RN !!!!!!!
(I passed!)
Showing posts with label NCLEX-RN. Show all posts
Showing posts with label NCLEX-RN. Show all posts
Monday, June 9, 2008
Friday, June 6, 2008
After the NCLEX
Well, all of this studying is over. Whew! I went to Erie yesterday and took the boards early this morning. While I cannot comment on the content I encountered, because it is all "TOP SECRET," apparently, I can tell you a little about how I prepared for it and what I thought was helpful.After classes were over, my studying comprised of solely doing NCLEX style questions. I did about 200 questions a day. If I missed a question, I would find out why and make notes about the content I was weak in.
I found it very helpful to know
-All of the normal laboratory values
-Pharmacology - inside and out: uses, side effects, and therapeutic effects of meds
-Your major systems: Endocrine, respiratory, cardiac, and renal
-Prioritizing care
The results will not be available for a couple days. But, I feel pretty good about it. The test is computerized and can give you anywhere between 75 & 265 questions. The computer shuts off when it is 99.9% sure you have or have not met competency. Mine shut off after the minimum 75 questions. So, I'm taking that as a good sign. It could either mean that I proved to them really fast that I know my stuff or that I showed them quickly that I was so far gone there was no saving me with further questions. I like to think it was the former. :)
Anyway, Mark came with me to Erie. After the exam we drove out to the Presque Isle Peninsula. We rented bicycles and biked around the peninsula. It was an absolutely perfect day for it, too. The sky was clear, there was a light breeze, and Lake Erie's scenery was beautiful. Here are a couple pictures from the ride.Monday I start my new job! The beginning of a new chapter!
Wednesday, June 4, 2008
Crunch Time
Only 2 days before I take state boards!! NCLEX ? Crunch time.
Here are some Obstetric Pharmacology NCLEX questions:
1) In assessing a premature neonate, which assessment finding should the nurse anticipate as a result of the ritodrine (Yutopar) therapy?
A. Respiratory distress
B. Hypertension
C. Hypothermia
D. Hypoglycemia
2) A client is scheduled for induction of labor at 40 weeks gestation. The nurse knows the safest technique for the antepartum administration of oxytocin (pitocin) is:
A. In an IV bag diluted per protocol
B. In an IV bag piggybacked into the main IV line
C. In two separate IM injections
D. IV bolus slowly over 20 minutes
3) Which assessment must the nurse make prior to the safe administration of IV oxytocin (pitocin)?
A. Cervical dilation
B. Fetal station
C. Maternal blood pressure
D. Fetal position
4) A client receiving magnesium sulfate for treatment of severe pregnancy induced hypertension (PIH) begins to show manifestations of magnesium intoxication, and the decision is made to administer calcium gluconate. The nurse will use which of the following methods to administer the calcium gluconate? Administration via:
A. Rapid IV push
B. IM injection
C. IV drip
D. Slow IV push
5) Which clinical finding would indicate to the nurse an adverse reaction to betamethasone (Celestone) in an antepartum client?
A. BP of 90/52
B. Muscle weakness and cramping
C. Temp of 103
D. Blood sugar of 64
6) Which does the nurse understand to be an action of dinoprostone (Prepidil)? It is a:
A. Vasodilator which can be used to stimulate contractions and induce labor in post-term clients.
B. Vasoconstrictor which can be used to delay the onset of premature labor contractions.
C. Vasodilator which can be used to ripen and soften the cervix in term clients.
D. Vasoconstrictor which can be used to increase uterine contractility in postpartum hemorrhage.
7) The nurse determines that administration of magnesium sulfate would be contraindicated for the:
A. Mildly pre-eclamptic multigravida client at 38 weeks gestation.
B. Severely pre-eclamptic multipara client in the first stage of labor.
C. Mildly pre-eclamptic primigravida client in preterm labor at 34 weeks gestation.
D. Primipara client with severe pre-eclampsia during the first post-partum day.
Answers: 1) D 2) B 3) D 4) D 5) B 6) D 7) A
Questions from Meds Pub Online Review
Here are some Obstetric Pharmacology NCLEX questions:
1) In assessing a premature neonate, which assessment finding should the nurse anticipate as a result of the ritodrine (Yutopar) therapy?
A. Respiratory distress
B. Hypertension
C. Hypothermia
D. Hypoglycemia
2) A client is scheduled for induction of labor at 40 weeks gestation. The nurse knows the safest technique for the antepartum administration of oxytocin (pitocin) is:
A. In an IV bag diluted per protocol
B. In an IV bag piggybacked into the main IV line
C. In two separate IM injections
D. IV bolus slowly over 20 minutes
3) Which assessment must the nurse make prior to the safe administration of IV oxytocin (pitocin)?
A. Cervical dilation
B. Fetal station
C. Maternal blood pressure
D. Fetal position
4) A client receiving magnesium sulfate for treatment of severe pregnancy induced hypertension (PIH) begins to show manifestations of magnesium intoxication, and the decision is made to administer calcium gluconate. The nurse will use which of the following methods to administer the calcium gluconate? Administration via:
A. Rapid IV push
B. IM injection
C. IV drip
D. Slow IV push
5) Which clinical finding would indicate to the nurse an adverse reaction to betamethasone (Celestone) in an antepartum client?
A. BP of 90/52
B. Muscle weakness and cramping
C. Temp of 103
D. Blood sugar of 64
6) Which does the nurse understand to be an action of dinoprostone (Prepidil)? It is a:
A. Vasodilator which can be used to stimulate contractions and induce labor in post-term clients.
B. Vasoconstrictor which can be used to delay the onset of premature labor contractions.
C. Vasodilator which can be used to ripen and soften the cervix in term clients.
D. Vasoconstrictor which can be used to increase uterine contractility in postpartum hemorrhage.
7) The nurse determines that administration of magnesium sulfate would be contraindicated for the:
A. Mildly pre-eclamptic multigravida client at 38 weeks gestation.
B. Severely pre-eclamptic multipara client in the first stage of labor.
C. Mildly pre-eclamptic primigravida client in preterm labor at 34 weeks gestation.
D. Primipara client with severe pre-eclampsia during the first post-partum day.
Answers: 1) D 2) B 3) D 4) D 5) B 6) D 7) A
Questions from Meds Pub Online Review
Monday, June 2, 2008
What Do Nurses Do?
My children and I were talking recently about what a nurse does. I asked the kids if they knew what a nurse does. This brought an interesting response from Isaac. He said, "Nurses help the doctors by doing what the doctor says to do."Wow.
