1. Abrupt, high-pitched snapping noise:
Answer:
heart murmur
2. is normal and represent the S1 (first heart sound) and S2 (second heart sound):
Answer:
Lubb-dubb sounds
3. is described as a scratchy, leathery heart sound:
Answer:
pericardial friction rub
4. Vomiting will cause the loss of:
Answer:
hydrochloric acid and subsequent metabolic
5. _____ would occur in a child experiencing diarrhea because of the loss of
bicarbonate.:
Answer:
Metabolic acidosis
6. An ____ involves insertion of needle electrodes into selected skeletal
muscles to evaluate changes & electrical potential of the muscles & the
nerves that lead to them. The test is useful in evaluating suspected lumbar
or cervical disk disease, myasthenia gravis, muscular dystrophy, and other
musculoskeletal diseases. The needle will not electrocute him or her, &
will experience sensations comparable to an injection as the needles are
inserted. An informed consent is required, & no other special preparation is
required for this test.:
Answer:
electromyogram
7. The nurse is preparing a client for surgery. Which would be a component
of the plan of care?:
Answer:
Review the results of the preoperative laboratory studies.
8. one of the most common skin infections among kids, usually produces
blisters or sores on the face, neck, hands, and diaper area. This contagious
superficial skin infection is generally caused by one of two bacteria:
Answer:
Staphylococcus aureus or Streptococcus pyogenes: impetigo
9. a RN in a charge position is reinforcinbg goals to the health care team.
which of these itmes best decribes the goals of continous quality improvement
(CQI) in a health care setting?:
Answer:
improve the quality of care in a proactive manner.
10. the clienbt who recently expericned a stroke has an order to amublate
with assistanc. which statement by the nurse provides the best instructions
to the UAP to assist the client to ambulate?:
Answer:
"have the client lift & move the walker out at arms length then wlak into the
walker." the nurse should give clear & concise inof to the UAP about what is
expected to safely conmplete any task, which is why the optionn about using the
walker is correct. the person assisting the client to ambulate should walk on the
client's weak side. UAP cannot assess or eval a client; only nurses can peform the
steps of the nursing process. if a client gets dizzy, the UAP should assist the client
to sit.
11. the practical nurse (PN) is reassigned to work on an acute care unit. which
of these clients would be most appropriate for this PN to accept?:
Answer:
an older adult client Dx w/ cystitis who has an indwelling urethral catheter =PNs
who are reassigned to clients who are stable. the older adult Dx w// cystitis is the
most stable & the outcomes for care are failry predictable. the other clients have
more complex problems, as well as a higher risk for instability. PNs should not
accept an assignment that is beyond their knowledge or skills
12. which nursing practice best reduces the chance of communication errors
that might otherwise lead to negative client outcomes?:
Answer:
use standardized forms for client handoffs.
Category | NCLEX EXAM |
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