NLN question - NCLEX practice Questions and answers, Graded A+, 2022/2023

NLN question - NCLEX practice Questions and answers, Graded A+, 2022/2023 While assessing a patient, a nurse notes the following findings: poor skin turgor, decreased blood pressure, and a rapid pulse. The patient ...

NLN question - NCLEX practice Questions and answers, Graded A+, 2022/2023 While assessing a patient, a nurse notes the following findings: poor skin turgor, decreased blood pressure, and a rapid pulse. The patient reports having flu-like symptoms, including nausea, vomiting, and diarrhea for the past three days. Based on the above data, which of these laboratory tests should the patient have? 1. serum amylase, cholesterol, and urine glucose 2. serum sodium, chloride, and magnesium levels 3. hemoglobin, RBC, and platelet sounds 4. urine osmolarity, BUN, and hematocrit - ✔✔Urine osmolarity, BUN, and hematocrit Which of these manifestations is suggestive of a UTI in a 6-year-old? 1. polyphagia 2. anuria 3. hypotension 4. enuresis - ✔✔Enuresis To assess for Chvostek's sign, which of these actions should a nurse do? 1. Rub a cotton applicator gently over the eyelid and observe for flutters. 2. Inflate the blood pressure cuff on the upper arm and observe for carpal spasms. 3. Tap over the facial nerve anterior to the ear and observe for twitching 4. Dorsiflex the foot and observe for toe extension - ✔✔Tap over the facial nerve anterior to the ear and observe for twitching When assessing an adolescent for scoliosis, which of these actions should a nurse include? 1. Ask the adolescent to raise both arms over his/her head. 2. Ask the adolescent bend both knees and squat 3. Ask the adolescent to walk on his/her tiptoes 4. Ask the adolescent to bend forward at the waist - ✔✔Ask the adolescent to bend forward at the waist A nurse if planning to perform a physical assessment of the abdomen. The nurse should perform which of these assessments last? 1. palpation 2. inspection 3. auscultation 4. percussion - ✔✔palpation Which of these manifestations should a nurse expect to assess in a patient who has chronic anorexia nervosa? 1. diarrhea 2. oliguria 3. tachycardia 4. constipation - ✔✔constipation Which if these manifestations should a nurse expect to observe in a 3-month-old infant who is diagnosed with dehydration? 1. hyperreflexia 2. tachycardia 3. agitation 4. bradypnea - ✔✔tachycardia A patient's chart indicates the presence of petechiae on the anterior thorax, arms, and neck. Which of these manifestations should a nurse expect to observe? 1. star-snapped, reddish, raised spots on the skin and mucous membranes 2. dime-sized purple-white, raised blotches across all affected skin surfaces 3. small reddish-purplish, flat spots on the skin or mucous membranes 4. large brown spots on the front of the chest, around the arms, and over the neck - ✔✔small reddish-purplish, flat spots on the skin or mucous membranes Which of these assessment data, if noted by a nurse, would indicate that a patient is responding effectively to fluid imbalance correction? 1. weight has stabilized 2. alert to place and person 3. skin turgor returns slowly 4. breath sounds are noisy - ✔✔weight has stabilized A 70-year-old patient reports flank pain and a fever. Which additional findings, if noted, would indicate to a nurse that the patient might have renal colic or calculi? 1. positive CVA tenderness 2. negative Babinski sign 3. Urine specific gravity is 1.025 4. blood pressure is 148/80 mmHg - ✔✔positive CVA tenderness Which of these interpretations should a nurse make when a patient who has a mastectomy has an onset of sweating, palpitations, tachycardia, and diarrhea? 1. This is suggestive of shock. 2. This is suggestive of adhesions. 3. This is suggestive of infection. 4. This is suggestive of dumping syndrome. - ✔✔This is suggestive of dumping syndrome. Which of these manifestations should a nurse assess as suggestive of arterial insufficiency of the lower extremities? 