I was blown away that that is what my children thought a nurse does. But, to be honest, before nursing school, my knowledge of what nurses did was fair, at best.
So, I thought it would be interesting to try to list some of the responsibilities of nurses. I will follow each with an NCLEX question relating to that responsibility because I am in NCLEX study mode still.
In no particular order except what comes to my mind:
Nurses must prioritize care and decide which client needs medical attention first.
1) After receiving report, which of the following clients should the nurse see first?
A. A 14-year old client in sickle-cell crisis with an infiltrated IV.
B. A 59-year old client with leukemia who has received half of a packed red blood cell transfusion.
C. A 68-year old client scheduled for a bronchoscopy.
D. A 74-year old client complaining of a leaky colostomy bag?
The nurse must delegate safely and appropriately to LPNs and Nurse's Aids, taking into account their education, skill level and scope of practice - while retaining final responsibility for delegated tasks.
2) Which of the following assignments, if made by the registered nurse, would be appropriate for an LPN?
A. A 34-year old woman with low back pain scheduled for a myelogram in the afternoon.
B. A 41-year old woman in traction with a fractured femur.
C. A newly diagnosed 43-year old woman with type 1 diabetes mellitus.
D. A 56-year old man with emphysema scheduled to be discharged later today.
Nurses must be knowledgeable about specific medical & surgical complications and be watching for them in the patients. If complications are seen, the nurse must alert the physician.
3)The nurse is caring for a client who had a thyroidectomy 12 hours ago for treatment of Graves' disease. The nurse would be most concerned if which of the following was observed?
A. Blood pressure 138/82, pulse 84, respirations 16, oral temp 99 degrees F.
B. The client supports his head and neck when turning his head to the right.
C. The client spontaneously flexes his wrist when the blood pressure is obtained.
D. The client is drowsy and complains of a sore throat.
The nurse should also be aware of expected medical & surgical side effects so she can treat them directly and not alert the physician, unnecessarily.
4) A client receives 10 units of NPH insulin every morning at 8am. At 4pm, the nurse observes that the client is diaphoretic and slightly confused. The nurse should take which of the following actions first.
A. Check vital signs.
B. Check urine for glucose and ketones.
C. Give 6 oz. of skim milk.
D. Call the physician.
The nurse must be knowledgeable about the patient's condition/surgery so she can provide the necessary care and interventions to the patient.
5) A client is admitted to the hospital with a diagnosis of chronic bronchitis. He has a 10-year history of emphysema. The nurse should place him in which of the following positions?
A. Side-lying
B. Supine
C. High-Fowlers
D. Fowlers
The nurse must know expected laboratory normals and the use of the laboratory tests in order to monitor the patient's condition and alert the physician if necessary. If a lab tests comes back and the value is abnormal it is the nurse's responsibility to communicate that to the doctor. If it is not told to the physician, then, it is the nurse who is at fault.
6) The nurse is caring for a client with an acute myocardial infarction. Which of the following laboratory findings would most concern the nurse?
A. Erythrocyte sedimentation rate (ESR): 10 mm/h
B. Hematocrit (Hct): 42%
C. Creatine kinase (CK): 150 U/ml
D. Serum glucose: 100 mg/dl
The nurse is involved in educating the community in general about medical issues.
7) A parent asks why it is recommended that the second dose of the measles, mumps, and rubella (MMR) vaccine be given at 4 to 6 years of age? The nurse should explain to the parent that the second dose is given at this age for what reason?
A. If the child reaches puberty and becomes pregnant when receiving the vaccine, the risks to the fetus are high.
B. The chance of contracting the disease is much lower at this age.
C. The dangers associated with a strong reaction to the vaccine are increased at this age.
D. A serious complication from the vaccine is swelling of the joints.
The nurse is responsible for being knowledgeable about medical conditions so that she can educate patients about their specific conditions.
8) The nurse is caring for a woman at 37 weeks' gestation. The client was diagnosed with insulin dependent diabetes mellitis (IDDM) at age 7. The client states, "I am so thrilled that I will be breastfeeding my baby." Which of the following responses by the nurse is best?
A. "You will probably need less insulin while you are breastfeeding."
B. "You will need to initially increase your insulin after the baby is born."
C. "You will be able to take an oral hypoglycemic instead of insulin after the baby is born."
D. "You will probably require the same dose of insulin that you are now taking after birth."
The nurse must make appropriate room assignments so that the health of the patient, their roommate, and others is protected.
9) The nurse is caring for clients on the pediatric unit. An eight-year old client with second and third degree burns on the right thigh is being admitted. The nurse should assign the new client to which one of the following roommates?
A. A two-year old with chicken pox.
B. A four-year old with asthma.
C. A nine-year old with acute diarrhea.
D. A ten-year old with MRSA.
The nurse must be knowledgeable about matters of nutrition and its impact on medical conditions in order to provide basic dietary counseling to patients related to their specific needs.
10) The nurse is preparing discharge teaching for a client with a new colostomy. The nurse knows teaching was successful when the client chooses which of the following menu options?
A. Sausage, sauerkraut, baked potato, and fresh fruit.
B. Cheese omelet with ban muffin and fresh pineapple.
C. Pork chop, mashed potatoes, turnips, and salad.
D. Baked chicken, boiled potato, cooked carrots, and yogurt.
The nurse needs to be knowledgeable about antidotes for specific medications in order to provide for the safety of the client in case of toxicity.
11) The nurse is caring for clients on the medical unit. A client is admitted with a diagnosis of deep vein thrombosis (DVT). Admission orders include heparin 2,000 units per hour in 5% dextrose in water. The nurse should have which of the following available?
A. Propranolol (inderal)
B. Protamine zinc
C. Protamine sulfate
D. Vitamin K
The nurse must be aware of medications the patient is on and possible interactions that would affect the patient.
12) A client returns to the clinic two weeks after discharge from the hospital. He is taking wafarin sodium 2 mg PO daily. Which of the following statements, if made by the client to the nurse indicates that further teaching is necessary?
A. "I have been taking an antihistamine before bed."
B. "I take aspirin when I have a headache."
C. "I use sunscreen when I go outside."
D. "I take Mylanta if my stomach gets upset."
The nurse needs to be aware of specific physical/physiological conditions that would affect medications and be prepared to make critical decisions about the administration of those medications.
13) A client is receiving digoxin. His pulse range is normally 70 - 76 bpm. After assessing the apical pulse for 1 minute and finding it to be 60 bpm, the nurse should initially:
A. Call the physician for orders
B. Withhold the digoxin
C. Administer the digoxin
D. Notify the charge nurse
The nurse must be knowledgeable about medications in order to do accurate patient teaching about their medications.
