Procedures - NCLEX-PN
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The nurse cares for a patient hospitalized for 5 days with pneumonia. He is about to be discharged and the nurse is providing discharge instructions to the patient and the family. Which statement made by the patient’s family should most concern the nurse?
The nurse cares for a patient hospitalized for 5 days with pneumonia. He is about to be discharged and the nurse is providing discharge instructions to the patient and the family. Which statement made by the patient’s family should most concern the nurse?
When a patient has an infection and is prescribed antibiotics, the patient should always take the full course of the medication and never discontinue the medication. It is easy for patients to believe they can stop taking the medication when the symptoms are resolved, but the nurse needs to educate the patient to continue the full regimen. The rest of the statements are accurate; the patient must get adequate rest, eat well, use the incentive spirometer, and stay away from others who are sick until he is well.
When a patient has an infection and is prescribed antibiotics, the patient should always take the full course of the medication and never discontinue the medication. It is easy for patients to believe they can stop taking the medication when the symptoms are resolved, but the nurse needs to educate the patient to continue the full regimen. The rest of the statements are accurate; the patient must get adequate rest, eat well, use the incentive spirometer, and stay away from others who are sick until he is well.
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The nurse cares for a patient hospitalized for 5 days with pneumonia. He is about to be discharged and the nurse is providing discharge instructions to the patient and the family. Which statement made by the patient’s family should most concern the nurse?
The nurse cares for a patient hospitalized for 5 days with pneumonia. He is about to be discharged and the nurse is providing discharge instructions to the patient and the family. Which statement made by the patient’s family should most concern the nurse?
When a patient has an infection and is prescribed antibiotics, the patient should always take the full course of the medication and never discontinue the medication. It is easy for patients to believe they can stop taking the medication when the symptoms are resolved, but the nurse needs to educate the patient to continue the full regimen. The rest of the statements are accurate; the patient must get adequate rest, eat well, use the incentive spirometer, and stay away from others who are sick until he is well.
When a patient has an infection and is prescribed antibiotics, the patient should always take the full course of the medication and never discontinue the medication. It is easy for patients to believe they can stop taking the medication when the symptoms are resolved, but the nurse needs to educate the patient to continue the full regimen. The rest of the statements are accurate; the patient must get adequate rest, eat well, use the incentive spirometer, and stay away from others who are sick until he is well.
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A 39-year-old man presents to the ER with weakness, confusion, and vertigo. His heart rate is 91 and bounding, blood pressure is 
, temperature is 
, and blood glucose is 
. He is non-diabetic, he is not on any medication, and he denies recreational drug use. Which of the following is the most likely cause of his symptoms?
A 39-year-old man presents to the ER with weakness, confusion, and vertigo. His heart rate is 91 and bounding, blood pressure is
The most likely cause of his symptoms is hypoglycemia, which is defined as a blood glucose below 
in a non-diabetic patient. The symptoms of hypoglycemia include altered consciousness, tremors, weakness, vertigo, headaches, heart palpitations, and a bounding pulse.
A temperature of 
is not considered abnormal as it may reflect a normal variation in body temperature.
His blood pressure is slightly elevated, but it is unclear whether this is typical for him or whether this represents a significant change from his normal blood pressure. Regardless it would not likely be sufficiently elevated to cause his symptoms.
It is also possible he may be experiencing a panic attack, but in the presence of his depressed blood sugar (and absence of signs of anxiety), hypoglycemia is the most likely cause of his symptoms.
The most likely cause of his symptoms is hypoglycemia, which is defined as a blood glucose below
A temperature of
His blood pressure is slightly elevated, but it is unclear whether this is typical for him or whether this represents a significant change from his normal blood pressure. Regardless it would not likely be sufficiently elevated to cause his symptoms.
It is also possible he may be experiencing a panic attack, but in the presence of his depressed blood sugar (and absence of signs of anxiety), hypoglycemia is the most likely cause of his symptoms.
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Abdominal rigidity and decreased bowel sounds would raise your suspicions of what condition?
Abdominal rigidity and decreased bowel sounds would raise your suspicions of what condition?
Abdominal rigidity and decreased bowel sounds are classic signs of peritontis. In addition, the patient will often want to lie very still, as any motion often increases pain. Cystitis, ulcerative colitis, and cholecystitis all may cause significant abdominal tenderness but would not generally result in rigidity or decreased bowel sounds.
Abdominal rigidity and decreased bowel sounds are classic signs of peritontis. In addition, the patient will often want to lie very still, as any motion often increases pain. Cystitis, ulcerative colitis, and cholecystitis all may cause significant abdominal tenderness but would not generally result in rigidity or decreased bowel sounds.
