NCLEX Question of the Week #9

9. Fundal height generally increases gradually throughout pregnancy. What explanation would the nurse give the pregnant mother whose fundal height has decreased from 36 to 40 weeks’ gestation?

  1. Fetal engagement
  2. Intrauterine Growth Restriction
  3. Possible premature labor
  4. Evidence of substance abuse

 

Topic: Health Promotion and Maintenance, Intrapartum Care

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NCLEX Question of the Week #8

8. A 30-year old patient is in the Emergency Department suffering from seizures related to alcohol withdrawal. They will soon be admitting this patient to the non-medical psychiatric care unit. The psychiatric nurse knows that, in order to keep this patient safe, he must perform which priority nursing action?

  1. Ask the physician for a prescription for clonazepam, an anxiolytic that may help with the withdrawal symptoms.
  2. Ensure that a working IV pump is set up and ready to work at the patient’s bedside.
  3. Order a STAT arterial blood gas lab.
  4. Pad the side rails of the patient’s assigned bed.

 

Topic: Safety and Infection Control, Injury Prevention

NCLEX Question of the Week #7

7. A 63 year-old male is being seen in the clinic for his annual exam. Before performing a digital rectal exam, which of the following questions should the nurse ask?

  1. “Are you exercising regularly?”
  2. “Has your diet changed dramatically in the past year?”
  3. “Have you had any difficulty starting a stream of urine with you attempt to use the toilet?”
  4. “Are you currently experiencing constipation?”

 

Topic: Health Promotion and Maintenance/Aging Process

NCLEX Question of the Week #6

6. What is the nurse doing in the picture below?

NURSE PIC

A. Testing the neurological triceps reflex

B. Performing a nutritional assessment

C. Performing a musculoskeletal assessment

D. Testing the neurological biceps reflex

NCLEX Question of the Week #5

5. You are caring for a client who is 5 foot 6 inches tall and has a BMI of 28. This client is now on a regular diet. You would most likely recommend:

A. Continuing their diet as it is

B. A weight reduction diet and exercise.

C. A high caloric diet to gain weight

D. Nothing at all, this client is normal.

Question of the Week # 4

4. 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

 

Topic:              Physiological Adaptation/ Reduction of Risk Potential

Subtopic:         Alterations in Body Systems/ Potential for Alterations in Body System

Question of the Week#3

Q3 A patient who takes zolpidem has a new additional prescription for tramadol. The teaching plan for this patient should include which information?
A Tramadol should be taken in the morning, with food.
B There is no risk for addiction related to tramadol.
C Avoid or limit the use of alcohol.
D Seek medical attention if constipation or diarrhea occur.

Question of the Week # 1

1.A patient has completed a living will stating that he does not want intubation, mechanical ventilation or artificial nutrition and hydration carried out should he become unable to communicate his preferences related to medical care. However, the patient’s adult children have expressed their opposition to the patient’s wishes. Which are appropriate nursing actions? Choose all that apply

A. Notify the patient’s physician, the nursing supervisor, and the risk manager

B. Explain to the patient’s family that the living will cannot be changed at this point

C. Encourage the family to discuss their feelings to try to resolve this issue

D. Request a consult with the facility ethics committee if needed

E. Advise the patient to just go along with the wishes of his adult children.