14) A client asks the nurse how long she has to take her medicine for hypothyroidism. The nurse's response is based on the knowledge that:
A. Lifelong daily medicine is necessary.
B. The medication is expensive, and the dose can be reduced in a few months.
C. The medication can be gradually withdrawn in 1 - 2 years.
D. The medication can be discontinued after the client's thyroid-stimulating hormone level is normal.
The nurse is responsible for all nursing actions she preforms. Mindless "helping the doctor by doing what he says" as my son put it, is not an option. The nurse must double check all orders for all patients, ensuring that the treatment, test, or medication is appropriate and safe for the patient.
15) A client with acute pancreatitis has been admitted with the following physician orders. Which would the nurse question the doctor on?
A. NPO
B. Naso-gastric tube insertion
C. Morphine sulfate 5mg every 4 hours PRN pain
D. IV of D 5 1/2 NS at 125ml/hr
Lawsuits against nurses for negligence and malpractice are on the increase. Prudent nurses will stay abreast of current research and practice evidence based nursing.
Yes, we help the doctors, but nurses today are autonomous, and they take pride in their profession.
Answers: 1) a 2) b 3) c 4) c 5) c 6) c 7) a 8) a 9) b 10) d 11) c 12) b 13) b 14) a 15) c
Questions from:
NCLEX-RN Strategies for the registered nursing licensing exam 2007-2008 edition &
NCLEX-RN Exam Cram
Thursday, May 29, 2008
Ready?
Ready or not, I just scheduled myself to sit for the NCLEX-RN Pennsylvania Boards next Friday, June 6th!!!
Thursday, May 22, 2008
NCLEX Qs
Ok, the topics I am focusing on today are right up my alley! Fertility, Contraception & Fetal Development. Maybe this birth related blog will get slightly back on track - if only for today.
Here we go:
1) The client has been scheduled to have a hysterosalpingogram. Which of the following questions does the nurse need to ask?
a. Do you have any metal implants?
b. When was the last time you had intercourse?
c. When was the first day of your last menstrual cycle?
d. What was your age at menarche?
2) Which of the following statements made by the client scheduled for in vitro fertilization would indicate the need for additional teaching?
a. The egg retrieval procedure may be uncomfortable, but medication will be available for me.
b. The fertilized eggs will be implanted into my uterus 2 to 3 days after the egg retrieval.
c. I will need to limit my activities the day of the egg retrieval and the day of implantation.
d. I will have eight embryos implanted to maximize my chance of carrying a baby to term.
3) When reviewing the assessment data of the client, which of the following would lead the nuse to recommend a method of contraception other than oral contraceptives?
a. Family history of ovarian cancer
b. Type 1 diabetic
c. History of iron-deficiency anemia
d. Fibrocystic beast disease
4) A client taking oral contraceptive pills calls the clinic and reports the presence of chest pain and shortness of breath. The nurse should instruct the client to do which of the following:
a. Stop taking the pills and use a non-hormonal contraceptive method.
b. Eat smaller meals more frequently to prevent gastric distention.
c. Wait for the physician to return a telephone call to the client.
d. Go to the nearest emergency room to be evaluated.
5) A couple visits the genetic counseling clinic regarding a family history of cystic fibrosis, an autosomal recessive disorder. They ask the nurse, "What are the chances that we will have a child with cystic fibrosis if we are both carriers?" Which response by the nurse is best?
a. It would be better not to have children because they will all have cystic fibrosis.
b. The disorder occurs at random and there s no way to calculate the risk.
c. There is a 50% chance that you will have a child with cystic fibrosis.
d. There is a 25% chance that you will have a child with cystic fibrosis.
6) After delivery, the nurse examines the umbilical cord. The nurse records the presence of a normal umbilical cord by documenting that the umbilical cord has which of the following?
a. One artery and two veins.
b. Two arteries and one vein.
c. Two arteries and two veins.
d. One artery and one vein.
Answers: 1) c. 2) d 3) b 4) d 5) d 6) b 7)
Here we go:
1) The client has been scheduled to have a hysterosalpingogram. Which of the following questions does the nurse need to ask?
a. Do you have any metal implants?
b. When was the last time you had intercourse?
c. When was the first day of your last menstrual cycle?
d. What was your age at menarche?
2) Which of the following statements made by the client scheduled for in vitro fertilization would indicate the need for additional teaching?
a. The egg retrieval procedure may be uncomfortable, but medication will be available for me.
b. The fertilized eggs will be implanted into my uterus 2 to 3 days after the egg retrieval.
c. I will need to limit my activities the day of the egg retrieval and the day of implantation.
d. I will have eight embryos implanted to maximize my chance of carrying a baby to term.
3) When reviewing the assessment data of the client, which of the following would lead the nuse to recommend a method of contraception other than oral contraceptives?
a. Family history of ovarian cancer
b. Type 1 diabetic
c. History of iron-deficiency anemia
d. Fibrocystic beast disease
4) A client taking oral contraceptive pills calls the clinic and reports the presence of chest pain and shortness of breath. The nurse should instruct the client to do which of the following:
a. Stop taking the pills and use a non-hormonal contraceptive method.
b. Eat smaller meals more frequently to prevent gastric distention.
c. Wait for the physician to return a telephone call to the client.
d. Go to the nearest emergency room to be evaluated.
5) A couple visits the genetic counseling clinic regarding a family history of cystic fibrosis, an autosomal recessive disorder. They ask the nurse, "What are the chances that we will have a child with cystic fibrosis if we are both carriers?" Which response by the nurse is best?
a. It would be better not to have children because they will all have cystic fibrosis.
b. The disorder occurs at random and there s no way to calculate the risk.
c. There is a 50% chance that you will have a child with cystic fibrosis.
d. There is a 25% chance that you will have a child with cystic fibrosis.
6) After delivery, the nurse examines the umbilical cord. The nurse records the presence of a normal umbilical cord by documenting that the umbilical cord has which of the following?
a. One artery and two veins.
b. Two arteries and one vein.
c. Two arteries and two veins.
d. One artery and one vein.