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Why are blind finger-sweeps not recommended in infants with foreign objects in their oral cavities or airways?
Why are blind finger-sweeps not recommended in infants with foreign objects in their oral cavities or airways?
Blind finger sweeps are not recommended in an infant with airway restriction due to a foreign object because they may inadvertently force the object deeper into the airway. A finger sweep should only be used if the object can be visualized. Injury to the oral cavity would not be a primary concern in the case of airway restriction, and a finger sweep would not be expected to trigger either gasping or vomiting in an infant.
Blind finger sweeps are not recommended in an infant with airway restriction due to a foreign object because they may inadvertently force the object deeper into the airway. A finger sweep should only be used if the object can be visualized. Injury to the oral cavity would not be a primary concern in the case of airway restriction, and a finger sweep would not be expected to trigger either gasping or vomiting in an infant.
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All of the following are forms of shock except __________.
All of the following are forms of shock except __________.
The four main categories of shock are as follows:
- Cardiogenic: Sudden inability of the heart to pump sufficient blood to the body, most commonly due to acute myocardial infarction.
- Hypovolemic: Due to loss of fluids or hemorrhage.
- Septic: Also known as endotoxic shock. Dangerously low blood pressure as the result of systemic inflammatory response to infection.
- Anaphylactic: Systemic inflammatory response to an allergen.
The four main categories of shock are as follows:
- Cardiogenic: Sudden inability of the heart to pump sufficient blood to the body, most commonly due to acute myocardial infarction.
- Hypovolemic: Due to loss of fluids or hemorrhage.
- Septic: Also known as endotoxic shock. Dangerously low blood pressure as the result of systemic inflammatory response to infection.
- Anaphylactic: Systemic inflammatory response to an allergen.
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A 39-year-old man presents to the ER with weakness, confusion, and vertigo. His heart rate is 91 and bounding, blood pressure is , temperature is , and blood glucose is . He is non-diabetic, he is not on any medication, and he denies recreational drug use. Which of the following is the most likely cause of his symptoms?
A 39-year-old man presents to the ER with weakness, confusion, and vertigo. His heart rate is 91 and bounding, blood pressure is
The most likely cause of his symptoms is hypoglycemia, which is defined as a blood glucose below in a non-diabetic patient. The symptoms of hypoglycemia include altered consciousness, tremors, weakness, vertigo, headaches, heart palpitations, and a bounding pulse.
A temperature of is not considered abnormal as it may reflect a normal variation in body temperature.
His blood pressure is slightly elevated, but it is unclear whether this is typical for him or whether this represents a significant change from his normal blood pressure. Regardless it would not likely be sufficiently elevated to cause his symptoms.
It is also possible he may be experiencing a panic attack, but in the presence of his depressed blood sugar (and absence of signs of anxiety), hypoglycemia is the most likely cause of his symptoms.
The most likely cause of his symptoms is hypoglycemia, which is defined as a blood glucose below
A temperature of
His blood pressure is slightly elevated, but it is unclear whether this is typical for him or whether this represents a significant change from his normal blood pressure. Regardless it would not likely be sufficiently elevated to cause his symptoms.
It is also possible he may be experiencing a panic attack, but in the presence of his depressed blood sugar (and absence of signs of anxiety), hypoglycemia is the most likely cause of his symptoms.
Compare your answer with the correct one above
Abdominal rigidity and decreased bowel sounds would raise your suspicions of what condition?
Abdominal rigidity and decreased bowel sounds would raise your suspicions of what condition?
Abdominal rigidity and decreased bowel sounds are classic signs of peritontis. In addition, the patient will often want to lie very still, as any motion often increases pain. Cystitis, ulcerative colitis, and cholecystitis all may cause significant abdominal tenderness but would not generally result in rigidity or decreased bowel sounds.
Abdominal rigidity and decreased bowel sounds are classic signs of peritontis. In addition, the patient will often want to lie very still, as any motion often increases pain. Cystitis, ulcerative colitis, and cholecystitis all may cause significant abdominal tenderness but would not generally result in rigidity or decreased bowel sounds.
Compare your answer with the correct one above
Why are blind finger-sweeps not recommended in infants with foreign objects in their oral cavities or airways?
Why are blind finger-sweeps not recommended in infants with foreign objects in their oral cavities or airways?
Blind finger sweeps are not recommended in an infant with airway restriction due to a foreign object because they may inadvertently force the object deeper into the airway. A finger sweep should only be used if the object can be visualized. Injury to the oral cavity would not be a primary concern in the case of airway restriction, and a finger sweep would not be expected to trigger either gasping or vomiting in an infant.
