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NLEX Review I
Test Description: Short review
Instructions: Answer all questions to get your test result.
1) A client is started on TPN for chronic pancreatitis. The most important assessments for the nurse to make 24 hours later are
A
BUN and creatinine levels
B
redness and drainage at the central line insertion site
C
glucose level and ausluctation of lungs for presence of crackles
D
temperature and WBC count
2) A client with renal calculus has a Foley catheter and an IV of NS at 150ml/hr. Which of the following findings warrants immediate reporting?
A
client reports of feeling \\
B
nausea that is controlled with prescribed medication
C
flank pain that radiates to the lower abdomen
D
no urine output for 2 hours
3) A client had a Whipple procedure 3 days ago. Which of the following assessments is most important for the nurse to follow up?
A
wound edges are slightly edematous, reddish, and soft
B
WBC count of 9,000/mm3
C
client reports abdominal pain radiating to shoulder and has a fever
D
bowel sounds are auscultated 10/min
4) A client is taking acetaminophen on a consistent basis. Which of the following client findings indicates possible acetaminophen toxicity?
A
WBC count of 5,500/mm3
B
platelet count of 350,000/mm3
C
direct bilirubin 2.0mg/dl
D
aspartate aminotransferase of 30 units/L
5) A client is to start taking bromocriptine (Parlodel) for management of Parkinson\\\'s disease. Which of the following instructions will help manage common side effects?
A
rise slowly when standing up
B
chew sugarless gum
C
increase dietary fiber and fluid intake
D
wear sunscreen when outdoors
6) Which of the following assessment data is most important for a nurse to report to the primary care provider?
A
pulse 110 beats/min after lunch
B
clubbing of fingers and cyanotic lips
C
blood pressure 149/88 mmHg
D
SaO2 90% on room air
7) A nurse is assisting a primary care provider with removal of a chest tube. The nurse should instruct the client to
A
perform Valsalva maneuver during removal
B
lie on his left side during removal
C
inhale deeply during removal
D
hold his breath
8) A nurse is caring for a client following a bronchoscopy. Which of the following client findings should the nurse report immediately?
A
dry nonproductive cough
B
blood-tinged sputum
C
bronchospasms
D
fever of 37.2 C (99 F
9) Airway depth for oropharyngeal suctioning is measured by
A
determining the distance from the corner of the mouth to the earlobe
B
determining the distance from the nares to the earlobe
C
determining the distance from the nares to the occipital condyle
D
inserting the catheter until resistance is met
10) Which of the following terms describes wound drainage that is thick and yellow?
A
purulent
B
sanguineous
C
serous
D
serosanguineous
*select an answer for all questions
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