1. marked edema of both ankles 2. diminished pedal pulses 3. pain in the popliteal area upon movement 4. bluish discoloration of the legs - ✔✔diminished pedal pulses A nurse should expect a patient who is diagnosed with hyperthyroidism to report which of these manifestations? 1. weight gain 2. heat intolerance 3. fatigue 4. slow movement - ✔✔heat intolerance Which of these assessment findings, if present, would indicate to a nurse that an infant has developmental hip dysplasia? 1. the presence of asymmetric gluteal folds 2. the presence of atrophy of the feet 3. the femoral pulses are symmetrical 4. there is discoloration of the affected leg - ✔✔the presence of asymmetric gluteal folds Which of these manifestations should a nurse expect to assess in a patient who has hyperphosphatemia? 1. polyuria 2. hunger 3. hypotonic reflexes 4. oral numbness - ✔✔oral numbness Which of these manifestations should a nurse expect to assess in a patient who has central cord syndrome? 1. ipsilateral motor loss above the level of the lesion 2. greater motor loss in upper rather than lower extremities 3. complete paralysis below the level of the lesion 4. loss of light touch and proprioception from the neck downward - ✔✔greater motor loss in upper rather than lower extremities Which of these physical assessment findings, if identified in a patient who has CHF, requires follow-up by a nurse? 1. increased urine output 2. productive cough 3. dyspnea on exertion 4. nocturia - ✔✔dyspnea on exertion When examining a newborn infant, which of these sinuses should a nurse expect to be absent at birth? 1. ethmoid 2. dorsal 3. maxillary 4. frontal - ✔✔frontal Which of these instructions should a nurse include when teaching testicular self-examination? 1. Have the physician check if the left testicle is lower than the right 2. roll each testicle gently between your thumb and fingers 3. report to the physician if one testis feels larger than the other 4. palpate each testis every morning during bath - ✔✔roll each testicle gently between your thumb and fingers A patient who is 34 weeks' gestation has painless vaginal bleeding that started suddenly is admitted to the labor and delivery suite. A nurse should suspect that the patient might have which of these conditions? 1. abdominal pregnancy 2. ectopic pregnancy 3. placenta previa 4. abruptio placenta - ✔✔placenta previa Which of these changes should a nurse recognize as indicative of a problem which a patient's lacrimal glands? 1. edema between the nose and lower eyelid 2. swelling of the eyelids 3. loss of peripheral vision 4. reddened conjunctiva - ✔✔edema between the nose and lower eyelid Which of the following assessment data is the best indication that a nurse can safely start a nasogastric tube feedings? 1. bowel sounds are auscultated at 20 gurgles/minute 2. the patient's gastric residual volume is 90 mL 3. the patient's gastric residual pH is 7.5 4. The last feeding was given 6 hours ago - ✔✔the patient's gastric residual volume is 90 mL A nurse obtains all of the following laboratory results for a 6-year-old child prior to a tonsillectomy. Which one should the nurse report to a physician? 1. decreased hematocrit level 2. increased platelet count 3. increased prothrombin time 4. decreased white blood cell count - ✔✔increased prothrombin time Which of these factors is a trigger for the development of autonomic dysreflexia in a patient who has a spinal cord injury? 1. headache 2. insomnia 3. distended abdomen 4. distended bladder - ✔✔distended bladder Which of these events, if present in a patient's history, should a nurse recognize as being most significant in the development of adrenal hypofunction? 1. working outdoors in a very cold environment 2. engaging in unusually strenuous physical activity 3. consuming insufficient amounts of dietary sodium 4. abrupt cessation of glucocorticoid therapy - ✔✔abrupt cessation of glucocorticoid therapy Which data from a patient's history should a nurse identify as a predisposition to a base deficit metabolic acidosis? 1. diuresis 2. vomiting 3. diarrhea 4. sweating - ✔✔diarrhea