Blind finger sweeps are not recommended in an infant with airway restriction due to a foreign object because they may inadvertently force the object deeper into the airway. A finger sweep should only be used if the object can be visualized. Injury to the oral cavity would not be a primary concern in the case of airway restriction, and a finger sweep would not be expected to trigger either gasping or vomiting in an infant.
Compare your answer with the correct one above
All of the following are forms of shock except __________.
All of the following are forms of shock except __________.
The four main categories of shock are as follows:
- Cardiogenic: Sudden inability of the heart to pump sufficient blood to the body, most commonly due to acute myocardial infarction.
- Hypovolemic: Due to loss of fluids or hemorrhage.
- Septic: Also known as endotoxic shock. Dangerously low blood pressure as the result of systemic inflammatory response to infection.
- Anaphylactic: Systemic inflammatory response to an allergen.
The four main categories of shock are as follows:
- Cardiogenic: Sudden inability of the heart to pump sufficient blood to the body, most commonly due to acute myocardial infarction.
- Hypovolemic: Due to loss of fluids or hemorrhage.
- Septic: Also known as endotoxic shock. Dangerously low blood pressure as the result of systemic inflammatory response to infection.
- Anaphylactic: Systemic inflammatory response to an allergen.
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Droplet precautions are designed to stop the spread of infections diseases that travel through droplets. These droplets may land on the mucosa of the nose or mouth after a host sneezes or coughs. Which of the following conditions does not require the use of droplet precautions?
Droplet precautions are designed to stop the spread of infections diseases that travel through droplets. These droplets may land on the mucosa of the nose or mouth after a host sneezes or coughs. Which of the following conditions does not require the use of droplet precautions?
Varicella requires airborne precautions. Staff caring for patients with varicella should be immune. One's immunity to varicella can be confirmed by a blood test.
Varicella requires airborne precautions. Staff caring for patients with varicella should be immune. One's immunity to varicella can be confirmed by a blood test.
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Standard precautions are a set of guidelines that are designed to prevent the spread of infection by exposure to an individual or their bodily fluids. Which of the following is not considered a standard precaution?
Standard precautions are a set of guidelines that are designed to prevent the spread of infection by exposure to an individual or their bodily fluids. Which of the following is not considered a standard precaution?
Standard precautions should be utilized in the care of every patient. Hand hygiene before and after patient contact is always required. Clean, functioning, equipment should always be available. The use of personal protective gear when there is potential to blood or bodily fluid exposure is critical. This includes the proper disposal of soiled materials such as linens. However, it is not necessary for patients to be housed in private rooms unless they are affected by an infectious disease. If private rooms for infectious individuals are unavailable, it is acceptable to place patients in cohorts of the same infectious disease.
Standard precautions should be utilized in the care of every patient. Hand hygiene before and after patient contact is always required. Clean, functioning, equipment should always be available. The use of personal protective gear when there is potential to blood or bodily fluid exposure is critical. This includes the proper disposal of soiled materials such as linens. However, it is not necessary for patients to be housed in private rooms unless they are affected by an infectious disease. If private rooms for infectious individuals are unavailable, it is acceptable to place patients in cohorts of the same infectious disease.
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Droplet precautions are designed to stop the spread of infections diseases that travel through droplets. These droplets may land on the mucosa of the nose or mouth after a host sneezes or coughs. Which of the following conditions does not require the use of droplet precautions?
Droplet precautions are designed to stop the spread of infections diseases that travel through droplets. These droplets may land on the mucosa of the nose or mouth after a host sneezes or coughs. Which of the following conditions does not require the use of droplet precautions?
Varicella requires airborne precautions. Staff caring for patients with varicella should be immune. One's immunity to varicella can be confirmed by a blood test.
Varicella requires airborne precautions. Staff caring for patients with varicella should be immune. One's immunity to varicella can be confirmed by a blood test.
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Standard precautions are a set of guidelines that are designed to prevent the spread of infection by exposure to an individual or their bodily fluids. Which of the following is not considered a standard precaution?
Standard precautions are a set of guidelines that are designed to prevent the spread of infection by exposure to an individual or their bodily fluids. Which of the following is not considered a standard precaution?
Standard precautions should be utilized in the care of every patient. Hand hygiene before and after patient contact is always required. Clean, functioning, equipment should always be available. The use of personal protective gear when there is potential to blood or bodily fluid exposure is critical. This includes the proper disposal of soiled materials such as linens. However, it is not necessary for patients to be housed in private rooms unless they are affected by an infectious disease. If private rooms for infectious individuals are unavailable, it is acceptable to place patients in cohorts of the same infectious disease.
