior, you are going to lose more privileges."

D. "We are trying our best here. Please don't yell."

Basic Care and Comfort

A patient is admitted to HOSPICE care due to ESRF (End-stage Renal Failure), and is in a comatose state. Which of non-pharmacological interventions will promote the MOST comfort for this patient?

A. Provide patient with Radio/TV for environmental stimuli.

B. Provide tube feedings consistently, and at a slow rate.

C. Turn patients side-to-side every q2 hours.

D. Allow family to bring in belongings for patient to place in the room.

Pharmacological and Parenteral Therapies

A patient is diagnosed with CHF (congestive heart failure), and the provider prescribes furosemide,spironolactone, and digoxin. The last labs of the patient consisted of digixon level of 3.9 ng/mL and K+ of 8.5. Which action is BEST for the nurse to take?

A. Administer digoxin; hold furosemide, and spironolactone.

B. Administer furosemide, and spironolactone; hold digoxin.

C. Administer spironolactone; hold digoxin, and furosemide.

D. Administer all medication as ordered.

Reduction of Risk Potential

A patient is scheduled for dialysis in the morning. Which AM medication is appropriate for the nurse to administer to this patient: (Select all the apply)

A. Lorazepam

B. Epogen

C. Acetaminophen

D. Losartan

E. Humalog (Lispro)

Physiological Adaptation

A patient on receiving 1 unit of pack red blood cells, complains of lower back pain. Which action should the nurse take FIRST?

A. Stop the transfusion.

B. Assess the IV site.

C. Notify the HCP (health care provider)

D. Slow the infusion rate.

[Flnolegirl]

Im thinking the correct answer is A because you need to check the pads more often than every shift.