Answers: 1) c. 2) d 3) b 4) d 5) d 6) b 7)
Wednesday, May 21, 2008
Nutrition
I'm not sure if you are loving these questions or hating them... But it is pretty much what my days are full of... So, today I focused on Nutrition NCLEX questions. If you want to give them a go, here are a few below. I'm taking a break over the weekend and hoping to plant some beautiful pansies that I found with my sister last weekend. But for now:
1) Patients with problems with liver function will have difficulty:
a. Emulsifying fats
b. Digesting carbohydrates
c. Manufacturing red blood cells
d. Reabsorbing water in the intestines
2) Which is a good source of Vitamin C?
a. Milk
b. Beans
c. Yogurt
d. Potatoes
3) Which situation results in ketosis in a normal person?
a. Inadequate intake of carbohydrates
b. Increased intake of protein
c. Excessive intake of starch
d. Decreased intake of fiber
4) What nutrient must be ingested for vitamin K to be absorbed?
a. Carbohydrates
b. Starches
c. Proteins
d. Fats
5) What should the patient be encouraged to eat to facilitate normal blood clotting?
a. Fish oils
b. Enriched grains
c. Green leafy vegetables
d. Fortified milk products
6) How many calories per day would need to be eliminated from the diet to lose 3 pounds in 4 weeks?
a. 450
b. 575
c. 300
d. 375
7) Four grams of carbohydrates, 3 grams of protein, and 5 grams of fat furnish how many kilocalories?
a. 73
b. 83
c. 48
d. 88
8) A client with acute glomerulonephritis requests a snack. Which snack is most therapeutic, providing the specific vitamins needed for this patient's healing.
a. Orange Juice
b. Banana
c. Applesauce
d. Warm Broth
Questions from Fundamentals Success A course Review Applying Critical Thinking to Test Taking
Answers: 1) a 2) d 3) a 4) d 5) c 6) d 7) a 8) c
1) Patients with problems with liver function will have difficulty:
a. Emulsifying fats
b. Digesting carbohydrates
c. Manufacturing red blood cells
d. Reabsorbing water in the intestines
2) Which is a good source of Vitamin C?
a. Milk
b. Beans
c. Yogurt
d. Potatoes
3) Which situation results in ketosis in a normal person?
a. Inadequate intake of carbohydrates
b. Increased intake of protein
c. Excessive intake of starch
d. Decreased intake of fiber
4) What nutrient must be ingested for vitamin K to be absorbed?
a. Carbohydrates
b. Starches
c. Proteins
d. Fats
5) What should the patient be encouraged to eat to facilitate normal blood clotting?
a. Fish oils
b. Enriched grains
c. Green leafy vegetables
d. Fortified milk products
6) How many calories per day would need to be eliminated from the diet to lose 3 pounds in 4 weeks?
a. 450
b. 575
c. 300
d. 375
7) Four grams of carbohydrates, 3 grams of protein, and 5 grams of fat furnish how many kilocalories?
a. 73
b. 83
c. 48
d. 88
8) A client with acute glomerulonephritis requests a snack. Which snack is most therapeutic, providing the specific vitamins needed for this patient's healing.
a. Orange Juice
b. Banana
c. Applesauce
d. Warm Broth
Questions from Fundamentals Success A course Review Applying Critical Thinking to Test Taking
Answers: 1) a 2) d 3) a 4) d 5) c 6) d 7) a 8) c
Tuesday, May 20, 2008
Pharmacology NCLEX ?s
Ok, did we have fun with pediatric nursing questions yesterday?
Today I'm focusing on Pharmacology NCLEX questions. Try your hand at it!
1) Which instruction should be given to the client taking alendronate sodium (Fosamax)?
a. Remain upright for 30 minutes after taking this medication.
b. Force fluids while taking this medication.
c. Take the medication before arising.
d. Take the medication in conjunction with estrogen.
2) An elderly diabetic who has been maintained on metformin (Glucophage) is scheduled for a cardiac catheterization. Which instruction should the nurse give to the client.
a. Take the medication as ordered prior to the exam.
b. Limit the amount of protein in the diet prior to the exam.
c. Discontinue the metformin prior to the exam.
d. Take the medication with water only prior to the exam.
3) A client with leukemia is receiving oral prednisolone (Prednisone). An expected side effect of this medication is:
a. Weight loss
b. Decreased appetite
c. Hirsutism
d. Integumentary bronzing
4) During the rehabilitation phase of a burn injury, the client's burns become infected with pseudomonas. The topical dressing most likely to be ordered for the client is:
a. Silver sulfadiazine (Silvadene)
b. Poviodine (Betadine)
c. Silver nitrate
d. Mafenide acetate (Sulfamylon)
5) A client is admitted for treatment of hypoparathyroidism. Based on the client's diagnosis, the nurse would anticipate an order for:
a. Potassium
b. Magnesium
c. Calcium
d. Iron
6) A client with a seizure disorder is to receive phenytoin and Phenobarbital. The nurse knows that when she administers Phenobarbital and phenytoin:
a. A larger dose of Phenobarbital might be required because of an increase in metabolism.
b. A smaller dose of Phenobarbital might be required because of a decrease in metabolism.
c. There will be no need to alter the amount of Phenobarbital given.
d. The two drugs cannot be given together.
7) A client in labor has an order for Demerol to be administered 10 minutes prior to delivery. The nurse should:
a. Wait until the client is placed on the delivery table and administer the medication IV push.
b. Question the order.
c. Give the medication IM during the delivery to prevent pain from the episiotomy.
d. Give the medication as ordered.
Questions from Exam Cram NCLEX RN
Answers: 1) a 2) c 3) c 4) d 5) c 6) a 7) b
Today I'm focusing on Pharmacology NCLEX questions. Try your hand at it!
1) Which instruction should be given to the client taking alendronate sodium (Fosamax)?
a. Remain upright for 30 minutes after taking this medication.
b. Force fluids while taking this medication.
c. Take the medication before arising.
d. Take the medication in conjunction with estrogen.
2) An elderly diabetic who has been maintained on metformin (Glucophage) is scheduled for a cardiac catheterization. Which instruction should the nurse give to the client.
a. Take the medication as ordered prior to the exam.
b. Limit the amount of protein in the diet prior to the exam.
c. Discontinue the metformin prior to the exam.
d. Take the medication with water only prior to the exam.