Standard precautions should be utilized in the care of every patient. Hand hygiene before and after patient contact is always required. Clean, functioning, equipment should always be available. The use of personal protective gear when there is potential to blood or bodily fluid exposure is critical. This includes the proper disposal of soiled materials such as linens. However, it is not necessary for patients to be housed in private rooms unless they are affected by an infectious disease. If private rooms for infectious individuals are unavailable, it is acceptable to place patients in cohorts of the same infectious disease.
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A nurse is performing standard cardiac auscultation on a 47 year old male with normal heart size.
The nurse pauses to listen at the fifth intercostal space on the left mid-clavicular line. The nurse is evaluating which of the following?
A nurse is performing standard cardiac auscultation on a 47 year old male with normal heart size.
The nurse pauses to listen at the fifth intercostal space on the left mid-clavicular line. The nurse is evaluating which of the following?
The fifth intercostal space on the left mid-clavicular line is the best location from which to evaluate the mitral valve. The other heart structures are paired with locations as follows:
- Aortic valve: the second intercostal space right of the sternum
- Pulmonic valve: the second intercostal space left of the sternum
- Tricuspid valve: the fourth intercostal space left of the sternum
The fifth intercostal space on the left mid-clavicular line is the best location from which to evaluate the mitral valve. The other heart structures are paired with locations as follows:
- Aortic valve: the second intercostal space right of the sternum
- Pulmonic valve: the second intercostal space left of the sternum
- Tricuspid valve: the fourth intercostal space left of the sternum
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Which of the following laboratory values is not reported in a basic metabolic profile (BMP).
Which of the following laboratory values is not reported in a basic metabolic profile (BMP).
A BMP is a commonly ordered lab value set on patients. It checks commonly reported electrolytes in the body. It is also known as a Chem-7. It looks at: Sodium, potassium, carbon dioxide, bicarbonate, blood urea nitrogen (BUN), creatinine, and glucose. Phosphorous is not included in this laboratory order, and must be checked separately.
A BMP is a commonly ordered lab value set on patients. It checks commonly reported electrolytes in the body. It is also known as a Chem-7. It looks at: Sodium, potassium, carbon dioxide, bicarbonate, blood urea nitrogen (BUN), creatinine, and glucose. Phosphorous is not included in this laboratory order, and must be checked separately.
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A nurse administers one unit of packed red blood cells. 4-6 hours later, what change can be expected in the patient's hemoglobin levels?
A nurse administers one unit of packed red blood cells. 4-6 hours later, what change can be expected in the patient's hemoglobin levels?
A nurse should expect to see an approximately 3% increase in the recipient's hemoglobin 4-6 hours after the administration of one unit of packed red blood cells.
A nurse should expect to see an approximately 3% increase in the recipient's hemoglobin 4-6 hours after the administration of one unit of packed red blood cells.
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Which of the following has been removed from washed red blood cells?
Which of the following has been removed from washed red blood cells?
Washed red blood cells are the product of blood that has been stripped of plasma, leukocytes, antibodies, cytokines, and platelets, in addition to any other blood proteins.
Washed red blood cells are the product of blood that has been stripped of plasma, leukocytes, antibodies, cytokines, and platelets, in addition to any other blood proteins.
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Washed red blood cells are generally administered to which of the following patient populations?
Washed red blood cells are generally administered to which of the following patient populations?
Washed red blood cells are generally prepared for patients with a history of severe allergic reaction to blood transfusion. Washed red blood cells are not generally required in patients with kidney disease, patient who are immunocompromised, or patients with metastatic disease.
Washed red blood cells are generally prepared for patients with a history of severe allergic reaction to blood transfusion. Washed red blood cells are not generally required in patients with kidney disease, patient who are immunocompromised, or patients with metastatic disease.
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Before administration, all plasma products must be tested for which of the following?
Before administration, all plasma products must be tested for which of the following?
Before administration, plasma products must be checked for ABO compatibility and Rh compatibility.
ABO blood type does not have to be an exact match, but blood types must be compatible. An Rh positive individual, for example, is compatible with either Rh negative blood or positive blood, while an Rh negative individual is only compatible with Rh negative blood.
Before administration, plasma products must be checked for ABO compatibility and Rh compatibility.
ABO blood type does not have to be an exact match, but blood types must be compatible. An Rh positive individual, for example, is compatible with either Rh negative blood or positive blood, while an Rh negative individual is only compatible with Rh negative blood.
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