3) A client with leukemia is receiving oral prednisolone (Prednisone). An expected side effect of this medication is:
a. Weight loss
b. Decreased appetite
c. Hirsutism
d. Integumentary bronzing
4) During the rehabilitation phase of a burn injury, the client's burns become infected with pseudomonas. The topical dressing most likely to be ordered for the client is:
a. Silver sulfadiazine (Silvadene)
b. Poviodine (Betadine)
c. Silver nitrate
d. Mafenide acetate (Sulfamylon)
5) A client is admitted for treatment of hypoparathyroidism. Based on the client's diagnosis, the nurse would anticipate an order for:
a. Potassium
b. Magnesium
c. Calcium
d. Iron
6) A client with a seizure disorder is to receive phenytoin and Phenobarbital. The nurse knows that when she administers Phenobarbital and phenytoin:
a. A larger dose of Phenobarbital might be required because of an increase in metabolism.
b. A smaller dose of Phenobarbital might be required because of a decrease in metabolism.
c. There will be no need to alter the amount of Phenobarbital given.
d. The two drugs cannot be given together.
7) A client in labor has an order for Demerol to be administered 10 minutes prior to delivery. The nurse should:
a. Wait until the client is placed on the delivery table and administer the medication IV push.
b. Question the order.
c. Give the medication IM during the delivery to prevent pain from the episiotomy.
d. Give the medication as ordered.
Questions from Exam Cram NCLEX RN
Answers: 1) a 2) c 3) c 4) d 5) c 6) a 7) b
On the Book Shelf
I've been doing a ton of reading. My list consists of mostly NCLEX study books. In fact here is a picture of all of my study books - These are strictly for review and practice questions... these are not text books I used in class.But, aside from that, I've been reading a couple books about teaching myself how to crochet! That was one of my goals for myself this year. I'm still really clumsy with the hook and the stitches leave a lot to be desired...but it's a start!
I came across a a report I am going to read. It is called, "The Falling Age of Puberty in U.S. Girls."
It is available to down load free at this site.
Looks intriguing. I am fascinated with all things woman: menarche, pregnancy, birth & menopause. I just can't learn enough about these topics!
Ok, today's procrastination over. Off to study.
Monday, May 19, 2008
NCLEX review
Last week I went to a 4 day review course for the NCLEX exam. The review course was designed to give a broad overview of what we've learned over the past two years in nursing school and highlight important points to remember about specific areas covered.
It did a pretty good job of doing that, actually. Initially, though, I was a bit annoyed on the first day because we were told to be there at 7:30 am so being 1.5 hours away I woke up at 5am and was there promptly at 7:30am. The class didn't get started until 8:15! I was tweaked, to say the least.
Anyway, I was able to work past the initial set back and regain some respect for the tardy teacher and benefit from the course. I was able to identify areas of personal weakness that I need to work on before sitting for the boards.
The biggest area of weakness, I think, personally is pediatric nursing. I took it about 1.5 years ago and it was full of signs, symptoms and treatments that have long since left my immediate recall.
In the next few weeks until I take the NCLEX I will be reviewing everything I ever learned in nursing school....which means I will also be doing a lot of procrastinating (aka my family will be eating good these next few weeks - today already I've made a crock-pot full of chicken corn soup and homemade golden corn bread). :)
My official goal today is to start reviewing pediatric nursing, so to that end, here are some NCLEX style questions on pediatric nursing:
1) The nurse has completed some child and family education for a child diagnosed with thalassemia. The medical plan of treatment includes blood transfusions when the anemia reaches a severe point. Which statement by the parents indicates a need for further education?
a. Because of the anemia, my child will need extra rest periods.
b. My child inherited this disorder from both of us.
c. We should be alert to periods when our child seems paler than usual.
d. My child needs an iron supplement.
2) A 14-year old boy is brought to the ER with a diagnosis of rule out appendicitis. He is complaining of right lower quadrant pain. The nurse's most appropriate action to assist in managing his pain would be to:
a. Insert a rectal tube.
b. Apply an ice bag.
c. Apply a heating pad.
d. Administer an intravenous antispasmodic agent.
3) A nurse performs triage in a pediatric orthopedic clinic. Which of the following should the nurse recognize as a symptom of slipped capitol femoral epiphysis?
a. Pain in the hip of a pre-adolescent child
b. Acute onset of knee pain
c. Presence of a limp in a school-age child
d. Painful external rotation of the affected leg
4) The nurse is providing client education for a family whose child has cerebral palsy and is receiving baclofen epidural therapy to control spasticity. Which of the following is most important for the nurse to include in the discussion?
a. The drug acts to inhibit the neurotransmitter GABA.
b. The child should be able to run with normal gait after insertion of the pump.
c. Parents must bring the child back to the clinic on a regular basis to have more medicine added to the pump.
d. Parents can be taught to regulate the dosage on a sliding scale
5) A toddler with Kawasaki's disease is ordered to receive aspirin therapy. The nurse anticipates that medication therapy with aspirin will follow which principle?
a. High doses of aspirin will be given while fever is high.
b. Length of aspirin therapy is related to child's response.
c. Aspirin dose will be increased after fever is gone.
d. Aspirin dosage is unrelated to platelet count
6) A 2-year old child has a known cardiac defect and is in congestive heart failure. Which assessment findings indicates to the nurse a toxic dose of digoxin?
a. Tachycardia & dysrhythmia
b. Headache & diarrhea
c. Bradycardia & nausea and vomiting
d. Tinnitus & nuchal rigidity
7) The physician orders amoxicillin (Amoxil) 500mg IVPB q 8 hours for a pediatric client with tonsillitis. What is the appropriate nursing action?
a. Question the order because the route of administration is incorrect.
b. Give the medication as ordered.
c. Question the order because the dosage is too high.
d. Question the order because the dosing frequency is incorrect.
8) The mother of a 6-month-old infant is concerned that the infant's anterior fontanel is still open. The nurse would explain to the mother that further evaluation is needed if the anterior fontanel is still open after:
a. 6 months
b. 10 months
c. 18 months
d. 12 months
Questions from : Child Health Nursing Second Edition Reviews & Rationales
Answers: 1) d 2) b 3) a 4) c 5) b 6) c 7) a 8) c
It did a pretty good job of doing that, actually. Initially, though, I was a bit annoyed on the first day because we were told to be there at 7:30 am so being 1.5 hours away I woke up at 5am and was there promptly at 7:30am. The class didn't get started until 8:15! I was tweaked, to say the least.
Anyway, I was able to work past the initial set back and regain some respect for the tardy teacher and benefit from the course. I was able to identify areas of personal weakness that I need to work on before sitting for the boards.
The biggest area of weakness, I think, personally is pediatric nursing. I took it about 1.5 years ago and it was full of signs, symptoms and treatments that have long since left my immediate recall.
In the next few weeks until I take the NCLEX I will be reviewing everything I ever learned in nursing school....which means I will also be doing a lot of procrastinating (aka my family will be eating good these next few weeks - today already I've made a crock-pot full of chicken corn soup and homemade golden corn bread). :)
My official goal today is to start reviewing pediatric nursing, so to that end, here are some NCLEX style questions on pediatric nursing:
1) The nurse has completed some child and family education for a child diagnosed with thalassemia. The medical plan of treatment includes blood transfusions when the anemia reaches a severe point. Which statement by the parents indicates a need for further education?
a. Because of the anemia, my child will need extra rest periods.
b. My child inherited this disorder from both of us.
c. We should be alert to periods when our child seems paler than usual.
d. My child needs an iron supplement.
2) A 14-year old boy is brought to the ER with a diagnosis of rule out appendicitis. He is complaining of right lower quadrant pain. The nurse's most appropriate action to assist in managing his pain would be to:
a. Insert a rectal tube.
b. Apply an ice bag.
c. Apply a heating pad.
d. Administer an intravenous antispasmodic agent.
3) A nurse performs triage in a pediatric orthopedic clinic. Which of the following should the nurse recognize as a symptom of slipped capitol femoral epiphysis?
a. Pain in the hip of a pre-adolescent child
b. Acute onset of knee pain
c. Presence of a limp in a school-age child
d. Painful external rotation of the affected leg
4) The nurse is providing client education for a family whose child has cerebral palsy and is receiving baclofen epidural therapy to control spasticity. Which of the following is most important for the nurse to include in the discussion?
a. The drug acts to inhibit the neurotransmitter GABA.
b. The child should be able to run with normal gait after insertion of the pump.
c. Parents must bring the child back to the clinic on a regular basis to have more medicine added to the pump.
d. Parents can be taught to regulate the dosage on a sliding scale
5) A toddler with Kawasaki's disease is ordered to receive aspirin therapy. The nurse anticipates that medication therapy with aspirin will follow which principle?
a. High doses of aspirin will be given while fever is high.
b. Length of aspirin therapy is related to child's response.
c. Aspirin dose will be increased after fever is gone.
d. Aspirin dosage is unrelated to platelet count
6) A 2-year old child has a known cardiac defect and is in congestive heart failure. Which assessment findings indicates to the nurse a toxic dose of digoxin?
a. Tachycardia & dysrhythmia
b. Headache & diarrhea
c. Bradycardia & nausea and vomiting
d. Tinnitus & nuchal rigidity
7) The physician orders amoxicillin (Amoxil) 500mg IVPB q 8 hours for a pediatric client with tonsillitis. What is the appropriate nursing action?
a. Question the order because the route of administration is incorrect.
b. Give the medication as ordered.
c. Question the order because the dosage is too high.
d. Question the order because the dosing frequency is incorrect.
8) The mother of a 6-month-old infant is concerned that the infant's anterior fontanel is still open. The nurse would explain to the mother that further evaluation is needed if the anterior fontanel is still open after:
a. 6 months
b. 10 months
c. 18 months
d. 12 months
Questions from : Child Health Nursing Second Edition Reviews & Rationales
Answers: 1) d 2) b 3) a 4) c 5) b 6) c 7) a 8) c
Thursday, May 1, 2008
More NCLEX questions
1) A nurse assessing a newborn obtains these measurements: head circumference, 13 inches; chest circumference, 15 inches; abdominal circumference, 12 inches; and length, 20 inches. Which measurement deviates from the normal range:
A. Head
B. Chest
C. Abdomen
D. Length
2) A type I diabetic is in labor. The physician prescribes 10 units of regular insulin IV in 1,000ml of D5NSS. You set up the insulin infusion on an infusion pump with a gtt factor of 10. If you set the pump to deliver 100ml/hr, how many units of insulin are you giving per hour?
A. 1
B. 1.5
C. 2
D. 5
3) One hour after a primigravida has given birth to a baby girl, the nurse is performing a physical assessment. When assessing fundal height, she would expect the fundus to be located at which level?
A. At the umbilicus
B. At the symphysis pubis
C. Midway between the umbilicus and the xiphoid process
D. Midway between the umbilicus and the symphysis pubis
4) After a client has a cesarean section, the nurse can best prevent hemorrhagic shock by doing which of the following?
A. Check blood pressure, pulse, and respirations q 15 min.
B. Assess and maintain a firm uterine contraction
C. Limit narcotic analgesia
D. Check fo bleeding on the dressing
Questions from American Nursing Review Questions & Answers For NCLEX-RN
Answers: 1) B, 2) A, 3) D, 4) B
A. Head
B. Chest
C. Abdomen
D. Length
2) A type I diabetic is in labor. The physician prescribes 10 units of regular insulin IV in 1,000ml of D5NSS. You set up the insulin infusion on an infusion pump with a gtt factor of 10. If you set the pump to deliver 100ml/hr, how many units of insulin are you giving per hour?
A. 1
B. 1.5
C. 2
D. 5
3) One hour after a primigravida has given birth to a baby girl, the nurse is performing a physical assessment. When assessing fundal height, she would expect the fundus to be located at which level?
A. At the umbilicus
B. At the symphysis pubis
C. Midway between the umbilicus and the xiphoid process
D. Midway between the umbilicus and the symphysis pubis
4) After a client has a cesarean section, the nurse can best prevent hemorrhagic shock by doing which of the following?
A. Check blood pressure, pulse, and respirations q 15 min.
B. Assess and maintain a firm uterine contraction
C. Limit narcotic analgesia
D. Check fo bleeding on the dressing
Questions from American Nursing Review Questions & Answers For NCLEX-RN
Answers: 1) B, 2) A, 3) D, 4) B
Wednesday, April 23, 2008
More NCLEX questions
Before I head out for clinical I thought I would post more NCLEX style questions with OB content... It may help keep this blog semi-midwifery focused as I haven't had many birth posts in a while... That is because I haven't been around birth in a while...I'm busy focusing on finishing nursing school, which has nothing to do with birth - directly. Anyway, when I start working on L&D, I'm sure I'll be more inspired to write about birth.
Here they are:
1) A pregnant client is taking folic acid. During prenatal teaching, which of the following foods would the nurse recommend as high in folic acid?
A. Egg yolks
B. Fruit
C. Bread
D. Milk
2) A 21 year old primigravida has an emergency cesarean delivery under general anesthesia. One postoperative intervention is to assist her to turn every 2 hours. Which of the following conditions is this intervention intended to prevent?
A. Pressure Ulcers
B. Muscular Stiffness
C. Respiratory complications
D. Venous stasis
3) During her first prenatal visit to the obstetrician's office, a client complains of increased vaginal drainage. Which of the following responses by the nurse is most appropriate?
A. "This is normal during pregnancy. Just be sure to wash daily with soap and water."
B. "This may indicate an infection, and the drainage will have to be cultured."
C. "This is normal during pregnancy, and you can douche daily to control it."
D. "This is an unusual occurrence, and you must be seen b the physician."
4) A pregnant client is receiving heparin. Which of the following should be a part of the nursing assessment on every shift in light of this drug?
A. Change in fetal activity and position
B. Increase in blood pressure and temperature
C. Any signs of pre-term labor and bleeding from an orifice
D. Homan's sign or periorbital edema
Questions from: American Nursing Review Questions & Answers for NCLEX-RN
Answers: 1) A, 2) C, 3) A, 4) C
Here they are:
1) A pregnant client is taking folic acid. During prenatal teaching, which of the following foods would the nurse recommend as high in folic acid?
A. Egg yolks
B. Fruit
C. Bread
D. Milk
2) A 21 year old primigravida has an emergency cesarean delivery under general anesthesia. One postoperative intervention is to assist her to turn every 2 hours. Which of the following conditions is this intervention intended to prevent?
A. Pressure Ulcers
B. Muscular Stiffness
C. Respiratory complications
D. Venous stasis
3) During her first prenatal visit to the obstetrician's office, a client complains of increased vaginal drainage. Which of the following responses by the nurse is most appropriate?
A. "This is normal during pregnancy. Just be sure to wash daily with soap and water."
B. "This may indicate an infection, and the drainage will have to be cultured."
C. "This is normal during pregnancy, and you can douche daily to control it."
D. "This is an unusual occurrence, and you must be seen b the physician."
4) A pregnant client is receiving heparin. Which of the following should be a part of the nursing assessment on every shift in light of this drug?
A. Change in fetal activity and position
B. Increase in blood pressure and temperature
C. Any signs of pre-term labor and bleeding from an orifice
D. Homan's sign or periorbital edema
Questions from: American Nursing Review Questions & Answers for NCLEX-RN
Answers: 1) A, 2) C, 3) A, 4) C
Thursday, April 17, 2008
Exit Exam
Today we took the HESI Exam. It is a comprehensive exam that predicts a student's performance on the NCLEX-RN . Basically, it is a "mock NCLEX." They tout 97.4% accuracy in predicting success or failure of the NCLEX.
Some schools use this an a true exit exam by making it a benchmark that must be met in order to graduate. Our school, however, does not. They encouraged us to study and do our best, though, as we receive feedback about our areas of weakness. We then can have a plan on how to focus our studies for the real deal - state boards, the NCLEX.
Well, we just had an exam Monday and have another one coming up on Tuesday - both DO count towards our grade...so needless to say there wasn't a whole lot of "HESI Studying" being done here.
I felt like taking it was a good experience. I really appreciated the feedback and being able to experience the feel of what the NCLEX may be like. It gave me confidence, too.
This brings me to a question. Isn't there some etiquette somewhere that says it is RUDE to ask someone what their score was? There were students after the exam sharing their scores with each other, which is fine...they were all willingly participating in it......which is fine, but I wanted no part of..... However, my one friend blatantly asked me what my score was. I really was offended that people could be so bold. If I wanted to share my grade, I would have.
I don't know why that bothered me so much. Yes, there is the straight out attempt at invasion of privacy, and putting someone on the spot...but it REALLY bothered me. I just said, with a laugh, I don't think I want to share that information. She was fine with it... end of story. But, what are my reasons for not sharing.
It is not the obvious: a bad grade. Actually, I got a very good grade... But, why wouldn't I want to share that with my classmates? I can share it here - in near anonymity. I shared it with my husband and children and no doubt will tell my sister. But not my classmates.
Am I afraid of looking the part of the nerdy, adult student? Isolating myself from the rest of the struggling students, lamenting together the unfairness of it all. Am I afraid of making them feel inadequate because the material was attainable for me? Or is it the "English" in me... wanting to adhere to proper etiquette?
Despite the drama afterwards, the test gave me confidence that I can make this last push through to the end successfully. Maybe I'll lighten up on myself a little bit these last few weeks. But probably not.
Some schools use this an a true exit exam by making it a benchmark that must be met in order to graduate. Our school, however, does not. They encouraged us to study and do our best, though, as we receive feedback about our areas of weakness. We then can have a plan on how to focus our studies for the real deal - state boards, the NCLEX.
Well, we just had an exam Monday and have another one coming up on Tuesday - both DO count towards our grade...so needless to say there wasn't a whole lot of "HESI Studying" being done here.
I felt like taking it was a good experience. I really appreciated the feedback and being able to experience the feel of what the NCLEX may be like. It gave me confidence, too.
This brings me to a question. Isn't there some etiquette somewhere that says it is RUDE to ask someone what their score was? There were students after the exam sharing their scores with each other, which is fine...they were all willingly participating in it......which is fine, but I wanted no part of..... However, my one friend blatantly asked me what my score was. I really was offended that people could be so bold. If I wanted to share my grade, I would have.
I don't know why that bothered me so much. Yes, there is the straight out attempt at invasion of privacy, and putting someone on the spot...but it REALLY bothered me. I just said, with a laugh, I don't think I want to share that information. She was fine with it... end of story. But, what are my reasons for not sharing.
It is not the obvious: a bad grade. Actually, I got a very good grade... But, why wouldn't I want to share that with my classmates? I can share it here - in near anonymity. I shared it with my husband and children and no doubt will tell my sister. But not my classmates.
Am I afraid of looking the part of the nerdy, adult student? Isolating myself from the rest of the struggling students, lamenting together the unfairness of it all. Am I afraid of making them feel inadequate because the material was attainable for me? Or is it the "English" in me... wanting to adhere to proper etiquette?
Despite the drama afterwards, the test gave me confidence that I can make this last push through to the end successfully. Maybe I'll lighten up on myself a little bit these last few weeks. But probably not.
Wednesday, April 2, 2008
NCLEX-RN
To be a registered nurse one must
1) Complete an accredited nursing program
2) Pass the NCLEX-RN
NCLEX-RN stands for "The National Council Licensure Examination for Registered Nurses. It is basically, "boards."
In preparation for the NCLEX, it is recommended that a student answer 5,000 practice NCLEX questions. I have 2 books dedicated to NCLEX questions and an online subscription as well that I've been using. Not sure how close I am to 5,000...but I'm on my way. I sent in my application for the test yesterday!
For fun, I'll post some NCLEX questions here from time to time..... And, since this blog is birth related, I'll make sure they are mostly OB/GYN questions.
Here are some to start.
1) A 19-year old primigravida is admitted to the labor and delivery unit in labor. She is 2 cm dilated and 50% effaced, and the fetal head is at 0 station. She is having moderately strong 40-second contractions every 5 minutes. She seems rather anxious and becomes very tense during each contraction. When the client asks for pain relief, what should the nurse do next?
a) Determine the source of her anxiety and institute interventions to help her relax.
b) Immediately check the physician's orders and give her the analgesic ordered.
c) Inform her that the baby's head is not down fa enough just yet, but that as soon as it is, medication will be given.
d) Tell her that her contractions are only moderately strong, and that she should wait until later to take medication.
2) A 17 year old primigavida with severe PIH has been receiving magnesium sulfate IV for 3 hours. The nurse assesses deep tendon reflexes (DTR), vital signs, and fetal heart tones every 15 minutes and urine output hourly. The latest assessment yields the following data: DTR, +1; blood pressure, 150/100mm Hg; pulse, 92 beats/minute; respirations, 10; urine output, 20ml/hour. The client appears flushed and complains of feeling warm. Which nursing action would be most appropriate in light of the current assessment data?
a) Take no action; continue monitoring per standards of care.
b) Discontinue the magnesium sulfate infusion.
c) Increase the infusion rate by 5 gtt/min.
d) Decrease the infusion rate by 5 gtt/min.
3) Which of the following indicates fetal distress?
a) FHR of 144 beats per minute.
b) Acceleration of FHR with contractions
c) Long-term variability
d) Fetal scalp pH of 7.14
4) A baby born at 34 weeks' gestation has a surfactant deficit. Which of the following conditions would the nurse most likely find in completing a newborn assessment?
a) Jaundice
b) Sternal retractions
c) Abdominal distention
d) Frothy, blood-tinged sputum
5) A client has a boggy uterus during Stage IV of her delivery. Four hours postpartum, the nurse is preparing to administer methylergonovine maleate (Methergine) 0.2mg PO as prescribed every 6 hours. The client's vital signs are: T 100.4, P 60, R 14, BP 140/90. Which is the most appropriate intervention?
a) Administer the drug STAT.
b) Administer the drug and call the physician.
c) Do not administer the drug.
d) Administer the drug and recheck vital signs.
6) A client who has suffered a closed head injury has been placed on a cooling blanket and given an antipyretic, as prescribed. In evaluating the client's response to these treatments, the nurse should anticipate that the therapeutic effects of these measures will do which of the following?
a) Prevent hypoxia secondary to diaphoresis.
b) Reduce brain metabolism and limit bain hypoxia.
c) Promote integrity of intracerebral neurons.
d) Promote equalization of osmotic factors.
For answers see below. If you would like rationale for any, let me know.
Answers: 1) a, 2) b, 3) d, 4) b, 5) c, 6) b
Questions from American Nursing Review Questions & Answers for NCLEX-RN, second edition.
1) Complete an accredited nursing program
2) Pass the NCLEX-RN
NCLEX-RN stands for "The National Council Licensure Examination for Registered Nurses. It is basically, "boards."
In preparation for the NCLEX, it is recommended that a student answer 5,000 practice NCLEX questions. I have 2 books dedicated to NCLEX questions and an online subscription as well that I've been using. Not sure how close I am to 5,000...but I'm on my way. I sent in my application for the test yesterday!For fun, I'll post some NCLEX questions here from time to time..... And, since this blog is birth related, I'll make sure they are mostly OB/GYN questions.
Here are some to start.
1) A 19-year old primigravida is admitted to the labor and delivery unit in labor. She is 2 cm dilated and 50% effaced, and the fetal head is at 0 station. She is having moderately strong 40-second contractions every 5 minutes. She seems rather anxious and becomes very tense during each contraction. When the client asks for pain relief, what should the nurse do next?
a) Determine the source of her anxiety and institute interventions to help her relax.
b) Immediately check the physician's orders and give her the analgesic ordered.
c) Inform her that the baby's head is not down fa enough just yet, but that as soon as it is, medication will be given.
d) Tell her that her contractions are only moderately strong, and that she should wait until later to take medication.
2) A 17 year old primigavida with severe PIH has been receiving magnesium sulfate IV for 3 hours. The nurse assesses deep tendon reflexes (DTR), vital signs, and fetal heart tones every 15 minutes and urine output hourly. The latest assessment yields the following data: DTR, +1; blood pressure, 150/100mm Hg; pulse, 92 beats/minute; respirations, 10; urine output, 20ml/hour. The client appears flushed and complains of feeling warm. Which nursing action would be most appropriate in light of the current assessment data?
a) Take no action; continue monitoring per standards of care.
b) Discontinue the magnesium sulfate infusion.
c) Increase the infusion rate by 5 gtt/min.
d) Decrease the infusion rate by 5 gtt/min.
3) Which of the following indicates fetal distress?
a) FHR of 144 beats per minute.
b) Acceleration of FHR with contractions
c) Long-term variability
d) Fetal scalp pH of 7.14
4) A baby born at 34 weeks' gestation has a surfactant deficit. Which of the following conditions would the nurse most likely find in completing a newborn assessment?
a) Jaundice
b) Sternal retractions
c) Abdominal distention
d) Frothy, blood-tinged sputum
5) A client has a boggy uterus during Stage IV of her delivery. Four hours postpartum, the nurse is preparing to administer methylergonovine maleate (Methergine) 0.2mg PO as prescribed every 6 hours. The client's vital signs are: T 100.4, P 60, R 14, BP 140/90. Which is the most appropriate intervention?
a) Administer the drug STAT.
b) Administer the drug and call the physician.
c) Do not administer the drug.
d) Administer the drug and recheck vital signs.
6) A client who has suffered a closed head injury has been placed on a cooling blanket and given an antipyretic, as prescribed. In evaluating the client's response to these treatments, the nurse should anticipate that the therapeutic effects of these measures will do which of the following?
a) Prevent hypoxia secondary to diaphoresis.
b) Reduce brain metabolism and limit bain hypoxia.
c) Promote integrity of intracerebral neurons.
d) Promote equalization of osmotic factors.
For answers see below. If you would like rationale for any, let me know.
Answers: 1) a, 2) b, 3) d, 4) b, 5) c, 6) b
Questions from American Nursing Review Questions & Answers for NCLEX-RN, second edition.
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